Análisis de variables emocionales y neuropsicológicas en pacientes con TCA

  1. Somé Rodríguez, Myriam 1
  2. Jauregui Lobera, Ignacio
  1. 1 Instituto Hispalense de Pediatría
Zeitschrift:
Journal of Negative and No Positive Results: JONNPR

ISSN: 2529-850X

Datum der Publikation: 2023

Titel der Ausgabe: Vol. 8 Núm. 1 (2023): JONNPR

Ausgabe: 8

Nummer: 1

Seiten: 486-506

Art: Artikel

DOI: 10.19230/JONNPR.4910 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Andere Publikationen in: Journal of Negative and No Positive Results: JONNPR

Zusammenfassung

Introduction: Eating disorders (TEA) are a set of psychiatric illnesses that occur through severely altered eating behaviour as well as associated thoughts and emotions. In this study, neuropsychological and emotional variables are measured, as well as eating behaviour in a sample of individuals with eating disorders and healthy individuals. Material and methods: The sample consisted of 88 female participants, 39 of them with eating disorders (TEA group, GTCA), and 49 without eating disorders (control group, GCTRL) with an age between 13 and 25 years. It has been used test such as DEX or EDI-3 to evaluate variables such as impulsivity and eating behaviour, among others. Results and discussion: The GTCA showed an obsession with thinness (p<0.034) and body dissatisfaction (p<0.02) higher than the GCTRL as well as a lower processing speed. In emotional variables, a higher degree of depression and apathetic state were observed. Patients with a BMI less than 18.5 presented higher levels of anxiety, lower central coherence and greater depressive state, so that the lower the weight, the worse the results. The correlation analysis showed that higher the level of depression, the higher the apathy and impulsivity, as well as alterations in eating behaviour, memory, attention and cognitive flexibility. Conclusions: Patients with eating disorders present more vulnerable emotional states where depression, apathy and impulsiveness stand out. Motor coordination, processing speed and visuospatial processing have also been correlated with worse results the greater the depressive states and impulsivity.

