在饮食障碍中对照顾者适应的系统范围审查
Ashish Kumar1,2, Hubertus Himmerich2, Johanna Louise Keeler3
1Children's Eating Disorder Service, Knowsley Resource and Recovery Centre, Mersey Care NHS Foundation Trust, Prescot, UK.
Journal of eating disorders
|September 17, 2024
概括
患有饮食障碍 (ED) 个体的护理人员经常表现出适应性行为,这种行为可以通过干预来减少. 然而,这些行为与照顾者的痛苦增加有关,并对患者的结果产生混合影响.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 家庭研究 家庭研究
背景情况:
- 照顾者适应和启用行为是神经性厌食症 (AN) 认知人际模型的关键维持因素.
- 了解这些行为对于为受饮食障碍影响的家庭制定有效的支持策略至关重要.
研究的目的:
- 系统地覆盖现有的关于适应和启用饮食障碍 (EDs) 患者护理人员行为的文献.
- 检查这些行为对护理人员心理健康和患者疾病结果的影响.
主要方法:
- 使用五个主要数据库 (PubMed,科学网,MEDLINE,PsycInfo,CINAHL) 进行了系统范围审查.
- 包括36项研究,包括随机试验,纵向研究,横截面研究和定性研究.
主要成果:
- 患有ED的个体的护理人员表现出高水平的适应和启用行为,治疗后减少了这种行为.
- 照顾者更高的适应水平与增加的情绪痛苦,焦虑和恐惧有关.
- 关于护理人员住宿对患者疾病结果的影响的证据是混合的.
结论:
- 照顾者专注的干预措施有效地减少了饮食障碍 (ED) 护理中的适应和启用行为,尽管干预优势仍然不清楚.
- 这些行为的影响可能会受到支持网络动态和患者并发症的影响.
- 需要对更大,多样化的样本 (包括母亲和父亲) 进行进一步的研究,以澄清这些复杂的关系.
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