对心理干预和避免和限制性食物摄入障碍 (ARFID) 的结果进行范围审查
Emma Willmott1,2, Rachel Dickinson3, Celine Hall1,4
1Psychological and Mental Health Services, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
The International journal of eating disorders
|October 25, 2023
概括
本综述总结了避免限制性食物摄入障碍 (ARFID) 的心理干预措施,发现了食物暴露和家庭参与等共同组成部分. 然而,ARFID研究中的结果测量需要更多的标准化.
科学领域:
- 临床心理学 临床心理学
- 儿科精神病学 儿科精神病学
- 饮食障碍 研究 研究 研究
背景情况:
- 避免性限制性食物摄入障碍 (ARFID) 是一种复杂的饮食障碍,其特点是由于各种因素而避免食物.
- 心理干预对于管理ARFID至关重要,特别是在儿科患者中.
- 在ARFID的干预和结果测量的景观需要系统的审查.
研究的目的:
- 为ARFID确定和描述现有的心理干预措施.
- 总结ARFID干预研究中使用的结果措施.
- 为ARFID提供临床实践和未来研究方向的见解.
主要方法:
- 通过使用五个主要数据库 (Cochrane,Embase,Medline,PsycInfo,Web of Science) 进行了全面的范围审查.
- 包括到2022年12月22日发表的研究,报告了ARFID的心理干预.
- 排除标准侧重于非ARFID诊断和缺乏详细的心理干预描述.
主要成果:
- 50项研究符合纳入标准,其中大多数研究集中在患有ARFID的儿童和青少年身上.
- 常见的干预措施包括行为疗法,认知行为疗法,家庭疗法和综合方法.
- 一个显著的局限性是经常缺乏验证的结果指标,身体健康指标,如体重是最常见的.
结论:
- 对ARFID的心理干预,包括食物暴露,精神教育和家庭参与,显示出希望.
- 目前关于ARFID干预措施的研究标志着小样本规模和结果测量的相当多样性.
- 对于ARFID治疗疗效,建议对结果测量的标准化和使用更大,更多样化的样本进行进一步研究.
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