Dificultades interpersonales en los trastornos alimentarios: Un modelo psiconeurobiológico explicativo/comprensivo

Q4 Medicine

Revista Chilena de Neuro-Psiquiatria Pub Date : 2022-06-01 DOI:10.4067/s0717-92272022000200195

Rosa Behar, María Patricia Cordella

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引用次数: 0

Abstract

Background: Eating disorders (ED) are characterized by psychosocial disfunctions, like social anxiety, alexithymia and lack of assertiveness. Objective: To propose a comprehensive integrative model including neurobiology and behavior aspects. Method: A literature review on Medline/PubMed, SciELO and specialized texts databases were assessed against quality criteria. Core concepts were extracted and coherence articulated. Results: Four factors were disposed to meaning: alarm and reward system with social brain and control (inhibition/excitation) mechanisms. They were articulate in a complex psychophysiological interplay. They were associated with social behaviours achieved/not achieved during development. Food intake could operate like a pathological balance to psychopathological effects Conclusion: An explanatory/comprehensive psychoneurobiological model to understand social function in ED is proposed. This form of understanding facilitates: the connection between emerging research in eating disorders and ID; clinical decision-making and guide the prognosis and treatment alternatives.

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饮食失调中的人际困难:解释/综合心理-神经生物学模型

背景：饮食障碍（ED）的特点是心理社会功能紊乱，如社交焦虑、述情障碍和缺乏自信。目的：提出一个包括神经生物学和行为学的综合模型。方法：根据质量标准对Medline/PubMed、SciELO和专业文本数据库的文献综述进行评估。提取了核心概念并阐明了连贯性。结果：四个因素被认为是有意义的：具有社会大脑的警报和奖励系统以及控制（抑制/兴奋）机制。它们在复杂的心理生理相互作用中清晰可见。它们与发展过程中实现/未实现的社会行为有关。食物摄入可以像心理病理效应的病理平衡一样运作。结论：提出了一个解释性/综合性的心理神经生物学模型来理解ED的社会功能。这种形式的理解有助于：新出现的饮食失调研究与ID之间的联系；临床决策并指导预后和治疗方案。

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来源期刊

Revista Chilena de Neuro-Psiquiatria Medicine-Surgery

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： La Revista Chilena de Neuro-psychiatry was established in 1947 and belongs to the Society of Neurology, Neurosurgery and Psychiatry, Chile (SONEPSYN), of which his body of scientific expression. The financial management of the magazine conducted the directory SONEPSYN. The editorial management is delegated to an editor and editorial committee, who have full freedom and independence in this area. Is a quarterly publication. The journal publishes original articles and unpublished covering basic and clinical aspects of the three specialties with ethics, medical education, physician-patient relationship, care management, public health, epidemiology, sociology and medical profession.