Generational Differences of Eating Disorders and Their Psychopathology(Novelty Clinical Features of Eating Disorders-Research Trials from a Multifaceted Perspective-)

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  • 摂食障害の世代間の相違と摂食障害の精神病理(多角的視点から捉えた新たな摂食障害像追求の試み,2013年,第54回日本心身医学会総会ならびに学術講演会(横浜))
  • 摂食障害の世代間の相違と摂食障害の精神病理
  • セッショク ショウガイ ノ セダイ カン ノ ソウイ ト セッショク ショウガイ ノ セイシン ビョウリ

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Abstract

Introduction : Current symptoms of eating disorders have evolved into a free floating and non-stylized form. We would like to determine differences that exist between generations ; therefore, our study compared the pathology of cases over several decades. Purpose : We performed psycho-pathological studies for inpatient cases with eating disorders from each decade (2nd-7th). Subjects and Methods : Ten female patients, with symptoms compatible with the diagnostic criteria for eating disorders DSM-IV-TR, were admitted to our hospital between January 2012 and the end of December 2012. These patients were evaluated, and we examined the characteristics of symptoms of cases between 10 years old and 60 years old. Results : Ten additional cases involving female patients were eliminated from the study. In a majority of cases, the age of onset was in the teens. All patients' symptoms had developed from anorexia nervosa (restricted type) ; four cases remained in restricted type ; five cases evolved into the binge-eating type. Patients with anorexia nervosa (binge-eating emission type) experienced numerous hospitalizations, and the duration of their disease was prolonged. Discussion : Eating disorders were triggered by some types of stress present in modern changing lifestyles. For chronic cases, whose main concern is body style management, anorexia nervosa is a type of defense mechanism and a form of withdrawal from social interaction. Moreover, some chronic cases, whose symptoms were altered through the use of CBT or other therapeutic approaches, became increasingly worse.

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