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暴饮暴食症

Binge-Eating Disorder.

作者信息

Hilbert Anja

机构信息

Integrated Research and Treatment Center AdiposityDiseases, Department of Medical Psychology and Medical Sociology, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, Philipp-Rosenthal-Strasse 27, Leipzig 04103, Germany.

出版信息

Psychiatr Clin North Am. 2019 Mar;42(1):33-43. doi: 10.1016/j.psc.2018.10.011. Epub 2018 Dec 22.

Abstract

Binge-eating disorder (BED), first included as a diagnostic entity in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition, is characterized by recurrent episodes of binge eating without regular compensatory behaviors to prevent weight gain. With a complex multifactorial etiology, BED is the most frequent eating disorder co-occuring with significant psychopathology, mental and physical comorbidity, obesity, and life impairment. Despite its significance, BED is not sufficiently diagnosed or treated. Evidence-based treatments for BED include psychotherapy and structured self-help treatment, with cognitive-behavioral therapy as most well-established approach, and pharmacotherapy with lisdexamfetamine as FDA approved medication with a limitation of use.

摘要

暴饮暴食障碍(BED)首次作为一种诊断实体被纳入《精神疾病诊断与统计手册》第五版,其特征是反复出现暴饮暴食发作,且没有为防止体重增加而进行的常规代偿行为。由于病因复杂且涉及多因素,BED是最常与严重精神病理学、身心共病、肥胖和生活功能受损同时出现的饮食失调症。尽管其具有重要性,但BED并未得到充分的诊断和治疗。针对BED的循证治疗包括心理治疗和结构化自助治疗,认知行为疗法是最成熟的方法,药物治疗方面,赖右苯丙胺是美国食品药品监督管理局批准的药物,但使用有一定限制。

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