Skårderud Finn, Rosenvinge Jan H, Götestam K Gunnar
Regionsenteret for barne- og ungdomspsykiatri, Helseregion Øst og Sør, Postboks 23 Tåsen, 0801 Oslo.
Tidsskr Nor Laegeforen. 2004 Aug 12;124(15):1938-42.
This article gives an updated review of the history, epidemiology, etiology, and evidence-based treatment of eating disorders (anorexia nervosa, bulimia nervosa, and binge eating disorder), with specific reference to the Norwegian situation. In order to improve clinical skills there is an emphasis on the need for more treatment resources, particularly for the most serious cases, better implementation of evidence-based treatment and on continuous medical education. Given the somatic manifestations of eating disorders, medical doctors are essential in assessment and treatment. Many patients can be successfully treated by general practitioners provided that the general practitioner takes an interest in and is knowledgeable about eating disorders. The need to increase the number of general practitioners participating in ongoing Norwegian educational programmes on eating disorders is stressed.
本文对饮食失调(神经性厌食症、神经性贪食症和暴饮暴食症)的历史、流行病学、病因及循证治疗进行了更新综述,并特别提及了挪威的情况。为提高临床技能,强调需要更多治疗资源,尤其是针对最严重的病例,更好地实施循证治疗以及持续开展医学教育。鉴于饮食失调的躯体表现,医生在评估和治疗中至关重要。如果全科医生对饮食失调感兴趣并具备相关知识,许多患者可由他们成功治疗。文中强调了增加参与挪威现行饮食失调教育项目的全科医生数量的必要性。