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Comorbidade entre dependência de substâncias psicoativas e transtornos alimentares: perfil e evolução de mulheres em um tratamento específico para dependência química; Comorbidity between psychoactive substance dependence and eating disorders: profile and outcome of women in a specific treatment for chemical dependence

Brasiliano, Silvia
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 25/11/2005 Português
Relevância na Pesquisa
36.97%
A associação entre transtornos alimentares e dependência de substâncias, psicoativas tem sido freqüentemente relatada tanto em programas para dependência química, como em serviços para transtornos alimentares. No entanto, há grande variabilidade entre os diferentes estudos. Uma das hipóteses que tem sido levantada para explicar essa diversidade é que em dependentes de substâncias a associação mais freqüente seria com síndromes alimentares parciais ou subclínicas. Praticamente não há pesquisas que avaliem a influência dessa comorbidade na evolução do tratamento para dependência química. O objetivo deste estudo é comparar o perfil de três grupos de mulheres dependentes de substâncias psicoativas - com comorbidade com transtornos alimentares clínicos, com comorbidade com patologia alimentar subclínica e sem essa comorbidade - e descrever sua evolução em um programa especializado para dependência química feminina. MÉTODO: foram estudadas 80 mulheres dependentes de álcool e drogas que procuram tratamento no Programa de Atenção à Mulher Dependente Química (PROMUD) do Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da USP. As pacientes foram avaliadas para a coleta de dados sócio-demográficos e relativos ao uso de substâncias psicoativas através de um questionário padronizado; para diagnóstico clínico...

Insatisfação com a imagem corporal e sintomas de transtorno alimentar, em mães de adolescentes com transtornos alimentares; Body image dissatisfaction and eating disorder symptoms in mothers of adolescents with eating disorders

Cobelo, Alicia Isabel Weisz de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 19/09/2008 Português
Relevância na Pesquisa
36.93%
Nas últimas décadas, a investigação sobre o corpo e a imagem corporal tem adquirido uma importância crescente. Contudo, ainda são poucas as pesquisas internacionais e não se encontram nas investigações nacionais, trabalhos específicos sobre imagem corporal (IC) e estudos sobre a inter-relação da IC com sintomas alimentares nas mães de pacientes adolescentes com transtornos alimentares (TAs). Objetivo: Avaliar a presença de insatisfação corporal e sintomas de transtorno alimentar nas mães de pacientes adolescentes com TA e comparar a insatisfação corporal, e sintomas de TA entre as mães de adolescentes com TA e mães de adolescentes sem esses transtornos (grupo-controle). Método: Foram estudadas 35 mães de pacientes adolescentes do sexo feminino (entre 10 e 17 anos) com TAs, no inicio do tratamento no Projeto Interdisciplinar de Atendimento, Ensino, e Pesquisa em Transtornos Alimentares na Infância e Adolescência (PROTAD) do Instituto de Psiquiatria do Hospital das Clinicas da Faculdade de Medicina da USP. Para coleta de dados utilizou-se um Questionário Sociodemográfico padronizado; para definir a classe econômica foi utilizado o Questionário Socioeconômico (ANEP); para rastreamento de atitudes alimentares foi empregado o Teste de Atitudes Alimentares (EAT-26); e para avaliação de insatisfação corporal foram utilizados o Questionário de Imagem Corporal (BSQ) e Escala de Silhuetas de Stunkard. Os resultados foram comparados com um grupo controle...

