中国暴食障碍诊疗专家共识

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

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。

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.