Behar A Rosa
Departamento de Psiquiatría, Universidad de Valparaíso, Chile.
Rev Med Chil. 2008 Dec;136(12):1589-98. Epub 2009 Mar 23.
Eating disorders not otherwise specified are the most common category of eating disorders encountered in routine clinical practice. Their prevalence fluctuates from 2.4% to 12.6% among female adolescents and up to 60% of cases in treatment centres. Binge eating disorder is the most differentiated subtype. Peripuberal period, diabetes mellitus type I, intense and increased physical activity, demographic and psychosociocultural aspects, physical and psychopathological diseases are risk factors. Clinical features, course, outcome and therapeutic approaches are similar to those of full syndromes. From an etiological point of view, some authors believe that there is a continuum from altered eating behaviors and concerns about body shape and weight to typical anorectic and/or bulimic disorders. Others classify them as subcategories of full or mixed disorders. In conclusion, these conditions are heterogeneous syndromes that need to be reconsidered from both nosological and conceptual perspectives. They also demand an early recognition and treatment and further research about these disorders is required.
未另行规定的进食障碍是日常临床实践中最常见的进食障碍类型。在女性青少年中，其患病率在2.4%至12.6%之间波动，在治疗中心高达60%的病例属于此类。暴饮暴食症是最具区别性的亚型。青春期前后、I型糖尿病、剧烈且增加的体育活动、人口统计学和社会心理文化方面、身体和精神病理疾病都是危险因素。其临床特征、病程、结局和治疗方法与完全综合征相似。从病因学角度来看，一些作者认为，从饮食行为改变以及对体型和体重的关注到典型的厌食症和/或贪食症存在一个连续谱。另一些人则将它们归类为完全或混合性障碍的子类别。总之，这些情况是异质性综合征，需要从疾病分类学和概念角度重新考虑。它们还需要早期识别和治疗，并且需要对这些障碍进行进一步研究。
