在过度饮食障碍中使用补充和整合性健康:过度饮食障碍的跨部分混合方法研究 专家的观点
Brenna Bray1,2,3,4, Amanda J Shallcross5, Adam Sadowski6
1Helfgott Research Institute, National University of Natural Medicine, Portland, OR, USA.
概括
补充和整合性健康 (CIH) 干预措施在改善暴饮暴食障碍 (BED) 治疗结果方面表现有前途. 专家通常支持CIH,正念和通常用于管理情绪和改善身体形象.
科学领域:
- 综合医学是一个整体的医学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 暴饮暴食障碍 (BED) 在治疗方面存在重大挑战,其特点是患病率高,成功率低,治疗不满频繁.
- 补充和整合性健康 (CIH) 干预提供了一种整体方法,可以解决障碍并提高BED治疗结果.
- 虽然一些CIH干预措施在饮食障碍中表现出有效性,但它们在BED治疗中的具体应用和感知仍未得到充分探索.
研究的目的:
- 调查目前对CIH干预措施的使用情况和专家观点,以治疗成人暴饮暴食障碍.
- 确定常用的CIH模式及其在管理BED症状和支持恢复方面的感知益处.
- 探索专家意见的实证支持,实施,和未来的研究需要CIH在BED.
主要方法:
- 一项混合方法的横截面研究,涉及与14名专家BED研究人员和临床医生进行半结构面试.
- 采访被分析使用反射主题分析和量化,以捕捉专家意见和经验.
- 参与者选择基于包括联邦资金,出版记录,临床实践和专业领导力在内的标准.
主要成果:
- 关于CIH治疗BED的专家意见主要是积极的 (64%),正念,和补充剂是最常讨论的干预措施.
- 关键的感知好处包括情绪调节,改善身体形象和与运动的关系,生理支持和增强的治疗耐受性.
- 50%的专家报告说他们在实践中使用CIH,和冥想/正念是最常见的;50%还强调需要经验测试.
结论:
- CIH干预可以有效地补充传统的BED治疗,特别是用于管理情绪困扰,身体形象问题和治疗坚持.
- 显然需要严格的实证测试,包括随机对照试验,以及在BED中制定CIH的实施准则.
- 进一步的研究是有必要的,以优化CIH的整合,以证据为基础的治疗暴饮暴食障碍.
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