Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 15.489
Filtrar
1.
Ann Behav Med ; 54(10): 738-746, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-32909031

RESUMO

BACKGROUND: Weight stigma is common for people with obesity and harmful to health. Links between obesity and complications from COVID-19 have been identified, but it is unknown whether weight stigma poses adverse health implications during this pandemic. PURPOSE: We examined longitudinal associations between prepandemic experiences of weight stigma and eating behaviors, psychological distress, and physical activity during the COVID-19 pandemic in a diverse sample of emerging adults. METHODS: Participants (N = 584, 64% female, mean age = 24.6 ± 2.0 years, mean body mass index [BMI] = 28.2) in the COVID-19 Eating and Activity over Time (C-EAT) study were cohort members of the population-based longitudinal study EAT 2010-2018. Weight stigma reported by participants in 2018 was examined as a predictor of binge eating, eating to cope, physical activity, depressive symptoms, and stress during COVID-19. Data were collected via online surveys during the U.S. outbreak of COVID-19 in 2020. RESULTS: Prepandemic experiences of weight stigma predicted higher levels of depressive symptoms (ß = 0.15, p < .001), stress (ß = 0.15, p = .001), eating as a coping strategy (ß = 0.16, p < .001), and an increased likelihood of binge eating (odds ratio = 2.88, p < .001) among young adults during the COVID-19 pandemic but were unrelated to physical activity. Although associations remained after accounting for demographic characteristics and BMI, the magnitude of longitudinal associations was attenuated after adjusting for prior levels of the outcome variables. CONCLUSIONS: Young adults who have experienced weight stigma may have increased vulnerability to distress and maladaptive eating during this pandemic. Public health messaging could be improved to support people of diverse body sizes and reduce the harmful consequences of weight stigma.


Assuntos
Peso Corporal , Infecções por Coronavirus/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Pneumonia Viral/psicologia , Angústia Psicológica , Estigma Social , Betacoronavirus , Exercício Físico/psicologia , Feminino , Humanos , Estudos Longitudinais , Masculino , Obesidade/psicologia , Pandemias , Adulto Jovem
2.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(6): 657-664, 2020 Jun 28.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-32879122

RESUMO

OBJECTIVES: The epidemic of coronavirus disease 2019 (COVID-19) brought psychological stress to the public, especially to patients. This study aims to investigate the mental health of patients with COVID-19 in Changsha. METHODS: We took cross-section investigation for the mental health of 112 patients with COVID-19 via questionnaires. Mann-Whitney U test, Chi-square test, and Fisher's exact test were performed to compare general and clinical data between the slight-ordinary patients and severe patients. Single sample t-tests were used to compare the difference between the factor scores of the Symptom Check-List 90 (SCL-90) in COVID-19 patients with the norm of 2015 and factor scores of SCL-90 in patients with the severe acute respiratory syndrome (SARS). RESULTS: The obsessive-compulsive, depression, sleep and eating disorders had the highest frequency among the positive symptoms of SCL-90 in patients with COVID-19 in Changsha. The factor scores of somatization, depression, anxiety, phobia anxiety, sleep and eating disorders in patients with COVID-19 were higher than those of the norm (P≤0.001 or P<0.05). Slight-ordinary patients with COVID-19 in Changsha showed lower factor scores of somatization, depression, anxiety, and hostility compared with the patients with SARS (P<0.001 or P<0.05). There was no difference in factor scores of SCL-90 between the patients with severe COVID-19 and those with SARS(P>0.05). CONCLUSIONS: The levels of somatization, depression, anxiety, phobia anxiety, sleep and eating disorders in patients with COVID-19 in Changsha are higher than those of the norm. However, the mental health of slight-ordinary patients with COVID-19 is better than that of patients with SARS. It needs to provide targeting psychological interventions depending on the severity of patients.


