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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">V.F.Snegirev Archives of Obstetrics and Gynecology</journal-id><journal-title-group><journal-title xml:lang="en">V.F.Snegirev Archives of Obstetrics and Gynecology</journal-title><trans-title-group xml:lang="ru"><trans-title>Архив акушерства и гинекологии им. В.Ф. Снегирева</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2313-8726</issn><issn publication-format="electronic">2687-1386</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">623869</article-id><article-id pub-id-type="doi">10.17816/aog623869</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Lectures</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Лекции</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="zh"><subject>Lectures</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Anorexia nervosa: a new look at an old problem</article-title><trans-title-group xml:lang="ru"><trans-title>Нервная анорексия: новый взгляд на старую проблему</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>神经性厌食症：看待老问题的新视角</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1732-6870</contrib-id><contrib-id contrib-id-type="spin">6313-9959</contrib-id><name-alternatives><name xml:lang="en"><surname>Sosnova</surname><given-names>Elena A.</given-names></name><name xml:lang="ru"><surname>Соснова</surname><given-names>Елена Алексеевна</given-names></name><name xml:lang="zh"><surname>Sosnova</surname><given-names>Elena A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine), Professor</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор</p></bio><bio xml:lang="zh"><p>MD, Dr. Sci. (Medicine), Professor</p></bio><email>sosnova-elena@inbox.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-3329-2062</contrib-id><name-alternatives><name xml:lang="en"><surname>Sarkisyan</surname><given-names>Rafael’ A.</given-names></name><name xml:lang="ru"><surname>Саркисян</surname><given-names>Рафаэль Арменович</given-names></name><name xml:lang="zh"><surname>Sarkisyan</surname><given-names>Rafael’ A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><bio xml:lang="zh"><p>student</p></bio><email>u.kol2016@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-3300-1263</contrib-id><name-alternatives><name xml:lang="en"><surname>Akhmetgaryaev</surname><given-names>Emil’ R.</given-names></name><name xml:lang="ru"><surname>Ахметгаряев</surname><given-names>Эмиль Рамильевич</given-names></name><name xml:lang="zh"><surname>Akhmetgaryaev</surname><given-names>Emil’ R.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студент</p></bio><bio xml:lang="zh"><p>student</p></bio><email>dragonice8787@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2368-1932</contrib-id><name-alternatives><name xml:lang="en"><surname>Svidinskaya</surname><given-names>Evgeniya A.</given-names></name><name xml:lang="ru"><surname>Свидинская</surname><given-names>Евгения Александровна</given-names></name><name xml:lang="zh"><surname>Svidinskaya</surname><given-names>Evgeniya A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine), Assistant Lecturer</p></bio><bio xml:lang="ru"><p>канд. мед. наук, ассистент</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine), Assistant Lecturer</p></bio><email>svidinskaya@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6603-804X</contrib-id><name-alternatives><name xml:lang="en"><surname>Ageev</surname><given-names>Mikhail B.</given-names></name><name xml:lang="ru"><surname>Агеев</surname><given-names>Михаил Борисович</given-names></name><name xml:lang="zh"><surname>Ageev</surname><given-names>Mikhail B.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine), Assistant Professor</p></bio><bio xml:lang="ru"><p>канд. мед. наук, доцент</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine), Assistant Professor</p></bio><email>mikhaageev@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет им. И.