Marcus R N, Katz J L
Institute of Living, Hartford, CT 06106.
Hosp Community Psychiatry. 1990 Jan;41(1):59-63. doi: 10.1176/ps.41.1.59.
Substance abuse rehabilitation programs have been increasingly faced with the difficult task of treating patients with both an eating disorder and a chemical dependency disorder. The authors discuss screening patients with substance abuse for eating disorder and describe a strategy for care that integrates an eating disorder treatment protocol with a standard chemical abuse rehabilitation program. Elements of the treatment protocol include a thorough medical evaluation, nutritional stabilization, strategies to stop the patient's aberrant eating behavior, psychotherapy, medication, and discharge planning that actively addresses both the substance abuse and the eating disorder.
药物滥用康复项目越来越多地面临着治疗同时患有饮食失调和药物依赖障碍患者的艰巨任务。作者讨论了对药物滥用患者进行饮食失调筛查的问题，并描述了一种将饮食失调治疗方案与标准药物滥用康复项目相结合的护理策略。治疗方案的要素包括全面的医学评估、营养稳定、阻止患者异常饮食行为的策略、心理治疗、药物治疗以及积极解决药物滥用和饮食失调问题的出院计划。
