Tirico Patrícia Passarelli, Stefano Sérgio Carlos, Blay Sergio Luís
Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2010 Mar;26(3):431-49. doi: 10.1590/s0102-311x2010000300002.
This article provides a systematic review of articles on quality of life (QoL) among individuals with eating disorders. A literature search was conducted using six databases. Manual searches were also performed in two specialized journals, covering the period from January 1975 to June 2008. The search strategies identified a total of 29,537 articles. Forty-one studies met the inclusion criteria, and 36 were analyzed in the present review. Patients with eating disorders showed reduced QoL as compared to normal controls and individuals with other psychiatric disorders. The mental health component of QoL showed greater impairment than the physical component. Patients with binge eating disorders showed reduced physical and psychological QoL. We identified few studies on QoL in bulimia nervosa-only patients. QoL assessment of anorexia nervosa patients showed a modest impact on the physical domain. However, this finding should be interpreted with caution, since it may be due to an artifact in the disorder's psychopathology rather than better health status per se.
本文对饮食失调患者的生活质量（QoL）相关文章进行了系统综述。使用六个数据库进行了文献检索。还在两份专业期刊上进行了人工检索，涵盖1975年1月至2008年6月期间。检索策略共识别出29537篇文章。41项研究符合纳入标准，本综述分析了其中36项。与正常对照组和其他精神疾病患者相比，饮食失调患者的生活质量降低。生活质量的心理健康部分比身体部分受损更严重。暴饮暴食症患者的身体和心理生活质量降低。我们发现关于仅患有神经性贪食症患者生活质量的研究很少。神经性厌食症患者的生活质量评估对身体领域有适度影响。然而，这一发现应谨慎解读，因为这可能是由于该疾病精神病理学中的假象，而非本身健康状况更好。
