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1.
Psychiatr Danub ; 35(Suppl 2): 150-154, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37800218

ABSTRACT

World Health Organization Director-General Margaret Chan said that violence against women is a global structural issue. It is a health problem of epidemic dimensions, the analysis of 141 researches carried out in 81 countries shows that 35% of women suffer some form of violence during their lifetime. These data were presented in the largest study ever done on the physical and sexual abuse suffered by women in all regions of the planet. When we talk about violence against women we refer to the definition provided by the United Nations and the World Health Organization. As regards the definition provided by the UN, the expression covers "any act of gender-based violence that results in, or is likely to result in, physical, sexual or psychological harm or suffering, including threats of such acts, coercion and arbitrary deprivation of liberty, both in public and private life". The WHO definition outlines violence as "the intentional use of physical force or power, threatened or actual, against oneself. But the definitions don't end there. The Convention of the Council of Europe, the first regulatory element on the matter of preventing and combating violence against women, states that the term "domestic violence" refers to all acts of violence, whether physical, sexual, psychological or economic, occurring within the family or household or between current or former spouses or partners, whether or not the perpetrator shares or has shared the same residence with the victim. The document, which starts from the same cultural reading of the roots of violence against women, commits the signatory states to protect women from all forms of violence and to prevent, prosecute and eliminate violence against women and domestic violence. The Convention requires states parties to organize "specialised immediate, short- and long-term support services for each victim of any act of violence falling within the scope" of the Convention. Unfortunately violence is a dynamic event, in fact it is constantly changing, so we are witnessing a continuous transformation of the forms of violence. In particular, in this study we will address the issue of secondary victimization, which unfortunately represents an increasingly present form of violence. citation. This form of violence was defined by the American psychologist, William J. Ryan, Jr, who in 1971 defined it as a phenomenon of secondary victimization.


Subject(s)
Crime Victims , Domestic Violence , Sex Offenses , Humans , Female , United States , Domestic Violence/prevention & control , Domestic Violence/psychology , Sexual Behavior , Europe
2.
Psychiatr Danub ; 35(Suppl 2): 179-181, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37800223

ABSTRACT

Gender dysphoria (GD) describes individuals for whom the native sex and expressed gender are not coincident and most of them self-identify as transgender women or men. It has been shown that genetic factors play an important role in GD and the presence of specific genetic variants in candidate genes could be correlated. On the other hand, twins studies have estimated its heritability. In this review, we collect and report the available data obtained by different molecular genetic studies.


Subject(s)
Gender Dysphoria , Transsexualism , Male , Humans , Female , Gender Dysphoria/genetics , Gender Identity , DNA
3.
Psychiatr Danub ; 35(Suppl 2): 217-220, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37800230

ABSTRACT

Psychiatric comorbidity is present in more than 70% of people with an Eating Disorders (ED), before or during the acute state of illness or in the long-term course. These comorbidities include personality disorders (>53%), anxiety disorders (>50%), mood disorders (>40%) and substance abuse (>10%). This work aims to analyse the different treatments available for patients affected by eating disorders and other psychiatric comorbidity.


Subject(s)
Anorexia Nervosa , Bulimia Nervosa , Feeding and Eating Disorders , Humans , Anorexia Nervosa/psychology , Feeding and Eating Disorders/epidemiology , Feeding and Eating Disorders/therapy , Personality Disorders/epidemiology , Personality Disorders/therapy , Personality Disorders/psychology , Anxiety Disorders/epidemiology , Anxiety Disorders/therapy , Comorbidity , Bulimia Nervosa/psychology
4.
Psychiatr Danub ; 35(Suppl 2): 263-265, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37800238

ABSTRACT

In the pandemic period due to the strong restrictions made necessary to deal with the spread of the Sars COVID-19 Virus, adolescents were the subjects who, most of all, suffered from isolation and lack of sociality, due to social distancing. It was necessary to change their habits, their lifestyles, the way they live social relationships and relate to others. Furthermore, those of them who were facing health difficulties at the time were faced with the impossibility of the services to guarantee safety conditions, so that in most cases many medical, psychiatric and psychological activities were suspended, with hospitalizations postponed to a date to be defined, appointments canceled with a high risk of losing contact with the patient. Many authors agreed, right from the start, that the pandemic consequences would have focused above all on psychological problems. The scientific literature on past pandemics had shown the role of fear, anxiety, stress and depression and its negative psychosocial consequences on the quality of life of the population. Samantha Brooks and colleagues from King's College London reviewed 24 studies on the psychological impact of quarantine and highlighted negative psychological effects including symptoms of post-traumatic stress, confusion and anger. Today there are many contributions in the literature which unfortunately confirm what has been hypothesized.


