饮食失调:诊断和治疗的最新进展

Md. Shakhawat Hossain, Md Mahfuj Ul Anwar, -. Maknunnahar, Md Abdul Motin, Md Shafiul Alam, J. Hossain, Md. Naushad Ali, A. Rana
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引用次数: 0

摘要

饮食失调是一种常见的、经常被忽视的行为障碍,与显著的身体、精神和社会发病率和死亡率有关。在精神疾病中,神经性厌食症和神经性贪食症在诊断后10年的死亡率分别约为10%和1%。所有临床医生都应该询问高危人群的饮食习惯(如节食、暴饮暴食和体重控制行为等)和体重问题,即使他们对饮食或体重没有任何担忧。DSM-5和ICD-11列出了6种不同的饮食障碍:1)神经性厌食症,2)神经性贪食症,3)暴饮暴食症(BED), 4)回避/限制性食物摄入障碍(ARFID), 5)反刍障碍和6)异食癖。由于饮食失调患者的发病率似乎在上升,这是一个迫切需要为他们提供多学科治疗的问题。由于进食障碍经常涉及胃肠道、神经系统和内分泌等多系统疾病,因此对进食障碍患者进行早期筛查和评估至关重要。饮食失调的治疗取决于它的类型,并侧重于行为改变,目标是使体重和饮食习惯正常化。根据营养不良的严重程度和相关的医疗条件,饮食失调可以通过患者教育、认知行为疗法(CBT)、基于家庭的治疗(FBT)、专家支持性临床管理(SSCM)和药物治疗(TCAs、MAOIs和SSRIs)来治疗。J Rang Med Col. 2022年9月;第七卷,第2章63-68节
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Eating Disorders: Reviews on Update in Diagnosis and Management
Eating disorders are common and frequently missed behavioral disorders associated with significant physical, mental and social morbidity and mortality. Among psychiatric illness, mortality rate of anorexia nervosa and bulimia nervosa is about 10% and 1% at 10 years of diagnosis respectively. All clinicians should ask about eating habits (such as dieting, binge-eating, and weight control behaviors etc) and weight concerns in high risk groups, even when they have no concerns about eating or weight. The DSM-5 and ICD-11 list 6 distinct eating disorders: 1) Anorexia nervosa, 2) Bulimia nervosa, 3) Binge-eating disorder (BED), 4) Avoidant/restrictive food intake disorder (ARFID), 5) Rumination disorder and 6) Pica. Since the incidence of eating disordered patients in appears to be rising, it is a time demanding issue to deliver multidisciplinary treatment for them. As eating disorders frequently involve multi-system disorders such as gastrointestinal, neurological and endocrine, early screening and assessment of patients with eating disorders is essential. Treatments for eating disorders depend on its types and focus on behavioral change, targeting normalizes the weight and eating habits. Depending on the severity of malnutrition and associated medical conditions, eating disorders may be treated with patient education , cognitive behavioral therapy (CBT), family-based treatment (FBT), specialist supportive clinical management (SSCM) and Pharmacotherapy (TCAs, MAOIs, and SSRIs). J Rang Med Col. September 2022; Vol. 7, No. 2:63-68
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