Behavioral Management for Anorexia Nervosa.

Behavioral Management for Anorexia Nervosa.
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DOI:
10.1056/nejmct0805569
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发表时间:
2009-01-29
影响因子:
158.5
通讯作者:
Walsh, B. Timothy
Walsh, B. Timothy
中科院分区:
医学1区
文献类型:
--
作者:
Attia, Evelyn;Walsh, B. Timothy

文献摘要

被引文献

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一位患有神经性厌食症的23岁女性拜访她的内科医生,讨论是否可能接受住院行为治疗计划。神经性厌食症的行为治疗包括直接监督饮食,建立增重目标,以及在目标未达到时实施应急措施。这些项目最重要的副作用是有再进食综合症的风险,这是一种罕见但可能危及生命的代谢紊乱。
A 23-year-old woman with anorexia nervosa visits her internist to discuss possible admission to an inpatient behavioral-treatment program. Behavioral therapy for anorexia nervosa includes direct supervision of eating, establishment of weight-gain goals, and implementation of contingencies if goals are not achieved. The most important adverse effect of such programs is the risk of the refeeding syndrome, a rare but potentially life-threatening metabolic disorder.