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來源資料
頁籤選單縮合
題 名 | 厭食症之住院治療: 一例報告=Inpatient Treatment of Anorexia Nervosa: Report of One Case |
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作 者 | 陳映燁; 曾美智; 李宇宙; 林明濱; | 書刊名 | 臺灣精神醫學 |
卷 期 | 12:4 1998.12[民87.12] |
頁 次 | 頁89-97 |
分類號 | 415.9982 |
關鍵詞 | 厭食症; 暴食; 催吐; 創傷後障礙症; 性侵害; Anorexia nervosa; Binge-eating; Purging; Post-traumatic stress disorder; Sexual abuse; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:報告一例合併多重診斷及行為問題之厭食症住院個案,呈現症狀、治療過 程方法與困難。病例報告:本文報告一名 22 歲罹患厭食症合併重鬱症、創傷後障礙、強迫 症及瀉劑濫用的女性個案,其症狀始於 16 歲遭性侵害懷孕墮胎之後,擔心小腹太大像懷孕 而開始節食,其原本體重為48公斤,一年內降至32公斤,體重最輕時為 28 公斤(體動╱( 身高)�� =10.7 kg/m �插^,三年後,除了節食以外,還出現暴食、催吐與濫用瀉劑之情形 ,每天都有這些狀況。1996 年至 1997 年期間共住院 3 次,治療方式為營養諮詢、認知行 為治療合併藥物及支持性心理治療,階段性的處理其症狀。出院期間接受門診追蹤,第三次 住院後還安排日間病房治療,其重鬱症及瀉劑濫用在接受治療後六個月內改善,強迫症及創 傷後障礙症在 10 個月內改善,個案第一次住院體重為 32 公斤,一年後增加至 50 公斤左 右,暴食及催吐之情形也減少至二個星期一次。結論:此厭食症個案合併多重精神科診斷, 雖然病程長、治療難度高,但經密集結構性之住院治療後,其預後仍佳。 |
英文摘要 | Objective: The authors aim to discuss the technique used in the successful treatment of a patient with anorexia nervosa. Case Report: We present a case of anorexia nervosa with multiple comorbid diagnoses including major depression, post-traumatic stress disorder, obsessive-compulsive disorder and laxative abuse. The patient, a 22 year-old female, was forced by her neighbor to engage in sexual activity at the age of 16. She became pregnant and chose to undergo artificial abortion when she was 17. Postoperatively, she began to restrict food intake for fear of developing a "pregnancy-like" body contour. The patient's premorbid body weight was 48 kg and han decrensed to 32kg in one year. Her lovest body weight was 28kg (Body Mass Index, BMI=10.7 kg/m��). Three years after she started to restrict food intake, she binged and purged everyday. She was admitted to our stepwise and intensive inpatient care programe for the treatment of anorexia three times during 1996 and 1997. The treatment program included cognitive-behavioral therapy, supportive psychotherapy, nutritional counseling and psychotropic medication. After her last discharge, a day care program was arranged. She showed improvement over comorbid conditions such as major depression and laxative abuse in six months after the treatment started. Posttraumatic stress disorder and obsessive-compulsive disorder were in full remission after ten months. Her body weight, 32 kg at first admission, had reached 50 kg one year after the therapy. The frequency of binge-eating and purging decreased to every two weeks. Conclusion: Intensive and structured treatment appears to be an effective technique for the treatment of anorexia nervosa with multiple psychiatric morbidities. |
本系統中英文摘要資訊取自各篇刊載內容。