[治疗饮食障碍的障碍:文献综述]
Felipe Castañeda1, Francisca Riestra1, Jaime Cerda1
1Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile.
Revista medica de Chile
|September 13, 2024
概括
饮食障碍 (ED) 治疗的障碍,包括耻辱和自我-syntonic行为,在全球范围内是显著的. 需要进一步的研究来了解智利面临的这些挑战,以改善公共卫生政策.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 饮食障碍 (ED) 是一种严重的,危及生命的,昂贵的心理健康状况.
- 在拉丁美洲,智利的精神性厌食症 (AN) 和精神性嗜食症 (BN) 患病率最高.
- 关于智利ED患者治疗准入障碍的数据有限.
研究的目的:
- 系统地审查和综合现有关于阻碍获得ED治疗的障碍的文献.
- 确定寻求饮食障碍护理的个人所面临的常见障碍.
主要方法:
- 在主要的科学数据库 (PubMed/Medline,PsychInfo,Web of Science,Scopus,Embase,Scielo,Google Scholar) 中进行全面的文献搜索.
- 选择并对72项已识别的研究进行全文审查.
- 包括在发达国家进行的53项研究进行分析.
主要成果:
- 识别的障碍跨越了患者,家庭,社会,专业,社会文化和医疗保健系统等级.
- 主要障碍包括患者的自我协同行为和围绕EDs的社会耻辱.
- 包含的所有研究均来自发达国家,突出了其他背景研究中的差距.
结论:
- 这些发现需要在智利背景下讨论ED治疗获取挑战.
- 考虑已识别的障碍对于制定有效的公共政策至关重要.
- 治疗的财务成本需要在智利的政策考虑中特别强调.
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