Navegando por Palavras-chave "Studies assessing quality of life"

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    Revisão sistemática da literatura sobre estudos que avaliam qualidade de vida em pessoas com transtornos alimentares
    (Universidade Federal de São Paulo (UNIFESP), 2009-02-27) Tirico, Patricia Passarelli [UNIFESP]; Blay, Sergio Luis [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Purpose: To conduct a systematic review evaluating eating disorders (ED) quality of life studies. Methods: Bibliographic searches were made on six eletronic databases (MEDLINE, EMBASE, LILACS, PSYCINFO, Cochrane Depression, Anxiety and Neurosis Group Database Trials, e Cochrane Library), and manual searches were performed on two journals (The International Journal of Eating Disorders, and Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation), concerning to the period of january/1975 to june/2008. All eating disorders quality of life studies assessed through validated measures, generic or specific to ED, were included in this review. Studies with clinical samples and systematic reviews were evaluated and classified based on “NHMRC additional levels of evidence and grades for recommendations STAGE 2 CONSULTATION” criteria. Studies with populational samples were evaluated based on Evidenced-Based Mental Health (EBMH) prevalence guideline. Qualitative studies were evaluated based on Evidence-Based Medicine Working Group criteria for qualitative research, and studies validating specific quality of life measures for ED patients were evaluated based on Scientific Advisory Committee of the Medical Outcomes Trust criteria. Results: A total of 29.537 articles were identified. Most of them were excluded by title and 2.758 abstracts were read more carefully. Next, 173 articles were analyzed, providing the inclusion of 41 articles in this review. Discussion: Overall, the studies demonstrate impairment on eating disorders patients quality of life. The evaluation of binge eating disorder (BED) subjects revealed concordance between the results. Little evidence and discussion were observed to bulimia nervosa (BN) subjects, and the evaluation of anorexia nervosa (AN) subjects request caution. Most studies used a generic instrument to evaluate quality of life in this population and four specific eating disorders quality of life instrument were developed, being at validation phase. Conclusion: In spite of a growing interest on the theme and increasing number of research on eating disorders quality of life, the results of this review denote a preponderance of crosssectional studies, small samples sizes, populational studies with no control of confounding variables and few studies about validation of specific eating disorders quality of life instruments, which limits the generalization of the findings. Therefore, researches considering these aspects are necessary to allow a better drawing of the problem and its evaluation.