Voderholzer U, Cuntz U, Schlegl S
Schön Klinik Roseneck, Am Roseneck 6, 83209, Prien am Chiemsee, Deutschland.
Nervenarzt. 2012 Nov;83(11):1458-67. doi: 10.1007/s00115-012-3686-3.
Eating disorders are a common mental disorder during adolescence and young adulthood. While prevalence rates of eating disorders dramatically increased during the second half of the last century, these rates have remained relatively stable over the last 20 years. According to ICD-10 eating disorders are diagnostically categorized as anorexia nervosa, bulimia nervosa and atypical eating disorders or eating disorders not otherwise specified. Concerning the etiology, genetic factors are involved, especially in anorexia nervosa, as well as psychological and sociocultural factors. Evidence-based recommendations are available for the treatment of bulimia nervosa and binge eating disorder and in this context cognitive behavioral therapy is seen as the first choice. In contrast, the state of knowledge concerning the treatment of anorexia nervosa is still limited, especially concerning effective treatments for adults. Recent data only provide evidence for the effectiveness of family therapy for adolescents. Due to the lack of high quality studies, research on therapy for anorexia nervosa is a future challenge.
饮食失调是青少年和青年期常见的精神障碍。虽然饮食失调的患病率在上个世纪后半叶急剧上升,但在过去20年里一直保持相对稳定。根据国际疾病分类第十版(ICD - 10),饮食失调在诊断上分为神经性厌食症、神经性贪食症、非典型饮食失调或未另行规定的饮食失调。关于病因,遗传因素参与其中,特别是在神经性厌食症中,还有心理和社会文化因素。对于神经性贪食症和暴饮暴食症的治疗有循证推荐,在这种情况下,认知行为疗法被视为首选。相比之下,关于神经性厌食症治疗的知识状况仍然有限,尤其是关于成人的有效治疗方法。最近的数据仅为青少年家庭治疗的有效性提供了证据。由于缺乏高质量的研究,神经性厌食症治疗的研究是未来的一个挑战。