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Does anxiety improve during weight restoration in anorexia nervosa? A systematic review

机译:神经性厌食症的体重恢复过程中焦虑会改善吗?系统评价

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Weight restoration is considered a principal outcome for treatment of Anorexia Nervosa (AN) due to the significant physiological disturbances resultant from acute states of malnutrition. Treatment outcomes for populations with AN are relatively poor, with increasing evidence suggesting that weight restoration alone is insufficient for long-term recovery. Research aimed at understanding the psychological sequaele of AN, in particular during weight restoration, nevertheless remain scarce. This systematic review aimed to evaluate existing research regarding anxiety symptoms during treatment for AN, and the relationship of anxiety symptomology and weight restoration. Twelve articles were identified from a systematic search of three electronic databases (PsycINFO, MEDLINE, and Web of Science), and were eligible for inclusion. Study methodology, results and quality were reviewed. Results regarding change in anxiety symptomology were inconsistent, though evidence did not support a relationship between anxiety change and weight restoration. Reasons for these inconsistencies and limitations of included studies were reviewed. Further research is warranted to elucidate the role of anxiety in AN and its implications for treatment and longer-term outcome.
机译:体重恢复被认为是神经性厌食症(AN)治疗的主要结果,因为急性营养不良导致严重的生理紊乱。患有AN的人群的治疗结果相对较差,越来越多的证据表明仅靠体重恢复不足以长期恢复。然而,旨在了解AN的心理平衡,特别是在体重减轻期间的研究仍然很少。该系统评价旨在评估有关AN治疗期间焦虑症状以及焦虑症状与体重恢复之间关系的现有研究。通过对三个电子数据库(PsycINFO,MEDLINE和Web of Science)的系统搜索确定了十二篇文章,并且符合纳入条件。研究方法,结果和质量进行了审查。关于焦虑症状改变的结果不一致,尽管证据不支持焦虑改变和体重恢复之间的关系。审查了这些不一致的原因和纳入研究的局限性。有必要进行进一步的研究来阐明焦虑症在AN中的作用及其对治疗和长期预后的影响。

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