Assuntos
Infecções por Coronavirus/psicologia , Nível de Saúde , Saúde Mental , Pneumonia Viral/psicologia , Ansiedade , Betacoronavirus , China , Depressão , Transtornos da Alimentação e da Ingestão de Alimentos , Humanos , Pandemias , Transtornos do Sono-Vigília , Inquéritos e Questionários
3.
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
4.
Psychiatr Danub ; 32(Suppl 1): 83-87, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890369

RESUMO

The morphological transformations that occur during adolescence with rapid rhythm have an unprecedented psychological resonance and it is of fundamental importance to understand the way in which they are lived, perceived and elaborated.These fast body changes and the related social pressures make young people paying more attention to their physical appearance. Among the changes that the adolescent must face are: accepting their own body, acquiring a social role, establishing new relationships with peers,achieving emotional independence from parents. All of this is not always easy and many times they face a so difficult path that can produce the onset of some mental pathologies. Typical disorders that adolescents can face are the ones related to food. In these pathologies there is an isolation of the soul which corresponds to an alienation from the body: what remains in this loneliness is the gap between the idealized body and the objectified body. In this process of identity determination the idealized body is not able to relate to the real body (Cuzzolaro 2017). The dimension of their own body and the ability to meet the other bodies in the world are compromised; the only possible knowledge is represented by the impoverishment of their own subjectivity and by the attempt to recover it at an abstract level. Adolescents live in a condition of temporal suspension: the future is compromised and the past is demonized; what remains is a present moment made eternal by an indefinitely suspended instant (Juli 2018). Too fat for the anorexic, repulsive for binge eating; Merleau-Ponty already in 1945 expressed the concept of corporeality by using the following simple and very effective statement: "I am my body". This statement highlights the centrality of the body, of the person and his/her identity; this aspects are highly conflicting and, at the same time, pathologically united, in eating disorders.


Assuntos
Imagem Corporal , Transtornos da Alimentação e da Ingestão de Alimentos , Adolescente , Emoções , Feminino , Humanos , Masculino
5.
Psychiatr Danub ; 32(Suppl 1): 142-145, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890378

RESUMO

The bipolar spectrum of mood, in its broadest sense that includes all kinds of mood instability, presents various symptoms related to instability and mood swing, including symptoms and manifestations of "mixed states" (the symptoms of "mixity") and symptoms of eating disorders (ED). It is essential not to forget that depression itself is only "a phase" of the wider bipolar spectrum of mood, which therefore remains the pathology to be treated adequately with a polytherapy composed by mood regulators and antidepressants. "Mixed" symptoms (including symptoms of eating disorders), if not properly treated, can subtly enter the patient's life, leading to a worsening of the clinical picture to a clear chronicity.


Assuntos
Transtorno Bipolar , Transtornos da Alimentação e da Ingestão de Alimentos , Afeto , Antidepressivos , Transtorno Bipolar/complicações , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Humanos , Transtornos do Humor
6.
Nutrients ; 12(10)2020 Sep 24.
Artigo em Inglês | MEDLINE | ID: mdl-32987773

RESUMO

Emotional eating (EE) is prevalent among women and is associated with obesity. The coronavirus 2019 (COVID-19) pandemic and mandatory quarantine increased the risk of mental symptoms and, inferentially, emotional eating (EE). We investigated the EE prevalence and predictors during this pandemic. Overall, 638 women, ages 18-39, completed an online survey incorporating the Emotional Eating Scale, Perceived Stress Scale, Generalized Anxiety Disorder-7 Scale, Patient Health Questionnaire-9, Pittsburgh Sleep Quality Index, and Global Physical Activity Questionnaire. We asked about nutrition and collected data on weight, height, and pandemic responses. Most respondents (47.2%) reported low EE; 40.4% were "moderate" and 12.4% "high" emotional eaters; 42.8% reported depression, 27% anxiety, 71% moderate stress, and 12.5% severe stress. The main EE indicators/predictors were fat intake (ß = 0.192, p = 0.004), number of meals (ß = 0.187, p < 0.001), sugar consumption (ß = 0.150, p < 0.001), body mass index (ß = 0.149, p < 0.001), stress (ß = 0.143, p = 0.004), energy intake (ß = 0.134, p = 0.04), and fast food intake frequency (ß = 0.111, p < 0.01). EE score correlated negatively with increased family income (ß = -0.081, p = 0.049). Higher stress correlated with worse sleep, less sleep, and less physical activity. Emotional eating is common among young Saudi women during the pandemic. We recommend healthy food choices and increased physical activity to improve sleep and mitigate stress.


