RESUMENObjetivo: Evaluar el indicio y el estado de ansiedad en mujeres mastectomizadas, y examinar la relación de la ansiedad con variables demográficas y clínicas.Métodos: Se realizó un estudio descriptivo con 84 mujeres mastectomizadas, vinculadas al Programa de Rehabilitación para mujeres con mastectomía (Premma), ubicado en Vitória, Espírito Santo. Las variables se recogieron por medio de formulario específico, el indicio y estado de ansiedad tuvieron como base el Inventario de Ansiedad Indicio y Estado (IDATE).Resultados: El trazo y el estado de ansiedad mostraron niveles promedio. Sólo el tiempo de tratamiento con que la mujer llegó a Premma estaba relacionado con la ansiedad (p <0,05). Conclusión:El que la mujer participe en un programa de rehabilitación interdisciplinar, tal vez, explique que los resultados no muestren niveles más altos de ansiedad. RESUMOObjetivo: Avaliar o traço e o estado de ansiedade em mulheres mastectomizadas e examinar a relação da ansiedade com variáveis sociodemográficas e clínicas.Métodos: Estudo descritivo, realizado com 84 mulheres mastectomizadas vinculadas ao Programa de Reabilitação para Mulheres Mastectomizadas (PREMMA) localizado em Vitória/Espírito Santo. As

Psychoform dissociation is related with various kinds of traumatic experiences and somatoform dissociation with physical abuse, probably because dissociation blocks negative affects. The association between types of dissociation and types of trauma in eating disorders it is not clear. Our objective is to examine what are the correlates of psychoform and somatoform dissociation in ED. We assessed 29 voluntary ED patients (anorexia = 16; bulimia = 13) from one psychiatric consultation with the Dissociative Experiences Scale (DES), the Somatoform Dissociation Questionnaire (SDQ-20), the Traumatic Events Checklist (TEC), and the General Symptom Index (GSI) from the Brief Symptom Inventory (BSI).In anorexia, DES scores significantly correlated with GSI, anxiety, phobia, psychoticism, obsessive-compulsive, depressive, and paranoid symptoms, and with none of the trauma types. In bulimia, DES significantly correlated with GSI, and all of the BSI symptomatology except obsessive-compulsive and hostility; with emotional trauma (occurred between the 0-6 years of age), and familial trauma.In anorexia, SDQ-20 significantly correlated with GSI, and all of the BSI symptomatology except somatization and paranoid symptoms. In bulimia, SDQ-20 significantly correlated with GSI, and all BSI dimensions; with trauma, physical abuse, emotional trauma (occurred between the 0-6 years of age), and with familial trauma.These findings highlight the importance of considering psychopathological symptoms in the treatment of psychoform and somatoform dissociation in ED. A special caution should be given to infancy trauma occurred in the family in the treatment of dissociation in bulimia.

The TEC is a validated measure that should integrate mental health assessment. We want to assess the psychometric properties of the Portuguese version, and examine the prevalence of traumatic experiences. Of the 248 participants (77.8% women, mean age = 31.12 ± 13.70), 36 had mood disorders (MD), 38 had eating disorders (ED), 29 had pain disorder (PD), 54 were substance and alcohol dependent (SAD), 20 were violence victims (VV), and 71 were non-patients. All completed the TEC, 55.2% completed the Dissociation Experiences Scale (DES), and 23.8% the Somatoform Dissociation Questionnaire (SDQ-20).Twelve per cent reported at least one traumatic experience to a maximum of 29 traumatic experiences (19.8%). The mean score of TEC was 9.37 ± 10.48, with the higher scores in SAD (27.22 ± 6.31), followed by VV (8.65 ± 3.82), MD (6.69 ± 3.12), ED (5.37 ± 4.83), PD (3.07 ± 1.46), and non-patients (2.06 ± 2.57). Reliability was high (Cronbach α = 0.93) in total sample, ranging from 0.94 (ED) to 0.44 (PD). In ED group, TEC significantly correlated with DES and SDQ-20. On the other groups (MD, SAD, VV), the correlations were not significant. An optimal cutoff point of 5.5 traumatic presences distinguished between clinical and non-clinical patients (AUC = 0.87, p < 0.001).Portuguese TEC is a promising reliable and valid screen and allows for measurement of traumatic experiences in clinical and non-clinical samples. However, the criterion validity should be established with other measures and involve larger clinical samples.

IntroductionPsychoform and somatoform dissociation in anorexia nervosa (AN) and bulimia nervosa (BN) is yet to be studied in Portugal.ObjectivesExplore the severity of psychoform and somatoform dissociation in ED; explore the differences between ED and other psychiatric disorders (PD), and between AN and BN.MethodologyFrom two psychiatric clinics, 29 women with ED (AN = 16; BN = 13) and 35 women with different PD (posttraumatic stress = 9; panic = 4; major depression = 4; obsessive-compulsive = 8, social phobia = 10), matched sociodemographicaly (mean age = 26.69 ± 7.31), were voluntarily assessed with the Dissociative Experiences Scale (DES), and the Somatoform Dissociation Questionnaire (SDQ-20).ResultsED patients had higher scores on DES (M ± SD= 28.10 ±19.76, p < 0.05) and on SDQ-20 (M ± SD= 38.41 ±13.19, p < 0.05) than PD patients (DES: M ± SD= 19.27 ±12.84; SDQ: M ± SD= 38.41 ±13.19). Comparing with PD, BN had higher scores on DES (M ± SD= 31.13 ±21.25, p < 0.05), and on SDQ-20 (M ± SD= 42.45 ±17.36, p < 0.01). Finally, there were no differences between AN (DES: M ± SD= 25.65 ±18.80; SDQ-20: M ± SD= 35.63 ±8.98) and BN (p = 0.01).ConclusionOur findings point out to the need to of watchfully assessing ED for dissociative symptoms and, accordingly, include the treatment of dissociation.

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