神经性厌食症与成瘾相似吗？
Does anorexia nervosa resemble an addiction?
作者信息
Barbarich-Marsteller Nicole C, Foltin Richard W, Walsh B Timothy
机构信息
College of Physicians and Surgeons of Columbia University and New York State Psychiatric Institute, USA.
出版信息
Curr Drug Abuse Rev. 2011 Sep;4(3):197-200. doi: 10.2174/1874473711104030197.
Abstract
Anorexia nervosa is a severe psychiatric disorder characterized by unrelenting self-starvation and life-threatening weight loss. The relentlessness with which individuals with anorexia nervosa pursue starvation and in some cases exercise despite the negative physical, emotional, and social consequences parallels features of addictive disorders. From a clinical perspective, individuals with anorexia nervosa behave similarly to individuals with substance abuse by narrowing their behavioral repertoire so that weight loss, restricting food intake, and excessive exercise interfere with other activities in much the same way that substance abuse does. However, fundamental differences exist between anorexia nervosa and substance abuse that suggest anorexia nervosa is not an addiction in and of itself.
摘要
神经性厌食症是一种严重的精神疾病，其特征是持续的自我饥饿和危及生命的体重减轻。神经性厌食症患者不顾身体、情感和社会方面的负面后果，执意追求饥饿，在某些情况下还坚持锻炼，这与成瘾性障碍的特征相似。从临床角度来看，神经性厌食症患者的行为与药物滥用者相似，他们缩小自己的行为范围，以至于体重减轻、限制食物摄入和过度锻炼对其他活动的干扰，与药物滥用造成的干扰非常相似。然而，神经性厌食症和药物滥用之间存在根本差异，这表明神经性厌食症本身并非成瘾性疾病。
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