Götestam K Gunnar, Skårderud Finn, Rosenvinge Jan H, Vedul-Kjelsås Einar
Institutt for nevromedisin, Norges teknisk-naturvitenskapelige universitet, 7489 Trondheim.
Tidsskr Nor Laegeforen. 2004 Aug 26;124(16):2118-20.
An eating disorder apart from anorexia nervosa and bulimia nervosa is "binge eating disorder" (BED): eating in a short period of time a large quantity of food and a feeling of lack of control over food intake. There is also an atypical rest category, "eating disorders not otherwise specified" (EDNOS). Diagnostic criteria for BED and EDNOS are incomplete, particularly with respect to the definition of "bingeing" relative to bulimia nervosa. More restrictive criteria for anorexia nervosa and bulimia nervosa skew the diagnostic distribution towards BED and EDNOS, though the total prevalence of eating disorders remains unchanged. For BED and EDNOS taken together the lifetime prevalence in women is about 6%. The relationship between BED, EDNOS and overweight has mainly been overlooked; further investigations are needed. Lasting treatment effects have been found for overweight people with BED. Other eating disorders apart from anorexia nervosa and bulimia are prevalent and clinically important, and research has opened up a potential for effective treatment.
除神经性厌食症和神经性贪食症外的一种饮食失调症是“暴饮暴食症”(BED):在短时间内进食大量食物且感觉对食物摄入量缺乏控制。还有一个非典型类别,即“未特定的饮食失调症”(EDNOS)。BED和EDNOS的诊断标准并不完整,尤其是相对于神经性贪食症而言,“暴饮暴食”的定义尚不明确。神经性厌食症和神经性贪食症更为严格的标准使诊断分布偏向于BED和EDNOS,不过饮食失调症的总体患病率保持不变。BED和EDNOS合并计算时,女性的终生患病率约为6%。BED、EDNOS与超重之间的关系主要被忽视了;需要进一步研究。已发现针对患有BED的超重人群的持久治疗效果。除神经性厌食症和神经性贪食症外的其他饮食失调症很普遍且具有临床重要性,并且研究为有效治疗开辟了潜力。