Assuntos
Infecções por Coronavirus/prevenção & controle , Dieta Saudável/psicologia , Emoções , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Quarentena/psicologia , Adolescente , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Betacoronavirus , Inquéritos sobre Dietas , Ingestão de Alimentos/psicologia , Comportamento Alimentar/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Prevalência , Fatores de Risco , Arábia Saudita/epidemiologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Adulto Jovem
7.
Rev. Asoc. Odontol. Argent ; 108(2): 41-45, mayo-ago. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1120976

RESUMO

La atención de salud abre una ventana de reflexiones compartidas entre los distintos actores que convergen hoy alrededor de la infancia y la adolescencia: profesionales de la salud, de la educación, instituciones y familias. El desarrollo humano implica una interacción dinámica. El conjunto de cuidados que conforman la crianza tiene lugar en múltiples contextos: la casa, la familia extendida, la escuela y la sociedad, cuyos valores, creencias y prácticas definen la cultura. Somos parte de una realidad que está evolucionando y creciendo en complejidad, en un escenario multifactorial y polifacético. Emergen enfermedades que, si bien son conocidas por parte de los profesionales de la salud, ganan una importancia creciente en la sociedad actual. Varias de estas patologías emergentes vienen catalizadas por factores medioambientales y por determinantes de tipo social que antes tenían una influencia menor o que, sencillamente, no se tenían en cuenta. Las transformaciones que experimentan los/as niños/as existen de manera visible, por lo que se hace imprescindible que madres, padres, docentes y profesionales de la salud, desde nuestro lugar de adultos, actuemos con responsabilidad en todos los espacios en los que deambulan los/as niños/as y los/as adolescentes de hoy (AU)


Health care opens a window for shared reflections among the different people who interact with children and adolescents: family, health professionals, educators and institutions today. Human development involves dynamic interaction. Care takes place in multiple contexts: the immediate and the extended family, the school and society with its values, beliefs and practices that define the culture where the individual grows up. We are part of a reality that is evolving and growing in complexity, facing a multifactorial and multifaceted scenario. A number of diseases while known by health professionals, gain increasing importance in today's society. Several of these emerging pathologies are catalyzed by environmental factors and by social determinants that previously had less influence or that were simply not taken into account. The transformations that the child undergoes nowadays are visible, and for that reason, it is essential that mothers, fathers, teachers and health professionals viewed from our position as adults, act responsibly in all the spaces where children and adolescents of today are (AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Comportamento Infantil , Saúde da Criança , Medicina do Adolescente , Relações Pais-Filho , Argentina , Gravidez na Adolescência , Suicídio , Tabagismo , Violência , Transtornos da Alimentação e da Ingestão de Alimentos , Pessoas com Deficiência , Depressão , Alcoolismo , Transtornos do Neurodesenvolvimento , Identidade de Gênero , Obesidade
8.
PLoS One ; 15(8): e0237651, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32817684

RESUMO

Body dysmorphic disorder (BDD) is associated with severe comorbidity and impairment. Muscle dysmorphia (MD) is a subtype of BDD which has rarely been assessed outside of undergraduate student samples. Further, there are limited data comparing MD to other psychiatric disorders, including BDD. Thus, the aim of the current study is to explore differences in symptom severity and conformity to masculine norms in men diagnosed with BDD or MD. Men from the greater Boston, Massachusetts area completed a one-time assessment, which included clinician-based structured interviews and self-report questionnaires assessing MD symptom severity, BDD symptom severity, and conformity to traditional masculine norms. The sample was N = 30 men (MD: n = 15; BDD: n = 15). Statistically significant medium to large effects emerged with the MD group experiencing greater MD and BDD symptom severity, and positive attitudes towards the use of violence to solve problems. Although not reaching statistical significance, additional medium-to-large effects also emerged with the MD group reporting greater emotional restriction/suppression, heterosexual self-presentation, and desired sexual promiscuity compared to the BDD group. Findings suggest that men diagnosed with MD may experience greater MD/BDD symptom severity and endorsement of some components of 'traditional' masculine norms, compared to men diagnosed with BDD. Results may suggest that addressing some forms of rigid masculine norms (e.g., use of violence) in therapy could be useful in treating MD; however, additional research comparing clinical samples of men with MD and BDD are needed to guide the nosology, assessment, and treatment of MD.


