中国全科医学

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中国暴食障碍诊疗专家共识

中华医学会心身医学分会进食障碍协作学组,中华医学会精神医学分会进食障碍研究协作组,彭素芳,何欠欠,刘强,陈妍,张岚,李雪霓,乔慧芬,孔庆梅,匡桂芳,陈涵,虞阳,蒋晶晶,刘兰英,张大荣,栗克清,王振,陈珏   

  • 通讯作者: 陈珏

Chinese Expert Consensus on the Diagnosis and Treatment of Binge Eating Disorder

Eating Disorders Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association,Eating Disorders Research Collaboration Group of the Psychiatric Medicine Society of the Chinese Medical Association,PENG Sufang, HE Qianqian, LIU Qiang, CHEN Yan, ZHANG Lan, LI Xueni, QIAO Huifen, KONG Qingmei, KUANG Guifang, CHEN Han, YU Yang, JIANG Jingjing, LIU Lanying, ZHANG Darong, LI Keqing, WANG Zhen, CHEN Jue   

  • Contact: CHEN Jue
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摘要: 暴食障碍是以反复发作性暴食为主要特征的一类进食障碍。暴食障碍患者存在反复发作的、冲动性、失控性的暴食行为,可导致胃肠道疾病、高血压、肥胖及由此引起的代谢和各系统功能紊乱等躯体问题;也常共病心境障碍、焦虑障碍、物质使用障碍等多种精神障碍,需引起重视。然而,国内对暴食障碍的认识较晚,目前难以做到早期识别和诊治,导致病程迁延。因此,在中华医学会心身医学分会进食障碍协作学组的组织下,联合中华医学会精神医学分会进食障碍研究协作组,由15名精神科专家及循证医学专家,2名内科专家组成专家组,基于循证医学证据、国内外指南与专家共识、专家经验等制定本专家共识,以期提高国内精神科专业人员、内科医师和全科医师对暴食障碍的识别和诊治水平。

关键词: 暴食障碍, 心理治疗, 药物治疗, 专家共识

Abstract: Binge eating disorder (BED) is a type of eating disorder characterized by recurrent episodes of binge eating. Patients with BED have recurrent impulsive and out-of-controlled binge eating behavior, resulting in gastrointestinal disorders, obesity, and the resulting metabolic and functional disorders of various systems and other physical problems; secondly, they are often co-morbid with affective disorder, anxiety disorders, substance use disorders, and other mental disorders, which need to be taken seriously. However, in China, binge eating disorder cannot be recognized and diagnosed early, leading to a protracted course of the disease. Therefore, under the organization of the Eating Disorders Coordination Group of the Psychosomatic Medicine Branch of the Chinese Medical Association,together with the Eating Disorders Research Collaboration Group of the Psychiatric Medicine Branch, this expert consensus was formulated by 14 psychiatric medical experts and 2 internal medicine experts, based on evidence-based medical evidence, domestic and foreign guidelines and expert consensus, expert experience, etc., in order to improve the recognition, diagnosis and treatment of binge eating disorder by psychiatrists and general practitioners in China.

Key words: Binge eating disorder, Psychological treatment, Drug therapy, Expert consensus