Subject(s)
COVID-19 , Adolescent , Humans , Quality of Life , SARS-CoV-2 , Anxiety/epidemiology , Anxiety/psychology , Quarantine/psychology
5.
Psychiatr Danub ; 34(Suppl 8): 122-128, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36170715

ABSTRACT

INTRODUCTION: According to data released by the Ministry of Health in 2021 in Italy about three million young people suffer from eating disorders with onset before the age of 13 and the number tends to be increasing. This work aims to understand if and to what extent the areas of family functioning are related to the way of eating of adolescents in the period of restriction due to COVID-19. In particular, which dimensions of family functioning can be correlated with dysfunctional eating habits. METHODOLOGY: The group that took part in the study was composed of 154 non clinical subjects, of which 124 females, 27 males and 3 non-binary gender subjects. The tests used were the McMaster Family Assessment Device and the Binge Eating Scale, in addition a personal data sheet was used containing the details of the subjects who participated anonymously, recruited at the university of Italy. The data have some limitations, first of all the low number of the sample and the online modality in compiling the tests. RESULTS: In general, we can say that the Fad and the Bes correlate positively, as the subscales of the Fad increase, the disorganized eating behavior increases and therefore the score of the Bes test. The results of the study indicate that some family dynamics are related to disorganized eating behaviors; it is not possible to establish the specific gravity of the pandemic. It seems likely that compromised family relationships may play a role in promoting the onset of diseases. CONCLUSION: It is appropriate to think of a psychoeducational intervention aimed at families in order to improve immediate family functioning and guarantee young people effective preventive action in subjects at risk in adolescence.


Subject(s)
COVID-19 , Feeding and Eating Disorders , Adolescent , Alkanesulfonic Acids , Child , Feeding and Eating Disorders/epidemiology , Female , Flavin-Adenine Dinucleotide , Humans , Male , Pandemics/prevention & control
6.
Psychiatr Danub ; 34(Suppl 8): 129-134, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36170716

ABSTRACT

Violence against women is a complex phenomenon that poses many difficulties. The greatest obstacles, however, are those that women themselves encounter, often with children, who choose to get out of the situation or relationship of violence they experience. Material, economic, housing, psychological difficulties; in this difficult path to escape from violence, women need support and support, needs to which I respond to the Anti-violence Centers (CAV) that have been operating in the various territories for years. In Italy, in 2021 ISTAT published a survey on women who have found listening, services, accompaniment and protection at the CAVs and shelters operating on the Italian territory: they are 54,609 (those who have contacted the CAVs at least once), 3,964 more than in 2019; 30,359, on the other hand, have started a path to escape from violence with the CAVs that adhere to the Intesa Stato Regioni, of which 20,223 (66.1% of the total number of women taken into care) have started the process in 2020 (69, 1% the previous year). On 13 July 2022 it was published by D.i.Re. (Women on the Net against violence) a specific and detailed report on the collection of data on women received by the CAVs of the same D.i.Re network in which: 20,711 women, 3.5% more contacts than in 2020, 8 8% more women who had never turned to CAVs. The data takes into account what we have experienced following the restrictions dictated by the Covid -19 pandemic, which has seen the growth of requests for help from women and the difficulty of activating the path of escape from violence with particular important repercussions on the victims who could not even go to hospital emergency rooms clogged with coronavirus patients.


Subject(s)
COVID-19 , Violence , Female , Humans , Italy , Surveys and Questionnaires
7.
Psychiatr Danub ; 34(Suppl 8): 135-139, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36170717

ABSTRACT

Mood disorders are mental health class that health professionals use to broadly describe all types of depression and bipolar disorders. Heritability of both bipolar and depressive disorder is in the range of 50%, which means that genes alone are not sufficient to explain all the cases of mood disorders, but they confer a substantial risk which is combined with environmental stressors to determine the final illness. In the recent years, a number of studies considered the idea to develop a strategic plan to employ the tools of genetics to advance the understanding, treatment, and outcomes for mood disorders.


