Antoni Grau

Institut de Trastorns Alimentaris · Clinical

Background: Eating disorders (EDs) are serious disorders that significantly affect not only the lives of patients, but also those of their family members who often experience high levels of burden, suffering and helplessness. If, in addition to ED, the patient has a personality disorder (PD), the psychological distress experienced by family members...

Background: Suicide is a serious health problem, affecting not only the persons who experience it, but also their family members. Although there are few empirically supported interventions to help family members. The programme for relatives of people with Borderline personality disorder and dysregulation that has received the most empirical support...

Introduction Clients with Eating Disorders may be treated as inpatients (IP), day hospital (DH) or community patients (Ambu). The ITAMITED study is following to treatment termination (or end of October 2025) all new clients with EDs presenting between November 2017 and October 2020 to eight centres in Spain. Objectives To describe to what extent i...

Introduction A major revolution in psychiatry since the late 20th and early 21st Century has sought to put the individual client at the heart of intervention, promoting shared decision making. Increasing use of patient reported outcome measures (PROMs) to evaluate interventions and even steer therapies (“power assisted steering for psychotherapy”,...

Introduction Eating disorders (EDs) are complex pathologies which require equally complex treatment strategies. These strategies should be multidisciplinary, personalised interventions, performed in appropriate settings along a healthcare continuum from inpatient to community care. Personalisation, and the complexity of levels of care and intervent...

The complexity of Eating Disorders (EDs) generates high personal and economic costs to patients, families, and the society. Various treatments have shown some effectiveness in EDs 1 , but outcomes are still far from satisfactory. Clinical guidelines have mainly relied on controlled efficacy studies to strengthen internal validity, compromising the...

Objectives: This cross-sectional study explored personality traits of individuals receiving treatment in a private clinic for an eating disorder (ED) compared to those receiving treatment for a dual diagnosis (DD; defined as an addiction to illegal drugs and/or alcohol along with a mental illness, in this case an ED). The aims of this study were to...

Background: The main objective of this study was to assess the safety and efficacy of deep brain stimulation (DBS) in patients with severe anorexia nervosa (AN). Methods: Eight participants received active DBS to the subcallosal cingulate (SCC) or nucleus accumbens (NAcc) depending on comorbidities (affective or anxiety disorders, respectively)...

Aims: 1) Describe the challenges and success implementing comprehensive data in a complex multicentre psycotherapy centered service. 2) From the Y1 baseline data to present a comprehensive picture of the state of clients entering integrated treatments mainly for Eating Disorders (ED). 3) Analyse the psychometrics of the self-report measures notin...

La marcada complejidad de los Trastornos de la Conducta Alimentaria (TCA) requiere consecuentemente programas de tratamiento altamente complejos. Estos deben garantizar la continuidad asistencial a través de diferentes dispositivos coordinados, ser suficientemente personalizados y flexibles y combinar diferentes componentes terapéuticos. 325 pacien...

Aim. To describe the challenges and success in implementing comprehensive data collection. To learn from the first year of data collection, focusing mainly on the baseline data as many clients are in continuing therapy and present a comprehensive picture of the state of patients entering integrated treatments for Eating Disorders (ED). To analyse a...

Introduction: Several studies have noted the potentially negative effect of eating disorders (ED) on cognitive performance. Objective: To compare the impact of the duration of abnormal eating behaviors on cognitive performance in a sample of people with short-and long-term eating disorders and in two control groups matched for age. Method: The neur...

Introduction: Given the increasing prevalence of mental health problems in the general population, it is indispensable to use assessment tools aimed to assess the outcome of therapeutic interventions in order to refine the process of psychological rehabilitation. Method: We describe the process of adaptation into Spanish and a first psychometric...

Introducción. Ante la creciente prevalencia de proble-mas de salud mental en la población general, resulta impres-cindible el uso de instrumentos de evaluación destinados a evaluar el resultado de las intervenciones terapéuticas, con el fin de facilitar el proceso de rehabilitación psicológica. Metodología. Se expone el proceso de adaptación al es...

Background/Objectives: Binge Eating Disorder (BED) is often associated with obesity. In order to identify the variables that allow to better detect the presence of BED, people with overnutrition were compared with and without BED in the presence of cognitive conflicts, eating symptoms and anxious-depressive symptoms. The inclusion of cognitive conf...

