饮食障碍 饮食障碍 饮食障碍
Janet Treasure1, Angélica M Claudino, Nancy Zucker
1Section of Eating Disorders, Institute of Psychiatry, King's College London, London, UK. janet.treasure@kcl.ac.uk
Lancet (London, England)
|November 26, 2009
概括
本次研讨会回顾了饮食障碍,强调了发生和维持的生物学因素. 成人治疗的进展有限,新的诊断类别预计将扩大流行率估计.
科学领域:
- 精神病学是一种精神病学.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 饮食障碍带来了重大的身体和心理社会挑战.
- 以前的研究强调了文化和人际关系触发因素.
- 了解食欲调节提供了对因果因素的见解.
研究的目的:
- 更新对饮食障碍的理解,重点关注生物贡献.
- 讨论不断变化的诊断标准及其对患病率的影响.
- 审查当前的治疗进展和挑战.
主要方法:
- 文献综述和综合有关饮食障碍的当前研究.
- 对拟议的诊断类别变化进行分析.
- 治疗疗效和输送方法的评估.
主要成果:
- 预计将出现新的诊断类别 (神经性厌食症,神经性 Bulimia,暴饮暴食障碍,其他未指定的饮食障碍),可能会增加患病率估计.
- 生物因素,包括中央食欲控制和神经网络变化,是疾病发病和维持的关键.
- 对于成年人的治疗进展仍然很少,除了过度饮食障碍的药理选择之外,进展有限.
结论:
- 饮食障碍有复杂的病因,涉及生物学,文化,社会和人际关系因素.
- 经过修订的诊断标准可能会改变人口患病率.
- 需要进一步的研究来开发成人饮食障碍的有效治疗方法.
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