Subject(s)
Bipolar Disorder , Mood Disorders , Bipolar Disorder/genetics , Humans , Mental Health , Mood Disorders/genetics
8.
Psychiatr Danub ; 34(Suppl 8): 193-195, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36170728

ABSTRACT

Eating Disorders (ED), currently specified as Eating and Nutrition Disorders (DAN), have impacted their morbidity since the last years of the last century, afflicting large segments of the population, predominantly youth, in the westernized "hemisphere." In addition, the COVID-19 pandemic has impacted and negatively influenced eating behaviors in both the general population and DAN sufferers. In agreement with many authors, distancing and social isolation have produced eating disconducts or aggravated symptoms in patients undergoing treatment. All this has led in many cases, to the demand for urgent and-or emergency care. This paper aims to review recent literature and expose data on such treatment regimens.


Subject(s)
COVID-19 , Feeding and Eating Disorders , Nutrition Disorders , Adolescent , Communicable Disease Control , Emergencies , Feeding and Eating Disorders/epidemiology , Feeding and Eating Disorders/therapy , Humans , Pandemics , SARS-CoV-2
9.
Psychiatr Danub ; 33(Suppl 9): 84-85, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34559784

ABSTRACT

Eating disorders are disabling, deadly, and costly mental disorders that considerably impair physical health and disrupt psychosocial functioning. Disturbed attitudes towards weight, body shape, and eating play a key role in the origin and maintenance of eating disorders. Eating disorders have been increasing over the past 50 years and changes in the food environment have been implicated. All health-care providers should routinely enquire about eating habits as a component of overall health assessment. Six main feeding and eating disorders are now recognised in diagnostic systems: anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant-restrictive food intake disorder, pica, and rumination disorder (Treasure 2020).


Subject(s)
Anorexia Nervosa , Binge-Eating Disorder , Bulimia Nervosa , Feeding and Eating Disorders , Binge-Eating Disorder/therapy , Bulimia Nervosa/therapy , Feeding and Eating Disorders/therapy , Humans , Obesity/therapy
10.
Psychiatr Danub ; 33(Suppl 9): 142-147, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34559793

ABSTRACT

The pandemic due to COVID-19 has had a huge psychological impact on individuals all over the world, in particular the international literature is noting an increase in pathologies among children and adolescents adolescenti (Pappa et al. 2020, Keles et al. 2020, Pigaiani et al. 2020, Solmi et al. 2021). Adolescence is a time when individuals observe physical changes in their bodies, experience new interests and desires, and find themselves with greater freedom, independence and responsibility; although variably defined, adolescence is generally believed to begin with the onset of puberty and end with assuming social roles as adults (Dahl 2004, Spear 2000). Among the changes that the adolescent has to face are: accepting one's body, acquiring a social role, female or male, establishing new relationships with peers of both sexes, achieving emotional independence from parents and other adults, acquiring social behavior responsible, learn a system of values and an ethical conscience as a guide to one's behavior, develop intellectual skills and prepare for a profession, achieve independence (Juli 2020). All this is not always easy and, many times young people find themselves facing a tortuous path that can give rise to the onset of some mental pathologies; if we then take into account the pandemic period we are experiencing, all this can get complicated. The data released by the Ministry of Health (2021) in the first months of the year, highlight that in Italy today there are about three million young people suffering from Eating Disorders (ED) with early onset before the age of 13 and the number tends to constantly increase. In 1990 Gordon spoke of Eating Disorders as a real social epidemic both in prevalence and incidence and if the preliminary studies conducted during the last year in which we lived the pandemic experience, confirm the increase of about 30% , in the years to come we will find an entire population of young adolescents with dietary difficulties (Santini et al. 2020).


Subject(s)
COVID-19 , Feeding and Eating Disorders , Adolescent , Adult , Child , Emotions , Female , Humans , Male , Pandemics , SARS-CoV-2
11.
Psychiatr Danub ; 33(Suppl 9): 169-171, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34559798

ABSTRACT

The COVID-19 outbreak has dramatically impacted on socioeconomic structure, individual freedom, general wellbeing, psychological health and sexuality. Indeed, social distancing, home confinement and the fear of contagion have reduced the possibility of romantic encounters thus influencing sexual activity, desire and behavior and, consequently, modifying socio-sexual experiences. The aim of this study is to examine sociosexuality and sociosexual experiences in southern Italians during the COVID-19 pandemic.


