中国全科医学 ›› 2024, Vol. 27 ›› Issue (24): 2941-2953.DOI: 10.12114/j.issn.1007-9572.2024.0030

• 指南·共识 •    下一篇

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1, 何欠欠2, 刘强1, 陈妍1, 张岚3, 李雪霓4, 乔慧芬5, 孔庆梅4, 匡桂芳6, 陈涵1, 虞阳7, 蒋晶晶8, 刘兰英1, 张大荣4, 栗克清9, 王振1, 陈珏*()   

  1. 1.200030 上海市,上海交通大学医学院附属精神卫生中心
    2.200120 上海市,同济大学附属精神卫生中心(筹)
    3.610041 四川省成都市,四川大学华西医院心理卫生中心
    4.100091 北京市,北京大学第六医院 北京大学精神卫生研究所 国家卫生健康委员会精神卫生学重点实验室(北京大学) 国家精神心理疾病临床医学研究中心(北京大学第六医院)
    5.210029 江苏省南京市,南京医科大学附属脑科医院
    6.266034 山东省青岛市,青岛大学附属妇女儿童医院
    7.200040 上海市,复旦大学附属华东医院
    8.200030 上海市,复旦大学附属中山医院
    9.071000 河北省保定市,河北省精神卫生中心
  • 收稿日期:2024-03-05 修回日期:2024-04-20 出版日期:2024-08-20 发布日期:2024-05-08
  • 通讯作者: 陈珏
  • 基金资助:
    国家自然科学基金面上项目(820715451); 上海市卫生健康委员会面上项目(202140092); 上海市科学技术委员会医学创新研究专项项目(20Y119065003); 上海市精神心理疾病临床医学研究中心项目(19MC1911100); 上海市精神卫生中心院级重点课题(2020zd02)

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 Sufang1, HE Qianqian2, LIU Qiang1, CHEN Yan1, ZHANG Lan3, LI Xueni4, QIAO Huifen5, KONG Qingmei4, KUANG Guifang6, CHEN Han1, YU Yang7, JIANG Jingjing8, LIU Lanying1, ZHANG Darong4, LI Keqing9, WANG Zhen1, CHEN Jue1,*()   

  1. 1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
    2. Mental Health Center of Tongji University, Shanghai 200120, China
    3. Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China
    4. Peking University Sixth Hospital/Peking University Institute of Mental Health/NHC Key Laboratory of Mental Health (Peking University) /National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100091, China
    5. Nanjing Brain Hospital Affiliated to Nanjing Medical University, Nanjing 210029, China
    6. Women and Children's Hospital, Qingdao University, Qingdao 266034, China
    7. Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China
    8. Zhongshan Hospital Affiliated to Fudan University, Shanghai 200030, China
    9. Hebei Mental Health Center, Baoding 071000, China
  • Received:2024-03-05 Revised:2024-04-20 Published:2024-08-20 Online:2024-05-08
  • Contact: CHEN Jue

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、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《中国暴食障碍诊疗专家共识》专家组,基于循证医学证据、国内外指南与专家共识、专家经验等制订本专家共识,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: 暴食症, 饮食与进食障碍, 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, which can lead to gastrointestinal disorders, obesity, and the resulting metabolic and functional disorders of various systems and other physical problems; and it is also often co-morbid with affective disorder, anxiety disorders, substance use disorders, and other mental disorders, which need to be taken seriously. However, the recognition of BED in China was late, and it is difficult to achieve early identification and diagnosis, resulting in a prolonged course of disease. Therefore, under the organization of the Eating Disorders Coordination Group of the Psychosomatic Medicine Society of the Chinese Medical Association, together with the Eating Disorders Research Collaboration Group of the Psychiatric Medicine Society of the Chinese Medical Association, an expert group composed of 15 psychiatrists and evidence-based medicine experts, and 2 internal medicine experts, formulated this expert consensus based on evidence-based medical evidence, domestic and foreign guidelines and expert consensus, and expert experiences. The aim of this study is to improve the recognition, diagnosis and treatment of BED by psychiatrists, internists and general practitioners in China.

Key words: Binge-eating disorder, Feeding and eating disorders, Psychological treatment, Drug therapy, Expert consensus