van Elburg A A, Danner U N
Tijdschr Psychiatr. 2015;57(12):923-7.
Anorexia nervosa (AN), which is the most serious of the eating disorders, starts earlier in life and often continues into adulthood.
To discuss the typical features of AN in adolescents.
We present an overview based on the literature about AN in adolescents and on analysis performed by experts.
Youngsters with AN run considerable physical risks because their bodies are less well developed and are more easily injured. These injuries can be a lifelong handicap if the patient's body weight does not rapidly return to normal. However, if the body weight recovers satisfactory, this can point to the possibility of a full psychological recovery. The best route to recovery is to start dining again with the family, to go back to school and to participate in social activities. So far, no other types of treatment have proved to be entirely successful.
Further research is needed into matters such as an ideal weight for the patient and the best ways of increasing his or her food-intake. We need to find out how best to deal with a patient's disturbed body image and how to treat any comorbid disease that often accompanies AN.
神经性厌食症（AN）是最严重的饮食失调症，发病较早，且常持续至成年。
探讨青少年神经性厌食症的典型特征。
我们基于有关青少年神经性厌食症的文献以及专家进行的分析给出综述。
患有神经性厌食症的青少年面临相当大的身体风险，因为他们的身体发育较差，更容易受伤。如果患者体重不能迅速恢复正常，这些损伤可能成为终身残疾。然而，如果体重恢复良好，则可能预示着心理完全康复的可能性。康复的最佳途径是再次与家人一起用餐、重返学校并参加社交活动。到目前为止，尚无其他类型的治疗被证明完全成功。
需要对诸如患者的理想体重以及增加其食物摄入量的最佳方法等问题进行进一步研究。我们需要弄清楚如何最好地应对患者紊乱的身体形象，以及如何治疗常伴随神经性厌食症的任何共病。
