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Clinicians’ views on working with anorexia nervosa and autism spectrum disorder comorbidity: a qualitative study

机译:临床医生对神经性厌食症和自闭症谱系障碍合并症的看法:定性研究

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Background Anorexia nervosa (AN) and autism spectrum disorder (ASD) form a relatively common comorbidity, with poorer illness outcomes and poorer responses to treatments for AN compared to individuals without ASD. However, the treatment of this comorbidity remains poorly understood: no research to date has examined how clinicians currently approach treating AN/ASD. This study aimed to explore the experiences of clinicians working with comorbid AN/ASD using qualitative methods in order to identify areas for future improvement. Methods Interviews with individual clinicians ( n =?9) were carried out and explored using thematic analysis. Results The findings suggest that many clinicians lack confidence in treating this comorbidity, which requires specific changes to treatment to accommodate the issues raised by comorbid ASD. At present, any adaptations to treatment are based on the previous experience of individual clinicians, rather than representing a systematic approach. Conclusions Further research is needed to empirically assess potential treatment modifications for this group and to establish guidelines for best clinical practice.
机译:背景神经性厌食症(AN)和自闭症谱系障碍(ASD)形成了相对常见的合并症,与没有ASD的个体相比,其疾病结局较差,对AN的治疗反应较差。但是,对这种合并症的治疗方法知之甚少:迄今为止,尚无研究检查临床医生目前如何治疗AN / ASD。这项研究旨在探索使用定性方法治疗合并性AN / ASD的临床医生的经验,以便确定未来需要改进的领域。方法进行了与个别临床医生的访谈(n = 9),并通过主题分析进行了探讨。结果研究结果表明,许多临床医生对治疗这种合并症缺乏信心,这需要对治疗进行特定的改变以适应合并症ASD引起的问题。目前,对治疗的任何调整均基于个别临床医生的先前经验,而不是代表系统的方法。结论需要进一步的研究,以经验评估该组潜在的治疗方法,并建立最佳临床实践指南。

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