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Updated: Jul 11, 2025

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Assessment of Child Anthropometry in a Large Epidemiologic Study
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患有肥胖的青少年的心理健康:医生之间有矛盾的观点,定性研究
A Beauquesne1,2, A Roué3,4, A Loisel3,5,6
1AP-HP, Cochin Hospital, 97 Boulevard de Port-Royal, Maison de Solenn, 75014, Paris, France. agathe.beauquesne@aphp.fr.
European journal of pediatrics
|November 6, 2023
概括
医生们很难在肥胖的青少年中查心理健康问题,导致护理延迟. 需要改善培训和多学科评估,以更好地支持青少年心理健康.
科学领域:
- 青少年医学 青少年医学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 青少年的肥胖与复杂的心理健康挑战有关,但查指南缺乏.
- 心理健康状况和心理社会困扰是肥胖青少年的重大并发症,通常涉及耻辱和羞耻感.
研究的目的:
- 研究医生如何选肥胖青少年的心理健康问题.
- 了解当前查实践对青少年护理途径的影响.
- 确定心理健康查和对这一群体的护理需要改进的领域.
主要方法:
- 使用解释性现象学分析进行的定性研究.
- 与20名医生 (非精神病医生和儿童/青少年精神病医生) 进行半结构面试.
主要成果:
- 非精神病学家的医生在肥胖的青少年中感觉到显著但定义不佳的痛苦,并将查视为强制性.
- 非精神病学家对痛苦的看法与精神病学家诊断能力之间存在差距,由于资源和时间有限而复杂.
- 青少年专注于减肥和羞辱的经历可能会阻碍他们获得精神病治疗;诊断通常包括焦虑和抑郁症,很少是饮食障碍.
结论:
- 关于肥胖青少年心理健康状况的严重程度的医生观点相互矛盾,阻碍了有效的护理.
- 加强卫生专业人员的培训和实施多学科评估工具对于改善查和护理途径至关重要.
- 解决心理社会痛苦的复杂性需要在医疗保健系统内进行更好的协作和资源.
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