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1.
Psychiatr Danub ; 32(Suppl 1): 42-46, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890361

RESUMO

INTRODUCTION: Eating and feeding disorders (EFD's) represent the psychiatric pathology with the highest mortality rate and one of the major disorders with the highest psychiatric and clinical comorbidity. The vagus nerve represents one of the main components of the sympathetic and parasympathetic nervous system and is involved in important neurophysiological functions. Previous studies have shown that vagal nerve stimulation is effective in the treatment of resistant major depression, epilepsy and anxiety disorders. In EFD's there are a spectrum of symptoms which with Transcutaneous auricular Vagus Nerve Stimulation (Ta-VNS) therapy could have a therapeutic efficacy. SUBJECTS AND METHODS: Sample subjects is composed by 15 female subjects aged 18-51. Admitted to a psychiatry community having diagnosed in according to DSM-5: anorexia nervosa (AN) (N=9), bulimia nervosa (BN) (N=5), binge eating disorder (BED) (N=1). Psychiatric comorbidities: bipolar disorder type 1 (N=4), bipolar disorder type 2 (N=6), border line disorder (N=5). The protocol included 9 weeks of Ta-VNS stimulation at a frequency of 1.5-3.5 mA for 4 hours per day. The variables detected in four different times (t0, t1, t2, t3, t4) are the following: Heart Rate Variability (HRV), Hamilton Depression Rating Scale (HAMD-HDRS-17), Body Mass Index (BMI), Beck Anxiety Index (BAI). RESULTS: Data analysis showed statistically significant differences between recording times (p>0.05) in HAM-D (t0=18.28±5.31; t4=9.14±7.15), in BAI (t0=24.7±10.99; t4=13.8±7.0) the reported values show how during (T0-T4) the treatment there are a decay of the degree in the depressive state, in the state of anxiety and an improvement in the value of BMI. In particular, the BMI in the AN-BN sub-sample had a minimum gain of 5% and a maximum of 11%. The analysis of H.R.V. did not show a significant changes among subjects thus confirming the discordance of the activity of the sympathetic and parasympathetic nervous system in EFD's. CONCLUSIONS: Although the sample does not possess a relevant value to determine long-term efficacy of Ta-VNS or on a larger number of patients, this study reports how the application of neuro-stimulation in EFD's may become an ADD-ON in therapeutic approach. Indeed, substantial improvements are highlighted in the results and confirmed hypotheses proposed by the study.


Assuntos
Transtorno da Compulsão Alimentar , Bulimia Nervosa , Transtornos da Alimentação e da Ingestão de Alimentos , Estimulação do Nervo Vago , Adolescente , Adulto , Transtorno da Compulsão Alimentar/terapia , Bulimia Nervosa/terapia , Comorbidade , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Feminino , Humanos , Pessoa de Meia-Idade , Adulto Jovem
2.
Einstein (Sao Paulo) ; 18: eAO5269, 2020.
Artigo em Português, Inglês | MEDLINE | ID: mdl-32667417

RESUMO

Objective To evaluate aspects of eating behavior, presence of non-food substance consumption and negative urgency in women from an on-line support group for eating disorders. Methods Participants (n=147) completed questionnaires for binge eating assessment, Intuitive Eating, negative urgency, cognitive restraint and a question of non-food substance consumption. Participants were separated according to criteria for bulimic symptoms and compulsive symptoms. Results The consumption of non-food substances was 4.8% (n=7). The Bulimic Group (n=61) showed higher values for binge eating (p=0.01), cognitive restraint (p=0.01) and negative urgency (p=0.01) compared with the Compulsive Group (n=86). Only the Compulsive Group showed an inverse correlation between scores for binge eating and Intuitive Eating (p=0.01). In both groups, binge eating was inversely correlated with the subscale of body-food choice congruence of Intuitive Eating scale. As expected, the Bulimic Group reached higher values for measures of disordered behaviors such as cognitive restraint and binge eating, and lower scores for Intuitive Eating. Conclusion The aspects of Intuitive Eating are inversely associated with compulsive and bulimic symptoms and the correlation analyses for binge eating and negative urgency agreed with models reported in published literature about negative urgency.


