860 resultados para Eating disorders - Etiology


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Pós-graduação em Psicologia - FCLAS

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Pós-graduação em Ciências da Motricidade - IBRC

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Background Anorexia Nervosa ( AN) is an illness characterised by extreme concern about body weight and shape, severe self-imposed weight loss, and endocrine dysfunction. In spite of its high mortality, morbidity and chronicity, there are few intervention studies on the subject.Objectives The aim of this review was to evaluate the efficacy and acceptability of antidepressant drugs in the treatment of acute AN.Search strategy The strategy comprised of database searches of the Cochrane Collaboration Depression, Anxiety and Neurosis Controlled Trials Register, MEDLINE (1966 to April 28th, 2005), EMBASE (1980 to week 36, 2004), PsycINFO (1969 to August week 5, 2004), handsearching the International Journal of Eating Disorders and searching the reference lists of all papers selected. Personal letters were sent to researchers in the field requesting information on unpublished or in-progress trials.Selection criteria All randomised controlled trials of antidepressant treatment for AN patients, as de fined by the Diagnostic and Statistical Manual, fourth edition (DSM-IV) or similar international criteria, were selected.Data collection and analysis Quality ratings were made giving consideration to the strong relationship between allocation concealment and potential for bias in the results; studies meeting criteria A and B were included. Trials were excluded if non-completion rates were above 50%. The standardised mean difference and relative risk were used for continuous data and dichotomous data comparisons, respectively. Whenever possible, analyses were performed according to intention- to-treat principles. Heterogeneity was tested with the I-squared statistic. Weight change was the primary outcome. Secondary outcomes were severity of eating disorder, depression and anxiety symptoms, and global clinical state. Acceptability of treatment was evaluated by considering non-completion rates.Main results Only seven studies were included. Major methodological limitations such as small trial size and large confidence intervals decreased the power of the studies to detect differences between treatments, and meta-analysis of data was not possible for the majority of outcomes. Four placebo-controlled trials did not find evidence that antidepressants improved weight gain, eating disorder or associated psychopathology. Isolated findings, favouring amineptine and nortriptyline, emerged from the antidepressant versus antidepressant comparisons, but cannot be conceived as evidence of efficacy of a specific drug or class of antidepressant in light of the findings from the placebo comparisons. Non-completion rates were similar between the compared groups.Authors' conclusions A lack of quality information precludes us from drawing de finite conclusions or recommendations on the use of antidepressants in acute AN. Future studies testing safer and more tolerable antidepressants in larger, well designed trials are needed to provide guidance for clinical practice.

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The professional market for physical education and fitness demands for perfect and aesthetically beautiful bodies from its professionals, and the additional pressure of media, both add to the risk for body image dissatisfaction among these professional, increasing the risk for developing body image distortions and, ultimately, eating disorders. Body image dissatisfaction affects more women in their attempts for thin ideal. However, lately, because of social pressure for body aesthetical habits in both genders, men are faced with higher risk for distortions in body perception, leading to unhealthy eating habits and pathogenic exercise. With this in mind, the purpose of this study was to compare freshmen and senior physical education (PE) students from the State University of São Paulo (UNESP), as well as to make gender comparisons. Two groups comprise each, 46 freshmen PE students (23 females and 23 males), average age 18.7 ± 1.7 years; and 26 senior PE students (13 females and 13 males), average age 23 ± 1.9 years. Both groups filled out the questionnaires: Eating Attitudes Test/ EAT-26, Body Shape Questionnaire/ BSQ, Body Shape Questionnaire/ BSQ, and motivation state questionnaire/ LEA-RI. Results showed that the majority of participants wanted to change some aspect of their looks; women were more dissatisfied with their bodies than men; eating behavior scores were within the normal range for both groups. Finally, freshmen PE students are at a higher risk for body image distortion than senior PE students. We concluded that women, as well as younger individuals in general, are at higher risk for body image distortions. It is likely that experience in the further years of a physical education course has positive impact on body self image.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Over the last decades of the 20th century, our society started an endless search for an ideal of beauty, advertised intensely by mass communication media. The concept of beauty pursued is being young, beautiful and thin. Thus, teenagers eventually die in the search for an ideal of body dominated by fat-fearing ideas. This article is a report about the field experience, during the collection of data for elaborating our Master’s Degree Dissertation on anorexia and adolescence. We went through an internship in an Eating Disease Program of a Mental Health Ambulatory from a Public University in the State of Sao Paulo, where we were able to experience the service organization, attention to users and the experience of anorexia, by the users in treatment. As the main result from this experience, it is possible to indicate the clientele profile, comprised predominantly by teenage girls, obsessed with the incessant pursuit of being thinner.

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Cognitive dysfunction syndrome (CDS) is a progressive degenerative disorder of older dogs, characterized by a decline in cognitive function. The main clinical signs consistent with CDS are: disorientation, changes in socio-environmental interaction, sleep-wake cycle disturbance, changes in hygiene habits, urinate and/or defecate in unusual places, decreased physical activity, anxiety and eating disorders. There are no specific diagnostic tests for this condition in vivo, but alterations in neurological examination, cognitive tests and magnetic resonance imaging can be observed. The diagnosis is confirmed by histopathological examination of brain tissue. Diets rich in antioxidants, environmental enrichment with exercise and the use of selegiline and L-deprenyl have been recommended for the treatment of CDS.

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Pós-graduação em Ciências da Motricidade - IBRC

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Pós-graduação em Ciências da Motricidade - IBRC