目前对食和饮食障碍的临床方法旨在增加管理的个性化
Ulrike H Schmidt1,2, Angelica Claudino3, Fernando Fernández-Aranda4
1Centre for Research in Eating and Weight Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
概括
对养和饮食障碍 (FEDs) 的个性化治疗至关重要. 本综述考察了患者的关键特征,以指导个性化护理,突出了FED管理的未来研究领域.
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
- 神经科学是一个神经科学.
背景情况:
- 食和饮食障碍 (FEDs) 是一种复杂的心身状况,通常在青春期发作.
- 他们表现出一系列的饮食障碍和补偿行为,通常与精神病相关疾病有关.
- 目前的FED治疗主要是心理/营养治疗,个性化的证据有限.
研究的目的:
- 系统地审查与个体患者特征相关的领域,以实现个性化的FED管理.
- 为了确定临床实践的验证评估措施.
- 突出目前证据的局限性,并建议未来针对个性化FED护理的研究方向.
主要方法:
- 系统地审查有关患者特征的文献,这些特征与FED个性化有关.
- 为临床应用确定经过验证的评估措施.
- 探索新的方法,包括神经生物学标记物和远程技术.
主要成果:
- 识别了个性化的关键领域:症状概况,亚型,严重程度,身体并发症,精神伴随性疾病,社会功能,神经认知,情绪,认知,个性和环境因素.
- 强调需要在严重情况下优先考虑安全和风险管理.
- 注意到个性化证据的局限性,并提出未来的研究途径.
结论:
- 个人化FED治疗需要在多个领域对个体患者进行全面的表征.
- 未来的研究应该集中在神经生物学标志物,远程监测和新型干预措施上,以改进个性化护理.
- 整合安全和风险管理是必不可少的,特别是在严重的 FED 演示中.
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