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如何在饮食障碍治疗期间解决身体活动和炼问题:范围审查
Therese Fostervold Mathisen1, Phillipa Hay2,3, Solfrid Bratland-Sanda4
1Faculty of Health, Welfare, and Organization, Østfold University College, Fredrikstad, Norway.
Current opinion in psychiatry
|July 12, 2023
概括
监督和适应的体力活动或运动 (PAE) 在饮食障碍治疗中有效管理功能障碍运动 (DEx),在没有不良事件的情况下对健康和精神病理产生积极影响.
科学领域:
- 饮食障碍治疗方法 饮食障碍治疗方法
- 运动科学运动科学
- 临床心理学 临床心理学
背景情况:
- 功能障碍的体力活动和炼 (DEx) 在饮食障碍 (ED) 治疗中提出了挑战.
- 越来越多地探索整合监督和适应的体力活动或炼 (PAE).
研究的目的:
- 提供关于在ED治疗中解决DEx的最新更新.
- 审查将PAE纳入ED治疗的效果和经验.
主要方法:
- 从2021-2023年对同行评审出版物的系统搜索.
- 包括10项原始研究和6项综述,以及一项元分析.
- 报告遵循PRISMA和SWiM的指导方针.
主要成果:
- 通过心理教育和/或PAE有效管理DEX.
- PAE显示健康影响低至中等,对ED心理病理有积极/中性影响.
- 在神经性厌食症患者中,PAE改善了身体健康,而不会改变体重/身体组成 (除非使用抵抗训练).
- 在神经性食欲症中,PAE降低了DEx,增加了功能性炼.
- 没有报告的不良事件;患者和临床医生注意到的积极经验.
结论:
- PAE可以是ED治疗的有益组成部分.
- 对DEx和PAE缺乏共识和指导方针,阻碍了最佳的整合.
- 需要进一步的研究和指导方针的制定,以在ED护理中标准化PAE.
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