Management of anorexia and bulimia nervosa: An evidence-based review.
Management of anorexia and bulimia nervosa: An evidence-based review.
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DOI：
10.4103/0019-5545.64596
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发表时间：
2010-04
影响因子：
3.1
通讯作者：
Basu D
中科院分区：
文献类型：
--
作者：
Chakraborty K;Basu D
神经性厌食症和神经性贪食症主要是以严重的进食行为障碍为特征的精神疾病。饮食失调在西方文化中最为普遍，那里食物丰富，女性的吸引力等同于苗条。饮食失调在印度等国家很少见。尽管精神卫生专业人员有过多的管理选择，但近年来没有取得重大突破。营养康复沿着某种形式的再教育心理治疗仍然是神经性厌食症治疗的主要手段。在神经性贪食症中，氟西汀和认知行为疗法都被发现有效。尽管上述管理方案已使用数十年，但有效成分仍有待确定。
Anorexia nervosa and bulimia nervosa are primarily psychiatric disorders characterized by severe disturbances of eating behavior. Eating disorders are most prevalent in the Western culture where food is in abundance and female attractiveness is equated with thinness. Eating disorders are rare in countries like India. Despite a plethora of management options available to the mental health professionals, no major breakthrough has been achieved in recent years. Nutritional rehabilitation along with some form of re educative psychotherapy remains the mainstay of management of anorexia nervosa. In bulimia nervosa, both fluoxetine and cognitive behavior therapy have been found to be effective. Although the above-mentioned management options have been in use for decades, the active ingredient is still to be ascertained.