Assuntos
Transtornos Dismórficos Corporais/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Músculo Esquelético/fisiopatologia , Adulto , Transtornos Dismórficos Corporais/epidemiologia , Transtornos Dismórficos Corporais/fisiopatologia , Boston , Comorbidade , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Humanos , Masculino , Massachusetts , Autorrelato , Índice de Gravidade de Doença , Inquéritos e Questionários , Adulto Jovem
9.
PLoS One ; 15(8): e0237511, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32785278

RESUMO

Eating disorder is highly associated with obesity and it is related to brain dysfunction as well. Still, the functional substrates of the brain associated with behavioral traits of eating disorder are underexplored. Existing neuroimaging studies have explored the association between eating disorder and brain function without using all the information provided by the eating disorder related questionnaire but by adopting summary factors. Here, we aimed to investigate the multivariate association between brain function and eating disorder at fine-grained question-level information. Our study is a retrospective secondary analysis that re-analyzed resting-state functional magnetic resonance imaging of 284 participants from the enhanced Nathan Kline Institute-Rockland Sample database. Leveraging sparse canonical correlation analysis, we associated the functional connectivity of all brain regions and all questions in the eating disorder questionnaires. We found that executive- and inhibitory control-related frontoparietal networks showed positive associations with questions of restraint eating, while brain regions involved in the reward system showed negative associations. Notably, inhibitory control-related brain regions showed a positive association with the degree of obesity. Findings were well replicated in the independent validation dataset (n = 34). The results of this study might contribute to a better understanding of brain function with respect to eating disorder.


Assuntos
Mapeamento Encefálico/métodos , Encéfalo/fisiopatologia , Transtornos da Alimentação e da Ingestão de Alimentos/etiologia , Imagem por Ressonância Magnética/métodos , Neuroimagem/métodos , Adulto , Índice de Massa Corporal , Função Executiva , Comportamento Alimentar , Transtornos da Alimentação e da Ingestão de Alimentos/patologia , Feminino , Humanos , Masculino , Estudos Retrospectivos
10.
Asia Pac J Public Health ; 32(6-7): 334-339, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32787612

RESUMO

Eating disorder is highly prevalent among university students worldwide. However, in Malaysia, studies on eating disorder is scanty and were mostly conducted among medical students. A stratified cluster sampling was used to recruit participants in a university based in Kuala Lumpur. This cross-sectional study was conducted among 1017/1132 students (response rate: 89.8%). The questionnaires administered was a combination of the Eating Attitude Test-26 and items related to perceived body weight, body mass index, trying to weight loss, tobacco use, posttraumatic stress disorder, and depression. Descriptive analyses were performed to provide background information of at-risk students by gender. Multiple logistic regressions were used to identify associated factors of eating disorder. The results showed that 13.9% of the university students were at risk of eating disorder. Students who were trying to lose weight and had posttraumatic stress disorder predicted eating disorder. Hence, eating disorder among university students merits attention and requires implementations of public health policies.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Estudantes/psicologia , Estudos Transversais , Feminino , Humanos , Malásia/epidemiologia , Masculino , Prevalência , Fatores de Risco , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Universidades , Adulto Jovem
11.
Cuad. psicol. deporte ; 20(3): 55-64, jul. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-193540

RESUMO

Binge-eating disorder (BED) is linked to several psychiatric disorders, such as anxiety disorders. Approximately 50-60% of BED patients are resistant to the traditional treatments available, and thus, strategies supporting the treatment of BED are needed, such as physical activity (PA). It seems to be an interesting strategy to reduce BED and anxiety symptoms. Thus, since PA has a role in reducing BED episodes and improving anxiety symptoms, then more research is needed to clarify the role of PA on BED, as correlations between anxiety-BED and anxiety-PA are established. Therefore, our aim is to examine the relationship between PA and anxiety in patients with BED. Thirty two patients we submitted to psychological and PA questionnaires. A Pearson's correlation coefficient and a multiple linear regression analysis were performed to relate eating disorder behaviour, anxiety and PA. The correlation coefficients between the dimensions of BED and anxiety were almost all significant (except restriction), positive and moderate (p < 0.001). Thus, the higher the eating disorder values, the higher the anxiety levels (p < 0.01). In conclusion, our findings support that PA correlates with anxiety in patients with BED, suggesting that PA may decrease symptoms, such as the appetite, weight and body shape concerns


