Yager J
Department of Psychiatry and Biobehavioral Sciences, UCLA School of Medicine.
J Clin Psychiatry. 1988 Sep;49 Suppl:18-25.
Anorexia nervosa and bulimia nervosa are common disorders among adolescent and young adult females, estimated to occur in up to 1% to 3% of these populations. A variety of medical and psychological approaches have been used in their treatment, including hospitalization; nutritional rehabilitation; medications; and psychodynamic, behavioral, cognitive-behavioral, family, and group psychotherapies. The author discusses controlled and uncontrolled studies of the different therapeutic approaches that have been used in these disorders and reviews what is known about their prognosis. Important treatment issues include the nature of the disorder, age, degree of malnutrition, motivation, capacity to engage in treatment, personality disturbance, affective state, family situation, and available treatment resources. Based on research data and clinical lore, prudent suggestions for treatment planning are presented.
神经性厌食症和神经性贪食症在青春期及年轻成年女性中是常见疾病，据估计在这些人群中的发病率高达1%至3%。在其治疗中使用了多种医学和心理方法，包括住院治疗、营养康复、药物治疗，以及精神动力学、行为、认知行为、家庭和团体心理治疗。作者讨论了用于这些疾病的不同治疗方法的对照研究和非对照研究，并综述了关于其预后的已知情况。重要的治疗问题包括疾病的性质、年龄、营养不良程度、动机、参与治疗的能力、人格障碍、情感状态、家庭情况以及可用的治疗资源。基于研究数据和临床经验，给出了治疗计划的审慎建议。
