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患有饮食障碍的患者的结果:一项为期5年的研究
D I Ben-Tovim1, K Walker, P Gilchrist
1Clinical Epidemiology and Health Outcomes Unit Flinders Medical Centre, SA 5042, Adelaide, Australia. David.Ben-Tovin@fmc.sa.gov.au
Lancet (London, England)
|June 22, 2001
概括
现有的饮食障碍治疗方法的有效性值得怀疑. 结果的预测因诊断而异,神经性厌食症的初始症状严重程度和神经性食欲症的心理社会因素是关键因素.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 饮食障碍是严重的,不可预测的,并且难以治疗的疾病.
- 一项为期5年的前性研究调查了患者队列中结果和治疗效果的预测因素.
研究的目的:
- 确定患有饮食障碍的患者长期结果的预测因素.
- 评估可用于神经性厌食症,神经性食欲症和EDNOS的现有治疗方法的有效性.
主要方法:
- 在5年内对216名患者 (神经性厌食症,神经性 Bulimia,EDNOS) 进行前性调查.
- 根据治疗状态 (专科单位,安全体重) 和治疗强度分类的患者.
- 评估临床症状,与身体有关的态度和心理社会功能.
主要成果:
- 观察到高康复率:74%的神经过食症,78%的EDNOS,56%的神经厌食症患者不再符合诊断标准.
- 结果预测因素有所不同:神经性厌食症的初始症状程度/强度;神经性厌食症的身体态度和心理社会功能.
- 接受的治疗对所有饮食障碍组的结果没有显著的影响.
结论:
- 这项研究强调了与饮食障碍相关的严重死亡率.
- 这些发现引发了人们对目前治疗饮食障碍的干预措施有效性的担忧.
- 需要进一步的研究来开发更有效的治疗策略.
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