Navegando por Palavras-chave "anorexia nervosa"
Agora exibindo 1 - 6 de 6
Resultados por página
Opções de Ordenação
- ItemSomente MetadadadosAnorexia nervosa treatment from the patient perspective: A metasynthesis of qualitative studies(Dowden Health Media, 2009-02-01) Espindola, Cybele Ribeiro; Blay, Sergio Luis [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Anorexia nervosa is a complex condition that brings great challenges at each stage of treatment. This study aims to organize the body of information available in qualitative studies about the treatment of anorexia nervosa through a systematic literature review and metasynthesis.METHODS: Searches were carried out on the following databases for the years 1990 to 2005: PubMed, ISI, PsycINFO, EMBASE, LILACS, and SciELO from 1990 to 2005. A meta-ethnographic approach was used to synthesize the data through second-order and third-order interpretations.RESULTS: The search revealed 3415 studies, of which 16 were selected. Two concepts for second-order interpretation emerged from the process: (1) the process of change (phases of recovery, factors favoring recovery, factors limiting recovery) and (2) perception of the treatment modalities. From the second-order categories, a third-order category was derived-reconciliation, in which personal and environmental acceptance have a central role.CONCLUSIONS: Recovery from anorexia nervosa, as a very complex process, goes well beyond conventional treatment. Self-acceptance, determination, and spirituality are equally important elements.
- ItemAcesso aberto (Open Access)Anorexia nervosa: estudo de caso com uma abordagem de sucesso(Universidade Federal Fluminense, Departamento de Psicologia, 2008-12-01) Cañete, Márcia Cecília Vianna [UNIFESP]; Vitalle, Maria Sylvia de Souza [UNIFESP]; Silva, Flávia Calanca da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Anorexia nervosa (AN) is a severe disease of multifactorial etiology, that involves genetic predisposition, sociocultural factors, biological and psychological vulnerabilities. This article aims to analyze the kind of psychotherapeutic treatment used, in heterogenous group, without focusing on the anorexic behaviour through the description of a case of AN. We have also approached the implications of the disease in the social and family aspects, in the education and sexuality of the patient. The kind of psychotherapeutic treatment used, in heterogenous group, without focusing in the anorexic behaviour, proved effective in the adherence to treatment as well as in the evolution of the case.
- ItemAcesso aberto (Open Access)Current and previous eating practices among women recovered from anorexia nervosa: a qualitative approach(Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, 2013-12-01) Ulian, Mariana Dimitrov [UNIFESP]; Unsain, Ramiro Fernandez; Sato, Priscila De Morais [UNIFESP]; Pereira, Patrícia Da Rocha [UNIFESP]; Stelmo, Isis De Carvalho [UNIFESP]; Sabatini, Fernanda [UNIFESP]; Scagliusi, Fernanda Baeza [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidad Nacional de Buenos Aires Facultad de Filosofía y Letras Cátedra de AntropologiaOBJECTIVE: The aim of this study was to analyze qualitatively how women, who have recovered from anorexia nervosa, perceive and describe their current eating practices, as well as the ones developed during the eating disorder period. METHODS: Seven women were interviewed individually with the objective of investigating their eating practices, transition phases and all relevant aspects that somewhat contributed to the habit-forming; experiences, feelings and perceptions related to mealtime and the influence that food has had over the present subjects' life. The interviews were analyzed by the discourse of the collective subject method. RESULTS: The results brought up the following topics: a) control; b) concerns and feelings; c) deprivation d) beauty dictatorship; e) eating competence; f) importance of food; g) food cacophony. CONCLUSIONS: What stands out is a multiplicity of eating practices, which during the eating disorder were similar to and characterized by restriction; however, after recovery, part of the subjects seem to have developed a higher eating competence, whereas others show a practice similar to the one acquired during the anorexia nervosa, such as the difficulty in realizing when they are satisfied and a feeling of discomfort when facing social interactions.
