成人厌食症患者的住院治疗:文献系统回顾。

Federica Toppino, Matteo Martini, Paola Longo, Inês Caldas, Nadia Delsedime, Raffaele Lavalle, Francesco Raimondi, Giovanni Abbate-Daga, Matteo Panero
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引用次数: 0

摘要

目的:神经性厌食症(AN)是一种精神障碍,如果出现严重的医疗和精神后果,通常需要住院治疗。我们旨在通过真实世界的报告来描述最先进的厌食症住院治疗方法:方法:我们使用关键词对 2011 年 1 月至 2023 年 10 月期间主要医学数据库中的文献进行了系统回顾:"住院病人"、"住院 "和 "神经性厌食症"。结果显示,有27项研究(3501名受试者)发现了神经性厌食症:结果:共纳入 27 项研究(3501 名受试者),选出了与住院环境中面临的主要挑战有关的 9 个主题。约 81.48% 的研究详细介绍了临床团队,51.85% 的研究提到了心理治疗模式的使用,25.93% 的研究探讨了治疗动机,100% 的研究明确了治疗环境,66.67% 的研究详细介绍了营养和再喂养,22.22% 的研究提到了药物治疗,40.74% 的研究介绍了入院或出院标准,14.81% 的研究介绍了随访,51.85% 的研究使用了测试来评估自闭症或精神病理学。尽管国际指南规定了这些因素,但数据并不一致,入院/出院标准、药物治疗和动机方面的定义也不充分,而治疗环境、再喂养方案和心理评估方面的细节则更为全面:尽管考虑到了纳入研究之间的异质性,但还是出现了标准、目标和治疗方式稀疏的情况,勾勒出了有时含糊不清的住院实践报告。今后的研究必须以更全面地描述治疗方法为目标。这样才能对住院治疗进行统一描述,便于对不同研究进行比较,并制定出更有科学依据的指导方针:证据等级:I级,系统综述。
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Inpatient treatments for adults with anorexia nervosa: a systematic review of literature.

Purpose: Anorexia nervosa (AN) is a mental disorder for which hospitalization is frequently needed in case of severe medical and psychiatric consequences. We aim to describe the state-of-the-art inpatient treatment of AN in real-world reports.

Methods: A systematic review of the literature on the major medical databases, spanning from January 2011 to October 2023, was performed, using the keywords: "inpatient", "hospitalization" and "anorexia nervosa". Studies on pediatric populations and inpatients in residential facilities were excluded.

Results: Twenty-seven studies (3501 subjects) were included, and nine themes related to the primary challenges faced in hospitalization settings were selected. About 81.48% of the studies detailed the clinical team, 51.85% cited the use of a psychotherapeutic model, 25.93% addressed motivation, 100% specified the treatment setting, 66.67% detailed nutrition and refeeding, 22.22% cited pharmacological therapy, 40.74% described admission or discharge criteria and 14.81% follow-up, and 51.85% used tests for assessment of the AN or psychopathology. Despite the factors defined by international guidelines, the data were not homogeneous and not adequately defined on admission/discharge criteria, pharmacological therapy, and motivation, while more comprehensive details were available for treatment settings, refeeding protocols, and psychometric assessments.

Conclusion: Though the heterogeneity among the included studies was considered, the existence of sparse criteria, objectives, and treatment modalities emerged, outlining a sometimes ambiguous report of hospitalization practices. Future studies must aim for a more comprehensive description of treatment approaches. This will enable uniform depictions of inpatient treatment, facilitating comparisons across different studies and establishing guidelines more grounded in scientific evidence.

Level of evidence: Level I, systematic review.

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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
期刊最新文献
Transcultural adaptation and validation of the Eating Self-Efficacy Brief Scale (ESEBS): the Brazilian version. The risk of kidney dysfunction in metabolically healthy/unhealthy population with normal weight or overweight/obesity: a systematic review and meta-analysis. Correction: Optimising healthcare transition of adolescents and young adults to adult care: a perspective statement of the Italian Society of Obesity. Multidimensional perfectionism and orthorexia: a systematic review and meta-analysis. Adverse childhood experiences and profiles of healthy orthorexia versus orthorexia nervosa: towards an explanatory model of orthorexia as a multidimensional eating style.
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