目前关于回避性限制性食物摄入障碍的证据:对临床实践的影响和未来的方向
Tanith Archibald1, Rachel Bryant-Waugh1,2
1Maudsley Centre for Child and Adolescent Eating Disorders Michael Rutter Centre Maudsley Hospital London UK.
JCPP advances
|September 27, 2023
概括
避免性限制性食物摄入障碍 (ARFID) 由于其异质性,在临床实践中提出了挑战. 本综述综合了关于ARFID流行,评估,治疗和服务提供的当前证据,为医疗保健专业人员提供建议.
科学领域:
- 临床心理学 临床心理学
- 儿科医学 儿科医学
- 精神病学是一个精神病学.
背景情况:
- 避免性限制性食物摄入障碍 (ARFID) 是一种最近定义的饮食障碍,其特点是与身体形象问题无关的饮食行为存在重大障碍.
- 现象异质性和对ARFID的理解有限,导致在建立管理最佳实践时存在不确定性.
- 目前对ARFID的审查往往没有特别关注医疗保健专业人员和实际临床影响.
研究的目的:
- 综合目前关于ARFID的证据,重点关注流行,评估,临床表现,治疗和服务提供.
- 识别文献上的差距,并为临床实践提出基于证据的建议.
- 概述未来的研究重点,以推进对ARFID的理解和管理.
主要方法:
- 对ARFID的科学文献进行了叙事审查.
- 搜索包括从在线数据库中的案例研究,研究报告,评论文章和元分析.
- 分析了这些发现,以获得对临床实践的影响,并提出建议.
主要成果:
- 讨论了关于ARFID患病率,评估,治疗和服务提供的当前知识,突出了存在重大证据差距的领域.
- 对临床实践的建议是根据现有证据和识别的文献缺陷得出的.
- 对于每一个被探讨的四个关键领域,都提出了与实践有关的研究重点.
结论:
- 患病率数据强调,需要在各种医疗保健服务中整合ARFID护理途径.
- 进一步的研究对于系统评估,基于证据的管理和ARFID最佳服务交付模式至关重要.
- 信息化的临床实践目前依赖于专家的共识和小型研究,需要强大的试验和途径评估.
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