Experi?ncias Traum?ticas, Dificuldades de Regula??o Emocional e Ingest?o Alimentar Compulsiva

• Autor(a) principal: Bernardo, Cid?lia Maria Luzia Alves
• Data de Publicação: 2018
• Outros Autores: Marques, Mariana (Orientadora), Castilho, Paula (Coorientadora)
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://repositorio.ismt.pt/handle/123456789/850
• topic: Experi?ncias traum?ticas - Traumatic experiences; Dificuldades de regula??o emocional - Difficulties in emotion regulation; Ingest?o alimentar compulsiva - Binge eating

Introdu??o: O crescente interesse pela perturba??o de ingest?o alimentar compulsiva (PIAC; binge eating) e seus sintomas, associa-se: ? sua elevada comorbilidade com diferentes condi??es (como a obesidade) e com sintomas psiqui?tricos; ?s complica??es decorrentes; e ao aumento dos ?ndices de preval?ncia. Como fen?meno complexo, multideterminado e multifacetado torna-se fundamental continuar a explorar os seus correlatos. O pr?prio corpo pode potenciar o despertar de mem?rias traum?ticas, dado o sofrimento psicol?gico e emocional associado a essas mem?rias. Assim, as dificuldades de processamento emocional para al?m de serem marcadores dos processos traum?ticos vividos, limitam a capacidade de regular a satisfa??o das necessidades, potenciando desregula??o emocional e aumentando o distress e a sintomatologia, nomeadamente a alimentar, conduzindo a epis?dios de binge eating. S?o, ent?o, objetivos centrais deste estudo: explorar se a viv?ncia de experi?ncias traum?ticas (diferentes ?reas) e as dificuldades de regula??o emocional se associam entre si e com sintomas de binge eating; analisar se as dificuldades de regula??o emocional medeiam a rela??o entre a viv?ncia de experi?ncias traum?ticas e os sintomas de binge eating. Metodologia: 421 alunos do ensino superior e adultos da popula??o geral (mulheres, n = 300, 71,3%) preencheram um question?rio sociodemogr?fico, a Traumatic Events Checklist (TEC), a Escala Dificuldades de Regula??o Emocional (EDRE) e a Lista de H?bitos Alimentares (LHA). Resultados: Verificaram-se valores de preval?ncia de IAC de gravidade ligeira a moderada (5,9%) e grave (2,6%) semelhantes aos valores de estudos nacionais que utilizaram o LHA. A pontua??o total de LHA associou-se positivamente ao trauma familiar, total de experi?ncias traum?ticas (TEC), impulsos, n?o-aceita??o, falta de consci?ncia, clareza emocional (EDRE) e IMC. O peso relatado na inf?ncia, o IMC, o total de experi?ncias traum?ticas e o fator estrat?gias (EDRE) foram preditoras da pontua??o total de LHA/binge eating. N?o foi encontrada nenhuma rela??o de media??o. Discuss?o: Este estudo com estudantes universit?rios e indiv?duos da popula??o geral revelou a import?ncia de, potencialmente, em contextos de interven??o cl?nica, e em pessoas que apresentem sintomas de binge eating, avaliar e considerar a viv?ncia de experi?ncias traum?ticas e o acesso limitado, por parte dos sujeitos, a estrat?gias de regula??o emocional. / Introduction: The growing interest in the disturbance or symptoms of the binge eating is associated to its high comorbidity with different conditions, like obesity, as well as psychiatric symptoms, inherent complications once the disease is identified and growing prevalence rates. As a complex, multidetermined and multifaceted phenomenon, it is crucial to continue exploring its correlates. The body itself can potentiate the awakening of traumatic memories, due to the psychological and emotional pain related to those memories. Therefore, the difficulties of emotional processing (which are true markers of the traumatic processes lived by the individual) limit the ability of the individual to regulate the satisfaction of its basic needs. That leads to emotional deregulation and increases distress and symptomatology, leading to binge eating. Said that, the main goals of this study are: to explore if the living of traumatic experiences (different areas) and the difficulties in emotional regulation are associated with each other and with symptoms of binge eating; to analyze if the difficulties of emotional regulation mediate the relation between traumatic experiences and binge eating symptoms. Methodology: 421 college students and adults from the general population (women, n = 300, 71,3%) answered to a social-demographic quiz, the Traumatic Events Checklist (TEC), the Difficulties in Emotion Regulation Scale (DERS) and the Binge Eating Scale (BES). Results: There were identified light and moderate binge eating prevalence values (5,9%), as well as severe binge eating prevalence values (2,6%), which are similar to the results found in national studies that used BES. The total BES score is positively associated with family trauma, total of traumatic experiences (TEC), impulses, self-rejection, lack of consciousness, emotional lucidity (DERS) and BMI. The total score of BES/binge eating was significantly built by the weight as a child, the BMI, the total of traumatic experiences and the strategies factor (DERS). It was not found any relation of mediation. Discussion: This study with college students and individuals from the general population revealed how important it can be to evaluate and consider the traumatic life experiences of the ill individual. It allowed a better perception of the difficulties these people face when trying to create an emotional regulation when being treated and in a case where there are binge eating symptoms.