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腹手术中的食和饮食障碍:一项回顾性研究
Leonardo Zebi1, Giulia Menculini, Laura Pastorino
1Section of Psychiatry, Department of Medicine and Surgery, University of Perugia, Perugia, Italy, leonardo.zebi@libero.it.
Psychiatria Danubina
|November 23, 2023
概括
腹部外科候选人经常有食和饮食障碍 (FED),通常与其他精神疾病一起出现. 早期识别FED对于量身定制的手术前支持和改善患者结果至关重要.
科学领域:
- 精神病学是一个精神病学.
- 腹部外科 腹部外科
- 肥胖医学 肥胖医学
背景情况:
- 肥胖经常与医疗和精神病相关疾病有关.
- 术前精神病学评估对于减肥手术候选人至关重要.
- 食和饮食障碍 (FED) 是这一群体中常见的精神病并发症.
研究的目的:
- 评估减肥手术候选人的精神病并发症的患病率.
- 在手术前评估期间确定FEDs诊断的临床相关性.
- 了解FED与其他精神疾病之间的关联.
主要方法:
- 使用了精神病学面试和标准化诊断尺度 (SCID-5-CV,MMPI-2,SCID-5-PD).
- 具体的 FED 尺度 (BES,OQ,BULIT-R,BSQ) 进行管理.
- 两变量分析比较了有和没有FED的受试者.
主要成果:
- 评估了160名受试者,41.3%接受了精神病诊断.
- 在28.7%的病例中诊断出食和饮食障碍 (FED).
- 患有FED的个人表现出更高的肥胖和FED家族病史的患病率.
结论:
- 食和饮食障碍 (FED) 在寻求减肥手术的患者中非常普遍.
- 患有FED的患者往往会出现额外的精神疾病,需要专门的护理途径.
- 术前对FED进行查对于全面的患者管理至关重要.
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