Lauren Makin, Elisa Zesch, Adia Meyer, Valeria Mondelli, Kate Tchanturia
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引用次数: 0
摘要
目的：本综述梳理了有关成年神经性贪食症（BN）和暴食症（BED）患者自闭症和ADHD患病率的现有文献；患者和利益相关者对这种合并症的看法；该人群的临床差异；以及潜在的治疗适应性或辅助疗法。这是为了告知未来的研究重点，以改善临床实践。方法：按照预先注册的PRISMA指南，检索了六个数据库（Embase, MEDLINE via Ovid, PsycINFO, Web of Science， CENTRAL和Scopus），以检索有关成年BN或BED患者的自闭症和/或ADHD（诊断，可能或特征）的研究。对每条记录分别进行筛选和数据提取两次。结果：纳入29项研究，25,416名参与者，主要是女性（69.3%）。13项流行病学研究表明，自闭症和ADHD在BN或BED人群中比非ed人群更常见。一项研究探索了自闭症和多动症在BED中的专家观点，而15项研究考虑了治疗方案，主要是药物治疗。结论：本综述强调需要对自闭症/ADHD合并BN或BED患者的经验、临床差异和非药物治疗选择进行更多的研究。研究结果表明，这些情况通常同时发生，但在以患者为中心的干预措施和临床结果方面仍未得到充分探讨。
Autism, ADHD, and Their Traits in Adults With Bulimia Nervosa and Binge Eating Disorder: A Scoping Review
Objective
This review maps existing literature on the prevalence of autism and ADHD in adult patients with Bulimia Nervosa (BN) and Binge Eating Disorder (BED); patient and stakeholder perspectives on this comorbidity; clinical differences in this population; and potential treatment adaptations or adjunct therapies. This is with the aim to inform future research priorities to improve clinical practice.
Method
As pre-registered, and following PRISMA guidelines, six databases (Embase, MEDLINE via Ovid, PsycINFO, Web of Science, CENTRAL, and Scopus) were searched for studies regarding autism and/or ADHD (diagnosed, probable, or traits) in adult patients with BN or BED. Screening and data extraction were conducted twice independently for each record.
Results
Twenty-nine studies were included, with 25,416 participants, mostly women (69.3%). Thirteen prevalence studies suggested autism and ADHD are more common in BN or BED than non-ED populations. One study explored the expert perspectives on autism and ADHD in BED, while 15 studies considered treatment options, mainly medications.
Conclusion
This review highlights a need for more research on the experiences, clinical differences, and non-medical treatment options for Autistic/ADHD patients with BN or BED. Findings suggest these conditions commonly co-occur but remain under-explored in terms of patient-centred interventions and clinical outcomes.
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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