神経性食欲欠乏症にみられる摂食異常 : 精神生理の立場

概要

論文の詳細を見る
The hypothalamus contains the master control which integrates the information from various peripheral as well as central sources that influence feeding behavior. The impairment of the caloric regulation in the animals with lesions in the neural circuit that mediates feeding behavior manifests the disappearance of internal regulation mechanism, i.e. glucostatic and thermostatic regulation and must depend upon the functional dissociation between a component of metabolic feeding and the hunger-motivating system. These findings suggest that the impairment may primarily interfere with gustatory sense and the ability to stop eating, rather than with the hunger mechanism itself.A case is presented in a woman 24 years of age with anorexia nervosa. The pattern of her food intake is analysed based on experimental evidence seen in the recovery processes of the lateral hypothalamic syndrome and on the development of approach to food in infancy. The evaluation of an adequate adjustment of the eating disorder to an eating pattern of the kind described ismade in relation to the present recovery processes. The result of treatment suggests to have a highly significant effect on outcome.
日本心身医学会の論文
1973-10-01