Community Outreach to Prevent Eating Disorders, 115 E. Granada Blvd., Suite 7, Ormond Beach, FL, 32176, USA.
Maine & Weinstein Specialty Group, LLC 433 South Main Street, Suite 327, West Hartford, CT, 06110, USA.
Curr Psychiatry Rep. 2019 Jul 1;21(8):70. doi: 10.1007/s11920-019-1057-5.
We review the evidence for the reported increase in disordered eating and body image disturbance occurring in women in middle age and later life. We describe the contributing factors that relate to the unique experience of eating disorders (EDs) at midlife and beyond. We review evidence for several key factors in this observation, specifically the bio-psycho-social and relational components of later life EDs. We present treatment considerations, screening tools for evaluation, and treatment recommendations for this special population suffering with EDs.
Eating disorder symptoms and body image preoccupation have been identified in increasing numbers of women over age 50. Reports indicate that women are seeking treatment for chronic, recurrent, or late onset EDs. However, health care providers generally have not screened for these conditions, and often pursue other medical diagnoses. Age does not immunize women from body image preoccupation, weight and shape concerns, disordered eating, and eating disorders.
我们回顾了中年及以后女性中报道的饮食失调和身体形象障碍增加的证据。我们描述了与中年及以后饮食障碍（ED）独特经历相关的促成因素。我们回顾了这一观察结果的几个关键因素的证据，特别是生命后期 ED 的生物心理社会和关系因素。我们为患有 ED 的这一特殊人群提供了治疗注意事项、评估的筛选工具和治疗建议。
越来越多的 50 岁以上女性出现饮食障碍症状和身体形象困扰。报告显示，女性正在寻求治疗慢性、复发性或迟发性 ED。然而，医疗保健提供者通常没有对这些情况进行筛查，而是经常寻求其他医疗诊断。年龄并不能使女性免受身体形象困扰、体重和体型担忧、饮食失调和饮食障碍的影响。