Bibliographische Referenzen

  • Bryant-Waugh R. What are eating disorders? En: Eating Disorders [Internet]. 2010 [citado 25 de febrero de 2022]. p. 9. Disponible en: https://www.psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders
  • Diagn C. American psychiatric association. Vol. 9, Archives of Neurology And Psychiatry. 1923. 636 p.
  • Castillo M, Weiselberg E. Bulimia Nervosa/Purging Disorder. Curr Probl Pediatr Adolesc Health Care [Internet]. 1 de abril de 2017 [citado 6 de marzo de 2022];47(4):85-94. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28532966/
  • Gonçalves J de A, Moreira EAM, Trindade EBS d. M, Fiates GMR. Transtornos alimentares na infância e na adolescência. Rev Paul Pediatr [Internet]. enero de 2013 [citado 6 de marzo de 2022];31(1):96-103. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23703051/
  • Schebendach JE, Mayer LE, Devlin MJ, Attia E, Contento IR, Wolf RL, et al. Food choice and diet variety in weight-restored patients with anorexia nervosa. J Am Diet Assoc [Internet]. mayo de 2011 [citado 6 de marzo de 2022];111(5):732-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21515121/
  • Marzola E, Nasser JA, Hashim SA, Shih P an B, Kaye WH. Nutritional rehabilitation in anorexia nervosa: review of the literature and implications for treatment. BMC Psychiatry [Internet]. 7 de noviembre de 2013 [citado 2 de marzo de 2022];13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24200367/
  • Steinglass J, Albano AM, Simpson HB, Carpenter K, Schebendach J, Attia E. Fear of Food as a Treatment Target: Exposure and Response Prevention for Anorexia Nervosa in an Open Series. Int J Eat Disord [Internet]. mayo de 2012 [citado 6 de marzo de 2022];45(4):615. Disponible en: /pmc/articles/PMC3151474/
  • Zipfel S, Giel KE, Bulik CM, Hay P, Schmidt U. Anorexia nervosa: aetiology, assessment, and treatment. The lancet Psychiatry [Internet]. 2015 [citado 28 de febrero de 2022];2(12):1099-111. Disponible en: https://pubmed.ncbi.nlm.nih.gov/26514083/
  • Forbush KT, Hunt TK. Characterization of eating patterns among individuals with eating disorders: what is the state of the plate? Physiol Behav [Internet]. 2014 [citado 7 de marzo de 2022];134(C):92-109. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24582916/
  • Forney KJ, Buchman-Schmitt JM, Keel PK, Frank GKW. The Medical Complications Associated with Purging. Int J Eat Disord [Internet]. 1 de marzo de 2016 [citado 7 de marzo de 2022];49(3):249. Disponible en: /pmc/articles/PMC4803618/
  • Seitz J, Kahraman-Lanzerath B, Legenbauer T, Sarrar L, Herpertz S, Salbach-Andrae H, et al. The role of impulsivity, inattention and comorbid ADHD in patients with bulimia nervosa. PLoS One [Internet]. 20 de mayo de 2013 [citado 7 de marzo de 2022];8(5). Disponible en: https://pubmed.ncbi.nlm.nih.gov/23700439/
  • Keski-Rahkonen A, Mustelin L. Epidemiology of eating disorders in Europe: prevalence, incidence, comorbidity, course, consequences, and risk factors. Curr Opin Psychiatry [Internet]. 1 de octubre de 2016 [citado 28 de febrero de 2022];29(6):340-5. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27662598/
  • Gómez-Candela C, Palma Milla S, Miján-de-la-torre A, Rodríguez Ortega P, Matía Martín P, Loria Kohen V, et al. Consenso sobre la evaluación y el tratamiento nutricional de los trastornos de la conducta alimentaria: Anorexia nerviosa, bulimia nerviosa, trastorno por atracón y otros. resumen ejecutivo. Nutr Hosp [Internet]. 2018 [citado 27 de febrero de 2022];35(2):489-94. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112018000200489&lng=es&nrm=iso&tlng=es
  • Sociedad Española de Médicos Generales y de Familia. Los trastornos de la conducta alimentaria son la tercera enfermedad crónica más frecuente entre adolescentes. SEMG - Sociedad Española de Médicos Generales y de Familia [Internet]. 2018 [citado 15 de marzo de 2022];10-2. Disponible en: https://www.semg.es/index.php/noticias/item/326-noticia-20181130
  • NEDA Español | National Eating Disorders Association [Internet]. [citado 14 de marzo de 2022]. Disponible en: https://www.nationaleatingdisorders.org/neda-espanol
  • Clausen L, Jones A. A systematic review of the frequency, duration, type and effect of involuntary treatment for people with anorexia nervosa, and an analysis of patient characteristics. J Eat Disord [Internet]. 11 de noviembre de 2014 [citado 28 de febrero de 2022];2(1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/25414793/
  • National Institute for Health and Care Excellence. Recommendations | Eating disorders: recognition and treatment | Guidance | NICE [Internet]. Vol. NG69, NICE. 2020 [citado 2 de marzo de 2022]. Disponible en: https://www.nice.org.uk/guidance/ng69/chapter/Recommendations
  • Neale J, Hudson LD. Anorexia nervosa in adolescents [Internet]. Vol. 81, British Journal of Hospital Medicine. Br J Hosp Med (Lond); 2020 [citado 2 de marzo de 2022]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32589532/
