青少年神经性厌食症或非典型神经性厌食症伴发病前超重/肥胖:我们应该如何减轻他们的体重?

Grace B. Jhe PhD, Jessica Lin MD, Melissa Freizinger PhD, Tracy Richmond MD
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引用次数: 4

摘要

传统上,神经性厌食症(AN)被认为只存在于体重不足的个体中,体重被用来评估严重程度和治疗过程。最近的趋势发现,越来越多的AN或非典型AN(即,尽管体重明显减轻,但体重保持在“正常”或“健康”范围内的人)有发病前超重/肥胖史。患有AN/AAN和病前超重/肥胖的个体是代谢易感人群,因为无论是AN还是AAN,都有明显的体重减轻。AAN患者面临着一个特殊的挑战,因为医疗保健专业人员必须在潜在“正常”体重的青少年中识别出具有临床意义的饮食失调,然后必须平衡他们的知识和传统治疗方法与肥胖治疗和预防的培训。目前,对于有超重/肥胖病史的AN/AAN患者,在体重恢复、医疗稳定和心理治疗方面,没有循证治疗方法来指导医学和精神卫生专业人员,同时也没有针对肥胖风险预防的方法。
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Adolescents with anorexia nervosa or atypical anorexia nervosa with premorbid overweight/obesity: What should we do about their weight loss?

Traditionally, anorexia nervosa (AN) was understood to exist exclusively among underweight individuals and weight was used to assess level of severity and course of treatment. Recent trends have found a growing number of individuals presenting with AN or atypical AN (AAN) (i.e., those who remain with weight in a “normal” or “healthy” range despite significant weight loss) have a premorbid history of overweight/obesity. Individuals with AN/AAN and premorbid overweight/obesity represent an especially metabolically vulnerable population as with either AN or AAN, there is marked weight loss. Patients with AAN present a specific challenge as healthcare professionals must identify a clinically significant eating disorder in adolescents of potentially “normal” weights and then must balance their knowledge and training of traditional treatment of AN with obesity treatment and prevention. Currently, there are no evidence-based treatments to guide medical and mental health professionals regarding weight restoration, medical stabilization, and psychological treatment in patients with AN/AAN with a history of overweight/obesity while also addressing risk prevention for obesity.

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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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