Explore the vast range of titles available.

Background: Traumatic Events (TEs) are often seen as risk factors not only for the development of eating disorders (EDs) but also for their impact on the severity of clinical presentation and psychiatric comorbidities. Objective: This study aimed to assess the prevalence and time of occurrence of TEs in the two subtypes of anorexia nervosa (AN; restricting [RAN] and binge-purging [BPAN]) and to investigate differences in TEs (number, type, frequency) as well as clusters of post-traumatic symptoms and emotional dysregulation between the two groups. Method: Seventy-seven hospitalized women were recruited and divided into two subgroups according to their AN subtype. Participants completed the following self-reported measures: Eating Disorder Inventory-2 (EDI-2), Life Events Checklist (LEC), Impact of Events Scale-Revised (IES-R) and the Difficulties in Emotion Regulation Scale (DERS). Results: A higher occurrence of TEs was found in patients with BPAN than in those with RAN. In particular, there were significantly more women in the BPAN group than in the RAN group who had been sexually assaulted. Exposure to TEs happened before the onset of illness in most patients, regardless of the AN subtype. Finally, the BPAN group had significantly higher scores in terms of post-traumatic symptoms and emotional dysregulation than RAN patients. Conclusions: Patients with BPAN showed a higher occurrence of TEs, post-traumatic symptom clusters, and emotional dysregulation than those with RAN. These findings are of interest as treatments could benefit from trauma-informed interventions for those affected by AN, and particularly for those with the binge-purging subtype. * Traumatic events are common among patients with both subtypes of anorexia nervosa.* Higher number and occurrence of TEs were found in patients with binge-purging anorexia nervosa than those with the restricter subtype.* Patients with binge-purging anorexia nervosa reported higher post-traumatic symptoms and emotion dysregulation than those with the restricter subtype.

由口進食是一件幸福的事情，然而台灣目前留置鼻胃管人數推估約45萬人。咀嚼吞嚥障礙的原因複雜，要照護此類個案需不同醫事職類共同合作。台灣將於2025年正式進入超高齡社會，65歲以上、長照機構的住民及腦中風個案為咀嚼吞嚥異常的比率高。每位咀嚼吞嚥障礙個案皆有潛在吸入性肺炎的風險，肺炎也為65歲以上長者死亡因素的第三名，極需醫療照護人員重視與協助。本文藉由介紹高雄市立小港醫院推動咀嚼吞嚥機能重建的整合性照護模式，讓有志於協助個案的醫療團隊對於推動的模式有更深入的理解。整合各職種的資源與人力，共同協助個案提升咀嚼吞嚥的機能，避免不必要的管路留置及吸入性肺炎，共同守護由口進食的幸福感，及提升生活品質。