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饮食失调的现象学方法:一项范围综述

Phenomenological approach to eating disorders: a scoping review.

作者信息

Silva Eduardo Barreto Fernandes, Teles Monalisa de Fátima Rodrigues Pimenta, de Castro Nayana Leão E Silva, de Souza Camila Pereira, Bloc Lucas Guimarães

机构信息

Postgraduate Program in Psychology, University of Fortaleza (UNIFOR), Fortaleza, Brazil.

出版信息

Front Psychol. 2025 Apr 30;16:1547214. doi: 10.3389/fpsyg.2025.1547214. eCollection 2025.

Abstract

Eating disorders are defined as persistent eating disturbances that compromise physical health and psychosocial functioning. Many of the patients transition between different diagnostic categories and have high mortality rates, which highlights the complexity of these illnesses. Using scientific literature, this study aimed to identify the contributions of the phenomenological approach related to eating disorders. A total of 30 articles were selected for analysis after adopting eligibility criteria that included: studies with effective publication status; published between 2013 and 2024; and available in Portuguese, French and/or English. The collection revealed a significant predominance of discussions about anorexia nervosa, followed by binge eating and bulimia. Through analysis, the following discursive themes were listed: corporeality; identity and relationship with others; proprioception and eating behavior; and clinical treatments. It is concluded that these findings highlight a need for treatment perspectives to consider the bodily experience in patients of eating disorders and its relations with otherness and oneself. It is considered that the modes of being in the diagnoses of Pica, Rumination and ARFID should be taken account in further research, as such works could elucidate questions on the nature of eating disorders.

摘要

饮食失调被定义为持续的饮食紊乱,会损害身体健康和心理社会功能。许多患者在不同的诊断类别之间转换,且死亡率很高,这凸显了这些疾病的复杂性。本研究利用科学文献,旨在确定现象学方法对饮食失调的贡献。在采用包括以下内容的纳入标准后,共选出30篇文章进行分析:具有有效发表状态的研究;2013年至2024年期间发表;以及有葡萄牙语、法语和/或英语版本。收集结果显示,关于神经性厌食症的讨论占显著优势,其次是暴饮暴食和贪食症。通过分析,列出了以下话语主题:身体性;身份认同与他人关系;本体感觉与饮食行为;以及临床治疗。研究得出结论,这些发现凸显了治疗视角需要考虑饮食失调患者的身体体验及其与他者和自我的关系。研究认为,在进一步的研究中应考虑异食癖、反刍障碍和回避性/限制性摄食障碍诊断中的存在方式,因为这类研究可以阐明饮食失调本质的相关问题。

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