避免性/限制性食物摄入障碍:系统性审查和元分析表明研究质量对流行率的影响
Rebecca Nicholls-Clow1, Melanie Simmonds-Buckley2, Glenn Waller2
1Department of Psychology, University of Sheffield, Sheffield, UK.
Clinical psychology review
|September 19, 2024
概括
避免/限制性食物摄入障碍 (ARFID) 是一种常见的疾病,患病率估计因研究质量而异. 这一元分析强调了需要更强大的研究来理解ARFID的需要.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 流行病学 流行病学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 的患病率仍然不确定.
- 这项研究解决了对可靠ARFID患病率估计的需求.
- 研究质量对ARFID流行率估计的影响尚未探索.
研究的目的:
- 进行第一个关于ARFID患病率的元分析.
- 评估研究质量如何影响ARFID流行率估计.
- 为临床和研究开发提供可靠的数据.
主要方法:
- 26项研究的系统综述和元分析 (N=122,861).
- 在PubMed,PsychInfo,科学网,CINAHL (2013-2024) 中进行了搜索.
- 采用随机效应和质量效应的元分析,使用Loney等进行质量评估. 的规模. 的规模.
主要成果:
- 随机效应的元分析显示ARFID的患病率为11.14% (95%CI为8.16-14.5%).
- 质量效应元分析表明,更保守的患病率为4.51% (95%CI为0.7-10.68%).
- 在各个子组 (性别,年龄,临床状况) 中,患病率各不相同.
结论:
- 焦虑症是一种常见的疾病,即使有保守的估计.
- 进一步的研究需要改进的方法严格性 (更大的样本,标准化诊断).
- 这些发现支持ARFID的临床和服务开发.
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