Terapia cognitivo-comportamental (tcc) no tratamento do transtorno de compulsão alimentar (tca): um estudo bibliográfico
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Data
2023-12
Tipo de documento
Artigo Científico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências Humanas
Modalidade de acesso
Acesso fechado
Editora
Autores
NASCIMENTO, Andréa Ayumi Saito do
LOCATELLI, Guilherme Trevisan
BOEIRA, Pâmela Marques
MORAES, Yessamin de
Orientador
BASTOS, Viviane
Coorientador
Resumo
O Transtorno de Compulsão Alimentar (TCA) se caracteriza pela manifestação de episódios
recorrentes de compulsão alimentar, envolvendo a ingestão excessiva de alimentos e uma
sensação de descontrole durante a alimentação. A Terapia Cognitivo-Comportamental (TCC)
é amplamente reconhecida como uma abordagem eficaz no tratamento desses episódios
recorrentes de compulsão alimentar e suas condições comórbidas. Contudo, uma revisão de
literatura anterior destacou a escassez de estudos nacionais em língua portuguesa sobre esse
tema, o que justifica a necessidade de realizar novas pesquisas nesse idioma. O objetivo deste
estudo consistiu em identificar as características da TCC para o tratamento do TCA na
literatura científica publicada entre 2013 e 2023. Com o propósito de atingir tal objetivo,
conduziu-se uma revisão integrativa da literatura, que incluiu estudos nacionais e
internacionais em língua inglesa, utilizando a base de dados PubMed. Os resultados desta
revisão incluíram 38 (trinta e oito) artigos que atenderam aos critérios estabelecidos, incluindo
a presença de participantes diagnosticados com TCA, intervenção psicoterapêutica baseada
em TCC e acesso gratuito integral à publicação. Dessas publicações, 84,2% tinham pelo
menos um objetivo direcionado para testar, avaliar ou examinar os resultados de um
tratamento baseado em TCC. Além disso, observou-se que 78,5% dos participantes das
intervenções eram do sexo feminino, com 34,2% dos estudos focados exclusivamente nesse
grupo. Houve uma considerável heterogeneidade na estrutura das intervenções analisadas,
evidenciando a exposição de diversas estratégias da TCC em todos os artigos examinados,
com destaque para o automonitoramento, prevenção de recaída, psicoeducação e
reestruturação cognitiva, identificados em 84,21%, 57,89%, 52,63% e 28,95% dos estudos,
respectivamente. Nesse contexto, analisou-se as características dos estudos e estratégias da
TCC para o TCA. No entanto, uma parcela dos artigos não forneceu uma descrição detalhada
dos formatos e estratégias aplicados na intervenção. Para futuras pesquisas, é recomendável
adotar métodos que permitam uma análise mais detalhada das estratégias utilizadas em cada
intervenção, possivelmente através de pesquisas de campo. Isso visa preencher a lacuna
identificada no presente estudo.
Binge Eating Disorder (BED) is characterized by the manifestation of recurrent episodes of binge eating, involving excessive food intake and a feeling of lack of control during eating. Cognitive Behavioral Therapy (CBT) is widely recognized as an effective approach in treating these recurrent binge eating episodes and their comorbid conditions. However, a previous literature review highlighted the scarcity of national studies in Portuguese on this topic, which justifies the need to carry out new research in this language. The objective of this study was to identify the characteristics of CBT for the treatment of BED in the scientific literature published between 2013 and 2023. With the purpose of achieving this objective, an integrative review of the literature was conducted, which included national and international studies in English, using the PubMed database. The results of this review included 38 (thirty-eight) articles that met the established criteria, including the presence of participants diagnosed with BED, psychotherapeutic intervention based on CBT and full free access to the publication. Of these publications, 84.2% had at least one objective aimed at testing, evaluating, or examining the results of a CBT-based treatment. Furthermore, it was observed that 78.5% of intervention participants were female, with 34.2% of studies focusing exclusively on this group. There was considerable heterogeneity in the structure of the interventions analyzed, showing the exposure of different CBT strategies in all articles examined, with emphasis on self-monitoring, relapse prevention, psychoeducation and cognitive restructuring, identified in 84.21%, 57.89%, 52.63% and 28.95% of studies, respectively. In this context, the characteristics of CBT studies and strategies for BED were analyzed. However, a portion of the articles did not provide a detailed description of the formats and strategies applied in the intervention. For future research, it is recommended to adopt methods that allow a more detailed analysis of the strategies used in each intervention, possibly through field research. This aims to fill the gap identified in the present study.
Binge Eating Disorder (BED) is characterized by the manifestation of recurrent episodes of binge eating, involving excessive food intake and a feeling of lack of control during eating. Cognitive Behavioral Therapy (CBT) is widely recognized as an effective approach in treating these recurrent binge eating episodes and their comorbid conditions. However, a previous literature review highlighted the scarcity of national studies in Portuguese on this topic, which justifies the need to carry out new research in this language. The objective of this study was to identify the characteristics of CBT for the treatment of BED in the scientific literature published between 2013 and 2023. With the purpose of achieving this objective, an integrative review of the literature was conducted, which included national and international studies in English, using the PubMed database. The results of this review included 38 (thirty-eight) articles that met the established criteria, including the presence of participants diagnosed with BED, psychotherapeutic intervention based on CBT and full free access to the publication. Of these publications, 84.2% had at least one objective aimed at testing, evaluating, or examining the results of a CBT-based treatment. Furthermore, it was observed that 78.5% of intervention participants were female, with 34.2% of studies focusing exclusively on this group. There was considerable heterogeneity in the structure of the interventions analyzed, showing the exposure of different CBT strategies in all articles examined, with emphasis on self-monitoring, relapse prevention, psychoeducation and cognitive restructuring, identified in 84.21%, 57.89%, 52.63% and 28.95% of studies, respectively. In this context, the characteristics of CBT studies and strategies for BED were analyzed. However, a portion of the articles did not provide a detailed description of the formats and strategies applied in the intervention. For future research, it is recommended to adopt methods that allow a more detailed analysis of the strategies used in each intervention, possibly through field research. This aims to fill the gap identified in the present study.
Palavras-chave
transtorno de compulsão alimentar, terapia cognitivo-comportamental, revisão integrativa da literatura