Fogarty Sarah, Ramjan Lucie Michelle
University of Western Sydney, National Institute of Complementary Medicine, Locked Bag 1797, Penrith, NSW 2751, Australia.
University of Western Sydney, School of Nursing and Midwifery, Centre for Applied Nursing Research (CANR), Locked Bag 1797, Penrith, NSW 2751, Australia.
Complement Ther Med. 2015 Feb;23(1):14-22. doi: 10.1016/j.ctim.2014.12.007. Epub 2015 Jan 4.
Anorexia nervosa is a potentially life-threatening eating disorder where people intentionally refuse to eat sufficient amounts to maintain a healthy body-weight for fear of becoming fat. The intense preoccupation with restriction of food and control of body weight makes this one of the most complex and confusing conditions for practitioners to treat. While no single treatment has been found to be superior to another in the treatment of anorexia nervosa, general practice guidelines are available to guide mainstream treatment, however there are no guidelines for practitioners of complementary therapies. Complementary therapies such as acupuncture show promise as an adjunctive therapy in improving co-morbidities such as depression and anxiety levels among people with anorexia nervosa, by strengthening mind, body and overall well-being. The aim of this guideline is to assist and support acupuncture practitioners to deliver effective and safe adjunctive acupuncture treatments to people with anorexia nervosa, by providing a practice guideline that is underpinned by an ethical and evidence-based framework. The use of complementary therapies and specifically acupuncture in the treatment of anorexia nervosa may provide important adjunctive care to allow a comprehensive treatment approach that potentially improves quality of life, reduces anxiety and instils hope for recovery. It is hoped that acupuncture practitioners treating patients with anorexia nervosa will refer to these guidelines and apply the guidance (as deemed appropriate).
神经性厌食症是一种可能危及生命的饮食失调症,患者因害怕变胖而故意拒绝摄入足够的食物以维持健康体重。对食物限制和体重控制的过度关注使得这成为从业者最难治疗的复杂病症之一。虽然在治疗神经性厌食症方面尚未发现单一疗法优于其他疗法,但有通用的实践指南来指导主流治疗,然而对于辅助疗法的从业者却没有相关指南。诸如针灸之类的辅助疗法有望作为一种辅助治疗手段,通过增强精神、身体和整体健康状况,来改善神经性厌食症患者的共病情况,如抑郁和焦虑水平。本指南的目的是通过提供一个以道德和循证框架为基础的实践指南,协助并支持针灸从业者为神经性厌食症患者提供有效且安全的辅助针灸治疗。在神经性厌食症的治疗中使用辅助疗法,特别是针灸,可能会提供重要的辅助护理,从而实现一种全面的治疗方法,有望提高生活质量、减轻焦虑并燃起康复的希望。希望治疗神经性厌食症患者的针灸从业者参考这些指南并(在认为适当时)应用其中的指导意见。