Neumärker K J, Bartsch A J
Universitätsklinik und Poliklinik fäur Psychiatrie und Psychotherapie desKindes-und Jugendalters, Universitätsklinikums Charité, Berlin, Deutschland.
Wien Med Wochenschr. 1998;148(10):245-50.
Available evidence supports the assumption that stressors in vulnerable adolescence potentially lead to restrictive dieting and imbalances of serotonergic metabolic particularly in females. In conjunction with idealized body images and developmentally characteristic bodily perceptions prone to distortion pathogenetic mechanisms of eating disorders are released. The entities of eating disorders are dimensionally viewed as points of continua a functions and categorized according to ICD-10 or DSM-IV, respectively. Data of our studies on grammar school students, ballet dancers and anorexia nervosa patients emphasize the necessity to differentiate different types of body shape by using the metric index. Facing this background a distinction of "anorexia athletica" appears unreasonable.
现有证据支持这样一种假设,即处于易受影响青春期的压力源可能导致节食以及血清素代谢失衡,尤其是在女性中。再加上理想化的身体形象以及发育过程中容易出现扭曲的身体认知,饮食失调的致病机制就会被触发。饮食失调的类型从维度上被视为连续体上的点,并分别根据国际疾病分类第10版(ICD - 10)或精神疾病诊断与统计手册第四版(DSM - IV)进行分类。我们对小学生、芭蕾舞演员和神经性厌食症患者的研究数据强调了使用度量指数区分不同体型类型的必要性。在此背景下,区分“运动型厌食症”似乎并不合理。