Atypical anorexia nervosa: A scoping review to determine priorities in research and clinical practice

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-04-09 DOI:10.1002/erv.3092

Jessica Beard, Glenn Waller

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Abstract

Background

There is currently a limited understanding of the identification, nature, and treatment of Atypical Anorexia Nervosa (AAN). Recent systematic reviews have identified only small numbers of candidate papers, and some areas lack any meaningful review so far – particularly treatment outcomes. A key issue is the lack of clarity in the literature regarding the definition of weight loss criteria.

Objectives

This scoping review aimed to determine the nature and extent of our knowledge of AAN, in order to assist in the development of future systematic reviews and meta-analyses, as well as indicating what further research is needed.

Method

Following the identification of 6747 records, 317 records using the term AAN or a defined equivalent were identified from six databases, including the ‘grey’ literature.

Results

Of the 317 studies, 111 provided participant characteristics, and only 10 provided discrete treatment outcomes. Each of these subsets of the data are tabulated and supported with supplementary material, so that future systematic reviewers can access this resource.

Discussion

The pattern and content of the existing studies allows recommendations to be made regarding future reviews, research and clinical practice. There is a particular need for clear weight/weight loss criteria and adequate interventions.

Abstract Image

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非典型神经性厌食症：确定研究和临床实践优先事项的范围审查

背景目前，人们对非典型厌食症（AAN）的识别、性质和治疗了解有限。最近的系统综述只发现了少量的候选论文，有些领域至今还没有任何有意义的综述--尤其是治疗结果。本范围综述旨在确定我们对 AAN 的认识的性质和程度，以帮助未来系统综述和荟萃分析的发展，并指出需要进一步开展哪些研究。方法在对 6747 条记录进行识别后，从包括 "灰色 "文献在内的六个数据库中识别出 317 条使用 AAN 或定义等同词的记录。讨论现有研究的模式和内容可以为未来的综述、研究和临床实践提供建议。尤其需要明确的体重/体重减轻标准和适当的干预措施。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

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.