扩大考虑在更高水平的护理中治疗回避性/限制性食物摄入障碍
Brianne N Richson1,2,3, Danielle C Deville4,5, Christina E Wierenga4
1Department of Psychiatry, University of California San Diego Eating Disorders Center for Treatment and Research, 4510 Executive Drive #315, San Diego, CA, 92121, USA. bri.n.richson@gmail.com.
Journal of eating disorders
|January 23, 2024
概括
本评论讨论了在更高层次的护理环境中避免/限制性食物摄入障碍 (ARFID) 的专业治疗. 它强调了神经发育适应和辩证行为疗法 (DBT) 的元素,用于儿科ARFID治疗.
科学领域:
- 儿科心理学 儿科心理学
- 饮食障碍治疗方法 饮食障碍治疗方法
- 临床心理学 临床心理学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 越来越多地被认可为饮食障碍的更高层次护理 (HLOC).
- 目前的文献缺乏在HLOC环境下ARFID治疗方案的详细描述.
- HLOC设施经常管理复杂的儿科ARFID病例,需要专门的干预.
研究的目的:
- 扩展现有的关于小儿ARFID在HLOC中的治疗的文献.
- 描述一个儿科ARFID治疗方法的两个特定的,可能未被充分利用的组件.
- 建议未来的研究方向,以优化HLOC中的ARFID护理.
主要方法:
- 评论侧重于概念化和描述治疗策略,而不是经验数据收集.
- 它强调了神经发育方面的考虑在治疗住宿中的整合.
- 它讨论了在基于家庭的治疗中对辩证行为疗法 (DBT) 元素的辅助使用.
主要成果:
- 强调了治疗住宿的实用性,以解决神经发育需求 (例如,执行功能,感官处理).
- 在基于家庭的儿科ARFID治疗中,DBT元素的辅助使用被认为是有益的.
- 该评论指出,当前有关这些特定治疗组件的文献中存在一个空白.
结论:
- 纳入神经发育适应和DBT元素可以提高儿童ARFID治疗结果在HLOC.
- 需要进一步的研究来验证这些方法在改善治疗结果方面的有效性.
- 这项工作旨在为临床实践提供信息,并指导儿科ARFID管理的未来研究.
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