避免性/限制性食物摄入障碍的多学科治疗

Copeland G. Winten, E. Strodl, Lynda J. Ross
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引用次数: 2

摘要

鉴于对回避型/限制型食物摄入障碍(ARFID)治疗的研究尚处于早期阶段,因此指导最佳治疗方法的循证指南非常缺乏。然而,临床医生仍然需要获取文献总结来指导临床决策。有关 ARFID 治疗的早期数据突显了多学科团队的重要性,该团队可提供医疗、药物、营养和心理治疗。医学治疗通常参考其他进食障碍的治疗指南,而药物治疗通常侧重于 ARFID 的精神并发症。目前对 ARFID 最有力的心理治疗包括针对幼儿的家庭治疗和针对年长儿童、青少年和成人的认知行为治疗。 [Psychiatr Ann. 2024; 54(2):e51-e55.]
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Multidisciplinary Treatment of Avoidant/Restrictive Food Intake Disorder
Given that research into the treatment of avoidant/restrictive food intake disorder (ARFID) is in its early phases, there is a paucity of evidence-based guidelines directing best practices. However, there is still a need for clinicians to access summations of literature to guide clinical decision-making. Early data on the treatment of ARFID highlight the importance of a multidisciplinary team that can provide medical, pharmacologic, nutritional, and psychological care. While medical treatment is often informed by care guidelines for other eating disorders, pharmacological management often focuses on ARFID's psychiatric comorbidities. The psychological treatments with the strongest current evidence for ARFID include family-based therapy for young children, and cognitive-behavioral therapy for older children, adolescents, and adults. [ Psychiatr Ann. 2024;54(2):e51–e55.]
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