Pop-Jordanova Nada, Zorcec Tatjana, Demerdzieva Aneta
Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2017 Sep 1;38(2):45-53. doi: 10.1515/prilozi-2017-0021.
Anorexia nervosa is a disorder of feeding behavior associated with distortion of body image, mood disturbance and a wide variety of hormonal and metabolic abnormalities. It is supposed that the disease could be the consequence of a combination of cultural-social, psychological and biological factors. Our study confirmed that anorexia mentalis is a serious, life threatening disorder which in our country appears earlier than it was expected and that is strongly related to environmental factors (family, school, fashion, society). We showed that specific personality traits are characteristic for both, young patients and mothers. Sublimation of emotional stress by exceptional performances, accompanied by food restrictive consumption together with hypersensitivity, oppositional behavior and aggression are specific for this disorder. High levels of self-imposed standards increase the risk for psychological distress, especially for eating disorder symptomatology. Both genders could be involved as patients. Boys must be especially followed for possible psychiatric manifestation. We confirmed that the biofeedback as additional therapeutic modality is very useful.
神经性厌食症是一种与身体形象扭曲、情绪障碍以及多种激素和代谢异常相关的进食行为障碍。据推测，该疾病可能是文化社会、心理和生物因素共同作用的结果。我们的研究证实，精神性厌食症是一种严重的、危及生命的疾病，在我国其出现时间比预期更早，且与环境因素（家庭、学校、时尚、社会）密切相关。我们发现，特定的人格特质在年轻患者及其母亲中都很典型。通过卓越表现升华情绪压力，同时伴有食物限制摄入以及过敏、对立行为和攻击性，是这种疾病的特点。高度的自我强加标准会增加心理困扰的风险，尤其是饮食失调症状的风险。男女都可能成为患者。必须特别关注男孩可能出现的精神症状。我们证实，生物反馈作为一种辅助治疗方式非常有用。