Assuntos
Transtorno da Compulsão Alimentar/psicologia , Bulimia , Comportamento Alimentar/psicologia , Pica/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos , Feminino , Humanos , Comportamento Impulsivo , Inquéritos e Questionários
3.
Psychiatr Hung ; 35(3): 307-321, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32643620

RESUMO

BACKGROUND: The transdiagnostic model provides a framework for a flexible, evidence-based cognitivebehavioral treatment for eating disorders, emphasizing low self-esteem, perfectionism, mood intolerance and inter - personal difficulties. Although attachment has a strong influence on these factors there is no treatment which focuses concurrently on both the cognitive-behavioral and the attachment-related maintaining factors underlying eating disorder symptoms. Thus, the aim was to test a short, multilevel treatment for eating disorders which integrates cognitive-behavioral and attachment interventions. CASE PRESENTATION: A 20-year-old female displayed mild binge eating disorder, anxious avoidant attachment style, critical body checking and high success-perfectionism demand. Symptom-relevant aspects of attachment were incor - porated into the personalized case model, and attachment interventions were integrated to the transdiagnostic cognitive-behavioral treatment framework. The improvement of the patient's attachment security and reflective functioning, and the decrease of social avoidance in low moods were associated with cessation of symptoms at a one month follow-up. CONCLUSIONS: When attachment dysfunctions play a part in triggering or maintaining eating disorder symptoms a multi - level treatment targeting both attachment functioning and the cognitive-behavioral factors underlying symptoms.


Assuntos
Transtorno da Compulsão Alimentar/psicologia , Transtorno da Compulsão Alimentar/terapia , Terapia Cognitivo-Comportamental , Apego ao Objeto , Feminino , Humanos , Perfeccionismo , Isolamento Social , Adulto Jovem
4.
Psychiatr Danub ; 32(1): 105-114, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32303040

RESUMO

BACKGROUND: Although there have been studies investigating emotional eating, impulsivity and anger, the relationship between differentiated eating attitudes, impulsivity and anger in atypical depression has not yet been studied. Therefore, the aim of this study was to evaluate eating attitudes, impulsivity and anger in participants with atypical and non-atypical depression and to compare their behaviours with those of the control group. Binge eating comorbidity was also investigated. The relationship between eating attitudes, impulsivity and anger was explored and the factors contributing to disordered eating attitudes were analysed. SUBJECTS AND METHODS: The participants were divided into three groups; 56 with atypical depression, 36 with non-atypical depression and 32 healthy controls for comparison. Clinical assessment was carried out using the Structured Clinical Interview for DSM-IV Axis I Disorders, Barratt Impulsiveness Scale, Multidimensional Anger Scale, Eating Attitude Test, and Hamilton Depression Scale. RESULTS: Deteriorated eating attitudes, increased anger symptoms and motor impulsivity were observed more in participants with atypical depression compared with participants with non-atypical depression. The frequency of binge eating was statistically significantly higher in participants with atypical depression (50%) than in participants with non-atypical depression (8%). A positive relationship was identified between deteriorated eating attitude, anger, and impulsivity. Behaving anxiously as a reaction to anger was found to be the significant predictor of disordered eating attitudes in participants with depression. The percentage of the variance explained by anxious behavior in disordered eating attitudes was 7%. CONCLUSION: Participants in the atypical and non-atypical depression groups can be differentiated from each other based on their eating attitudes, anger symptoms, motor impulsivity and binge eating frequency.


