潜伏的个人资料分析揭示了重叠的ARFID和形状/体重的动机限制饮食障碍的限制
Sophie R Abber1, Kendra R Becker2,3, Casey M Stern2
1Department of Psychology, Florida State University, Tallahassee, FL, USA.
Psychological medicine
|May 27, 2024
概括
这项研究发现,避免/限制性食物摄入障碍 (ARFID) 和饮食障碍 (ED) 的动机可以重叠. 一些非ARFID ED 患者也表现出 ARFID 症状,挑战目前的诊断界限.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 饮食障碍 研究 研究 研究
背景情况:
- 精神疾病诊断和统计手册第五版 (DSM-5) 区分避免/限制性食物摄入障碍 (ARFID) 与其他饮食障碍 (ED) 基于缺乏形状/体重问题和驾驶限制.
- 然而,临床观察和现有研究表明,ARFID和与形状/体重控制相关的动机可以在个体中同时发生.
- 这种重叠使人们对目前的诊断分类和ARFID的独特性提出了疑问.
研究的目的:
- 在ARFID和其他ED患者中推导和验证基于饮食限制的动机的不同配置.
- 描述每个已识别的个人资料中的个人,以评估与当前诊断方案,特别是DSM-5标准的一致性.
- 探索ARFID和形状/体重相关的限制动机的同时发生.
主要方法:
- 隐性个人资料分析对202名被诊断为ARFID或非ARFIDED的寻求治疗的个体的数据进行了分析.
- 参与者的年龄从10岁到79岁,平均年龄为26岁.
- 数据采集使用九项ARFID屏幕 (包括挑,食欲和恐惧子表) 和饮食障碍检查-问卷限制子表.
主要成果:
- 一个五个配置方案出现了:限制/ARFID混合 (n=24),ARFID-2 (n=56),ARFID-3 (n=40),限制 (n=45) 和非支持者 (n=37).
- 两个档案 (ARFID-2,ARFID-3) 仅包括支持ARFID动机的人,一个档案 (克制) 仅包括支持克制动机的人,符合DSM-5.
- 关键的是,克制/ARFID混合档案 (n=24) 包括支持ARFID和克制动机的个体;值得注意的是,该组92%的人有非ARFIDED诊断,这表明有明显的重叠.
结论:
- 鉴定到的异质特征表明,ARFID和其他EDs中饮食限制的动机可能会重叠.
- 被诊断为非ARFIDEDs的个人也可能表现出显著的ARFID症状,挑战明确的诊断界限.
- 需要进一步的研究来完善诊断标准,并澄清ARFID与其他ED之间的界限.
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