Follow-up investigation in patients with anorexia nervosa.
Follow-up investigation in patients with anorexia nervosa.
复制标题
神经性厌食症患者的随访调查。
DOI：
10.1016/s0022-3476(85)80369-3
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发表时间：
1985
期刊：
影响因子：
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通讯作者：
Stephen M. Saravay
中科院分区：
文献类型：
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作者：
Michael Nussbaum;Michael Nussbaum;I. Shenker;I. Shenker;Dorothy Baird;Dorothy Baird;Stephen M. Saravay;Stephen M. Saravay
63名女性神经性厌食症患者在治疗后平均27.5个月进行了结局评估。一般青少年医疗服务中的治疗计划是多学科的，强调适当的体重增加与各种治疗方式相结合。一半的人至少需要住院一次，其余的人作为门诊病人接受治疗。首次接触时患者的平均体重为41.8 kg，治疗结束时为46.2 kg，随访时为52.2 kg。随访时的平均身高在第38百分位数。首次接触时平均体重在第15百分位数，随访时在第29百分位数。目前的体重比理想体重低8%。93%的患者在诊断时闭经，9.5%的患者在随访时闭经。呕吐从59%下降到16%。呕吐与不良结局显著相关。大多数人在学术和职业上都很成功。大多数人继续限制饮食，79%的人认为自己超重。40%的人报告长期抑郁，22%的人有不满意的社会关系。数据表明，接受心理治疗的人（65%）和没有接受心理治疗的人（35%）之间的结果没有差异。治疗的类型和持续时间也与长期改善无关。
Sixty-three female patients with anorexia nervosa were assessed for outcome, on average 27.5 months after treatment. The treatment program, in a general adolescent medical service, is multidisciplinary, stressing appropriate weight gain in conjunction with various therapeutic modalities. Half the group required at least one hospitalization; the remainder received treatment as outpatients. Mean weight of the patients was 41.8 kg at first contact, 46.2 kg at conclusion of treatment, and 52.2 kg at follow-up. Average height at the time of follow-up was in the 38th percentile. Average weight was in the 15th percentile at first contact, and in the 29th percentile at follow-up. Current weight is 8% below ideal. Ninety-three percent of the patients had amenorrhea at diagnosis, and 9.5% at follow-up. vomiting declined from 59% of patients to 16%. Vomiting was significantly associated with poor outcome. The majority function successfully, academically and vocationally. Most continue to restrict diet, and 79% consider themselves overweight. Forty percent report chronic feelings of depression, and 22% have unsatisfactory social relationships. The data suggest no difference in outcome between those receiving psychotherapy (65%) and those who did not (35%). Type and duration of therapy were also not associated with long-range improvement.