Assuntos
Ira , Atitude , Transtorno da Compulsão Alimentar/epidemiologia , Transtorno da Compulsão Alimentar/psicologia , Depressão/epidemiologia , Depressão/psicologia , Comportamento Impulsivo , Adolescente , Adulto , Comorbidade , Feminino , Humanos , Pessoa de Meia-Idade , Adulto Jovem
5.
Ágora (Rio J. Online) ; 23(1): 84-93, Jan.-Apr. 2020.
Artigo em Inglês | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1059207

RESUMO

Abstract: This study aims primarily to reflect on the role of symbiotic illusion in the construction of female identity in women with eating disorders (ED), using premises from psychoanalytic psychosomatics. Considering ED as psychopathologies related to the affective economy, Oedipal relations play crucial role in the process of identity constitution. Mother-daughter relationships in ED are shaped in the molds of symbiotic illusion, with weak father figures. We presented a case study to briefly illustrate the theoretical framework. The omissive posture of a father to interdict the symbiotic relation leads daughters to find themselves unable to libidinally invest in other objects.


Resumo: Este estudo teve como objetivo refletir sobre o papel da ilusão simbiótica na construção da identidade feminina em mulheres com transtornos alimentares (TAs), utilizando as premissas da psicossomática psicanalítica. Considerando-se os TAs como psicopatologias relacionadas à economia afetiva, as relações edípicas desempenham papel crucial no processo de construção de identidade. As relações mãe-filha nos TAs são moldadas pela ilusão simbiótica, com figuras paternas enfraquecidas. Nós apresentamos brevemente um estudo de caso para ilustrar os conceitos do referencial teórico. A postura omissa do pai para interditar a relação simbiótica com a mãe leva a filha à impossibilidade de investir libidinalmente em outros objetos.


Assuntos
Mulheres , Transtorno da Compulsão Alimentar , Libido
6.
Ann Epidemiol ; 45: 32-39, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32340835

RESUMO

PURPOSE: The aim of the study was to quantify the association between perceived everyday discrimination and binge eating among Latinas in the United States. METHODS: Participants included 1014 Latinas from the 2002-2003 National Latino and Asian American Study. Modified Poisson models with robust standard errors were used to estimate sociodemographic-adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) of binge eating associated with overall and attribution-specific discrimination. RESULTS: Approximately 7% of Latinas reported binge eating. Increased frequency of discrimination was associated with a higher prevalence of binge eating (aPR, 1.59; 95% CI, 1.23-2.06), and Latinas reporting frequencies of discrimination in the top tertile had the greatest prevalence elevation (aPR, 3.63; 95% CI, 1.32-10.00). There were important differences by discrimination attribution: Latinas experiencing primarily height/weight-based or skin color-based discrimination had the greatest prevalence elevation relative to those reporting no discrimination (aPR, 10.24; 95% CI, 2.95-35.51; and aPR, 8.83; 95% CI, 2.08-37.54, respectively), whereas Latinas reporting primarily race-based discrimination had the lowest prevalence elevation (aPR, 1.64; 95% CI, 0.47-5.69). CONCLUSIONS: Discrimination may be an important social determinant of Latinas' binge eating. Future research should incorporate expanded conceptual models that account for Latinas' complex social environment, focusing on intersecting dimensions of identity.


Assuntos
Transtorno da Compulsão Alimentar/psicologia , Bulimia/psicologia , Hispano-Americanos/psicologia , Obesidade/psicologia , Racismo/psicologia , Discriminação Social/psicologia , Aculturação , Adulto , Transtorno da Compulsão Alimentar/complicações , Índice de Massa Corporal , Peso Corporal , Bulimia/etnologia , Feminino , Disparidades nos Níveis de Saúde , Hispano-Americanos/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Características de Residência , Discriminação Social/etnologia , Meio Social , Estados Unidos/epidemiologia
7.
Rev Med Suisse ; 16(691): 769-772, 2020 Apr 22.
Artigo em Francês | MEDLINE | ID: mdl-32320151

RESUMO

Binge eating disorder (BED) is associated with obesity and a quarter of adolescents with weight excess may suffer from the complete or a partial form of this disorder. A systematic screening for BED should be performed in this population as non-identification will complicate the patient's management. A short screening tool, -named ADO-BEDs, was specifically developed for these adolescents. This latter tool appears to be useful to guide the medical consul-tation. As such, the health professional will be able to refer the -patient for further evaluation in case of BED suspicion. Health -professionals should be aware that body dissatisfaction or teasing triggered by the adolescent's body are not an incentive to lose weight and increase the risk of eating disorders. Therefore, negative comments should be avoided in consultation.


