Mental conditions and eating disorders in patients in primary care, Ibarra, Ecuador
DOI:
https://doi.org/10.70099/BJ/2025.02.01.5Palabras clave:
Eating disorders, mental disorders, adult, primary careResumen
In Ecuador, thirty out of every hundred people suffer from a mental health problem, with depression being the most common, followed by anxiety. This study aimed to explore the relationship between eating disorders (EDs) and mental health conditions in patients seeking primary care for morbidity in Ibarra, Ecuador, between March and June 2023. A total of 1,707 subjects over 18 years of age participated in this study; 66% were women, and 34% were men. The "Global Mental Health Assessment Tool - Primary Care" questionnaire was used to identify mental health problems. A multivariate analysis was conducted to examine the association between the variables, and a binary logistic regression model was used to assess the risk factors for EDs. The results showed that 57.3% of the participants were young adults (20-39 years old), and 12.6% of the population had an ED. The most common mental health conditions were anxiety (38.7%), depression (34.9%), and stress (27.9%). EDs were statistically associated with sex, with women being more affected, and with age, with young adults (20-39 years old) being the most affected. In conclusion, depression, stress, and anxiety are determinants of EDs in this population, with depression showing the highest risk of incidence, followed by stress and anxiety.
Citas
1. Firth J, Solmi M, Wootton RE, Vancampfort D, Schuch FB, Hoare E et al. A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders. World Psychiatry. 2020; 19(3):360-380. https://doi.org/.org/: 10.1002/wps.20773.
2. World Health Organization (WHO). 'Mental Health', World Health Organization, retrieved February 11 2021; https:// www. who.int/ health-topics/mental-health# tab= tab_2.
3. Organización Panamericana de la Salud, Organización Mundial de la Salud “depresión y otros trastornos mentales comunes” estimaciones sanitarias mundiales. 2017
4. Atención Integral en Salud en Contextos Educativos (MAIS - CE) Manual. Ministerio de Salud Pública del Ecuador. 2018
5. Momen NC, Plana-Ripoll O, Yilmaz Z, Thornton LM, McGrath JJ, Bulik CM, Petersen LV. Comorbidity between eating disorders and psychiatric disorders. Int J Eat Disord. 2022; 55(4):505-517. https://doi.org/ 10.1002/eat.23687.
6. Tan EJ, Raut T, Le LK, Hay P, Ananthapavan J, Lee YY, Mihalopoulos C. The association between eating disorders and mental health: an umbrella review. J Eat Disord. 2023; 11(1):51. https://doi.org/: 10.1186/s40337-022-00725-4.
7. Aziz MNM, Kumar J, Nawawi KNM, Ali RAR, Mokhtar NM. Irritable bowel syndrome, depression, and neurodegeneration: A bidirectional communication from gut to brain. Nutrients. 2021;13(9):1-16. https://doi.org/:10.3390/nu13093061.
8. Kolar DR, Mebarak M. An update on the epidemiology of eating disorders in Latin America: current findings and future challenges. Curr Opin Psychiatry. 2022; 35(6):385-389. https://doi.org/: 10.1097/YCO.0000000000000813.
9. de Melo Barros L, da Silva Júnior AE, Praxedes DRS, Monteiro MBL, de Lima Macena M, Bueno NB. Prevalence of food addiction determined by the Yale Food Addiction Scale in Latin America: A systematic review with meta-analysis. Int J Eat Disord. 2023; 56(4):677-690. https://doi.org/: 10.1002/eat.23909.
10. Mellowspring A. Eating Disorders in the Primary Care Setting. Prim Care. 2023; 50(1):103-117. https://doi.org/: 10.1016/j.pop.2022.10.012.
11. Sharma VK, Lepping P, Cummins AG, Copeland JR, Parhee R, Mottram P. The Global Mental Health Assessment Tool--Primary Care Version (GMHAT/PC). Development, reliability, and validity. World Psychiatry. 2004; 3(2):115-9.
12. Zila J, Grados P, Regalado K, Luna C, Sierra G, Díaz M. J Sifuentes. Prevalencia y factores del trastorno de conducta en estudiantes de Medicina Humana del Perú en el contexto de la pandemia de COVID-19: estudio multicéntrico. Rev Colomb Psiq. 2022; (9):1-32. https://doi.org/:10.1016/j.rcp.2022.07.005.
13. Méndez Camacho YL, Cerquera Córdoba AM. Apoyo social en población con trastornos alimentarios. Revista Virtual Universidad Católica del Norte, núm. 62, pp. 88-120. Colombia, 2021. https://doi.org/:10.35575/rvucn.n62a5.
