Percepções sobre comportamento alimentar compulsivo, imagem corporal e inflamação em indivíduos com esquizofrenia

Autores

  • Isabel de Andrade Amato Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil https://orcid.org/0000-0002-4427-8392
  • Renato Oliveira Silva Department of Medical Sciences, School of Medicine of the Mineiro Triangle, FMTM, Uberaba, MG, Brazil https://orcid.org/0009-0008-3174-1377
  • Pedro Gabriel Lorencetti Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil https://orcid.org/0000-0002-3374-8838
  • Sérgio Roberto Correa Vicentin Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil https://orcid.org/0000-0003-3907-7497
  • Thaís Paulino do Prado Laboratory of Cell Signaling, University of Campinas, Brazil. Nursing School, University of Campinas, Campinas, SP, Brazil https://orcid.org/0000-0001-5740-8072
  • Vanessa Cristina Bobbo Laboratory of Cell Signaling, University of Campinas, Brazil. Nursing School, University of Campinas, Campinas, SP, Brazil https://orcid.org/0000-0003-2941-2386
  • Guilherme Augusto da Silva Nogueira Laboratory of Cell Signaling, University of Campinas, SP, Brazil https://orcid.org/0000-0001-8659-6236
  • Eloisa Helena Rubello Valler Celeri Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil
  • Renata Cruz Soares de Azevedo Department of Psychiatry, School of Medical Sciences, State University of Campinas (FCM-UNICAMP), Campinas, SP, Brazil. https://orcid.org/0000-0002-7098-7109
  • Lício Augusto Velloso Laboratory of Cell Signaling, University of Campinas, Campinas, SP, Brazil https://orcid.org/0000-0002-4806-7218
  • Paulo Dalgalarrondo Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil
  • Amilton dos Santos Junior Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil https://orcid.org/0000-0002-4328-4619

DOI:

https://doi.org/10.25118/2763-9037.2023.v13.832

Palavras-chave:

Transtorno da Compulsão Alimentar, Inflamação, Esquizofrenia, Insatisfação Corporal

Resumo

Objetivo: O Transtorno da Compulsão Alimentar Periódica (TCAP) é altamente prevalente em indivíduos com esquizofrenia. Este estudo tem como objetivo explorar a percepção da compulsão alimentar em pacientes com esquizofrenia e suas associações com marcadores clínicos, psicopatológicos e inflamatórios. Métodos: 45 participantes com queixa de compulsão alimentar foram avaliados por meio da Escala de Compulsão Alimentar Periódica (BES). Medidas clínicas e antropométricas, gordura corporal, dimensões psicopatológicas (PANSS) e um escore de satisfação com a imagem corporal com base nos itens da Body Shape Satisfaction Scale (BSSS) e do Body Shape Questionnaire (BSQ) e marcadores inflamatórios séricos, como IL-1β, IL - 6, IL-10, TNF-α e leptina foram dosados. Resultados: Os testes de correlação de Spearman revelaram correlações positivas entre escores de BES, insatisfação com a imagem corporal e escore PANSS, bem como correlação negativa com IL-10. Modelos de regressão linear múltipla mostraram que os escores de BES, embora não tenham sido suficientes para o diagnóstico de compulsão alimentar, estiveram associados positivamente com escore de insatisfação com a imagem corporal, níveis de IL-1β, IL-6 (ambas interleucinas pró inflamatórias) e negativamente com IL-10 (uma interleucina anti-inflamatória). Conclusão: Nossos achados sugerem que a inflamação crônica e a psicopatologia em indivíduos com esquizofrenia podem estar associados a comportamentos alimentares compulsivos e pior percepção de autoimagem corporal. Além da inflamação, o comer compulsivo pode contribuir para o aumento da mortalidade cardiovascular e piora do estado de saúde desses pacientes.

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Biografia do Autor

Isabel de Andrade Amato, Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil

Renato Oliveira Silva , Department of Medical Sciences, School of Medicine of the Mineiro Triangle, FMTM, Uberaba, MG, Brazil

Pedro Gabriel Lorencetti , Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil

Sérgio Roberto Correa Vicentin, Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil

Thaís Paulino do Prado, Laboratory of Cell Signaling, University of Campinas, Brazil. Nursing School, University of Campinas, Campinas, SP, Brazil

Vanessa Cristina Bobbo, Laboratory of Cell Signaling, University of Campinas, Brazil. Nursing School, University of Campinas, Campinas, SP, Brazil

Guilherme Augusto da Silva Nogueira, Laboratory of Cell Signaling, University of Campinas, SP, Brazil

Eloisa Helena Rubello Valler Celeri, Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil

Renata Cruz Soares de Azevedo, Department of Psychiatry, School of Medical Sciences, State University of Campinas (FCM-UNICAMP), Campinas, SP, Brazil.

