迈出步骤,就夜间饮食综合征诊断标准达成共识
Ruth Striegel Weissman1, Caitlin A Martin-Wagar2, Sarah Attaway2
1Department of Psychology, Wesleyan University, Middletown, Connecticut, USA.
The International journal of eating disorders
|October 21, 2024
概括
对于夜间饮食综合征 (NES) 缺乏一致的定义,阻碍了研究的进展. 制定共识的诊断标准对于了解NES患病率和有效的治疗方法至关重要.
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:
- 夜间饮食综合征 (NES) 在DSM-5中被归类为"其他特定的食或饮食障碍".
- 目前对NES的研究缺乏标准化的定义和操作化,导致各种方法.
- 这种变化使得理解公共卫生影响和对NES的有效干预变得更加复杂.
研究的目的:
- 为了强调在NES研究中缺乏最终协议.
- 强调需要就NES的诊断标准达成共识.
- 提出推进NES研究和达成共识的战略.
主要方法:
- 在PubMed和PsycINFO上对2013年1月1日至2024年8月12日期间发表的文章进行了系统的文献搜索.
- 如果专注于成年人 (18岁以上) 的NES,样本大小大于10的文章被纳入.
- 包括的研究分析了NES的定义,诊断评估方法,以及与其他饮食障碍 (EDs) 报告的并发症.
主要成果:
- 七十三篇文章符合纳入标准.
- 最常见的诊断方法是建立标准集 (35/73) 或症状得分值 (34/73),只有八项研究使用DSM-5标准.
- 十三项研究调查了NES并发症,经常与过度饮食障碍相关,显示高率.
结论:
- 在NES定义和评估方法的异质性阻碍了科学进步.
- 制定共识定义和解决现有的研究差距对于推动NES理解至关重要.
- 拟议的战略旨在促进NES诊断标准的协议,并指导未来的研究工作.
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