在患有胃肠道疾病的患者中避免限制性食物摄入障碍:系统性审查
Sissel Bekker Henriksen1,2, Christina Hornemann1,2,3, Ditte Roth Hulgaard1,2,3
1Research Unit of Mental Health Research, Southwest Denmark, Department of Regional Health Services, University of Southern Denmark, Odense, Denmark.
概括
避免-限制性食物摄入障碍 (ARFID) 在胃肠道患者中越来越多地被研究. 然而,不一致的ARFID识别方法可能会在这个人群中增加患病率.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 饮食障碍 饮食障碍 饮食障碍 饮食障碍
背景情况:
- 避免性限制性食物摄入障碍 (ARFID) 是DSM-5的饮食障碍诊断.
- 患有胃肠道 (GI) 疾病的患者患ARFID的风险较高.
- 了解胃肠道疾病和ARFID之间的相互作用对于有效的患者管理至关重要.
研究的目的:
- 系统地审查在患有肠道疾病的患者中识别ARFID的方法.
- 探索患有并发性胃肠道疾病和ARFID的个体的临床特征.
- 在胃肠病学环境中综合ARFID的当前文献.
主要方法:
- 按照PRISMA的指导方针进行系统的文献搜索 (Medline/PubMed,Embase,PsycInfo,CINAHL).
- 从2000年1月到2025年12月的数据提取.
- 对从23项纳入研究中系统提取的数据进行叙事分析.
主要成果:
- 分析了23项研究 (6211名参与者),主要是观察性和来自第三级胃肠病学诊所的研究.
- 在方法,标准和工具方面,ARFID案例识别在研究中异质.
- 对厌恶后果的恐惧 (例如,疼痛,恶心) 是最常见的ARFID症状.
结论:
- 在胃肠道群体中关于ARFID的文献正在增长,但不一致的病例识别可能会高估患病率.
- 需要进一步进行应用完整诊断标准的纵向研究.
- 准确的诊断和理解GI患者的ARFID需要标准化的方法.
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