饮食失调患者的日常记忆及其相关过程

Julie A. Seed , Sylvia Dahabra , Tom Heffernan , Bernadette Robertson , Katy Foster , Helen Venn , Katy Froom , Tom Williams
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引用次数: 7

摘要

目的研究饮食失调患者的日常记忆和相关过程,并考虑这些过程的问题如何影响他们的社会心理功能和参与治疗方案中认知要求方面的能力。设计两项病例对照研究。在英格兰东北部设立区域饮食失调服务中心。研究对象:在饮食失调单元就诊的神经性厌食症(AN)、神经性贪食症(BN)和非特殊饮食失调(EDNOS)患者和健康志愿者。主要结果测量:日常记忆及相关过程的自我报告和客观测量;与疾病状况有关的自我报告和客观措施;伴随焦虑和抑郁的自我报告测量。结果患者在所有的记忆测量和相关过程中都被发现受损。损害程度与疾病状态测量和抑郁/焦虑测量有不同的相关性。结论:这些数据表明,饮食失调患者参与依赖于记忆和相关过程的日常和更直接的活动的能力受损。帮助患者制定克服这些困难的策略可能是对现有治疗方案的有益护理补充,并可能提高治疗效果。
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Everyday memory and related processes in patients with eating disorders

Objectives

To investigate everyday memory and related processes in patients with eating disorders and to consider how problems with these processes may impact upon their psychosocial functioning and ability to engage in cognitively demanding aspects of treatment programmes.

Design

Two case-control studies.

Setting

Regional Eating Disorders Service in the North East of England.

Participants

Patients with Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Eating Disorder Not Otherwise Specified (EDNOS) [DSM-IV, 1994] attending an Eating Disorder Unit, and healthy volunteers.

Main Outcome Measures

Self-report and objective measures of everyday memory and related processes; self-report and objective measures relating to state of illness; self-report measures of attendant anxiety and depression.

Results

Patients were found to be impaired on all measures of memory and related processes. Degree of impairment correlated variously with state of illness measures and depression/anxiety measures.

Conclusions

These data suggest that patients with eating disorders are impaired in their ability to engage in day-to-day and more directed activities that depend upon memory and related processes. Helping patients develop strategies to overcome these difficulties may be a useful nursing addition to existing treatment packages and may improve treatment efficacy.

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