Leanna Isserlin, Noah M. P. Spector, Abigail H. M. Bradley, Nuray Kanbur, Catherine Bouchard, Rishi Kapur, Kyle T. Ganson
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引用次数: 0
摘要
目的：与女性护理者相比，男性护理者参与饮食失调症（ED）治疗对其患病子女的影响并不明显。为了澄清其影响，本范围综述研究了男性照顾者参与进食障碍治疗的文献，重点关注其对父亲、治疗过程及其受影响子女的影响：方法：我们检索了 1990 年至 2022 年期间的英文和法文同行评审文章。这些研究对母亲和父亲进行了区分，涉及《精神疾病诊断与统计手册》或《国际疾病分类》中的 ED 诊断，并包含积极的干预措施。从最初确定的 1651 篇文章中，经过摘要和标题审查后保留了 251 篇，其中 45 篇符合所有标准：记录的结果表明，父亲参与 ED 治疗改善了他们的福祉和家庭功能，但这些收益与治疗结果并不一致。父亲的出席率、护理技能的提高以及他们对治疗的期望与患儿的治疗效果相关：父亲参与 ED 治疗的情况仍未得到充分探讨。本综述在强调父亲的积极影响的同时，也强调了更好地了解父亲与患者总体治疗效果之间联系的必要性。我们呼吁积极探索如何克服父亲参与治疗的障碍，并确保父亲在 ED 治疗中与女性护理人员一起做出最佳贡献。
Fathers' impact on outcomes in the treatment of eating disorders: A scoping review
Objective
Male caregivers' participation in eating disorder (ED) treatment for their affected children is less consistent than female caregivers', with unclear effects. To clarify the impact, this scoping review examined literature on male caregiver involvement in ED treatment, focusing on its impact on fathers, treatment processes, and their affected children.
Methods
A search encompassing English and French peer-reviewed articles from 1990 to 2022 was conducted. Studies distinguishing between mothers and fathers, addressing Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases ED diagnoses, and involving active interventions were included. From 1651 initially identified articles, 251 were retained after abstract and title review, and 45 met all criteria.
Results
Documented outcomes indicated fathers' engagement in ED treatment improved their well-being and family functioning, but these gains were not consistently tied to treatment outcomes. Father attendance, improved caregiving skills, and their expectations of treatment correlated with better outcomes for their affected child.
Conclusions
Father involvement in ED treatment remains under-explored. This review emphasises fathers' positive impact while highlighting the need to better understand the link with overall patient outcomes. We call for proactive exploration of how to surmount barriers to fathers' involvement and ensure that paternal contributions are optimised in ED treatment alongside those of female caregivers.
期刊介绍：
European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.
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