ما هو علاج الخط الأول للشره العصبي؟

References

DOI: 10.1097/YCO.0000000000000360

• Among the guidelines reporting on the prioritized treatment setting of BN, all recommended outpatient therapy as a first-line treatment (n = 5).
• In agreement, five guidelines recommended cognitive-behavioral therapy as a first-line psychotherapy for patients with BN, particularly in an individual format.
• The remaining two guidelines also made recommendations in favor of cognitive-behavioral interventions, but prioritized cognitive-behavioral, guided self-help treatment as a first-line treatment (the United Kingdom), or did not provide an explicit treatment hierarchy (Spain).
• Overall, among the six guidelines which recommended self-help approaches, four highlighted the use of guided self-help based on cognitive-behavioral interventions (Australia and New Zealand, Germany, The Netherlands, the United Kingdom), that is, using structured self-help manuals supplemented with brief supportive sessions.
• Interpersonal psychotherapy was recommended as an alternative to cognitive-behavioral therapy by most guidelines (n = 4), while psychodynamic therapy (n = 2) was rarely recommended.
• Other than the WFSBP guideline, all available guidelines issued recommendations on specific psychological interventions.