Abstract:
OBJECTIVE AND METHODS:Current research has focused on the impact of difficulties in emotional recognition and regulation and deficits in social cognition (ToM) in the predisposition and maintenance of eating disorders EDs. Though most studies have assessed adult patients, few studies have examined these characteristics in adolescent patients. This study assessed difficulties in emotional recognition and ToM in 48 adult and adolescent patients (39 Anorexia Nervosa patients, and 9 Bulimia Nervosa patients) of varying degrees of severity, who were compared with a group of healthy controls using the TAS-20, and the RME. RESULTS:The results substantiate the initial working hypothesis that difficulties in emotional recognition would be greater in both AN and BN patients as compared to controls. Moreover, these difficulties were modulated by age and the severity of the disorder i.e., severely affected adult patients had more difficulties in emotional recognition than less severely affected adolescent patients. No differences were observed according to diagnosis or BMI. Contrary to expectation in terms of the functioning of social cognition (theory of mind), both adult and adolescent AN and BN patients maintained their ability to infer the mental state of others, and performance in mentalizing task was similar to controls. Performance was slightly lower, but not statistically significant, in longterm previously treated patients than in controls. No relationship with low BMI or eating symptoms was observed. CONCLUSION:Since all of the ED patients exhibited emotional difficulties, techniques designed to enhance emotional recognition are vital for successful treatment. As difficulties become more acute as the disorder progresses, the treatment of adolescent patients must entail early therapeutic interventions designed to arrest further deterioration. In terms of ToM, the results suggest difficulties in social cognition can neither be generalized to all AN patients nor to those suffering from severe malnutrition. In long-term patients mentalization was slightly low and apparently poorly associated to difficulties in therapeutic link. These results do not lend support to the hypothesis that AN patients share the characteristics of patients affected by autistic spectrum disorders, at least not in terms of all the dimensions of ToM. These, and other controversial findings in the social cognition of EDs suggest that difficulties in mentalization cannot be generalized to all ED patients, which underscores the need for further research on the differential characteristics of AN patients with ToM disorders that goes beyond the emotional difficulties observed. :Objetivo y métodos: Actualmente se destaca la importancia de las dificultades de reconocimiento emocional y los problemas en cognición social (ToM), en la predisposición y mantenimiento de los Trastornos de Conducta Alimentaria (TCA). La mayoría de los estudios han sido realizados en pacientes adultos y pocos han analizado estas características en pacientes adolescentes. Este estudio examina las dificultades de reconocimiento emocional y cognición social en 48 pacientes con Anorexia Nerviosa (AN) y Bulimia Nerviosa (BN), adultas y adolescentes, con diversos grados de gravedad y las compara con grupos control sano. Para evaluar estas dificultades se han utilizado los siguientes cuestionarios: TAS-20 y el RME. Resultados: Conforme a lo establecido en nuestras hipótesis, las pacientes con AN y BN presentan mayores dificultades en el reconocimiento que los sujetos control. Las dificultades están moduladas por la edad y la gravedad del trastorno. Las pacientes adultas y más graves presentan más problemas en el reconocimiento emocional que las adolescentes menos graves. No se han obtenido diferencias en función del diagnóstico ni del índice de masa corporal (IMC). Contrariamente a lo esperado en la hipótesis sobre la teoría de la mente, las pacientes AN y BN, adultas y adolescentes mantienen intacta su capacidad para atribuir estados mentales a otros, realizando la tarea de mentalización de forma similar a los sujetos control. Únicamente las pacientes con más tratamientos previos y mayor duración del trastorno muestran un rendimiento ligeramente inferior. No existe relación con el IMC ni con los síntomas alimentarios. Conclusiones: Dado que todas las pacientes TCA tienen dificultades emocionales, es esencial que se introduzcan técnicas terapéuticas que faciliten el reconocimiento y la aceptación en el tratamiento. Puesto que las dificultades se intensifican en el transcurso del trastorno, los tratamientos de pacientes adolescentes tienen que incluir intervenciones terapéuticas tempranas que impidan este deterioro. Por lo que respecta a la ToM, los resultados sugieren que las dificultades de cognición social no son propias de todas las pacientes AN, incluso con un IMC muy bajo. En pacientes de larga evolución la mentalización es ligeramente inferior y parece estar asociada, muy débilmente, a las dificultades de vínculo terapéutico. Estos y otros hallazgos controvertidos en cognición social en TCA, sugieren que no es posible generalizar las dificultades de mentalización a todos los pacientes con TCA e instan a realizar más investigaciones que permitan descubrir las características diferenciales de las pacientes AN con alteraciones de ToM, más allá de las dificultades de vínculo observadas.
