神经性厌食症患者的非自愿治疗:利用模式和相关因素
Benjamin Mac Donald1,2, Cynthia M Bulik3,4,5, Janne T Larsen6,7,8
1Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Psychological medicine
|June 13, 2023
概括
一小群神经性厌食症患者占大多数非自愿治疗 (IT) 事件. 诸如年轻的年龄和先前的精神病医院入院等因素与增加的IT使用和克制有关. 未来的研究应该探索IT的替代方案.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 神经性厌食症 (AN) 患者的一个子集驱动了大多数非自愿治疗 (IT) 事件.
- 了解这些患者和IT模式对于改善护理至关重要.
研究的目的:
- 探索AN患者IT事件的利用模式.
- 确定与随后的IT使用相关的因素.
主要方法:
- 全国丹麦基于登记册的回顾性队列研究.
- 在入院后的5年内对AN患者的随访.
- 使用回归和描述统计数据分析IT事件,率和相关因素.
主要成果:
- 信息技术的使用在入院后的早期达到顶峰;1.0%的患者占IT事件的67%.
- 最常见的措施是机械和物理限制.
- 女性的性别,年轻的年龄和以前的精神病医院入院与增加的IT和克制性有关.
结论:
- 在一个小的AN患者小组中,高IT使用率令人担忧,可能导致不良体验.
- 对减少IT需求的替代治疗方法进行进一步的研究是有必要的.
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