在COVID-19封锁后的发展性限制性饮食障碍中,家庭功能和饮食精神病理
C Marchetto1, M Criscuolo2, I Croci3
1Anorexia Nervosa and Eating Disorder Unit, Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, 00165, Rome, Italy.
Eating and weight disorders : EWD
|April 19, 2025
概括
随着COVID-19大流行,神经性厌食症 (AN) 和回避性/限制性食物摄入障碍 (ARFID) 的儿科患者的家庭功能和饮食精神病变恶化. 研究结果强调了针对这些限制性饮食障碍的量身定制干预措施.
科学领域:
- 儿科心理学 儿科心理学
- 饮食障碍 研究 研究 研究
- 家庭系统 家庭系统
背景情况:
- 有限的研究存在于COVID-19封锁对儿科限制性饮食障碍 (EDS) 的影响.
- 相互矛盾的证据需要进一步调查疫情期间和之后的家庭动态和饮食行为.
研究的目的:
- 在COVID-19大流行之前,期间和之后,检查患有神经性厌食症 (AN) 和避免/限制性食物摄入障碍 (ARFID) 的儿科患者的饮食精神病学和家庭功能变化.
- 为了比较大流行病对儿童和青少年不同限制性饮食障碍的影响.
主要方法:
- 一项横截面描述性研究,涉及640名患有限制性ED的儿童/青少年及其父母.
- 数据收集于2018年1月至2022年12月期间,分为COVID-19前期,COVID-19后期和COVID-19后期.
- 使用家庭评估装置,饮食障碍清单III和儿童饮食障碍问卷,通过ANOVA进行分析.
主要成果:
- 与ARFID相比,患有AN的儿童和青少年在家庭功能和饮食精神病理方面表现出更大的困难.
- 与COVID-19前组相比,患有AN的COVID-19组在情绪和情绪障碍,强迫症,Pica和选择性饮食方面的得分增加.
- 与其他群体相比,患有AN的青少年在COVID-19后期报告了更糟糕的饮食精神病理.
结论:
- 患有限制性EDs的儿科患者经历了更具功能障碍的家庭环境,并在大流行后增加了饮食精神病理.
- 结果显示基于年龄和特定诊断 (AN与ARFID) 的变化.
- 强调需要个性化干预措施,以解决儿科ED患者群体不断变化的临床和家庭需求.
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