Fava Vizziello Graziella, Bellin Laura
University of Padua, via Venezia 8 , Padua, Italy.
Vicenza Hospital, Vicenza, Italy.
Eat Weight Disord. 2018 Apr;23(2):177-184. doi: 10.1007/s40519-017-0464-z. Epub 2018 Jan 8.
During the longitudinal study of three patients, referred to services at 3, 13, 15 years for eating disorders, reduced food intake and anorexia nervosa, other symptoms appeared depending on difficult development, relational and personality problems. The patients showed the interweaving of symptoms at different times: they were dealing with modified developmental needs and contexts, included new possibilities of attachment that might produce different internal organizations. These changes required different treatments. Anorexia started early in life for these girls, but presented different steps of organization. We wanted to start finding some aspects of a staging model to map the course of ED, because many patients arrived later in life, reported untreated early symptoms, actually personality traits. Mapping the evolution, could allow to take care of patients at the very early stage of problems when few symptoms are present, and better patients' evolution might be possible.
Level V opinions of respected authorities based on clinical experience.
在对三名患者进行的纵向研究中，这三名患者分别在3岁、13岁和15岁时因饮食失调、食物摄入量减少和神经性厌食症而寻求医疗服务，其他症状则因发育困难、人际关系和性格问题而出现。患者在不同时间表现出症状的交织：他们应对着改变的发育需求和环境，包括可能产生不同内部组织的新的依恋可能性。这些变化需要不同的治疗方法。这些女孩的厌食症始于早年，但呈现出不同的组织阶段。我们希望开始寻找分期模型的一些方面来描绘进食障碍的病程，因为许多患者在生命后期才前来就诊，报告早期未治疗的症状，实际上是人格特质。描绘病情演变，能够在问题的早期阶段，即症状较少时就对患者进行治疗，并且可能使患者有更好的病情发展。
基于临床经验的知名权威的五级观点。
