[十月屠杀和铁剑战争是饮食失调症出现的导火索--一个案例系列]。

Harefuah Pub Date : 2024-08-01
Yael D Lewis, Rinat Grundman-Shem Tov, Eynat Zubery
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引用次数: 0

摘要

导言:进食障碍(ED)是一种严重的精神疾病,会导致大量的发病率和死亡率。早期发现和治疗是决定预后的关键。暴露于创伤事件和急性应激是出现进食障碍的主要危险因素,而治疗延误则可能引起医疗和精神并发症,导致慢性疾病。我们描述了最近到我们中心就诊的两名神经性厌食症患者的系列病例,其中最新发生的十月屠杀和铁剑战争事件是临床恶化和寻求治疗的核心原因。我们详细阐述了当前的紧急状态可能影响饮食规律并导致厌食症发生的机制,并强调了早期发现新的厌食症病例以及监测抑郁、焦虑和创伤后症状的重要性。鉴于目前出现 ED 的风险较高,包括家长、教师、"恢复力 "中心和初级医疗团队在内的保健人员必须及早发现。我们指出,在 COVID-19 大流行后制定的早期干预计划可由家庭医生和社区营养师实施,以启动治疗,直至在专门的 ED 中心接受治疗。
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[THE OCTOBER MASSACRE AND IRON SWORDS WAR AS A TRIGGER FOR THE EMERGENCE OF EATING DISORDERS - A CASE SERIES].

Introduction: Eating disorders (EDs) are severe psychiatric disorders which entail substantial morbidity and mortality. Early detection and treatment are fundamental in determining prognosis. Exposure to traumatic events and acute stress are prominent risk factors for the emergence of EDs, while treatment delay may cause medical and psychiatric complications and lead to chronic illness. We describe a case series of two patients who recently presented to our center with anorexia nervosa, in which the latest events of the October massacre and the Iron Swords war were central in clinical deterioration and seeking treatment. We elaborate on the mechanisms in which the current emergency state may affect eating routines and lead to the development of EDs and emphasize the pivotal importance of efforts for early detection of new cases of EDs together with monitoring depression, anxiety, and post-traumatic symptoms. Given the heightened risk for the emergence of EDs at this time, early detection by health agents including parents, teachers, "resilience" centers and primary medicine teams is essential. We indicate that plans for early intervention that were prepared following the COVID-19 pandemic, may be implemented by family doctors and community-based dieticians to initiate therapy until treatment in a specialized ED center.

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[LISTENING FOR SAFETY]. [POST-ORGASMIC ILLNESS SYNDROME]. [RAPID GENOMIC HUMAN IDENTIFICATION BY "LAB-ON-A-CHIP" TECHNOLOGIES DURING "IRON SWORDS" WAR]. [SEX AND GENDER DIFFERENCES IN EXPOSURE TO CHILDHOOD VIOLENCE AND ITS EFFECT IN ADULTHOOD ON CHRONIC PHYSICAL MORBIDITY]. [TRAUMA-INFORMED CARE IN THE PUBLIC HEALTH SYSTEM: CLINICAL IMPORTANCE, PRACTICAL IMPLICATIONS AND GUIDING PRINCIPLES].
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