Department of Psychiatry, Medical College of Wisconsin, Milwaukee, and The Eating Disorder Center at Rogers Memorial Hospital, Oconomowoc, Wisconsin 53066, USA.
Eat Disord. 2012;20(5):444-59. doi: 10.1080/10640266.2012.715527.
The aim of this article is to discuss critical issues in treating males with eating disorders, and to present assessment and treatment outcome data for 111 males who received residential treatment for moderate to severe eating disorders. Males with eating disorders are often not included in eating disorder research as the population of individuals with eating disorders has historically been predominantly female. Whether this is due to actual lower prevalence of this disorder among males or to fewer males seeking treatment is not clear. In any case, there is limited empirical research on the particular treatment issues of males, and in treatment environments males are frequently in the minority. We have found that an all-male treatment environment is helpful in allowing males to benefit from treatment with less stigma. Data are presented which characterize psychiatric co-morbidity, excessive exercise, body image, sexuality, and spirituality in males. Treatment outcomes for males in this environment are positive.
本文旨在探讨治疗男性进食障碍的关键问题，并介绍 111 名男性接受住院治疗中度至重度进食障碍的评估和治疗结果数据。患有进食障碍的男性通常不包括在进食障碍研究中，因为历史上患有进食障碍的人群主要是女性。这是由于该障碍在男性中的实际患病率较低，还是由于寻求治疗的男性较少，尚不清楚。无论如何，针对男性特定治疗问题的实证研究有限，而且在治疗环境中，男性通常处于少数。我们发现，全男性的治疗环境有助于减少耻辱感，使男性受益于治疗。本文还介绍了男性的精神共病、过度运动、身体形象、性和灵性方面的数据。在这种环境下，男性的治疗结果是积极的。
