Johnson Chris J
Eating Disorders Institute, Methodist Hospital, Park Nicollet Health Services, USA.
Minn Med. 2003 Nov;86(11):34-9.
Anorexia nervosa and bulimia nervosa are serious, life-threatening illnesses that often require several years of treatment. Although classified as mental health diagnoses, they are associated with significant medical consequences and have the highest rate of premature death of any mental health diagnosis. They also are associated with the highest rate of short- and long-term physiological complications. Eating disorders disproportionately affect young women. With early intervention and aggressive treatment, affected adolescents and young adults can recover and be free of the disorder. This article reviews the difficulties in recognizing that a patient has an eating disorder and the signs and symptoms providers should look for. It also discusses our current understanding of the causes of eating disorders as well as current treatment methods, which involve a multidisciplinary approach.
神经性厌食症和神经性贪食症是严重的、危及生命的疾病,通常需要数年的治疗。尽管它们被归类为精神健康诊断,但它们会带来重大的医学后果,并且在所有精神健康诊断中,其过早死亡率最高。它们还与最高比例的短期和长期生理并发症相关。饮食失调对年轻女性的影响尤为严重。通过早期干预和积极治疗,受影响的青少年和年轻人能够康复并摆脱这种疾病。本文回顾了识别患者患有饮食失调症的困难,以及医疗服务提供者应留意的体征和症状。它还讨论了我们目前对饮食失调症病因的理解以及当前的治疗方法,这些方法涉及多学科途径。