Resumo Para oferecer o melhor atendimento a crianças e adolescentes encaminhados para serviço-escola de Psicologia e Psiquiatria, buscou-se descrever e comparar o perfil de famílias que buscaram atendimento nesses serviços. Foram avaliadas 40 mães e crianças (20 participantes em cada grupo - lista de espera para atendimento psicológico ou para atendimento psiquiátrico). As mães responderam ao Inventário de Comportamentos para Crianças, Inventário Beck de Depressão, Escala de Ajustamento Conjugal e entrevista semiestruturada. As crianças atendidas na Psiquiatria obtiveram mais escores clínicos para queixas somáticas, problemas de pensamento e problemas externalizantes. A comparação do perfil das responsáveis indicou que a escolha da modalidade de tratamento infantil pode estar relacionada às variáveis maternas, sendo que as mães com maior adversidade e depressão optam pelo tratamento medicamentoso. Observa-se a importância de atendimento simultâneo para mãe e criança e de propostas voltadas para garantir a procura e adesão ao tratamento psicológico.

psicologia.v16n3p83-99. Sistema de avaliação: às cegas por pares (double blind review).

Background: Most of the clinical trials involving cognitive-behavioral therapy (CBT) for the treatment of anorexia nervosa (AN) used the individual therapy format, and few have been dedicated to adapting and assessing the effects of the group format. Objectives: To assess the applicability and effects of a group CBT program for Brazilian adolescents with AN. Methods: Open clinical trial with 22 patients with AN divided into an intervention group -IG (n = 11; CBT, psychiatry, nutrition and family psychoeducation-6 months) and a control group -CG (n = 11; psychiatry, nutrition and family psychoeducation-6 months). Data collected at baseline, at the end of groups and six months after the completion were: weight, height, body mass index and Eating Disorder Examination Questionnaire (EDE-Q) used to assess the severity of AN symptoms. Results: Baseline homogeneous groups, with 91% adherence in the IG vs. 54% in the CG (p = 0.05). Participants in both groups regained weight and decreased symptoms of eating disorders at the end of groups. Comparing the EDE-Q scores IG presented a statistically significant difference in the restraint subscale of the EDE-Q between the end-of-group and the follow-up (p = 0.01). Discussion: Group CBT program produced positive effects and was applicable in Brazilian adolescents with AN as an adjuvant to multidisciplinary treatment.Pegado P et al. / Arch Clin Psychiatry. 2018;45(3):57-60

Background: Efficacy studies on the treatment of anorexia nervosa (AN) in childhood and adolescence are scarce and systematic reviews are almost non-existent. Objective: Systematic review of the literature regarding the modalities of psychological intervention based on evidence used in the treatment of AN in childhood and adolescence. Methods: The research was carried out in the databases: PubMed, PsycINFO and Cochrane, using the combined keywords: anorexia nervosa and evidence-based therapy. Articles published between 1990 and 2015 were assessed. Results: Of the 139 eligible articles, 14 were selected, of which 10 (71.4%) were conducted in the United States and England. The sample ranged from 9 to 167 participants. Randomized Clinical Trial represented the most frequent design (n = 9; 63.4%), with more than half of the interventions structured in 20 or more sessions (n = 9, 64.3%). Nine types of treatments were tested, with the most tested being Family-Based Treatment (FBT) (n = 7; 50%). Interventions involving the family seem to be more effective, however, the rates for complete remission are modest. Discussion: Although evidence of efficacy was verified in the treatments analyzed, the limited number of studies, the various methodological limitations and the methodological heterogeneity between studies make the findings inconclusive.