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在严重饮食障碍的情况下,同意接受治疗的能力
Giovanna Parmigiani1, Lorenzo Tarsitani1, Fabiano Grassi2
1Department of Human Neurosciences, "Sapienza" University of Rome, Rome, Italy.
概括
许多患有饮食障碍的患者在治疗决策能力 (DMC) 上扎. 缺陷的DMC是神经性厌食症,神经性 булимия和暴饮暴食障碍中常见的,需要临床关注.
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
- 医学伦理 医学伦理
背景情况:
- 饮食障碍是一种严重的疾病,通常会导致拒绝治疗.
- 这些患者的治疗决策能力 (DMC) 经常受到质疑.
- 关于在饮食障碍中治疗DMC的研究有限,结果不一致.
研究的目的:
- 在患有饮食障碍的患者中研究DMC治疗.
- 为了识别不同饮食障碍诊断中受损的DMC的患病率.
- 探索精神病理症状和治疗DMC之间的关系.
主要方法:
- 一项涉及45名患有饮食障碍的妇女在专科病房的研究.
- 评估精神症状,DMC,抑郁症,焦虑症,饮食障碍心理病理学和元认知信念.
- 使用了经过验证的工具,包括麦克阿瑟治疗能力评估工具 (MacCAT-T).
主要成果:
- 显著的大多数 (67%) 患者表现出低治疗DMC.
- 低DMC的患病率在神经性厌食症 (70.4%) 和神经性 Bulimia (72.7%) 中很高.
- 发现特定的精神病理症状会影响患者的决策能力.
结论:
- 治疗障碍DMC是患有饮食障碍的患者的一个相当大的问题.
- 临床医生必须识别和评估可能影响DMC的因素.
- 意识到受损的DMC对于有效的治疗计划和患者护理至关重要.
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