Isenschmid Gerster B, Aebi K
Psychiatrische Poliklinik, Inselspital, Bern.
Ther Umsch. 1997 Jul;54(7):410-2.
Practitioners and psychotherapists see themselves more and more confronted to patients, specially women, with eating disorders. According to recent studies it can be estimated that the incidence of bulimia lies between 2% and 5%, of anorexia between 0.2% an 1%. The percentage of separate elements of the disorder is considered to be much higher, e.g. for binge eating at least 25%. At present around 3 to 6 years go by until patients contact a therapeutic setting for the first time. But the shorter the time between first appearance of the disorder and beginning of its treatment is, the better the prognosis. In order to improve treatment an interdisciplinary approach of practitioners, psychotherapists, dieticians and if needed other specialists should be strived for. Although obesity must be seen in a psychopathologic context in many cases, here we concentrate on the discussion of anorexia and bulimia.
从业者和心理治疗师发现自己越来越多地面对患有饮食失调症的患者,尤其是女性。根据最近的研究,据估计,贪食症的发病率在2%至5%之间,厌食症在0.2%至1%之间。该疾病单独症状的比例被认为要高得多,例如暴饮暴食至少占25%。目前,患者首次联系治疗机构大约需要3到6年时间。但疾病首次出现到开始治疗的时间越短,预后就越好。为了改善治疗效果,应努力采用从业者、心理治疗师、营养师以及必要时其他专家的跨学科方法。虽然在许多情况下肥胖必须在心理病理学背景下看待,但这里我们集中讨论厌食症和贪食症。