ABSTRACT
RESUMO Objetivo: Revisar evidências atuais da relação entre transtorno obsessivo compulsivo e dificuldades alimentares. Métodos: Revisão das bases Science Direct e PubMed no período entre 2007 e 2017 em inglês, português e espanhol, com os termos em associação "transtorno obsessivo compulsivo" e "picky eating/dificuldade alimentar". Foram selecionados apenas estudos de coorte, caso controle ou transversal, realizados em qualquer país, com crianças, adolescentes e/ou adultos e de qualquer tamanho amostral. Foram excluídos os artigos de opinião. Resultados: Cerca de 245 artigos foram selecionados e apenas 4 foram incluídos no estudo, segundo critérios de seleção. Os trabalhos descrevem essencialmente que há diferença no comportamento seletivo entre os sujeitos com e sem transtorno obsessivo compulsivo, com tendência para exacerbação de sintomas como nojo, ansiedade e escore de inflexibilidade de comportamento alimentar nos pacientes com esse transtorno. Conclusões: Existem sintomas compartilhados entre transtorno obsessivo compulsivo e dificuldade alimentar. O estudo alerta aos profissionais que acompanham pacientes com dificuldades alimentares para a importância da investigação de possíveis comorbidades psiquiátricas.
ABSTRACT Objective: To review current evidence on the relationship between obsessive-compulsive disorder and feeding difficulties. Methods: Review the Science Direct and PubMed databases between 2007 and 2017 in English, Portuguese and Spanish. The search terms, used in association, were "obsessive compulsive disorder" and "picky eating/feeding difficulty". Cohort, case control and cross sectional studies were included that analyzed children, adolescents and/or adults of any sample size from any country in the world. Opinion articles were excluded. Results: Around 245 articles were selected, and only 4 were included in this review, according to previous criteria. Results from the studies essentially described that there is indeed a difference in "picky" behaviors between subjects with and without obsessive-compulsive disorder. Patients with obsessive-compulsive disorder tend to have exacerbated symptoms of disgust, anxiety and a higher eating behavior inflexibility score. Conclusions: Obsessive-compulsive disorder and feeding difficulties patients share common symptoms. The present study alerts health professionals who follow patients with feeding difficulties as to the importance of investigating possible psychiatric comorbidities.
Subject(s)
Humans , Child , Feeding and Eating Disorders of Childhood/psychology , Feeding Behavior/psychology , Obsessive-Compulsive Disorder/diagnosis , Behavioral Symptoms/diagnosisABSTRACT
La anorexia nerviosa es la tercera enfermedad crónica en la adolescencia. La autopercepción del cuerpo no sólo tiene influencia en el aspecto físico, sino en el subjetivo, asociándose con las áreas psicológica y social de la persona. La aparición de enfermedades como los trastornos de la conducta alimentaria (TCA) pueden afectar la calidad de vida relacionada con la salud (CVRS) de la población que las padece. El objetivo general fue estudiar la CVRS en adolescentes con TCA asistentes al programa Trastornos Alimentarios del Hospital Nacional de Clínicas durante el año 2013. Se realizó un estudio cuantitativo, descriptivo y transversal Se tomó la totalidad de las pacientes que asistieron al programa Trastornos Alimentarios: 29 mujeres de 12 a 22 años. A las mismas se les aplicó el Cuestionario KIDSCREEN-52, junto a una planilla de recolección de datos personales. A los padres, madres o tutores se les aplicó el mismo cuestionario en la versión específica para informadores indirectos
ABSTRACT: Anorexia nervosa is the third chronic disease in adolescence. The self - perception of the body not only has influence on the physical aspect, but in the subjective, associated with psychological and social areas of the person. The emergence of diseases such as Eating Disorder (ED) can affect the Health-Related Quality Of Life (HRQOL) of the population that suffers. The overall objective was to study HRQOL in adolescents with eating disorders attending the "Eating Disorders" program of the National Clinical Hospital in 2013. A quantitative, descriptive and cross-sectional study was done. All the patients who attended the "Eating Disorders" program were taken: 29 women from 12 to 22 years. At the same applies to the Questionnaire KIDSCREEN-52, along with a form of personal data collection. To the parents or guardians they were applied the same questionnaire in the specific version for indirect informers. The patients had scores below the average of reference in the self-perception of HRQOL. The dimensions of HRQOL with the highest score were Friends And Social Support (ẋ46,70) and Economic Resources (ẋ46,16), followed by The School Environment (ẋ42,35) dimension
Subject(s)
Male , Female , Humans , Feeding Behavior/psychology , Feeding and Eating Disorders of Childhood , Feeding and Eating Disorders of Childhood/psychology , Feeding and Eating Disorders of Childhood/therapy , Food Quality , Quality of LifeABSTRACT
Objective:To conduct a systematic review of the literature about the symptom of rumination in bipolar disorder (BD).Methods:We searched the MEDLINE (PubMed), ISI Web of Knowledge, PsycINFO, and SciELO databases using the descriptors “rumination” and “bipolar disorder” and no time limits. This strategy yielded 105 references, of which 74 were selected. Inclusion criteria were studies involving patients with BD and the use of at least one validated scale for the assessment of rumination. Review articles were excluded. Seventeen articles were ultimately analyzed and included in the review.Results:Rumination is present in all BD phases, is a stable interepisodic symptom, is associated with symptoms of depression, anxiety, and hypomania, and may occur in response to both positive and negative affect. There is no research on rumination and neurobiological findings in patients with BD.Conclusions:Rumination seems to be independent of mood state, but shows close relationship with it. It is possible that rumination has a negative impact on cognitive and executive functions, particularly inhibitory control. Finally, rumination is an important symptom in both phases of BD, and, therefore, may be a useful target for further exploration as a dimensional domain and a transdiagnostic phenomenon in Research Domain Criteria (RDoC) projects.