El trastorno de compulsión alimentar periódico (TCAP) está vinculado a varios trastornos psiquiátricos, como los de ansiedad. Aproximadamente el 50-60% de los pacientes con TCAP son resistentes a los tratamientos tradicionales disponibles y, por lo tanto, se necesitan estrategias que apoyen el tratamiento de TCAP, como la actividad física (AF). La práctica de AF parece ser una estrategia interesante para reducir TCAP y síntomas de ansiedad. Por lo tanto, dado que la AF tiene un papel en la reducción de los episodios de TCAP y en la mejora de los síntomas de ansiedad, entonces se necesita más investigación para aclarar el rol moderador de la AF en la TCAP, ya que se establecen correlaciones entre ansiedad-TCAP y ansiedad-AF. Por lo tanto, el objetivo de este estudio fue examinar la asociación entre AF y ansiedad en pacientes con TCAP. Treinta y dos pacientes fueron sometidos a cuestionarios psicológicos y de AF. Se realizaron un coeficiente de correlación de Pearson y un análisis de regresión lineal múltiple para relacionar el comportamiento del TCAP, la ansiedad y la AF. Los coeficientes de correlación entre las dimensiones del TCAP y ansiedad fueron casi todos significativos (excepto restricción), positivos y moderados (p <0.001). Por lo tanto, cuanto más altos sean los valores del TCAP, mayores serán los niveles de ansiedad (p <0.01). En conclusión, nuestros hallazgos respaldan que la PA se correlaciona con la ansiedad en pacientes con BED, lo que sugiere que la PA puede disminuir los síntomas, como las preocupaciones sobre el apetito, el peso y la forma del cuerpo


O transtorno da compulsão alimentar periódica (TCE) está ligado a vários transtornos psiquiátricos, como os transtornos de ansiedade. Aproximadamente 50-60% dos pacientes com TCAP são resistentes aos tratamentos tradicionais disponíveis e, portanto, são necessárias estratégias de apoio ao tratamento, como a atividade física (AF). Parece ser uma estratégia interessante para reduzir os sintomas da TCAP e da ansiedade. Assim, como a AF tem um papel na redução de episódios de TCAP e melhora dos sintomas de ansiedade, são necessárias mais pesquisas para esclarecer o papel da AF na TCAP, à medida que são estabelecidas correlações entre ansiedade-TCLE e ansiedade-PA. Portanto, nosso objetivo é examinar a relação entre AF e ansiedade em pacientes com TCAP. Trinta e dois pacientes foram submetidos a questionários psicológicos e de AF. Um coeficiente de correlação de Pearson e uma análise de regressão linear múltipla foram realizadas para relacionar comportamento de transtorno alimentar, ansiedade e AF. Os coeficientes de correlação entre as dimensões do TCAP e ansiedade foram quase todos significativos (exceto restrição), positivos e moderados (p <0,001). Assim, quanto maiores os valores do transtorno alimentar, maiores os níveis de ansiedade (p <0,01). Em conclusão, nossos achados sustentam que a AF se correlaciona com a ansiedade em pacientes com TCAP, sugerindo que a AF pode diminuir os sintomas, como preocupações com apetite, peso e forma corporal


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Atividade Motora/fisiologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Transtornos de Ansiedade/terapia , Transtornos de Ansiedade/complicações , Transtornos da Alimentação e da Ingestão de Alimentos/etiologia , Inquéritos e Questionários , Análise de Regressão , Estudos Transversais
12.
Neuropsychopharmacol Hung ; 22(2): 72-76, 2020 Jun.
Artigo em Húngaro | MEDLINE | ID: mdl-32683331