  • Yon L, Doyen C, Asch M, Cook-Darzens S, Mouren MC. [Treatment of anorexia nervosa in young patients in a special care unit at Robert-Debré Hospital (Paris): guidelines and practical methods]. Arch Pediatr [Internet]. noviembre de 2009 [citado 28 de febrero de 2022];16(11):1491-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/19800205/
  • Steinglass JE, Berner LA, Attia E. Cognitive Neuroscience of Eating Disorders [Internet]. Vol. 42, Psychiatric Clinics of North America. Psychiatr Clin North Am; 2019 [citado 11 de marzo de 2022]. p. 75-91. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30704641/
  • Solano-Pinto N, De-La-Peña C, Solbes-Canales I, Bernabéu-Brotóns E. Neuropsychological profiles in anorexia and bulimia nervosa. Rev Neurol. 1 de noviembre de 2018;67(9):355-64.
  • Keating C, Tilbrook AJ, Rossell SL, Enticott PG, Fitzgerald PB. Reward processing in anorexia nervosa. Neuropsychologia. 1 de abril de 2012;50(5):567-75.
  • Wierenga CE, Ely A, Bischoff-Grethe A, Bailer UF, Simmons AN, Kaye WH. Are extremes of consumption in eating disorders related to an altered balance between reward and inhibition? Front Behav Neurosci. 9 de diciembre de 2014;8(DEC):410.
  • Jáuregui-Lobera I. Neuroimaging in eating disorders. Neuropsychiatr Dis Treat [Internet]. 2011 [citado 11 de marzo de 2022];7(1):577-84. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22003297/
  • Frank GKW, Shott ME, DeGuzman MC. The Neurobiology of Eating Disorders. Child Adolesc Psychiatr Clin N Am [Internet]. 1 de octubre de 2019 [citado 11 de marzo de 2022];28(4):629-40. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31443880/
  • Frank GKW. Neuroimaging and Eating Disorders. Curr Opin Psychiatry [Internet]. 1 de noviembre de 2019 [citado 11 de marzo de 2022];32(6):478. Disponible en: /pmc/articles/PMC6768759/
  • Treasure J, Schmidt U. The cognitive-interpersonal maintenance model of anorexia nervosa revisited: A summary of the evidence for cognitive, socio-emotional and interpersonal predisposing and perpetuating factors. J Eat Disord. 15 de abril de 2013;1(1).
  • Maldonado-Ferrete R, Catalán-Camacho M, Álvarez Valbuena V, Jáuregui-Lobera I, Maldonado-Ferrete R, Catalán-Camacho M, et al. Funcionamiento neuropsicológico en los Trastornos de la Conducta Alimentaria: un estudio comparativo. J Negat No Posit Results [Internet]. 2020 [citado 14 de marzo de 2022];5(5):504-34. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2529-850X2020000500005&lng=es&nrm=iso&tlng=es
  • Kanakam N, Treasure J. A review of cognitive neuropsychiatry in the taxonomy of eating disorders: state, trait, or genetic? Cogn Neuropsychiatry [Internet]. 1 de enero de 2013 [citado 14 de marzo de 2022];18(1-2):83-114. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22994309/
  • Bausela Herreras E. Funciones ejecutivas: nociones del desarrollo desde una perspectiva neuropsicológica. Acción Psicológica [Internet]. 2014 [citado 14 de marzo de 2022];11(1):21-34. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1578-908X2014000100003&lng=es&nrm=iso&tlng=es
  • Executive Functions [Internet]. [citado 14 de marzo de 2022]. Disponible en: https://neuronup.us/areas-of-intervention/cognitive-functions/executive-functions/
  • Valbuena VÁ, Maldonado-Ferrete R, Catalán-Camacho M, Jáuregui-Lobera I. Quién influye en quién: el trío Flexibilidad Cognitiva – Emociones – Trastornos de la Conducta Alimentaria. J Negat No Posit Results [Internet]. 2021 [citado 26 de marzo de 2022];6(1):47-67. Disponible en: https://revistas.proeditio.com/jonnpr/article/view/3687/HTML3687
  • Fox JRE, Froom K. Eating disorders: a basic emotion perspective. Clin Psychol Psychother [Internet]. 2009 [citado 15 de marzo de 2022];16(4):328-35. Disponible en: https://pubmed.ncbi.nlm.nih.gov/19639651/
  • D. W. WAIS III: Escala de Inteligencia Wechsler para adultos-III. 2a Ed. TEA Edicio. Madrid, España;
  • Rozenblatt S. Behavioral Assessment of the Dysexecutive Syndrome. Encycl Clin Neuropsychol [Internet]. 2011 [citado 17 de mayo de 2022];377-9. Disponible en: https://link.springer.com/referenceworkentry/10.1007/978-0-387-79948-3_166
  • Soler: Performance and validation of the RBMT (Rivermead... - Google Académico [Internet]. [citado 17 de mayo de 2022]. Disponible en: https://scholar.google.com/scholar_lookup?&author=M. J.Soler&author=J. C.Ruiz&title=Performance and validation of the RBMT (Rivermead Behavioural Memory Test) in a sample of Spanish brain damaged&publication_year=1994
  • Schmidt M. Rey Auditory Verbal Learning Test: a handbook. Western Psychological Service., editor. Los Angeles, CA; 1996.
  • Benedet, M.J. y Alejandre MA. TAVEC. Test de Aprendizaje Verbal España-Complutense. TEA Ediciones., editor. Madrid; 2014.
  • Golden CJ. A group version of the Stroop Color and Word Test. Journal of personality assessment. 1975;39(4):386-8.
  • Golden CJ. Stroop test de colores y palabras, manual (5° Ed.). Madrid, España: TEA ediciones; 2007.
  • RM R. Trail Making Test: manual for administration and scoring. TEA Ediciones, editor. Madrid, España; 1992.
  • Rey-Rey A OP. Test de la figura compleja de Rey-Osterrieth. Madrid, España; 1994.
