为改善对女性和不同性别患者饮食失调的检测和临床结果指明方向。

Focus (American Psychiatric Publishing) Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI:10.1176/appi.focus.20230039
Simar Singh, Jonathan T Avila, Sasha Gorrell
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引用次数: 0

摘要

一直以来,饮食失调症(EDs)的概念都是以女性为中心的。然而,一致的研究表明,饮食失调症困扰着不同性别的人群,包括女性和性别多元化人群。尽管有这些证据,但在对性别敏感的评估实践、理论表述和治疗注意事项方面仍未达成共识。本综述简要总结了迄今为止有关双性人和性别多元化人群 ED 表现的研究,提出了适当的评估和治疗方法,并为性别包容性 ED 治疗提供了建议。为了有效地为不同性别的 ED 患者提供服务,我们需要开展更多的研究来验证对性别敏感的评估工具,在具有性别代表性的样本中全面研究 ED 的病理,并开展针对女性和不同性别患者的随机对照试验。这样,临床医生和研究人员就可以更好地检测出不同性别的 ED,并实施适合不同性别的循证干预措施,从而减少所有患者因 ED 导致的损伤和死亡。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Charting a Path Toward Improving Detection and Clinical Outcomes for Eating Disorders in Cismales and Gender-Diverse Patients.

Historically, eating disorders (EDs) have been conceptualized from a female-centric lens. However, consistent research demonstrates that EDs afflict individuals across the gender spectrum, including cismales and gender-diverse individuals. Despite this evidence, a consensus regarding gender-sensitive assessment practices, theoretical formulations, and treatment considerations has yet to be established. The present review briefly summarizes research to date on the presentation of EDs in cismales and gender-diverse individuals, suggests appropriate assessment and treatment practices, and offers recommendations for gender-inclusive ED treatment. To effectively serve patients with EDs across the gender spectrum, more research is needed to validate gender-sensitive assessment tools, comprehensively study ED pathology within gender-representative samples, and conduct randomized controlled trials that serve cismales and gender-diverse patients. In doing so, clinicians and researchers may better detect EDs across the gender spectrum and implement gender-appropriate, evidence-based interventions, thereby reducing impairment and mortality related to EDs for all patients.

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