神经性厌食20例

随着社会经济的发展,近年来神经性厌食(AN)发病率呈增长趋势。国外观察提示,每200名年龄在12至18岁的女孩中就有一例。为此,我们对近十五年来收住我院的20例AN患者进行分析随访,以期对AN有进一步的了解。     

神经性厌食生物学病因研究进展

本文就神经性厌食的5-HT功能、神经内分泌、遗传学、脑电生理、脑影像等生物学病因研究现状作一综述。     

神经性厌食症与家庭治疗研究

本文从神经性厌食症的临床意义、流行学、与家庭系统的关系、对家庭的影响及神经性厌食症患者的家庭特征等方面进行总结和讨论。     

低剂量奥氮平治疗神经性厌食致白细胞减少1例

<正>1病例患者,女性,17岁,因"厌食3~+年,情绪低落7~+月,伴暴食、催吐4~+月"入院。3~+年前患者因便秘开始逐渐减少食量,以减少主食及肉类为主,体质量逐渐减轻,患者观念随即改变,认为越瘦越美,每日吃很少的主食,几乎不吃肉类及油腻食物,计算摄入的热量。患者十分关注自己的体重,每日多次照镜子。1~+年前患者体质量较节食前减轻约15 kg,虽然已经很瘦,但仍认为自己很胖,认为吃下去的东西     

功能核磁共振在神经性厌食的研究进展

本文就应用功能性磁共振在神经性厌食的研究进展作一综述。     

神经性厌食患者事件相关电位CNV的研究

目的:探讨神经性厌食(AN)患者的事件相关电位CNV的特点以及认知功能损害的神经生物学机制。方法:应用美国Nicolet Spirit脑诱发电位仪,刺激采用纯音"Oddball"诱发模式,对43例AN患者(研究组)和34名健康对照(对照组)进行认知电位CNV的检测。结果:两组CNV主要指标比较,以研究组的PINV时程延长(t=2.44,P=0.02),波幅B降低(t=3.85,P=0.00)以及反应时间延长(t=-2.11,P=0.04);两组间比较,差异有统计学意义。两组CNV其他指标比较,潜伏期A(t=-1.76,P=0.08)、A-S2’(t=1.88,P=0.06)以及B时程(t=-0.65,P=0.52)差异均无统计学意义。结论:AN患者的CNV存在PINV时程延长、波幅B降低、反应时间延长,支持AN患者存在认知功能损害。     

神经性厌食药物治疗新进展

本文对近10年来神经性厌食的药物治疗与心理治疗及疗效进行总结与评价.     

神经性厌食易感基因的研究现状

神经性厌食(AN)是一种以强烈恐惧体质量增加、限制进食、消瘦等为特征的复杂疾病。其病因与易感基因多态性有一定关联。我们就近几年来有关这些易感基因及其多态性在AN发病机制中所起作用的研究现状和进展作一综述。     

暴露与反应阻止疗法治疗神经性厌食症1例

<正>1病例患者,女性,18岁,体质量指数(BMI)为16. 47。因反复厌食及暴食、烦躁4月入院。患者在当地某中学复读,学习成绩不佳,学习压力大,常通过吃甜食减压。在一次学校体检中,患者无法接受自己49 kg的体重,开始节食减肥,每天仅进食少量鸡蛋、蔬菜和水果。一周后,患者在课堂上无法集中注意力,每天都纠结于食物和肥胖等问题。后患者偶然看到蛋糕便产生了强烈的食欲并出现暴食行为,事后     

Partial vaginismus and anorexia nervosa: a case report

This case report describes a young woman with a long history of anorexia nervosa who developed partial vaginismus with associated dyspareunia. The report discusses the outcome of a short therapeutic intervention and possible aetiological explanations for her sexual disorder. The case aims to highlight the importance of recognising that sexual disorders can be the result of an eating disorder.     

Costs of remission and recovery using family therapy for adolescent anorexia nervosa: a descriptive report

This paper reports on the costs of overall treatment for a cohort of adolescent patients with AN treated with a similar regimen consisting of inpatient medical stabilization, outpatient family therapy, and psychiatric medications for co-morbid psychiatric conditions. Most of the costs associated with outcome were secondary to medical hospitalization. However, the overall costs per remission varied widely depending on the threshold used. However, compared to costs described for adults with AN, adolescent treatment costs appear to be lower when families are used effectively to aid in treatment.     

Transsexuialism and anorexia nervosa: A case report

REFLECTIONS ON SEPTEMBER 11 We will not stop dancing. -From a monument in Tel Aviv erected by the parents of 21 young Israelis blown up by terrorists.     

An evaluation of family therapy in anorexia nervosa and bulimia nervosa

A controlled trial comparing family therapy with individual supportive therapy in anorexia nervosa and bulimia nervosa was undertaken. Eighty patients (57 with anorexia nervosa; 23 with bulimia nervosa) were first admitted to a specialized unit to restore their weight to normal. Before discharge, they were randomly allocated to family therapy or the control treatment (individual supportive therapy). After one year of psychological treatment, they were reassessed, using body weight, menstrual function, and ratings on the Morgan and Russell scales. Family therapy was found to be more effective than individual therapy in patients whose illness was not chronic and had begun before the age of 19 years. A more tentative finding was the greater value of individual supportive therapy in older patients. To our knowledge, this is the first controlled trial of family therapy in anorexia nervosa and clarifies the specific indications for this treatment.     

Adolescent male with anorexia nervosa: a case report from Iraq

This is the first reported case of an adolescent male with anorexia nervosa in Iraq. This disorder is believed to be rare in males across cultures and uncommon for both genders in Arab countries. The patient met the DSM-IV diagnostic criteria for anorexia nervosa. He was hospitalized and received medical and psychiatric treatment at local facilities as discussed below and responded well to treatment.     

The family background in anorexia nervosa: a population-based study

A group of 51 cases with anorexia nervosa (including a total population of cases from one birth cohort) was compared with a sex-, age- and school-matched group of 51 cases on various measures of family demography and interactions. There was no support for the notion of a "typical anorexia nervosa family." However, there were more major problems in the anorexia group and there was also a higher prevalence of dead first-degree relatives and depression in the mothers.     

The place of family therapy in the treatment of anorexia nervosa

There has been widespread, uncritical support for family therapy as the treatment of choice for all anorexia nervosa patients since Minuchin's report in 1976, but recent research has not been able to validate Minuchin's theories about the functioning of anorexia nervosa families. In the only controlled trial to date, the efficacy of family therapy was found to be superior to that of individual therapy, but only in younger patients. Selection factors for family therapy in the treatment of anorexia nervosa are illustrated by a report on 23 consecutive referrals to an eating disorder clinic. Although knowledge of the patient's family was an essential part of the assessment for all patients, and nuclear family sessions were considered to be highly desirable for all patients, in only six instances was nuclear family therapy a major component of treatment. These patients were mainly younger, had a recent onset of illness and lived in an intact nuclear family with co-operative parents.