在饮食障碍诊断中平衡客观标志物和主观经验:评论Dang等人. (2024) 年,将在2024年
Kelsey E Hagan1,2, Kara A Christensen Pacella3
1Department of Psychiatry, Virginia Commonwealth University, Richmond, Virginia, USA.
The International journal of eating disorders
|October 25, 2024
概括
患有其他特定食或饮食障碍 (OSFED) 和特定饮食障碍 (ED) 的个人表现出类似的认知模式,挑战了DSM.
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 饮食障碍研究
背景情况:
- 精神疾病诊断和统计手册 (DSM) 传统上通过行为障碍和体重和频率等客观标记来定义饮食障碍 (ED).
- 客观标记在临床沟通和测量方面具有优势,但可能导致诊断迁移并忽略认知方面.
- 最近的发现表明,患有其他特定食或饮食障碍 (OSFED) 和特定ED的个体具有相似的认知概况,质疑以行为为中心的诊断模型.
研究的目的:
- 讨论将主观认知纳入ED诊断中的优点和挑战.
- 探索平衡客观标记与主观经验,以提高ED诊断中的临床效用.
- 倡导研究,以加深对 ED 患者在不同人群中的主观经验的理解.
主要方法:
- 系统审查和元分析 (引用Dang等人. ) 的情况.
- 对现有的诊断框架进行评论和讨论.
- 探索潜在的诊断修订,平衡客观和主观措施.
主要成果:
- 患有OSFED和特定ED的个体表现出类似的,高水平的ED相关认知,但不是行为.
- 认知相似性挑战了DSM对ED分类行为障碍的主要关注点.
- 目前基于客观标记的诊断界限可能无法完全捕捉到饮食病理学的范围.
结论:
- 重新思考DSM对EDs的概念,超越纯粹的行为障碍是有必要的.
- 将主观认知经验与客观标记相结合,可以提高ED诊断的临床实用性.
- 对ED患者的主观经验的进一步研究对于完善诊断标准和理解饮食病理至关重要.
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