1,720,962 research outputs found
Satiety and hunger: some considerations from feast and famine aboriginal (stone age men) experiences
Il castello di Melania
Si può parlare di frontiera nel lavoro psicoanalitico? E i pazienti di frontiera possono essere curati con gli strumenti della psicoanalisi? Per rispondere a questi interrogativi, gli autori di questo volume illustrano le modalità di intervento clinico con pazienti particolarmente gravi, che presentano l'uso di meccanismi primitivi tipici delle aree concrete, e non simboliche, della mente. Vengono così prese in esame situazioni cliniche che vanno dal transessualismo ai gravi disturbi della condotta alimentare, passando per la tossicodipendenza, la malattia organica, il ritiro psicotico e le gravi problematiche adolescenziali affrontabili solo con un buon lavoro di rete. Attraverso questa disamina gli autori intendono mostrare quella che è la loro ferma convinzione: anche con pazienti di questo tipo la psicoanalisi può dare un aiuto terapeutico. Il volume, che si caratterizza per un linguaggio chiaro e fruibile, si rivolge in particolare a psicologi e psicoterapeuti, ma anche a quanti sono interessati ad una lettura psicologica di alcuni dei cambiamenti in atto nella nostra società
Application of the SCOFF, Eating Attitude Test 26 (EAT 26) and Eating Inventory (TFEQ) Questionnaires in young women seeking diet-therapy
BACKGROUND: Eating disorders (EDs) affect an increasing proportion of young women in western countries. Psychometric questionnaires represent valuable tools to investigate various and critical areas directly involved in the pathogenesis of EDS and to support diagnosis and therapeutic decisions. METHODS: 162 young women (16-35 years old) seeking diet therapy were recruited. We classified subjects in normal eating behaviour (NEB) (n = 87), binge eating disorder (BED) (n = 12) and bulimic EDNOS (Eating Disorders not Otherwise Specified) (n = 63). The SCOFF, Eating Attitudes Test (EAT 26) and Three Factor Eating Questionnaire (TFEQ) were administered. Body mass index (BMI) was utilised to assess the nutritional status. An analysis of the reliability and validity (sensitivity and specificity) of the SCOFF, EAT 26 and TFEQ was performed. RESULTS: Body mass index (BMI) of NEB, BED and bulimic EDNOS was 27.7, 35 and 31.1, respectively. BED showed the highest values at the dishinibition, hunger and food preoccupation scales but conversely, they were the least restrained group. The SCOFF was significantly associated with the dishinibition (r = 0.31), hunger (0.31), dieting (r = 0.34) and food preoccupation scales (r = 0.34). The reliability analysis showed that the SCOFF, EAT 26 and TFEQ had a Cronbach alpha of 0.47, 0.85 and 0.75, respectively. The ROC curves identified cut off points of 3, 10 and 25 as the best compromise between specificity and sensitivity for the SCOFF, EAT 26 and TFEQ, respectively. CONCLUSIONS: The SCOFF is a valuable tool for the screening of abnormal eating behaviours but the diagnosis should be always confirmed and supported by the administration of other questionnaires and structured interviews. We have also confirmed the high reliability of the EAT 26 and TFEQ even though the utilisation of these questionnaires has generated some issues about their application in populations characterised by loss of control and overeating episode
Integrated medical-psychiatric treatment of the "crisis phase" in severe protein-energy malnutrition secondary to major eating disorders
Outcome predictors in the short-term treatment of anorexia nervosa: An integrated medical-psychiatric approach
Why do normal weight young women look for diet-therapy? Findings from a pilot study in a clinical and non-clinical population
The behavioural factors that drive a normal weight woman to embark on a diet and to look for nutritional support in weight loss clinics are still not completely understood. A pilot cross-sectional study was carried out in 70 young (age range: 18-35 yr), normal weight women attending a weight loss clinic in South of Italy (Naples). They were compared to a population of 94 normal weight students (age range:17-23 yr) who had never attended a weight loss clinic. Subjects with eating disorders have been excluded. Weight and height were measured and body mass index (BMI) was calculated. Eating behaviour was assessed using a validated Italian version of the Eating Disorders Inventory (EDI) questionnaire. The two groups were matched for BMI (22.4 vs 22.1 kg/m2), smoking and physical activity. Students were more educated and less likely to be on a diet at the time of the study. Students had statistically significant lower scores for drive for thinness, body dissatisfaction, inadequacy and interpersonal disrupt. The bulimia scale was the only significant predictor (p<0.05) of BMI in the patients' group; body dissatisfaction (p<0.05) predicted BMI in the control group. This study has shown that weight concern and health awareness are not the only factors that lead a normal weight woman to look for nutritional counselling but there is an underlying substrate of psychological and social distress behind the request, which should be properly assessed before starting any nutritional therapy in the clinical practice
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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