文摘
According to the Robert Koch Institute’s Children and Youth Health Survey (KiGGS), 54.5% of normal-weight girls believe that they are overweight, whereas every third girl between 14 and 17 years of age has evidence of an eating disorder. The disciplined effort of starving replaces the patient’s control over her own life; the body can become the venue of inner conflicts taking on a high degree of bizarre ritualization. Gynecological problems such as amenorrhea often lead young women who have eating disorders to consult a gynecologist relatively early. Due to the consultation ambivalence of the young women concerned and the resulting helplessness of the physician, the results of these consultations are often unsatisfactory. In this article, the psychosomatic foundations to competently deal with these young patients, important aspects regarding gynecology, and the possibilities to prevent eating disorders are presented.