威廉-格尔的神经性厌食症病例研究 150 年后的当代反思。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-10-14 DOI:10.1002/erv.3139

Mark Mayall, Raja Sadhu, Brett McDermott

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引用次数: 0

摘要

摘要分析并比较威廉-格尔最初发表的四份神经性厌食症（AN）病例史与现代治疗方法：方法：对 Gull 所描述的患者病史进行回顾，并以表格形式（包括人口统计学、临床表现、治疗和预后）列出，同时附上他对厌食症的一般性评论，以便于比较：结果：自闭症的许多表现特征与现代病例相似，但缺乏体重或身体形象障碍。根据《诊断与统计手册》第五版（DSM-5）和文本修订版（DSM-5-TR），Gull描述的病例可归类为AN，但根据《诊断与统计手册》第四版（DSM-IV）和《国际疾病分类》第10次修订版（ICD-10）的标准，这些病例被排除在外。参考 Gull 的著作可能会避免对诊断标准进行必要的修改：150年后的今天，Gull的病例与没有体重或身体形象问题的自闭症病例相似，并强调了现代自闭症诊断概念的异质性。营养康复仍然是治疗的核心，其他干预措施也支持这一目标，但病因仍然难以捉摸。

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Contemporary reflections on William Gull's case studies of anorexia nervosa, 150 years on

Objective

To analyse and compare the original four published anorexia nervosa (AN) case histories of William Gull with modern-day approaches.

Method

Case histories of the patients described by Gull were reviewed and placed in a tabulated format (which included demographics, clinical presentation, treatment, and prognosis) along with his general comments on AN, for easier comparison.

Results

Many of the presenting features of AN are similar to cases seen in more modern times but lack weight or body image disturbances. The cases described by Gull can be categorised as AN under the Diagnostic and Statistical Manual-Fifth Edition (DSM-5) and the Text Revision (DSM-5-TR) however, they were excluded by the Diagnostic and Statistical Manual-Fourth Edition (DSM-IV) and the International Classification of Diseases-10th Revision (ICD-10) criteria. Reference to Gull's work might have avoided the necessary change in diagnostic criteria.

Conclusions

150 years on, Gull's cases resemble presentations of AN without weight or body image issues and emphasise the heterogeneity of the diagnostic conceptualisation of AN in the modern era. Nutritional rehabilitation remains core to the treatment with other interventions supporting this goal while aetiology remains elusive.

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.