医生能识别出儿童的饮食失调问题吗？
Do doctors recognise eating disorders in children?
作者信息
Bryant-Waugh R J, Lask B D, Shafran R L, Fosson A R
机构信息
Department of Psychological Medicine, Hospital for Sick Children, London.
出版信息
Arch Dis Child. 1992 Jan;67(1):103-5. doi: 10.1136/adc.67.1.103.
The aim of this study was to determine whether doctors recognise eating disorders in children, in particular anorexia nervosa. A group of paediatricians, general practitioners, and school medical officers was approached to participate in the study. Each was sent a questionnaire including two case vignettes of children with anorexia nervosa and questions about diagnosis and management. The response rate was 64.5%. Of 97 different diagnosis suggested, only one quarter were psychiatric or psychological. One third of the paediatricians mentioned anorexia nervosa within their differential diagnosis in both cases compared with 2% of primary care physicians. These results suggest that doctors' awareness of childhood onset eating disorders remains limited. A delay in appropriate treatment has potentially adverse consequences for prognosis.
本研究的目的是确定医生是否能识别儿童饮食失调症，尤其是神经性厌食症。我们邀请了一组儿科医生、全科医生和学校医务人员参与该研究。每位参与者都收到一份问卷，其中包括两个神经性厌食症儿童的病例 vignettes 以及关于诊断和治疗的问题。回复率为 64.5%。在提出的 97 种不同诊断中，只有四分之一是精神科或心理方面的。三分之一的儿科医生在两个病例的鉴别诊断中都提到了神经性厌食症，而初级保健医生中只有 2%提到。这些结果表明，医生对儿童期起病的饮食失调症的认识仍然有限。适当治疗的延迟可能对预后产生不良后果。
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