{"id":17070,"date":"2021-04-01T10:00:51","date_gmt":"2021-04-01T08:00:51","guid":{"rendered":"https:\/\/idibell.cat\/?p=17070"},"modified":"2022-01-11T15:18:46","modified_gmt":"2022-01-11T14:18:46","slug":"els-anys-devolucio-de-la-malaltia-tenen-un-impacte-decisiu-en-la-resposta-al-tractament-dels-trastorns-de-la-conducta-alimentaria-tca","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2021\/04\/els-anys-devolucio-de-la-malaltia-tenen-un-impacte-decisiu-en-la-resposta-al-tractament-dels-trastorns-de-la-conducta-alimentaria-tca\/","title":{"rendered":"Els anys d\u2019evoluci\u00f3 de la malaltia tenen un impacte decisiu en la resposta al tractament dels trastorns de la conducta aliment\u00e0ria (TCA)"},"content":{"rendered":"<p>Globalment, un 54,3% dels pacients amb TCA tractats a la Unitat de Trastorns Alimentaris de l\u2019Hospital Universitari de Bellvitge presenten una recuperaci\u00f3 completa o substancial dels s\u00edmptomes. Considerant els subtipus diagn\u00f2stics, el trastorn per afartament i l\u2019anor\u00e8xia nerviosa s\u00f3n els trastorns de la conducta aliment\u00e0ria que registren un percentatge m\u00e9s elevat de remissi\u00f3 total despr\u00e9s d\u2019un tractament especialitzat, amb un 72% i un 65% respectivament. Pel contrari, la bul\u00edmia nerviosa (35%) i d\u2019altres TCA at\u00edpics (41,5%) presenten menys probabilitat de restabliment complet, tot i que un percentatge significatiu d\u2019aquests pacients mostren una recuperaci\u00f3 substancial (40% i 33%, respectivament), segons un estudi del <a href=\"https:\/\/idibell.cat\/recerca\/area-de-neurociencies\/programa-de-neurociencies\/psiquiatria-i-salut-mental\/\">grup de Psiquiatria i Salut Mental<\/a> de l\u2019IDIBELL i l\u2019Hospital Universitari de Bellvitge.<\/p>\n<p>El treball, que s\u2019ha realitzat sobre una mostra de 1.200 pacients de la unitat, explora tamb\u00e9 l\u2019associaci\u00f3 entre durada del trastorn i <strong>risc de cronicitat<\/strong> dels s\u00edmptomes. En aquest sentit, les troballes indiquen que en l\u2019anor\u00e8xia i la bul\u00edmia nerviosa, m\u00e9s de 12 i 14 anys d\u2019evoluci\u00f3 incrementarien el risc de cronicitat, mentre que per al grup de trastorns at\u00edpics seria de 6 a 8 anys i per al trastorn per afartament de 20 a 21 anys.<\/p>\n<p>Per primera vegada, aquest estudi estableix un criteri temporal de risc de cronicitat dels s\u00edmptomes per als diferents subtipus de TCA, ampliant investigacions pr\u00e8vies sobre aquest tema. Alhora destaca que un percentatge elevat de pacients poden recuperar-se de forma completa o substancial, si reben intervencions especialitzades en el moment adequat. Aix\u00ed doncs, <strong>el reconeixement preco\u00e7 dels s\u00edmptomes i el tractament indicat s\u00f3n aspectes nuclears en l\u2019abordatge d\u2019aquests trastorns<\/strong>.<\/p>\n<p>En opini\u00f3 del <strong>Dr. Fernando Fern\u00e1ndez Aranda<\/strong>, cap de la Unitat de Trastorns de la Conducta Aliment\u00e0ria de l\u2019Hospital de Bellvitge, investigador de l\u2019IDIBELL i el CIBEROBN i catedr\u00e0tic de la UB, una de les principals conclusions de l\u2019estudi \u201c<em>es la necessitat de dedicar esfor\u00e7os a les intervencions primerenques que poden millorar els resultats, especialment en el cas dels trastorns at\u00edpics<\/em>\u201d. Afegeix que el treball subratlla que una altra via de millora de l\u2019atenci\u00f3 a l\u2019anor\u00e8xia i la bul\u00edmia nerviosa \u00e9s incidir en els tractaments sobre trets de personalitat disfucionals dels pacients amb aquestes problem\u00e0tiques, com ara la persist\u00e8ncia, l\u2019ansietat, l\u2019evitaci\u00f3 del dany, la depend\u00e8ncia de la recompensa o l\u2019autodirecci\u00f3.<\/p>\n<p>L\u2019article, que signa el Dr. Fern\u00e1ndez Aranda com a investigador principal, ha estat publicat en un n\u00famero especial de la revista Europea de Trastorns Alimentaris, que ha coordinat. Aquesta publicaci\u00f3 especial pret\u00e9n dur a terme una completa revisi\u00f3 de l\u2019efici\u00e8ncia i l\u2019efectivitat del tractament dels TCA a Europa, amb sistemes de salut amb nivells i recursos assistencials diferents. Millorar la detecci\u00f3 dels trastorns alimentaris en l\u2019edat pedi\u00e0trica a l\u2019atenci\u00f3 prim\u00e0ria, els tractaments ambulatoris, la continu\u00eftat assistencial en el tr\u00e0nsit de l\u2019edat infantil a l\u2019adult o el disseny de nous serveis que tinguin m\u00e9s en compte la visi\u00f3 de pacients i cuidadors, s\u00f3n alguns dels aspectes m\u00e9s rellevants que s\u2019avaluen en el n\u00famero especial de la <a href=\"https:\/\/onlinelibrary.wiley.com\/toc\/10990968\/0\/0\"><em>European Eating Disorders Review<\/em><\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019Institut d&#8217;Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l&#8217;Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l&#8217;Institut Catal\u00e0 de la Salut, l&#8217;Institut Catal\u00e0 d&#8217;Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\n<p><em>L\u2019IDIBELL \u00e9s membre del Campus d&#8217;Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L&#8217;any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Globalment, un 54,3% dels pacients amb TCA tractats a la Unitat de Trastorns Alimentaris de l\u2019Hospital Universitari de Bellvitge presenten una recuperaci\u00f3 completa o substancial dels s\u00edmptomes. Considerant els subtipus diagn\u00f2stics, el trastorn per afartament i l\u2019anor\u00e8xia nerviosa s\u00f3n els trastorns de la conducta aliment\u00e0ria que registren un percentatge m\u00e9s elevat de remissi\u00f3 total despr\u00e9s [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":17071,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[340,457,515,429],"tags":[],"class_list":["post-17070","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurociencies","category-p-de-neurociencies","category-psiconeurobiologia-dels-trastorns-alimentaris-i-conductes-addictives","category-psiquiatria-i-salut-mental"],"publishpress_future_action":{"enabled":false,"date":"2025-01-03 09:03:16","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/17070","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=17070"}],"version-history":[{"count":1,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/17070\/revisions"}],"predecessor-version":[{"id":20171,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/17070\/revisions\/20171"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/17071"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=17070"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=17070"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=17070"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}