Department of Family and Community Medicine, University of Toronto , Toronto, Canada.
Department of Psychology, McGill University , Montréal, Canada.
Eat Disord. 2021 Jan-Feb;29(1):1-16. doi: 10.1080/10640266.2019.1605778. Epub 2019 Apr 18.
Eating disorders (EDs) are severe psychological conditions, often requiring specialized treatment. Patients with EDs generally first present in primary care before being referred to tertiary centres. Evidence suggests that family physicians do not identify most patients with clinical EDs. The objective of this study was to explore the primary care experiences of adult patients with EDs. Ten individual, semi-structured interviews with adult women with an ED were conducted. A qualitative descriptive approach was adopted using thematic analysis. The researchers identified codes, which were categorized into five major themes: 1) disparate patient experiences in primary care, 2) delayed diagnosis, 3) key family physician qualities for ED care, 4) individual and systemic barriers to recovery, and 5) patient needs in primary care. Most participants reported that their diagnosis was not timely, suggesting a need for improved screening and diagnostic procedures. Inconsistent treatment practices imply that family physicians would benefit from the development of standardized guidelines for ED diagnosis and treatment in primary care as well as additional training in ED care. Family physicians being empathic and nonjudgmental and facilitating access to resources are of particular importance to this patient population.
进食障碍（EDs）是严重的心理疾病，通常需要专业的治疗。ED 患者通常先在初级保健机构就诊，然后再转诊到三级中心。有证据表明，家庭医生并未识别出大多数患有临床 ED 的患者。本研究旨在探讨 ED 成年患者的初级保健体验。对 10 名患有 ED 的成年女性进行了个人半结构化访谈。采用定性描述方法进行主题分析。研究人员确定了代码，这些代码被分为五个主要主题：1）初级保健中患者的不同经历，2）诊断延迟，3）ED 护理的家庭医生关键素质，4）个人和系统恢复障碍，以及 5）初级保健中的患者需求。大多数参与者报告说他们的诊断不及时，这表明需要改进筛查和诊断程序。治疗实践的不一致表明，家庭医生将受益于 ED 诊断和治疗在初级保健方面的标准化指南的制定，以及 ED 护理方面的额外培训。家庭医生富有同理心、非评判性并促进资源的获取，对这一患者群体尤为重要。
