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首页> 外文期刊>Current Psychiatry Reviews >A Review of the Role of Psychiatrists and Pediatricians in Outpatient Treatment of Adolescents with Anorexia and Bulimia Nervosa
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A Review of the Role of Psychiatrists and Pediatricians in Outpatient Treatment of Adolescents with Anorexia and Bulimia Nervosa

机译：精神科医生和儿科医生在青少年厌食症和神经性贪食症的门诊治疗中的作用综述

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摘要

Eating disorders frequently have their onset in adolescence. This is problematic as Anorexia Nervosa (AN), nBulimia Nervosa (BN), and Eating Disorder Not Otherwise Specified (EDNOS) often present with serious psychiatric and nmedical sequelae that can affect an adolescent’s physical and emotional development. It is well documented that compli-ncations from eating disorders in adolescence can result in long-term health consequences, rendering effective psychiatric nand medical treatments a necessity. To combat the medical consequences associated with eating disorders in adolescents, npediatricians must identify, treat, and monitor medical complications. Pediatricians are also responsible for assessing the nneed for hospitalization due to medical instability. Some advances have been made regarding psychopharmacological ntreatments for eating disorders. For example, antidepressant medications, such as SSRIs, have demonstrated efficacy in nthe treatment of adults with BN. The true effectiveness of these medications in adolescent populations remains unknown. nA multidisciplinary team approach is a common treatment model in outpatient practice, but further research is required to ninvestigate how to facilitate the collaboration of psychiatric and medical professionals. The majority of psychiatric and nmedical trials for eating disorder patients have involved adult participants, and most studies have investigated either psy-nchiatric or medical treatments for eating disorders. In this review, we will add to the current literature by focusing on both npsychiatric and medical treatments for eating disorders, with particular emphasis on studies conducted with adolescents
机译：饮食失调常常在青春期发作。这是有问题的，因为神经性厌食症（AN），神经性贪食症（BN）和其他饮食失调症（EDNOS）经常伴有严重的精神病和后遗症，会影响青少年的身心发育。有充分的文献记载，青春期饮食失调引起的并发症可能导致长期的健康后果，因此有必要进行有效的精神病和药物治疗。为了对抗与青少年饮食失调相关的医学后果，儿科医生必须识别，治疗和监测医学并发症。儿科医生还负责评估由于医疗不稳定而需要住院的需求。关于饮食失调的心理药物治疗已经取得了一些进展。例如，抗抑郁药物，如SSRIs，已被证明可以有效治疗BN成人。这些药物在青少年人群中的真正功效仍然未知。 n多学科团队方法是门诊实践中的常见治疗模型，但是需要进一步研究以研究如何促进精神科和医学专业人士的合作。饮食失调症患者的大多数精神病学和医学试验都涉及成年受试者，并且大多数研究都对精神错乱性或饮食失调症的药物疗法进行了研究。在这篇评论中，我们将通过关注饮食失调的精神病学和医学治疗，特别是青少年研究来增加当前文献。

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