MacNeil Brad A, Hudson Chloe C, Leung Pauline
Adult Eating Disorders Program, Kingston Health Sciences Centre (KHSC), Hotel Dieu Hospital Site, 166 Brock Street, Kingston, ON, K7L5G2, Canada.
Department of Psychiatry, Queen's University, 752 King Street West, Postal Bag 603, Kingston, ON, K7L7X3, Canada.
Eat Weight Disord. 2018 Dec;23(6):817-824. doi: 10.1007/s40519-018-0586-y. Epub 2018 Oct 10.
Men with eating disorders are not well understood and there is a need for innovative methods for engaging men in specialized outpatient assessment and treatment. We examined data collected over a 4-year period to explore whether the addition of a designated track for men at a hospital-based adult eating disorders program influenced the number of referrals or treatment engagement.
During assessment and treatment as usual (ATAU; September 2013-August 2015), 283 referrals were received (275 women, 8 men), with 3 men engaging in assessment and treatment (M = 36 years, SD = 14.18). After instatement of a male assessment and treatment track (MATT; September 2015-August 2017), 320 referrals were received (300 women, 20 men), with 14 men engaging in the specialized assessment and treatment (M = 28.21 years, SD = 8.04). Both groups of men completed measures of demographic characteristics, life satisfaction, depressive and anxiety symptoms, and eating disorder symptoms.
Significantly more referrals for men, but not women, were received after the instatement of the MATT (i.e., a 250% increase). More men also engaged in specialized assessment and treatment after the instatement of the MATT (i.e., a 467% increase in engagement).
The current study describes the number of referrals and the number of men who engaged in treatment before and after the instatement of a specialized treatment track for men. The results suggest that the addition of the MATT helped to increase the number of men referred and promoted their engagement in recommended care.
V retrospective descriptive study.
人们对患有饮食失调症的男性了解不足，因此需要创新方法来促使男性参与专门的门诊评估和治疗。我们研究了在4年期间收集的数据，以探讨在一家医院的成人饮食失调项目中增加针对男性的指定治疗路径是否会影响转诊数量或治疗参与度。
在常规评估和治疗期间（2013年9月至2015年8月），共收到283例转诊（275名女性，8名男性），其中3名男性参与了评估和治疗（平均年龄M = 36岁，标准差SD = 14.18）。在设立男性评估和治疗路径后（2015年9月至2017年8月），共收到320例转诊（300名女性，20名男性），其中14名男性参与了专门的评估和治疗（平均年龄M = 28.21岁，标准差SD = 8.04）。两组男性均完成了人口统计学特征、生活满意度、抑郁和焦虑症状以及饮食失调症状的测量。
设立男性评估和治疗路径后，收到的男性转诊显著增多，但女性转诊数量未变（即增加了250%）。设立男性评估和治疗路径后，参与专门评估和治疗的男性也更多（即参与度增加了467%）。
本研究描述了设立男性专门治疗路径前后的转诊数量以及参与治疗的男性数量。结果表明，增加男性评估和治疗路径有助于增加转诊的男性数量，并促进他们参与推荐的治疗。
V级回顾性描述性研究。