journal_name
Nutr Hospjournal_title
Nutricion hospitalariaauthors
Calvo Sagardoy R,Gallego Morales LT,Solórzano Ostolaza G,Kassem García S,Morales Martínez C,Codesal Julián R,Blanco Fernández Adoi
10.3305/nh.2014.29.4.7326subject
Has Abstractpub_date
2014-04-01 00:00:00pages
941-52issue
4eissn
0212-1611issn
1699-5198journal_volume
29pub_type
杂志文章abstract:INTRODUCTION:Coffee and tea consumption recommendations for a healthy diet have been changing in recent years as it has increased the level of evidence on their benefits has increased. OBJECTIVE:To know the frequency of coffee and tea consumption of in a high cardiovascular risk Mediterranean population (CVR) and to a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2010-05-01 00:00:00
abstract:Introduction:Our world is facing an unprecedented challenge. By 2050, the global population is predicted to increase to nine billion people, whom we must nourish on a planet with limited resources. A transformation of the global food system is needed, from an unsustainable to a sustainable food production, and from low...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.03356
更新日期:2021-01-13 00:00:00
abstract:INTRODUCTION:This paper presents the results of a study on pain reduction in newborns that undergo painful medical procedures. This research analyzed the reactions of babies before and after the heel lance procedure, a diagnostic test performed to detect phenylketonuria. This test involved the extraction of a capillary...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2014.30.5.7862
更新日期:2014-11-01 00:00:00
abstract:INTRODUCTION:body composition and vertical jump are two factors in the multifactorial approach to talent identification in soccer with implication on performance monitorization and injury rehabilitation. The aim of this study was to describe the anthropometric attributes and vertical jump performance in young soccer pl...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.1.8876
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:To analyze the psychological status of morbidly obese patients suffering changes after surgical procedure for weight reduction. METHODS:We analyze the weight loss in 100 morbidly obese patients (85 female, 15 male) after bariatric surgery (vertical banded gastroplasty). We correlated the percentage of weight...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:INTRODUCTION:southern European, Middle Eastern, and North African countries bordering the Mediterranean share dietary habits characterized by moderation and a variety of foods, notably fruit and vegetables. These customs are becoming modified due to social and economic changes. An adequate intake of water and other dri...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.6.9892
更新日期:2015-12-01 00:00:00
abstract::Phospholipids are amphipathic lipids, which are found in all the cell membranes, organized as a lipid bilayer. They belong to the glycerol-derived lipids, showing a similar structure as triglycerides. The current interest of them comes from its effectiveness to incorporate different fatty acids in the cell membrane, a...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2015.31.1.7961
更新日期:2014-09-12 00:00:00
abstract::Patient diagnosed with Crohn's Disease with inflammatory pattern that evolves stenosing-piercing, causing abdominal perforation and fecal peritonitis. She was underwent to three surgeries, leading to numerous complications and a torpid clinical course. Given the state of malnutrition on admission it was prescribed Tot...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.5.5884
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Oncohematological diseases such as lymphoma or leukaemia affect an increasing number of newly diagnosed patients in Spain and other countries. Both disease and treatment may have a negatively impact in the nutritional status of the patient. Malnutrition is not uncommon among oncohematological patients. This ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:10.3305/nh.2012.27.3.5863
更新日期:2012-05-01 00:00:00
abstract::Introducción: el trastorno por atracón o "Binge Eating Disorders" (BED) se caracteriza por el consumo de grandes cantidades de comida en un breve periodo de tiempo acompañado de una sensación de falta de control sobre la ingesta. El BED se relaciona con una alimentación poco equilibrada, contribuyendo a la aparición d...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.799
更新日期:2016-11-29 00:00:00
abstract::The concept of sarcopenia implies loss of muscle mass and function. It is a condition that accompanies aging, although it not always has clinical consequences. It is produced by many factors: nervous system (loss of alpha motor units in the spinal cord), muscular (loss of muscle quality and mass), humoral (decrease in...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:Although changes in eating patterns may occur during gestation, predictors of these changes have not been explored. This study aimed to identify predictors of adherence to the Mediterranean diet (MD) from the first to second trimester of pregnancy. METHODS:A prospective study was conducted with 102 pregnant...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.3.8158
更新日期:2014-10-04 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study examined the association of physical activity and sedentarism with tobacco and alcohol consumption, and adherence to the Mediterranean diet in teenagers of both genders. METHODS:A total number of 1897 Spanish teenagers (12-16 year-olds) took part in the present cross-sectional stud...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.31.4.8256
更新日期:2015-04-01 00:00:00
abstract:INTRODUCTION:there is a growing concern in the appearance of eating disorders in athletes, especially those that practice sports grouped into weight categories. This affects the way athletes eat, using frequently unhealthy strategies to control weight, especially during the pre-competition period. AIM:this study analy...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.4.9214
更新日期:2015-10-01 00:00:00
abstract:INTRODUCTION:The lifestyle changes in college, students go through periods of physical inactivity and irregular meal times, which leads to increased consumption of processed foods and fast food. OBJECTIVE:To calculate vitamins and minerals intakes for groups in the diet of Chilean university students. METHODS:We stud...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6397
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Active commuting to school is associated to higher levels of physical activity among children. Family factors may influence on this behaviour. OBJECTIVE:The objective was to analyze the association between parents' occupational activity and parents' mode of commuting to work with the mode of commuting of th...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2013.28.3.6399
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:The effects of alcohol consumption on body weight have been evaluated in a large number of studies suggesting to be inversely as well as positively related to body weight and body fat. OBJECTIVE:This study examined the relationships between moderate beer consumption and anthropometrical parameters in Spanis...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2007-03-01 00:00:00
abstract::The use of selenized yeast as enriched selenium supplements in human nutrition has become a topic of increasing interest over the last decade. The present study was designed with the aim to achieve a balance between selenium (Se) incorporation and optimal growth of yeast cells along with effect of Se enrichment on ant...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-11-01 00:00:00
abstract::The purpose of the study was to determine the association of birth weight as a risk factor for obesity at first grade in a cohort of elementary school Chilean children. Height and weight at birth and follow up measurements at first grade were analyzed from a national cohort of 119,070 new borns. Subjects were classifi...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:we analyzed the rural-urban differences of the nutritional status by residence (DRU) of the Basque male population during the Industrial Revolution. METHODS:We used data from the military recruitment of 1876-1936 (cohorts born in 1856-1915). We analyzed the heights of 12,747 conscripts in six municipalities ...