Prejuízos da qualidade de vida em pacientes com transtornos alimentares; Impairment of quality of life in patients with eating disorders

Taragano, Rogeria Oliveira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 22/05/2013 Português
Relevância na Pesquisa
36.93%
Avaliar a Qualidade de Vida (QV) de pacientes com Transtornos Alimentares (TA), verificar diferenças entre os subtipos de TA e identificar dimensões de QV mais prejudicadas. Métodos: O instrumento de QV da Organização Mundial de Saúde (WHOQOL-100) foi respondido por 69 mulheres com TA (Anorexia Nervosa AN=34; Bulimia Nervosa BN=26 e Transtorno Alimentar Não Especificado TANE=9) e por 69 mulheres saudáveis. Utilizou-se a Entrevista Clínica Estruturada para Transtornos do Eixo I do DSM-IV (SCID) para a realização dos diagnósticos psiquiátricos. Resultados: Pacientes com TA apresentaram piores escores na QV geral e em todos os domínios (físico, psicológico, relações sociais, meio ambiente, nível de independência e espiritualidade), tendo sido o psicológico aquele com maior prejuízo. Não foram encontradas diferenças entre os subtipos de TA quanto aos prejuízos de QV. As comorbidades psiquiátricas encontradas com maiores prevalências foram os Transtornos do Humor, os Relacionados ao Uso de Álcool e Outras Substâncias e os de Ansiedade. Pacientes com AN e comorbidade com o Transtorno de Pânico apresentaram QV mais prejudicada que pacientes com AN sem Pânico. A maioria dos pacientes apresentava múltiplas comorbidades e histórico de diversas tentativas de suicídio. Conclusões: Pacientes com TA apresentam significativo prejuízo de QV em todos os domínios...

Comportamentos alimentares inadequados durante a gestação : prevalência e fatores associados em amostra de serviços públicos de saúde no sul do Brasil; Inappropriate eating behaviors during pregnancy: prevalence and factors associated with among women receiving prenatal care in selected public clinics in southern Brazil

Soares, Rafael Marques
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Dissertação Formato: application/pdf
Português
Relevância na Pesquisa
36.93%
Objetivos: Estimar a prevalência de comportamentos alimentares inadequados e fatores associados em gestantes de serviços públicos de duas cidades do sul do Brasil. Método: Estudo transversal em 515 gestantes atendidas em Porto Alegre e Bento Gonçalves, Brasil. Foram definidos comportamentos alimentares inadequados como um escore global ≥4 no instrumento Eating Disorder Examination Questionnaire (EDE-Q), e comorbidades psiquiátricas utilizando o instrumento primary care evaluation of mental disorders (PRIME-MD). Peso e altura foram medidos, peso pré-gestacional relatado. Resultados: Transtornos alimentares ocorreram em 4 gestantes 0,8% (IC95% 0,2%- 1,5%). A prevalência de compulsão alimentar foi de 18,6% (IC95% 1,7-1,8), sendo duas vezes maior naquelas gestantes com ansiedade e depressão. A compulsão alimentar durante a gestação foi quase quatro vezes maior (RP=3,7; IC 95% 2,6-5,3) entre aquelas que relataram compulsão alimentar anterior a gestação. Preocupação prévia com o peso esteve associada com uma maior prevalência de compulsão alimentar (RP=1,8; IC95% 1,2-2,9) e preocupação com o peso durante a gestação (RP=7,0; IC95% 3,7-13,5). Conclusões: A compulsão alimentar foi o comportamento alimentar inadequado mais prevalente e esteve associado com preocupação com o peso antes e durante a gestação...

Síndrome do comer noturno : aspectos conceituais, epidemiológicos, diagnósticos e terapêuticos; Night eating syndrome : conceptual, epidemiological, diagnostic and therapeutic aspects

