Translational Health Research Institute, Western Sydney University, Sydney, NSW.
South Western Sydney Local Health District, Sydney, NSW.
Med J Aust. 2023 Aug 7;219(3):127-134. doi: 10.5694/mja2.52008. Epub 2023 Jun 25.
Eating disorders are now well acknowledged mental health problems that are common and present in people from diverse sociodemographic backgrounds. The past decade has seen a rapid expansion in research into eating disorder interventions. In response to the increasing burden of eating disorders, the Australian Government Department of Health and Aged Care has implemented significant policy changes to improve patient access to Medicare and inpatient treatment facilities. There are several international clinical practice guidelines and a robust evidence base particularly for first line care with specific psychological therapies, including guidelines for the management of eating disorders in individuals with a high weight. Medications play an important adjunct role in care, and novel neuromodulating treatments, such as psychostimulants, are under study. There is emerging evidence for increased person-centred care, with more choice in the form of alternatives to hospital inpatient programs and more respectful consideration of care for all who experience an eating disorder, including people with high weight.
进食障碍是一种常见的精神健康问题，在不同社会人口背景的人群中都有出现。过去十年，对进食障碍干预措施的研究迅速扩展。为了应对进食障碍日益加重的负担，澳大利亚政府卫生和老年护理部已实施重大政策改革，以改善患者获得医疗保险和住院治疗设施的机会。目前有几项国际临床实践指南和强大的证据基础，特别是针对特定心理疗法的一线治疗，包括针对高体重个体的进食障碍管理指南。药物在治疗中起着重要的辅助作用，新型神经调节治疗方法，如精神兴奋剂，正在研究中。越来越多的人关注以患者为中心的护理，提供更多替代住院治疗方案的选择，并更加尊重所有经历进食障碍的人的护理，包括高体重的人。
