{"title":"探索以生物为导向的精准心理健康计划，为进食障碍患者提供护理：叙述性综述。","authors":"Mark L. Norris","doi":"10.1002/erv.3114","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>Eating disorders (EDs) represent a major public health burden. Increasingly, studies suggest mental health (MH) fields are failing to improve the effectiveness of treatments and that alternative models of care must be considered. Precision mental health (PMH) seeks to tailor treatment to individual needs and relies on a comprehensive understanding of the neurobiological and physiological underpinnings of mental illness.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>In this narrative review, published literature with focus on biological application of PMH strategies for EDs is reviewed and summarised.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 39 articles were retained for the review covering a variety of themes with relevance to PMH. Many studies of biological markers with PMH applicability focused on anorexia nervosa. Although a variety of potential PMH research applications were identified, the review failed to identify any evidence of implementation into routine ED practice.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Despite the theoretical merit of biological application of PMH in ED treatment, clinical applications for standard practice are lacking. There is a need to invest further in studies that seek to identify biological markers and investigate neurobiological underpinnings of disease in hopes of targeting and developing treatments that can be better tailored to the individualised needs of patients.</p>\n </section>\n </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 6","pages":"1117-1137"},"PeriodicalIF":3.9000,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring biologically oriented precision mental health initiatives for the care of patients with eating disorders: A narrative review\",\"authors\":\"Mark L. Norris\",\"doi\":\"10.1002/erv.3114\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>Eating disorders (EDs) represent a major public health burden. 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Although a variety of potential PMH research applications were identified, the review failed to identify any evidence of implementation into routine ED practice.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Despite the theoretical merit of biological application of PMH in ED treatment, clinical applications for standard practice are lacking. 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引用次数: 0
摘要
目的：进食障碍（ED）是一项重大的公共卫生负担。越来越多的研究表明，心理健康（MH）领域未能提高治疗效果，因此必须考虑采用其他护理模式。精准心理健康（PMH）旨在根据个人需求定制治疗方案，并依赖于对精神疾病的神经生物学和生理学基础的全面了解：在这篇叙事性综述中，我们回顾并总结了已发表的文献，重点是针对 ED 的 PMH 策略在生物学上的应用：结果：总共有 39 篇文章被纳入综述，涵盖了与 PMH 相关的各种主题。许多关于适用于预防性保健的生物标志物的研究都集中在神经性厌食症上。尽管发现了各种潜在的 PMH 研究应用，但综述未能发现任何将其应用于常规 ED 实践的证据：结论：尽管PMH在ED治疗中的生物学应用具有理论上的价值，但在标准实践中却缺乏临床应用。有必要进一步投资研究，以确定生物标志物并调查疾病的神经生物学基础，从而有针对性地开发更符合患者个性化需求的治疗方法。
Exploring biologically oriented precision mental health initiatives for the care of patients with eating disorders: A narrative review
Objective
Eating disorders (EDs) represent a major public health burden. Increasingly, studies suggest mental health (MH) fields are failing to improve the effectiveness of treatments and that alternative models of care must be considered. Precision mental health (PMH) seeks to tailor treatment to individual needs and relies on a comprehensive understanding of the neurobiological and physiological underpinnings of mental illness.
Methods
In this narrative review, published literature with focus on biological application of PMH strategies for EDs is reviewed and summarised.
Results
A total of 39 articles were retained for the review covering a variety of themes with relevance to PMH. Many studies of biological markers with PMH applicability focused on anorexia nervosa. Although a variety of potential PMH research applications were identified, the review failed to identify any evidence of implementation into routine ED practice.
Conclusions
Despite the theoretical merit of biological application of PMH in ED treatment, clinical applications for standard practice are lacking. There is a need to invest further in studies that seek to identify biological markers and investigate neurobiological underpinnings of disease in hopes of targeting and developing treatments that can be better tailored to the individualised needs of patients.
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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