Subject(s)
COVID-19 , Pandemics , Cluster Analysis , Humans , Italy/epidemiology , SARS-CoV-2 , Sexual Behavior
12.
Psychiatr Danub ; 32(Suppl 1): 5-9, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32890353

ABSTRACT

The COVID-19 epidemic has been a major global public health problem during past months in Italy and in several other Countries and on the date of publication of this article, is still a serious public health problem. The health staff, engaged in the care of the sick and in the prevention of the spread of the infection have been subjected to a further increase in psychological difficulties and work-related stress, related to the workload for the continuous influx of sick and intense and close working shifts for the viral emergency. The SAVE-9 (Stress and Anxiety to Viral Epidemics - 9 items) scale has been developed as a tool for assessing work anxiety and stress in response to the viral epidemic of health professionals working to prevent the spread of the virus and to treat infected people.


Subject(s)
Anxiety/diagnosis , Coronavirus Infections/psychology , Health Personnel/psychology , Occupational Stress/diagnosis , Pneumonia, Viral/psychology , Betacoronavirus , COVID-19 , Humans , Italy , Pandemics , SARS-CoV-2
13.
Psychiatr Danub ; 32(Suppl 1): 83-87, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32890369

ABSTRACT

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.


Subject(s)
Body Image , Feeding and Eating Disorders , Adolescent , Emotions , Female , Humans , Male
14.
Psychiatr Danub ; 31(Suppl 3): 447-451, 2019 Sep.
Article in English | MEDLINE | ID: mdl-31488770

ABSTRACT

Not only philosophers, but also artists and scientists have always struggled to find a universal definition of beauty. Not even Darwin could find an answer to the question: are there any parameters of beauty that we can apply to every species. Nobody can give a valid definition for the perception of beauty in others. Can a definition in subjective terms be achieved? If I say something is beautiful, it only means that it is beautiful for me, but it does not mean that is necessarily beautiful for everyone else. Beauty is a subjective experience, but it is not only a perceptive experience! According to the Treccani Dictionary of Italian Language, beauty can be defined as: something capable of pleasing the soul through the senses and become an object worthy of contemplation. Developmental biologists say that when people talk about how beautiful a person is, they tend to highlight those qualities that make them more or less attractive. These qualities can be, for example, if and how much I look like their father or mother. Does this mean there can be universal parameters of beauty for the human species? According to Professor Semir Zeki, there are universal parameters of beauty and the easiest way to define them is in a negative way. This means that whoever has his eyes in a different position, compared to where the eyes are placed in a nation or race, cannot be called beautiful. According to this, could there be a model of beauty in our society? Today's society gives a considerable importance to appearance, it is even thought that being "beautiful" can achieve happiness, love and success. Mass media show icons of perfection and ideals of beauty almost unattainable and makes us to believe that achieving them would make us feel fulfilled; therefore underestimating other values such as happiness, family, friendship and beauty. There is less and less space for self-acceptance and developing other qualities, whereas we invest more into treatments of various kinds to change our body, considering it as an object we can manipulate, or as a tool to achieve goals. Particularly young people, today, are conditioned by the myth of beauty and by the canons imposed by newspapers, TV and the media, which demands virtual beauty without originality. According to this canon, women must always be slim but firm and sinuous, with flowing bleached hair, perfect make-up, smooth skin, full lips and long nails. On the other hand, men are forced to resemble the football players: muscular, but not too much, without a belly and marked abdominals muscles, tall, well-shaved, fragrant, or even shaving their whole body. According to Charmet: "We live in a continuous casting, with boys feeling inadequate and ugly". Adolescence is then considered a period full enthusiasm but also of torment, such as long struggles in front of the mirror with the different ways of "decorating" a suddenly new body. This is a particularly fertile ground for the onset of pathologies such as depression, dysmorphophobias, eating disorders and other pathologies. They become 'mutants', because they change and adapt to the current fashion; nowadays these changes affect not only women, but also men. Pathologies are also in the rise among increasingly younger people, aged 10 to 20 years old. In addition, there are new pathologies, such as orthorexia (the obsession for healthy eating) or drunkorexia (a combination of fasting/binge eating with alcohol abuse). Often, these are associated with other psychiatric disorders or serious physical complications. However, only a small percentage of people suffering from these conditions ask for help.


