IntroductionFor several years, strong theoretical and clinical links have been established between intra-family relationships and eating disorders.ObjectivesTo study intra-family relationships in adolescent with food addictive behaviour.MethodsThis was a cross-sectional, descriptive and analytical study conducted among a sample of adolescents randomly collected in 6 schools in the region of Sfax-Tunisia, during the month of February 2022. The food addiction symptomatology was assessed by the “Dimensional Yale Food Addiction Scale version 2.0 For Children” (dYFAS-C 2.0) and the family attitude was studied by the “Brief Family Relationship Scale” (BFRS) which evaluates three dimensions: cohesion, expressiveness and conflict, each having a separate score. Both scales are validated in Arabic.ResultsThe study involved 360 high school students, with a mean age of 16.62 +/- 0.822 years. The sex ratio was 1.09.The total score for food addiction symptomatology in our sample ranged from 0 to 56 with an average of 16.37 +/- 12.380.Of the three dimensions of the quality of intra-family relationships studied, conflict had the highest mean score: 25.29+/-9.027.A high food dependence score was significantly related to these three dimensions of the intrafamily relationship: lack of conflict (p=0.044), cohesion (p=0.011) and expressiveness (p=0.005) presence.ConclusionsThe present study shows that the symptomatology of food addiction is influenced by the quality of the intra-family relationship.Enhanced perception of the family environment and involvement of the family in possible care can help to prevent the onset of eating disorders and to plan an appropriate intervention.Disclosure of InterestNone Declared
INTRODUCTION: Revealing a diagnosis of cancer generates various psychological responses such as anxiety and depression which deteriorate the quality of life (QOL) of this patient. OBJECTIVES: Assess the level of both anxiety and depression in patients with cancer; assess the impact of their disease on their physical and mental QOL. AIMS: Deduct the risk factors of anxiety, depression and bad QOL. METHODS: Our study is transversal. It is conducted on patients hospitalized in the department of Carcinology CHU Habib Bourguiba in Sfax (Tunisia). The screening tool for anxiety and depression was HADS scale and the assessment of QOL was performed using the SF-36 RESULTS: We identified 50 patients. Concerning their psychological state, the one-quarter (23.9%) had a doubtful anxious state and the one-third (32.6%) had a certain anxious state. The depression was doubtful in 13% of cases and certain in 39.1%. The deterioration of QOL was significant (84.8%). The averages of both the physical score (PCS) and the mental score (MCS) was respectively 41.61% and 33.67%. A bad QOL was correlated with locally-advanced to metastatic stage of cancer (p = 0.043), the time progression of the disease (>6months) (p?? = 0.01), moderate to severe pain (p ??= 0.028), radiotherapy treatment (p = 0.029) and the depression state (p = 0.023). CONCLUSION: Our study underlines the necessity of screening both depression and anxiety in patients with cancer, in order to improve their QOL.
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