Remschmidt H, Herpertz-Dahlmann B
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Philipps-Universität Marburg.
Monatsschr Kinderheilkd. 1988 Nov;136(11):718-23.
Anorexia nervosa is a disease of prepuberty and puberty occurring predominantly in females. There is growing evidence that it is increasing in frequency. The essential features are an intense fear of becoming obese, a disturbance of body image, amenorrhea, and significant weight loss followed by secondary physical changes. The disorder seems to be a product of the reciprocal interplay of biological, familial and sociocultural factors leading to starvation which, in turn, provide feedback perpetuating the anorexia nervosa syndrome. Patients often need therapeutic help to break through the denial. Our management therapy concept includes weight restoration and stabilization, as well as individual and family therapy. At follow-up, 50% of the anorectic patients reveal a good outcome, 25% fall in an intermediate category, and the rest show a poor prognosis.
神经性厌食症是一种主要发生在青春期前和青春期女性中的疾病。越来越多的证据表明其发病率正在上升。其基本特征是强烈害怕发胖、身体形象紊乱、闭经以及显著体重减轻并伴有继发性身体变化。这种疾病似乎是生物、家庭和社会文化因素相互作用导致饥饿的产物，而饥饿反过来又提供反馈使神经性厌食症综合征持续存在。患者通常需要治疗帮助以打破否认心理。我们的治疗管理理念包括体重恢复与稳定，以及个体和家庭治疗。在随访中，50%的神经性厌食症患者预后良好，25%属于中等情况，其余则预后较差。
