临床医生在确定预期体重的实践跨越饮食障碍:一个混合方法研究研究
Agatha A Laboe1,2, Molly F Steinhoff3, Siena S Vendlinski4
1Department of Psychiatry, University of Wisconsin-Madison, Madison, Wisconsin, USA.
概括
临床医生在饮食障碍 (ED) 中以不同的方式确定预期体重 (EBW),通常使用个性化的方法. 需要更多基于证据的指导方针,以便在ED治疗中一致地设置EBW.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 营养科学 营养科学
背景情况:
- 饮食障碍 (ED) 治疗经常涉及设置预期体重 (EBWs).
- 目前在不同ED和临床医生的角度确定EBW的做法尚不清楚.
- 这项研究调查了临床医生如何在ED治疗中确定EBW.
研究的目的:
- 探索临床医生在饮食障碍 (ED) 治疗中确定预期体重 (EBW) 的经验和观点.
- 检查各种ED诊断和年龄组中不同EBW确定方法的频率.
- 在ED临床医生中确定与EBW确定相关的挑战和培训需求.
主要方法:
- 融合混合方法设计,整合定性访谈和定量调查.
- 与24位多学科ED临床医生进行半结构化采访.
- 在161名多学科ED临床医生中进行的匿名在线调查.
主要成果:
- 临床医生通常使用个性化的方法,并让营养和医疗专业人员参与EBW确定.
- 对病前病情数据的有限访问是一个重大挑战.
- 虽然临床医生报告为所有患者确定EBW,但定量数据显示,主要适用于患有神经性厌食症和非典型神经性厌食症的青少年.
结论:
- 在ED治疗中EBW确定实践在方法和患者群体方面是可变的.
- 需要基于证据的指导方针来规范EBW确定.
- 在EBW设置中提高一致性可以提高饮食障碍治疗结果.
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