PDF(Pubmed)
Abstract：
Background: With the outbreak of the COVID-19 pandemic, the need arose to maintain treatment continuity for religious Jewish Ultra-Orthodox young women with eating disorders (EDs) previously hospitalized in the ED department at the Ultra-Orthodox \"Mayanei Hayeshua\" medical center in Israel. This need led to the development of home-based online treatment channels, previously unfamiliar, and unaccepted in this population. The implementation of this model had to take into consideration many of the difficulties inherent in the use of online treatment in Jewish Ultra-Orthodox mental health patients. Aims: We sought to investigate our online home-based treatment model implemented during the COVID-19 pandemic in previously hospitalized young Ultra-Orthodox women with EDs. Method: We briefly review the literature on: (1) The Jewish Israeli Ultra-Orthodox culture; (2) Young women in Ultra-Orthodox society; and (3) EDs in Jewish Israeli Ultra-Orthodox women. We then present the inpatient ED department for Ultra-Orthodox young women and describe the online treatment model adapted to this population during the COVID-19 pandemic. We highlight the difficulties, dilemmas, and advantages of our online model with the description of three patients. Findings: Online therapy can serve as a barrier to treatment in some cases, due to physical (lack of suitable online devices except phones), familial (over-crowded families), and religious circumstances, as well as because of the patients\' reluctance to take part in this treatment. In other cases, virtual home-based treatment can lead to a positive change. This may be the case in patients who find the distancing online model suitable for them, and in parents who are committed to treatment, using their greater physical and emotional presence at home during the COVID-19 pandemic for the good if their ill-daughters. Discussion: This paper highlights the difficulties and possibilities inherent in a virtual home-based treatment during the COVID-19 pandemic for Ultra-Orthodox young women previously hospitalized because of an ED. This model can be effective for some patients and families if undertaken by a multidisciplinary team that is not only knowledgeable about the treatment of EDs and the use of online strategies but also knowledgeable and culturally sensitive to the specific needs and codes of Ultra-Orthodox populations.
摘要：
背景：随着COVID-19大流行的爆发，出现了对先前在以色列超正统“MayaneiHayeshua”医疗中心急诊科住院的患有饮食失调（ED）的宗教犹太超正统年轻女性的治疗连续性的需求。这种需要导致了以家庭为基础的在线治疗渠道的发展，以前不熟悉，在这个人群中不被接受。该模型的实施必须考虑到犹太超正统心理健康患者使用在线治疗所固有的许多困难。目的：我们试图调查我们在COVID-19大流行期间在先前住院的年轻患有ED的超正统女性中实施的在线家庭治疗模式。方法：我们简要回顾了以下文献：（1）犹太以色列超正统文化；（2）超正统社会中的年轻女性；（3）犹太以色列超正统妇女的ED。然后，我们介绍了超正统年轻女性的住院急诊室，并描述了在COVID-19大流行期间适应该人群的在线治疗模式。我们突出困难，困境,以及我们的在线模型与三名患者的描述的优势。研究结果：在某些情况下，在线治疗可能成为治疗的障碍，由于物理（缺乏合适的在线设备，手机除外），家庭（过度拥挤的家庭），和宗教环境，以及因为病人不愿参加这种治疗。在其他情况下,基于虚拟家庭的治疗可以带来积极的变化。在找到适合他们的距离在线模型的患者中可能就是这种情况，在致力于治疗的父母中，在COVID-19大流行期间，利用她们在家里更大的身体和情感上的存在来为她们生病的女儿带来好处。讨论：本文重点介绍了在COVID-19大流行期间，以前因ED住院的超正统年轻女性进行虚拟家庭治疗所固有的困难和可能性。如果由多学科团队进行，该模型对于某些患者和家庭是有效的，该团队不仅了解ED的治疗和在线策略的使用，而且知识渊博且对超正统人群的特定需求和代码具有文化敏感性。
