Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva

Detalhes bibliográficos
Autor(a) principal: Soares, Sandra Patr?cia Sim?es
Data de Publicação: 2017
Outros Autores: Marques, Mariana (Orientadora)
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/123456789/764
Resumo: Introdu??o: A perturba??o de ingest?o alimentar compulsiva ? finalmente reconhecida no atual Manual de Diagn?stico e Estat?stica das Perturba??es Mentais (DSM-5, APA, 2014) como uma entidade cl?nica e v?rios estudos referem que deve ser encarada como um problema de sa?de p?blica. Estudos internacionais e nacionais exploraram diferentes correlatos dos sintomas de ingest?o alimentar compulsiva (IAC), mas importa avaliar outras vari?veis na sua determina??o, na popula??o geral. Assim, o principal objetivo deste estudo ? explorar a associa??o e o papel preditivo das experi?ncias traum?ticas (?reas: emocional, f?sica e sexual) e da autoavers?o (suas diferentes dimens?es) com os/nos sintomas de IAC, explorando, tamb?m, o eventual papel de media??o da autoavers?o na rela??o entre experi?ncias traum?ticas e aqueles sintomas. Metodologia: 421 sujeitos da popula??o geral e estudantes universit?rios (mulheres, n = 300, 71,3%) preencheram a Traumatic Events Checklist (TEC; avalia diferentes ?reas de experi?ncia traum?tica), a Binge Eating Scale/Lista de H?bitos Alimentares (BES/LHA; avalia sintomas de IAC) e a Escala Multidimensional de Autoavers?o (EMAV; avalia diferentes dimens?es de autoavers?o). Resultados: Encontraram-se valores de IAC similares aos de estudos nacionais: gravidade ligeira a moderada (total: 5,9%; mulheres: 6,3%; homens: 5,0%) e grave (total: 2,6%; mulheres: 3,3%; homens: 0,8%). Nos homens, a pontua??o total de IAC associou-se positivamente ? ativa??o defensiva, cognitivo-emocional e evitamento (autoavers?o). O ?ndice de massa corporal (IMC) associou-se positivamente ? pontua??o total de IAC e ativa??o defensiva (autoavers?o) e negativamente ao trauma familiar. Nas mulheres, a pontua??o total de IAC associou-se positivamente a todas as dimens?es de autoavers?o. O trauma sexual, familiar, total de experi?ncias traum?ticas e IMC associaram-se positivamente ? pontua??o total de IAC e todas as dimens?es de autoavers?o. O IMC, total de experi?ncias traum?ticas e a dimens?o cognitivo-emocional da autoavers?o foram os preditores da pontua??o total de IAC. A dimens?o cognitivo-emocional da autoavers?o mediou totalmente a rela??o entre o total de experi?ncias traum?ticas e a pontua??o total de IAC. Discuss?o: Numa amostra da popula??o geral e estudantes universit?rios, verificaram-se valores de IAC semelhantes aos de estudos nacionais. Nas mulheres, o trauma sexual, familiar e total de experi?ncias traum?ticas (e todas as dimens?es de autoavers?o) associaram-se ? IAC. Um IMC mais elevado associou-se a n?veis superiores de IAC. Em interven??es futuras face a comportamentos alimentares compulsivos, em mulheres, parece fulcral considerar o papel da autoavers?o cognitivoemocional na rela??o entre aqueles comportamentos e a ocorr?ncia distal de acontecimentos traum?ticos. / Introduction: Binge eating disorder is finally recognized in the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5, APA, 2014) as a clinical entity and several studies refer that it should be viewed as a public health problem. International and national studies have explored different correlates of binge eating symptoms, but it is important to evaluate the role of other variables in the determination of these symptoms in the general population. Thus, the main objective of this study is to explore the association and predictive role of traumatic experiences (emotional, physical and sexual) and of self-disgust (it?s different dimensions) with/in the symptoms of binge eating, exploring, also, the possible mediation role of self-disgust in the relation between traumatic experiences and those symptoms. Methodology: 421 subjects from the general population and college students (women, n = 300, 71.3%) completed the Traumatic Events Checklist (TEC; evaluates different areas of traumatic experience), the Binge Eating Scale/List of Eating Habits (BES/LHA; evaluates binge eating symptoms) and the Multidimensional Self-disgust Scale (EMAV; evaluates different self-disgust dimensions). Results: We found values of binge eating (BE) similar to those from other national studies: mild to moderate BE (total: 5,9%; women: 6,3%; men: 5,0%) and severe BE (total: 2,6%; women: 3,3%; men: 0,8%). In men, CBE total score positively correlated with defensive ativation, cognitive-emotional and avoidance dimensions (self-disgust). Body mass index (BMI) positively correlated with BE total score and defensive ativation (self-disgust) and negatively with family trauma. In women, BE total score positively associated with all self-disgust dimensions. Sexual trauma, family trauma, total of traumatic events and BMI positively associated with BE total score and all the self-disgust dimensions. In a hierarchical multiple regression analysis, BMI, total of traumatic events and the cognitive-emotional of self-disgust were predictors of BE total score. The cognitive-emotional dimension of self-disgust mediated totally the relation between traumatic events and BE total score. Discussion: In a sample from the general population and college students, there were BE values similar to the values from other national studies. In the women, sexual trauma, family trauma and total traumatic experiences (and all the self-disgust dimensions) associated with BE. A higher BMI was associated with higher levels of BE. In future interventions, it seems essential, while focusing on binge eating, in women, to consider the role of cognitive-emotional disgust in the relation between those behaviors and the distal occurrence of traumatic events.
