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BACKGROUND: COVID-19 pandemic has implied exceptional restrictive measures to contain its widespread, with adverse consequences on mental health, especially for those people with a background of mental illness, such as eating disorders (EDs). In this population, the influence of socio-cultural aspects on mental health has been still underexplored. Then, the main aim of this study was to assess changes in eating and general psychopathology in people with EDs during lockdown regarding the ED subtype, age, and provenance, and considering socio-cultural aspects (e.g., socioeconomical factors such as work and financial losses, social support, restrictive measures, or health accessibility, among others). METHODS: The clinical sample was composed of 264 female participants with EDs (74 anorexia nervosa (AN), 44 bulimia nervosa (BN), 81 binge eating disorder (BED), and 65 other specified feeding and eating disorder (OSFED)), with a mean age of 33.49 years old (SD = 12.54), from specialized ED units in Brazil, Portugal, and Spain. The participants were evaluated using the COVID-19 Isolation Eating Scale (CIES). RESULTS: A global impairment in mood symptoms and emotion regulation was reported in all the ED subtypes, groups of age, and countries. Spanish and Portuguese individuals seemed more resilient than Brazilian ones (p < .05), who reported a more adverse socio-cultural context (i.e., physical health, socio-familial, occupational, and economic status) (p < .001). A global trend to eating symptoms worsening during lockdown was observed, regardless of the ED subtype, group of age, and country, but without reaching statistical significance. However, the AN and BED groups described the highest worsening of the eating habits during lockdown. Moreover, individuals with BED significantly increased their weight and body mass index, similarly to BN, and in contrast to the AN and OSFED groups. Finally, we failed to find significant differences between groups of age although the younger group described a significant worsening of the eating symptoms during lockdown. CONCLUSIONS: This study reports a psychopathological impairment in patients with EDs during lockdown, being socio-cultural aspects potential modulatory factors. Individualized approaches to detect special vulnerable groups and long-term follow-ups are still needed.

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Apesar de ser um método invasivo, a cirurgia bariátrica tem sido utilizada como uma das principais estratégias de auxílio às pessoas que precisam emagrecer grandes volumes de peso. A terapia cognitivo-comportamental é um importante recurso que pode ser útil no acompanhamento pré e pós-cirúrgico. Este estudo teve o objetivo de revisar a literatura acerca da cirurgia bariátrica e da terapia cognitivo-comportamental (TCC) para a obesidade. Assim, efetuou-se análise teórica, por intermédio de revisão assistemática junto às bases de dados Scielo, Pepsic e PubMed. No Brasil, atualmente, a maior parte da população está com sobrepeso, sendo esse um indicador para o desenvolvimento da obesidade em caso de manutenção dos hábitos alimentares. Junto à obesidade, transtornos emocionais e comportamentais vêm surgindo, como depressão, ansiedade e inabilidade social. O papel da TCC é atuar como tratamento adjuvante à cirurgia bariátrica para a obesidade. Ela proporciona um atendimento humanizado, aumentando a autoconfiança e a qualidade de vida(AU)

Despite being an invasive method, bariatric surgery has been used as a major strategy of aid to people who need large volumes of lose weight. Cognitive behavioral therapy is an important feature that can be useful in pre and post-surgical. This study aimed to review the literature on this the bariatric surgery and cognitive behavioral therapy of obesity. Thus, we performed theoretical analysis through an unsystematic review along the Scielo, Pepsic and PubMed. In Brazil, currently, most of the population is overweight, which is an indicator for the development of obesity in case of feeding habits. Along with obesity, emotional and behavioral disorders are emerging such as depression, anxiety and social disability. The role of cognitive-behavioral therapy is to act as an adjuvant to bariatric surgery for obesity treatment. It provides a humanized care, increases self-confidence and quality of life(AU)

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The objetive of this paper was to test the divergent validity (degree of discrimination) of an anoretic prototype narrative (i.e., communality of themes in the individual, core autobiographical memories), as well different characteristics of the participants which may be associated with the degree of prototype discrimination. Seventy participants diagnosed with anorexia nervosa participated in the study and were asked to indicate their degree of identification with four different narrative prototypes (depressive, agoraphobia, anorexic, alcoholic and drug addiction prototypes). Results did not confirm the divergent validity of the anorexic prototype narrative. Participants tended to identify primarily with the depressive prototype narrative. No significant differences were found between levels of identification with the anorexic prototype and depression, or agoraphobia and alcoholism prototype. The only significant difference found was between the anorexic and drug addiction prototype. However, severity and duration of the clinical condition were found to be associated with the degree of identification of prototype narrative. Results are discussed in terms of a transdiagnostic versus a prototype approach to the eating disorders psychopathology.

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The present study examines whether eating disorders patients with suicide attempts present differences in disordered eating and clinical traits compared to those without suicide attempts. A total of 144 patients with eating disorders (65 anorexia nervosa and 79 bulimia nervosa) completed the Eating Disorders Inventory (EDI; Garner, Omstead & Polivy, 1983), the Symptom Checklist-90-Revised (SCL-90; Derrogatis, 1977), and a questionnaire to assess eating behaviors and attitudes, information regarding suicide behaviors and other related traits (PQB and TIB (Machado & Soares, 2000); Cost B6 (Machado & Soares, 2000). Eating disorder patients with suicide attempts differed from there peers regarding to the weight history, mean of binge-purge attacks, use of vomiting to weight control, use of alcohol and psycho tropics, menstrual pattern, sexual attitude, and in some EDI and SCL-90 subscales. The findings of the current study show that suicide attempts are related to some indices of symptom history and severity for both diagnostic groups of eating disorders.

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