Assuntos
Transtorno da Compulsão Alimentar/complicações , Transtorno da Compulsão Alimentar/diagnóstico , Obesidade/complicações , Adolescente , Transtorno da Compulsão Alimentar/psicologia , Transtorno da Compulsão Alimentar/terapia , Imagem Corporal/psicologia , Humanos , Obesidade/psicologia , Obesidade/terapia , Sobrepeso/complicações , Sobrepeso/psicologia , Sobrepeso/terapia , Risco , Perda de Peso
10.
Am J Psychiatry ; 177(2): 134-142, 2020 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-32008396

RESUMO

OBJECTIVE: Cognitive-behavioral therapy (CBT) has shown efficacy in the treatment of eating disorders. The authors conducted a randomized controlled telemedicine trial of CBT-guided self-help (CBT-GSH) assisted with a smartphone app, Noom Monitor, for binge eating with or without purging. They hypothesized that coach-delivered CBT-GSH telemedicine sessions plus Noom Monitor would yield greater reductions in symptoms of binge eating, purging, and eating disorders compared with standard care. METHODS: Fifty-two-week outcomes for CBT-GSH plus Noom Monitor (N=114) were compared with outcomes for standard care (N=111) among members of an integrated health care system in the Pacific Northwest. Patients in the health system who met inclusion criteria were ≥18 years old, had a body mass index ≥18.5, met criteria for DSM-5 binge eating disorder or bulimia nervosa, had 12 months of continuous health care enrollment in Kaiser Permanente Northwest, and had a personal smartphone. Participants received eight CBT-GSH telemedicine sessions over 12 weeks administered by health coaches, and outcomes were assessed at baseline and at weeks 4, 8, 12, 26, and 52. The use of available treatment offered within the Kaiser Permanente health care system was permitted for participants assigned to standard care. RESULTS: Participants who received CBT-GSH plus Noom Monitor reported significant reductions in objective binge-eating days (ß=-0.66, 95% CI=-1.06, -0.25; Cohen's d=-1.46, 95% CI=-4.63, -1.09) and achieved higher rates of remission (56.7% compared with 30%; number needed to treat=3.74) at 52 weeks compared with participants in standard care, none of whom received any eating disorder treatment during the intervention period (baseline and weeks 1-12). Similar patterns emerged for compensatory behaviors (vomiting, use of laxatives, and excessive exercise; 76.3% compared with 56.8%; number needed to treat=5.11), eating disorder symptoms (body shape, weight, eating concerns, and dietary restraint), and clinical impairment (Cohen's d=-10.07, -2.15). CONCLUSIONS: These results suggest that CBT-GSH plus Noom Monitor delivered via telemedicine by routine-practice health coaches in a nonacademic health care system yields reductions in symptoms and impairment over 52 weeks compared with standard care.


Assuntos
Transtorno da Compulsão Alimentar/terapia , Terapia Cognitivo-Comportamental , Smartphone , Telemedicina/métodos , Adolescente , Adulto , Feminino , Humanos , Masculino , Tutoria , Pessoa de Meia-Idade , Adulto Jovem
14.
Am J Psychother ; 73(2): 43-49, 2020 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-32050783

