一般医生对饮食障碍患者的描述:一项队列研究,重点关注与抑郁症的联合管理
Jean Sébastien Cadwallader1,2,3, Massimiliano Orri4,5, Caroline Barry6
1School of Medicine, Department of General Practice, Sorbonne Université, Paris, France. jscadwallader@yahoo.fr.
Journal of eating disorders
|October 20, 2023
概括
法国的全科医生很少看到患有饮食障碍 (ED) 的患者. 抑郁症是一种常见的并发症,全科医生经常同时治疗这两种疾病,而不是连续治疗.
科学领域:
- 一般实践一般实践
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 国际指导方针建议全科医生对早期饮食障碍 (ED) 进行管理.
- 在法国,医生对ED的管理仍未得到充分研究.
- 抑郁症经常与ED一起发生.
研究的目的:
- 在法国由全科医生管理的厌食症, Bulimia Nervosa 和 ED Not Otherwise Specified 的个体进行表征.
- 在初级保健中调查抑郁症和ED管理之间的时间关系.
主要方法:
- 使用法国一般电子健康记录 (1994-2009) 进行的回顾性队列研究.
- 对患者人口统计,抑郁症并发症和药物 (抗抑郁药,抗焦虑药) 的描述性分析.
- 检查抑郁症和ED之间的管理时间表.
主要成果:
- 在参与的全科医生看的患者中,ED的患病率为0.3% (n=1310).
- 32.3%的ED患者有抑郁病史;18.4%接受抗抑郁药.
- 抑郁症的治疗没有在ED治疗之前进行;观察到并发治疗,特别是在定期随访的患者中.
结论:
- 法国对ED的初级保健数据有限;这项研究提供了独特的见解.
- 在这个样本中,ED访问全科医生并不频繁.
- 一般医生有能力管理抑郁症和EDs的早期症状,强调改善沟通和协作护理.
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