Táki Cordás

• Consultant at University of São Paulo

Citation: da Luz, F.Q.; Mohsin, M.; Teixeira, P.C.; dos Santos, E.; Gaeta, T.; Ferrari, S.; Martin, K.; Dias, A.; Jana, T.A.; Marinho, L.S.; et al. A Abstract: The efficacy of two different online treatment programs for people with binge eating disorder (BED) was compared. One hundred and nineteen adults with BED were randomized to treatments based...

Objective: To investigate Brazilian psychiatrists ́ knowledge and perceived confidence, both in diagnosis and in evidence-based treatments for eating disorders (ED). Methods: In this cross-sectional study, 259 psychiatrists filled out an online form including: sociodemographic data, questions about ED diagnosis and management based on standard g...

O nosso objetivo com livro Transtornos alimentares: diagnóstico e manejo foi o de cumprir esta tarefa de atualizar o psiquiatra, os profissionais de saúde em geral e os estudantes com informações atualizadas e baseadas em evidências. Também tivemos a preocupação de sempre integrar os conhecimentos teóricos com a prática clínica. O livro é composto...

Background: Body dysmorphic disorder (BDD) is one of the most common psychiatric conditions found in patients seeking cosmetic surgery, and body contouring surgery is most frequently sought by patients with BDD. Objectives: To estimate the prevalence and severity of BDD symptoms in patients seeking abdominoplasty. Methods: Ninety patients of b...

Background: Body dysmorphic disorder may negatively affect self-perception of body shape and lead patients to seek cosmetic surgery. This study estimates the level of body dissatisfaction and prevalence of body dysmorphic disorder symptoms in candidates for three plastic surgical procedures. Methods: Three hundred patients of both sexes divided...

Objective: Compare inadequate eating behaviors and their relationship to body checking in three groups: patients with anorexia nervosa (AN), patients with bulimia nervosa (BN) and a control group (C). Methods: Eighty three outpatients with eating disorders (ED) and 40 controls completed eating attitudes and body checking questionnaires. Results...

Objective: To translate, culturally adapt, and validate a Brazilian Portuguese version of the Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder (BDD-YBOCS). Methods: Ninety-three patients of both sexes seeking rhinoplasty were consecutively selected at the Plastic Surgery Outpatient Clinic of the Universidade Federal de S...

Anxiety Scores: Factorial repeated measures MANOVA showed a time*intervention effect (p<0.014). Patients in the control group stayed at " moderate " anxiety score (t-test p<0.42; d=0.12) Patients in the intervention group went from " severe " to " mild " anxiety scores ((t-test p<0.003; d=1.26) • Pilot Group (2012): N=17 attended, N=10 were measure...

Background Ghrelin is a potent hormone with central and peripheral action. This hormone plays an important role in the regulation of appetite, food intake, and energy balance. Studies have suggested that ghrelin is involved with eating disorders (ED), particularly bingeing and purging. Genetic variants have also been studied to explain changes in...

The Eating Disorders (TA) are characterized by severe eating disorders, and anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED), the most common types. May be associated with medical and psychiatric comorbidities. They tend to be perfectionists, they suffer from low self-esteem and extremely critical with respect to weight a...

Objectives The objective of this study is to investigate the effectiveness of cognitive behavioral therapies (CBTs) in improving depressive symptoms, disability, and cognition in older adults with depression and cognitive deficits.DesignIt was performed a systematic search for articles published between 1994 and February 2014 in the MEDLINE/Pubmed,...

Background Kleptomania is characterized by repetitive stealing and has severe consequences for patients. Stigma, a lack of standardized therapy and a limited number of assessment tools hinder advances in treatment. This study provides preliminary data on the Portuguese-language version of the Kleptomania Symptom Assessment Scale (P-K-SAS) and preli...

