未来的两年课程和预测结果的预测者在避免/限制性食物摄入障碍
P Evelyna Kambanis1, Nassim Tabri2, Iman McPherson3
1Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School Boston, Massachusetts.
概括
避免/限制性食物摄入障碍 (ARFID) 通常在年轻人中持续超过两年,特定的个人资料预测不同的结果. 了解这些ARFID表现是有效治疗和预后的关键.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
- 发展心理学 发展心理学
背景情况:
- 避免性/限制性食物摄入障碍 (ARFID) 是一种复杂的饮食障碍,其特点是食物摄入的限制.
- 青少年ARFID的长期病程和预后因素仍然不完全理解.
- 之前的研究表明ARFID呈现的异质性,需要纵向调查.
研究的目的:
- 为了前性地评估青少年避免/限制性食物摄入障碍 (ARFID) 的2年过程和结果.
- 描述ARFID的缓解和持续模式.
- 确定ARFID结果的预测因素,包括诊断交叉和特定ARFID配置文件的影响.
主要方法:
- 一项前性纵向研究跟踪了100名参与者 (9-23岁) 超过2年.
- 皮卡,ARFID和食障碍访谈评估了ARFID在基线,第一年和第二年的严重程度和结果.
- 对DSM-5的饮食障碍评估评估评估了诊断交叉.
主要成果:
- 一半的ARFID参与者在2年的随访期间继续接受他们的诊断.
- 在感官敏感性和缺乏兴趣的个人资料中,更严重的感官敏感性和缺乏兴趣的个人资料预测了ARFID在第一年持续存在的情况.
- 在对厌恶后果的恐惧中,更严重的特征预测了ARFID在第二年缓解.
结论:
- 在2年的时间里,ARFID在年轻人中表现出显著的持续性.
- 独特的ARFID概况 (感官敏感性,对厌恶后果的恐惧,缺乏兴趣) 对疾病过程具有预测有效性.
- 这些发现强调了ARFID与其他饮食障碍的区别,并突出了其特定表现的预后价值.
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