RESUMO

OBJECTIVE: Adolescent military dependents may be at higher risk for psychosocial stressors and disordered eating compared with civilian youths, but the mechanisms underlying these risks are unclear. Interpersonal theory proposes that difficult relationships lead to negative affect, thereby promoting emotional eating, which has been linked to and predictive of disordered eating. The interpersonal model may have particular relevance for understanding disordered eating among adolescent military dependents, given the unique stressors related to their parents' careers. This study aimed to examine the premise of the interpersonal model (that negative emotions mediate the association between multiple aspects of social functioning and emotional eating) among a cohort of adolescent military dependents. METHODS: Military dependents (N=136; 56% female, mean±SD age=14±2 years, body mass index adjusted for age and sex [BMIz]=2.0±0.4) at risk for adult obesity and binge eating disorder, as indicated by reported loss-of-control eating and/or anxiety symptoms, were assessed prior to participation in a study of excess weight-gain prevention. Bootstrapped mediation analyses were conducted to examine depressive symptoms as a potential mediator of the relationship between social functioning and emotional eating. Analyses were adjusted for age, sex, race-ethnicity, BMIz, and presence of reported loss-of-control eating and anxiety. RESULTS: Depressive symptoms were a significant mediator of the relationship between multiple domains of social functioning, including loneliness, social adjustment related to family and friends, attachment to father and peers, and emotional eating (p<0.05). CONCLUSIONS: The interpersonal model may contribute to our understanding of excess weight gain and binge eating disorder among adolescent military dependents. Prospective data are needed to determine the utility of interpersonal theory in predicting treatment response and outcomes among this population.


Assuntos
Transtorno da Compulsão Alimentar , Relações Interpessoais , Militares , Modelos Psicológicos , Obesidade , Adolescente , Adulto , Feminino , Humanos , Masculino , Obesidade/epidemiologia , Estudos Prospectivos , Ganho de Peso
15.
J Consult Clin Psychol ; 88(2): 172-178, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31894997

RESUMO

OBJECTIVE: To test the validity and clinical utility of the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) severity specifiers for binge-eating disorder (BED) in predicting treatment outcomes. METHOD: Participants (N = 521) were patients in randomized controlled trials (RCTs) at 1 medical center testing treatments for BED; data were aggregated from RCTs testing cognitive-behavioral therapy (CBT), behavioral weight loss (BWL), and/or multimodal (i.e., CBT or BWL plus pharmacotherapy) treatment. Participants were categorized according to DSM-5 severity specifiers for BED: "mild" (n = 273; 52.5%), "moderate" (n = 182; 34.9%), and "severe/extreme" (n = 58; 11.1%). Participants had their weight and height measured and were assessed using established interviews and self-report measures at baseline, throughout treatment, and post treatment. RESULTS: Mixed models revealed that severity category did not significantly predict treatment response. However, there were main effects of BED severity category: "Severe/extreme" BED had greater binge-eating frequency and had greater global eating-disorder psychopathology than did "mild" BED across all time points. "Severe/extreme" BED was less likely to have remission from binge eating than was "mild" BED. Weight loss and depression scores did not significantly differ by severity category. CONCLUSION: In a large series of treatment-seeking individuals with BED aggregated across RCTs at 1 medical center testing psychological and pharmacological treatments for BED, DSM-5 severity specifiers for BED had limited validity and utility predicting response to treatments. Future research is needed to identify more robust severity indicators with clinical utility to inform future DSM revisions and clinical practice. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
Transtorno da Compulsão Alimentar/terapia , Terapia Cognitivo-Comportamental , Adolescente , Adulto , Idoso , Transtorno da Compulsão Alimentar/diagnóstico , Transtorno da Compulsão Alimentar/psicologia , Peso Corporal , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento , Perda de Peso , Adulto Jovem
16.
Lancet Child Adolesc Health ; 4(3): 210-219, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31978372

