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Celso Garcia Júnior

Bio: Celso Garcia Júnior is an academic researcher from State University of Campinas. The author has contributed to research in topics: Eating disorders & Bulimia nervosa. The author has an hindex of 4, co-authored 9 publications receiving 33 citations.

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Journal ArticleDOI
01 Dec 2012
TL;DR: In this article, the authors investigate aspects of body image in a sample of people with anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified, and find that high levels of dissatisfaction, checking behavior, avoidance behavior, and concern over the body, with significant associations.
Abstract: The aim of this study was to investigate aspects of body image in a sample of people with anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified. The sample was composed of 14 volunteers, cared for by the Eating Disorders Outpatients Clinic, from Universidade Estadual de Campinas. The Software for Perceptual Assessment (SPA) assesses body dissatisfaction. The variables body concern, checking behavior and avoidance behavior were assessed by the Body Shape Questionnaire, Body Checking Questionnaire and Body Image Avoidance Questionnaire, in this order. The descriptive analysis and correlations indicate high levels of dissatisfaction, checking behavior, avoidance behavior, and concern over the body, with significant associations. These findings showed the importance of the investigated parameters for the dynamic of the disease. Knowing these body image components could expand the possibilities of understanding how these patients organize their body representations and carefully plan interventions during the course of the treatment.

10 citations

Journal ArticleDOI
TL;DR: The findings allowed us to identify important aspects in the mother-daughter relationship in AN, which may improve the clinical interventions aimed at treating the disorder.
Abstract: INTRODUCTION: The complexity of factors involved in anorexia nervosa (AN) and the recommendations of prominent health organizations underscore the importance of reflecting on therapeutic interventions aimed at patients' family members. OBJECTIVE: To expand knowledge about the mother-daughter relationship in AN, with a focus on developing a conceptual framework that is able to improve the treatment of the disorder, reduce factors that perpetuate it and improve prognosis. METHOD: A clinical method, anchored by psychodynamic references, was employed in a group of family members of patients with eating disorders. The group met weekly, and sessions were led by psychologists from the eating disorder outpatient clinic of a university hospital. RESULTS AND DISCUSSION: Common characteristics in the mother-daughter relationship in cases of AN were identified. The issue of mutual control, the dialectic between omnipotence and impotence, and the relationship of devotion, passion and annihilation between mothers and daughters are phenomena that form the basis of AN, with a direct influence on the severity of each case and on treatment success. CONCLUSION: Our findings allowed us to identify important aspects in the mother-daughter relationship in AN, which may improve the clinical interventions aimed at treating the disorder.

7 citations

Journal ArticleDOI
TL;DR: In this article, the authors investigated the narratives of women who dropped out of treatment from a specialized outpatient unit for eating disorders (ED), since it was found to be directly affected by addictive aspects.
Abstract: This study investigated the narratives of women who dropped out of treatment from a specialized outpatient unit for eating disorders (ED). Psychodynamics aspects involved were discussed regarding the issue of adherence and dropout, since it was found to be directly affected by addictive aspects. A qualitative approach was used to identify interpretative matrices that led to a broad understanding of the clinical phenomena observed. Our aim was to identify contributions to the clinical management of barriers to treatment regarding the challenge of adherence to addiction and eating disorders treatments. The sample consisted of eight in-depth interviews fully recorded and transcribed. The emergent categories indicated elements from the experience of the disorders in psychological meanings assigned to dropout by patients. Findings are discussed under a theoretical framework focused on anorexia and bulimia as addictions. The discussion aims to make a contribution to the ED treatment approach and also understand them in their addictive dimension in order to enhance compliance and retention in treatment. The psychodynamic elements from addictive experiences described by patients may contribute to supporting the discussion about eating disorders as “addictive behaviors” beyond the “addiction model of eating disorders” as a physiological model of “addictive” or “toxic” food dependence. Eating disorders experienced as addiction were found affecting the response to treatment.

6 citations

Journal ArticleDOI
01 Mar 2015
TL;DR: In this article, a metodo clinico-qualitativo, conduzido com amostra intencional de dez pacientes of a hospital publico de ensino, with entrevistas semidirigidas de questoes abertas em profundidade, was used to discutir significados psicologicos atribuidos a esta experience.
Abstract: No contexto do ensino medico, pacientes sao habitualmente convidados a colaborar se submetendo ao exame clinico para serem observados. Como pacientes se sentem nessa situacao? Para discutir significados psicologicos atribuidos a esta experiencia, usamos o metodo clinico-qualitativo, conduzido com amostra intencional de dez pacientes de um hospital publico de ensino, com entrevistas semidirigidas de questoes abertas em profundidade. Os resultados foram interpretados segundo conceitos tradicionais da Psicologia Medica. Pacientes manifestam uma relacao um tanto ambigua com os alunos, as vezes fortalecendo a relacao medico-paciente-equipe, outras vezes a desconstruindo. A presenca dos alunos e importante devido ao vinculo gerado, mas pode originar duvidas sobre como lidar com situacoes mobilizadoras. As construcoes sociais sao diferentes em um hospital de ensino em comparacao com outros hospitais, visto que naqueles os pacientes tem um papel de agentes educadores. Pacientes podem perceber essa dinâmica, ainda que com pouca sistematizacao, ou nao ter qualquer consciencia social.