The purpose of this study was to explore the content of personal constructs in people diagnosed with bulimia nervosa (BN). We expected to find differences in the predominant content of the construct systems between women with and without BN. We analyzed the constructs elicited using the repertory grid technique from 120 women aged between 18 to 45...

Se analiza el curso de los Trastornos de la Conducta Alimentaria (TCA) en 24 mujeres atendidas en Hospital de Día, evaluándolas al inicio del tratamiento y 3 años después en factores de personalidad, motivación, síntomas psicológicos, severidad del TCA, autoestima, construcción del sí mismo, de las figuras parentales, polarización cognitiva y otras...

Course of eating disorders (ED) in patients treated in Day Hospital is analyzed by evaluating 24 women at baseline and approximately 3 years after initial assessment, in several variables: personality factors, motivation, psychological symptoms, severity, self-esteem, self-construction, construction of parental figures and polarization. Clinical va...

Body dissatisfaction is a relevant aspect in both eating disorders and sexuality. Using Stice’s model, this study aimed to evaluate the relationship between these variables in eating disorder patients compared with healthy controls. Statistically significant correlations between body dissatisfaction and sexuality were found in the whole sample. The...

Objective: The objective of this paper is to assess the reliability and validity of the Spanish translation of the Clinical Outcomes in Routine Evaluation – Outcome Measure, a 34-item self-report questionnaire that measures the client’s status in the domains of Subjective well-being, Problems/Symptoms, Life functioning, and Risk. Method: Six hundre...

La publicidad utiliza imágenes corporales fuertemente estereotipadas para promocionar cánones físicos y conductas alimentarias no saludables asociadas a productos de alimentación dirigidos sobre todo a jóvenes. El objetivo de este estudio, realizado en Barcelona (España) durante el mes de mayo de 2013, es testear la percepción de 25 valores en siet...

Advertising uses stereotyped body images to promote physical ideals and unhealthy eating habits related to food products which are targeted especially at young people. The purpose of this study, carried out in Barcelona (Spain) in May 2013, was to test the perception of 139 young people of university age - with and without eating disorders - regard...

Eating Disorders are pathologies with important interpersonal problems. In the last decade, the line of investigation linked with the Social Cognition in «anorexia nervosa» has increased. In this article we review the main findings in the field of social cognition in Eating Disorders. After conceptualizing the object of study, we describe the resul...

Los adolescentes con trastornos disruptivos, del control de impulsos y de Conducta son un colectivo especialmente situado en la encrucijada entre los factores familiares y la psicopatología. A pesar de la ausencia de estudios prospectivos, se tiende a atribuir al clima familiar el papel de nicho necesario, aunque no suficiente para el desarrollo de...

Los Trastornos de la Conducta Alimentaria (TCA) son patologías complejas, cuyo manejo clínico a menudo requiere de hospitalizaciones. Durante estas, los objetivos asistenciales no deben limitarse a la restitución del equilibrio orgánico, sino que son una ocasión privilegiada para tratar aspectos psicológicos, relacionales y familiares. Los estudios...

Numerosos modelos explicativos sitúan el núcleo del Trastorno Límite de la Personalidad (TLP) en un déficit en la regulación emocional presente en las personas afectadas por esta patología. La hipótesis etiológica más extendida combina aspectos de raíz biológica con un estilo de crianza caracterizado por la invalidación emocional. A estos dos compo...

The general aim of this ex post facto study was to investigate the emotional component of theory of mind (eToM) in a sample of 97 female patients with eating disorders (ED), considering all the diagnostic subtypes. Empirical research on this matter in ED is limited, specially focused on anorexia nervosa (AN), and results have been contradictory. Th...

High expressed emotion (EE) as measured by the Camberwell Family Interview (CFI) predicts the course of eating disorders (ED). Despite its important contribution to the field, the CFI has two major limitations; it is time-consuming and it does not consider the patient's perspective. Obtaining the patient's view may help shed light on the dyadic nat...

Instituto de Trastornos Alimentarios. ITA • Los Trastornos de la Conducta Alimentaria son patologías multideterminadas, cuya complejidad alberga la presencia de una enorme heterogeneidad en sus manifestaciones. La literatura disponible atribuye gran parte de esta diversidad a la comorbilidad con Trastornos de la Personalidad, especialmente en forma...