a Department of Psychiatry and Psychology , Mayo Clinic College of Medicine , Rochester , MN , USA.
b Department of Psychiatry , UCSF Weill Institute for Neurosciences, University of California , San Francisco , CA , USA.
Eat Disord. 2018 May-Jun;26(3):270-277. doi: 10.1080/10640266.2017.1388664. Epub 2017 Oct 31.
Successful outcome for adolescent anorexia nervosa includes achieving weight restoration. Despite the importance of this measurement, there are significant discrepancies in the field on how to quantify expected body weight (EBW). A survey was sent to 113 child and adolescent eating disorder treatment providers inquiring about the methods used to determine weight restoration in their clinical practice. Although 40.7% used growth curve data, the remaining employed a diverse range of approaches. Providers who specialize in Family-Based Treatment were significantly more likely to use an individualized approach versus considering adolescent preference. Although there is a modicum of endorsement for using growth curves to predict EBW, this is not universal practice and is inconsistent with methods used in treatment studies. The lack of an evidence-based method to calculate EBW-or even a best practice consensus for calculating this number-is a major oversight in the field that requires empirical attention.
对于青少年神经性厌食症来说，成功的治疗结果包括体重恢复。尽管这一衡量标准很重要，但在如何量化预期体重（EBW）方面，该领域存在着明显的差异。我们向 113 名儿童和青少年饮食失调治疗提供者发送了一份调查，询问他们在临床实践中确定体重恢复的方法。尽管 40.7%的人使用了生长曲线数据，但其余的人采用了各种各样的方法。专门从事家庭为基础治疗的提供者更有可能使用个体化的方法，而不是考虑青少年的偏好。尽管有一定程度的认可使用生长曲线来预测 EBW，但这并不是普遍的做法，也与治疗研究中使用的方法不一致。缺乏一种基于证据的方法来计算 EBW——甚至没有一个最佳实践共识来计算这个数字——这是该领域的一个重大疏忽，需要进行实证研究。