Subject(s)
Beauty , Body Dysmorphic Disorders/psychology , Emotions , Feeding and Eating Disorders/psychology , Adolescent , Adult , Child , Female , Happiness , Humans , Male , Young Adult
15.
Psychiatr Danub ; 30(Suppl 7): 521-526, 2018 Nov.
Article in English | MEDLINE | ID: mdl-30439839

ABSTRACT

What is the meaning of piercing and tattoo in sixteen years old? What are the deep reasons, affective and relational, that explain the explosion of this "fashion" among teenagers? The recent spread of these practices among young people and very young people offered the opportunity to reflect on the value attributed to the body manipulation in teenager growth context. Inked bodies, pierced, and other similar manipulations, express a communicative intention, whose strength is proved by the violence of these practices. The sense of the message, however, risks remaining obscure to adults, who lack the tools to decode it. Self-injury begins as a general expression of a lack of integration between oneself and the alienation of one's own body, resulting in conflicting and split feelings. Many manifest a behavior of disrespect, disapproval, devaluation of the bodily ego, whose self-injurious gesture would represent a particularly dramatic expression. The variability that characterizes the manifestations of self-injury prevents one from applying to a universal definition, valid under any circumstances. Instead it reveals the conceptual flexibility of self-injury that appears itself as a peculiar product in the current historical time. In a society that increasingly accepts various forms of transformative intervention on the physicality of each, where piercing and tattoos, once considered barbaric practices, now these become ordinary practices, a distinction between ornaments and self-injuries becomes necessarily confused (Levenkron 1998). The ego leak is unnecessarily buffered, occluded, braked trough any means (food, alcohol, substances, self-injury, shopping, kleptomania) because the bets are not really the shape of the body but the possibility to escape the dissolution of the Self. Self-injury and eating disorder have many common factors: impulsive, ritualistic, hidden behavior characterized by shame and guilt. These are experiences that use the body to resolve psychological conflicts and feelings of tension, anger, loneliness and emptiness. The two syndromes report a distorted image and a deep disdain of their body, lived as an enemy to fight, punish and anesthetize. The body that gets sick is very often of a teenager. The food and the obsession with the shape of the body have a primary value because they validate the identity structure, precarious, shaky, of personality in progress. The adhesion to the symptom is understandable only from this point of view, this self-destructive research, carried out to the bitter end, would not otherwise be explained if underneath there was not the fear of the disagreement of the ego. The body becomes the refuge, the theater where you can experience the emotions that you cannot tolerate in life. The problem that revolves around the emotional life is just that: we feel that we cannot control our emotions, and unable to support them from within, we try an external control. All teenagers experience pubertal transformations in a problematic way, as accepting them requires the cognitive integration of one's body into a positive image.


Subject(s)
Emotions , Feeding and Eating Disorders , Self-Injurious Behavior , Adolescent , Adult , Feeding and Eating Disorders/psychology , Humans , Personality , Stress, Psychological
16.
Psychiatr Danub ; 29(Suppl 3): 365-367, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28953793

ABSTRACT

The rating scale "G.T. MSRS" has been designed to improve the clinical effectiveness of the clinician psychiatrists, by enabling them to make an early "general" diagnosis of mixed states. The knowledge of the clinical features of the mixed states and of the symptoms of the "mixity" of mood disorders is crucial: to mis-diagnose or mis-treat patients with these symptoms may increase the suicide risk and make worse the evolution of mood disorders going to the dysphoric state. This study is the second validation study of the "G.T. MSRS" rating scale, in order to demonstrate its usefullness.


Subject(s)
Bipolar Disorder , Bipolar Disorder/diagnosis , Bipolar Disorder/prevention & control , Humans , Psychiatric Status Rating Scales
17.
Psychiatr Danub ; 29(Suppl 3): 409-415, 2017 Sep.
Article in English | MEDLINE | ID: mdl-28953800

