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对饮食失调症策略的呼吁:英格兰需要一项全面的饮食失调症策略以及饮食失调症服务远程提供的具体指南。

A call for strategy on eating disorders: the need for a comprehensive eating disorder strategy in England and specific guidance for the remote delivery of eating disorder services.

作者信息

Brown Richard, Murphy-Morgan Claire, Downs James, Branley-Bell Dawn

机构信息

Department of Psychology, Northumbria University, Newcastle upon Tyne, UK.

Peer Researcher and Expert by Experience, Cardiff, UK.

出版信息

J Eat Disord. 2025 Mar 27;13(1):54. doi: 10.1186/s40337-025-01224-y.

DOI:10.1186/s40337-025-01224-y
PMID:40140927
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11948745/
Abstract

There are growing calls for a comprehensive, evidence-based national eating disorder (ED) strategy for England. This is due to the rising prevalence of EDs, the lack of national guidance around different ED presentations (and potentially varying treatment needs), ad hoc data collection, and inconsistencies in both care and evaluation of service provision quality. Furthermore, the shift towards remote delivery of care during the COVID-19 pandemic underscores the need for government strategy to include specific guidance on remote delivery of ED services. The increased use of remote healthcare presents an opportunity to mitigate regional disparities in the provision of care. However, there are distinct challenges when delivering ED services remotely. In this position paper, we firstly highlight the growing need for a comprehensive national ED strategy to combat the rising prevalence and harm of EDs. Secondly, we specify the importance of ensuring that future governmental strategy incorporates evidence-based guidelines specific to remote delivery of ED services. This is crucial for promoting consistent provision of ED care. We set out the lack of comprehensive national data, and the need for further research into remote service delivery.

摘要

对于为英格兰制定一项全面、基于证据的国家饮食失调(ED)策略的呼声日益高涨。这是由于饮食失调的患病率不断上升、缺乏针对不同饮食失调表现(以及潜在的不同治疗需求)的国家指导、临时数据收集,以及护理和服务提供质量评估方面的不一致。此外,在新冠疫情期间向远程护理的转变凸显了政府战略需要纳入关于远程提供饮食失调服务的具体指导。远程医疗保健使用的增加为缓解护理提供方面的地区差异提供了机会。然而,远程提供饮食失调服务存在明显挑战。在本立场文件中,我们首先强调制定一项全面的国家饮食失调策略以应对饮食失调患病率上升和危害的迫切需求。其次,我们明确确保未来政府战略纳入针对远程提供饮食失调服务的循证指南的重要性。这对于促进饮食失调护理的一致提供至关重要。我们阐述了缺乏全面的国家数据,以及对远程服务提供进行进一步研究的必要性。

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本文引用的文献

1
Who gets treated for an eating disorder? Implications for inference based on clinical populations.谁接受进食障碍的治疗?基于临床人群的推论的影响。
BMC Public Health. 2024 Jul 2;24(1):1758. doi: 10.1186/s12889-024-19283-2.
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: a UK mixed methods study exploring experiences of remote care for eating disorders during COVID-19.一项英国的混合方法研究,探索新冠疫情期间饮食失调症远程护理的经历。
Front Psychiatry. 2024 Jun 6;15:1383080. doi: 10.3389/fpsyt.2024.1383080. eCollection 2024.
3
Discordant conceptualisations of eating disorder recovery and their influence on the construct of terminality.饮食失调康复的不一致概念化及其对终结性概念的影响。
J Eat Disord. 2024 Jun 3;12(1):70. doi: 10.1186/s40337-024-01016-w.
4
A Narrative Review of Early Intervention for Eating Disorders: Barriers and Facilitators.饮食失调早期干预的叙述性综述:障碍与促进因素
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Digging into digital buffets: A systematic review of eating-related social media content and its relationship with body image and eating behaviours.挖掘数字自助餐:与身体意象和饮食行为相关的社交媒体内容及其关系的系统评价。
Body Image. 2024 Mar;48:101650. doi: 10.1016/j.bodyim.2023.101650. Epub 2023 Nov 30.
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From awareness to action: an urgent call to reduce mortality and improve outcomes in eating disorders.从意识觉醒到付诸行动:减少饮食失调死亡率和改善预后的紧急呼吁。
Br J Psychiatry. 2024 Jan;224(1):3-5. doi: 10.1192/bjp.2023.133.
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Eating disorders, primary care, and stigma: an analysis of research trends and patterns.饮食失调、初级保健与污名化:研究趋势与模式分析
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8
Virtually possible: strategies for using telehealth in eating disorder treatment learned from the COVID-19 pandemic.虚拟可行:从新冠疫情中学到的饮食失调症治疗中使用远程医疗的策略。
Eat Disord. 2024 Mar-Apr;32(2):99-119. doi: 10.1080/10640266.2023.2261762. Epub 2023 Sep 29.
9
The alarms should no longer be ignored: survey of the demand, capacity and provision of adult community eating disorder services in England and Scotland before COVID-19.这些警示不应再被忽视:新冠疫情前英格兰和苏格兰成人社区饮食失调服务的需求、能力与提供情况调查。
BJPsych Bull. 2023 Aug 1;48(4):1-9. doi: 10.1192/bjb.2023.57.
10
Objectifying the classroom: Examining self-objectification and its effects on cognitive resources within virtual class environments.将课堂客体化:考察自我客体化及其对虚拟课堂环境中认知资源的影响。
Body Image. 2023 Sep;46:313-323. doi: 10.1016/j.bodyim.2023.06.009. Epub 2023 Jul 8.