RESUMO

BACKGROUND: Mental health problems are prevalent among adolescents with severe obesity, but long-term mental health outcomes after adolescent bariatric surgery are not well known. We aimed to assess mental health outcomes over 5 years of follow-up after Roux-en-Y gastric bypass surgery in adolescents who participated in the Adolescent Morbid Obesity Surgery (AMOS) study. METHODS: This was a non-randomised matched-control study in adolescents aged 13-18 years who had a BMI of 40 kg/m2 or higher, or 35 kg/m2 or higher in addition to obesity-related comorbidity; who had previously undergone failed comprehensive conservative treatment; and were of pubertal Tanner stage III or higher, with height growth velocity beyond peak. A contemporary control group, matched for BMI, age, and sex, who underwent conventional obesity treatment, was obtained from the Swedish Childhood Obesity Treatment Register. Data on dispensed psychiatric drugs and specialist treatment for mental disorders were retrieved from national registers with complete coverage. In the surgical group only, questionnaires were used to assess self-esteem (Rosenberg Self-Esteem [RSE] score), mood (Mood Adjective Checklist [MACL]), and eating patterns (Binge Eating Scale [BES] and Three-Factor Eating Questionnaire-R21 [TFEQ]). This study is registered with ClinicalTrials.gov (NCT00289705). FINDINGS: Between April 10, 2006, and May 20, 2009, 81 adolescents (53 [65%] female) underwent Roux-en-Y gastric bypass surgery, and 80 control participants received conventional treatment. The proportion of participants prescribed psychiatric drugs did not differ between groups in the years before study inclusion (pre-baseline; absolute risk difference 5% [95% CI -7 to 16], p=0·4263) or after intervention (10% [-6 to 24], p=0·2175). Treatment for mental and behavioural disorders did not differ between groups before baseline (2% [-10 to 14], p=0·7135); however, adolescents in the surgical group had more specialised psychiatric treatment in the 5 years after obesity treatment than did the control group (15% [1 to 28], p=0·0410). There were few patients who discontinued psychiatric treatment post-surgery (three [4%] receiving psychiatric drug treatment and six [7%] receiving specialised care for a mental disorder before surgery). In the surgical group, self-esteem (RSE score) was improved after 5 years (mixed model mean 21·6 [95% CI 19·9 to 23·4]) relative to baseline (18·9 [17·4 to 20·4], p=0·0059), but overall mood (MACL score) was not (2·8 [2·7 to 2·9] at 5 years vs 2·7 [2·6 to 2·8] at baseline, p=0·0737). Binge eating was improved at 5 years (9·3 [7·4 to 11·2]) relative to baseline (15·0 [13·5 to 16·5], p<0·0001). Relative changes in BMI were not associated with the presence or absence of binge eating at baseline. INTERPRETATION: Mental health problems persist in adolescents 5 years after bariatric surgery despite substantial weight loss. Although bariatric surgery can improve many aspects of health, alleviation of mental health problems should not be expected, and a multidisciplinary bariatric team should offer long-term mental health support after surgery. FUNDING: Swedish Research Council, VINNOVA, Västra Götalandsregionen, ALF VG-region, Region Stockholm, Swedish Child Diabetes Foundation, Swedish Heart and Lung Foundation, Tore Nilsson's Foundation, SUS Foundations and Donations, Capio Research Foundation, and Mary von Sydow's Foundation.


Assuntos
Cirurgia Bariátrica/psicologia , Transtorno da Compulsão Alimentar/psicologia , Obesidade Mórbida/psicologia , Adolescente , Transtorno da Compulsão Alimentar/complicações , Estudos de Casos e Controles , Feminino , Humanos , Estudos Longitudinais , Masculino , Obesidade Mórbida/complicações , Obesidade Mórbida/cirurgia , Sistema de Registros , Autoeficácia , Autorrelato
17.
Int J Eat Disord ; 53(3): 442-450, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31905249

RESUMO

OBJECTIVES: This prospective study investigated the link between weight-related self-stigma and binge eating by (a) examining the temporal association between weight-related self-stigma and binge eating; (b) investigating the mediating role of food addiction in the association between weight-related self-stigma and binge eating; and (c) examining the mediating role of psychological distress in the association between weight-related self-stigma and binge eating. METHOD: Participants comprised 1,497 adolescents (mean = 15.1 years; SD = 6.0). Body mass index and weight bias were assessed at baseline; psychological distress (i.e., depression, anxiety, and stress) assessed and food addiction at 3 months; and binge eating at 6 months. The mediation model was analyzed using Model 4 in the PROCESS macro for SPSS with 10,000 bootstrapping resamples. RESULTS: There was no significant direct association between weight-related self-stigma and binge eating. However, food addiction and psychological distress significantly mediated the association between weight-related self-stigma and binge eating. DISCUSSION: These findings highlight the indirect association between weight-related self-stigma and binge eating via food addiction and psychological distress. Consequently, intervention programs targeting food addiction and psychological distress among adolescents may have significant positive effects on outcomes for weight-related self-stigma and binge eating. The findings will be beneficial to researchers and healthcare professionals working with adolescents during this critical developmental period.


