Robinson Adèle Lafrance, Boachie Ahmed, Lafrance Glenys A
Laurentian University, Sudbury, Ontario.
J Can Acad Child Adolesc Psychiatry. 2012 Feb;21(1):45-52.
Studies show that primary care clinicians struggle with the assessment and treatment of eating disorders in adults. There are no known studies examining current practices of clinicians with respect to eating disorders in children and adolescents. The following study describes the key practices of primary care clinicians in Ontario, Canada, around the screening, assessment, and treatment of eating disorders in children and adolescents.
A 24-item survey was developed to obtain information from family physicians and psychologists about presenting complaints and current practices related to the assessment and treatment of eating disorders.
Findings of this study suggest that despite discipline-specific differences, a large proportion of clinicians do not routinely screen for eating disorders, and when eating disorders are assessed and treatment is initiated, family members are not routinely involved in the process.
In Ontario, primary care clinicians may benefit from more training and support to better identify and treat children and adolescents with eating disorders. In particular, clinicians may require additional training around screening, multi-informant assessment methods, as well as appropriate therapy techniques.
研究表明，初级保健临床医生在成人饮食失调的评估和治疗方面存在困难。目前尚无关于临床医生对儿童和青少年饮食失调的现行做法的研究。以下研究描述了加拿大安大略省初级保健临床医生在儿童和青少年饮食失调的筛查、评估和治疗方面的关键做法。
设计了一项包含24个条目的调查问卷，以从家庭医生和心理学家那里获取有关就诊主诉以及与饮食失调评估和治疗相关的现行做法的信息。
本研究结果表明，尽管存在学科差异，但很大一部分临床医生并未常规筛查饮食失调，并且在对饮食失调进行评估并开始治疗时，家庭成员通常不参与该过程。
在安大略省，初级保健临床医生可能会从更多培训和支持中受益，以便更好地识别和治疗患有饮食失调的儿童和青少年。特别是，临床医生可能需要围绕筛查、多信息提供者评估方法以及适当的治疗技术接受额外培训。
