以家庭为基础的儿科进食障碍治疗:提供跨学科综合治疗的证据和指导。

Pub Date : 2023-01-01 Epub Date: 2021-10-21 DOI:10.1080/02739615.2021.1984240
Sarah Forsberg, Sasha Gorrell, Erin C Accurso, Claire Trainor, Andrea Garber, Sara Buckelew, Daniel Le Grange
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引用次数: 2

摘要

进食障碍(ED)是一种复杂的精神疾病,需要专门的治疗。家庭治疗(FBT)是治疗青少年厌食症的一线疗法,对其他进食障碍也有疗效。本研究描述了美国一家大型三甲医院在实施与 FBT 相结合的综合性 ED 跨学科治疗计划后的实践变化。我们考察了实施的可行性和可接受性、实施障碍以及在一年时间内对提供者角色的影响。实践中的变化伴随着角色的转变,人们普遍认为这种转变是可以接受的,而且非常适合。所发现的障碍可为今后的跨学科实施工作提供参考。
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Family-based treatment for pediatric eating disorders: Evidence and guidance for delivering integrated interdisciplinary care.

Eating disorders (EDs) are complex psychiatric diagnoses requiring specialized care. Family-based treatment (FBT) is the first-line treatment for adolescent anorexia nervosa and is also efficacious for other EDs. This study describes practice changes due to the implementation of an integrated interdisciplinary FBT-aligned treatment program for EDs at a large tertiary care hospital in the United States. We examined the feasibility and acceptability of implementation, barriers to implementation, and impact on providers' roles over a one-year period. Practice changes came with shifts in roles, and were largely experienced as acceptable with good suitability. Barriers identified may inform future interdisciplinary implementation efforts.

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