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饮食失调对有偿或无偿工作参与及表现的影响:一项系统综述。

Impact of eating disorders on paid or unpaid work participation and performance: a systematic review.

作者信息

Ubhi Simrat, Bani-Fatemi Ali, Howe Aaron, Safi Fatima, Aniserowicz Anna, Nowrouzi-Kia Behdin

机构信息

ReSTORE Lab, Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 160-500 University Avenue, Toronto, ON, M5G 1V7, Canada.

Department of Psychology, University of Toronto, 1265 Military Trail, Scarborough, ON, M1C 1A4, Canada.

出版信息

Eat Weight Disord. 2025 Aug 14;30(1):63. doi: 10.1007/s40519-025-01783-8.

DOI:10.1007/s40519-025-01783-8
PMID:40804183
Abstract

OBJECTIVE

Eating disorders (EDs), including binge eating disorders (BEDs), bulimia nervosa (BN) and anorexia nervosa (AN), can inflict adverse effects on well-being, daily functioning, and workplace performance, presenting significant occupational, social, and economic challenges. This systematic review seeks to explore the relationship between ED symptomatologies and their impacts on work performance.

METHODS

This systematic review adhered to The Preferred Reporting Items for Systematic Reviews and Meta-analyses. Formal methods of critical appraisal for both qualitative and quantitative studies were utilized. Six studies were included.

RESULTS

Participants across all studies (n = 20,367) exhibited heightened levels of presenteeism, absenteeism, work productivity impairment, and higher annual burden costs compared to their non-ED counterparts.

CONCLUSION

Impaired decision-making, cognitive inflexibility, and poor executive functioning significantly impact work participation and performance, underscoring the need for workplace policies that reduce stigma and stress, and calls for further research into how environmental factors and interventions affect ED recovery.

LEVEL OF EVIDENCE

Level I, systematic review.

摘要

目的

饮食失调(EDs),包括暴饮暴食症(BEDs)、神经性贪食症(BN)和神经性厌食症(AN),会对幸福感、日常功能和工作场所表现产生不利影响,带来重大的职业、社会和经济挑战。本系统评价旨在探讨饮食失调症状与其对工作表现的影响之间的关系。

方法

本系统评价遵循系统评价和Meta分析的首选报告项目。对定性和定量研究均采用了正式的批判性评价方法。纳入了六项研究。

结果

与无饮食失调的参与者相比,所有研究中的参与者(n = 20367)均表现出更高水平的出勤主义、旷工、工作效率受损以及更高的年度负担成本。

结论

决策受损、认知灵活性差和执行功能不佳会显著影响工作参与和表现,强调需要制定减少耻辱感和压力的工作场所政策,并呼吁进一步研究环境因素和干预措施如何影响饮食失调的康复。

证据水平

I级,系统评价。

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本文引用的文献

1
Impact of eating disorders on paid or unpaid work participation and performance: a systematic review and meta-analysis protocol.饮食失调对有偿或无偿工作参与及表现的影响:一项系统评价与荟萃分析方案
J Eat Disord. 2022 Jan 15;10(1):7. doi: 10.1186/s40337-021-00525-2.
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The impact of depression, anxiety and comorbidity on occupational outcomes.抑郁、焦虑和共病对职业结果的影响。
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Clinical factors predicting impaired executive functions in eating disorders: The role of illness duration.
临床因素预测进食障碍患者执行功能受损:疾病持续时间的作用。
J Psychiatr Res. 2021 Dec;144:87-95. doi: 10.1016/j.jpsychires.2021.09.042. Epub 2021 Sep 27.
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The economic cost of bulimia nervosa and binge eating disorder: a population-based study.神经性贪食症和暴饮暴食症的经济成本:一项基于人群的研究。
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Psychiatric comorbidity as predictor and moderator of binge-eating disorder treatment outcomes: an analysis of aggregated randomized controlled trials.精神共病作为暴食症治疗结果的预测因素和调节因素:汇总随机对照试验分析
Psychol Med. 2021 Apr 14:1-9. doi: 10.1017/S0033291721001045.
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The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
PLoS Med. 2021 Mar 29;18(3):e1003583. doi: 10.1371/journal.pmed.1003583. eCollection 2021 Mar.
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Social and economic cost of eating disorders in the United States: Evidence to inform policy action.美国饮食失调的社会和经济成本:为政策行动提供信息的证据。
Int J Eat Disord. 2021 May;54(5):851-868. doi: 10.1002/eat.23486. Epub 2021 Mar 2.
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Common trace metals in rheumatoid arthritis: A systematic review and meta-analysis.类风湿关节炎中的常见痕量金属:系统评价和荟萃分析。
J Trace Elem Med Biol. 2019 Dec;56:81-89. doi: 10.1016/j.jtemb.2019.07.007. Epub 2019 Jul 30.
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