精神病与饮食障碍之间的并发症:系统性审查
Oliver Rumle Hovmand1,2,3, Linda Lloyd Hughes4, Celeste Mary Egtved5
1Psychiatric Research Unit, Region Zealand Mental Health Service, Faelledvej 6, 4200, Slagelse, Denmark. ohov@regionsjaelland.dk.
Journal of eating disorders
|May 1, 2025
概括
这一系统性审查发现了饮食障碍 (ED) 和精神病症状患者的三种精神病理模式. 这些范围从精神性厌食症的过渡性精神病到并发性精神分裂症和ED,或精神疾病中的饮食失调.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医学研究 医学研究
背景情况:
- 饮食障碍 (ED) 和精神病 (如精神分裂症) 之间的并发症是公认的.
- 关于ED和精神病之间的关系存在几个假设.
- 了解这种并发症对于有效的治疗策略至关重要.
研究的目的:
- 系统地审查有关精神病症状和ED患者的现有文献.
- 识别和分类这种并发症的不同表现.
主要方法:
- 在三个数据库中进行了系统的文献搜索.
- 包括那些专注于ED诊断患者精神病症状的研究.
- 该审查遵循了PRISMA声明的系统审查指南.
主要成果:
- 包括67篇出版物,包括41篇案例报告和26篇描述性研究.
- 在ED患者中,经常报告过渡性精神病症状.
- 在精神分裂症和神经性厌食症之间注意到了显著的重叠.
结论:
- 审查的研究显示出相当大的异质性.
- 确定了三个不同的精神病理模式: 1) 在压力下神经性厌食症的过渡性精神病, 2) 伴随性精神分裂症和神经性厌食症, 3) 饮食失调作为精神病的症状.
- 建议对正在接受这些疾病治疗的患者进行进一步的研究,包括精神病学随访.
相关概念视频
Anorexia Nervosa
32
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
32
Binge Eating Disorders
34
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
34
Bulimia Nervosa
32
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
32
Psychological and Sociocultural Causes of Schizophrenia
23
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
23
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
262
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
262
Theoretical Approaches to Psychological Disorder
41
The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
41


