Remschmidt H, Herpertz-Dahlmann B
Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Philipps-Universität Marburg.
Monatsschr Kinderheilkd. 1988 Nov;136(11):712-7.
Although eating disorders of the bulimic type have been known for a long time, "bulimia nervosa" as a special and specific type of eating disorder was described only during the last decade. Clinical evidence has shown an increase in bulimic disturbances during the last few years. About 30% of the bulimic disturbances begin between the 14th and 18th year of age. About 50% of patients with bulimia nervosa have been anorexic before. A group of 30 patients with anorexia nervosa and a group of 11 patients with bulimia nervosa were compared by means of the dexamethasone suppression test and two depression scales at the beginning of inpatient treatment, after 8-12 weeks of inpatient treatment and at discharge. Patients with anorexia nervosa revealed significantly higher cortisol levels at the beginning of inpatient treatment as compared with the bulimic group. Cortisol levels were normalized with weight gain. Therapeutic measures in bulimia nervosa comprise medical and psychotherapeutic methods.
尽管贪食型饮食失调早为人知，但“神经性贪食症”作为一种特殊且特定类型的饮食失调，却是在过去十年间才被描述出来。临床证据表明，在过去几年中，贪食紊乱现象有所增加。约30%的贪食紊乱始于14至18岁之间。约50%的神经性贪食症患者之前曾患有厌食症。在住院治疗开始时、住院治疗8 - 12周后以及出院时，通过地塞米松抑制试验和两种抑郁量表对一组30名神经性厌食症患者和一组11名神经性贪食症患者进行了比较。与贪食组相比，神经性厌食症患者在住院治疗开始时的皮质醇水平显著更高。皮质醇水平随着体重增加而恢复正常。神经性贪食症的治疗措施包括医学和心理治疗方法。