Body dysmorphic disorder (BDD) is one of the most common psychiatric conditions found in patients seeking cosmetic surgery. BDD is also a challenge for plastic surgeons because it is still an underdiagnosed mental disorder. The purposes of this study were to prospectively investigate whether patients with mild to moderate BDD are suitable for rhino...

Compare obsessive-compulsive symptoms in patients with anorexia nervosa (AN) and bulimia nervosa (BN), and assess the association of these symptoms and body checking in each of these groups of patients. Eighty-five female outpatients with eating disorders (ED) completed body checking and obsessive-compulsive questionnaires. Body checking was more p...

Objetivo: Avaliar como se relacionam as atitudes alimentares e corporais de pacientes com anorexia ou bulimia nervosa. Métodos: Pacientes adultas de um ambulatório especializado, com diagnóstico de anorexia (n = 48) ou bulimia nervosa (n = 58), responderam à Disordered Eating Attitude Scale (DEAS) para avaliação das atitudes alimentares e ao Body...

Introduction Individuals with Body Dysmorphic Disorder (BDD) may seek cosmetic surgery to correct a perceived defect. BDD prevalences ranging from 6% to 24% and up to 53% have been reported among cosmetic surgery patients. Recent studies have been conducted to identify the pathophysiology of BDD symptoms using neuroimaging, as well as the relations...

Eating disorder (ED) patients often have comorbidities with other psychiatric disorders, especially with mood disorders. Although recent studies suggest an intimate relationship between ED and bipolar disorder (BD), the study on a broader bipolar spectrum definition has not been done in this population. We aimed to study the occurrence of bipolar s...

Purpose: To evaluate psychometric assessment of Stunkard Figure Rating Scale (FRS) for Brazilian male population. Methods: The sample was composed of a control group (94 students) and a clinical group (20 eating disordered patients). Two questionnaires were applied: the FRS and the Eating Attitudes Questionnaire-26. Weight, height, and body mass...

Purpose: To develop a fuzzy linguistic model to quantify the level of distress of patients seeking cosmetic surgery. Body dysmorphic disorder (BDD) is a mental condition related to body image relatively common among cosmetic surgery patients; it is difficult to diagnose and is a significant cause of morbidity and mortality. Fuzzy cognitive maps ar...

This study aimed to describe the translation into Brazilian Portuguese and the analysis of conceptual, semantic, and instrumental equivalences and assessment of internal consistency of the Male Body Dissatisfaction Scale (MBDS). The study included the steps of (1) translation; (2) synthesis of translation; (3) back-translation; (4) review by expert...

The aim of this study is evaluate the psychometric results and validity of the Brazilian Portuguese language version of the Body Checking Cognitions Scale (BCCS). Factor analysis and concurrent validity were checked on assessments from participants with and without eating disorders. The scale had good internal consistency. Factor analysis confirmed...

This study aimed to describe the translation into Brazilian Portuguese and the analysis of conceptual, semantic, and instrumental equivalences and assessment of internal consistency of the Male Body Dissatisfaction Scale (MBDS). The study included the steps of (1) translation; (2) synthesis of translation; (3) back-translation; (4) review by expert...

This work aims to compare in patients with anorexia nervosa, bulimia nervosa, and control subjects: (a) body checking types, frequency, and parts; (b) prevalence of body avoidance and the most checked body parts; (c) body checking cognitions. Eighty-five outpatients with eating disorders (ED) and 40 controls filled out validated body checking and c...

OBJETIVO: Caracterizar comportamento de risco para transtornos alimentares (TA) e sua frequência entre adolescentes em uma revisão da literatura nacional e internacional. MÉTODOS: Foi realizada uma busca bibliográfica por meio de uma revisão integrativa nas bases de dados PubMed (US National Library of Medicine)e Lilacs e no portal SciELO,utilizand...

The objective of the present study was the psychometric evaluation of the Tripartite Influence Scale (TIS) among Brazilian youths of both sexes. The sample consisted of 475 undergraduate students aged between 18 and 29 years old (M = 20.8, SD = 2.0). We evaluated the construct validity (exploratory factor analysis), convergent validity (correlation...