Assuntos
Transtorno da Compulsão Alimentar/psicologia , Comportamento Alimentar/psicologia , Dependência de Alimentos/psicologia , Angústia Psicológica , Estigma Social , Adolescente , Feminino , Humanos , Masculino , Estudos Prospectivos , Inquéritos e Questionários
18.
Rev. enferm. UFPE on line ; 14: [1-9], 2020. ilus, tab, graf
Artigo em Português | BDENF - Enfermagem | ID: biblio-1102770

RESUMO

Objetivo: avaliar, em universitárias da área da saúde, indícios de transtornos alimentares, satisfação com a imagem corporal e influência da mídia. Método: trata-se de um estudo quantitativo, descritivo, transversal, observacional, com 61 universitárias, com idade superior ou igual aos 20 anos de idade, aplicando-se os questionários Eating Atitudes Test, Body Shape Questionnaire, questionário de Teste de Imagem Corporal, Atitudes Socioculturais em Relação à Aparência, Escala de Compulsão Alimentar Periódica e dados antropométricos. Realizou-se a análise descritiva das variáveis. Resultados: observou-se que, das 45 universitárias, a maioria apresentou Índice de Massa Corporal adequado; 26,7% apresentaram indícios de transtornos alimentares; 4,4%, insatisfação corporal grave e a influência da mídia e a compulsão alimentar periódica apresentaram-se em 2,2% do total da amostra estudada. Conclusão: entende-se que o diagnóstico precoce desses distúrbios, assim como de suas complicações clínicas, nem sempre é possível. Torna-se essencial que o tratamento das complicações seja realizado de maneira concomitante ao acompanhamento psicoterápico e nutricional.(AU)


Objective: to evaluate, in university students in the health field, signs of eating disorders, satisfaction with body image and media influence. Method: this is a quantitative, descriptive, cross-sectional, observational study, with 61 university students, aged 20 years or over, using the Eating Attitudes Test, Body Shape Questionnaire, Body Image Test questionnaire , Sociocultural Attitudes Toward Appearance, Periodic Eating Compulsion Scale and anthropometric data. Descriptive analysis of the variables was carried out. Results: it was observed that, of the 45 university students most had an adequate Body Mass Index; 26.7% showed signs of eating disorders; 4.4%, severe body dissatisfaction and the influence of the media and binge eating were 2.2% of the total sample studied. Conclusion: it is understood that the early diagnosis of these disorders, as well as their clinical complications, is not always possible. It is essential that the treatment of complications is carried out concurrently with psychotherapeutic and nutritional monitoring.(AU)


Objetivo: evaluar, en estudiantes universitarias en el campo de la salud, signos de trastornos alimentarios, satisfacción con la imagen corporal e influencia de los medios. Método: este es un estudio cuantitativo, descriptivo, transversal, observacional, con 61 estudiantes universitarias, de 20 años o más, utilizando el Test de Actitudes Alimentarias, el Cuestionario de Forma Corporal, el cuestionario del Test de Imagen Corporal, Actitudes socioculturales hacia la apariencia, Escala de compulsión alimentaria periódica y datos antropométricos. Se realizó un análisis descriptivo de las variables. Resultados: se observó que, de las 45 estudiantes universitarias, la mayoría tenía un Índice de Masa Corporal adecuado; 26.7% mostró signos de trastornos alimentarios; 4.4%, la insatisfacción corporal severa y la influencia de los medios de comunicación y los atracones fueron 2.2% de la muestra total estudiada. Conclusión: se entiende que el diagnóstico temprano de estos trastornos, así como sus complicaciones clínicas, no siempre es posible. Es esencial que el tratamiento de las complicaciones se realice simultáneamente con el monitoreo psicoterapéutico y nutricional.


