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青少年慢性健康状况相关进食障碍:早期识别与预防的临床策略。

Eating Disorders in Youth with Chronic Health Conditions: Clinical Strategies for Early Recognition and Prevention.

机构信息

Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Diego, San Diego, CA 92123, USA.

出版信息

Nutrients. 2023 Aug 22;15(17):3672. doi: 10.3390/nu15173672.

Abstract

Youth with chronic health conditions face an elevated risk of eating disorders and disordered eating behaviors. Contributors to this phenomenon may include the unique threats faced by this vulnerable population to their body image, their relationships with food and eating, and their mental health and self-esteem. However, youth with chronic health conditions may also experience more severe medical complications and mortality from eating disorder behaviors because of the additional risks conveyed by their underlying conditions. In this review, clinical strategies are provided to support youth with chronic health conditions through early recognition of eating disorder behaviors and prompt referral to treatment, which is important for a better prognosis. Suggestions are also given to mitigate their risk of developing eating disorders by proactively addressing risk factors and offering thoughtful anticipatory guidance that promotes a positive relationship with food and eating.

摘要

患有慢性健康状况的年轻人面临着更高的饮食失调和饮食行为障碍风险。造成这种现象的原因可能包括这个脆弱群体在身体形象、食物和饮食关系以及心理健康和自尊心方面面临的独特威胁。然而,患有慢性健康状况的年轻人也可能因为潜在疾病带来的额外风险而经历更严重的饮食失调行为相关的医疗并发症和死亡率。在这篇综述中,提供了一些临床策略,以支持患有慢性健康状况的年轻人,通过早期识别饮食失调行为并及时转介治疗,这对改善预后很重要。还提出了一些建议,通过积极处理风险因素并提供周到的预期指导,促进与食物和饮食的积极关系,从而降低他们患饮食失调症的风险。

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