需要多学科的方法在治疗饮食行为障碍的年轻人

C. Stafie, M. Apostol
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引用次数: 1

摘要

饮食行为障碍代表了个体正常饮食量和节奏的偏离,这会导致电解质紊乱、代谢疾病、精神紊乱甚至呕吐,就像神经性厌食症一样,除非采取措施及时纠正饮食失调。饮食行为障碍(EBD)以神经性厌食症和贪食症为代表。如果食物匮乏是非选择性的,并且包括维生素饮料(果汁),前者可能导致在几个月内退出——在这种情况下,家庭在及时注意和干预住院治疗方面起决定性作用,提供专门的心理情绪援助;暴食症会导致严重的电解质紊乱和严重的维生素缺乏,并可能发生代谢性疾病、抑郁性精神病甚至自杀。我们应该强调的事实是,这两种EBD疾病都是由一种被认为属于“哀悼期”的痛苦引发的:父母离婚、与爱人分居、家庭成员死亡。该研究是一项前瞻性、非随机、开放的研究。DSM-IV问卷提出了以下研究标准:在六个月的时间里,每周有两次以上的暴食症(暴食危机)复发。认知-行为评价分为三个阶段:•行为重构•认知重构•将患者组织为压力管理组和自尊组。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Need for Multidisciplinary Approach in the Treatment of Eating Behaviour Disorders of the Young Population
Eating behavior disorders represent deviations from the normal eating quantity and rhythm of an individual, which lead to hydro-electrolytic disorders, metabolic illnesses, psychic disorders or even exitus, as it is the case of anorexia nervosa, unless measures are taken in view of a prompt correction of eating disorders. Eating behavior disorders (EBD) are represented by anorexia nervosa and bulimia. The former may lead to exitus within several months if the food privation is non-selective and includes vitamin drinks (juices) – in this case, family has a decisive role in timely noticing and intervening for hospitalization, providing specialized psycho-emotional assistance; bulimia generates serious hydro-electrolytic disorders and severe devitaminization, with possible occurrence of metabolic illnesses, depressive psychosis and even of suicide. We should underline the fact that both EBD illnesses are triggered by a distress, considered to belong to the “mourning period”: parents’ divorce, separation from a lover, death of a family member. The study is a prospective, non-randomized, open one. The DSM-IV questionnaire proposes the following research criteria: more than two recurrent episodes of eating frenzy (bulimic crises) per week, during a six-month period. The cognitive-behavioral evaluation has three stages: • Behavioral restructuring • Cognitive restructuring • Organizing the patients in stress-management and self-esteem groups.
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