RESUMO

In the treatment of anorexia nervosa the dominant role of psychotherapies is proposed, while pharmacotherapy has a limited effi cacy. Because of the broad comorbidity spectrum of the disorder, other psychiatric disorders are often present. Among them depression is frequent, so one of the selective theories of eating disorders stresses the importance of the relationship with depression. In everyday practice we frequently encounter anorexic patients whose depressive symptoms are mild or moderate, and these are often regarded as usual accompanying phenomena of anorexia. The three case reports described in the present study support that it is worth to consider the application of antidepressants in such situations. In all three cases antidepressants were initiated following ineffi cacy of psychotherapy, and they produced a dramatic eff ectiveness not only in depressive symptoms, but also in the whole anorexic syndrome. In the complex therapy of anorexia nervosa antidepressants may yield a very good therapeutic eff ect in cases with comorbid, even subthreshold depression.


Assuntos
Anorexia Nervosa , Antidepressivos/uso terapêutico , Anorexia Nervosa/tratamento farmacológico , Comorbidade , Transtornos da Alimentação e da Ingestão de Alimentos , Humanos , Psicoterapia
13.
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
14.
PLoS One ; 15(7): e0235346, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32667951

RESUMO

Several studies have recently suggested that an abnormal processing of respiratory interoceptive and nociceptive (painful) stimuli may contribute to eating disorder (ED) pathophysiology. Mood and anxiety disorders (MA) are also characterized by abnormal respiratory symptoms, and show substantial comorbidity with ED. However, no studies have examined both respiratory and pain processing simultaneously within ED and MA. The present study systematically evaluated responses to perturbations of respiratory and nociceptive signals across the levels of physiology, behavior, and symptom report in a transdiagnostic ED sample (n = 51) that was individually matched to MA individuals (n = 51) and healthy comparisons (HC; n = 51). Participants underwent an inspiratory breath-holding challenge as a probe of respiratory interoception and a cold pressor challenge as a probe of pain processing. We expected both clinical groups to report greater stress and fear in response to respiratory and nociceptive perturbation than HCs, in the absence of differential physiological and behavioral responses. During breath-holding, both the ED and MA groups reported significantly more stress, feelings of suffocation, and suffocation fear than HC, with the ED group reporting the most severe symptoms. Moreover, anxiety sensitivity was related to suffocation fear only in the ED group. The heightened affective responses in the current study occurred in the absence of group differences in behavioral (breath hold duration, cold pressor duration) and physiological (end-tidal carbon dioxide, end-tidal oxygen, heart rate, skin conductance) responses. Against our expectations, there were no group differences in the response to cold pain stimulation. A matched-subgroup analysis focusing on individuals with anorexia nervosa (n = 30) produced similar results. These findings underscore the presence of abnormal respiratory interoception in MA and suggest that hyperreactivity to respiratory signals may be a potentially overlooked clinical feature of ED.


Assuntos
Anorexia Nervosa/fisiopatologia , Transtornos de Ansiedade/fisiopatologia , Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Dor Nociceptiva/fisiopatologia , Adolescente , Adulto , Afeto/fisiologia , Anorexia Nervosa/complicações , Anorexia Nervosa/epidemiologia , Transtornos de Ansiedade/complicações , Transtornos de Ansiedade/epidemiologia , Asfixia/fisiopatologia , Asfixia/terapia , Comorbidade , Medo/fisiologia , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Feminino , Humanos , Masculino , Transtornos do Humor/complicações , Transtornos do Humor/epidemiologia , Transtornos do Humor/fisiopatologia , Dor Nociceptiva/complicações , Dor Nociceptiva/epidemiologia , Dor/complicações , Dor/epidemiologia , Dor/fisiopatologia , Sistema Respiratório/fisiopatologia
15.
Medicine (Baltimore) ; 99(29): e20574, 2020 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-32702813

