mutatis mutandis

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Bulimarexia

Publicado por oscarlsv el 17 Febrero 2014

Por David Vidal y Alejandro González

La bulimarexia es una psicopatología alimentaria que combina manifestaciones anoréxicas con fenómenos bulímicos.

Este trastorno de la alimentación, que a veces es considerado como un subtipo de la anorexia o de la bulimia, es en realidad una psicopatología que combina síntomas presentados por las personas anoréxicas, tales como hiperactividad y restricción extrema a ingerir alimentos, con manifestaciones bulímicas como atracones y empleo de purgas para contrarestarlos. Así, aunque la bulimarexia presenta muchos de los síntomas de la anorexia, se diferencia de esta psicopatología debido a que los anoréxicos no realizan una alimentación compulsiva, y a pesar de que también comparte síntomas con la bulimia, se diferencia de ésta debido a que en el bulimaréxico puede producirse una pérdida importante de peso.

Esta combinación de rasgos bulímicos y anoréxicos en un mismo cuadro clínico suele ser el trastorno alimenticio más común, pues con frecuencia ninguna de las dos enfermedades aparece en un estado puro.

CONSECUENCIAS PSÍQUICAS:

  • Los anoréxicos tienen un riesgo aumentado de sufrir bulimarexia o bulimia.
  • Síntomas de ansiedad, depresión y obsesivos.
  • Depresión, tristeza, irritabilidad, aislamiento social. Relaciones afectivas conflictivas
  • Tendencias suicidas: se ha calculado que comprende la mitad de las defunciones en la anorexia. (Razonablemente se puede tomar la posición de que todos los casos de anorexia son intentos de suicidio.)

ESTADÍSTICAS:

En aproximadamente el 90% de los casos, las pacientes son mujeres de entre 10 y 29 años (en los países desarrollados, la anorexia nerviosa afecta aproximadamente a 1 de cada 200 ó 300 chicas de edades comprendidas entre los 12 y los 24 años).

La edad promedio de inicio de anorexia es de 17 años, aunque algunos datos sugieren la existencia de picos., bimodales a los 14 y a los 18 años.

Esta enfermedad es más frecuente en la mujer que en el varón en una proporción de 10 a 1, pero aunque actualmente las mujeres jóvenes siguen siendo el grupo más afectado, los varones, los niños / as menores de 12 años y las mujeres maduras comienzan a agregarse a la lista de víctimas de este trastorno, aunque es muy rara la aparición de este trastorno en las mujeres mayores de 40 años.

A pesar de que hay pocos estudios epidemiológicos realizados, pues muchos pacientes anoréxicos nunca acuden al médico, los expertos calculan que afecta a cerca del 1% de la población.

Los síntomas que pueden indicar que una persona está sufriendo esta psicopatología alimentaria pueden ser tanto cambios cognitivos y conductuales como indicios psíquicos y fisiológicos.

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