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Functional gastrointestinal disorders in eating disorder patients:Altered distribution and predictors using ROME Ⅲ compared to ROME Ⅱ criteria

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World Journal of Gastroenterology 2014年第43期20卷 16293-16299页

作者： Xiaojie Wang Georgina M Luscombe catherine boyd John Kellow Suzanne Abraham Department of Obstetrics and Gynaecology University of SydneyNSW 2006Australia School of Rural Health University of SydneyOrangeNSW 2800Australia Department of Gastroenterology and Medicine University of SydneyRoyal North Shore HospitalSt LeonardsNSW 2065Australia Department of Obstetrics and Gynaecology Northside ClinicUniversity of SydneyRoyal North Shore HospitalNSW 2065Australia

AIM:To compare the prevalence of Functional gastrointestinal disorders(FGIDs)using ROMEⅢand ROMEⅡand to describe predictors of FGIDs among eating disorder(ED)***:Two similar cohorts of female ED inpatients,aged 17-50 years,with no organic gastrointestinal or systemic disorders,completed either the ROMEⅢ(n=100)or the ROMEⅡ(n=160)questionnaire on admission for ED *** two ROME cohorts were compared on continuous demographic variables(e.g.,age,BMI)using Student’s t-tests,and on categorical variables(e.g.,ED diagnosis)usingχ*** relationship between ED diagnostic subtypes and FGID categories was explored usingχ***,BMI,and psychological and behavioural predictors of the common(prevalence greater than 20%)ROMEⅢFGIDs were tested using logistic regression ***:The criteria for at least one FGID were fulfilled by 83%of the ROMEⅢcohort,and 94%of the ROMEⅡ*** were no significant differences in age,BMI,lowest ever BMI,ED diagnostic subtypes or ED-related quality of life(QOL)scores between ROMEⅡand ROMEⅢ*** most prevalent FGIDs using ROMEⅢwere postprandial distress syndrome(PDS)(45%)and irritable bowel syndrome(IBS)(41%),followed by unspecified functional bowel disorders(U-FBD)(24%),and functional heartburn(FH)(22%).There was a 29%or 46%increase(depending on presence or absence of cyclic vomiting)in functional gastroduodenal disorders because of the introduction of PDS in ROMEⅢcompared to ROMEⅡ.There was a 35%decrease in functional bowel disorders(FBD)in RomeⅢ(excluding U-FBD)compared to ROMEⅡ.The most significant predictor of PDS was starvation(P=0.008).The predictor of FH(P=0.021)and U-FBD(P=0.007)was somatisation,and of IBS laxative use(P=0.025).Age and BMI were not significant *** addition of the 6-mo duration of symptoms requirement for a diagnosis in ROMEⅢadded precision to many ***:ROMEⅢconfers higher precision in diagnosing FGIDs but self-induced vomiting should be excluded from the

关键词： Anorexia nervosa Bulimia nervosa Eating disorders Gastrointestinal diseases Irritable bowel syndrome

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Sickle Cell Disease in Children: An Exploration of Family Resilience through the Experiences of Family Caregivers

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Open Journal of Nursing 2019年第4期9卷 347-363页

作者： Dorothy C. Nwanonyiri catherine Jirak Monetti Sharon boyd-Jackson Department of Nursing Kean University Union NJ USA Department of Psychology Kean University Union NJ USA

Background: Sickle cell disease (SCD) is a chronic and potentially life-threatening genetic blood disorder with childhood onset. Caring for children with SCD can precipitate greater than average time demands, medical costs, employment constraints, and childcare challenges. Research has shown that family resilience is a key construct capable of enhancing family health and well-being, as well as neutralizing the burden of caring for an ill child. Aim: Applying the Family Resilience Model, this qualitative study involved exploring the phenomenon of family resilience through the perceptions and lived experiences of family caregivers of children with SCD. Methods: 10 self-identified primary SCD caregivers were recruited with the help of the Sickle Cell Association of New Jersey (SCANJ). Three researches and five open-ended interview questions elicited participants’ descriptions of their lived experiences. Results: Using an Interpretive Phenomenological Approach and Donabedian’s conceptual model to analyze data, three categories emerged from verbatim transcriptions of interviews: family experiences and caring for a child with SCD (Structure);family strengths (Process);and resilience & adaptation (Outcome). The emergent theme was Key Family Strengths Fosters Family Resilience and Adaptation. Conclusions: Findings from this study offered insight into the diverse experiences of caring for children with SCD in the framework of family resilience. Results can facilitate the enhancement of family resilience and adaptation for future families and in designing care specifically tailored for these family caregivers. Recognizing resilience processes utilized by family caregivers of children with SCD is important for future research and to render support by healthcare practitioners.

关键词： Chronic Illness Family Adaptation Family Resilience Sickle Cell Disease

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