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儿童饮食失调的社区管理指南。

A guide to the community management of paediatric eating disorders.

作者信息

Coret Marian, Vyver Ellie, Harrison Megan, Toulany Alene, Vandermorris Ashley, Agostino Holly

机构信息

Canadian Paediatric Society, Adolescent Health Committee, Ottawa, Ontario, Canada.

出版信息

Paediatr Child Health. 2024 Dec 12;29(7):446-462. doi: 10.1093/pch/pxae037. eCollection 2024 Nov.

Abstract

Eating disorders (EDs) are a group of serious, potentially life-threatening illnesses that typically have their onset during adolescence and can be associated with severe medical and psychosocial complications. The impact of EDs on caregivers and other family members can also be significant. Health care providers (HCPs) play an important role in the screening and management of adolescents and young adults with EDs. This position statement assists community-based HCPs with recognizing, diagnosing, and treating EDs in the paediatric population. Screening modalities, indications for hospitalization, medical complications, and monitoring of young people with EDs are summarized. Current evidence supports the use of family-based treatment (FBT) as the first-line psychological therapeutic modality for adolescents with restrictive EDs. While the provision of FBT may be beyond the scope of practice for some community physicians, this statement reviews its core tenets. When an ED is diagnosed, early application of these principles in the community setting by HCPs may slow disease progression and provide guidance to families.

摘要

饮食失调(EDs)是一组严重的、可能危及生命的疾病,通常在青春期发病,并可能伴有严重的医学和心理社会并发症。饮食失调对照顾者和其他家庭成员的影响也可能很大。医疗保健提供者(HCPs)在筛查和管理患有饮食失调的青少年和年轻人方面发挥着重要作用。本立场声明协助社区医疗保健提供者识别、诊断和治疗儿科人群中的饮食失调。总结了饮食失调的筛查方式、住院指征、医学并发症以及对患有饮食失调的年轻人的监测。目前的证据支持将基于家庭的治疗(FBT)作为患有限制性饮食失调的青少年的一线心理治疗方式。虽然提供FBT可能超出一些社区医生的执业范围,但本声明回顾了其核心原则。当诊断出饮食失调时,医疗保健提供者在社区环境中尽早应用这些原则可能会减缓疾病进展,并为家庭提供指导。

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A guide to the community management of paediatric eating disorders.儿童饮食失调的社区管理指南。
Paediatr Child Health. 2024 Dec 12;29(7):446-462. doi: 10.1093/pch/pxae037. eCollection 2024 Nov.

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