Wallin M S, Rissanen A M
Outpatient Department of Psychiatry, University of Helsinki, Finland.
Acta Psychiatr Scand Suppl. 1994;377:36-40. doi: 10.1111/j.1600-0447.1994.tb05800.x.
The relationship of food and eating with affective and other clinical disorders is complex and intriguing. Serotoninergic dysfunction in seasonal affective disorder, atypical depression, premenstrual syndrome, anorexia and bulimia nervosa, and binge eating disorder is reviewed. Patients exhibiting a relationship between food and behaviour are found in various diagnostic categories. This points to a need to shift from nosological to functional thinking in psychiatry. It also means application of psychopharmacological treatments across diagnostic boundaries. The use of phototherapy and psychotropic drugs (MAO inhibitors and selective serotonin reuptake inhibitors like fluoxetine) in these disorders is discussed.
食物及饮食与情感及其他临床疾病之间的关系复杂且引人入胜。本文综述了季节性情感障碍、非典型抑郁症、经前综合征、神经性厌食症、神经性贪食症及暴饮暴食症中的血清素能功能障碍。在各种诊断类别中均发现了食物与行为之间存在关联的患者。这表明精神病学需要从疾病分类学思维转向功能性思维。这也意味着跨诊断界限应用精神药物治疗。本文还讨论了这些疾病中光疗和精神药物（单胺氧化酶抑制剂及如氟西汀等选择性血清素再摄取抑制剂）的使用。
