儿童早期开始的限制性食物摄入障碍:潜伏类分析
Coline Stordeur1, Anaël Ayrolles2,3,4, Vincent Trebossen1
1Child and Adolescent Psychiatry Department, Rare Disease Refence Center for Early-Onset Anorexia Nervosa, Robert Debré University Hospital, APHP, Paris, France.
European child & adolescent psychiatry
|October 27, 2023
概括
早发性神经性厌食症 (EOAN) 和避免/限制性食物摄入障碍 (ARFID) 可以在入院时在儿童中进行区分. 潜在类分析根据临床和社会人口统计数据确定了不同的亚型,有助于早期诊断.
科学领域:
- 儿科心理学 儿科心理学
- 儿童精神病学 儿童精神病学
- 饮食障碍研究 饮食障碍研究
背景情况:
- 早期出现的限制性食物摄入障碍,包括早期发作的神经性厌食症 (EOAN) 和避免/限制性食物摄入障碍 (ARFID),是常见的.
- EOAN的核心诊断症状在住院早期很难评估,并使差异诊断复杂化.
研究的目的:
- 根据入院数据,使用隐性类分析 (LCA) 识别儿童限制性食物摄入障碍的亚型.
- 评估LCA识别的亚型与EOAN或ARFID的最终诊断之间的一致性.
主要方法:
- 在首次住院时对97名13岁以下的儿童进行了回顾性分析,这些儿童在第一次住院时患有严重的饮食障碍.
- LCA使用了临床信息,生长图表和入院时可用的社会人口参数.
- 隐性类成员概率与最终诊断 (EOAN/ARFID) 的比较.
主要成果:
- 一个2类LCA模型是最省钱的解决方案.
- 获得最终EOAN诊断的儿童有100%的概率属于1类.
- 根据入院数据,最终诊断为ARFID的儿童有8%的可能性属于1类.
结论:
- 入院时的临床和社会人口因素可以帮助区分儿童的EOAN和ARFID.
- 这些特征对于当核心EOAN症状尚未显现时的差异诊断是有价值的.
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