Obesidad, aspectos psicológicos / No disponible

El objetivo del trabajo es describir algunas característicaspsicológicas de los pacientes que consultaronen nuestro servicio (Servicio de Psiquiatría del HospitalItaliano de Buenos Aires). En nuestra muestra (74pacientes) se destacan síntomas de ansiedad y depresión,indicadores de debilidad yoica, inhibición dedescargas, dependencia en los vínculos y rendimientono acorde con sus recursos. Consideramos necesarioincluir estos aspectos en el abordaje integral, multidisciplinariode este prevalente problema de la saludpública(AU)

The objective was to describe some features of obesepatients that consulted at our Department. In our sample(74 patients), anxiety and depression symptoms standout and patients show characteristics of ego- weakness,emotions constriction, dependent attachment and a nonappropriateperformance to self resources. It would benecessary to consider these aspects into the multidisciplinaryapproach of the pathology(AU)

Evaluación de pesadillas en un hospital general / Tittle

Objetivo: Evaluar la frecuencia de pesadillas en pacientes sin antecedentes psiquiátricos internados en un hospital general comparada con pacientes que consultan ambulatoriamente en el servicio de psiquiatría del mismo hospital. Material y Método: Se entrevistaron 50 pacientes internados sin antecedentes psiquiátricos previos (grupo I) y 100 pacientes psiquiátricos ambulatorios (grupo II). En el grupo I se interrogó sobre la presencia de pesadillas durante la internación y en el grupo II durante los dos meses previos a la consulta. Resultados: Pesadillas grupo I: 16%, grupo II: 31%. Pesadillas en grupo I: 25% de pacientes internados en cirugía, 25% en terapia intensiva, 20% en oncología y 6% en clínica médica. Pesadillas en grupo II: 50% de pacientes con trastornos alimentarios, 35% trastornos depresivos, 29% con diagnóstico de VIH, 29% con trastorno adaptativo, 26% evaluados para cirugía por obesidad y 20 % trastorno de ansiedad. Conclusiones: Los pacientes con trastornos psiquiátricos padecen pesadillas con mayor frecuencia que los pacientes internados. Es importante su investigación ya que si no se trata puede ocasionar malestar significativo

Objective: To evaluate the frequency of nightmares in inpatients without psychiatric antecedents at a general hospital compared with outpatients that consulted at the psychiatric department of the same hospital. Material and Method: 50 inpatients without psychiatric antecedents (group I) and 100 outpatients (group II) were interviewed. The presence of nightmares were asked during the admission in group I and during the previous two months of the consultation in group II. Results: Nightmares, group I: 16%, group II: 31%. Nightmares in group I: 25% surgery inpatients, 25% intensive care inpatients, 20% oncology inpatients and 6% general medicine inpatients. Nightmares in group II: 50% patients with eating disorders, 35% depressive disorders, 29% with AIDS diagnosis, 29 % adjustment disorder, 26% evaluated for obesity surgery and 20% anxiety disorder. Conclusions: Psychiatric patients have nightmares more frequently than inpatients. Nightmares research is important since, if they are not treated, they may cause significant discomfort

Antecedentes traumáticos infantiles. Su repercusión / Childhood trauma. Its effects

Objetivo: Evaluar la frecuencia de ASI (abuso sexual infantil) y de VF (violencia familiar) en pacientes que consultaron en el Centro de Trastornos de la Conducta Alimentaria del Hospital Italiano de Buenos Aires. Método: 440 pacientes fueron entrevistados y diagnosticados según DSM IV. Resultados: 340 pacientes reunieron criterios de inclusión para un trastorno de la conducta alimentaria, constituyendo el grupo I. Los restantes 100 pacientes, grupo 11, presentaron otros trastornos psiquiátricos. En el grupo I el 13,2% tuvieron antecedentes de ASI y el 23,5% de VF. Ambos antecedentes fueron más frecuentes en las pacientes con bulimia nerviosa. En el grupo 11 la frecuencia de ASI fue del 5% y de VF del 14%. Conclusiones: Las experiencias traumáticas infantiles pueden incrementar la vulnerabilidad a padecer un trastorno de la conducta alimentaria especialmente bulimia nerviosa

Objective: To evaluate the frequency of Childhood Sexual Abuse (CSA) and Family Violence (FV) in patients that consulted the Eating Disorders Department at the Hospital Italiano of Buenos Aires. Method: 440 patients were interviewed and diagnosed according to the DSM IV criteria. Results: 340 patients met diagnostic criteria for eating disorders constituted group I. The remaining 100 patients, group 11, had other psychiatric disorders. In group 1, 13.2% had a history of CSA and 23.5% of V.F. Both were more frequent in bulimic patients. In group 11 the frequency of CSA was 5% and FV 14%. Conclusions: The childhood traumatic experiences may increase the vulnerability to suffer from eating disorders, specialIy bulimia nervosa

Some features of mothers of patients with eating disorders.

The aim of this study was to compare some of the characteristics of 50 mothers of patients with an eating disorder (ED) with those of a control group of 30 mothers of non-consulting adolescents. In comparison with the control group, the patients' mothers had higher scores for the bulimic factor of the Eating Attitudes Test-26, more frequent binge eating episodes, more eating disorder symptoms, more depression episodes, a higher incidence of bottle-fed daughters, provoked abortions and poor mother-daughter relationships with their own mothers. We recommend one-to-one diagnostic interviews with patients' mothers at the beginning of consultations.

Interdisciplinary team for the treatment of eating disorders.

Eating disorders are pathologies with a complex, multifactorial etiopathogenesis. Their treatment requires an interdisciplinary team. This paper discusses some characteristics and the most common difficulties encountered by such a team (multiple transfers, concealed alliances, role inversion, dissociation). Since their task that is carried out with patients in a critical situation and conflicting families, the team members are exposed to stressing conditions (illustrated by their dreams), and faced with possibilities of withdrawal and/or burn-out.