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spelling Trauma, Autoavers?o e Ingest?o Alimentar CompulsivaExperi?ncias traum?ticas - Traumatic eventsAutoavers?o - Self-disgustIngest?o alimentar compulsiva - Binge eatingIntrodu??o: A perturba??o de ingest?o alimentar compulsiva ? finalmente reconhecida no atual Manual de Diagn?stico e Estat?stica das Perturba??es Mentais (DSM-5, APA, 2014) como uma entidade cl?nica e v?rios estudos referem que deve ser encarada como um problema de sa?de p?blica. Estudos internacionais e nacionais exploraram diferentes correlatos dos sintomas de ingest?o alimentar compulsiva (IAC), mas importa avaliar outras vari?veis na sua determina??o, na popula??o geral. Assim, o principal objetivo deste estudo ? explorar a associa??o e o papel preditivo das experi?ncias traum?ticas (?reas: emocional, f?sica e sexual) e da autoavers?o (suas diferentes dimens?es) com os/nos sintomas de IAC, explorando, tamb?m, o eventual papel de media??o da autoavers?o na rela??o entre experi?ncias traum?ticas e aqueles sintomas. Metodologia: 421 sujeitos da popula??o geral e estudantes universit?rios (mulheres, n = 300, 71,3%) preencheram a Traumatic Events Checklist (TEC; avalia diferentes ?reas de experi?ncia traum?tica), a Binge Eating Scale/Lista de H?bitos Alimentares (BES/LHA; avalia sintomas de IAC) e a Escala Multidimensional de Autoavers?o (EMAV; avalia diferentes dimens?es de autoavers?o). Resultados: Encontraram-se valores de IAC similares aos de estudos nacionais: gravidade ligeira a moderada (total: 5,9%; mulheres: 6,3%; homens: 5,0%) e grave (total: 2,6%; mulheres: 3,3%; homens: 0,8%). Nos homens, a pontua??o total de IAC associou-se positivamente ? ativa??o defensiva, cognitivo-emocional e evitamento (autoavers?o). O ?ndice de massa corporal (IMC) associou-se positivamente ? pontua??o total de IAC e ativa??o defensiva (autoavers?o) e negativamente ao trauma familiar. Nas mulheres, a pontua??o total de IAC associou-se positivamente a todas as dimens?es de autoavers?o. O trauma sexual, familiar, total de experi?ncias traum?ticas e IMC associaram-se positivamente ? pontua??o total de IAC e todas as dimens?es de autoavers?o. O IMC, total de experi?ncias traum?ticas e a dimens?o cognitivo-emocional da autoavers?o foram os preditores da pontua??o total de IAC. A dimens?o cognitivo-emocional da autoavers?o mediou totalmente a rela??o entre o total de experi?ncias traum?ticas e a pontua??o total de IAC. Discuss?o: Numa amostra da popula??o geral e estudantes universit?rios, verificaram-se valores de IAC semelhantes aos de estudos nacionais. Nas mulheres, o trauma sexual, familiar e total de experi?ncias traum?ticas (e todas as dimens?es de autoavers?o) associaram-se ? IAC. Um IMC mais elevado associou-se a n?veis superiores de IAC. Em interven??es futuras face a comportamentos alimentares compulsivos, em mulheres, parece fulcral considerar o papel da autoavers?o cognitivoemocional na rela??o entre aqueles comportamentos e a ocorr?ncia distal de acontecimentos traum?ticos. / Introduction: Binge eating disorder is finally recognized in the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5, APA, 2014) as a clinical entity and several studies refer that it should be viewed as a public health problem. International and national studies have explored different correlates of binge eating symptoms, but it is important to evaluate the role of other variables in the determination of these symptoms in the general population. Thus, the main objective of this study is to explore the association and predictive role of traumatic experiences (emotional, physical and sexual) and of self-disgust (it?s different dimensions) with/in the symptoms of binge eating, exploring, also, the possible mediation role of self-disgust in the relation between traumatic experiences and those symptoms. Methodology: 421 subjects from the general population and college students (women, n = 300, 71.3%) completed the Traumatic Events Checklist (TEC; evaluates different areas of traumatic experience), the Binge Eating Scale/List of Eating Habits (BES/LHA; evaluates binge eating symptoms) and the Multidimensional Self-disgust Scale (EMAV; evaluates different self-disgust dimensions). Results: We found values of binge eating (BE) similar to those from other national studies: mild to moderate BE (total: 