護理師評估一位患有暴食症的病人。護理師應預期哪些發現？（選所有適合的）
The nurse is assessing a client with binge-eating disorder. Which findings should the nurse expect? (Select all that apply.)
- AEating rapidly until feeling uncomfortably full✓ 正解快速進食直至感到不適的飽脹
- BSelf-induced vomiting after meals餐後自我催吐
- CFeeling disgusted or guilty after overeating✓ 正解暴飲暴食後感到厭惡或內疚
- DEating large amounts when not hungry✓ 正解在不飢餓時攝取大量食物
- EFrequent use of laxatives or diuretics頻繁使用瀉劑或利尿劑
暴食症 (Binge-eating disorder, BED) 是一種飲食障礙，其主要特徵是反覆出現暴食發作，但與神經性暴食症（Bulimia Nervosa）不同，暴食症病人沒有規律的補償行為，如催吐、過度運動或濫用瀉劑。護理師在評估暴食症病人時，應仔細詢問其飲食模式和相關情緒反應。正確識別暴食症的臨床表現，對於制定有效的護理計畫和轉介至適當的治療方案至關重要，例如認知行為療法（Cognitive Behavioral Therapy, CBT）和營養諮詢。
Binge-eating disorder (BED) is an eating disorder characterized by recurrent episodes of binge eating, but unlike bulimia nervosa, clients with BED do not engage in regular compensatory behaviors such as self-induced vomiting, excessive exercise, or laxative abuse. When assessing a client with BED, the nurse should carefully inquire about eating patterns and associated emotional responses. Correctly identifying the clinical features of BED is critical for developing an effective nursing care plan and for referral to appropriate treatment options such as cognitive behavioral therapy (CBT) and nutritional counseling.
暴食症 (Binge-eating disorder) 的診斷標準和臨床表現，在美國精神醫學會的診斷與統計手冊 (DSM-5) 和世界衛生組織的國際疾病分類 (ICD) 中均有明確定義。台灣的臨床實務亦依循這些國際標準，因此對暴食症的評估發現並無顯著的台美差異。