在发育年龄的非典型的厌食症神经的精神病学和有机特征:一个系统的审查
Jacopo Pruccoli1,2, Francesca Chiavarino1,2, Beatrice Valeriani3
1IRCCS Istituto delle Scienze Neurologiche di Bologna, Regional Center for Feeding and Eating Disorders in the Developmental Age, Child Neurology and Psychiatry Unit, 40138 Bologna, Italy.
Pediatric reports
|July 25, 2024
概括
非典型的精神性厌食症 (AAN) 影响2.8%的年轻人,具有明显的临床特征和71%的缓解率. 早期承认AANAN的情况.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 饮食障碍 研究 研究 研究
背景情况:
- 非典型的精神性厌食症 (AAN) 是儿童群体的一个重大问题.
- 了解其流行病学和临床特征对于有效管理至关重要.
研究的目的:
- 综合报告儿童和青少年非典型精神性厌食症 (AAN) 的流行病学和临床特征.
- 提供对人口变异,临床表现和AAN治疗结果的见解.
主要方法:
- 在2024年5月使用Medline,Cochrane图书馆,ClinicalTrials.gov.gov进行的系统审查.
- 对DSM-5定义的AAN研究选了234篇文章,在PRISMA和JBI的批判性评估后保留了13篇.
- 使用纽卡斯尔-太华尺度对队列和病例控制研究进行偏差风险评估.
主要成果:
- 年轻年龄组的AAN患病率为2.8%,8年累计发病率为2.8%.
- 平均发作持续时间为11.6个月,缓解率为71%;诊断持久性不如其他限制性饮食障碍那么稳定.
- 与DSM-IV到DSM-5过渡相比,AAN患者的EDE-Q得分更高,痛苦更大,BMI明显,并且主要是女性,略大,体重更高.
结论:
- 这项研究提供了关于发育年龄AAN特征的具体见解.
- 突出人口统计学差异,临床表现和治疗结果.
- 强调需要认识到独特的AAN挑战,以便在养和饮食障碍 (FED) 范围内的定制干预和改善护理.
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