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青少年神经性厌食症的长期随访

A long-term follow-up of adolescent anorexia nervosa.

作者信息

Steinhausen H C, Glanville K

出版信息

Acta Psychiatr Scand. 1983 Jul;68(1):1-10. doi: 10.1111/j.1600-0447.1983.tb06974.x.

DOI:10.1111/j.1600-0447.1983.tb06974.x
PMID:6613614
Abstract

Twenty-one female patients between the ages of 15 and 44 years who had suffered from anorexia nervosa between the ages of 11 and 17 were re-evaluated at a mean follow-up of 9.4 years. The continuing psychic impairment of the former patients was apparent both in interviews and questionnaires. Abnormalities were found in 10 to 66% of the patients according to different symptoms and criteria. The outcome was less favourable for patients who had experienced a high initial weight loss and had been subjected to repeated in-patient treatment. Three variables were most significant in terms of poor long-term prognosis: pre-morbid obesity, pre-morbid eating disorders and complications during pregnancy.

摘要

对21名年龄在15至44岁之间、曾在11至17岁期间患神经性厌食症的女性患者进行了重新评估,平均随访时间为9.4年。通过访谈和问卷调查发现,这些曾经患病的患者仍存在明显的心理障碍。根据不同症状和标准,10%至66%的患者存在异常情况。初始体重下降幅度大且接受过多次住院治疗的患者,预后较差。就长期预后不良而言,有三个变量最为显著:病前肥胖、病前饮食失调以及孕期并发症。

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引用本文的文献

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Depression and psychosocial adjustment in adolescent anorexia nervosa. A controlled 3-year follow-up study.青少年神经性厌食症中的抑郁与心理社会适应:一项为期3年的对照随访研究。
Eur Child Adolesc Psychiatry. 1993 Jul;2(3):146-154. doi: 10.1007/BF02125569.
2
Pellagra: a rare complication of anorexia nervosa.糙皮病:神经性厌食症的一种罕见并发症。
Eur Child Adolesc Psychiatry. 2007 Oct;16(7):417-20. doi: 10.1007/s00787-007-0613-4.
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Epidemiology of eating disordered symptoms in the Korean general population using a Korean version of the Eating Attitudes Test.
Eat Weight Disord. 1998 Dec;3(4):153-61. doi: 10.1007/BF03340004.
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Transcultural comparison of eating attitudes in young females and anorectic patients.年轻女性与厌食症患者饮食态度的跨文化比较。
Eur Arch Psychiatry Neurol Sci. 1984;234(3):198-201. doi: 10.1007/BF00461561.
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Due process.正当程序
West J Med. 1990 Jul;153(1):91-2.
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Compliance and outcome in anorexia nervosa.神经性厌食症的依从性与治疗结果
West J Med. 1990 Aug;153(2):133-9.