With the increase in research on the components of Body Image, validated instruments are needed to evaluate its dimensions. The Body Change Inventory (BCI) assesses strategies used to alter body size among adolescents. The scope of this study was to describe the translation and evaluation for semantic equivalence of the BCI in the Portuguese langua...

The eating disorders anorexia and bulimia nervosa can cause several systemic and oral alterations related to poor nutrition and induced vomiting; however, the oral microflora of these patients is poorly studied. The aim of this study was to evaluate fungal microflora in the oral cavity of these patients by culture-dependent and culture-independent...

Adapt and validate the Brazilian Portuguese version of the Body Checking and Avoidance Questionnaire (BCAQ). The study consisted of: translation and back translation; technical review and assessment of semantic equivalences, factor analysis and discriminant and concurrent validity in a sample of subjects with and without eating disorders. The instr...

OBJECTIVES: to translate and adapt the "Children's Eating Attitude Test" (Cheat) to Portuguese and evaluate the semantic equivalence and verbal comprehension. METHODS: the process involved four stages: (1) translation, (2) back-translation, (3) technical review and semantic evaluation, (4) pre-test - evaluation of verbal comprehension by specialist...

OBJECTIVE: The aim of this study was to cross-culturally adapt the Internet Addiction Test (IAT) to the Portuguese language.METHODS: The translation and evaluation process consisted of five steps: (1) translation; (2) back-translation; (3) peer review and evaluation of semantic equivalency by experts; (4) instrument evaluation through a sample o...

The treatment of eating disorders is a complex process that relies not only on the use of psychotropic drugs but should include also nutritional counselling, psychotherapy and the treatment of the medical complications, where they are present. In this review recommendations for the pharmacological treatment of eating disorders (anorexia nervosa (AN...

This study aimed to describe the cross-cultural adaptation of the Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3) into Brazilian Portuguese. The methodology involved the following stages: (1) translation of the questionnaire into Portuguese; (2) back-translation into English; (3) meeting with experts to prepare a draft version;...

Bipolar Disorder (BD) is a chronic, recurrent and highly prevalent illness. Despite the need for correct diagnosis to allow proper treatment, studies have shown that reaching a diagnosis can take up to ten years due to the lack of recognition of the broader presentations of BD. Frequent comorbidities with other psychiatric disorders are a major cau...

OBJECTIVE: To review prevalence, ethiopathogenesis, nutritional aspects, diagnostic and treatment in patients with MR and anorexia nervosa (AN). METHOD: A literature review was carried out in Medline, SciELO and PubMed using the key words "eating disorders", "anorexia nervosa" and "mental retardation". RESULTS: Anorexia nervosa may have an atypical...

BACKGROUND: The Body Checking Cognitions Scale (BCCS) measures cognitions associated with weight checking, which is a medically relevant common behavior among patients with eating disorders (ED). OBJECTIVE: To translate and cross-culturally adapt BCCS into Brazilian Portuguese, to validate its content and analyze it for internal consistency. METHOD...

BACKGROUND: The Exercise Commitment Scale (CES) evaluates commitment, attitude and behavior regarding exercise in eating disorders patients. OBJECTIVE: Translation and cultural adaptation of the CES for Portuguese (BRA), content validation and analysis of internal consistency. METHODS: This study involved five steps: (1) translation, (2) re-transla...

BACKGROUND: Several methodologies were developed to validate psychometric instruments. However, there are, in the scientific literature, a lack of instruments to evaluate romantic relationship. OBJECTIVE: The present work aims at validating into Portuguese the content of the self-report Love Attitudes Scale (Escala de Atitudes do Amor – Hendrick et...