Assuntos
Humanos , Feminino , Adulto , Estudantes de Ciências da Saúde , Mulheres , Imagem Corporal , Anorexia Nervosa , Transtornos da Alimentação e da Ingestão de Alimentos , Educação Superior , Bulimia Nervosa , Transtorno da Compulsão Alimentar , Insatisfação Corporal , Meios de Comunicação de Massa , Epidemiologia Descritiva , Estudos Transversais
19.
Int J Eat Disord ; 53(3): 412-421, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31845390

RESUMO

BACKGROUND: Low emotion differentiation (the tendency to experience vague affective states rather than discrete emotions) is associated with psychopathology marked by emotion regulation deficits and impulsive/maladaptive behavior. However, research examining associations between emotion differentiation and dysregulated eating is nascent and has yet to incorporate measures of clinically significant binge eating. Different measures of emotion differentiation have also been used, impeding cross-study comparisons. We therefore examined associations between several emotion differentiation measures and binge eating-related phenotypes across a spectrum of severity. METHODS: Women (N = 482) from the Michigan State University Twin Registry completed the Positive and Negative Affect Schedule (PANAS) daily for 45 consecutive days. Three measures of negative/positive emotion differentiation (NED/PED) were created using the intraclass correlation coefficient (ICC), average interitem correlation, and average daily variance between negative/positive emotion ratings on the PANAS. Associations between NED/PED measures and emotional eating (EE) and a history of binge eating episodes (BEs) were then examined, controlling for affect intensity and BMI. RESULTS: Lower PED was associated with greater odds of BEs across the ICC and average interitem correlation measures, and more EE on the daily variance measure. Findings involving NED were less consistent; lower NED was associated with greater EE and greater odds of BEs using the daily variance measure only. CONCLUSION: Low PED is associated with clinically significant binge eating, and some aspects of NED may also be relevant for binge eating-related phenotypes. Further research examining the constructs captured by different emotion differentiation measures and their relevance to binge eating is needed.


Assuntos
Transtorno da Compulsão Alimentar/psicologia , Emoções/fisiologia , Adolescente , Adulto , Feminino , Humanos , Adulto Jovem
20.
Int J Eat Disord ; 53(3): 478-488, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-31868249

RESUMO

OBJECTIVE: Binge eating is characterized by episodes of uncontrolled eating, within discrete periods of time. Although it is usually described in obese individuals or as a symptom of Binge Eating Disorder (BED), this behavior can also occur in the normal-weight (NW) population. An interesting premise suggests that impulsivity might contribute to the onset of binge eating and the progression toward weight gain. Drawing upon this evidence, here we explored impulsivity in NW individuals reporting binge-eating episodes through a functional connectivity approach. We hypothesized that, even in the absence of an eating disorder, NW binge eaters would be characterized by connectivity pattern changes in corticostriatal regions implicated in impulsivity, similarly to the results described in BED individuals. METHODS: A resting-state functional magnetic resonance imaging study tested 39 NW men and women, with and without binge eating (binge eaters, BE and non-BE). Brain functional connectivity was explored by means of graph theoretic centrality measures and traditional seed-based analysis; trait impulsivity was assessed with self-report questionnaires. RESULTS: The BE group was characterized by a higher degree of trait impulsivity. Brain functional connectivity measures revealed lower degree centrality within the right middle frontal gyrus, left insula/putamen and left temporoparietal regions and a lower functional connectivity between the right middle frontal gyrus and right insula in the BE group. DISCUSSION: The results support previous evidence on BED of altered functional connectivity and higher impulsivity at the roots of overeating behavior, but further extend this concept excluding any potential confounding effect exerted by the weight status.


Assuntos
Transtorno da Compulsão Alimentar/psicologia , Comportamento Impulsivo/fisiologia , Imagem por Ressonância Magnética/métodos , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
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