Za poslední dobu pozorujeme nárůst potřeby dětské psychiatrické péče, které je nedostatek, a proto velká část péče o dětské psychiatrické pacienty spadá do rukou pediatrů a praktických lékařů. V dnešní době tvoří nemalou část dětských psychiatrických pacientů i pacienti s poruchou příjmu potravy, jejich léčba a péče je většinou dlouhodobá, složitá a často relabující. Cestou kazuistiky bychom rádi objasnili péči o adolescentní pacienty s poruchou příjmu potravy v dětské psychiatrické ambulanci a na akutním lůžku dětské psychiatrie.
In recent times, we have seen an increase in the need for child psychiatric care, which is in short supply and therefore much of the care for child psychiatric patients falls to paediatricians and GPs. Nowadays, patients with eating disorder form a significant number of child psychiatric patients and their treatment and care is usually long-term, difficult and often relapsing. The task of this case report is to clarify the care of eating disorder in the child psychiatric outpatient clinic and in the psychiatric ward for children.
- MeSH
- amenorea diagnóza etiologie MeSH
- hmotnostní úbytek MeSH
- hospitalizace MeSH
- lidé MeSH
- management nemoci MeSH
- mentální anorexie * diagnóza epidemiologie psychologie terapie MeSH
- mladiství MeSH
- poruchy příjmu potravy diagnóza epidemiologie psychologie terapie MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- MeSH
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- poruchy příjmu potravy v dětství diagnóza epidemiologie patologie terapie MeSH
- poruchy příjmu potravy * diagnóza epidemiologie patologie terapie MeSH
- prognóza MeSH
- psychoterapie metody MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- Publikační typ
- přehledy MeSH
OBJECTIVE: The aim of the study was to investigate the prevalence of eating disorders (EDs) and their association with socio-demographic and behavioural factors among university students. METHODS: A cross-sectional study among university students (Chinese and international) in Nanjing, China. We collected the data from 877 students, of which 811 were eligible for this study. They submitted a self-administered questionnaire (Eating Disorder Examination Questionnaire 6 (EDE-Q6) related to socio-demographic, health variables and lifestyle factors. Data were assessed with the help of SPSS software. RESULTS: A total of 401 Chinese and 410 international university students (49.44% vs. 50.55%) participated in this study. Binary logistic regression showed that young female adults of 18~25 years of age had more risk of developing eating disorders. Higher body mass index (BMI), such as overweight and obesity, were more influential risk factors (p < 0.001) for eating disorders. The significant risks (p < 0.001) EDs were found in students who were athletes, physically active, and involved in various extra-curricular activities. Alcohol and smoking were significant risk factors associated with eating disorders. CONCLUSION: The results indicated higher risks of eating disorders followed by objective binge eating and compensatory behaviour. In this scenario, early assessment and treatment are necessary to reduce the burden of eating disorders and to promote good nutritional practices among university students.
- MeSH
- dospělí MeSH
- lidé MeSH
- poruchy příjmu potravy * epidemiologie MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- rizikové faktory MeSH
- stravovací zvyklosti MeSH
- studenti MeSH
- univerzity MeSH
- východní Asiaté * MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.
- MeSH
- COVID-19 prevence a kontrola MeSH
- dospělí MeSH
- faktorová analýza statistická MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- obezita epidemiologie MeSH
- poruchy příjmu potravy epidemiologie MeSH
- psychiatrické posuzovací škály MeSH
- psychometrie MeSH
- senioři MeSH
- sociální izolace psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Španělsko MeSH
Internet usage may have both positive and negative impacts on people with eating disorders. In research to date, most of the focus has been put on the harms connected with platforms that support people in continuing their disorder. Less studied have been the benefits of other technology platforms used by people with eating disorders. When these different platforms were investigated, users were rarely interviewed about their experience. To fill this gap, we conducted 30 interviews with participants aged 16 to 28, all female, living in the Czech Republic. The interviews focused on their experiences with the harmful and helpful impacts of the internet on the course of their eating disorders. The data were analyzed via thematic analysis. The results provided insight into the participants' experience with the following online environments: 1) nonprofessional pro-eating disorder platforms; 2) nonprofessional pro-recovery platforms; 3) social networking sites (SNS); 4) platforms for counting calories and setting weight goals; 5) platforms about food, exercise, and lifestyle; and 6) platforms providing professional help. The participants noted many benefits these platforms could provide; however, their ability to achieve the benefits was affected by their motivation for treatment. As a result, even platforms designed to support recovery could be used for illness maintenance. The results are discussed in the context of research on the changing motivations for recovery in people with eating disorders and the theory of different processes connected to the course of the eating disorders according to the differential interactivity of digital platforms.
- MeSH
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- poruchy příjmu potravy * epidemiologie rehabilitace terapie MeSH
- používání internetu * statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
Nowadays, the use of digital technology is an important issue that should be addressed during the treatment of people who have eating disorders. The involvement or absence of this issue reflects the understanding, experience, and atttude of health-care professionals toward their clients' use of technology. The aim of the present study was to investigate the perceptions of health-care professionals and their assessment of their clients' usage of digital technology while developing strategies for treatment. Semistructured interviews with 30 professionals were performed from October 2015 to June 2016 and a thematic analysis was used to analyze the data. The health-care professionals' views could be summarized in three thematic groups: (1) technology use is not relevant for the cooperation; (2) technology use is relevant for the cooperation and addressed generally; and (3) technology use is relevant for the cooperation and addressed specifically. The results are discussed in relation to the theoretical model presented by Rodgers about the impact of technology on disordered eating behaviors and the implications for practice.
- MeSH
- dospělí MeSH
- internet * MeSH
- lidé středního věku MeSH
- lidé MeSH
- poruchy příjmu potravy epidemiologie terapie MeSH
- postoj zdravotnického personálu * MeSH
- představa o vlastním těle MeSH
- rozhovory jako téma MeSH
- sociální média * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
- MeSH
- antipsychotika aplikace a dávkování metabolismus terapeutické užití MeSH
- bulimia nervosa terapie MeSH
- duševní poruchy * MeSH
- kongresy jako téma MeSH
- lidé MeSH
- mentální anorexie terapie MeSH
- poruchy příjmu potravy epidemiologie terapie MeSH
- psychotické poruchy MeSH
- schizofrenie diagnóza MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- zprávy MeSH
- MeSH
- diabetes mellitus 1. typu diagnostické zobrazování komplikace psychologie MeSH
- diabetes mellitus 2. typu diagnostické zobrazování komplikace patofyziologie MeSH
- diferenciální diagnóza MeSH
- dospělí MeSH
- komorbidita MeSH
- komplikace diabetu epidemiologie mortalita MeSH
- lidé MeSH
- mladiství MeSH
- omezení příjmu potravy MeSH
- poruchy příjmu potravy * diagnóza epidemiologie patofyziologie MeSH
- prevalence MeSH
- rizikové faktory MeSH
- sekundární prevence MeSH
- stravovací zvyklosti psychologie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