BACKGROUND: There is a growing interest in the relationship between mental illness, mainly bipolar disorder and creativity. OBJECTIVES: To explore the presence of aspects linked to the personal life and medical history in the literary works written by English writer Virginia Woolf, who suffered from bipolar disorder. METHODS: One of her most import...

BACKGROUND: Trichotillomania (TTM) is characterized by the act of pulling out, in a recurrent way, your own hair for pleasure, gratification or tension release, leading to a perceptible hair loss, and it is included in the Impulse Control Disorders Unclassified Elsewhere of the DSM-IV-TR (APA, 1994) section. The Massachusetts General Hospital (MGH)...

Objective: This paper analyzed the methods of assessing the perception of body size discussed in scientific literature. Method: The information search was bases on computerized databases from 1975 to 2010 (Medline, Bireme, EBSCO and Scopus). We used the keyword "body image" and the combination of the terms "size perception" and "size estimation" fo...

In this study, we aimed to quantify posture and body image in patients with major depressive disorder during episodes and after drug treatment, comparing the results with those obtained for healthy volunteers. Over a 10-week period, we evaluated 34 individuals with depression and 37 healthy volunteers. Posture was assessed based on digital photos o...

The purpose of the present study was to assess body dissatisfaction and eating symptoms in mothers of eating disorder (ED) female patients and to compare results with those of a control group. The case group consisted of 35 mothers of female adolescents (aged between 10 and 17 yrs) diagnosed with ED who attended the Interdisciplinary Project for Ca...

O objetivo do estudo foi traduzir e adaptar o instrumento Tripartite Influence Scale para o idioma português e avaliar sua validade de conteúdo e consistência interna. Envolveu seis etapas: (1) tradução; (2) re-tradução; (3) revisão técnica e avaliação semântica; (4) validação de conteúdo por profissionais da área - juízes; (5) avaliação do instrum...

The aim of this study was to translate and adapt the Tripartite Influence Scale to the Portuguese language and evaluate its content validity and internal consistency. Six steps included: (1) translation; (2) back-translation; (3) technique revision and semantic evaluation; (4) conduct validation by professional experts (judges); (5) assessment of c...

Background: Most studies that relate eating disorders to sexuality concerns anorexia nervosa and bulimia nervosa, and there are few studies about sexuality and binge eating disorder (BED) together. Objective: To verify the presence of sexual dysfunction, excessive sexual drive and changes in the perception of body image in obese women, in addition...

OBJETIVO: Aumentar a compreensão sobre os distúrbios da imagem corporal em pacientes com bulimia nervosa e sua evolução após o tratamento multidisciplinar. MÉTODOS: Onze mulheres responderam dois questionários de imagem corporal (Body Attitudes Questionnaire e Escala de Figuras de Stunkard) antes e após o tratamento e preencheram o diário alimentar...

CONTEXTO: A maioria dos estudos que relacionam transtornos alimentares com sexualidade diz respeito à anorexia nervosa e à bulimia nervosa, sendo escassos aqueles que estudam conjuntamente a sexualidade com o comer compulsivo. OBJETIVO: Verificar a presença de disfunções sexuais, impulso sexual excessivo e alterações na percepção da imagem corporal...

We compared nutritional knowledge, eating attitudes and chronic dietary restraint scores among 17 men (10 with bulimia nervosa and 7 with anorexia nervosa) and 50 women (20 with bulimia nervosa and 30 with anorexia nervosa), who were consecutive patients at a major treatment center in Brazil. There were no differences in nutritional knowledge and c...

OBJECTIVE: Increase the comprehension of body image disturbances in patients with bulimia nervosa and its evolution after treatment, multidisciplinary. METHODS: Eleven women answered two body image questionnaires (Body Attitudes Questionnaire and Stunkard's Figure Scale) before and after treatment and filled a food diary used to analyze the frequen...

BACKGROUND: Recognized since antiquity, only within the last decade has the subject of trichotillomania provoked any larger clinical interest since it has been included in the DSM-IV-TR (The Diagnostic and Statistical Manual of Mental Disorders 4th Text Revision) as a disturbance of the impulse-control disorders not elsewhere classified. Recent dat...