  • De la Cruz MV. Test de copia de una figura compleja: manual. TEA edicio. Madrid, España; 2003.
  • Heaton RK. Wisconsin Card Sorting Test manual. Odessa FL: Psychological Assessment Resources, Inc.; 1981.
  • De la Cruz MV. WCST: Test de clasificación de tarjetas de Wisconsin. TEA edicio. Madrid; 2001.
  • Beck A.T., Steer R.A. BGK. BDI-II. Beck Depression Inventory Manual. 2a Ed. San Antonio, Texas: Pearson PsychCorp.; 1996.
  • Sanz, J. y Vázquez C. Manual. BDI-II. Inventario de Depresión de Beck-II. Adaptación española. Pearson, editor. Madrid, España; 2011.
  • Spielberger CD, Gorsuch RL, Lushene RE (2008). Adaptores: Buela-Casal G G-RA y S-CN. STAI. Cuestionario de ansiedad estado-rasgo. 7a Ed. TEA Edicio. Madrid, España; 2008.
  • Garner D. Eating Disorder Inventory-3: Professional manual. Elosua P, López-Jáuregui A S-SF, editor. Lutz, Florida: TEA ediciones.; 2004.
  • Pedrero, E.J., Ruiz, J.M., Rojo G., Llanero M., Olivar A., Bouso JC et al. Versión española del Cuestionario Disejecutivo (DEX-Sp): propiedades psicométricas en adictos y población no clínica. 2009;21(2):155-66.
  • Roberts ME, Tchanturia K, Stahl D, Southgate L, Treasure J. A systematic review and meta-analysis of set-shifting ability in eating disorders. Psychol Med [Internet]. agosto de 2007 [citado 16 de abril de 2022];37(8):1075-84. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17261218/
  • Roberts ME, Tchanturia K, Treasure JL. Exploring the neurocognitive signature of poor set-shifting in anorexia and bulimia nervosa. J Psychiatr Res [Internet]. 2010 [citado 14 de marzo de 2022];44(14):964-70. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20398910/
  • Buzzichelli S, Marzola E, Amianto F, Fassino S, Abbate-Daga G. Perfectionism and cognitive rigidity in anorexia nervosa: Is there an association? Eur Eat Disord Rev [Internet]. 1 de julio de 2018 [citado 16 de abril de 2022];26(4):360-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29635827/
  • Orozco-Cabal LF, Herin D. Neurobiología de la impulsividad y los trastornos de la conducta alimentaria. Rev Colomb Psiquiatr [Internet]. 2008 [citado 16 de abril de 2022];37(2):207. Disponible en: /pmc/articles/PMC2762232/
  • Gillberg IC, Råstam M, Wentz E, Gillberg C. Cognitive and executive functions in anorexia nervosa ten years after onset of eating disorder. J Clin Exp Neuropsychol [Internet]. febrero de 2007 [citado 16 de abril de 2022];29(2):170-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/17365252/
  • Lopez C, Stahl D, Tchanturia K. Estimated intelligence quotient in anorexia nervosa: a systematic review and meta-analysis of the literature. Ann Gen Psychiatry [Internet]. 23 de diciembre de 2010 [citado 16 de abril de 2022];9. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21182794/
  • Calderoni S, Muratori F, Leggero C, Narzisi A, Apicella F, Balottin U, et al. Neuropsychological functioning in children and adolescents with restrictive-type anorexia nervosa: an in-depth investigation with NEPSY-II. J Clin Exp Neuropsychol [Internet]. 1 de febrero de 2013 [citado 16 de abril de 2022];35(2):167-79. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23351019/
  • Andrews PW, Thomson JA. The bright side of being blue: Depression as an adaptation for analyzing complex problems. Psychol Rev [Internet]. julio de 2009 [citado 16 de abril de 2022];116(3):620. Disponible en: /pmc/articles/PMC2734449/
  • Lian Q, Zuo X, Mao Y, Luo S, Zhang S, Tu X, et al. Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: A national school-based cross-sectional study. Environ Health Prev Med [Internet]. 4 de abril de 2017 [citado 16 de abril de 2022];22(1):1-7. Disponible en: https://environhealthprevmed.biomedcentral.com/articles/10.1186/s12199-017-0639-2
  • Laporta Herrero I, Díez Martín T, Latorre Forcén P, Vives Hidalgo E, Navalón Monllor V. Miedo a la madurez en adolescentes con anorexia nerviosa. Eur J Child Dev Educ Psychopathol. 11 de diciembre de 2018;6(2):67.
  • Steinglass JE, Sysko R, Mayer L, Berner LA, Schebendach J, Wang Y, et al. Pre-meal anxiety and food intake in anorexia nervosa. Appetite [Internet]. octubre de 2010 [citado 6 de marzo de 2022];55(2):214-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20570701/
  • Denke G, Rawls E, Lamm C. Attentional Conflict Moderates the Association Between Anxiety and Emotional Eating Behavior: An ERP Study. Front Hum Neurosci [Internet]. 15 de mayo de 2018 [citado 17 de abril de 2022];12. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29867417/
  • Frayn M, Livshits S, Knäuper B. Emotional eating and weight regulation: A qualitative study of compensatory behaviors and concerns. J Eat Disord [Internet]. 14 de septiembre de 2018 [citado 17 de abril de 2022];6(1). Disponible en: https://pubmed.ncbi.nlm.nih.gov/30221002/
  • Kaye WH, Bailer UF. Understanding the Neural Circuitry of Appetitive Regulation in EatingDisorders. Biol Psychiatry [Internet]. 15 de octubre de 2011 [citado 17 de abril de 2022];70(8):704. Disponible en: /pmc/articles/PMC5954823/