[The Need of Evidence-Based Treatment of Early-Onset Feeding Tube Dependency: A Pico- Framework Based Analytic Review of Clinical Features and Treatment of Feeding Tube Dependency].

IF 0.4 4区 医学 Q4 PSYCHIATRY
Markus Wilken, Carla Marie Mink, Johanna Böhme
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引用次数: 0

Abstract

Feeding Tube Dependency is a constant increasing perinatal mental health condition, with estimated 350 new cases per year in Germany.The early onset feeding tube dependency is the consequence of a generalized food aversion. To establish an evidence-based nationwide treatment plan, relevant research from the past twenty years were narratively reviewed. Feeding tube dependency is an international increasingmental health condition, with a high symptom persistence and a low spontaneous remission. The generalized food aversion would prevent the transition to oral feeding.The treatment protocols, supported by the German Health System, based on low-frequency individual treatment and intensive inpatient treatments are not supported by the most recent evidence. In treatment outcome research more promising and effective programs can be distinguished from ineffective programs. As a result, treatment which are designed as intensive treatment, home-based or inpatient and are psychodynamicbased are most effective. Day-clinic and behavioral modification programs are not or low in treatment effectiveness.The German Health System approach to assist families with feeding tube dependency is not evidence-based. A new structure of treatment is imperatively required.

[早期发作的饲管依赖性循证治疗的必要性:对饲管依赖症的临床特征和治疗的基于Pico框架的分析综述]。
喂养管依赖是一种持续增加的围产期心理健康状况,德国每年估计有350例新病例。早期出现的喂养管依赖症是普遍厌恶食物的结果。为了建立一个基于证据的全国性治疗计划,对过去二十年的相关研究进行了叙述性回顾。喂食管依赖是一种国际性的日益严重的心理健康状况,症状持续性高,自发缓解率低。普遍的食物厌恶会阻止向口服喂养的转变。德国卫生系统支持的基于低频个体治疗和强化住院治疗的治疗方案没有得到最新证据的支持。在治疗结果研究中,更有前景和有效的方案可以与无效方案区分开来。因此,设计为强化治疗、家庭治疗或住院治疗以及基于心理动力的治疗是最有效的。日间诊所和行为矫正计划的治疗效果不佳或较低。德国卫生系统帮助依赖饲管的家庭的方法没有循证依据。迫切需要一种新的治疗结构。
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来源期刊
CiteScore
0.50
自引率
16.70%
发文量
66
期刊介绍: Beiträge aus Praxis und Forschung, die sich mit Störungen der Entwicklung von Kindern und Jugendlichen sowie deren psychotherapeutischer Behandlung beschäftigen.
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