Tratamentos atuais do transtorno da compulsão alimentar periódica
Universidad a Distancia de Madrid
Doctora en Psicología, Universidad Complutense de Madrid, España. Decana de la Facultad de Ciencias de la Salud y la Educación, Universidad a Distancia de Madrid (UDIMA).
email: mariajose.gonzalez@udima.es
Universidad a Distancia de Madrid
Licenciada en Ciencias de la Información, Universidad Complutense de Madrid. Licenciada en Psicología, Universidad a Distancia de Madrid, España. (UDIMA).
email: elenaormaechea@gmail.com
Introdução: apesar de o transtorno da compulsão alimentar periódica (tcap) constituir um problema de saúde importante, menos da metade dos que padecem dele recebe tratamento.
Objetivo: revisar a literatura recente sobre as intervenções realizadas em casos de tcap.
Método: a fim de proceder à presente revisão narrativa, consultaram-se as bases de dados PubMed, Medline e Scielo. Somente foram escolhidos artigos em revistas indexadas na Web of Science. A literatura revisada corresponde aos artigos mais citados publicados de 2010 a 2015.
Resultados e conclusões: os resultados mostram que as intervenções mais utilizadas são as de índole psicológica, entre as quais se destacam a terapia cognitivo-comportamental e a terapia interpessoal, esta última recomendada para pacientes com patologias mais graves. A terapia comportamental de perda de peso é menos eficaz ao não reduzir a compulsão alimentar, razão pela qual não constitui o tratamento de escolha. Embora alguns antidepressivos e antiepiléticos tenham mostrado certa utilidade para reduzir as compulsões, o peso e as patologias comórbidas, não há evidência de que a intervenção farmacológica por si só seja mais eficaz do que a psicológica, nem de que melhore os resultados da segunda quando ambos se aplicam conjuntamente.
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