journal_title:Nutricion hospitalaria
pub_type: 历史文章,杂志文章
doi:10.20960/nh.2084
更新日期:2018-06-04 00:00:00
abstract:UNLABELLED:Morbid obesity is a risk factor for numerous diseases including liver disease with an incidence of hepatic steatosis from 70 to 80%. Although surgical treatment is effective in reducing weight, its effects on the liver have not been established convincingly. We report 2 cases of patients with bariatric surge...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2015.32.1.9174
更新日期:2015-07-01 00:00:00
abstract::In this work, we have planned to perform a nutritional assessment of a group of 50 students from the University of Granada, to which questionnaires have been administered relating to 24-hour remembrance of type and frequency of food consumption, for 30 days. In order to know macro- and micronutrients intake, the resul...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2006-03-01 00:00:00
abstract:Introduction:Background and objectives: the aim of the present investigation was to describe the association of this single nucleotide polymorphism (SNP) with fasting glucose levels, serum adipokine levels and diabetes mellitus. Methods: the study involved a population of 1,002 adult obese subjects. Measurements of ant...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.2013
更新日期:2019-03-07 00:00:00
abstract:INTRODUCTION:Food craving consists of a strong motivational state whereby a person is driven to seek and ingest a specifically desired food. OBJECTIVES:To explore the influence of mental imagery on the food craving experience as well as to analyse the role of different psychological variables. METHODS:Participants co...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.3305/nh.2012.27.6.6043
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the prevalence of anaemia and the risk of haemoconcentration and its risk factors during all 3 trimesters of pregnancy in women in a Mediterranean area in the south of Europe. MATERIAL AND METHODS:Longitudinal study of 11,259 women whose pregnancies were monitored at primary care centres between ...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:10.20960/nh.1045
更新日期:2018-01-10 00:00:00
abstract::With obesity the amount of pro- and anti-inflammatory adipokines released is increased within the fat tissue. These molecules are implicated in many clinical manifestations of this pathology such as diabetes, arterial hypertension, or cardiovascular disease. At the first stage, the fat tissue of the obese patient beco...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章,评审
doi:
更新日期:2009-07-01 00:00:00
abstract::At our hospital, there is an At-Home Enteral Nutrition programme (NED in its Spanish acronym) with participation of the Clinical Nutrition Unit and the Pharmacy Service. The products and all necessary material are dispensed directly to the patient's home and nutritional follow-up is carried out. As a lack of informati...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract::We conducted a prospective study of the incidence of malnutrition in the surgical departments of the Reina Sofia University Hospital, on a total of 329 patients at the time of admittance (154 women and 175 men). As was denounced by Bristian more than 20 years ago, more than 50% of the patients presented some form of m...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:UNLABELLED:Nutritional support in the critically ill patient is an important mainstay within the specialty of intensive care medicine. Patients at the Intensive Care Unit (ICU) are usually hypercatabolic and require an adequate nutritional support. Usually, the intensive care physician prescribes nutrition type, its am...
journal_title:Nutricion hospitalaria
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract::When a patient needs parenteral or enteral nutrition, be it in a transitory way or as a permanent form, and hospitalization is not strictly required, this treatment should take place in the home of the patient whenever possible. The support with artificial nutrition can be equally efficient, improving the life expecta...
journal_title:Nutricion hospitalaria
pub_type: 指南,杂志文章,实务指引
doi:
更新日期:1995-09-01 00:00:00