青少年的医学评估实践中的差异 青少年有饮食障碍的风险
Leslie Sim1, Micaela A Witte2, Jocelyn Lebow3
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
概括
患有饮食障碍 (ED) 的高风险青少年没有得到一致的评估,尽管转诊改善了诊断率. 患者的特征会影响这些关键的早期检测实践.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 青少年健康 青少年健康
- 心理健康查 心理健康查
背景情况:
- 美国预防服务工作组建议对高风险的青少年进行饮食障碍 (ED) 的评估.
- 然而,证据不足以进行普遍查,目前尚不清楚高风险青年是否接受推的评估.
- 患者的特点可能会影响这些实践的实施.
研究的目的:
- 调查对易经症高风险青少年的评估实践.
- 确定患者的特征是否影响接受医学检查,转诊和随访护理.
- 检查评估实践与未来ED诊断之间的关联.
主要方法:
- 利用罗切斯特流行病学项目在2005-2017年间识别易经风险的青少年 (13-18岁).
- 提取了有关患者和访问特征,评估实践 (测试,转诊,随访) 和随后的ED诊断的数据.
- 分析数据以确定影响评估的因素及其对诊断的影响.
主要成果:
- 接受转诊的青少年被诊断患有ED的可能性是早期的4倍.
- 女性比男性更有可能获得推.
- 较高的体重指数与医疗检查的增加有关,但对饮食/体重改善和随访的建议减少.
结论:
- 对于具有潜在ED的高风险青少年的评估实践存在差异.
- 转诊会对早期检测和诊断时间表产生重大影响.
- 需要改进的工具来改善青少年ED的早期检测和治疗.
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