Age and gender changes in children and adolescent patients of a Brazilian eating disorder program



Título del documento: Age and gender changes in children and adolescent patients of a Brazilian eating disorder program
Revue: Archives of clinical psychiatry
Base de datos: PERIÓDICA
Número de sistema: 000407884
Autores: 1
2
1
2
2
Instituciones: 1Universidade de Sao Paulo, Instituto de Psicologia, Sao Paulo. Brasil
2Universidade de Sao Paulo, Faculdade de Medicina, Sao Paulo. Brasil
Año:
Periodo: Mar-Abr
Volumen: 44
Número: 2
Paginación: 33-34
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés International studies have demonstrated an increase in the prevalence of boys and a decrease of patients’ age at the beginning of outpatient treatment for eating disorders (ED). Objective To evaluate if these changes are also present in the Brazilian population participating in the PROTAD, a Brazilian ED program, and to discuss its clinical implication for treatment. Methods Cross-sectional study. We evaluated 150 medical records of patients under 18 years diagnosed with ED (DSM IV-TR). Patients were divided into two groups: G1 (2001-2007) (n = 77) and G2 (2008-2014) (n = 73). The girl/boy proportion and the mean age of patients were compared. Results In G1, six boys (7.8%) were admitted (girl/boy proportion: 11.8:1), while in G2, 16 (22%) boys were admitted (girl/boy proportion: 3.5:1) (p < 0.05). The mean age in G1 was 15.6 years (SD = 1.7; 95%CI: 15.2-15.9), whereas the mean age in G2 was 14.9 years (SD = 1.9; 95%CI: 14.4-15.3) (p > 0.05). Discussion The increase in the number of boys treated for EDs reported in international studies was also found at the PROTAD. Contrary to what has been reported in international studies, the mean age of patients at the PROTAD did not decrease significantly. Gender and sexual orientation issues, clinical presentation, prior overweight history and culture/media impact on boys should be addressed by the healthcare team to increase the therapeutic efficacy
Disciplinas: Medicina
Palabras clave: Psiquiatría,
Trastornos de la alimentación,
Niños,
Adolescentes,
Diferencias de género
Keyword: Medicine,
Psychiatry,
Eating disorders,
Children,
Adolescents,
Gender differences
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