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Biomedical subjects

Rosa Behar

Publications and source records attributed to Rosa Behar.

4 recordsLinked to original sources

[Eating and affective disorders: a comparative study].

BACKGROUND: The relationship between eating disorders and affective disorders still remains unclear. Eating disordered patients may have affective disorders and vice versa, depressed and maniac patients may experience eating problems. AIM: To compare eating symptoms, attitudes and behaviors in patients with affective disorders and normal subjects. SUBJECTS AND METHODS: A structured clinical interview, the Eating Attitudes Test (EAT-40) and the Eating Disorder Inventory (EDI) were administered to 194 patients that fulfilled the DSM-IV diagnostic criteria for eating disorders, to 45 patients with affective disorders and to 82 normal female students. RESULTS: Patients with eating disorders ranked significantly higher on the EAT-40 and on the EDI and its factors (p <0.001). Patients with affective disorders ranked between eating disordered patients and the students (p <0.001). Compulsive-purgative type of anorectics and purgative type of bulimics showed the highest scores on these measures (p <0.001). Restrictive type of anorectics scored significantly highest on EDI maturity fears item (p <0.001). Not significant difference was observed on the EDI ineffectiveness item, between purgative bulimics and depressive patients and between the latter and compulsive-purgative anorexics, on the EDI interpersonal distrust item. CONCLUSIONS: Compulsive-purgative type of anorectics and purgative type of bulimics showed the more severe psychological and behavioral disturbances. Restrictive types of anorectics were the most immature. Both purgative bulimics and depressive patients showed feelings of general inadequacy, and both compulsive-purgative anorexics and depressive patients displayed an interpersonal distrust. As a whole, patients with affective disorders did not show the core eating disordered behaviors and attitudes as seen in patients suffering from eating problems.

Adult↗

[Clinical characteristics and gender identity among eating disordered patients subtypes].

BACKGROUND: Gender identity is a relevant issue in the approach to eating disorders. AIM: To compare psychological and behavioural characteristics and traits of gender identity among women with eating disorders and its subtypes and non eating disordered female subjects. MATERIAL AND METHODS: An structured clinical interview based on the DSM-IV diagnostic criteria for eating disorders, the EAT-40 (Eating Attitudes Test), the Eating Disorders Inventory (EDI) and the Bem Sex Role Inventory (IBRS) were administered to 58 compulsive-purgative anorectics (AN/BN group), 15 restrictive anorectics (AN group), 33 patients suffering from eating disorder not otherwise identified, 33 purgative bulimics and to 82 female students without eating disorders. RESULTS: Patients with eating disorders ranked significantly higher on the EAT-40 and EDI and all its items (p < 0.001). The AN/BN group ranked significantly higher on the EDI (p < 0.001) and on Drive for thinness, Perfectionism and interpersonal distrust (p < 0.001). The AN group ranked higher on Maturity fears (p < 0.001). The BN group ranged higher on Body dissatisfaction, Ineffectiveness and Interoceptive awareness (p < 0.001). Patients with eating disorders were significantly identified with Feminine category and subjects without eating disorders with Androgynous and Undifferentiated categories on the IBRS (p = 0.002). The AN group showed the highest percentage on Feminine category and the lowest on Androgynous and Undifferentiated categories. All the groups rejected and approved feminine, masculine and neutral qualities. CONCLUSIONS: Femininity emerged as the main trait of gender identity in patients suffering from eating disorders, in contrast to androgyny, showed by healthy women.

Adult↗

[Sports and feeding behavior disorders].

BACKGROUND: People who work out could have an excessive concern for diet and body weight and thus be more prone to have eating disorders. AIM: To compare psychological and behavioral traits between subjects with clinically relevant eating disorders and subjects that work out regularly. SUBJECTS AND METHODS: The Eating Attitudes Test (EAT-40) and the eight items of the Eating Disorders Inventory were administered to 151 patients that fulfilled the DSM-IV diagnostic criteria for eating disorders and to 396 subjects who work out regularly in gymnasiums (136 males). RESULTS: Eighteen percent of subjects that worked out (5 males and 67 females) scored within the pathological range in the EAT-40. These subjects were classified as having a subclinical eating disorder. When comparing the EDI scores of these subjects with those of patients with clinically relevant eating disorders, they had a similar Drive for thinness (p = 0.413), Body dissatisfaction (p = 0.365), Maturity fears (p = 0.190) and Perfectionism (p = 0.907). Females had similar Interpersonal distrust (p = 0.709) scores. Males had similar Maturity fears (p = 0.119), Perfectionism (p = 0.253) and Interpersonal distrust (p = 0.767) scores. CONCLUSIONS: Subjects that work out regularly and have subclinical eating disorders, display similar drive for thinness, body dissatisfaction, immaturity and perfectionism traits, than patients suffering from clinically relevant eating disorders.

Adolescent↗

[Femininity, masculinity, androgyny and eating behaviours].

BACKGROUND: There are marked gender differences in the attitudes towards eating behaviors. AIM: To compare gender identity traits among females with eating disorders and subjects of both sexes without eating disorders. MATERIAL AND METHODS: An structured clinical interview based on the DSM-IV diagnostic criteria for eating disorders, the Eating Attitudes Test (EAT-40), the Eating Disorders Inventory (EDI) and the Bem Sex Role Inventory (BSRI) were administered to 119 female patients that fulfilled the DSM-IV criteria for anorexia nervosa and/or bulimia nervosa and/or eating disorders not otherwise specified (FCT group), 89 males (MST group) and 63 females (FST group) without eating disorders. RESULTS: The FCT group ranked significantly higher than the FST group on the EAT-40 and EDI and all its items (p < 0.001). There were no significant differences between FST and MST groups. The FST group ranked significantly higher than the MST group on the Drive for thinness (p = 0.003) and Body dissatisfaction (p = 0.009). The MST group scored significantly higher than the FST group on Perfectionism (p = 0.020) and Interpersonal distrust (p = 0.008). The FCT group was significantly identified with Feminine and Masculine categories and the FST group with Androgynous and Undifferentiated categories on the BSRI (p = 0.001). Comparatively, the MST group was significantly identified with Masculine category and the FST group with Feminine category on the IBRS (p = < 0.001). All groups rejected and approved feminine, masculine and neutral qualities. The higher correlations were observed among feminine quality on the BSRI with the total score on the EAT-40 (r = 0.46). Drive for thinness (r = 0.51) and Body dissatisfaction (r = 0.41). DISCUSSION: Femininity emerged as the main trait of gender identity in patients with eating disorders, in contrast to androgyny showed by male and female subjects without eating disorders. Females without eating disorders were more motivated to achieve thinness and displayed more body dissatisfaction than males.

Adult↗