Woodside D B
Eating Disorders Inpatient Unit, Toronto Hospital, Ontario, Canada.
Curr Opin Pediatr. 1993 Aug;5(4):415-8. doi: 10.1097/00008480-199308000-00006.
There are significant advances in many areas in the field of the eating disorders anorexia nervosa and bulimia nervosa. The publication of treatment guidelines by the American Psychiatric Association provides clear direction for clinicians involved in the care of these patients. Research continues to elucidate those factors in family therapies that are associated with significant change, suggesting that the psychoeducational component of these treatments is critical. Although there is general agreement that there is significant comorbidity between eating disorders and many other psychiatric illnesses, especially affective and substance use disorders, the association between anorexia nervosa and diabetes mellitus is being reexamined. There is increased interest in the heritable genetic components of these conditions, with some evidence available to support a heritable component. Finally, there is a growing body of literature examining the occurrence of eating disorders in members of nonwestern cultural groups.
在神经性厌食症和神经性贪食症这两种饮食失调领域的许多方面都有显著进展。美国精神病学协会发布的治疗指南为参与这些患者护理的临床医生提供了明确的指导。研究继续阐明家庭治疗中那些与显著变化相关的因素，这表明这些治疗的心理教育成分至关重要。尽管人们普遍认为饮食失调与许多其他精神疾病，尤其是情感障碍和物质使用障碍之间存在显著的共病现象，但神经性厌食症与糖尿病之间的关联正在重新审视。人们对这些病症的遗传成分越来越感兴趣，有一些证据支持存在遗传成分。最后，有越来越多的文献研究非西方文化群体成员中饮食失调的发生情况。