Lício Augusto Velloso, Laboratory of Cell Signaling, University of Campinas, Campinas, SP, Brazil

Paulo Dalgalarrondo, Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil

Amilton dos Santos Junior, Department of Psychiatry, School of Medical Sciences, State University of Campinas, FCM-UNICAMP, Campinas, SP, Brazil

Referências

Kessler RC, Berglund PA, Chiu WT, Deitz AC, Hudson JI, Shahly V, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Benjet C, Bruffaerts R, Girolamo G, de Graaf R, Maria Haro J, Kovess-Masfety V, O'Neill S, Posada-Villa J, Sasu C, Scott K, Viana MC, Xavier M. The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biol Psychiatry. 2013;73(9):904-14. https://doi.org/10.1016/j.biopsych.2012.11.020 - PMID:23290497 PMCID:PMC3628997 DOI: https://doi.org/10.1016/j.biopsych.2012.11.020

American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington: American Psychiatric Association; 2013. https://doi.org/10.1176/appi.books.9780890425596 DOI: https://doi.org/10.1176/appi.books.9780890425596

Guerdjikova AI, Mori N, Casuto LS, McElroy SL. Update on binge eating disorder. Med Clin North Am. 2019;103(4):669-80. https://doi.org/10.1016/j.mcna.2019.02.003 - PMID:31078199 DOI: https://doi.org/10.1016/j.mcna.2019.02.003

Mazzeo SE, Saunders R, Mitchell KS. Gender and binge eating among bariatric surgery candidates. Eat Behav. 2006;7(1):47-52. https://doi.org/10.1016/j.eatbeh.2005.05.008 PMID:16360622 DOI: https://doi.org/10.1016/j.eatbeh.2005.05.008

Kouidrat Y, Amad A, Lalau JD, Loas G. Eating disorders in schizophrenia: implications for research and management. Schizophr Res Treatment. 2014;2014:791573. https://doi.org/10.1155/2014/791573 - PMID:25485152 - PMCID:PMC4251071 DOI: https://doi.org/10.1155/2014/791573

Hoff P. Eugen Bleuler's concept of schizophrenia and its relevance to present-day psychiatry. Neuropsychobiology. 2012;66(1):6-13. https://doi.org/10.1159/000337174 - PMID:22797272 DOI: https://doi.org/10.1159/000337174

Fawzi MH, Fawzi MM. Disordered eating attitudes in Egyptian antipsychotic naive patients with schizophrenia. Compr Psychiatry. 2012;53(3):259-68. https://doi.org/10.1016/j.comppsych.2011.04.064 - PMID:21640339 DOI: https://doi.org/10.1016/j.comppsych.2011.04.064

Yum SY, Caracci G, Hwang MY. Schizophrenia and eating disorders. Psychiatr Clin North Am. 2009;32(4):809-19. https://doi.org/10.1016/j.psc.2009.09.004 - PMID:19944885 DOI: https://doi.org/10.1016/j.psc.2009.09.004

Cargill BR, Clark MM, Pera V, Niaura RS, Abrams DB. Binge eating, body image, depression, and self-efficacy in an obese clinical population. Obes Res. 1999;7(4):379-86. https://doi.org/10.1002/j.1550-8528.1999.tb00421.x - PMID:10440594 DOI: https://doi.org/10.1002/j.1550-8528.1999.tb00421.x

Devlin MJ, Goldfein JA, Dobrow I. What is this thing called BED? Current status of binge eating disorder nosology. Int J Eat Disord. 2003;34 Suppl 1:S2-18. https://doi.org/10.1002/eat.10201 PMID:12900982 DOI: https://doi.org/10.1002/eat.10201

Succurro E, Segura-Garcia C, Ruffo M, Caroleo M, Rania M, Aloi M, De Fazio P, Sesti G, Arturi F. Obese patients with a binge eating disorder have an unfavorable metabolic and inflammatory profile. Medicine (Baltimore). 2015;94(52):e2098. https://doi.org/10.1097/md.0000000000002098 PMID:26717356 - PMCID:PMC5291597 DOI: https://doi.org/10.1097/MD.0000000000002098

Alboni S, Micioni Di Bonaventura MV, Benatti C, Giusepponi ME, Brunello N, Cifani C. Hypothalamic expression of inflammatory mediators in an animal model of binge eating. Behav Brain Res. 2017;320:420-30. https://doi.org/10.1016/j.bbr.2016.10.044 - PMID:27984048 DOI: https://doi.org/10.1016/j.bbr.2016.10.044

Buchanan JB, Johnson RW. Regulation of food intake by inflammatory cytokines in the brain. Neuroendocrinology. 2007;86(3):183-90. https://doi.org/10.1159/000108280 - PMID:17823502 DOI: https://doi.org/10.1159/000108280

