van den Berg Elske, Pellemans Kirsten, Planting Caroline, Daansen Peter, van Beers Ella, de Jonge Margo, Christ Carolien, Dekker Jack
Novarum Center for Eating Disorders, Amstelveen, Netherlands.
Arkin Mental Health Institute, Amsterdam, Netherlands.
Front Psychiatry. 2024 Feb 26;15:1365715. doi: 10.3389/fpsyt.2024.1365715. eCollection 2024.
Comorbid post-traumatic stress disorder in patients with anorexia nervosa may negatively affect the course of anorexia nervosa treatment, which is already challenging. There are currently no guidelines or recommendations on concurrent treatment approaches for both anorexia nervosa and post-traumatic stress disorder. This systematic scoping review aims to explore the feasibility, acceptability and effectiveness of psychological trauma-focused treatment concurrently offered to underweight patients receiving anorexia nervosa treatment.
A multi-step literature search, according to an protocol was performed. Databases PubMed, Embase, APA PsycINFO, Web of Science, Scopus and Cochrane Central were searched up to September 19 2022, and the search was rerun June 19 2023. For quality assessment, tool was used.
The extensive search yielded 1769 reports, out of which only three observational pilot studies, both English and German, published between 2004 and 2022, could be included. The included studies reported on a total of 13 female participants between 16 and 58 years old, with anorexia nervosa or otherwise specified feeding or eating disorder, baseline BMI ranging between 14.6 and 16.5, who received concurrent anorexia and post-traumatic stress disorder treatment. In all participants, the emotional and cognitive functioning was sufficient to process the offered trauma-focused interventions, despite their significantly low body weight.
The findings of this review identify a dearth of treatment research on knowledge of concurrent trauma-focused treatments for patients with anorexia nervosa. Refraining patients with anorexia nervosa from trauma-focused treatment may not be warranted.
神经性厌食症患者共病创伤后应激障碍可能会对本就具有挑战性的神经性厌食症治疗进程产生负面影响。目前尚无关于同时治疗神经性厌食症和创伤后应激障碍的指导方针或建议。本系统综述旨在探讨对接受神经性厌食症治疗的体重过轻患者同时提供以心理创伤为重点的治疗的可行性、可接受性和有效性。
根据方案进行了多步骤文献检索。截至2022年9月19日，检索了PubMed、Embase、APA PsycINFO、Web of Science、Scopus和Cochrane Central数据库，并于2023年6月19日重新进行了检索。采用工具进行质量评估。
广泛检索得到1769篇报告，其中只有2004年至2022年间发表的3项观察性试点研究（包括英文和德文）可以纳入。纳入的研究共报告了13名年龄在16至58岁之间的女性参与者，她们患有神经性厌食症或其他特定的喂养或进食障碍，基线BMI在14.6至16.5之间，同时接受神经性厌食症和创伤后应激障碍治疗。在所有参与者中，尽管体重明显偏低，但他们的情绪和认知功能足以接受所提供的以创伤为重点的干预措施。
本综述的结果表明，关于神经性厌食症患者同时进行以创伤为重点的治疗的知识方面，治疗研究匮乏。不让神经性厌食症患者接受以创伤为重点的治疗可能没有道理。