BACKGROUND: Several studies discuss the relationship between excessive physical exercises and eating disorder patient as a strategy to lose weight. OBJECTIVE: Review the literature concerning physical exercises in eating disorder patients including definitions, diagnostic criteria and therapeutic proposals. METHODS: A literature review was done t...

CONTEXTO: Diferentes estudos discutem a relação da prática excessiva de exercícios físicos com transtornos alimentares como estratégia para perda de peso. OBJETIVO: Revisar a literatura sobre a prática de exercícios físicos em pacientes com transtornos alimentares, discutindo definições, critérios diagnósticos e propostas terapêuticas. MÉTODOS: Lev...

INTRODUCTION: Pica is compulsive ingestion of non-nutritive substances. There is no consensus on its etiology but social, cultural, psychological, biological and behavioral factors seem to be involved. Pica prevalence is unknown as this behavior is rarely reported during visits. OBJECTIVE: To review pica-related information: causes, populations at...

Objectives: To produce evidence of the validity and reliability of the Body Shape Questionnaire (BSQ) - a tool for measuring an individual's attitude towards his or her body image. Methods: the study covered 386 young people of both sexes aged between 10 and 18 from a private school and used self-applied questionnaires and anthropometric evaluation...

The aim of this article is to present a review of the literature on eating disorders and related oral implications in order to provide oral healthcare professionals and psychiatrists with information that will enable them to recognize and diagnose these disorders and render appropriate treatment. A comprehensive review of the literature was conduct...

To present the strategies of treatment for dental implications of eating disorders. A comprehensive review of the literature was conducted with special emphasis on the treatment of the oral implications of anorexia nervosa and bulimia nervosa, dividing the treatment into different parts. Oral manifestations of eating disorders represent a challenge...

To evaluate the efficacy and tolerability of adjunctive topiramate compared to placebo in reducing weight and binge eating in obese patients with binge-eating disorder (BED) receiving cognitive-behavior therapy (CBT). A double-blind, randomized, placebo-controlled trial of 21 weeks' duration was conducted at 4 university centers. Participants were...

Background Binge-eating disorder (BED) may be associated with unsatisfactory weight loss in obese patients submitted to bariatric procedures.This study aims to investigate whether the presence of binge eating before Roux-en-Y gastric bypass (RYGBP) influences weight outcomes. Methods In a prospective design, 216 obese patients (37 males, 178 female...

Self-mutilation behaviour (SMB) prevalence rates in the general population and in clinical samples are estimated at around 4% and 21% respectively (Guertin et al., 2001). Explanatory models describe SMB as a substitute for emotional pain (anger and tension), regarding it as either: (1) an attention-seeking behaviour; (2) a protection against suicid...

OBJECTIVE: The study aimed to translate and adapt into Portuguese the nutrition knowledge scale applied in the National Health Interview Survey Cancer Epidemiology and to evaluate its validity and precision. METHODS: The scale was translated, back-translated, and then adapted. Typical foods from the American diet were replaced by other foods that a...

This study examined the concurrent and discriminant validity of the Figure Rating Scale adapted into Portuguese. The sample was composed of a control group (98 students without eating disorders) and a clinical group (16 women diagnosed with Bulimia Nervosa). Respondents chose schematic figures representing their current and ideal body sizes. The di...

Great population studies do not confirm the hypothesis that atypical personality of obese would exist. Obeses in the generalpopulation do not present more psychological disturbs thanthe ones that are not obeses. Obeses adolescents and adultsare discriminated in their academic and professional lifes. Thissocial, cultural, economic and affective impo...

Disfunções sexuais são altamente prevalentes em mulheres e relacionadas, entre outros fatores, a estados afetivos, aspectos socioculturais, situações interpessoais e psicofármacos. As disfunções sexuais induzidas por psicofármacos são brevemente revistas.Sexual dysfunctions are highly prevalent in women and are affected by, among other factors, aff...

