The effects of family functioning and tangible support from family members are examined in an opiate addicted population. The study specifically assessed drug use, self-efficacy, and quality of life as treatment outcomes of interest. There have been mixed findings in the literature in regards to how families influence rehabilitation from substance use. Specially, previous research has shown that families can further patients’ recovery, while other findings have shown that families can impede patients’ recovery from substance use. The aim of this study was to analyze potentially contributing factors related to the family system, to gain a stronger understanding of how families influence recovery for patients receiving treatment for their opiate addiction. The study included 110 participants who were patients from a medically assisted recovery facility. The participants took survey measures regarding beliefs about their self-efficacy, quality of life, family functioning, and tangible support received from family members. The participant’s drug use information was verified through facility databases of current urine screens and prescription use. Survey results did not substantiate the hypotheses that tangible support influences treatment outcomes. However, hypotheses that family functioning would positively influence self-efficacy and quality of life were supported. The belief that family functioning would have a negative relationship with the participant’s drug usage was not corroborated by the data, as there was no relationship found between these variables. Finally, there was no moderating relationship observed between family functioning, tangible support, and treatment outcomes. This was contrary to expectations that a moderating relationship would be present. Implications of how the study’s findings can inform research and clinical interventions in an opiate addicted population are discussed.

In this study 2 groups of adults, those with and without ADHD, were studied in terms of cognitive functioning and symptoms of ADHD, depression, anxiety, and substance abuse. Due to the difficulties in diagnosing ADHD in this population three methods of diagnosis were used and the resulting findings presented. The groups did not differ in measures of depression, anxiety, substance abuse or age. Those adults who met criteria for ADHD showed worse performance on a measure of response inhibition compared to those without ADHD. The patterns of correlations among the cognitive measures differed between the two groups. The conclusions from the findings are discussed in relation to Barkley's (1997) self-regulation model of ADHD.

Doctor of Education / Department of Educational Leadership / W. Franklin Spikes / Non-profit organizations come in many shapes and sizes and in some cases, encompass a significant portion of community organizations. Since these agencies are largely sustained by the work of volunteers, it is a worthy subject to examine. The diversity and complexity of non-profits available among communities presents a need for volunteers’ to be skilled, trained, and experienced in an array of arenas. Non-profit organizations depend on volunteers and allow these entities to reach a larger population than exclusively with the limited staff members available (Fisher & Cole, 1993). This notion suggested the topic of motivation and retention of volunteers among community non-profits for the focus of this study to help organizations effectively deliver their mission. More specifically, this investigation centered on people who are considered high-functioning by the administrators with whom they work through the process of interviews. Non-profit organizations located in Denver, Colorado were selected to participate. The administrators of the chosen agencies were contacted and asked to identify volunteers in their program they classify as high-functioning. Once this list was identified, these individuals were contacted and asked to participate in an interview. This study focused on high-functioning volunteers for data collection because it was anticipated their characteristics and viewpoints will aid in the understanding of motivation and retention factors for anyone working with and supervising volunteers in the 21st century. The findings from the study provide a diverse assessment of the topic of volunteer motivation and retention. The data collected suggests that adult volunteers have varying needs and the importance for volunteer administrators to take these differences into consideration in their management and programming efforts.

