一个基于美国的共识诊断重叠和区分儿科食障碍和避免/限制性食物摄入障碍的诊断
Hayley H Estrem1, Jaclyn L Pederson2, Pamela Dodrill3
1School of Nursing, University of North Carolina at Wilmington, Wilmington, North Carolina, USA.
The International journal of eating disorders
|December 16, 2024
概括
儿科食障碍 (PFD) 和避免/限制性食物摄入障碍 (ARFID) 的诊断重叠. 一次共识会议产生了声明,以提高两种条件的清晰度和专业知识.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童心理学 儿童心理学
- 临床营养学 临床营养学
背景情况:
- 避免/限制性食物摄入障碍 (ARFID) 和儿科食障碍 (PFD) 是具有重叠标准的儿科诊断.
- 营养后果和心理社会障碍是ARFID和PFD共同的.
- 缺乏指南使得区分ARFID和PFD,以及理解它们的同时发生或过渡变得更加复杂.
研究的目的:
- 为了实现ARFID和PFD之间的诊断清晰度.
- 建立关于ARFID和PFD差异诊断的共识.
- 解决ARFID和PFD的诊断标准的重叠问题.
主要方法:
- 由Feeding Matters的研究倡议工作组组织了一个共识会议.
- 参与者包括ARFID和PFD论文的作者,以及社区代表.
- 达成共识的过程包括前工作,会议和后工作/写作三个阶段.
主要成果:
- 一个由12名参与者组成的小组,包括心理学家和多学科专家,为共识做出了贡献.
- 为了支持诊断清晰度,产生了十个共识声明.
- 开发了可视化辅助工具,以配合共识声明.
结论:
- 达成共识的过程强调了需要改善ARFID和PFD的诊断系统.
- 在ARFID和PFD中加强医疗保健专业知识至关重要.
- 建议进行基于社区的参与式研究,以推进这些诊断并减少模两可.
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