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迈向评估饮食失调人群求助行为的统一、包容和标准化方法:对阿里等人(2024年)的评论

Toward a Unified, Inclusive, and Standardized Approach for Assessing Help-Seeking Behavior in Eating Disorder Populations: A Commentary on Ali et al. (2024).

作者信息

Nicula Maria, Couturier Jennifer

机构信息

Department of Health Research Methodology, Impact, and Evidence, Faculty of Health Sciences, McMaster University, Hamilton, Canada.

Department of Psychiatry and Behavioural Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, Canada.

出版信息

Int J Eat Disord. 2025 Mar;58(3):506-509. doi: 10.1002/eat.24361. Epub 2024 Dec 25.

DOI:10.1002/eat.24361
PMID:39722548
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11891618/
Abstract

Ali et al. (2025) found that help-seeking rates remain low among individuals meeting the diagnostic criteria for eating disorders (EDs). Their review highlighted variability in definitions of help-seeking and a lack of adequate representation of marginalized groups across the included studies. Building on these findings, this commentary offers four recommendations to guide future researchers toward a more unified and inclusive approach when studying help-seeking patterns in ED populations by: (1) capturing alternative and indirect forms of help-seeking by engaging partners with lived experience of EDs; (2) prioritizing the inclusion of marginalized groups in the pursuit of understanding diverse help-seeking behaviors; (3) establishing a consensus on standardized measures of help-seeking within the research community; and (4) simultaneously collecting data regarding the receipt of help and treatment when conducting help-seeking research. These recommendations aim to expand upon the authors' work by proposing new ways for researchers to more accurately capture where individuals are seeking help for their ED concerns, which is an essential step in ensuring that accessible care is available to meet their needs.

摘要

阿里等人(2025年)发现,在符合饮食失调诊断标准的个体中,寻求帮助的比例仍然很低。他们的综述强调了寻求帮助定义的差异,以及纳入研究中边缘化群体缺乏充分代表性。基于这些发现,本评论提出了四条建议,以指导未来的研究人员在研究饮食失调人群的求助模式时采用更统一和包容的方法:(1)通过让有饮食失调生活经历的伙伴参与,捕捉替代和间接的求助形式;(2)在寻求理解不同的求助行为时,优先纳入边缘化群体;(3)在研究界就求助的标准化测量达成共识;(4)在进行求助研究时,同时收集有关获得帮助和治疗的数据。这些建议旨在通过为研究人员提出新方法,更准确地了解个体在何处为其饮食失调问题寻求帮助,从而扩展作者的工作,这是确保提供可及护理以满足其需求的关键一步。

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本文引用的文献

1
The Unmet Treatment Need for Eating Disorders: What Has Changed in More Than 10 Years? An Updated Systematic Review and Meta-Analysis.饮食失调未满足的治疗需求:10多年来有何变化?一项更新的系统评价和荟萃分析。
Int J Eat Disord. 2025 Jan;58(1):46-65. doi: 10.1002/eat.24306. Epub 2024 Oct 31.
2
International consensus on patient-centred outcomes in eating disorders.国际共识:进食障碍患者为中心的结果
Lancet Psychiatry. 2023 Dec;10(12):966-973. doi: 10.1016/S2215-0366(23)00265-1. Epub 2023 Sep 25.
3
Help-seeking attitudes and behaviours among youth with eating disorders: a scoping review.饮食失调青少年的求助态度与行为:一项范围综述
J Eat Disord. 2022 Feb 14;10(1):21. doi: 10.1186/s40337-022-00543-8.
4
Unmet need for treatment in the eating disorders: a systematic review of eating disorder specific treatment seeking among community cases.治疗未满足的需求:对社区病例中特定于饮食障碍的治疗寻求的系统综述。
Clin Psychol Rev. 2011 Jul;31(5):727-35. doi: 10.1016/j.cpr.2011.03.004. Epub 2011 Mar 23.
5
Barriers to treatment for eating disorders among ethnically diverse women.不同种族女性饮食失调症的治疗障碍。
Int J Eat Disord. 2001 Nov;30(3):269-78. doi: 10.1002/eat.1084.