Jeffrey Shane, Heruc Gabriella
Executive Committee, Australia & New Zealand Academy for Eating Disorders, Sydney, Australia.
River Oak Health, Brisbane, Australia.
J Eat Disord. 2020 Nov 17;8(1):64. doi: 10.1186/s40337-020-00344-x.
The symptoms of starvation and dietary restriction are often the subject of targeted intervention in evidence-based treatments across eating disorder diagnoses and treatment models. Despite the level of attention given to these symptoms of clinical malnutrition, they are often treated by health professionals with no nutritional qualifications and in a non-clinical manner in the outpatient setting, with dietitians having no defined role in manualised treatment models. Recently the Australia & New Zealand Academy for Eating Disorders (ANZAED) published practice and training standards for dietitians to help characterise their role in eating disorder treatment. Since malnutrition, secondary to dietary restriction, is a clinically significant nutritional diagnosis that co-occurs in eating disorder presentations, this commentary proposes that dietitians are ideally-positioned to assess and advise on the clinical aspects of malnutrition as a key member of the multidisciplinary team. Food is a central focus in eating disorder treatment, suggesting that nutritional care needs to be addressed by a dietitian alongside the psychological aspects of care that are addressed by a mental health professional.
饥饿和饮食限制的症状往往是各类饮食失调诊断和治疗模式中循证治疗的针对性干预对象。尽管临床营养不良的这些症状受到了高度关注，但在门诊环境中，它们常常由没有营养资质的医护人员以非临床方式进行治疗，在手册化治疗模式中营养师没有明确的角色。最近，澳大利亚和新西兰饮食失调学会（ANZAED）发布了营养师的实践和培训标准，以明确他们在饮食失调治疗中的作用。由于饮食限制导致的营养不良是饮食失调表现中同时出现的一项具有临床意义的营养诊断，本评论认为，作为多学科团队的关键成员，营养师处于评估营养不良临床状况并提供建议的理想位置。食物是饮食失调治疗的核心关注点，这表明营养护理需要由营养师来处理，同时心理健康专业人员负责处理护理中的心理方面。