М. Сеченова</institution></aff><aff><institution xml:lang="zh">I.M. Sechenov First Moscow State Medical University</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2024-06-04" publication-format="electronic"><day>04</day><month>06</month><year>2024</year></pub-date><pub-date date-type="pub" iso-8601-date="2024-07-11" publication-format="electronic"><day>11</day><month>07</month><year>2024</year></pub-date><volume>11</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><issue-title xml:lang="zh"/><fpage>105</fpage><lpage>113</lpage><history><date date-type="received" iso-8601-date="2023-11-26"><day>26</day><month>11</month><year>2023</year></date><date date-type="accepted" iso-8601-date="2024-01-31"><day>31</day><month>01</month><year>2024</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Эко-Вектор</copyright-statement><copyright-statement xml:lang="zh">Copyright ©; 2024,</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2026-07-11"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref></license></permissions><self-uri xlink:href="https://archivog.com/2313-8726/article/view/623869">https://archivog.com/2313-8726/article/view/623869</self-uri><abstract xml:lang="en"><p>In Russia, according to Rosstat, approximately 2.5% of adolescents suffer from anorexia. In Moscow, according to 2015 data, at least 5% of young women suffered from anorexia; however, most experts believe that the true figures are much higher because only advanced cases are documented. The relevance of the problem of anorexia nervosa is associated with its potential threat to the lives of patients, eating disorders, concomitant mental diseases, and, in general, the deterioration of mental status. Despite the apparent simplicity of diagnosis, patients with advanced stages of anorexia nervosa that require long-term therapy are more likely to seek a doctor’s help. Anorexia requires a comprehensive treatment approach, including psychopharmacotherapy, psychological influence, diet therapy, therapy of somatic pathology, and concomitant complications. All these aspects of treatment must be implemented simultaneously. The key to success is the constant monitoring of therapy by a psychiatrist. Malnutrition will result in the deterioration of general health, particularly in girls with menstrual disorders, complications associated with conception and gestation, and a difficult pregnancy. Thus, this condition must be considered from the point of view of psychiatry, obstetrics, and gynecology.</p></abstract><trans-abstract xml:lang="ru"><p>В России, по данным Росстата, в 2015 г. примерно 2,5% подростков страдало анорексией, в Москве в 2015 г. анорексией страдало не менее 5% молодых женщин, но большинство специалистов считают, что истинные показатели намного выше, так как фиксируются только запущенные случаи. Актуальность проблемы нервной анорексии связана с потенциальной угрозой жизни пациентов, нарушением пищевого поведения, сопутствующими психическими заболеваниями и в целом ухудшением психического статуса больного. Несмотря на кажущуюся простоту постановки диагноза, к врачу чаще обращаются пациентки с запущенными стадиями, требующими длительной терапии.</p> <p>Лечение анорексии требует комплексного подхода, включающего психофармакотерапию, психологическое воздействие, диетотерапию, терапию соматической патологии и сопутствующих осложнений. Важно, чтобы все эти аспекты лечения проводились одновременно. Ключевой момент в достижении успеха ― постоянный контроль терапии психиатром. В результате нарушения питания пациента идёт ухудшение общего соматического состояния здоровья, вследствие чего конкретно у девушек происходят нарушения менструального цикла, осложнения, связанные с зачатием и вынашиванием плода, тяжело проходящей беременностью. В связи с этим особенно важно рассмотреть данное заболевание с точки зрения и психиатрии, и акушерства, и гинекологии.</p></trans-abstract><trans-abstract xml:lang="zh"><p>根据俄罗斯国家统计局的数据，2015年俄罗斯约有2.5%的青少年患有厌食症。在莫斯科，2015年至少有5%的年轻女性患有厌食症，但大多数专家认为真实数字要高得多，因为只有未能及时医治的病例才会被记录在案。神经性厌食症问题的紧迫性与患者的生命受到潜在威胁、饮食行为紊乱、伴随的精神疾病以及患者的精神状态普遍恶化有关。尽管表面上看诊断似乎很简单，但需要长期治疗的晚期患者更有可能会求助于医生。</p> <p>厌食症的治疗需要采取综合方法，包括精神药物疗法、心理影响、饮食疗法、躯体病理和相关并发症的治疗。重要的是，所有这些方面的治疗必须同时进行。成功的关键在于心理医生对治疗的持续监控。由于患者营养失调，全身健康状况恶化，导致月经失调、与受孕和怀孕有关的并发症以及难产。因此，从精神病学、妇产科学的角度考虑这种疾病尤为重要。</p></trans-abstract><kwd-group xml:lang="en"><kwd>anorexia nervosa</kwd><kwd>eating disorder</kwd><kwd>amenorrhea</kwd><kwd>oligomenorrhea</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>нервная анорексия</kwd><kwd>расстройство пищевого поведения</kwd><kwd>аменорея</kwd><kwd>олигоменорея</kwd></kwd-group><kwd-group xml:lang="zh"><kwd>神经性厌食症</kwd><kwd>饮食失调</kwd><kwd>闭经</kwd><kwd>月经过少</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Protocol (algorithm) for the management of patients with anorexia nervosa in a hospital setting. 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