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首页> 外文期刊>The British journal of psychiatry : >Development of weight and shape concerns in the aetiology of eating disorders
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Development of weight and shape concerns in the aetiology of eating disorders

机译：饮食失调的病因引起体重和形状问题的发展

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Background Although weight and shape concerns are considered to be integral to the psychopathology of anorexia and bulimia nervosa, uncertainties remain about developmental aspects of the aetiology of these concerns and their relationship to eating disorders. Aims To review the recent literature on weight and shape concern, with particular emphasis on aetiology, to identify a possible developmental pathway from weight concern through abnormal eating behaviour to disorder. Method Literature review of Medline and Psychlit databases using the keywords a€?eating disosrdera€?, a€?weight concerna€?, a€? shape concerna€? and a€?aetiologya€?. Inclusion criteria were based on the strength of quantitative research findings, originality of ideas and recent publication. Results Weight and shape concerns follow a developmental pathway arising before the typical age for the development of eating disorders. The origins are multifactorial, with biological, family and sociocultural features predominating. Conclusions Although weight and shape concern seems commonly to underlie the development of eating disorders, an alternative pathway appears to exist through impulsivity and fear of loss of control. Prevention strategies may usefully focus on the attitudes and concerns that lead to dieting behaviour.
机译：背景尽管体重和体型问题被认为是厌食症和神经性贪食症的精神病理学不可或缺的一部分，但这些问题的病因学及其与饮食失调关系的发展方面仍存在不确定性。目的回顾有关体重和形状问题的最新文献，尤其是病因，以找出从体重问题到饮食异常到疾病的可能发展途径。方法对Medline和Psychlit数据库的文献资料进行回顾，使用关键词“饮食”，“体重关注”，“饮食”。引起关注和“病因学”。纳入标准是基于定量研究发现，创意的新颖性和最新出版物的实力。结果对体重和形状的关注遵循了在进食障碍发展的典型年龄之前出现的发展途径。起源是多因素的，具有生物学，家庭和社会文化特征。结论尽管体重和身材的困扰似乎通常是饮食失调症的基础，但通过冲动和害怕失去控制，似乎存在替代途径。预防策略可以有效地集中在导致节食行为的态度和关注上。

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