Subject(s)
Adult , Child , Female , Humans , Male , Bipolar Disorder/psychology , Feeding and Eating Disorders of Childhood/psychology , Affect/physiology , Anxiety Disorders/physiopathology , Anxiety Disorders/psychology , Bipolar Disorder/physiopathology , Cognition/physiology , Depressive Disorder/physiopathology , Depressive Disorder/psychology , Feeding and Eating Disorders of Childhood/physiopathology , Psychiatric Status Rating ScalesABSTRACT
La obesidad y sus consecuencias, son motivo de preocupación constante en el ámbito asistencial. Los intrincados mecanismos de control del apetito, han sido extensamente debatidos y estudiados y aunque aún no están del todo dilucidados, se han logrado grandes avances en lo que respecta a su comprensión. A pesar de este conocimiento, con frecuencia los tratamientos farmacológicos y dietéticos fracasan y la tasa de recaídas son muy elevadas. La obesidad, comparte muchos puntos en común con otras adicciones y si lo observamos desde este punto de vista, podemos identificar sustancias con alto poder adictivo que se encuentran en muchos alimentos hipercalóricos, pudiendo ser esta la causa por la cual, los tratamientos pierden efectividad y los pacientes recaen víctimas de un craving, de manera similar a como lo hacen con otras drogas.
Obesity and its consequences are cause for concern incessant in the field of care setting. The intricate appetite control mechanisms, have been extensively studied and debated, and although they are not yet fully understood, there has been great strides in regards to their understanding. Despite this knowledge, often pharmacological and dietary treatments fail and relapse rates are very high. Obesity share mach in common with other addictions and if you look at it from this point of view, we can identify with highly addictive substances that are found in many high calorie foods, this may be the reason why, treatments lose effectiveness and patients fall victim to a craving, similarly as with other drugs do so.
Subject(s)
Male , Female , Humans , Adult , Young Adult , Middle Aged , Obesity/psychology , Feeding and Eating Disorders of Childhood/psychology , Food Services/trends , Feeding Behavior , ArgentinaABSTRACT
Este artigo apresenta uma revisão sobre a história da alimentação e sua influência no desenvolvimento da obesidade infantil. Percorre diferentes momentos históricos, acompanhando as principais transformações ocorridas na sociedade e, como consequência, na alimentação das famílias. Fundamenta-se teoricamente no pensamento sistêmico por entender que, através dessa visão, se tem uma melhor compreensão do processo em que essas mudanças ocorreram. Conclui-se que as modificações no modo de vida das famílias, no contexto sociocultural, progresso de urbanização e industrialização, sedentarismo, influência da mídia e aumento da ingestão calórica contribuem para a incidência do excesso de peso nas crianças.
This article presents an overview of the history of feeding and its influence on the development of childhood obesity. We analyze different historical moments, following the major transformations insociety and, as a consequence, in the household diet. The article is theoretically based on systems theory, because the authors propose that through this vision one has a better understanding of the process in which these changes occurred. We conclude that changes in the modes of family life, in the sociocultural context, progress of urbanization and industrialization, sedentary lifestyle, media influence and increased caloric intake contributes to the incidence of overweight in children.
Subject(s)
Obesity/psychology , Feeding and Eating Disorders of Childhood/psychologyABSTRACT
Procura discutir os distúrbios alimentares em bebês, em especial a doença do refluxo gastroesofágico, articulando a noçäo de sujeito para a psicanálise e a importäncia da oralidade no estabelecimento do laço mäe e bebê, principalmente no que se refere à experiência de frustraçäo
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Gastroesophageal Reflux/pathology , Gastroesophageal Reflux/psychology , Feeding and Eating Disorders of Childhood/pathology , Feeding and Eating Disorders of Childhood/psychology , FrustrationABSTRACT
A five-month-old female infant was admitted to the Tropical Metabolism Research Unit with a weight for age of 49 percent and no evidence of oedema giving rise to a diagnosis of marasmus (Wellcome Classification). The underlying reason for her malnutrition was the Infant Rumination syndrome. This is an uncommon disorder which is thought to have a psychological component. A lack of awareness of the syndrome often leads to delay in diagnosis.