Sexual dysfunctions are highly prevalent in women and are affected by, among other factors, affective states, sociocultural aspects, interpersonal situations and psychotropic medications. The sexual dysfunction induced by psychotropic medications was briefly reviewed.

Although many body attitudes scales have been developed, none have been translated into Portuguese. This study aimed to translate the Ben-Tovim and Walker Body Attitudes Questionnaire and assess validity and reliability for a Brazilian sample. Women with (n = 39) and without (n = 57) eating disorders completed the scale, to assess discriminant vali...

A literatura especializada tem nos mostrado que é grande a semelhança entre o comportamento alimentar das santas jejuadoras medievais e o das anoréxicas atuais. No entanto, há poucas referências sobre a existência de santas jejuadoras na América Latina. No presente trabalho, os autores salientam aspectos da vida de Santa Rosa de Lima, Patrona da Am...

Development and validation of the Eating Disorders Section of the Development and Well-Being Assessment (DAWBA). It is a package of questionnaires, interviews and evaluation techniques, designed to generate DSM-IV and ICD-10 based diagnoses of anorexia, bulimia nervosa and the respective partial syndromes in epidemiological studies, in subjects who...

The aim of this study was to evaluate reliability and discriminant validity of the Restraint Scale (RS) translated into Portuguese. The version was obtained through a process of translation and back translation. Women with eating disorders (n = 39: 24 bulimics and 15 anorexics) and students without eating disorders (n = 57) filled the scale. It was...

The authors discuss, based on a case report and on a literature review, the implications of a bariatric surgery for obesity on the eating behavior. A case report is presented in which a patient was submitted to a bariatric surgery and show altered eating behavior like in anorexia nervosa, but without low weight, leading to the diagnostic of an othe...

OBJECTIVE: The authors discuss, based on a case report and on a literature review, the implications of a bariatric surgery for obesity on the eating behavior. METHOD: A case report is presented in which a patient was submitted to a bariatric surgery and show altered eating behavior like in anorexia nervosa, but without low weight, leading to the di...

Resumo Os autores revisaram a literatura a respeito do tratamento farmacológico para transtornos alimentares, incluindo anorexia nervosa, bulimia nervosa e transtorno da compulsão alimentar periódica. São apresentadas evidências clínicas relacionadas ao uso de psicofármacos nos transtornos alimentares e apontadas, ainda, as perspectivas futuras par...

Os autores fazem uma breve revisão da imagem corporal nos transtornos alimentares.The authors present a brief review of body image in eating disorders.

O presente artigo apresenta os critérios diagnósticos atuais dos transtornos alimentares: anorexia nervosa e bulimia nervosa. Os aspectos controversos da anorexia nervosa são discutidos.

The authors present a brief review of body image in eating disorders.

The authors have revised the literature about the pharmacological treatment of eating disorders, including anorexia nervosa, bulimia nervosa and binge-eating disorder. Clinical evidences of the medications action in eating disorders are presented, and future perspectives for the treatment are indicated.

This article presents the current diagnostic criteria for eating disorders: anorexia nervosa and bulimia nervosa. The controversial aspects of anorexia nervosa are discussed.

Social desirability can bias the parameters measured by self-report. The aims of this study were: a) to translate into Portuguese the Marlowe-Crowne Social Desirability Scale, which quantifies social desirability and; b) to evaluate its precision. The version was obtained through a process of translation and back translation. A test-retest was cond...

Os autores revisaram a literatura a respeito de tratamento em hospital-dia (HD) para transtornos psiquiátricos em geral e mais especificamente para transtornos alimentares, apontando aspectos históricos, indicações e contra-indicações para essa forma de tratamento, eficácia clínica e vantagens financeiras. Também foram descritos programas de HD em...