Corcos M, Guilbaud O, Paterniti S, Moussa M, Chambry J, Chaouat G, Consoli SM, Jeammet P. Involvement of cytokines in eating disorders: a critical review of the human literature. Psychoneuroendocrinology. 2003;28(3):229-49. https://doi.org/10.1016/s0306-4530(02)00021-5 PMID:12573293 DOI: https://doi.org/10.1016/S0306-4530(02)00021-5

Müller N. Inflammation in schizophrenia: pathogenetic aspects and therapeutic considerations. Schizophr Bull. 2018;44(5):973-82. https://doi.org/10.1093/schbul/sby024 PMID:29648618 - PMCID:PMC6101562 DOI: https://doi.org/10.1093/schbul/sby024

De Hert M, Schreurs V, Vancampfort D, Van Winkel R. Metabolic syndrome in people with schizophrenia: a review. World Psychiatry. 2009;8(1):15-22. https://doi.org/10.1002/j.2051-5545.2009.tb00199.x - PMID:19293950 - PMCID:PMC2656262 DOI: https://doi.org/10.1002/j.2051-5545.2009.tb00199.x

Firth J, Siddiqi N, Koyanagi A, Siskind D, Rosenbaum S, Galletly C, Allan S, Caneo C, Carney R, Carvalho AF, Chatterton ML, Correll CU, Curtis J, Gaughran F, Heald A, Hoare E, Jackson SE, Kisely S, Lovell K, Maj M, McGorry PD, Mihalopoulos C, Myles H, O'Donoghue B, Pillinger T, Sarris J, Schuch FB, Shiers D, Smith L, Solmi M, Suetani S, Taylor J, Teasdale SB, Thornicroft G, Torous J, Usherwood T, Vancampfort D, Veronese N, Ward PB, Yung AR, Killackey E, Stubbs B. The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness. Lancet Psychiatry. 2019;6(8):675-712. https://doi.org/10.1016/s2215-0366(19)30132-4 PMID:31324560 DOI: https://doi.org/10.1016/S2215-0366(19)30132-4

Danivas V, Venkatasubramanian G. Current perspectives on chlorpromazine equivalents: comparing apples and oranges! Indian J Psychiatry. 2013;55(2):207-8. https://doi.org/10.4103/0019-5545.111475 - PMID:23825865 - PMCID:PMC3696254 DOI: https://doi.org/10.4103/0019-5545.111475

Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13(2):261-76. https://doi.org/10.1093/schbul/13.2.261 PMID:3616518 DOI: https://doi.org/10.1093/schbul/13.2.261

Shafer A, Dazzi F. Meta-analysis of the positive and negative syndrome scale (PANSS) factor structure. J Psychiatr Res. 2019;115:113-20. https://doi.org/10.1016/j.jpsychires.2019.05.008 PMID:31128501 DOI: https://doi.org/10.1016/j.jpsychires.2019.05.008

Freitas S, Lopes CS, Coutinho W, Appolinario JC. Tradução e adaptação para o português da Escala de Compulsão Alimentar Periódica. Rev Bras Psiquiatr. 2001;23(4):215-20. https://doi.org/10.1590/S1516-44462001000400008 DOI: https://doi.org/10.1590/S1516-44462001000400008

Gormally J, Black S, Daston S, Rardin D. The assessment of binge eating severity among obese persons. Addict Behav. 1982;7(1):47-55. https://doi.org/10.1016/0306-4603(82)90024-7 PMID:7080884 DOI: https://doi.org/10.1016/0306-4603(82)90024-7

Affenito SG, Backstrand JR, Welch GW, Lammi-Keefe CJ, Rodriguez NR, Adams CH. Subclinical and clinical eating disorders in IDDM negatively affect metabolic control. Diabetes Care. 1997;20(2):182-4. https://doi.org/10.2337/diacare.20.2.182 - PMID:9118770 DOI: https://doi.org/10.2337/diacare.20.2.182

Santos-Júnior A, Henriques TB, Mello MP, Della Torre OH, Paes LA, Ferreira-Neto AP, Sewaybricker LE, Fontana TS, Celeri EH, Guerra-Júnior G, Dalgalarrondo P. Pharmacogenetics of risperidone and cardiovascular risk in children and adolescents. Int J Endocrinol. 2016;2016:5872423. https://doi.org/10.1155/2016/5872423 PMID:26880915 - PMCID:PMC4736591 DOI: https://doi.org/10.1155/2016/5872423

Rodrigues KF, Pietrani NT, Bosco AA, Campos FMF, Sandrim VC, Gomes KB. IL-6, TNF-α, and IL-10 levels/polymorphisms and their association with type 2 diabetes mellitus and obesity in Brazilian individuals. Arch Endocrinol Metab. 2017;61(5):438-46. https://doi.org/10.1590/2359-3997000000254 PMID:28225860 - PMCID:PMC10522244 DOI: https://doi.org/10.1590/2359-3997000000254

