Langenbach M, Huber M
Klinik und Poliklinik für Psychosomatik und Psychotherapie der Universität zu Köln.
Versicherungsmedizin. 2003 Jun 1;55(2):63-9.
We present an overview of three different eating disorders which seem to have an increasing prevalence, especially among young women between 12 and 20 years of age. Anorexia and bulimia nervosa are "threshold disorders" which usually become manifest for the first time during the transition from childhood to early adult life. Eating disorders are chronic disorders and often take a course of 6 or more years. Remission, improvements and symptom change can be expected even after many years of the disorder. Psychiatric comorbidity which occurs in more than 50% of eating disordered patients is of prime importance for prognosis. Depression, anxiety disorders, obsessive-compulsive disorders, and personality disorders are most common. There is a variety of complex in- and outpatient treatments with different components which have to be chosen according to the individual case.
我们概述了三种不同的饮食失调症，它们的患病率似乎在不断上升，尤其是在12至20岁的年轻女性中。神经性厌食症和神经性贪食症是“临界疾病”，通常在从童年到成年早期的过渡阶段首次出现。饮食失调症是慢性疾病，病程通常为6年或更长时间。即使在患病多年后，也有望实现缓解、改善和症状改变。超过50%的饮食失调患者会出现精神共病，这对预后至关重要。抑郁症、焦虑症、强迫症和人格障碍最为常见。有多种包含不同组成部分的复杂门诊和住院治疗方法，必须根据个体情况进行选择。
