[Adolescent eating disorders].
Anorexia and Bulimia nervosa are common psychiatric disorders in adolescent girls. In discrepancy to ICD-10 and DSM-IV we would propose the 10th BMI percentile as weight criterium for anorexia nervosa. Both disorders have a high somatic and psychiatric comorbidity; the most severe complication at long term follow-up is osteoporosis. The most prevalent psychiatric disorders are affective disorders, anxiety and obsessive-compulsive disorder and substance abuse. There is undoubtedly a genetic predisposition and a range of general and personal environmental risk factors. Treatment of adolescent eating disorders mostly requires a multimodal approach which consists of several components, e.g. weight rehabilitation, nutritional counselling, individual and family psychotherapy, and treatment of comorbid psychiatric disorders.
Herpertz-Dahlmann
Beate
B
Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universitätsklinikum Aachen. bherpertz-dahlmann@ukaachen.de
Hagenah
Ulrich
U
Vloet
Timo
T
Holtkamp
Kristian
K
D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D002032:Bulimia / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D002648:Child; D003131:Combined Modality Therapy / Q000379:methods; D015897:Comorbidity; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D010348:Patient Care Team; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D016896:Treatment Outcome