Khandaker GM, Cousins L, Deakin J, Lennox BR, Yolken R, Jones PB. Inflammation and immunity in schizophrenia: implications for pathophysiology and treatment. Lancet Psychiatry. 2015;2(3):258-70. https://doi.org/10.1016/s2215-0366(14)00122-9 - PMID:26359903 PMCID:PMC4595998 DOI: https://doi.org/10.1016/S2215-0366(14)00122-9

Kahl KG, Kruse N, Rieckmann P, Schmidt MH. Cytokine mRNA expression patterns in the disease course of female adolescents with anorexia nervosa. Psychoneuroendocrinology. 2004;29(1):13-20. https://doi.org/10.1016/s0306-4530(02)00131-2 - PMID:14575726 DOI: https://doi.org/10.1016/S0306-4530(02)00131-2

Limone P, Biglino A, Bottino F, Forno B, Calvelli P, Fassino S, Berardi C, Ajmone-Catt P, Bertagna A, Tarocco RP, Rovera GG, Molinatti GM. Evidence for a positive correlation between serum cortisol levels and IL-1beta production by peripheral mononuclear cells in anorexia nervosa. J Endocrinol Invest. 2000;23(7):422-7. https://doi.org/10.1007/bf03343750 PMID:11005265 DOI: https://doi.org/10.1007/BF03343750

Dalton B, Bartholdy S, Robinson L, Solmi M, Ibrahim MAA, Breen G, Schmidt U, Himmerich H. A meta-analysis of cytokine concentrations in eating disorders. J Psychiatr Res. 2018;103:252-64. https://doi.org/10.1016/j.jpsychires.2018.06.002 - PMID:29906710 DOI: https://doi.org/10.1016/j.jpsychires.2018.06.002

Caroleo M, Carbone EA, Greco M, Corigliano DM, Arcidiacono B, Fazia G, Rania M, Aloi M, Gallelli L, Segura-Garcia C, Foti DP, Brunetti A. Brain-behavior-immune interaction: serum cytokines and growth factors in patients with eating disorders at extremes of the body mass index (BMI) spectrum. Nutrients. 2019;11(9):1995. https://doi.org/10.3390/nu11091995 PMID:31450770 - PMCID:PMC6770139 DOI: https://doi.org/10.3390/nu11091995

Dunkley DM, Grilo CM. Self-criticism, low self-esteem, depressive symptoms, and over-evaluation of shape and weight in binge eating disorder patients. Behav Res Ther. 2007;45(1):139-49. https://doi.org/10.1016/j.brat.2006.01.017 - PMID:16530723 DOI: https://doi.org/10.1016/j.brat.2006.01.017

Fichter MM, Quadflieg N, Brandl B. Recurrent overeating: an empirical comparison of binge eating disorder, bulimia nervosa, and obesity. Int J Eat Disord. 1993;14(1):1-16. https://doi.org/10.1002/1098-108x(199307)14:1%3C1::aid-eat2260140102%3E3.0.co;2-3 PMID:8339091 DOI: https://doi.org/10.1002/1098-108X(199307)14:1<1::AID-EAT2260140102>3.0.CO;2-3

Holmes M, Fuller-Tyszkiewicz M, Skouteris H, Broadbent J. Understanding the link between body image and binge eating: a model comparison approach. Eat Weight Disord. 2015;20:81-9. https://doi.org/10.1007/s40519-014-0141-4 - PMID:25085315 DOI: https://doi.org/10.1007/s40519-014-0141-4

Tanofsky-Kraff M, Shomaker LB, Stern EA, Miller R, Sebring N, Dellavalle D, Yanovski SZ, Hubbard VS, Yanovski JA. Children's binge eating and development of metabolic syndrome. Int J Obes (Lond). 2012;36(7):956-62. https://doi.org/10.1038/ijo.2011.259 - PMID:22234282 PMCID:PMC3454442 DOI: https://doi.org/10.1038/ijo.2011.259

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2023-12-07

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Amato I de A, Silva RO, Lorencetti PG, Vicentin SRC, Prado TP do, Bobbo VC, Nogueira GA da S, Celeri EHRV, Azevedo RCS de, Velloso LA, Dalgalarrondo P, Santos Junior A dos. Percepções sobre comportamento alimentar compulsivo, imagem corporal e inflamação em indivíduos com esquizofrenia . Debates em Psiquiatria [Internet]. 7º de dezembro de 2023 [citado 5º de fevereiro de 2025];13:1-22. Disponível em: https://revistardp.org.br/revista/article/view/832

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