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Eating disorder : ウィキペディア英語版
Eating disorder


Eating disorders are mental disorders defined by abnormal eating habits that negatively affect a person's physical or mental health. They include binge eating disorder where people eat a large amount in a short period of time, anorexia nervosa where people eat very little and thus have a low body weight, bulimia nervosa where people eat a lot and then try to rid themselves of the food, pica where people eat non-food items, rumination disorder where people regurgitate food, avoidant/restrictive food intake disorder where people have a lack of interest in food, and a group of other specified feeding or eating disorders. Anxiety disorders, depression, and substance abuse are common among people with eating disorders. These disorders do not include obesity.

The cause of eating disorders is not clear. Both genetic and environmental factors appear to play a role.〔〔 Cultural idealization of thinness is believed to contribute.〔 Eating disorders for example affect about 12% of dancers. Those who have experienced sexual abuse are also more likely to develop eating disorders. Some disorders such as pica and rumination disorder occur more often in people with intellectual disabilities. Only one eating disorder can be diagnosed at a given time.〔

Treatment can be effective for many eating disorders. This typically involves counselling, a proper diet, and the reduction of efforts to eliminate food. Hospitalization is occasionally needed. Medications may be used to help with some of the associated symptoms.〔 At five years about 70% of people with anorexia and 50% of people with bulimia recover. Recovery from binge eating disorder is less clear and estimated at 20% to 60%. Both anorexia and bulimia increase the risk of death.〔

In the developed world binge eating disorder affects about 1.6% of women and 0.8% of men in a given year. Anorexia affects about 0.4% and bulimia affects about 1.3% of young women in a given year.〔 During the entire life up to 4% of women have anorexia, 2% have bulimia, and 2% have binge eating disorder. Anorexia and bulimia occur nearly ten times more often in females than males.〔 Typically they begin in late childhood or early adulthood.〔(【引用サイトリンク】url=http://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml )〕 Rates of other eating disorders are not clear.〔 Rates of eating disorders appear to be lower in less developed countries.
== Classification ==
Bulimia nervosa is a disorder characterized by binge eating and purging, as well as excessive evaluation of one's self-worth in terms of body weight or shape. Purging can include self-induced vomiting, over-exercising, and the use of diuretics, enemas, and laxatives. Anorexia nervosa is characterized by extreme food restriction and excessive weight loss, accompanied by the fear of being fat.〔(【引用サイトリンク】title=Anorexia Nervosa )〕 The extreme weight loss often causes women and girls who have begun menstruating to stop having menstrual periods, a condition known as amenorrhea. Although amenorrhea was once a required criterion for the disorder, it is no longer required to meet criteria for anorexia nervosa due to its exclusive nature for sufferers who are male, post-menopause, or who do not menstruate for other reasons. The DSM-5 specifies two subtypes of anorexia nervosa—the restricting type and the binge/purge type. Those who suffer from the restricting type of anorexia nervosa restrict food intake and do not engage in binge eating, whereas those suffering from the binge/purge type lose control over their eating at least occasionally and may compensate for these binge episodes. The most notable difference between anorexia nervosa binge/purge type and bulimia nervosa is the body weight of the person. Those diagnosed with anorexia nervosa binge/purge type are underweight, while those with bulimia nervosa may have a body weight that falls within the range from normal to obese.〔(【引用サイトリンク】url=http://www.psychiatry.org/eating-disorders )〕〔(【引用サイトリンク】url=http://www.nami.org/Template.cfm?Section=By_Illness&Template=/ContentManagement/ContentDisplay.cfm&ContentID=149448 )

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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