Eating Disorders

R. Mehboob
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Abstract

A much discussed and worrisome topic today is growing ratio of eating disorders among people especially youth. Eating disorders are characteristic behavioral disorders which present persistent disturbances in eating behavior with body weight, body image and body shape continuously preoccupying an individual’s mind. These behavioral disorders affect a person’s social life along with affecting physical and psychological health. Excessive food intake, compulsive strenuous exercise, food restriction, starvation, use of laxatives, vomiting immediately after eating, binging and purging are some behaviors which depict the presence of an eating disorder. Collectively, up to 5% population, mostly adolescents and young adults suffer from eating disorders. Usually both male and female of any age and ethnicity are at equal risk of having an eating disorder but generally women suffer more as compared to men. Of eating disorders, anorexia and bulimia nervosa are common among females but can also occur in males. Psychiatric problems also occur hand in hand with eating disorders such as disproportionate mood swings, OCD, anxiety and panic attacks and different drugs abuse. Treatment of eating disorders involves treating psychological as well as physical complications along with addressing malnutrition, GERD and other gastrointestinal problems. Out of other eating disorders bulimia nervosa has shown increasing trends among youth. Binge eating or Bulimia nervosa is eating larger quantity of foods in shorter time span. A binge eater firstly binges on food, feels ashamed of his/her action and weight, purges secretly and also feels guilty for eating too much. While binging is done with consuming large quantity of food or filling up to the throat within short time, associated discomfort, nausea and vomiting source the purging phase. Occurrence of bulimia nervosa among young females and adolescents is high but statistics also indicate increasing ratios in young adolescent males. Although bulimia is common among youth, it can affect individuals of all ages and gender having low, normal or high weight. Adolescents and young adults suffering from bulimia nervosa are often those who are mentally preoccupied with weight issues, fear to gain weight, have a dreadful urge to lose weight, are super conscious and discontented with their body image, size and shape. An emblematic case of an individual with bulimia nervosa is often an adolescent to young adult female or male having an enthusiastic, goal oriented, perfectionist, and diligent, introverted and stubborn personality. Such individuals are also awful self-critics and tend to have low self-esteem based on body image distortion. Regardless of the physical parameters, binging on large quantities of food and then purging them out gives the person a sense of satisfaction by eating the desired type of food in hefty amounts along with a sense of control and relief by throwing up or excreting it out as an attempt to maintain weight. Generally the affected individuals do this to eat whatever they want while maintaining or losing weight upon wish. This mechanism also relieves stress, anxiety and reduces negative moods for them, keeping them calm and composed by giving the person a sense of control in at least one aspect of his/her life, which largely explains reason for the increased ratios of bulimia among youth who are constantly subjected to body shaming, peer pressure, fear of being left out, sky rocketing pressure from social media to be and look perfect and to be up to the mark with the societal beauty standards.
饮食失调
今天,人们尤其是年轻人饮食失调的比例不断上升,这是一个备受讨论和令人担忧的话题。进食障碍是一种特征性的行为障碍,表现为持续的饮食行为紊乱,体重、身体形象和身体形状持续占据着个体的思想。这些行为障碍会影响一个人的社会生活,也会影响身体和心理健康。过多的食物摄入,强迫性剧烈运动,食物限制,饥饿,使用泻药,进食后立即呕吐,暴饮暴食和排便是一些描述饮食失调存在的行为。总的来说,高达5%的人口,主要是青少年和年轻人患有饮食失调症。通常,任何年龄和种族的男性和女性患饮食失调症的风险都是一样的,但通常女性比男性更容易患饮食失调症。在饮食失调中,厌食症和神经性贪食症在女性中很常见,但也可能发生在男性身上。精神问题也与饮食失调相伴而生,如过度情绪波动、强迫症、焦虑和恐慌发作以及各种药物滥用。饮食失调的治疗包括治疗心理和生理并发症,以及解决营养不良、反流和其他胃肠道问题。在其他饮食失调中,神经性贪食症在年轻人中呈上升趋势。暴食症或神经性贪食症是指在较短的时间内吃下大量的食物。暴饮暴食者首先会暴饮暴食,对自己的行为和体重感到羞耻,然后偷偷地节食,同时也会因为吃得太多而感到内疚。暴食是指在短时间内摄入大量食物或填满喉咙,而伴随的不适、恶心和呕吐则是排便期的根源。神经性贪食症在年轻女性和青少年中的发生率很高,但统计数据也表明,年轻青少年男性的比例也在增加。虽然暴食症在年轻人中很常见,但它可以影响所有年龄和性别的人,无论是低体重、正常体重还是高体重。患有神经性贪食症的青少年和年轻人通常是那些精神上被体重问题所困扰的人,害怕体重增加,有一种可怕的减肥冲动,对自己的身体形象、大小和形状非常敏感和不满意。典型的神经性贪食症患者通常是青春期到年轻的成年女性或男性,他们具有热情、目标导向、完美主义、勤奋、内向和固执的个性。这类人也非常自我批评,往往因为身体形象扭曲而缺乏自尊。不管身体参数如何,大吃特吃,然后把它们吃光,会给人一种满足感,因为大量吃了想要的食物,同时又有一种控制感,通过呕吐或排泄来保持体重。一般来说,受影响的人这样做是为了想吃什么就吃什么,同时保持或减肥。这种机制也能缓解压力,焦虑和减少消极情绪,保持冷静和沉着,给人一种控制他/她的生活的至少在一个方面,这在很大程度上解释了原因暴食症的比率增加青年不断受到羞辱,来自同辈的压力,害怕被冷落,天空飙升压力从社交媒体和看起来很完美,达到标准的社会审美标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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