对饮食障碍早期干预的叙述性审查:障碍物和促进者
Regan Mills1, Lucy Hyam1, Ulrike Schmidt1,2
1Department of Psychological Medicine, Centre for Research in Eating and Weight Disorders (CREW), King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Adolescent health, medicine and therapeutics
|December 11, 2023
概括
对饮食障碍 (ED) 的早期干预至关重要,但面临着严重的患者,临床医生和系统障碍. 需要增加资金和可扩展的计划,以改善ED患者年轻人的获取和结果.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 临床心理学 临床心理学
背景情况:
- 饮食障碍 (ED) 是一种严重的精神疾病,影响青少年和年轻人.
- 早期干预对于改善结果至关重要,但寻求帮助和开始治疗往往会延迟.
- 现有的审查主要集中在与患者相关的障碍上,对临床医生,服务和系统因素的关注较少.
研究的目的:
- 综合有关EDs早期干预障碍和促进因素的文献.
- 检查患者,临床医生,服务和医疗保健系统相关的因素.
- 为提高早期干预可访问性和有效性的战略提供信息.
主要方法:
- 一个对同行评审,英语文章的叙事评论,发表到2023年7月.
- 在PubMed和PsychINFO上进行的搜索,使用针对性关键词进行评论,元分析和初级研究.
- 两步的搜索策略,以确定有关促进者和障碍物的相关文献.
主要成果:
- 个人面临着内在的动机障碍 (例如,自我耻辱,否认) 和外部障碍,如长期等待列表和有限的治疗选择.
- 尽管面临挑战,但研究探讨了如何接触到服务不足的人群,并在高需求和劳动力短缺的情况下实施早期干预.
- 历史上对ED研究和服务的资金较低,加上研究与实践的差距,阻碍了进展.
结论:
- 解决患者,临床医生,服务和系统障碍对于有效的EDS早期干预至关重要.
- 增加资金和考虑早期干预计划是必要的.
- 开发可扩展和可持续的早期干预模型需要进一步的讨论和研究.
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