Classification of Eating Disturbance in Children and Adolescents: Proposed Changes for the DSM-V
Classification of Eating Disturbance in Children and Adolescents: Proposed Changes for the DSM-V
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DOI：
10.1002/erv.994
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发表时间：
2010-03-01
影响因子：
5.3
通讯作者：
Zucker, N.
中科院分区：
文献类型：
--
作者：
Bravender, T.;Bryant-Waugh, R.;Zucker, N.
童年和青春期是神经发育和身体生长的关键时期。与其他年龄段相比，由饮食失调（例如神经性厌食症（AN）、神经性贪食症（BN）和其他未指定的饮食失调）引起的营养不良和相关医疗并发症可能会在青年时期产生更严重且可能更持久的后果。关于儿童和青少年饮食失调的诊断和治疗的国际专家工作组的共识是：（a）将症状七十的较低且对发育更敏感的阈值（例如，清除行为的频率较低，与生长曲线的显着偏差作为临床七十的指标）用作儿童和青少年的诊断界限，（b）即使在没有直接自我报告此类症状的情况下，也应考虑饮食失调心理特征的行为指标，以及（C）使用多个知情者（例如父母）以确定症状特征。总的来说，这些建议将允许及早识别和干预，以防止饮食失调症状恶化。版权所有 (C) 2010 John Wiley & Sons, Ltd 和饮食失调协会
Childhood and adolescence are critical periods of neural development and physical growth. The malnutrition and related medical complications resulting from eating disorders such as anorexia nervosa (AN), bulimia nervosa (BN) and eating disorder not otherwise specified may have more severe and potentially more protracted consequences during youth than during other age periods. The consensus opinion of an international workgroup of experts on the diagnosis and treatment of child and adolescent eating disorders is that (a) lower and more developmentally sensitive threshold's of symptom seventy (e.g lower frequency of purging behaviours, significant deviations from growth curves as indicators of clinical seventy) be used as diagnostic boundaries for children and adolescents, (b) behavioural indicators of psychological features of eating disorders be considered even in the absence of direct self-report of such symptoms and (C) multiple informants (e.g parents) be used to ascertain symptom profiles. Collectively, these recommendations will permit earlier identification and intervention to prevent the exacerbation of eating disorder symptoms. Copyright (C) 2010 John Wiley & Sons, Ltd and Eating Disorders Association