Bakalar Jennifer L, Shank Lisa M, Vannucci Anna, Radin Rachel M, Tanofsky-Kraff Marian
Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, DoD, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA,
Curr Psychiatry Rep. 2015 Jun;17(6):42. doi: 10.1007/s11920-015-0585-x.
The Diagnostic and Statistical Manual of Mental Disorders (i.e., DSM-5) currently recognizes three primary eating disorders: anorexia nervosa, bulimia nervosa, and binge eating disorder. The origins of eating disorders are complex and remain poorly understood. However, emerging research highlights a dimensional approach to understanding the multifactorial etiology of eating disorders as a means to inform assessment, prevention, and treatment efforts. Guided by research published since 2011, this review summarizes recent findings elucidating risk factors for the development of eating disorders across the lifespan in three primary domains: (1) genetic/biological, (2) psychological, and (3) socio-environmental. Prospective empirical research in clinical samples with full-syndrome eating disorders is emphasized with added support from cross-sectional studies, where relevant. The developmental stages of puberty and the transition from adolescence to young adulthood are discussed as crucial periods for the identification and prevention of eating disorders. The importance of continuing to elucidate the mechanisms underlying gene by environmental interactions in eating disorder risk is also discussed. Finally, controversial topics in the field of eating disorder research and the clinical implications of this research are summarized.
《精神疾病诊断与统计手册》(即《DSM-5》)目前认可三种主要的饮食失调症:神经性厌食症、神经性贪食症和暴饮暴食症。饮食失调症的起源很复杂,目前仍知之甚少。然而,新出现的研究强调采用维度方法来理解饮食失调症的多因素病因,以此为评估、预防和治疗工作提供依据。以2011年以来发表的研究为指导,本综述总结了近期的研究结果,这些结果阐明了在三个主要领域中影响全生命周期饮食失调症发展的风险因素:(1)遗传/生物学因素,(2)心理因素,以及(3)社会环境因素。本文重点介绍了对患有全综合征饮食失调症的临床样本进行的前瞻性实证研究,并在相关情况下辅以横断面研究的支持。青春期的发育阶段以及从青少年到青年期的过渡被视为识别和预防饮食失调症的关键时期。本文还讨论了继续阐明饮食失调症风险中基因与环境相互作用背后机制的重要性。最后,总结了饮食失调症研究领域中的争议性话题以及该研究的临床意义。