Nationwide Children's Hospital, Columbus, OH, USA.
Eur Eat Disord Rev. 2010 Mar;18(2):79-89. doi: 10.1002/erv.994.
Childhood and adolescence are critical periods of neural development and physical growth. The malnutrition and related medical complications resulting from eating disorders such as anorexia nervosa (AN), bulimia nervosa (BN) and eating disorder not otherwise specified may have more severe and potentially more protracted consequences during youth than during other age periods. The consensus opinion of an international workgroup of experts on the diagnosis and treatment of child and adolescent eating disorders is that (a) lower and more developmentally sensitive thresholds of symptom severity (e.g. lower frequency of purging behaviours, significant deviations from growth curves as indicators of clinical severity) be used as diagnostic boundaries for children and adolescents, (b) behavioural indicators of psychological features of eating disorders be considered even in the absence of direct self-report of such symptoms and (c) multiple informants (e.g. parents) be used to ascertain symptom profiles. Collectively, these recommendations will permit earlier identification and intervention to prevent the exacerbation of eating disorder symptoms.
儿童期和青春期是神经发育和身体成长的关键时期。神经性厌食症（AN）、神经性贪食症（BN）和未特定的饮食障碍等饮食失调导致的营养不良和相关医疗并发症，在青少年时期比其他年龄段可能具有更严重和潜在更持久的后果。一个国际专家组对儿童和青少年饮食障碍的诊断和治疗的共识意见是：(a) 使用更低和更具发展敏感性的症状严重程度阈值（例如，更少的呕吐行为频率，与生长曲线的显著偏差作为临床严重程度的指标）作为儿童和青少年的诊断界限，(b) 即使没有直接报告这些症状，也要考虑饮食障碍心理特征的行为指标，以及 (c) 使用多个信息提供者（例如父母）来确定症状特征。这些建议共同作用将有助于更早地识别和干预，以防止饮食障碍症状恶化。