ABSTRACT

INTRODUCTION: The clinical evidence shows that the onset of eating disorders is increasing in the prepubescent phase or even in childhood. Already starting from the prepubescence the certainties related to the body start to unwind and the individual is encouraged to build new ones, based both on the anatomic transformation of his/her own body and on the social expectation according to the identity. The onset of a Eating Disorders is normally between 13 and 25 years, but in the last years we recorded a lowering in the onset threshold to an age between 11 and 13 years, with some earlier cases at 7 years (Franzoni et al. 2012). Many theories consider body dissatisfaction as the immediate antecedent to the development of this eating disorder. Different studies have confirmed that a strong concern for physical appearance could sometimes precede an eating disorder (Cuzzolaro 2004). The alteration of the body image is the major predictive factor for the relapse, the patients themselves refer that it is one of the major obstacles for the realization of a lasting recovering. In the following study one hundred kids between 10 and 15 years old, without any Eating Disorders diagnosis, have been tested to evaluate whether if already from this age there is a concern about body image starting at this age, the fear of gaining weight and the desire to be slimmer. It is known, indeed, that these factors, if significantly present in a subject, can turn into predictive factors of a psychopathology. We need to build our body image over time; changing our percertion of reality can change also what we see, in particular the body image we strive for changes (Bianchini 2008). METHOD: 100 teenagers split in 53 females and 47 males aged between 10 and 14 years, randomly picked in the secondary school. RESULTS: The results of the study show that in the age between 10 and 15 years the concern for the body shape is already present, without difference between the genders. Although 45% of the sample is underweight, the Figure Raiting Scale test both males and females want to be of lesser weight. 91 subjects reached a BSQ test score of over 34, so most of the sample has a strong concern for their physical appearance. The results obtained by administering the BUT test also highlighted concern about the body with moderate gravity. DISCUSSION: Body dissatisfaction, as so many studies have confirmed, can be considered a precursor of psychopathology. Concerns concern both female gender and male gender. It is also necessary to pay close attention to the pressure exerted by family members, friends and the media towards a difficult to reach thinness ideal. That is why we need to focus on strengthening protective factors in adolescents with prevention and awareness campaigns which are properly targeted. CONCLUSION: The work resulted a useful reflection on the building of the body image as an early risk factor for the onset of pathologies linked to this concept. We need to commit to an educative practice of support for adolescent, recognition and sharing, which does not avoid the presence of the adults, but in fact it is enriched. It would be appreciated if we could introduce in the school, in the program of different subjects, the discussion regarding different aspects of a healthy nutrition and the formation of a solid self-esteem in order, for the students, to have a critical interpretation of the media message on food, body and beauty. It is desirable to promote the emancipation of the adolescents from a condition of dependence to discover their own place in the world. The educative action can help developing the research of the meaning of the own personality.


Subject(s)
Body Image , Feeding and Eating Disorders , Self Concept , Adolescent , Adult , Child , Female , Humans , Male , Schools , Sex Factors , Surveys and Questionnaires , Thinness
18.
Psychiatr Danub ; 28(Suppl-1): 87-91, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27663813

ABSTRACT

The eating disorders are a group of situations which are very complex that include abnormal feeding patterns, too much worry about the physical aspect, no real perception of the body image and a strong link between all these factors and the levels of self-esteem (Fairburn & Harrison 2003, Sigel 2008, American Academy of Pediatrics 2010, Dalle Grave 2011). From the '50s of the previous century we had a continuous increase of the Eating Disorders (Dalle Grave 2011). Indeed, in the National Program of the Prevention is stated that: "The spread of the eating disorders is very fast and relevant; there is no other disease with the same propagation and that looks like a real social epidemic" (The Ministry of Health 2010). At the same time, there was a reduction of the time of onset (Favaro et al. 2009) with cases of girls 8/9 years old, before having their first period (Dalla Ragione 2012). This means that the pediatricians should pay more attention to the eating disorders because there is a big delay in the diagnosis that can have a negative impact on the therapy to apply and on the prognosis (American Academy of Pediatrics 2010). Overweight and eating disorders are the main problems of public health among adolescents and many works show a direct link between eating disorders and child obesity (Babio et al. 2009). In the case of children, the diagnosis is very complex, especially during the early adolescence (-12 years) due to the large heterogeneity of the somatic expressions that make difficult a precise nosographic study. Therefore, it is necessary that the pediatrician has a good knowledge about the eating disorders in order to identify them quickly and to start a multidisciplinary path and to promote an improvement in the long term.