Harb, Ana Beatriz Cauduro; Caumo, Wolnei; Raupp, Priscila; Hidalgo, Maria Paz Loayza
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
Português
Relevância na Pesquisa
36.96%
O comportamento e o padrão alimentar são complexos, envolvendo aspectos metabólicos, fisiológicos e ambientais, e apresentando ritmicidade circadiana, herdada e espécie específica, sendo a humana essencialmente diurna. Este estudo tem como objetivo descrever a Síndrome do Comer Noturno, caracterizada por um atraso circadiano do padrão alimentar, mediado por alterações neuroendócrinas ao estresse. Procedeu-se à revisão da bibliografia existente, a partir do exame de artigos publicados pela literatura internacional nas bases de dados dos sites Pubmed, Lilacs, Sirus, referentes ao período de 1955 até as últimas publicações em 2007. Realizou-se um levantamento bibliográfico usando os seguintes descritores: night eating syndrome, sleep, circadian rhythm, appetite, nocturnal eating. Foram localizados 74 artigos e destes foram selecionados 26, cujo tema central era a Síndrome do Comer Noturno. Apesar dos estudos realizados, ainda existe longo percurso a ser percorrido para compreender a gênese da Síndrome do Comer Noturno e as relações intrínsecas desta com outros processos fisiopatogênicos. Tendo em conta que esta síndrome está vinculada ao controle da fome e da saciedade e à dessincronização entre o ritmo alimentar e o ritmo sono/vigília...

Disordered eating among preadolescent boys and girls : the relationship with child and maternal variables

Gonçalves, Sónia; Silva, Margarida; Gomes, António Rui; Machado, Paulo P. P.
Fonte: Universidade do Minho Publicador: Universidade do Minho
Tipo: Artigo de Revista Científica
Publicado em //2012 Português
Relevância na Pesquisa
36.94%
Objective: (1) To analyze the eating behaviors and body satisfaction of boys and girls and to examine their mothers’ perceptions of these two domains, and (2) To evaluate eating problem predictors using child body mass index (BMI), self-esteem, and body satisfaction as well as maternal BMI, eating problems, and satisfaction with their child’s body. The participants included 111 children (54.1% girls aged between 9-12 years old) and their mothers. Assessment measures included the Child Eating Attitude Test, the Self-Perception Profile for Children, the Eating Disorders Questionnaire, and the Child Eating Behavior Questionnaire. Child and maternal measures also included BMI and Collins Figure Drawings. Results: i) no association between child and maternal BMI for either sex was found; ii) no difference was found between boys and girls with regard to eating behavior; iii) most children revealed a preference for an ideal body image over their actual body image; iv) most mothers preferred thinner bodies for their children; v) greater BMI was related to higher body dissatisfaction; and vi) child BMI and dissatisfaction with body image predicted eating disturbances in boys, whereas self-esteem, maternal BMI, and eating behavior predicted them in girls. Discussion: Maternal eating problems and BMI were related to female eating problems only.

Prevalence of eating disorders and psychiatric comorbidity in a clinical sample of type 2 diabetes mellitus patients

Papelbaum,Marcelo; Appolinário,José Carlos; Moreira,Rodrigo de Oliveira; Ellinger,Vivian Carola Moema; Kupfer,Rosane; Coutinho,Walmir Ferreira
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2005 Português
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BACKGROUND: A few studies have shown high rates of eating disorders and psychiatric morbidity in patients with type 2 diabetes mellitus. OBJECTIVE: disturbed eating behavior and psychiatric comorbidity in a sample of T2DM patients. METHODS: Seventy type 2 diabetes mellitus patients between 40 and 65 years of age (mean, 52.9 ± 6.8) from a diabetes outpatient clinic were sequentially evaluated. The Structured Clinical Interview for DSM-IV, Binge Eating Scale and Beck Depression Inventory were used to assess eating disorders and other psychiatric comorbidity. In addition to the descriptive analysis of the data, we compared groups divided based on the presence of obesity (evaluated by the body mass index) or an eating disorder. RESULTS: Twenty percent of the sample displayed an eating disorder. Binge eating disorder was the predominant eating disorder diagnosis (10%). Overall, the group of obese patients with type 2 diabetes mellitus presented rates of psychiatric comorbidity comparable to those seen in their nonobese counterparts. However, the presence of an eating disorder was associated with a significant increase in the frequency of anxiety disorders (57.1% x 28.6%; p = 0.044). CONCLUSIONS: In our study sample, the occurrence of eating disorders was increased compared to rates observed in the general population...

Validation of the portuguese version of the Questionnaire on Eating and Weight Patterns: revised (QEWP-R) for the screening of binge eating disorder

Borges,Maria Beatriz Ferrari; Morgan,Christina M; Claudino,Angélica M; Silveira,Dartiu Xavier da
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2005 Português
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OBJECTIVE: The present paper describes the validation of the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R) designed for the diagnosis of binge eating disorder (BED) and sub-clinical binge eating. METHODS: 89 overweight women seeking treatment for binge eating and/or obesity were assessed with the Portuguese version of the Questionnaire of Eating and Weight Patterns and were, subsequently, interviewed with the eating disorders module of the Structured Clinical Interview for DSM-IV (SCID-I/P). Rates of binge eating disorder and sub-clinical cases of binge eating obtained with the Questionnaire on Eating and Weight Patterns-Revised were then compared to those obtained with the Structured Clinical Interview for DSM-IV. RESULTS: In the identification of binge eating, irrespective of the presence of all criteria for binge eating disorder the QEWP-R Questionnaire on Eating and Weight Patterns-Revised yielded a sensitivity value of 0.88, a specificity value of 0.63 and a positive predictive value of 0.825. Rates for the identification of the full syndrome of binge eating disorder were: sensitivity value of 0.548, a specificity value of 0.8 and a positive predictive value of 0.793. CONCLUSIONS: The Questionnaire on Eating and Weight Patterns-Revised can be useful in a first-step screening procedure to identify probable cases of binge eating. It can be useful as a screening tool and as a first step of clinical assessment of patients seeking treatment for binge eating and/or obesity.

Obesity susceptibility loci and uncontrolled eating, emotional eating and cognitive restraint behaviors in men and women

Cornelis, Marilyn C.; Rimm, Eric B.; Curhan, Gary C.; Kraft, Peter; Hunter, David J.; Hu, Frank B.; van Dam, Rob M.
Fonte: Harvard University Publicador: Harvard University
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
36.93%
Objective: Many confirmed genetic loci for obesity are expressed in regions of the brain that regulate energy intake and reward-seeking behavior. Whether these loci contribute to the development of specific eating behaviors has not been investigated. We examined the relationship between a genetic susceptibility to obesity and cognitive restraint, uncontrolled and emotional eating. Design and Methods Eating behavior and body mass index (BMI) were determined by questionnaires for 1471 men and 2381 women from two U.S cohorts. Genotypes were extracted from genome-wide scans and a genetic-risk score (GRS) derived from 32 obesity-loci was calculated. Results: The GRS was positively associated with emotional and uncontrolled eating(P<0.002). In exploratory analysis, BMI-increasing variants of MTCH2, TNNI3K and ZC3H4 were positively associated with emotional eating and those of TNNI3K and ZC3H4 were positively associated with uncontrolled eating. The BMI-increasing variant of FTO was positively and those of LRP1B and TFAP2B were inversely associated with cognitive restraint. These associations for single SNPs were independent of BMI but were not significant after multiple-testing correction. Conclusions: An overall genetic susceptibility to obesity may also extend to eating behaviors. The link between specific loci and obesity may be mediated by eating behavior but larger studies are warranted to confirm these results.

The Role of psychological need-thwarting in the experience of disordered eating symptoms : a diary study

Bateman, Raquel A. (1981 - ); Ryan, Richard M.
Fonte: University of Rochester Publicador: University of Rochester
Tipo: Tese de Doutorado Formato: Number of Pages:xv, 186 leaves; Illustrations:ill.
Português
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Thesis (Ph. D.)--University of Rochester. Dept. of Clinical and Social Sciences in Psychology, 2011.; The purpose of this study was to understand factors influencing the experience of disordered eating through the lens of Self-Determination Theory. Specifically, this study examined the relationship between psychological need-thwarting and symptoms of, and attitudes related to, disordered eating and its common concomitants over time. Participants were 151 college students recruited from psychology courses who received extra credit in exchange for their participation in this study. Participants provided daily information on psychological need-thwarting and need-satisfaction, autonomous self-regulation for healthy eating and exercise, disordered eating symptoms and attitudes, symptoms of depression, positive and negative affect, self-esteem, and stress over the course of 8 days. Hierarchical linear modeling and linear regression analyses were conducted to investigate relationships among these variables. Results demonstrated that psychological need-thwarting has a strong positive association with disordered eating attitudes, and the time course of this relationship is likely delayed (i.e., there is not an immediate effect). For the most part...

Effect of a prescriptive dietary intervention on psychological dimensions of eating behavior in obese adolescents

Ho, M.; Gow, M.; Halim, J.; Chisholm, K.; Baur, L.; Noakes, M.; Steinbeck, K.; Kohn, M.; Cowell, C.; Garnett, S.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
Relevância na Pesquisa
36.94%
Background: Overweight adolescents are more likely to have dysfunctional eating behaviours compared to normal weight adolescents. Little is known about the effects of obesity treatment on the psychological dimensions of eating behavior in this population. Objective: To examine the effects of a prescriptive dietary intervention on external eating (eating in response to food cues, regardless of hunger and satiety), emotional eating and dietary restraint and their relation to weight loss. Parental acceptability was also examined. Method: This is a secondary study of a 12-month randomized trial, the RESIST study, which examined the effects of two diets on insulin sensitivity. Participants were 109 obese 10- to 17-year-olds with clinical features of insulin resistance. The program commenced with a 3-month dietary intervention using a structured meal plan, with the addition of an exercise intervention in the next 3 months and followed by a 6 month maintenance period.This paper presents changes in eating behaviors measured by the Eating Pattern Inventory for Children and parent rated diet acceptability during the first 6 months of the trial. As there was no difference between the diets on outcome of interest, both diet groups were combined for analyses. Results: After 6 months...

Frauen mit Eßstörungen im Ausdauersport; Women with eating disorders in endurance sports

Bös, Annette
Fonte: Universidade de Tubinga Publicador: Universidade de Tubinga
Tipo: Dissertação
Português
Relevância na Pesquisa
37.04%
Die vorliegende Arbeit untersucht das Phänomen Eßstörungen bei Ausdauersportlerinnen. Auf dem Hintergrund des identitätstheoretischen Ansatzes von Stahr et al. (1995) geht es um die Frage nach den Hauptverursachungsmomenten der Eßstörungen von sieben jungen Sportlerinnen. Im Rahmen einer qualitativen Sozialforschungsarbeit wurden sieben Athletinnen in einem problemzentrierten Interview zur Phase ihrer Eßstörungserkrankung befragt. Die Arbeit setzt sich zum Ziel, einen Beitrag zur systematischen Erfassung des immer häufiger auftretenden Phänomens Essstörungen in Verbindung mit sportlichen Aktivitäten zu leisten. Dabei geht es unter anderem um die Klärung der Frage, ob es sich hierbei um ein eher intrinsisch motiviertes, von der Persönlichkeit und dem Charakter einer Person abhängiges Verhalten handelt, oder ob die Ursache der Eßverhaltensstörungen primär durch äußere Faktoren verursacht wurden (z.B. Ehrgeiz für sportliche Leistungen, Trainer, sportliches Umfeld, Familie u.a.). Dabei spielt die Biographie der einzelnen Probandinnen eine große Rolle. Magersucht und Eßstörungen allgemein sind in der heutigen Gesellschaft schon länger bekannt. Die vorliegende Arbeit will einen neuen Aspekt, eine andere Perspektive liefern. Es geht um den Zusammenhang von Eßstörungen mit sportlichen Aktivitäten...

Evaluation einer ambulanten multimodalen Gruppentherapie bei Adipositas in Kombination mit einer Binge-Eating-Störung - eine randomisierte kontrollierte Therapiestudie; Evaluation of a multimodal outpatient group therapy programme for obese patients with binge eating disorder – a randomised controlled therapy trial

Becker, Sandra
Fonte: Universidade de Tubinga Publicador: Universidade de Tubinga
Tipo: Dissertação
Português
Relevância na Pesquisa
36.96%
Fragestellung Ein Drittel der adipösen Patienten, die eine Behandlung zur Gewichtsreduktion aufsuchen, leiden zusätzlich unter Symptomen einer Binge-Eating-Störung (Störung mit Essanfällen) und profitieren in Bezug auf eine Gewichtsreduktion weder von Gewichtsreduktionsprogrammen noch von spezifischen Programmen zur Behandlung der Binge-Eating-Störung. Verschiedene Untersuchungen zeigen, dass sich diese Personengruppe deutlich von anderen Übergewichtigen unterscheidet und ein spezielles Behandlungsangebot benötigt, das im medizinischen Versorgungssystem bisher wenig Berücksichtigung findet. Ziel der Studie war die Entwicklung und Überprüfung der Wirksamkeit einer ambulanten multimodalen Gruppentherapie (Kombination von kognitiv-verhaltenstherapeutischen Interventionen zur Behandlung der Binge-Eating-Störung mit Elementen aus einem Gewichtsreduktionsprogramm) für diese spezielle Patientengruppe. Methodik 29 adipöse Patienten, die eine zusätzliche Binge-Eating-Störung hatten, wurden randomisiert einer Interventions- oder Wartekontroll-Gruppe zugeteilt. Die Teilnehmer der Interventionsgruppe nahmen über einen Zeitraum von 5 Monaten wöchentlich an einer multimodalen kognitiv-verhaltenstherapeutischen Gruppentherapie teil. Zu drei Messzeitpunkten (Interventionsbeginn...

The eating-related behaviours, disorders and expectations of candidates for bariatric surgery

Opolski, M.; Chur-Hansen, A.; Wittert, G.
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Publicado em //2015 Português
Relevância na Pesquisa
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It is important that clinicians and researchers understand the possible eating-related difficulties experienced by pre-bariatric surgery candidates, as well as their expectations of how their eating and hunger will change after surgery. This review examines English-language publications related to the eating-related behaviours, disorders and expectations of bariatric candidates. Seventy-five articles related to binge eating disorder, grazing, night eating syndrome, emotional eating, food cravings and addiction, and pre-surgical expectations of post-surgical eating in this population were critically reviewed. A variety of often problematic eating behaviours appear more common in bariatric candidates than in non-obese populations. The literature suggests that 4-45% of candidates may have binge eating disorder, 20-60% may graze, 2-42% may have night eating syndrome, 38-59% may engage in emotional eating and 17-54% may fit criteria for food addiction. Binge eating may also be more prevalent in bariatric candidates than in similarly obese non-surgical individuals. Expectations of surgery are high, with pre-surgical candidates believing their bariatric procedure will virtually guarantee significantly improved eating behaviours. Study replications are needed...

Prevalência de comportamentos alimentares disfuncionais em mulheres idosas; Prevalence of dysfunctional eating behaviors in elderly women

Gomes, Fabiana Vanessa Silva
Fonte: Universidade do Minho Publicador: Universidade do Minho
Tipo: Dissertação de Mestrado
Publicado em //2015 Português
Relevância na Pesquisa
36.96%
Dissertação de mestrado em Psicologia Aplicada (área de especialização em Psicologia Clínica e da Saúde); Comportamentos alimentares disfuncionais são frequentes em jovens, mas pouco se sabe sobre a sua prevalência em mulheres idosas. Este estudo consiste em estudar a prevalência pontual de comportamentos alimentares disfuncionais em mulheres com 65 anos ou mais. Estudo de prevalência constituído por um momento de avaliação de duas fases com 342 mulheres entre os 65 e 94 anos. Na primeira fase foram administrados os instrumentos: Mini Mental State Examination; Weight Concerns Scale; Sick, Control, One, Fat, Food; Escala de Restrição Alimentar do Eating Disorder Examination – Questionnaire; três questões para avaliar petisco contínuo e ingestão alimentar noturna. Mulheres que reportaram comportamentos alimentares disfuncionais (n=118) foram selecionadas para a segunda fase e entrevistadas com a Eating Disorder Examination. Prevalência de Perturbações do Comportamento Alimentar e da Ingestão foi de 2.4% (0.9% para IAC; 0.3% para Bulimia Nervosa e 1.2% Perturbação da Alimentação e da Ingestão com Outra Especificação. Prevalência de petisco continuo foi de 18.9%. Comportamentos alimentares disfuncionais e comportamentos de controlo de peso em idosas são pouco frequentes...

Temporal Stability of the Eating Disorder Examination Questionnaire

Mond, Jonathan; Hay, Phillipa J; Rodgers, Bryan; Owen, Cathy; Beumont, Pierre J V
Fonte: Wiley-VCH Verlag GMBH Publicador: Wiley-VCH Verlag GMBH
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
36.96%
Objectives: The current study examined the stability and internal consistency of the Eating Disorder Examination Questionnaire (EDE-Q) in a general population sample. Methods: The EDE-Q was administered to a community sample of women aged 18-45 on two occasions, with a median test-retest interval of 315.0 days. Results: Pearson correlations between items of the EDE-Q assessing attitudinal features of eating disorder psychopathology ranged from 0.57 for the Restraint subscale to 0.77 for the Eating Concern subscale. The stability of items addressing eating disorder behaviors was much lower, with phi coefficients for the occurrence of objective bulimic episodes, subjective bulimic episodes, and use of exercise as a compensatory behavior of 0.44, 0.24, and 0.31, respectively, and Kendall's tau b correlations of 0.44, 0.28, and 0.31, respectively, for the frequency of these behaviors, across occasions. The internal consistency of the EDE-Q was high, with a Cronbach alpha coefficient for the global scale of 0.93, compared with a value of 0.90 for the Eating Disorder Examination interview. Discussion: Items of the EDE-Q assessing attitudinal features of eating disorder psychopathology demonstrate a high degree of temporal stability, whereas the stability of items addressing eating disorder behaviors is much lower. In the case of compensatory eating disorder behaviors...

Disability associated with community cases of commonly occurring eating disorders

Mond, Jonathan; Rodgers, Bryan; Hay, Phillipa J; Korten, Ailsa; Owen, Cathy; Beumont, Pierre J V
Fonte: Public Health Association of Australia Publicador: Public Health Association of Australia
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
36.94%
Objective: To examine disability associated with community cases of the more commonly occurring eating disorders and with particular eating disorder behaviours. Method: Self-report questionnaires, which included measures of eating disorder symptoms and impairment in everyday functioning, were completed by 495 female residents of the Australian Capital Territory region aged between 18 and 45 years. A structured interview for the assessment of eating disorders was completed by a subgroup (n=208) of participants. Discriminant function analysis was used to identify cases of eating disorders in the total sample (n=495) based on the characteristics of individuals interviewed. Impairment in functioning, as measured by the Medical Outcomes Study Short Form, was compared among eating disorder cases and non-cases, among subgroups of participants engaging in particular eating disorder behaviours, and among community cases of anxiety and affective disorders identified from the Australian National Survey of Mental Health and Well-Being. Results: Community cases of eating disorders (n=31; 6.3%) were associated with substantial impairment in functioning, comparable with that of community cases of anxiety and affective disorders. Among eating disorder behaviours...

Eating style, television viewing and snacking in pre-adolescent children

Ouwens,M. A.; Cebolla,A.; van Strien,T.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/08/2012 Português
Relevância na Pesquisa
36.94%
Introduction: Television viewing is considered to be a risk factor for overweight in children because of its association with reduced physical activity and increased calorie intake. Objective: The aim of the present study is to examine whether eating styles affect the relationship between television viewing (TV-viewing) and snacking. Method: In a sample of 962 pre-adolescents, self-reported television viewing and snacking were assessed in relation to dietary restraint, external eating and emotional eating, as measured with the child version of the Dutch Eating Behavior Questionnaire. With regression analyses we assessed the possible moderating role of emotional, external and restrained eating on the relation between TV-viewing and snacking. In all analyses we controlled for age, sex, BMI and the possible confounding effects of the other eating styles. Results: Emotional eating, and not dietary restraint or external eating, moderated the relationship between TV-viewing and snacking. Conclusion: TV-viewing seems to be more strongly related to snacking in children with higher levels of emotional eating. TV-viewing may also be a risk factor for the development of emotional eating.

Screening for eating disorders: false negatives and eating disorders not otherwise specified

Vetrone,Giuseppe; Cuzzolaro,Massimo; Antonozzi,Italo; Garfinkel,Paul E
Fonte: The European Journal of Psychiatry Publicador: The European Journal of Psychiatry
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/03/2006 Português
Relevância na Pesquisa
36.94%
OBJECTIVE: To study the problem of false negatives in the screening for eating disorders. SUBJECTS AND METHODS: We administered the Eating Attitudes Test (EAT40) and the Eating Disorder Inventory (EDI) to 186 Italian female students (age 17.68 ± 0.9; BMI 20.84 ± 2.69). Then we submitted not only high-scorers but also all the subjects to a semi-structured diagnostic interview (Eating Disorder Examination - EDE 12.0D). The diagnosis of eating disorders not otherwise specified (EDNOS) was applied to cases which met all the DSM-IV criteria for AN and/or BN with one exception. RESULTS: 17 girls (9.1%) fulfilled diagnostic criteria for eating disorders: 1 bulimia nervosa full-syndrome and 16 EDNOS. Of the 17 girls 11 were EAT low-scorers (< 30) and 8 were EDI low-scorers (< 50); 5 subjects scored below the cutoff on both instruments. We calculated sensitivity (35.3%), specificity (88.8%), positive predictive value (PPV, 24.0%) and negative predictive value (NPV, 93.2%) of the EAT40; the respective values for the EDI were 52.9% (sensitivity), 85.2% (specificity), 26.4% (PPV) and 94.7% (NPV). DISCUSSION AND CONCLUSION: Our data show that the introduction of the EDNOS diagnoses increases the PPV of the two questionnaires but lowers their sensitivity. We conclude that using a two stage screening approach leads to a very high rate of false negatives with a significant underestimation of the prevalence of eating disorders...

Validation of the Dutch eating behavior questionnaire for children (DEBQ-C) for use with Spanish children

Baños,R. M.; Cebolla,A.; Etchemendy,E.; Felipe,S.; Rasal,P.; Botella,C.
Fonte: Nutrición Hospitalaria Publicador: Nutrición Hospitalaria
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion Formato: text/html; application/pdf
Publicado em 01/08/2011 Português
Relevância na Pesquisa
36.94%
Introduction: The Dutch Eating Behaviour Questionnaire for children was developed by Van Strien and Oosterveld (2008) to measure three different eating behaviors (emotional eating, restrained eating and external eating); it is an adaptation of the DEBQ for adults. Objective: The purpose of this study is to analyze the psychometric properties of the Dutch Eating Behavior Questionnaire for Children (DEBQ-C) with a Spanish sample. Method: The DEBQ-C was administered to 473 children (240 boys and 233 girls), from 10 to 14 years old. The sample included a Clinical Overweight Group (COG; n = 81) comprising children who were receiving weight loss treatments, a Non Clinical Overweight Group (NCOG, n = 31) comprising children who were overweight but not in treatment, and a Normal Weight Group (NWG, n = 280). Results: Results showed that the DEBQ-C had acceptable internal consistency (a = 0.70). Temporal stability was good for "External Eating" and "Restrained Eating" scales. Confirmatory factor analysis showed that the three-factor solution had good fit indices. Furthermore, the clinical overweight participants scored significantly higher on "External Eating" and "Restrained Eating" compared to the normal weight children. Conclusion: The DEBQ-C proved to be an effective instrument for researching children's eating behaviors.