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引用次数: 0
摘要
目的：本综述旨在全面分析糖尿病患者的恐惧进食行为，即糖尿病饮食失调症（diabulimia 或 ED-DMT1）。探讨了导致饮食行为紊乱的情绪和心理因素、其对糖尿病管理的影响以及对身体健康的潜在后果。研究并讨论了各种治疗干预措施，包括认知行为疗法和心理支持、营养教育的作用、个体化治疗计划支持小组在控制糖尿病患者饮食行为恐惧方面的作用：方法：进行了全面的文献检索，以确定与糖尿病患者进食恐惧行为相关的研究、文章和指南。检索包括 PubMed 和 Google Scholar 等数据库，并使用了适当的关键词：综述强调了导致糖尿病患者进食恐惧的情绪和心理因素，包括对身体形象的担忧、对体重增加的恐惧以及紊乱的进食模式。这些行为会严重影响糖尿病管理，导致血糖控制不佳、并发症风险增加以及整体健康水平下降。各种治疗干预措施，如认知行为疗法和正念干预措施，都显示出解决进食行为恐惧的前景：结论：要有效治疗糖尿病患者的进食恐惧行为，需要结合糖尿病管理、心理健康和营养方面的医疗专家，采取多学科策略。认知行为疗法和正念疗法以及心理支持在减少饮食习惯恐惧方面具有潜力。这项分析为医护人员提供了重要信息，以帮助害怕进食的糖尿病患者，并敦促对该主题进行更多研究。
A Comprehensive Review of Fear of Eating Behaviour in Individuals with Diabetes: Exploring Therapeutic Interventions for Diabulimia.
Objective: This review aims to comprehensively analyse the fear of eating behaviour in individuals with diabetes, known as diabulimia or ED-DMT1. The emotional and psychological factors contributing to disordered eating behaviours, their impact on diabetes management, and potential consequences on physical health are explored. Various therapeutic interventions, including cognitive-behavioural therapy and psychological support, the role of nutrition education, individualized treatment plans support groups in managing fear of eating behaviour in diabetes are examined and discussed.
Methods: A comprehensive literature search was conducted to identify relevant studies, articles, and guidelines related to fear of eating behaviour in diabetes. The search included databases such as PubMed and Google Scholar using appropriate keywords.
Results: The review highlights the emotional and psychological factors that contribute to the fear of eating behaviour in diabetes, including body image concerns, fear of weight gain, and disordered eating patterns. These behaviours can significantly impact diabetes management, leading to poor glycaemic control, increased risk of complications, and reduced overall well-being. Various therapeutic interventions, such as cognitive-behavioural therapy and mindfulness-based interventions, have shown promise in addressing the fear of eating behaviour.
Conclusion: A multidisciplinary strategy combining healthcare specialists specializing in diabetes management, mental health, and nutrition is required for effective therapy of fear of eating behaviour in diabetes. Cognitive-behavioral therapy and mindfulness-based therapies, as well as psychological support, have shown potential in reducing the fear of eating habits. This analysis gives significant information for healthcare providers to help patients with diabetes who are afraid of eating and urges additional research on the topic.
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