5,9%; women: 6,3%; men: 5,0%) and severe BE (total: 2,6%; women: 3,3%; men: 0,8%). In men, CBE total score positively correlated with defensive ativation, cognitive-emotional and avoidance dimensions (self-disgust). Body mass index (BMI) positively correlated with BE total score and defensive ativation (self-disgust) and negatively with family trauma. In women, BE total score positively associated with all self-disgust dimensions. Sexual trauma, family trauma, total of traumatic events and BMI positively associated with BE total score and all the self-disgust dimensions. In a hierarchical multiple regression analysis, BMI, total of traumatic events and the cognitive-emotional of self-disgust were predictors of BE total score. The cognitive-emotional dimension of self-disgust mediated totally the relation between traumatic events and BE total score. Discussion: In a sample from the general population and college students, there were BE values similar to the values from other national studies. In the women, sexual trauma, family trauma and total traumatic experiences (and all the self-disgust dimensions) associated with BE. A higher BMI was associated with higher levels of BE. In future interventions, it seems essential, while focusing on binge eating, in women, to consider the role of cognitive-emotional disgust in the relation between those behaviors and the distal occurrence of traumatic events.ISMT2018-01-23T11:07:52Z2018-01-232017-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfapplication/pdfhttp://repositorio.ismt.pt/handle/123456789/764TID:201770962porhttp://repositorio.ismt.pt/handle/123456789/764Soares, Sandra Patr?cia Sim?esMarques, Mariana (Orientadora)info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-15T14:58:26Zoai:repositorio.ismt.pt:123456789/764Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T00:54:02.672477Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva
title Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva
spellingShingle Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva
Soares, Sandra Patr?cia Sim?es
Experi?ncias traum?ticas - Traumatic events
Autoavers?o - Self-disgust
Ingest?o alimentar compulsiva - Binge eating
title_short Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva
title_full Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva
title_fullStr Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva
title_full_unstemmed Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva
title_sort Trauma, Autoavers?o e Ingest?o Alimentar Compulsiva
author Soares, Sandra Patr?cia Sim?es
author_facet Soares, Sandra Patr?cia Sim?es
Marques, Mariana (Orientadora)
author_role author
author2 Marques, Mariana (Orientadora)
author2_role author
dc.contributor.author.fl_str_mv Soares, Sandra Patr?cia Sim?es
Marques, Mariana (Orientadora)
dc.subject.por.fl_str_mv Experi?ncias traum?ticas - Traumatic events
Autoavers?o - Self-disgust
Ingest?o alimentar compulsiva - Binge eating
topic Experi?ncias traum?ticas - Traumatic events
Autoavers?o - Self-disgust
Ingest?o alimentar compulsiva - Binge eating
description Introdu??o: A perturba??o de ingest?o alimentar compulsiva ? finalmente reconhecida no atual Manual de Diagn?stico e Estat?stica das Perturba??es Mentais (DSM-5, APA, 2014) como uma entidade cl?nica e v?rios estudos referem que deve ser encarada como um problema de sa?de p?blica. Estudos internacionais e nacionais exploraram diferentes correlatos dos sintomas de ingest?o alimentar compulsiva (IAC), mas importa avaliar outras vari?veis na sua determina??o, na popula??o geral. Assim, o principal objetivo deste estudo ? explorar a associa??o e o papel preditivo das experi?ncias traum?ticas (?reas: emocional, f?sica e sexual) e da autoavers?o (suas diferentes dimens?es) com os/nos sintomas de IAC, explorando, tamb?m, o eventual papel de media??o da autoavers?o na rela??o entre experi?ncias traum?ticas e aqueles sintomas. Metodologia: 421 sujeitos da popula??o geral e estudantes universit?rios (mulheres, n = 300, 71,3%) preencheram a Traumatic Events Checklist (TEC; avalia diferentes ?reas de experi?ncia traum?tica), a Binge Eating Scale/Lista de H?bitos Alimentares (BES/LHA; avalia sintomas de IAC) e a Escala Multidimensional de Autoavers?o (EMAV; avalia diferentes dimens?es de autoavers?o). Resultados: Encontraram-se valores de IAC