了解社区提供者在诊断和治疗非典型的精神性厌食症方面的做法:一种混合方法研究
Sarah Johnson-Munguia1, Angeline R Bottera1, Irina Vanzhula1
1Department of Psychology, University of Kansas, Lawrence, Kansas, USA.
The International journal of eating disorders
|January 19, 2024
概括
社区提供者在诊断非典型的精神性厌食症 (非典型的AN) 方面存在差异,经常省略减肥标准,更喜欢行为重点. 这凸显了需要更明确的诊断标准和基于证据的恢复指南的需要,非典型的AN.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 饮食障碍 研究 研究 研究
- 临床实践指南 临床实践指南
背景情况:
- 关于诊断非典型的精神性厌食症 (非典型的AN) 的"显著减肥"的定义,存在缺乏共识.
- 目前的指导方针没有规定非典型AN的目标重量 (TW) 确定.
- 这种诊断模两可影响临床实践和患者护理.
研究的目的:
- 调查社区提供者的当前诊断非典型AN的做法.
- 确定供应商如何确定非典型AN的目标重量 (TW).
- 评估职业纪律是否影响在非典型的AN诊断中"显著减肥"的定义.
主要方法:
- 对141名社区服务提供者 (96.4%为女性) 进行了在线调查.
- 该调查收集了关于非典型AN的诊断和治疗实践的数据.
- 使用了描述性统计,费舍尔的精确测试和主题分析.
主要成果:
- 63.97%的提供者在满足其他标准的情况下,诊断出非典型的AN而没有体重减轻.
- 与其他学科相比,博士级心理学家和医疗专业人员在没有减肥的情况下诊断异常AN的可能性较低.
- 提供者认为非典型的AN是污名化的,并更喜欢个性化,以行为为中心的治疗,而不是以体重为中心的方法.
结论:
- 由于缺乏清晰度,在临床实践中显现了不典型AN与DSM-5-TR标准的显著偏差.
- 临床上有用的诊断定义和基于证据的指导方针对于非典型AN的目标体重和恢复指标非常需要.
- 标准化,基于证据的指导方针对于不典型的AN的一致和有效的治疗至关重要.
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