RESUMO

RATIONALE: Schaaf-Yang syndrome, a rare imprinted hereditary disease caused by MAGEL2 variants, manifests as developmental delay/intellectual disability, neonatal hypotonia, feeding difficulties, contractures, and autism spectrum disorder. PATIENT CONCERNS: Patient 1 and 2 were infant girls presenting facial dysmorphisms, contractures of interphalangeal joints, neonatal hypotonia, feeding difficulties, congenital heart diseases, and respiratory complications. Besides, Patient 2 presented with delayed psychomotor development. DIAGNOSIS: Whole-exome sequencing was performed and heterozygous mutations of the MAGEL2 gene were detected in the patients. They were diagnosed as Schaaf-Yang syndrome. INTERVENTIONS: The patients received supportive treatment including mechanical ventilation, parenteral nutrition and gastric tube feeding. OUTCOMES: Whole-exome sequencing revealed de novo heterozygous c.1996dupC pathogenic mutations in the MAGEL2 gene in the 2 patients. They died due to respiratory failure at the age of 20 days and 98 days, respectively. LESSONS: Our results indicate that MAGEL2 variants can cause congenital heart disease and fatal respiratory complications, broadening the phenotypic spectrum and adding to the fatal cases of Schaaf-Yang syndrome. We highly suggest that the MAGEL2 gene should be added to gene-panels or gene-filters in next-generation sequencing-based diagnostics, which is of great significance for early diagnosis and early intervention of Schaaf-Yang syndrome patients.


Assuntos
Anormalidades Múltiplas/genética , Testes Genéticos/métodos , Proteínas/genética , Sequenciamento Completo do Exoma/métodos , Criança , Contratura/genética , Anormalidades Craniofaciais/genética , Deficiências do Desenvolvimento/genética , Evolução Fatal , Transtornos da Alimentação e da Ingestão de Alimentos/genética , Feminino , Articulações dos Dedos/fisiopatologia , Cardiopatias Congênitas/genética , Humanos , Lactente , Recém-Nascido , Masculino , Hipotonia Muscular/genética , Atrofia Muscular/genética , Cuidados Paliativos , Insuficiência Respiratória/genética , Síndrome
16.
Obesity (Silver Spring) ; 28(7): 1283-1291, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32510870

RESUMO

OBJECTIVE: This study aimed to investigate regional neural activity and regulation of patterns in the reorganized neural network of obesity and explore the correlation between brain activities and eating behavior. METHODS: A total of 23 individuals with obesity and 23 controls with normal weight were enrolled. Functional magnetic resonance imaging (fMRI) data were acquired using 3.0-T MRI. Amplitude of low-frequency fluctuation and functional connectivity (FC) analyses were conducted using Data Processing Assistant for resting-state fMRI and Resting-State fMRI Data Analysis Toolkit (REST). RESULTS: The group with obesity showed increased amplitude of low-frequency values in left fusiform gyrus/amygdala, inferior temporal gyrus (ITG), hippocampus/parahippocampal gyrus, and bilateral caudate but decreased values in right superior temporal gyrus. The group with obesity showed increased FC between left caudate and right superior temporal gyrus, left fusiform gyrus/amygdala and left ITG, right caudate and left fusiform gyrus/amygdala, and right caudate and left hippocampus/parahippocampal gyrus. Dutch Eating Behavior Questionnaire-Emotional scores were positively correlated with FC between left hippocampus/parahippocampal gyrus and right caudate but negatively correlated with FC between left fusiform gyrus/amygdala and left ITG. CONCLUSIONS: The study indicated the reorganized neural network presented as a bilateral cross-regulation pattern across hemispheres between reward and various appetite-related functional processing, thus affecting emotional and external eating behavior. These results could provide further evidence for neuropsychological underpinnings of food intake and their neuromodulatory therapeutic potential in obesity.


Assuntos
Regulação do Apetite/fisiologia , Encéfalo/diagnóstico por imagem , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Rede Nervosa/diagnóstico por imagem , Rede Nervosa/patologia , Obesidade/psicologia , Adolescente , Adulto , Encéfalo/patologia , Encéfalo/fisiopatologia , Mapeamento Encefálico/métodos , Estudos de Casos e Controles , Comportamento Alimentar/fisiologia , Comportamento Alimentar/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Obesidade/diagnóstico , Obesidade/fisiopatologia , Descanso/fisiologia , Descanso/psicologia , Adulto Jovem
17.
Artigo em Inglês | MEDLINE | ID: mdl-32481615

