Intolerância à incerteza nos transtornos alimentares: revisão narrativa

• Pereira da Silva Camargos, Samara ^[1] ; Rodrigues Alves de Santana, Jeanny Joana ^[1]
  1. [1] Universidade Federal de Uberlândia

     Universidade Federal de Uberlândia

     Brasil

     
• Localización: International Journal of Developmental and Educational Psychology: INFAD. Revista de Psicología, ISSN 0214-9877, Vol. 1, Nº. 1, 2022 (Ejemplar dedicado a: El mundo al Encuentro. Una reflexión sobre la Educación), págs. 249-260
• Idioma: portugués
• DOI: 10.17060/ijodaep.2022.n1.v1.2371
• Títulos paralelos:
  • Uncertainty intolerance in eating disorders: a narrative review
• Enlaces
  • Texto completo
• Resumen
  • português

    A intolerância à incerteza (II) refere-se às respostas cognitivas, comportamentais e emocionais a eventos experienciados como incertos, independentemente da probabilidade dos desfechos. Nos transtornos alimentares (TA) ainda há de ser esclarecida a distinção entre II específica ao transtorno, traço de II e quadro sintomatológico nos TA. O objetivo do estudo foi caracterizar a intolerância à incerteza nos TA. Na revisão narrativa foram buscados estudos publicados entre 2018 e 2021 nas bases PsychINFO, Web of Science e Google Acadêmico. A análise dos 15 artigos indicou associação entre II e restrição alimentar; sensação de “perda de controle”, alterações na imagem corporal e desregulação emocional. Não há associação com sintomas relacionados a exercícios físicos, compulsão alimentar ou purgação. São traços de personalidade relacionados à II: desejo de previsibilidade; rigidez; neuroticismo; traço obsessivo-compulsivo; perfeccionismo desadaptativo e estilo evitativo de resolução de problemas sociais. Sugere-se que a abordagem terapêutica específica para II tenha impacto em condições de risco de TA; no controle da resposta emocional que intensifica sintomas da patologia existente e na melhora clínica em quadros de comorbidade com transtornos de personalidade.

  • English

    Uncertainty intolerance (UI) refers to cognitive, behavioral,and emotional responsesto eventsexperienced as uncertain, regardless of the probability of outcomes. In eating disorders (ED), the distinction between the disorder-specific II, the trait of UI and the symptomatological picture in ED has yet to be clarified. The aim of the study was to characterize the intolerance touncertainty in ED. In the narrative review, studies published between 2018 and 2021 in the PsychINFO, Web of  Science and Academic Google databases were searched. The analysis of the 15 articles indicated an association between II and food restriction; feeling of “loss of control”, changes in body image and emotional dysregulation. There is no association with symptoms related to exercise, binge eating or purging. The personality traits related to UI are: desire for predictability; rigidity; neuroticism; obsessive-compulsive trait; Maladaptive perfectionism and avoidant style of social problem solving. It is suggested that the specific therapeutic approach for UI has an impact on ED risk conditions; in the control of the emotional response that intensifies symptoms of the existing pathology and in the clinical improvement in comorbid conditions with personality disorders. 

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