Anorexia Nervosa: Current Status and Future Directions

被引:63
作者
Attia, Evelyn [1 ,2 ]
机构
[1] Columbia Univ, Med Ctr, Weill Cornell Med Coll, New York, NY 10027 USA
[2] Columbia Univ, Med Ctr, Columbia Ctr Eating Disorders, New York, NY USA
来源
ANNUAL REVIEW OF MEDICINE | 2010年 / 61卷
关键词
eating disorders; treatment; epidemiology; neurobiology; medication; BONE-MINERAL DENSITY; EATING-DISORDERS; FAMILY-THERAPY; DOUBLE-BLIND; WEIGHT RESTORATION; ADOLESCENT FEMALES; BULIMIA-NERVOSA; FOLLOW-UP; WOMEN; PREVALENCE;
D O I
10.1146/annurev.med.050208.200745
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Anorexia nervosa (AN) is a serious mental illness categorized by a failure to maintain a minimally normal weight, a fear of gaining weight or becoming fat, and preoccupations about body shape or weight. ANT is associated with significant morbidity and a mortality rate as high as that seen in any psychiatric illness. Biological factors, including genetic predisposition, appear to play a role in the development of AN. Treatment is challenging both because interventions with clear empirical support have not been identified and because individuals affected by AN are typically reluctant to undergo weight restoration. Preliminary studies suggest that family-based treatment may be useful for younger patients with AN. Treatment development for adults with AN and pursuit of neurobiological correlates of AN remain high-priority research areas.
引用
收藏
页码:425 / 435
页数:11
相关论文
共 68 条
[1]   Childhood obsessive-compulsive personality traits' in adult women with eating disorders: Defining a broader eating disorder phenotype [J].
Anderluh, MB ;
Tchanturia, K ;
Rabe-Hesketh, S ;
Treasure, J .
AMERICAN JOURNAL OF PSYCHIATRY, 2003, 160 (02) :242-247
[2]   Should Amenorrhea Be a Diagnostic Criterion for Anorexia Nervosa? [J].
Attia, Evelyn ;
Roberto, Christina A. .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2009, 42 (07) :581-589
[3]   Behavioral Management for Anorexia Nervosa. [J].
Attia, Evelyn ;
Walsh, B. Timothy .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (05) :500-506
[4]  
Bell RudolphM., 1985, HOLY ANOREXIA
[5]   Olanzapine in the treatment of low body weight and obsessive thinking in women with anorexia nervosa: A randomized, double-blind, placebo-controlled trial [J].
Bissada, Hany ;
Tasca, Giorgio A. ;
Barber, Ann Marie ;
Bradwejn, Jacques .
AMERICAN JOURNAL OF PSYCHIATRY, 2008, 165 (10) :1281-1288
[6]   The genetics of anorexia nervosa [J].
Bulik, Cynthia M. ;
Landt, Margarita C. T. Slof-Op't ;
van Furth, Eric F. ;
Sullivan, Patrick F. .
ANNUAL REVIEW OF NUTRITION, 2007, 27 :263-275
[7]   Anorexia nervosa treatment: A systematic review of randomized controlled trials [J].
Bulik, Cynthia M. ;
Berkman, Nancy D. ;
Brownley, Kimberly A. ;
Sedway, Jan A. ;
Lohr, Kathleen N. .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2007, 40 (04) :310-320
[8]   Maintenance Treatment for Anorexia Nervosa: A Comparison of Cognitive Behavior Therapy and Treatment as Usual [J].
Carter, Jacqueline C. ;
McFarlane, Traci L. ;
Bewell, Carmen ;
Olmsted, Marion P. ;
Woodside, D. Blake ;
Kaplan, Allan S. ;
Crosby, Ross D. .
INTERNATIONAL JOURNAL OF EATING DISORDERS, 2009, 42 (03) :202-207
[9]   Predictors of bone mineral density reduction in adolescents with anorexia nervosa [J].
Castro, J ;
Lázaro, L ;
Pons, F ;
Halperin, I ;
Toro, J .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2000, 39 (11) :1365-1370
[10]  
COOKE RA, 1994, BRIT HEART J, V72, P69