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[饮食失调——治疗应如何组织?]

[Eating disorders--how should treatment be organized?].

作者信息

Rosenvinge Jan H, Götestam K Gunnar

机构信息

Institutt for psykologi Universitetet i Tromsø 9037 Tromsø.

出版信息

Tidsskr Nor Laegeforen. 2002 Jan 30;122(3):285-8.

PMID:11894598
Abstract

BACKGROUND

Well controlled normal population studies show no sharp increase in the incidence and prevalence of eating disorders. However, more individuals seem to seek treatment, and there is a need for more precise estimates of the expected patient load at various levels of care.

MATERIALS AND METHODS

The total number of potential patients was estimated on the basis of data on the number of women aged 15-44 years, the number of hospitals and outpatient clinics per county in Norway, working hours per year for general practitioners, and the prevalence of eating disorders.

RESULTS

In total, about 50,000 Norwegian women may suffer from eating disorders; about 600 may need highly specialized services. At the most, each outpatient clinic may expect about 80 annual referrals for bulimia nervosa and binge eating disorder, and each hospital may expect 10-20 patients with bulimia nervosa. On average, each outpatient clinic and hospital may expect 8-9 referrals of patients with anorexia nervosa.

INTERPRETATION

There is a need for increased treatment capacity, better clinical skills and better organization of treatment services for patients with eating disorders.

摘要

背景

控制良好的正常人群研究表明,饮食失调的发病率和患病率没有急剧上升。然而,似乎有更多人寻求治疗,因此需要更精确地估计各级护理水平下预期的患者数量。

材料与方法

根据挪威15至44岁女性的数量、各县医院和门诊诊所的数量、全科医生每年的工作时长以及饮食失调的患病率数据,估算潜在患者的总数。

结果

挪威总计约有50,000名女性可能患有饮食失调症;约600人可能需要高度专业化的服务。每个门诊诊所每年最多可能会收到约80例神经性贪食症和暴饮暴食症的转诊病例,每家医院可能会接收10至20例神经性贪食症患者。平均而言,每个门诊诊所和医院可能会收到8至9例神经性厌食症患者的转诊病例。

解读

对于饮食失调症患者,需要提高治疗能力、提升临床技能并优化治疗服务的组织。

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