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神经性厌食症的影响及非药物干预的基础。

The Impact of Anorexia Nervosa and the Basis for Non-Pharmacological Interventions.

机构信息

Faculty of Sports Sciences, Universidad Europea de Madrid, Tajo Street, s/n, 28670 Madrid, Spain.

Department of Health Sciences, Faculty of Biomedical and Health Sciences, Universidad Europea de Madrid, C/Tajo s/n, Villaviciosa de Odón, 28670 Madrid, Spain.

出版信息

Nutrients. 2023 Jun 1;15(11):2594. doi: 10.3390/nu15112594.

Abstract

Anorexia nervosa is a psychiatric disorder with an unknown etiology that is characterized by an individual's preoccupation with their weight and body structure while denying the severity of their low body weight. Due to the fact that anorexia nervosa is multifaceted and may indicate the coexistence of genetic, social, hormonal, and psychiatric disorders, a description of non-pharmacological interventions can be used to ameliorate or reduce the symptoms of this condition. Consequently, the purpose of the present narrative review is to describe the profile's context in the anorexic person as well as the support they would require from their family and environment. In addition, it is aimed at examining preventative and non-pharmacological interventions, such as nutritional interventions, physical activity interventions, psychological interventions, psychosocial interventions, and physical therapy interventions. To reach the narrative review aims, a critical review was conducted utilizing both primary sources, such as scientific publications, and secondary sources, such as bibliographic indexes, web pages, and databases. Nutritional interventions include nutritional education and an individualized treatment for each patient, physical activity interventions include allowing patients to perform controlled physical activity, psychological interventions include family therapy and evaluation of the existence of other psychological disorders, psychosocial interventions include management of the relationship between the patient and social media and physical therapy interventions include relaxation massages and exercises to relieve pain. All these non-pharmacological interventions need to be individualized based on each patient's needs.

摘要

神经性厌食症是一种病因不明的精神科疾病,其特征是个体过分关注体重和身体结构,同时否认体重过低的严重程度。由于神经性厌食症是多方面的,可能表明存在遗传、社会、激素和精神障碍,因此可以使用非药物干预措施来改善或减轻这种疾病的症状。因此,本叙述性综述的目的是描述厌食症患者的个人资料背景以及他们需要从家庭和环境中获得的支持。此外,还旨在检查预防和非药物干预措施,如营养干预、身体活动干预、心理干预、心理社会干预和物理治疗干预。为了实现叙述性综述的目标,利用主要来源(如科学出版物)和次要来源(如书目索引、网页和数据库)进行了批判性审查。营养干预包括营养教育和为每个患者提供个体化治疗,身体活动干预包括允许患者进行受控的身体活动,心理干预包括家庭治疗和评估是否存在其他心理障碍,心理社会干预包括管理患者与社交媒体之间的关系,物理治疗干预包括放松按摩和缓解疼痛的锻炼。所有这些非药物干预措施都需要根据每个患者的需求进行个体化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5532/10255390/74c4189679cc/nutrients-15-02594-g001.jpg

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