RESUMO
INTRODUCTION: Eating disorders (EDs) are complex conditions of multifactorial origin. Their main characteristic is excessive concern about body weight and shape, which causes great discomfort and physical problems and leads to a decrease in quality of life and alterations in the patient's functionality social environment. The objective of this study is to describe the emotional and behavioural symptoms of adolescents who consult a specialised ED programme in the city of Bogota. METHODS: Observational, descriptive, cross-sectional study, for which patients between 11 and 19 years old with an ED diagnosis were recruited. RESULTS: Forty patients with an ED diagnosis were included, of which 92% were female. The mean age of the patients was 16.6±1.9 years; 57% of patients live in a two-parent home and 30% in a single-parent home; 72% of the sample had excellent academic performance; 50% were moderately ill; 60% received pharmacological management with SSRIs; 65% of patients met clinical criteria for anxiety disorder, 30% for depressive disorder; 22.5% had aggression problems; 17.5% criminal behaviour; 72.5% of the sample met clinical criteria for internalising symptoms and 42.5% for externalising symptoms, the majority being patients with a diagnosis of bulimia nervosa. CONCLUSIONS: Patients with bulimia nervosa obtained higher scores in the different emotional and behavioural symptoms than those with other eating disorders. This condition is associated with greater psychopathology, which must be examined rigorously at the time of clinical care, seeking to reduce the functional impact that these symptoms generate on the individual.
Assuntos
Bulimia Nervosa , Transtornos da Alimentação e da Ingestão de Alimentos , Adolescente , Humanos , Feminino , Criança , Adulto Jovem , Adulto , Masculino , Qualidade de Vida , Estudos Transversais , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Bulimia Nervosa/diagnóstico , Bulimia Nervosa/psicologia , EmoçõesRESUMO
INTRODUCTION: Eating disorders (EDs) are complex conditions of multifactorial origin. Their main characteristic is excessive concern about body weight and shape, which causes great discomfort and physical problems and leads to a decrease in quality of life and alterations in the patient's functionality social environment. The objective of this study is to describe the emotional and behavioural symptoms of adolescents who consult a specialised ED programme in the city of Bogota. METHODS: Observational, descriptive, cross-sectional study, for which patients between 11 and 19 years old with an ED diagnosis were recruited. RESULTS: Forty patients with an ED diagnosis were included, of which 92% were female. The mean age of the patients was 16.6±1.9 years; 57% of patients live in a two-parent home and 30% in a single-parent home; 72% of the sample had excellent academic performance; 50% were moderately ill; 60% received pharmacological management with SSRIs; 65% of patients met clinical criteria for anxiety disorder, 30% for depressive disorder; 22.5% had aggression problems; 17.5% criminal behaviour; 72.5% of the sample met clinical criteria for internalising symptoms and 42.5% for externalising symptoms, the majority being patients with a diagnosis of bulimia nervosa. CONCLUSIONS: Patients with bulimia nervosa obtained higher scores in the different emotional and behavioural symptoms than those with other eating disorders. This condition is associated with greater psychopathology, which must be examined rigorously at the time of clinical care, seeking to reduce the functional impact that these symptoms generate on the individual.
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Introducción: Este artículo presenta una revisión que expone los modelos explicativos e interpretativos de los procesos mentales que conllevan los juicios morales en el ámbito de la bioética. Métodos: Una investigación de carácter documental de las recientes teorías del desarrollo ético, organizada y sistematizada en las categorías que relacionan los diferentes modelos interpretativos de desarrollo ético. Resultados: Se encontraron en la bioética, las psicologías sociales y evolucionistas y la neurótica, nuevas teorías explicativas del desarrollo ético, en las cuales se enfatiza el componente emocional y situacional del individuo y su fundamentación neurofisiológica. Conclusiones: En la literatura analizada se consideraron los referentes teóricos que fundamentan el proceso de desarrollo moral; además, se postula la necesidad de trabajar en un modelo narrativo desde la bioética, centrado en particularidades del individuo o la comunidad...
Introduction: This article presents a review of interpretive models that explain mental processes involved in moral judgments in the field of bioethics. Method: We conducted a documentary research of recent theories of ethical development, organizing and systematizing them into categories that relate different interpretive models of ethical development. Results: We found in bioethics, social and evolutionary psychology, and neuroethics, new explanatory theories of ethical development that emphasize the emotional and situational component of the individual together with its neurophysiological basis. Conclusions: The analyzed literature examines the theoretical framework that provides the foundation for the moral development process...
Assuntos
Bioética , Processos Mentais , Responsabilidade SocialRESUMO
Este es un estudio descriptivo donde se analizaron variables epidemiológicas como son edad, sexo, nivel de escolaridad, composición familiar, diagnósticos psicosociales, enfermedades o limitaciones físicas, y se correlacionaron con los diagnósticos psiquiátricos recibidos por 482 niños que asistieron a consulta de psiquiatría infantil y a quienes se les practicó evaluación mediante entrevista semiestructurada. Los resultados coinciden en su mayoría con las tendencias mostradas en estudios internacionales, excepto en lo relacionado a los cuadros psicopatológicos asociados al tamaño de la familia y el orden de los hijos en el hogar. Los hallazgos confirman la importancia de los factores psicosociales en los trastornos psiquiátricos del niño y del adolescente...
This is a descriptive study where epidemiological variables such as age, sex, schooling level, family structure, psychosocial diagnosis, physical illness or limitations were correlated with a psychiatric diagnosis in 482 children who attended a child psychiatric service where they were evaluated with a semistructured interview. Results are simílar to those tendencies shown in the literature except in the cases of psychiatric disorders associated with the family size and ordinal positíon of the child. These results confirm the importance of psychosocial factors in psychiatric disorders in childhood and adolescence...
