Clinical Child Psychology and Psychiatry ( IF 1.8 ) Pub Date : 2021-02-18 , DOI: 10.1177/1359104521994172 Rosie Oldham-Cooper 1, 2 , Claire Semple 1
There is building evidence that early intervention is key to improving outcomes in eating disorders, whereas a ‘watch and wait’ approach that has been commonplace among GPs and other healthcare professionals is now strongly discouraged. Eating disorders occur at approximately twice the rate in individuals with type 1 diabetes compared to the general population. In this group, standard eating disorder treatments have poorer outcomes, and eating disorders result in a particularly high burden of morbidity. Therefore, our first priority must be prevention, with early intervention where disordered eating has already developed. Clinicians working in both eating disorders and diabetes specialist services have highlighted the need for multidisciplinary team collaboration and specific training, as well as improved treatments. We review the current evidence and future directions for prevention, identification and early intervention for eating disorders in children and young people with type 1 diabetes.
中文翻译:
预防和早期帮助患有 1 型糖尿病的年轻人饮食失调
有越来越多的证据表明早期干预是改善饮食失调结果的关键,而现在强烈反对在全科医生和其他医疗保健专业人员中普遍采用的“观察和等待”方法。与一般人群相比,1 型糖尿病患者的饮食失调发生率大约是其两倍。在这一组中,标准的饮食失调治疗效果较差,并且饮食失调导致发病率特别高。因此,我们的首要任务必须是预防,在已经出现饮食失调的地方进行早期干预。从事饮食失调和糖尿病专科服务的临床医生强调需要多学科团队合作和特定培训,以及改进治疗方法。