神经性厌食症是一种什么样的疾病？再探讨：关于寻找治愈方法的一些初步思考。
What kind of illness is anorexia nervosa? Revisited: some preliminary thoughts to finding a cure.
作者信息
Touyz S, Bryant E, Dann K M, Polivy J, Le Grange D, Hay P, Lacey H, Aouad P, Barakat S, Miskovic-Wheatley J, Griffiths K, Carroll B, Calvert S, Maguire S
机构信息
InsideOut Institute for Eating Disorders, Faculty of Medicine and Health, The University of Sydney and Sydney Local Health District, Sydney, Australia.
Department of Psychology, University of Toronto, Toronto, Canada.
出版信息
J Eat Disord. 2023 Dec 11;11(1):221. doi: 10.1186/s40337-023-00944-3.
Two decades have elapsed since our publication of 'What kind of illness is anorexia nervosa?'. The question remains whether our understanding of anorexia nervosa and its treatment thereof has evolved over this time. The verdict is disappointing at best. Our current gold standard treatments remain over-valued and clinical outcomes are modest at best. Those in our field are haunted by the constant reminder that anorexia nervosa carries the highest mortality rate of any psychiatric disorder. This cannot continue and demands immediate action. In this essay, we tackle the myths that bedevil our field and explore a deeper phenotyping of anorexia nervosa. We argue that we can no longer declare agnostic views of the disorder or conceive treatments that are "brainless": it is incumbent upon us to challenge the prevailing zeitgeist and reconceptualise anorexia nervosa. Here we provide a roadmap for the future.
自我们发表《神经性厌食症是一种什么样的疾病？》以来，二十年已经过去了。问题仍然是，在这段时间里，我们对神经性厌食症及其治疗的理解是否有所发展。最乐观的判断也是令人失望的。我们目前的金标准治疗方法仍然被高估，临床效果充其量也只是一般。我们这个领域的人一直被一个事实所困扰，即神经性厌食症是所有精神疾病中死亡率最高的。这种情况不能再持续下去了，需要立即采取行动。在这篇文章中，我们解决困扰我们领域的误解，并探索对神经性厌食症进行更深入的表型分析。我们认为，我们再也不能对这种疾病持不可知论的观点，也不能构思“无脑”的治疗方法：我们有责任挑战当前的时代精神，重新认识神经性厌食症。在此，我们提供一个未来的路线图。
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