- ItemSomente MetadadadosEating Disorders in Patients with Obsessive-Compulsive Disorder: Prevalence and Clinical Correlates(Wiley-Blackwell, 2010-05-01) Sallet, Paulo C.; Alvarenga, Pedro Gomes de; Ferrao, Ygor; Mathis, Maria Alice de; Torres, Albina R.; Marques, Andrea; Hounie, Ana G.; Fossaluza, Victor; Rosario, Maria Conceicao do [UNIFESP]; Fontenelle, Leonardo F.; Petribu, Katia; Fleitlich-Bilyk, Bacy; Universidade de São Paulo (USP); S Methodist Univ; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Rio de Janeiro (UFRJ); Univ PernambucoObjective: the objective is to evaluate the prevalence and associated clinical characteristics of eating disorders (ED) in patients with obsessive compulsive disorder (OCD).Method: This is a cross-sectional study comparing 815 patients with OCD. Participants were assessed with structured interviews and scales: SCID-I, Y-BOCS, Dimensional Y-BOCS, BABS, Beck Depression and Anxiety Inventories.Results: Ninety-two patients (11.3%) presented the following EDs: binge-eating disorders [= 59 (7.2%)], bulimia nervosa [= 16 (2.0%)], or anorexia nervosa [= 17 (2.1%)]. Compared to OCD patients without ED (OCD-Non-ED), OCD-ED patients were more likely to be women with previous psychiatric treatment. Mean total scores in Y-BOCS, Dimensional Y-BOCS, and BABS were similar within groups. However, OCD-ED patients showed higher lifetime prevalence of comorbid conditions, higher anxiety and depression scores, and higher frequency of suicide attempts than did the OCD-Non-ED group. Primarily diagnosed OCD patients with comorbid ED may be associated with higher clinical severity.Discussion: Future longitudinal studies should investigate dimensional correlations between OCD and ED. (C) 2009 by Wiley Periodicals, Inc.
- ItemAcesso aberto (Open Access)Estudo de caso controle para avaliar o impacto do abuso sexual infantil nos transtornos alimentares(Faculdade de Medicina da Universidade de São Paulo, 2011-01-01) Paraventi, Felipe [UNIFESP]; Claudino, Angélica de Medeiros [UNIFESP]; Morgan, Christina Marcondes [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: The aim of this study is to evaluate if exposure to childhood sexual abuse (CSA) is related with eating disorders in adult life. METHODS: A case-control study was performed comparing women with diagnoses of eating disorders - from PROATA (acronym in Portuguese meaning Eating Disorders Program) of Federal University of São Paulo - and non-psychiatric clinic patients as control group at Ophthalmology Centre. RESULTS: The prevalence of CSA for binge-eating disorder was 43.7%, whilst in the control group it was 27.3% (OR = 2.1; CI 95% = 0.5- 8.1). The prevalence of CSA for bulimia nervosa was 26.7% and, 27% in control group (OR = 0.99; CI 95% = 0.24-4.1). The prevalence of CSA in anorexia nervosa was 50%, whilst in control group it was 14.8% (OR = 5.8; CI 95% = 1.3- 25.6; p < 0.05). Taking into account only the history of two or more CSA episodes, those patients with anorexia nervosa had 35.7% CSA prevalence, and 3.7% in control group (OR = 14.4; CI 95% = 1.5-140.8; p < 0.05). CONCLUSION: This study has shown a strong association between anorexia nervosa and childhood sexual abuse.
- ItemSomente MetadadadosImpulse control disorders in women with eating disorders(Elsevier B.V., 2008-01-15) Fernandez-Aranda, Fernando; Poyastro Pinheiro, Andrea [UNIFESP]; Thornton, Laura M.; Berrettini, Wade H.; Crow, Scott; Fichter, Manfred M.; Halmi, Katherine A.; Kaplan, Allan S.; Keel, Pamela; Mitchell, James; Rotondo, Alessandro; Strober, Michael; Woodside, D. Blake; Kaye, Walter H.; Bulik, Cynthia M.; Univ N Carolina; Univ Hosp Bellvitge; Inst Salud Carlos III; Universidade Federal de São Paulo (UNIFESP); Univ Pittsburgh; Univ Penn; Univ Minnesota; Univ Munich; Cornell Univ; Toronto Hosp; Univ Iowa; Neuropsychiat Res Inst; Univ Pisa; Univ Calif Los AngelesWe compared symptom patterns, severity of illness, and comorbidity in individuals with eating disorders with and without impulse control disorders (ICD), and documented the temporal pattern of illness onset. Lifetime ICD were present in 16.6% of 709 women with a history of eating disorders. the most common syndromes were compulsive buying disorder and kleptomania. ICD occurred more in individuals with binge eating subtypes, and were associated with significantly greater use of laxatives, diuretics, appetite suppressants and fasting, and with greater body image disturbance, higher harm avoidance, neuroticism, cognitive impulsivity, and lower self-directedness. in addition, individuals with ICD were more likely to have obsessive-compulsive disorder, any anxiety disorder, specific phobia, depression, cluster B personality disorder, avoidant personality disorder, and to use psychoactive substances. Among those with ICD, 62% reported the ICD predated the eating disorder and 45% reported the onset of both disorders within the same 3-year window. the presence of a lifetime ICD appears to be limited to eating disorders marked by binge eating and to be associated with worse eating-related psychopathology, more pathological personality traits, and more frequent comorbid Axis I and 11 conditions. Untreated ICD may complicate recovery from eating disorders. (c) 2007 Elsevier Ireland Ltd. All rights reserved.