避免/限制性食物摄入障碍的评估和管理
1Jessica M. Wirth is an urgent care and occupational medicine PA and former assistant professor of PA studies at Dominican University of California in San Rafael, Calif. The author has disclosed no potential conflicts of interest, financial or otherwise.
JAAPA : official journal of the American Academy of Physician Assistants
|September 5, 2023
概括
避免/限制性食物摄入障碍 (ARFID) 是一种复杂的饮食障碍,涉及极端挑的饮食. 治疗可能包括治疗,药物或住院治疗,但需要更多的研究.
科学领域:
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
- 营养科学 营养科学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 是一种不常见的饮食障碍.
- 它的特点是由于感官问题,对后果的恐惧或食欲不足而不是身体形象问题而导致食物摄入量有限.
- ARFID会导致严重的健康问题,包括营养不良和发育问题.
研究的目的:
- 提供关于ARFID的全面概述.
- 为了突出各种各样的呈现和诊断考虑.
- 审查当前的治疗方法,并确定研究缺口.
主要方法:
- 关于ARFID的现有研究的文献综述.
- 诊断标准和临床表现的分析.
- 综合关于治疗疗效的证据.
主要成果:
- ARFID的表现因严重程度和饮食限制而有很大差异.
- 综合医疗评估和查并发疾病至关重要.
- 认知行为疗法,基于家庭的治疗,药物治疗和再养已经显示出好处.
结论:
- 根据ARFID,需要进行量身定制的医疗和精神病学评估.
- 多模式治疗方法是有效的.
- 进一步的研究对于了解干预,后续和长期结果至关重要,特别是在多样化的群体中.
相关概念视频
Binge Eating Disorders
139
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
139
Anorexia Nervosa
143
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
143
Taste Buds and Receptors
2.2K
Gustation, or the sense of taste, is intrinsically linked to the anatomical structures located on the tongue. This organ's surface, along with the entirety of the oral cavity, is adorned with stratified squamous epithelium. Evident on the tongue are elevated structures known as papillae (singular = papilla), which house the mechanisms for the transduction of gustatory stimuli. Four distinct types of papillae exist, each identified by their unique morphological attributes: the circumvallate,...
2.2K
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
354
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
354
Bulimia Nervosa
156
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
156
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
199
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
199


