Bulimia Nervosa/Purging Disorder
Autor: | Marigold Castillo, Eric C. Weiselberg |
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Rok vydání: | 2017 |
Předmět: |
050103 clinical psychology
medicine.medical_specialty Psychotherapist Psychological intervention MEDLINE Comorbidity behavioral disciplines and activities Feeding and Eating Disorders 03 medical and health sciences 0302 clinical medicine mental disorders Epidemiology medicine Humans 0501 psychology and cognitive sciences Bulimia Nervosa Psychiatry Bulimia nervosa Mental Disorders 05 social sciences Purging disorder General Medicine Prognosis medicine.disease 030227 psychiatry Diagnostic and Statistical Manual of Mental Disorders Laxatives Anorexia nervosa (differential diagnoses) Pediatrics Perinatology and Child Health Vomiting medicine.symptom Psychology |
Zdroj: | Current Problems in Pediatric and Adolescent Health Care. 47:85-94 |
ISSN: | 1538-5442 |
DOI: | 10.1016/j.cppeds.2017.02.004 |
Popis: | Bulimia nervosa was first described in 1979 by British psychiatrist Gerald Russell as a "chronic phase of anorexia nervosa" in which patients overeat and then use compensatory mechanisms, such as self-induced vomiting, laxatives, or prolonged periods of starvation. The characterization of bulimia nervosa continues to evolve with the introduction of the DSM-5 in 2013. In this article, the epidemiology and risk factors of bulimia nervosa are identified and reviewed, along with the medical complications and psychiatric comorbidities. The evaluation of a patient with suspected bulimia nervosa is addressed, with an emphasis on acquiring a complete and thorough history as well as discovering any comorbidities that are present. Management of the patient involves both medical interventions and behavioral counseling in order to address physical, psychological, and social needs. Lastly, a new diagnosis introduced in the DSM-5, purging disorder, is described and discussed. |
Databáze: | OpenAIRE |
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