similares aos de estudos nacionais: gravidade ligeira a moderada (total: 5,9%; mulheres: 6,3%; homens: 5,0%) e grave (total: 2,6%; mulheres: 3,3%; homens: 0,8%). Nos homens, a pontua??o total de IAC associou-se positivamente ? ativa??o defensiva, cognitivo-emocional e evitamento (autoavers?o). O ?ndice de massa corporal (IMC) associou-se positivamente ? pontua??o total de IAC e ativa??o defensiva (autoavers?o) e negativamente ao trauma familiar. Nas mulheres, a pontua??o total de IAC associou-se positivamente a todas as dimens?es de autoavers?o. O trauma sexual, familiar, total de experi?ncias traum?ticas e IMC associaram-se positivamente ? pontua??o total de IAC e todas as dimens?es de autoavers?o. O IMC, total de experi?ncias traum?ticas e a dimens?o cognitivo-emocional da autoavers?o foram os preditores da pontua??o total de IAC. A dimens?o cognitivo-emocional da autoavers?o mediou totalmente a rela??o entre o total de experi?ncias traum?ticas e a pontua??o total de IAC. Discuss?o: Numa amostra da popula??o geral e estudantes universit?rios, verificaram-se valores de IAC semelhantes aos de estudos nacionais. Nas mulheres, o trauma sexual, familiar e total de experi?ncias traum?ticas (e todas as dimens?es de autoavers?o) associaram-se ? IAC. Um IMC mais elevado associou-se a n?veis superiores de IAC. Em interven??es futuras face a comportamentos alimentares compulsivos, em mulheres, parece fulcral considerar o papel da autoavers?o cognitivoemocional na rela??o entre aqueles comportamentos e a ocorr?ncia distal de acontecimentos traum?ticos. / Introduction: Binge eating disorder is finally recognized in the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5, APA, 2014) as a clinical entity and several studies refer that it should be viewed as a public health problem. International and national studies have explored different correlates of binge eating symptoms, but it is important to evaluate the role of other variables in the determination of these symptoms in the general population. Thus, the main objective of this study is to explore the association and predictive role of traumatic experiences (emotional, physical and sexual) and of self-disgust (it?s different dimensions) with/in the symptoms of binge eating, exploring, also, the possible mediation role of self-disgust in the relation between traumatic experiences and those symptoms. Methodology: 421 subjects from the general population and college students (women, n = 300, 71.3%) completed the Traumatic Events Checklist (TEC; evaluates different areas of traumatic experience), the Binge Eating Scale/List of Eating Habits (BES/LHA; evaluates binge eating symptoms) and the Multidimensional Self-disgust Scale (EMAV; evaluates different self-disgust dimensions). Results: We found values of binge eating (BE) similar to those from other national studies: mild to moderate BE (total: 5,9%; women: 6,3%; men: 5,0%) and severe BE (total: 2,6%; women: 3,3%; men: 0,8%). In men, CBE total score positively correlated with defensive ativation, cognitive-emotional and avoidance dimensions (self-disgust). Body mass index (BMI) positively correlated with BE total score and defensive ativation (self-disgust) and negatively with family trauma. In women, BE total score positively associated with all self-disgust dimensions. Sexual trauma, family trauma, total of traumatic events and BMI positively associated with BE total score and all the self-disgust dimensions. In a hierarchical multiple regression analysis, BMI, total of traumatic events and the cognitive-emotional of self-disgust were predictors of BE total score. The cognitive-emotional dimension of self-disgust mediated totally the relation between traumatic events and BE total score. Discussion: In a sample from the general population and college students, there were BE values similar to the values from other national studies. In the women, sexual trauma, family trauma and total traumatic experiences (and all the self-disgust dimensions) associated with BE. A higher BMI was associated with higher levels of BE. In future interventions, it seems essential, while focusing on binge eating, in women, to consider the role of cognitive-emotional disgust in the relation between those behaviors and the distal occurrence of traumatic events.
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