Psychotropic usage by patients presenting to an academic eating disorders program
Psychotropic usage by patients presenting to an academic eating disorders program
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DOI：
10.1007/s40519-018-0520-3
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发表时间：
2018-12-01
影响因子：
2.9
通讯作者：
Rienecke, Renee D.
中科院分区：
文献类型：
--
作者：
Mizusaki, Karuna;Gih, Daniel;Rienecke, Renee D.
目的评估青少年和青年原发性饮食失调患者的精神药物使用模式及其与年龄、饮食失调诊断和精神共病的可能关联。方法回顾性分析2012年8月至2014年12月连续86例原发性饮食失调患者的资料。在美国的一个饮食失调学术项目中，患者接受了多学科评估。结果近一半（45.3%）的患者报告正在服用精神药物。抗抑郁药是报告最多的类别，在接受评估的患者中有38.4%的人开过抗抑郁药。饮食失调的类型和精神药物处方的数量之间有显著的联系。诊断为其他特定喂养或饮食障碍的患者比神经性厌食症患者报告更多的处方。尽管研究发现有相当一部分患者患有精神疾病，但这似乎并没有增加那些被诊断为饮食失调的患者使用精神药物的可能性。此外，病程较长的患者和有非自杀性自残史的患者更有可能接受精神药物治疗。结论精神药物似乎是在三级保健中心评估饮食失调的个体中常用的处方。鉴于精神类药物不被推荐作为饮食失调的主要干预措施，这种频率可能表明从业人员没有遵循研究知情的实践指南。观察到的差异也可能反映了与临床特征或病史相关的复杂性。证据水平V级：描述性研究。
PurposeTo assess psychotropic use patterns and possible associations with age, eating disorder diagnosis and psychiatric comorbidity in adolescents and young adults with a primary eating disorder.MethodsA retrospective chart review of 86 consecutive patients with a primary eating disorder from August 2012 to December 2014 was conducted. Patients presented for a multidisciplinary evaluation at a United States-based academic program for eating disorders.ResultsNearly half (45.3%) of the patients reported being on a psychotropic medication. Antidepressants were the most reported category, prescribed in 38.4% of the patients evaluated. There was a significant association between the type of eating disorder and the number of psychotropics prescribed. Patients with a diagnosis of other specified feeding or eating disorder reported more prescriptions upon presentation than patients with anorexia nervosa. Despite the finding that a significant minority of patients had a psychiatric comorbidity, this did not appear to increase the likelihood of psychotropic usage over those diagnosed with an eating disorder alone. In addition, patients with a longer duration of illness and patients with a history of non-suicidal self-injury were more likely to present to treatment on psychotropic medications.ConclusionsPsychotropic medications appear to be commonly prescribed among individuals evaluated in a tertiary care center for an eating disorder. Given that psychotropics are not recommended as the primary intervention for eating disorders, the frequency may be indicative of practitioners not following research-informed practice guidelines. The differences observed may also reflect complexities related to clinical features or illness history.Level of evidenceLevel V: Descriptive study.