Eating disorders in schizophrenia: implications for research and management.

IF 3.6 Q1 PSYCHIATRY
Schizophrenia Research and Treatment Pub Date : 2014-01-01 Epub Date: 2014-11-18 DOI:10.1155/2014/791573
Youssef Kouidrat, Ali Amad, Jean-Daniel Lalau, Gwenole Loas
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引用次数: 60

Abstract

Objective. Despite evidence from case series, the comorbidity of eating disorders (EDs) with schizophrenia is poorly understood. This review aimed to assess the epidemiological and clinical characteristics of EDs in schizophrenia patients and to examine whether the management of EDs can be improved. Methods. A qualitative review of the published literature was performed using the following terms: "schizophrenia" in association with "eating disorders," "anorexia nervosa," "bulimia nervosa," "binge eating disorder," or "night eating syndrome." Results. According to our literature review, there is a high prevalence of comorbidity between schizophrenia and EDs. EDs may occur together with or independent of psychotic symptoms in these patients. Binge eating disorders and night eating syndromes are frequently found in patients with schizophrenia, with a prevalence of approximately 10%. Anorexia nervosa seems to affect between 1 and 4% of schizophrenia patients. Psychopathological and neurobiological mechanisms, including effects of antipsychotic drugs, should be more extensively explored. Conclusions. The comorbidity of EDs in schizophrenia remains relatively unexplored. The clearest message of this review is the importance of screening for and assessment of comorbid EDs in schizophrenia patients. The management of EDs in schizophrenia requires a multidisciplinary approach to attain maximized health outcomes. For clinical practice, we propose some recommendations regarding patient-centered care.

精神分裂症的饮食失调:对研究和管理的启示。
目标。尽管有来自病例系列的证据,但人们对饮食失调(EDs)与精神分裂症的合并症知之甚少。本文旨在评估精神分裂症患者ed的流行病学和临床特征,并探讨是否可以改善ed的管理。方法。对已发表的文献进行定性回顾,使用以下术语:“精神分裂症”与“饮食失调”、“神经性厌食症”、“神经性贪食症”、“暴食症”或“夜食综合征”相关。结果。根据我们的文献综述,精神分裂症和急症之间的共病发生率很高。在这些患者中,ed可能与精神病症状一起或独立发生。暴食症和夜食综合征常见于精神分裂症患者,患病率约为10%。神经性厌食症似乎影响了1%到4%的精神分裂症患者。精神病理和神经生物学机制,包括抗精神病药物的作用,应该更广泛地探索。结论。精神分裂症中ed的合并症仍然相对未被研究。这篇综述最明确的信息是筛查和评估精神分裂症患者合并症ed的重要性。精神分裂症患者ed的管理需要多学科的方法来获得最大的健康结果。在临床实践中,我们提出了一些以患者为中心的护理建议。
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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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
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