19.
Psychiatr Danub ; 27 Suppl 1: S336-8, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26417791

ABSTRACT

The origin and course of eating disorders and nutrition have a multifactorial etiology and should therefore take into consideration: psychological factors, evolutionary, biological and socio-cultural (Juli 2012). Among the psychological factors we will focus on violence (in any form) and in particular on the consequences that they have on women, which vary in severity. Recent studies show that women get sick more than men, both from depression and eating disorders, with a ratio of 2:1; this difference begins in adolescence and continues throughout the course of life (Niolu 2010). The cause of this difference remains unclear. Many studies agree that during adolescence girls have negative feelings more frequently and for a longer duration caused by stressful life events and difficult circumstances, such as abuse or violence. This results in an increased likelihood of developing a symptom that will be connected to eating disorders and/or depression. As far as the role of food is concerned in eating disorders, it has a symbolic significance and offers emotional comfort. Eating means to incorporate and assimilate, and even in an ideal sense, the characteristics of the foods become part of the individual. Feelings that lead to binges with food are normally a result of feelings related to abuse or violence and lead to abnormal behavior which leads to binging and the final result being that the person is left feeling guilty and ashamed. Research confirms that 30% of patients who have been diagnosed with eating disorders, especially bulimia, have a history of sexual abuse during childhood. Ignoring the significance of this factor can result in the unleashing of this disease as the patient uses the disorder as his expressive theater (Mencarelli 2008). Factors that contribute to the possibility of developing an eating disorder are both the age of the patient at the time of the abuse and the duration of the abuse. The psychological effects that follow may include dissociative symptoms and symptoms of an Eating Disorder.


Subject(s)
Child Abuse, Sexual/psychology , Exposure to Violence/psychology , Feeding and Eating Disorders/psychology , Adolescent , Adult , Anorexia Nervosa/diagnosis , Anorexia Nervosa/psychology , Binge-Eating Disorder/diagnosis , Binge-Eating Disorder/psychology , Bulimia Nervosa/diagnosis , Bulimia Nervosa/psychology , Child , Child Abuse, Sexual/diagnosis , Defense Mechanisms , Depression/diagnosis , Depression/psychology , Feeding and Eating Disorders/diagnosis , Female , Humans , Life Change Events , Male , Middle Aged , Young Adult
20.
Psychiatr Danub ; 26 Suppl 1: 97-102, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25413521

ABSTRACT

INTRODUCTION: As is clear from research accredited by the ONU, the violence suffered by the partner, husband or other family members is the leading cause of death and disability for women aged 15 to 44 years. The WHO has also shown that at least one in five women suffers a beating or any form of violence in herl lifetime. Gender-based violence is undoubtedly a widespread phenomenon on a worldwide scale regardless of ethnicity, religion, social class,or level of education. It is a traumatic experience that produces different effects depending on the type of violence and the person who is the victim. There is a close relationship of cause and effect between violence and health status of women. They are in fact relevant primary effects related to the consequences of direct physical violence on the body and the side effects associated with mental and physical damage to repetitive exposure and situations of traumatic impact. The health consequences can be of different nature,rainging from Physical, Psychological and Behavioral, Sexual and Reproductive, to Death. The first important Psychological consequences are Depressive Disorder and Anxiety. The objective of this study was to analyze, through the administration of diagnostic tests, the methods of the links of the subjects on the one hand, attachment and relationships on the other; grouped in practice to detect if there is a close relationship between a Depressive Disorder and Violence suffered. METHOD: 20 women aged between 23 and 50 years who have experienced various forms of violence, were randomly selected and followed by the three anti-violence centers of Calabria. RESULTS: The Separation Anxiety Depressive trait that explains the current Depression is not the result of the violence, but it is due to lack of self-confidence, difficulty im being identified and ability to plan for their lives. These difficulties are established in the woman through an enmeshed relationship with her partner, in fact, what has emerged is the establishment of an Insecure Attachment. DISCUSSION: Women who have been raped are traumatized individuals, who have not recovered from trauma, and therefore are vulnerable to pain. In relationships that have established themselves they feel responsible for what they have now (guilt, lack self-confidence, difficulty in separating); denying Separation Anxiety and remaining trapped in a violent relationship. The term Separation Anxiety denotes an aspect of behaviour, considered as a pathological form as well as clarified by the DSM V (even in adults); In fact, this is the separation anxiety which is manifested by extreme anxiety and those who suffer from it are tied more to the partner and/or parents that are the very cause of the symptom. This discomfort is related to childhood, therefore, the evidence suggests that there is a close relationship between what one has lived in that era and adult life. CONCLUSION: Women victims of violence, must overcome the separation anxiety that has been established as a result of trauma, the latter if not processed coincides with the shame and the guilt. This will be possible if they are given valid support, which is psychological / psychotherapeutic and pharmacological , to accompany and support them towards a new lease of life.

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