Background: There is an important relationship between perfectionism (P), body dissatisfaction (BD) and eating disorders (ED). Objective: To describe the evidence about P and/or BD within the clinical course of ED. Method: A review of specialized textbooks and the available literature in PubMed was made. Two descriptive case reports are analyzed. Results: Socially prescribed and self-oriented dimensions of P were related to ED attitudes and specially restrictive behaviors, mediating and moderating the association between BD and ED. BD and P are intrapersonal risk factors in the development of an ED. BD shares about 10% of genetic variability with P and both increase the appearance comparative assessment, mainly within a higher western acculturation, drive for thinness, a maladaptative stress response, a low self-esteem, the severity of the disorder, depressive symptomatology, sports that emphasize a slim body shape, comorbidities (personality, anxiety and/or affective disorders), alexithymia and lack of assertiveness. Conclusions: According to the evidence, BD and P, although unspecific, are core characteristics of ED as predisposing, triggering and/or perpetuating factors that significantly influence its treatment and outcome.

Introducción N umerosos estudios reportan que la prevalencia de alexitimia es mayor entre los portadores de trastorno depresivo mayor (TDM) 1 ; no obstante, su vínculo es controversial. La evidencia muestra

Maternal eating disorders and their influence on eating behavior of the children: a review of the literatureBackground: There is conclusive evidence about the influence of mothers with eating disorders (ED) on their children. objective: To describe different aspects about mothers with ED and its implications in the feeding, growing and development in their children. method: A review of specialized textbooks and the available literature in PubMed was made. results: Mothers with previous or present ED show restrictive eating patterns, a deficient affective bond with their own mothers, exhibit more psychiatric comorbidities, mainly depression and anxiety; in addition, feelings of guilt and shame, early cessation of breastfeeding, high control of food consumption of their children, and/or pressure them to eat, irregular mealtimes, unbalanced and monotonous meals, proneness to slimness, a critical attitude about the body shape of their daughters. Breastfeeding implies a critical period for the irruption or relapse of an ED due to the adjustment to the characteristic body shape changes during pregnancy. Conclusions: There is a particular relationship between a maternal ED and its occurrence in their children, and it can be considered a risk factor for its development. (Key words: Eating disorders, children of mothers with eating disorders, anorexia nervosa, bulimia nervosa, pregnancy, breastfeeding). Rev Chil Pediatr 2014; 85 (6): 731-739 resumen antecedentes: Existe concluyente evidencia de la influencia de madres con trastornos de la conducta alimentaria (TCA) en sus hijas (os). objetivo: Analizar descriptivamente los diversos aspectos de madres con historia de TCA y sus implicancias en la nutrición, crecimiento y desarrollo de sus hijas (os). método: Se efectuó una revisión de la literatura disponible en PubMed y textos de consulta especializados. resultados: Las madres con TCA previo o actual muestran patrones alimentarios restrictivos, un vínculo afectivo deficitario con sus propias madres, exhiben más comorbilidades psiquiátricas, principalmente depresión y ansiedad; además ARTíCULO DE REVISIóN Rev

Background: Somatoform (SD) and conversion (CD) disorders have increased their incidence during the last two decades in children and

Suicide is an important worldwide death cause. Although 90% or more of those who commit suicide suffer from a psychiatric disorder, an isolated pathology does not fully explain the complex phenomenon of suicide. Because of the multifactorial behavior suicidal pattern, biological, psychological and social factors are implicated. Given the above, a single pharmacological management of the underlying disease or some symptoms such as anxiety and impulsivity, should not be enough to address or prevent suicidal behavior in its entirety. Because of the complexity and the interrelationship of risk factors for suicide, it is very unlikely that a single medication controls all the aspects involved; thereby it is difficult to ascribe the actual antisuicidal effect of a particular drug with certainty. However, the current literature despite its limitations supports an antisuicidal effect of particular drugs such as lithium and clozapine.