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Introduction Emotional dysregulation is a characteristic present in many child adolescent mental pathologies. It can be found in Eating disorders(ED), and in the bipolar spectrum too. Highlighting similarities between a softer bipolar spectrum in its sub-threshold forms and eating disorders syndromes and sub-syndromes in adolescents. Objective Evaluate the emotional dysregulation (measured by the HCL-32),and eating habits (measured through the BEDS),in a population with:ED. Materials Methods This is a transversal, observational study in a group of 40 patients between 12 and 19 years of age, all of whom were diagnosed with ED before they turned 18 and receive inpatient treatment. The group was divided into two subgroups: Group-I:Anorexia Nervosa-AN (n=17), and Group-II: Bulimia Nervosa-BN (n=23). They were evaluated with two scales: Hypomanic Checklist (HCL-32) and Barcelona-Bipolar-Eating-Disorder-Scale(BEDS); with different clinical and sociodemographic characteristics. Results Group I-AN showed higher scores in HCL-32, which was not correlated with the BEDS total score. Group-II presented high scores in HCL-32,showing a positive correlation with the BEDS total score (r=0,518;p=0,011), mainly in the subscale symptoms of hypomania associated with a lack of inhibition, self-control and attentional capacity.(r=0,461;p=0,027). Conclusions Emotional dysregulation is a factor to be considered in the diagnosis and clinical management of patients with ED, and may imply other comorbid conditions. Furthermore,Bulimia Nervosa,especially in cases with emotional dysregulation could be related to hypomania or a bipolar spectrum. BEDS Scale may be related to emotional dysregulation in patients diagnosed with Bulimia Nervosa and high score in the scale of hypomania HCL-32, not so for the Anorexia Nervosa.

ObjectifDéterminer si l’emploi addictif des nouvelles technologies (Internet – Jeux vidéo – Téléphone portable – Télévision) par les adolescents pourrait partager la même cause que celle qu’on observe dans les troubles alimentaires et dans les troubles d’externalisation, avec des altérations dans l’impulsivité, et partager également la même dysfonction neuropsychologique.Introduction et objetLes nouvelles technologies fournissent une meilleure qualité de vie, le problème est leur potentiel de dépendance surtout chez les adolescents souffrant de troubles du contrôle des impulsions, en particulier des troubles alimentaires et des troubles d’externalisation.MéthodesIl s’agit d’une étude descriptive et comparative. Le diagnostic s’établit selon notre protocole (DSM-IV/CIE-10), et selon l’application de trois instruments différents : BIS.11 (Barratt-échelle-de-l’impulsivité), DENA (questionnaire-de-dépistage-des-nouvelles addictions), IAT (Test-d’Addiction-à-l’Internet). La population a été divisée en deux groupes : les troubles de l’alimentation (n = 10) et les troubles d’externalisation (n = 10), dans la fourchette d’âge 12 à 17 ans, dans nos centres-d’ITA.RésultatsLes résultats ont démontré que le modèle de l’impulsivité est plus élevé chez les adolescents atteints de troubles de l’externalisation que chez ceux souffrant de troubles alimentaires. Les deux groupes avaient une tendance similaire dans l’utilisation des nouvelles technologies. ConclusionsL’usage et l’abus potentiel des nouvelles technologies est similaire chez les adolescents hospitalisés pour troubles de l’alimentation et ceux hospitalisés pour pathologies liées à des troubles d’externalisation, ouvrant une zone problématique : celle de la canalisation de l’impulsivité dans l’emploi des nouvelles technologies. Il est nécessaire de mener à terme des recherches avec plus de population d’appui, ce qui pourrait fournir des lignes directrices en faveur d’une approche clinique.

Introduction Eating disorders, represented in the spanish adolescent population a prevalence of 3,5% to 5,5% (Labrador-and-Raich.2007), increasing day by day in our treatment centres. Multiple diseases are based on the pattern of Impulsivity, which must be studied in their overall comorbidity, because the general approach to their differents etiologies, could have a focus on a Unique Therapeutic Plan (UTP). Background There is a high comorbidity between the Impulsivity seen in Eating Disorders(ED) such as Bulimia Nervosa, Obesity, Binge(ED), Pica, among others, and externalizing disorders, because of their low tolerance to frustraction and low awareness of delimit, and many times there is also the presence of disorders related to substance use. Objective Demostrate by reviewing a case, the diagnostic comorbidity between Bulimia Nervosa and one type to Attention Deficit Disorder with Hyperactivity, associated with a pattern of substance abuse, with the same effective psychoterapeutic and psychofarmacological treatment, and demostrading, the posible same Neurobiological root. Methodology Adolescent with 16 years old, with four years ago of hyporexia, vomits and binge, with hyperactivity, inattention and impulsivity. (BMI=17), in the context of greater family dysfunction and school bullying. There was cannabis abuse. He had received treatment with antipsychotics, antidepressives and mood stabilizers. By age 14, he was diagnosticated of Bulimia Nervosa in comorbidity with Attention Deficit Disorder with Hyperactivity in the Eating Disorders Institute(ITA). The new psychopharmacological treatment was with Methylphenidate, but he had tachycardia, also it suspend, and started Atomoxetine, associated with psychotherapeutic management and family therapy. Now the evolution is excellent(CHIP-AE), and there is absence of substance use over 12 months. Conclusions The eating disorders, with impulse control deficits, keep high etiopathogenic relationship with externalizing disorders-ADHD-, and could be effective the same psychotherapeutic and psychopharmacological treatment.

Objective Determine if the use of new technology (The Internet-Videogames-Mobile Phones-TV) by adolescents, could share the same pattern, even adiction, as seen in eating disorders-ED, and externalizing disorders. Introduccion and Purpose New technology provides a better quality of life. The problem is their addictive potential for adolescents, and about all, in young people with impulse control disorders, such as eating disorders (bulimia Nervosa, obesity, binge disorder, pica, e.g) and externalizing disorders (attention deficit hyperactivity disorder, conduct disorder, oppositional defiant disorder, e.g) in the Institute of Trastorns Alimentaris-ITA, and our program ITA-Conduct. Methods This is a descriptive-comparative study, with diagnosis, according to our protocol(DSM-IV/CIE-10), and the application of four individual instruments: BIS.11 (Barratt-Impulsiveness-Scale), DENA (Screening Questionnaire of New-Addiction), IAT (Internet-Addiction-Test), and PVP (Problem-Video-Game-Playing). The population was divided into two groups:Eating Disorders(n=12) and Externalizing Disorders(n=14), within the ages of 12 to 17 years old, at our Argentona and Barcelona Centers, in treatment inpatient. Results There is not significative differences in the Impulsivity(cognitive, motor and unplanned)among ED and externalizing-disorders. The unplanned impulsivity is associated with higher scoring in trials to Internet Addiction and Video-Game-Play. The mobil-phone use is higher in ED. Conclusions The use and potential abuse of new technology is similar in adolescents hospitalized for Eating Disooders and pathologies related to Externalizing Disorders, providing a problematic area: channeling symptoms without a proper approach of its implications.