RESUMO

Background: Anorexia nervosa (AN) among the general population is a rare but often fatal illness. Objective: To summarize the incidence of AN using a systematic review and meta-analysis. Methods: Four online databases (PubMed, Scopus, WoS and Embase) were consulted. The review was conducted according to with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was limited to women. The methodological quality of the studies was assessed by the Newcastle-Ottawa Scale (NOS). Results: A total of 31 articles were included in the study. The incidence rate of AN ranged from 0.5 to 318.0 cases per 100,000 women-years. The incidence in studies based on outpatient healthcare services (OHS) was higher than those based on hospital admissions (HA) (8.8 95% CI: 7.83-9.80 vs. 5.0 95% CI: 4.87-5.05). In young women, the incidence in OHS was higher than HA (63.7, 95% CI 61.21-66.12 vs. 8.1 95% CI 7.60-8.53). The linear trend in the incidence of AN was increasing in all ages of women and young women, both in studies with hospital admission records, and in those based on outpatient healthcare services. Conclusion: The incidence of AN depends on the methodology, the type of population and the diagnostic criteria used.


Assuntos
Anorexia Nervosa , Transtornos da Alimentação e da Ingestão de Alimentos , Assistência Ambulatorial , Anorexia Nervosa/epidemiologia , Feminino , Hospitalização , Humanos , Incidência , Gravidez
18.
Int J Sports Med ; 41(10): 669-676, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32485780

RESUMO

The university stage is a critical developmental period for young adults, where lifestyles can determine future health. A cross-sectional study including 481 college students was conducted, with the following objectives: 1) to examine the prevalence of risk of developing eating disorders in college students, 2) to assess differences in obesity and physical fitness in those with and without risk of eating disorders, and 3) to determine whether cardiorespiratory fitness, muscular fitness or fat mass were associated with the risk of eating disorders. We measured fat mass percentage (by densitometry), risk of feeding or eating disorders (by SCOFF questionnaire), cardiorespiratory fitness levels and a muscular fitness index. The prevalence of risk of eating disorders in women (32.4%) was higher than in men (17.4%) (p<0.001). In both sexes, higher obesity indicator mean values were observed among those who were at risk of eating disorders. Men participants without risk had higher cardiorespiratory fitness means than their at-risk peers [39.4 (8.3) vs. 32.4 (5.5), p<0.001)], and women showed differences only in the dynamometry/weight variable. In college students, it is necessary to promote healthy habits, including good levels of physical fitness, and to prevent excess body fat to effectively prevent eating disorders.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Obesidade/epidemiologia , Aptidão Física , Adiposidade , Aptidão Cardiorrespiratória , Estudos Transversais , Feminino , Estilo de Vida Saudável , Humanos , Masculino , Músculo Esquelético/fisiologia , Prevalência , Fatores de Risco , Espanha/epidemiologia , Adulto Jovem
20.
Sports Health ; 12(4): 327-333, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32525767

RESUMO

CONTEXT: Eating disorders (EDs) in male athletes are potentially debilitating disorders with significant medical, psychological, and athletic performance consequences. EVIDENCE ACQUISITION: Searches were performed across PubMed, EBSCOhost, and PSYCinfo from 1990 to 2019. Keywords searched were eating disorder, male, athlete, anorexia nervosa, bulimia nervosa, muscularity, muscle dysmorphia, and sports. Search results included articles written in the English language and encompassed reviews, empirical studies, and theoretical articles. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 3. RESULTS: EDs among male athletes may lead to serious negative outcomes, including increased susceptibility to injury, inconsistent performance, problematic recovery, muscle deficiencies, impairment of optimal athletic functioning, and medical, social, and emotional problems. Male athletes with EDs may be more difficult to identify and diagnose for a variety of reasons related to differential presentation of symptoms, secretiveness or shame around behaviors, and sex-related stigma. CONCLUSION: Professionals working closely with athletes are uniquely positioned to identify and screen those who may require further evaluation and treatment.


Assuntos
Atletas/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Desempenho Atlético/psicologia , Comportamento Alimentar , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Humanos , Masculino , Prevalência , Fatores de Risco
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA