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Abstract(s)
As Perturbações do Comportamento Alimentar (PCA) são perturbações mentais graves que afetam essencialmente adolescentes e jovens adultos do sexo feminino, com impacto ao nível da saúde física e mental (Fairburn & Harrison, 2003). Segundo as investigações atuais, estas podem apresentar um curso e uma evolução variável, com grupos de pacientes atingirem a recuperação total, ou apresentar alguns sintomas residuais, ou evoluindo para curso crónico (Wonderlich et al, 2012). Não sendo particularmente claro o que distingue um curso de recuperação de um curso de não recuperação (Couturier & Lock, 2006a; 2006b; Noordenbos, 2011; Carr, 2006), a presente dissertação visou compreender quais as principais caraterísticas sintomatológicas, presentes num grupo de pacientes recuperadas e não recuperadas, que durante o período de 2001 a 2009 foram diagnosticadas com algum tipo de PCA. Os resultados mostram que o IMC, episódios bulímicos objetivos, preocupação com a forma, autoavaliação negativa e composição corporal são particularmente importantes na diferenciação de um curso de recuperação e não-recuperação. Para as restantes variáveis, apesar de existirem diferenças entre pacientes avaliadas como recuperadas e não-recuperadas, a verdade é que estas diferenças tendem a não ser estatisticamente significativas, na maioria das variáveis comportamentais e psicológicas avaliadas. Os resultados são discutidos à luz da complexidade do conceito de recuperação e da necessidade flexibilizar e individualizar a análise e intervenção em PCA.
The Eating Disorders (ED) are serious disorders that affect mainly adolescents and young adults, with impact on the physical and mental health (Fairburn & Harrison, 2003). According to current research, these may present a variable course and outcome, with a group of female patients that achieved full recovery, or present some residual symptoms, or developing into chronic course (Wonderlich et al, 2012). Not being particularly clear what distinguishes a course of recovery from a non-recovery (Couturier & Lock, 2006a, 2006b; Noordenbos, 2011; Carr, 2006), this thesis aimed to understand what are the main features symptomatology, present in a group of patients recovered and not recovered, that during the period of 2001 to 2009 were diagnosed with some type of ED. The results showed that the BMI, bulimic episodes, concern with form, negative self-assessment and body composition are particularly important in differentiating a course of recovery and non-recovery. For the remaining variables, although there are differences between patients assessed as recovered and non-recovered, the truth is that these differences tend to be not statistically significant. The results are discussed in light of the complexity of the concept of recovery and the need flexible and individualized analysis and intervention in PCA.
The Eating Disorders (ED) are serious disorders that affect mainly adolescents and young adults, with impact on the physical and mental health (Fairburn & Harrison, 2003). According to current research, these may present a variable course and outcome, with a group of female patients that achieved full recovery, or present some residual symptoms, or developing into chronic course (Wonderlich et al, 2012). Not being particularly clear what distinguishes a course of recovery from a non-recovery (Couturier & Lock, 2006a, 2006b; Noordenbos, 2011; Carr, 2006), this thesis aimed to understand what are the main features symptomatology, present in a group of patients recovered and not recovered, that during the period of 2001 to 2009 were diagnosed with some type of ED. The results showed that the BMI, bulimic episodes, concern with form, negative self-assessment and body composition are particularly important in differentiating a course of recovery and non-recovery. For the remaining variables, although there are differences between patients assessed as recovered and non-recovered, the truth is that these differences tend to be not statistically significant. The results are discussed in light of the complexity of the concept of recovery and the need flexible and individualized analysis and intervention in PCA.
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Keywords
Perturbações do comportamento alimentar Curso e evolução Recuperação Cronicidade Eating disorders Course and outcome Recovery Chronicity