Disorders in food intake from the child psychiatrist point of view
Authors:
M. Paulinyová; J. Šuba; Z. Hradečná
Authors‘ workplace:
Klinika detskej psychiatrie LFUK, Detská fakultná nemocnica, Bratislava
prednosta doc. MUDr. I. Škodáček, CSc.
Published in:
Čes-slov Pediat 2011; 66 (3): 169-176.
Category:
Original Papers
Overview
Eating disorders are presently seen as a serious problem because of their increasing incidence on the worldwide basis. Eating disorders in general as well as eating disorders in children and adolescents are multifactorial in their origin with significant genetic, biological, psychological, familial, and sociocultural risk factors.
Recent research has revealed new facts about biological causes of eating disorders. One of the new key discoveries is the relationship between some of the neurotransmitters (e.g. serotonin) and anxiety or avoidant temperamental characteristics of patients with mental anorexia. Because of the high risk of the disorder, early diagnosis is required. Patients with eating disorders frequently present also with other comorbid conditions, namely anxieties and depressions. The course of the disorder is very often chronic and leads to complications and therapy resistance. The most serious and risk consequences of mental anorexia are cardio-vascular problems, problems with internal environment and endocrinological complications. Therefore the somatic examination should be comprehensive and urgent.
Treatment of patients with eating disorders should reflect its multifactorial ethiology and include a comprehensive therapeutic approach. The aim of the therapy should be not only the acheivement of a healthy weight, but equally also a change in the thinking styles and attitudes towards eating and body image. The key principle of a successful treatment is the cooperation of the psychiatrist and the paediatrician starting with the identification of somatic consequences of the disorder and monitoring of the patient’s state followed by the appropriate therapy.
Key words:
anorexia nervosa, bulimia nervosa, assessment, neurobiological causes, treatment
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Labels
Neonatology Paediatrics General practitioner for children and adolescentsArticle was published in
Czech-Slovak Pediatrics
2011 Issue 3
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