The current clinical approach to feeding and eating disorders aimed to increase personalization of management

World Psychiatry, Год журнала: 2025, Номер 24(1), С. 4 - 31

Опубликована: Янв. 15, 2025

Feeding and eating disorders (FEDs) are a heterogeneous grouping of at the mind-body interface, with typical onset from childhood into emerging adulthood. They occur along spectrum disordered compensatory weight management behaviors, low to high body weight. Psychiatric comorbidities norm. In contrast other major psychiatric disorders, first-line treatments for FEDs mainly psychological and/or nutrition-focused, medications playing minor adjunctive role. Patients, carers clinicians all have identified personalization treatment as priority. Yet, FEDs, evidence base supporting this is limited. Importantly, related behaviors can serious physical consequences may put patient's life risk. these cases, immediate safety risk considerations least period need be prioritized over efforts care. This paper systematically reviews several key domains that relevant characterization individual patient FED aimed management. These include symptom profile, clinical subtypes, severity, staging, complications consequences, antecedent concomitant conditions, social functioning quality life, neurocognition, cognition emotion, dysfunctional cognitive schemata, personality traits, family history, early environmental exposures, recent stigma, protective factors. Where possible, validated assessment measures use in practice identified. The limitations current pointed out, possible directions future research highlighted. also novel approaches providing more fine-grained sophisticated ways personalize such those utilize neurobiological markers. We additionally outline remote measurement technologies designed delineate patients' illness recovery trajectories facilitate development intervention approaches.

Язык: Английский

Acute Augmentations to Psychological Therapies in Eating Disorders: A Systematic Review and Meta-Analysis

Current Psychiatry Reports, Год журнала: 2024, Номер 26(9), С. 447 - 459

Опубликована: Авг. 2, 2024

The purpose of this systematic review and meta-analysis was to examine the use efficacy acute augmentation therapies in eating disorders.

Язык: Английский