14. Gaete P. V, López C. C. Trastornos de la conducta alimentaria en adolescentes. Una mirada integral. Rev Chil Pediatr. 2020; 91(5): 784-793. https://doi.org/:10.32641/rchped.v91i5.1534.
15. Behar R. Trastornos alimentarios en mujeres adultas. Rev. chil. Neuro – psiquiatr: 2018: 56(3). https://doi.org/:10.4067/s0717-92272018000300177.
16. Casaus Leoz I. Análisis del riesgo de desarrollar trastornos alimenticios en adolescentes /Nerabeengan elikadura-nahasmenduak garatzeko arriskuaren azterket. Universidad Pública de Navarra. Facultad Ciencias de la Salud. (trabajo fin de grado). Pamplona/Iruñea. 2022. https://academica-e.unavarra.es/xmlui/bitstream/handle/2454/43061/PDF_%20CASAUS%20LEOZ%2C%20IRENE.pdf?sequence=1&isAllowed=y.
17. Gismero González ME. Factores de riesgo psicosociales en los Trastornos de la Conducta Alimentaria: Una revisión y algunas consideraciones para la prevención y la intervención. rdp [Internet]. 1 de marzo de 2020 [citado 21 de octubre de 2023];31(115):33-47. Disponible en: https://revistas.uned.es/index.php/rdp/article/view/35025
18. Nagata JM, Ganson KT, Murray SB. Eating disorders in adolescent boys and young men: an update. Curr Opin Pediatr. 2020; 32(4):476-481. https://doi.org/: 10.1097/MOP.0000000000000911.
19. Behar A Rosa, Valdés W Claudia. Estrés y trastornos de la conducta alimentaria. Rev. chil. neuro-psiquiatr; 47(3):178-189. https://doi.org/:10.4067/S0717-92272009000300002.
20. Guato Pilataxi CJ. Estrés laboral y trastornos de la conducta alimentaria en el adulto. Tesis. Universidad Nacional de Chimborazo. Facultad Ciencias de la Salud. Riobamba-Ecuador 2020. http://dspace.unach.edu.ec/bitstream/51000/7588/1/8.-%20Christian%20Javier%20Guato%20Pilataxi-PSC.pdf
21. Schmidt U, Tiller J, Blanchard M, Andrews B, Treasure J. Is there a specific trauma precipitating onset of eating disorders? Psychol Med. 1997; 27: 523-30.
22. Devoe D, Han A, Anderson A, Katzman DK, Patten SB, Soumbasis A et al. The impact of the COVID-19 pandemic on eating disorders: A systematic review. Int J Eat Disord. 2023; 56(1):5-25. https://doi.org/: 10.1002/eat.23704.
23. Mishel Valencia Boada. 2022. Inseguridad Alimentaria y Cambios Dietéticos durante el confinamiento por Covid-19 en Adultos de la Ciudad de Quito nov-dic, 2020. http://repositorio.puce.edu.ec/bitstream/handle/22000/20337/Disertacion%20KM-ValenciaBoada.%20NH.pdf?sequence=1
24. Ramos-Padilla P, Villavicencio-Barriga VD, Cárdenas-Quintana H, Abril-Merizalde L, Solís-Manzano A, Carpio-Arias TV. Eating Habits and Sleep Quality during the COVID-19 Pandemic in Adult Population of Ecuador. Int J Environ Res Public Health. 20213; 18(7):3606. https://doi.org/: 10.3390/ijerph18073606.
25. Carpio-Arias TV, Piedra-Andrade JS, Nicolalde-Cifuentes TM, Padilla-Samaniego MV, Tapia-Veloz EC, Vinueza-Veloz MF. Mobility restrictions and mental health among young adults during the COVID-19 pandemic in Ecuador. Gac Sanit. 2022; 36(6):512-519. https://doi.org/: 10.1016/j.gaceta.2021.12.008.
26. Paz C, Mascialino G, Adana-Díaz L, Rodríguez-Lorenzana A, Simbaña-Rivera K, Gómez-Barreno L et al. Behavioral and sociodemographic predictors of anxiety and depression in patients under epidemiological surveillance for COVID-19 in Ecuador. PLoS One. 202030; 15(9):e0240008. https://doi.org/: 10.1371/journal.pone.0240008.
Descargas
Publicado
Cómo citar
Licencia

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Authors who publish with BioNatura Journal agree to the following terms: Authors retain copyright and grant the BioNatura Institutional Publishing Consortium (BIPC) right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). This allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.