关于以患者为中心的饮食失调结果的国际共识
Amelia Austin1, Umanga De Silva2, Christiana Ilesanmi2
1Department of Community Health Sciences, and O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Department of Psychological Medicine, King's College London, London, UK.
The lancet. Psychiatry
|September 28, 2023
概括
一项新的指导方针标准化了饮食障碍的结果测量,提高了心理健康护理的有效性. 它建议对所有年龄组使用患者报告的措施来跟踪行为,身体健康,并发症和生活质量.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 协调结果测量对于提高心理健康护理效率至关重要.
- 虽然对许多疾病存在结果指标,但对于饮食障碍缺乏通用指南.
- 国际健康成果测量联盟 (ICHOM) 为各种健康状况制定了措施.
研究的目的:
- 建立一个普遍的准则来衡量饮食障碍的结果.
- 定义关键的结果领域,并为不同年龄组推特定的患者报告的措施.
- 为研究和临床实践提供标准化数据收集.
主要方法:
- 一个适应的Delphi技术,涉及24名国际专家 (专业和实践经验).
- 结果通过公开审查调查进行了细化和评估.
- 制定了针对结果领域和特定测量工具的建议.
主要成果:
- 确定了四个核心结果领域:饮食障碍行为/认知,身体健康,同时出现的心理健康状况以及生活质量/社会功能.
- 针对儿童 (6-12岁),青少年 (13-17岁) 和成年人 (>18岁) 推了特定的患者报告结果措施.
- 这些措施包括经过验证的问卷,如饮食障碍检查问卷 (EDE-Q),患者健康问卷 (PHQ-9) 和通用焦虑症 (GAD-7) 尺度,并补充了人口统计和临床数据.
结论:
- 拟议的指导方针提供了一个标准化的框架,用于测量饮食障碍的结果.
- 国际采用将使干预和研究结果的比较成为可能.
- 这种标准化旨在提高不同环境和人群中饮食障碍治疗的有效性.
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