Department of Psychiatry, The Commonwealth Medical College of Pennsylvania, Scranton, PA, USA.
Psychiatr Clin North Am. 2009 Dec;32(4):809-19. doi: 10.1016/j.psc.2009.09.004.
Schizophrenia requires diverse and individualized treatment approaches. Accurate identification and management of comorbid psychiatric syndromes determine outcome. Disturbances in eating and the distorted perception of body image are difficult to separate from other psychotic phenomena. Eating is a complicated integration of psychoneuroendocrinology. Despite the difficulties in defining the distinction between behaviors and cognitive perceptions that are and are not of diagnosable severity, there are patients with clearer coexistence of eating disorders and schizophrenia that carry on independent courses. This article presents clinical cases that portray a spectrum of eating pathology in patients with schizophrenia.
精神分裂症需要多样化和个体化的治疗方法。准确识别和管理共病精神综合征决定了治疗结果。饮食紊乱和身体意象的扭曲感知很难与其他精神病现象分开。饮食是心理神经内分泌学的复杂综合。尽管难以定义行为和认知感知之间的区别，哪些是具有可诊断严重程度的，哪些不是，但确实存在精神分裂症和饮食障碍共存且各自独立发展的患者。本文介绍了一些临床病例，这些病例描绘了精神分裂症患者的一系列饮食病理学。
