Evolução clínica e recuperação nas perturbações do comportamento alimentar

: a perceção subjetiva da recuperação

Abstract

The Eating Disorders (ED) are serious psychiatric disorders often uninterrupted and difficult to treat, where symptoms may be present in the subject for several years and may even become chronic disorders. The ED are similar in many aspects, they have a common pathology, regardless of sex and age, which is an excessive overvaluation of weight and body shapes and consequent maladaptive behavior in relation to food. Aims: Analyze and realize what perceptions have the individuals who began treatment for an ED, given the clinical evolution and recovery. Methods: 90 subjects who initiated treatment for an ED between 2001 and 2009, who may continue to have or not a clinical diagnosis for an ED. To the participants were administered a Questionnaire Clinical and Socio-Demographic (QCSD; Machado et al., 2010), and later also administered the selfreport instruments: Symptom Checklist 90-R (SCL 90-R, Derogatis, 1977); Eating Disorders Examination - Questionnaire (EDE-Q; Fairburn & Beglin, 1994), and Self- Injury Questionnaire (SIQ-TR; Vandereycken & Claes, 2007). Results: 97.77% (n = 88) of the sample were female and 2.22% (n = 2) were male, with ages between 18 and 53 years. 54.4% (n = 49) of participants were diagnosed with Anorexia Nervosa (AN), 33.3% (n = 30) diagnosis of Bulimia Nervosa (BN) and 12.2% (n = 11) diagnosed with disturbance Eating Disorder Not Otherwise Specified (EDNOS). Discussion: The percentage of participants which were Recovered was less than Not Recovered, reinforcing the concept of chronicity of these disorders. Most patients recovered perceive themselves as recovered, however, a significant percentage of Not Recovered also mentions the absence of symptoms. All the Recovered participants does not indicate the need of help for symptoms and more than an half of Not Recovered participants also indicates not current need help for symptoms of an ED.

Date of Award	2012
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Bárbara César Machado (Supervisor)