Contribution of social and family factors in anorexia nervosa

Contribution of social and family factors in anorexia nervosa
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社会和家庭因素对神经性厌食症的影响

DOI:
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发表时间:
2012
期刊:
影响因子:
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通讯作者:
Wozniak Greta
Wozniak Greta
中科院分区:
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作者:
Wozniak Greta

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背景:神经性厌食症可能是最严重的饮食失调,病因基本未知,以心理因素为中心,受多种社会、生物和文化因素的影响。本研究旨在揭示神经性厌食症的治疗、早期干预和预防等复杂问题。本研究的方法包括在多个数据库(Medline, EMBASE和CINAHL)中检索文献,以确定与神经性厌食症相关的文章。结果:神经性厌食症患者拒绝进食,对自己的身体保持扭曲的自我认知,认为自己超重。尽管诊断是根据国际公认的标准做出的,但由于考虑到家庭和社会环境等其他因素,患者之间的诊断也有所不同。由于患者拒绝承认其病情的严重性,当由于营养不良而导致重要器官出现疾病时,他们寻求医疗援助。在大多数情况下,住院治疗是必要的,包括适当的饮食计划和药物治疗。结论:心理治疗是治疗的基础部分,以行为治疗为主,以患者支持为主。青少年是神经性厌食症的多发时期,因此,预防和早期诊断是最好的治疗方法,因此有必要向公众,特别是有孩子的父母提供建议。
Background: Anorexia nervosa is probably the most substantial eating disorder, with basically unknown causes, centered on psychological factors and affected by many social, biological and cultural ones. The aim of this study was to emerge the complex issues regarding the treatment, the early intervention and the prevention of the anorexia nervosa. The method οf this study included a search of the literature in several databases (Medline, EMBASE and CINAHL) to identify articles related to anorexia nervosa. Results: Patients with anorexia nervosa develop a refusal in ingestion of food, maintaining a distorted self-perception of their body, considering themselves as overweighed. The diagnosis even though is made according international established criteria, varies among the patients taking into consideration additional factors like family and social environment. As the patients refuse to admit the seriousness of their condition, they seek for medical assistance when disorders appear in vital organs, due to de-nutrition. In most cases hospitalization is necessary and includes a suitable diet program and medication treatment. Conclusions: Psychological therapy is a basic part of the treatment, in long-term basis and is employed by behavior therapy and the patient's support. Advising the public and especially parents with children in adolescence, where usually anorexia nervosa occurs, is necessary as the prevention and the early diagnosis is the best treatment.
儿童和青少年饮食失调的治疗。
DOI: 10.1016/s0272-7358(98)00013-0
发表时间: 1998
期刊: Clinical psychology review.
影响因子: --
作者:
Robin,AL;Gilroy,M;Dennis,AB
通讯作者: Dennis,AB