Túry Ferenc, Kovács-Tóth Beáta
Semmelweis Egyetem, Magatartastudomanyi Intezet, Budapest, Hungary, E-mail:
Psychiatr Hung. 2019;34(4):419-425.
In the complex pathomechanism of eating disorders (especially that of bulimia nervosa and binge eating disorder) the traumatic experiences (sexual, physical, emotional abuse, neglect) often play an important role. The consequence of traumas can be the borderline personality disorder, or different disorders of the emotional regulation. These occur mainly in the multiimpulsive subtype of eating disorders with impulse control disorders. In relation to the trauma dissociative phenomena are frequent. In the diagnostics of eating disorders the history of traumatization is essential. Among the therapeutical possibilities the psychodynamic approach is important. Moreover, the newer methods based on cognitive behavioral therapy are effective, e.g., dialectic behavior therapy, integrative cognitive-analytic therapy, and other complex programs of trauma processing, such as the trauma-informed care.
在饮食失调（尤其是神经性贪食症和暴饮暴食症）的复杂发病机制中，创伤经历（性虐待、身体虐待、情感虐待、忽视）往往起着重要作用。创伤的后果可能是边缘性人格障碍，或不同的情绪调节障碍。这些主要发生在伴有冲动控制障碍的多冲动型饮食失调亚型中。与创伤相关的解离现象很常见。在饮食失调的诊断中，创伤史至关重要。在治疗方法中，心理动力学方法很重要。此外，基于认知行为疗法的新方法也很有效，例如辩证行为疗法、综合认知分析疗法，以及其他复杂的创伤处理方案，如创伤知情护理。