Introduction: Maintaining good oral health may be more important for children with disabilities than others, since problems with oral health may increase the impact of a disability, or the medical condition may increase the risk for poor oral health. In addition, the risk for oral health problems may be influenced by the functioning of the child. Functioning can also affect the child’s ability to cooperate in the dental setting, and how dental treatment is performed. A medical diagnosis alone does not provide enough information about a child’s functioning, nor oral health. Thus, there is a need for a holistic perspective of oral health and dental health care in children with disabilities. The International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY) enables a structured assessment of the biopsychosocial consequences of a health condition. Aim: The overall aim of this thesis was to investigate how biopsychosocial factors relate to oral health and specialist dental health care in children with disabilities in a Swedish, and an international context, with special focus on the experience of dental treatment under general anaesthesia (DGA). Material and methods: The research was conducted using a quantitative, cross-sectional, comparative and descriptive design. An ICF-CY Checklist for Oral Health was completed with data from a structured interview with children 0-16 years old, referred for specialist dental health care, and their parents/carers. Additional information was retrieved from dental and medical records. Three groups were included in data analyses: one large international group of 218 children from Argentina, France, Ireland and Sweden; one large Swedish group with 99 children with complex disabilities; and one international group of children with disabilities and manifest dental caries from Argentina, France and Sweden. Results: The ICF-CY Checklist for Oral Health identified both common and varying functional, social and environmental aspects relevant for oral health and oral health care in children who had been referred to specialist dental clinics in four countries. Swedish children with caries experience had been referred to a paediatric dental specialist clinic at a significantly older age than caries-free children. The medical diagnoses were not significantly related to dental caries or child functioning in the large Swedish group with complex disabilities and low caries prevalence, nor was there a significant relationship between dental caries and child functioning. Collinearity between dental caries and problems in the functioning factor ’Interpersonal interactions andrelationships’ was observed in the international group of children with disabilities and manifest dental caries. DGA sessions with combined medical and dental treatment were common in the large Swedish study group. Children with experience of DGA had more severe problems in intellectual functions than those without experience of DGA. Problems in interpersonal interactions and relationships increased, while problems with mobility decreased, the likelihood for children having had experience of DGA. On international group level, dmft/DMFT was significantly higher in children with the experience of DGA than in those without DGA experience, but looking at Argentina, France and Sweden separately, this was not true for the Swedish children. There were significant, international differences between the prevalence of dmft/DMFT, DGA and environmental barriers. Conclusion: The biopsychosocial perspective, operationalised by the ICF-CY, contributes a holistic view on oral health and specialist dental health care in children with disabilities. In addition to certain differences, children with different health status from different countries share many functional and environmental aspects, important for oral health and dental health care. Early referral to a paediatric specialist dental clinic seemed favourable for oral health. The medical diagnosis was not related to child functioning or dental caries. Child functioning had a significant impact on DGA, and in children with disabilities and manifest dental caries, child functioning also had a correlation with caries. The dental caries burden was a stronger factor than functioning for the experience of DGA, however, dental health organisation and country context seemed to matter the most. Combining dental and medical procedures during the same GA session is good use of resources for both the individual and the society. To ensure children with complex disabilities to have the possibility of achieving equivalent good oral health as other children, DGA is one important factor.

Introdução: A osteoartrite (OA) do quadril manifesta-se clinicamente pela dor e o comprometimento da amplitude de movimento articular. Quando há falha no tratamento clínico, fundamentado no controle de sintomas e na recuperação da funcionalidade, pode ser indicada a artroplastia de quadril. Em paciente sem condições clínicas ou socioeconômicas para a realização cirúrgica, ou para os pacientes que estão em reabilitação, uma alternativa para o gerenciamento dos sintomas é o bloqueio do ramo anterior do nervo obturatório (RAO), que pode ser realizado com lidocaína ou fenol. Devido às suas características farmacológicas, acredita-se que o efeito do bloqueio com fenol pode ter uma duração maior e ser clinicamente mais vantajoso. Objetivos: Comparar os resultados do bloqueio do RAO com fenol versus lidocaína para o tratamento da dor e melhora da funcionalidade em pacientes com osteoatrite grave do quadril que apresentaram falhas no tratamento conservador. Metodologia: 44 pacientes com OA grave do quadril e indicação de artroplastia total dessa articulação foram aleatorizados em dois grupos e submetidos ao bloqueio do RAO guiado por eletroestimulação com fenol 5% (GF) ou lidocaína 2% (GL). Os pacientes foram avaliados por meio da escala visual analógica (EVA), Western Ontario andMcMasterUniversitiesOsteoarthritis Index (WOMAC), e dolorimetria de pressão no imediatamente antes do bloqueio e ao final de um e de quatro meses. Resultados: No GF o valor médio inicial de dor antes do bloqueio (8,8± 1,5) evoluiu para 5,8±2,9 em um mês e 5,9±2,9 após quatro meses, enquantopara o GL a evolução foi de 9,0±1,2 para 7,0±2,8 e finalmente para 6,0±3,2. Assim como para os outros parâmetros (WOMAC e dolorimetria), a redução dos valores ao final de quatro meses foram estatisticamente significantes, mas não houve diferenças entre os grupos. Dez pacientes relataram valores de dor EVA < 3 até o quarto mês de observação e um paciente tornou-se completamente sem dor nesse período. Três pacientes não relataram melhora alguma da dor ou da funcionalidade. Não ocorreram efeitos colaterais como sangramentos, dor pelo procedimento ou do tipo neuropática. Conclusão: O uso de lidocaína ou fenol para o bloqueio do RAO é igualmente eficaz no tratamento da dor crônica na OA de quadril por até quatro meses, podendo resultar em melhora da funcionalidade. Não ocorreram efeitos adversos com o procedimento / Introduction: Hip osteoarthritis (OA) is clinically manifested by pain and reduced joint range of motion. When conservative treatment based on symptom control and functional recovery fails, hip arthroplasty may be indicated. In a patient without clinical or socioeconomic conditions for the surgical treatment, or under rehabilitation interventions, an alternative for the management of the symptoms is the blockage of the anterior branch of obturator nerve (ABO), which can be performed with lidocaine or phenol. Due to its pharmacological characteristics, the effect of phenol blockade may last longer and be clinically more advantageous. Objectives: To compare the results of ABO blockade with phenol versus lidocaine for the treatment of pain and improvement of functioning in patients with severe hip osteoarthritis who presented with failures in conservative treatment. Method: 44 patients scheduled for total hip replacement due to severe hip OA were randomized into two groups for ABO blockade guided by electrostimulation with phenol 5% (GF) or 2% lidocaine (GL). Patients were evaluated using visual analogue scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and pressure pain dolorimetry immediately before the blockade and at the end of one and four months. Results: In the GF, initial mean VAS was 8.8 ± 1.5 and evolved to 5.8 ± 2.9 in one month and 5.9 ± 2.9 after four months, whereas for GL VAS evolved from 9.0 ± 1.2 to 7.0 ± 2.8 and finally to 6.0 ± 3.2. As for the other parameters (WOMAC and painimetry), the reduction of the values at the end of four months were statistically significant, but there were no differences between the groups. Ten patients reported VAS < 3 duringthe four months of observation and one patient became completely painless. However, three patients reported no improvement in pain or functioning. There were no side effects such as bleeding, inflammatory or neuropathic pain. Conclusion: The use of lidocaine or phenol for ABO blockade is equally efficient in the treatment of chronic hip pain in OA for up to four months and may result in improved functioning. There were no adverse effects with the procedure

