Bulimia Nervosa/Purging Disorder
Bulimia Nervosa/Purging Disorder
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DOI：
10.1016/j.cppeds.2017.02.004
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发表时间：
2017-04-01
影响因子：
1.6
通讯作者：
Weiselberg, Eric
中科院分区：
文献类型：
--
作者：
Castillo, Marigold;Weiselberg, Eric
1979年，英国精神病学家杰拉尔德·罗素首次将神经性贪食症描述为“神经性厌食症的慢性期”，患者暴饮暴食，然后使用补偿机制，如自我催吐、泻药或长时间饥饿。随着 2013 年 DSM-5 的推出，神经性贪食症的特征不断发展。本文对神经性贪食症的流行病学和危险因素以及医疗并发症和精神共病进行了识别和回顾。对疑似神经性贪食症患者进行评估，重点是获取完整、彻底的病史以及发现任何存在的合并症。患者的管理涉及医疗干预和行为咨询，以满足身体、心理和社会需求。最后，描述并讨论了 DSM-5 中引入的新诊断——净化障碍。当前儿科青少年保健问题 2017；47:85-94
Bulimia nervosa was first described in 1979 by British psychiatrist Gerald Russell as a "chronic phase of anorexia nervosa" in which patients overeat and then use compensatory mechanisms, such as self-induced vomiting, laxatives, or prolonged periods of starvation. The characterization of bulimia nervosa continues to evolve with the introduction of the DSM-5 in 2013. In this article, the epidemiology and risk factors of bulimia nervosa are identified and reviewed, along with the medical complications and psychiatric comorbidities. The evaluation of a patient with suspected bulimia nervosa is addressed, with an emphasis on acquiring a complete and thorough history as well as discovering any comorbidities that are present. Management of the patient involves both medical interventions and behavioral counseling in order to address physical, psychological, and social needs. Lastly, a new diagnosis introduced in the DSM-5, purging disorder, is described and discussed. Curr Probl Pediatr Adolesc Health Care 2017;47:85-94