Feeding and Eating Disorders

B. Suciu, C. Crișan
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Abstract

Eating disorders, which are well known as a substantial mental health problem in society, have been reclassified as feeding and eating disorders in DSM-5 and also in the 11th revision of ICD. The new classification includes binge eating disorder and avoidant-restrictive food intake disorder (ARFID), in addition to anorexia and bulimia nervosa. They are considered serious disorders, with high morbidity and mortality risks, that affect the young community in particular. Current research shows increases in all genders and age groups. Various genetic and biologic factors, an insecure personality type, impulsive traits, dysfunctional emotion regulation, and society’s ideal of slimness have been found to play a role in the development of these disorders. A dual approach with focus on the symptom and the underlying problems is needed for all types of eating disorders throughout the psychothera-peutic interventions. Assessing comorbid psychiatric and medical symptoms is extremely important. Further research and new directions of treatment are needed with regard to the expanded classifications.
进食障碍
众所周知,饮食失调是社会上一个重大的心理健康问题,在DSM-5和ICD第11版中被重新归类为进食障碍。新的分类包括暴食症和回避-限制性食物摄入障碍(ARFID),以及厌食症和神经性贪食症。它们被认为是严重的失调,发病率和死亡率都很高,尤其影响到青年群体。目前的研究表明,所有性别和年龄组的人都在增加。各种遗传和生物因素,不安全的人格类型,冲动特征,功能失调的情绪调节以及社会对苗条的理想都被发现在这些疾病的发展中发挥作用。在整个心理治疗干预中,需要对所有类型的饮食失调采取双重方法,关注症状和潜在问题。评估精神病学和医学症状的共病是极其重要的。对于扩大的分类,需要进一步的研究和新的治疗方向。
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