Ayton Agnes, Viljoen David, Ryan Sharon, Ibrahim Ali, Ford Duncan
Oxford Health NHS Foundation Trust, UK.
Berkshire Eating Disorder Service, Berkshire NHS Foundation Trust, UK.
BJPsych Bull. 2022 Apr;46(2):89-95. doi: 10.1192/bjb.2021.73.
This is a longitudinal cohort study describing the demand, capacity and outcomes of adult specialist eating disorder in-patient services covering a population of 3.5 million in a South-East England provider collaborative before and since the COVID-19 pandemic, between July 2018 and March 2021.
There were 351 referrals for admission; 97% were female, 95% had a diagnosis of anorexia nervosa and 19% had a body mass index (BMI) <13. Referrals have increased by 21% since the start of pandemic, coinciding with reduced capacity. Waiting times have increased from 33 to 46 days. There were significant differences in outcomes between providers. A novel, integrated enhanced cognitive behaviour theapy treatment model showed a 25% reduction in length of stay and improved BMI on discharge (50% v. 16% BMI >19), compared with traditional eclectic in-patient treatment.
Integrated enhanced cognitive behaviour theapy reduced length of stay and improved outcomes, and can offer more effective use of healthcare resources.
这是一项纵向队列研究，描述了2018年7月至2021年3月新冠疫情前后，英格兰东南部一个覆盖350万人口的医疗服务合作机构中，成人专科饮食失调住院服务的需求、能力和结果。
共有351例入院转诊；97%为女性，95%被诊断为神经性厌食症，19%的体重指数（BMI）<13。自疫情开始以来，转诊增加了21%，同时住院能力下降。等待时间从33天增加到46天。各医疗服务机构的治疗结果存在显著差异。与传统的折衷住院治疗相比，一种新型的综合强化认知行为疗法治疗模式使住院时间缩短了25%，出院时体重指数有所改善（体重指数>19的比例为50%对16%）。
综合强化认知行为疗法缩短了住院时间，改善了治疗结果，并且可以更有效地利用医疗资源。
