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儿童神经性厌食症与无体重及体型相关精神病理学的低体重饮食摄入障碍的比较:102例患者的回顾性研究

Childhood Anorexia Nervosa Compared with Low Weight Food Intake Disorder Without Weight and Shape-Related Psychopathology: A Retrospective Study of 102 Patients.

作者信息

Wallin Ulf, Råstam Maria

机构信息

Skånevård Sund, Child and adolescent Psychiatry, Eating Disorders Centre Lund, Sweden.

Division of Child and Adolescent Psychiatry, Department of Clinical Sciences, Lund University, Sweden.

出版信息

Eur Eat Disord Rev. 2016 Jul;24(4):329-33. doi: 10.1002/erv.2447. Epub 2016 Apr 13.

Abstract

OBJECTIVE

To compare the clinical presentation of children with anorexia nervosa (AN group) with that of children with low-weight food intake disorder without weight and shape-related psychopathology (non-AN group).

METHOD

Medical and psychiatric data were obtained from the case records of a consecutive series of 102 children with an eating disorder and a pronounced low weight who were below the age of 13 at the start of treatment.

RESULTS

Fifty-eight patients constituted the AN group, and 44 constituted the non-AN group. The non-AN group was younger and had a longer duration of symptoms than the AN group. The non-AN group also had a lower maximum premorbid weight and shorter stature. There were no differences in medical severity, but the AN group had more psychiatric treatment.

DISCUSSION

The non-AN group seems to have a medically equally severe disorder as the AN group, but is less often detected and properly treated. Copyright © 2016 The Authors European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd.

摘要

目的

比较神经性厌食症患儿(AN组)与体重低且食物摄入量少但无体重和体型相关精神病理学症状的患儿(非AN组)的临床表现。

方法

从102例饮食失调且体重明显偏低的患儿的病历中获取医学和精神科数据,这些患儿在治疗开始时年龄均在13岁以下。

结果

58例患者构成AN组,44例构成非AN组。非AN组比AN组年龄更小,症状持续时间更长。非AN组病前最高体重更低,身高更矮。两组在医学严重程度上无差异,但AN组接受的精神科治疗更多。

讨论

非AN组似乎与AN组患有医学严重程度相当的疾病,但较少被发现和得到恰当治疗。版权所有© 2016作者 欧洲饮食失调评论 由饮食失调协会和约翰·威利父子有限公司出版

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