焦虑,强迫症和抑郁症症状表现和在日常饮食障碍治疗过程中的变化
Mina Velimirović1,2, Morgan Robison2, Sophie Abber2
1Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia.
概括
不同的饮食障碍诊断显示出不同模式的并发性焦虑,强迫症和抑郁症症状. 虽然所有患者的治疗情况都有所改善,但避免/限制性食物摄入障碍和过度饮食障碍显示出更大的症状减少.
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:
- 伴随性精神疾病在饮食障碍 (ED) 中很常见.
- 了解ED诊断中的症状模式对于定制治疗至关重要.
- 一般焦虑症 (GAD),强迫症 (OCD) 和抑郁症经常与ED一起发生.
研究的目的:
- 调查各种ED诊断组在入院时GAD,强迫症和抑郁症症状模式和严重程度的差异.
- 检查这些并发症症状的变化,从更高层次的护理 (HLOC) 的入院到出院.
主要方法:
- 分析了来自3730名接受GAD,抑郁症和强迫症常规评估的成年人的数据.
- 诊断组之间的症状模式和严重程度的比较:神经性厌食症-暴饮暴食/清洗 (AN-BP),神经性厌食症-限制性 (AN-R),神经性 булимия (BN),暴饮暴食障碍 (BED),避免性/限制性食物摄入障碍 (ARFID) 和其他特定的食和饮食障碍 (OSFED).
- 评估从治疗入院到出院的症状变化.
主要成果:
- 观察到明显的症状概况:AN-R和ARFID与抑郁症相比显示出更高的GAD/OCD,而BED显示相反.
- 在入院时,AN-BP和OSFED呈现了最高的整体并发症症状严重程度;BED是最低的.
- 在所有治疗后的ED组中,GAD,强迫症和抑郁症症状的显著改善.
结论:
- 饮食障碍的诊断与伴随性焦虑,强迫症和抑郁症的特定模式有关.
- 虽然所有ED患者都受益于HLOC治疗,但ARFID和BED的症状改善更为显著.
- 根据ED诊断和并发性症状表现量身定制的干预措施可以提高治疗结果.
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