神经性买limia和与治疗相关的差异:一个审查
1College of Health Sciences, Utah Tech University, St. George, UT, United States.
Frontiers in psychology
|August 29, 2024
概括
神经性买limia (BN) 治疗研究往往不包括老年人,男性和少数群体. 将这些群体纳入临床试验对于改善所有BN患者的治疗机会和治疗结果至关重要.
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:
- 神经性Bulimia (BN) 是一种饮食障碍,平均发病年龄为12岁,其特点是过度饮食和补偿行为.
- 绝大多数 (94%) 个体不及时寻求治疗,导致严重的健康后果和并发症.
- 现有的BN治疗方法不是普遍可用的,这突显了护理方面的差异.
研究的目的:
- 为了进行随机对照试验 (RCT) 关于神经性厌食症治疗的叙述性审查.
- 识别和分析各种BN治疗方式之间的差异.
- 为了告知未来的研究和临床干预对神经性买limia.
主要方法:
- 2010年至2021年间发表的BN治疗研究的叙事概述.
- 在PubMed和PsychInfo数据库中进行的搜索使用了"BN治疗"和"BN随机临床试验"等术语.
- 纳入标准侧重于研究BN治疗的随机对照试验.
主要成果:
- 大多数审查的研究主要采用18-60岁的女性样本 (80-100%) 和主要白人参与者 (80-100%).
- 常见的治疗方法包括药物治疗,认知行为疗法 (CBT) 和有限的激励面试 (MI),主要是在门诊环境中.
- 观察到显著的差异,老年人 (>60岁),男性和少数民族在很大程度上被排除在研究之外.
结论:
- 目前对神经性买食症治疗的研究不足以代表多样化的群体.
- 弱势群体,包括老年人,男性和种族少数群体,在BN临床试验中代表性不足.
- 纳入这些代表性不足的人群对于解决治疗差异和提高BN干预措施的有效性至关重要.
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