避免性/限制性食物摄入障碍,其他饮食困难和72名儿童的增长受损:背景和相关因素
Maria Johansson1, Jonas Hermansson2, Petra Linnsand1,2
1Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Frontiers in child and adolescent psychiatry
|January 16, 2025
概括
避免/限制性食物摄入障碍 (ARFID) 影响约26%的儿童有食困难. 儿童的ARFID与老年,营养问题和神经发育障碍有关,表明更严重和持久的挑战.
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
- 发育儿科 发育儿科
背景情况:
- 在被转移到专业服务的儿童中,食困难很常见.
- 相关的医疗,心理社会和神经发育因素经常同时存在.
- 食问题的开始往往发生在生命的第一年.
研究的目的:
- 调查ARFID在有饮食困难的儿童中的患病率.
- 为了确定与ARFID相关的背景因素.
- 将ARFID的特征和结果与其他食障碍进行比较.
主要方法:
- 对72名患有饮食困难的儿童 (4-178个月) 的医疗记录进行了回顾性审查.
- 对ARFID的诊断标准的评估.
- 对医学,心理社会和神经发育因素的分析.
主要成果:
- 在26%的转诊儿童中,ARFID诊断标准得到满足.
- 患有ARFID的儿童年龄较大,营养较差,心理社会障碍较大.
- 神经发育障碍在ARFID儿童中明显更为普遍.
- 在ARFID病例中,食困难不太可能缓解.
结论:
- 儿童的食困难是复杂的,多因素的.
- 在大约四分之一的儿科养病例中,ARFID是重要的诊断.
- 与ARFID相关的养问题往往更严重和持久.
- 医疗保健提供者应考虑ARFID儿童的潜在神经发育状况.
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