评估饮食障碍早期干预对年轻人工作,教育和社会功能的影响
Lucy Gallagher1, Karina L Allen1,2, Ulrike Schmidt1,2
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
通过第一期饮食障碍早期干预 (FREED) 计划,对饮食障碍的早期干预显著改善了年轻人的工作,教育和社会功能. 这种方法有效地减少功能障碍.
科学领域:
- 临床心理学
- 精神病学
- 公共卫生
背景情况:
- 饮食障碍严重影响年轻人的教育,职业和社会功能.
- 第一次发作快速早期干预饮食障碍 (FREED) 模型为16至25岁的患者提供早期干预,ED持续时间≤3年.
- 在FREED-Upscaled (FREED-Up) 研究中评估了这种国家服务模式在英格兰的影响.
研究的目的:
- 评估FREED早期干预服务模型对患有饮食障碍的年轻人的功能结果的有效性.
- 评估在FREED计划中治疗后工作,教育和社会功能方面的改善.
- 检查功能改善与其他临床措施之间的关系.
主要方法:
- 一项纵向研究设计分析了四个专业ED服务 (2017-2018) 中278名患者的数据.
- 在基线和3,6,12个月使用工作和社会调整量表 (WSAS) 和心理结果表 (PSYCHLOPS) 来衡量功能性结果.
- 线性混合模型分析了WSAS和PSYCHLOPS得分的变化,与其他临床指标的相关性.
主要成果:
- 在基线,63%的患者通过PSYCHLOPS报告了与工作,教育或社会生活相关的功能障碍.
- 在12个月的研究期间,观察到WSAS和PSYCHLOPS分数的显著改善.
- 完成治疗的患者长期表现出更大的功能增长,而WSAS的减少与临床改善相关.
结论:
- 对于患有ED的年轻人来说,FREED计划与工作,教育和社会功能方面的重大改善有关.
- 通过FREED的早期干预有效减少功能障碍,补充临床康复.
- 这些发现突显了及时干预减轻饮食障碍的长期功能后果的关键价值.
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