5 citations


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Journal ArticleDOI
TL;DR: Patients with eating disorders present with various gastrointestinal disturbances such as postprandial fullness, abdominal distention, abdominal pain, gastric distension, and early satiety, with altered esophageal motility sometimes seen in patients with anorexia nervosa.
Abstract: The two most clinically serious eating disorders are anorexia nervosa and bulimia nervosa. A drive for thinness and fear of fatness lead patients with anorexia nervosa either to restrict their food intake or binge-eat then purge (through self-induced vomiting and/or laxative abuse) to reduce their body weight to much less than the normal range. A drive for thinness leads patients with bulimia nervosa to binge-eat then purge but fail to reduce their body weight. Patients with eating disorders present with various gastrointestinal disturbances such as postprandial fullness, abdominal distention, abdominal pain, gastric distension, and early satiety, with altered esophageal motility sometimes seen in patients with anorexia nervosa. Other common conditions noted in patients with eating disorders are postprandial distress syndrome, superior mesenteric artery syndrome, irritable bowel syndrome, and functional constipation. Binge eating may cause acute gastric dilatation and gastric perforation, while self-induced vomiting can lead to dental caries, salivary gland enlargement, gastroesophageal reflux disease, and electrolyte imbalance. Laxative abuse can cause dehydration and electrolyte imbalance. Vomiting and/or laxative abuse can cause hypokalemia, which carries a risk of fatal arrhythmia. Careful assessment and intensive treatment of patients with eating disorders is needed because gastrointestinal symptoms/disorders can progress to a critical condition.

95 citations

Journal ArticleDOI
TL;DR: Evidence is identified that the family social network of patients with ED has been widely explored by the literature, although there is a lack of studies about other networks and sources of social support outside the family.
Abstract: Aims This study aimed to analyze the scientific literature about social networks and social support in eating disorders (ED).

53 citations

Journal ArticleDOI
TL;DR: The objective was to report the increased awareness of eating disorders and that it is likewise important to recognize that organic pathology (achalasia) can cause symptoms that may mimic an eating disorder and lead to misdiagnosis.
Abstract: Eating disorders are commonly considered diagnoses in young women who present with unexplained weight loss and vomiting. Our objective was to report the increased awareness of eating disorders and that it is likewise important to recognize that organic pathology (achalasia) can cause symptoms that may mimic an eating disorder and lead to misdiagnosis. Two case reports are presented and a review of the existing literature is provided. In the first patient, initial diagnosis of nonclassified eating disorder based on a pubertal conflict was made, and 3.5 years later diagnosis of primary achalasia was established. Atypical bulimia nervosa was initially suspected in the other case, but diagnosis of achalasia was established at an early stage of evaluation. The exclusion of organic disease must be a priority, even if a psychotherapeutic intervention may be needed in the global care of eating disorder patients. Esophageal achalasia should be considered in anyone presenting with difficulty swallowing or dysphagia, even if other features suggest anorexia nervosa or bulimia nervosa.

23 citations

Journal ArticleDOI
TL;DR: It is proposed that underweight and delayed puberty—caused by genetic, environmental, and neurobehavioral factors—can affect brain and cognitive development and lead to impaired cognitive flexibility, which in turn sustains the perpetuation of aberrant behaviors in a vicious cycle.
Abstract: Anorexia nervosa (AN) is an eating disorder often occurring in adolescence. AN has one of the highest mortality rates amongst psychiatric illnesses and is associated with medical complications and high risk for psychiatric comorbidities, persisting after treatment. Remission rates range from 23% to 33%. Moreover, weight recovery does not necessarily reflect cognitive recovery. This issue is of particular interest in adolescence, characterized by progressive changes in brain structure and functional circuitries, and fast cognitive development. We reviewed existing literature on fMRI studies in adolescents diagnosed with AN, following PRISMA guidelines. Eligible studies had to: (1) be written in English; (2) include only adolescent participants; and (3) use block-design fMRI. We propose a pathogenic model based on normal and AN-related neural and cognitive maturation during adolescence. We propose that underweight and delayed puberty—caused by genetic, environmental, and neurobehavioral factors—can affect brain and cognitive development and lead to impaired cognitive flexibility, which in turn sustains the perpetuation of aberrant behaviors in a vicious cycle. Moreover, greater punishment sensitivity causes a shift toward punishment-based learning, leading to greater anxiety and ultimately to excessive reappraisal over emotions. Treatments combining physiological and neurobehavioral rationales must be adopted to improve outcomes and prevent relapses.

23 citations

Journal ArticleDOI
03 Nov 2015-PLOS ONE
TL;DR: During pregnancy, obese women are more in touch with themselves and with their emotional conflicts through the transformations of their bodies, and can start a more refined self-care process and experience of the body-mind unit.
Abstract: Background As a result of the growth of the obese population, the number of obese women of fertile age has increased in the last few years. Obesity in pregnancy is related to greater levels of anxiety, depression and physical harm. However, pregnancy is an opportune moment for the intervention of health care professionals to address obesity. The objective of this study was to describe how obese pregnant women emotionally experience success in adequate weight control. Methods and Findings Using a qualitative design that seeks to understand content in the field of health, the sample of subjects was deliberated, with thirteen obese pregnant women selected to participate in an individual interview. Data was analysed by inductive content analysis and includes complete transcription of the interviews, re-readings using suspended attention, categorization in discussion topics and the qualitative and inductive analysis of the content. The analysis revealed four categories, three of which show the trajectory of body care that obese women experience during pregnancy: 1) The obese pregnant woman starts to think about her body;2) The challenge of the diet for the obese pregnant woman; 3) The relation of the obese pregnant woman with the team of antenatal professionals. The fourth category reveals the origin of the motivation for the change: 4) The potentializing factors for change: the motivation of the obese woman while pregnant. Conclusions During pregnancy, obese women are more in touch with themselves and with their emotional conflicts. Through the transformations of their bodies, women can start a more refined self-care process and experience of the body-mind unit. The fear for their own and their baby's life, due to the risks posed by obesity, appears to be a great potentializing factor for change. The relationship with the professionals of the health care team plays an important role in the motivational support of the obese pregnant woman.

18 citations