ABSTRACT
La prevención de los trastornos alimentarios es considerada por los psicólogos de la salud como una tarea prioritaria a cubrir. De acuerdo con esta idea se propuso analizar y evaluar la eficacia de dos programas de intervención basados en distintas estrategias. La muestra no probabilística estuvo formada por 58 estudiantes, con edad promedio de 13.43, (DE=1.14). Las participantes se asignaron al azar a dos distintos programas de prevención selectiva: Psicoeducación (n=28; x̅ de edad=13.46, DE=1.17) y Realidad Virtual Reforzada (n=30; x̅ de edad=13.40, DE=1.13). Los resultados muestran que no se detectaron diferencias entre los programas. Al evaluar el efecto de los dos programas por separado (prestest-postest) se obtuvieron resultados positivos y estadísticamente significativos (p < .001) en variables asociadas con imagen corporal y conductas alimentarias de riesgo. Además se observó una disminución importante en el porcentaje de participantes que se ubicaban en riesgo (significancia clínica) como producto de los programas. Estos hallazgos son alentadores debido a la importancia implicada en la disminución de factores de riesgo y el efecto que tiene en la salud de las adolescentes.
The prevention of eating disorders is considered, mainly by psychologists of health, a priority task to cover. In accord to this idea it was decided to analyze and evaluate the effectiveness of two intervention programs based in different strategies. The nonrandom sample consisted of n=58 students with a mean age of x̅ =13.43 (SD=1.14), which were randomly assigned to two different selective prevention programs: Psychoeducation (n = 28; age of x̅ =13.46, SD=1.17) and Virtual reality Reinforced (n=30; age of x̅ =13.40, SD=1.13). The results showed no differences between programs. However, when each was evaluated (pretest / postest) results were positive and statistically significant (p < .001) in those variables associated with body image and disordered eating. In addition there was a significant decrease in the percentage of participants who were placed at risk (clinical significance) as a result of the preventive programs. These findings are encouraging because of the importance involved in reducing risk factors and the effect it has on the health of adolescents.
ABSTRACT
OBJECTIVES: To compare eating behavior according to the shift work and to find the factors associated with the abnormal eating behavior in university hospital's nurses. METHODS: For this assessment, a cross-sectional study was conducted with 300 university hospital's nurses. Nurses were questioned with self-reported questionnaire forms. After excluding cases with incomplete data, 276 cases are enrolled in the study. To find the factors associated with the abnormal eating behavior, we conducted multiple logistic regression analysis. RESULTS: The proportions of shift work nurses were 63.77%(176 cases). The proportions of abnormal eating behavior among shift work nurses were 22.73%(40 cases), but only 6.00%(6 cases) among non-shift work nurses had the abnormal eating behavior. Considering the shift work period, the proportions of abnormal eating behavior were 31.25%, 22.92% and 17.50% in case of shift work period were less than 1 year, 1~3 years and more than 3 years, respectively. The abnormal eating behavior was associated with having shift work, doing exercise, more weekly working hours, being on a diet and having perception of overweight. But age and body mass index were not influenced the abnormal eating behavior. CONCLUSIONS: In this study, we found that the factors associated with the abnormal eating behavior are the shift work, exercise, weekly working hours, perception of overweight and diet.
Subject(s)
Body Mass Index , Cross-Sectional Studies , Diet , Eating , Feeding Behavior , Logistic Models , Overweight , Surveys and QuestionnairesABSTRACT
Supervised diet indicates the therapist to make meal with patients for the modification of their abnormal eating behaviors. It's purpose is to help the patients to confront with fear of eating and to manage secondary symptoms due to refeeding. It also modifies cognition, emotion and behavior related to eating and foods. Through these procedures, a healthy meal habit would be established by patients. Therefore, supervised diet is not only for the supervision of eating but it includes various therapeutic factors such as therapeutic alliance, therapist's attitude, therapeutic environment and therapeutic schedule which includes the comprehensive assessment. Supervised diet has many difficulties in clinical application and it consumes so much energy of the therapist. However, it is an important therapy by itself and it plays a role of a bridge to other therapies such as CBT and psychotherapy. Despite the usefulness of this method, it is difficult to find a clinic which practice the supervised diet in Korea. The literatures that report the supervised diet is also scarce. Therefore, the authors reviewed literatures and introduced our supervised diet treatment experiences with eating disorder patients at the Eating Disorders/Obesity Clinic of Seoul Paik Hospital.