儿童虐待后果的饮食障碍中的联盟过程:初步影响
Malin E Olofsson1,2, KariAnne R Vrabel2,3, Maren C Kopland3
1Department of Psychiatry, Lovisenberg Diaconal Hospital, Oslo, Norway.
概括
有效的饮食障碍 (ED) 治疗需要解决复杂的创伤后应激障碍 (cPTSD) 和其自我组织障碍 (DSO). 专注于治疗联盟 (TA) 与传统的ED干预措施一起,对于改善患者的治疗结果至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 儿童虐待 (CM) 患者的饮食障碍 (ED) 通常存在复杂的创伤后应激障碍 (cPTSD).
- 并发性cPTSD和ED (cPTSD-ED) 与延长治疗时间和不太有利的预后有关.
- 童年虐待可能导致严重的创伤后后果,使ED治疗复杂化.
研究的目的:
- 审查关于cPTSD-ED. 的现有文献.
- 在cPTSD-ED.治疗联盟 (TA) 过程的背景下,专门研究自我组织 (DSO) 的障碍.
- 为了为这个复杂的患者群体提供治疗方法.
主要方法:
- 专家意见的批判性审查.
- 审查关于cPTSD-ED,DSO和TA的当前相关文献.
- 综合发现以确定关键的治疗考虑因素.
主要成果:
- 初步发现表明,忽视情感关系动态会阻碍cPTSD-ED的治疗进展.
- 解决治疗联盟 (TA) 过程对于有效的干预至关重要.
- 概念化和治疗必须整合关系方面的方面.
结论:
- 在cPTSD-ED中,DSO构建需要对TA流程进行强烈强调.
- 应将TA与传统的ED治疗,如营养康复和行为改变相结合.
- 迫切需要进一步的大规模工艺研究来验证这些假设.
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