The aim of the current study was to bring greater clarity to our understanding of the relation between theory of mind (ToM) and executive function (EF), specifically working memory (WM) and inhibitory control (IC), during typical adolescent development and of the specific nature of impairments in ToM and EF in the cognitive profile of individuals with Asperger's Syndrome and High Functioning Autism (AS/HFA). In total, 80 participants, half typically developing (TD) and half with AS/HFA, participated in the study. TD participants were matched to the participants with AS/HFA on chronological age and gender. Participants were tested across two test sessions, approximately one year apart. For Session 1, the TD participants ranged in age from 10.1 to 17.9 years (M = 14.68, SD = 2.05), and the participants with AS/HFA ranged in age from 10.2 to 17.9 years (M = 14.64, SD = 2.19). I tested the participants on a ToM battery, consisting of an emotional perspective taking measure, the Mind in the Eyes Test, and two cognitive perspective taking measures, the Advanced ToM Vignettes, designed by the researcher, and Happé's Strange Stories. In addition, an EF battery was administered, containing a Reading Span Task, Change Detection Task, and Flanker Task, which assessed verbal WM, visual WM, and IC, respectively. Firstly, I found that older children and adolescents with AS/HFA, especially the girls with AS/HFA, performed worse on ToM measures tapping cognitive perspective taking relative to TD peers. Secondly, I observed that ToM and EF continue to develop during later childhood and adolescence as part of both typical and atypical development. Thirdly, I found that verbal WM and IC were more strongly associated with ToM in the AS/HFA group, indicating that individuals with AS/HFA may require more executive resources for ToM reasoning. Based on my results, I suggest that ToM and EF are still developing during later childhood and adolescence in both TD individuals and individuals with AS/HFA, indicating that the brain regions supporting ToM and EF processing are still plastic and can therefore be targeted for intervention.

O conhecimento das associações entre os microrganismos componentes da microbiota dos solos é de grande interesse no meio científico, principalmente relacionado aos microrganismos que se associam de forma benéfica com as plantas. Neste contexto, destaca-se a micorriza arbuscular, que é a associação entre os fungos micorrízicos arbusculares (FMAs) e uma amplitude de espécies vegetais. Além desta íntima interação entre estes organismos, torna-se necessário conhecer a importância dos demais componentes do sistema solo, como a microbiota formada por fungos e bactérias dos solos, para o estabelecimento desta interação. Os objetivos dos estudos componentes desta tese se concentraram na avaliação de FMAs (D. heterogama, R. clarus e Gi. rosea) inoculados em sistemas alterados quanto à composição das comunidades microbianas dos solos, promovidas pela metodologia de \'diluição para extinção\'. No primeiro estudo foram encontradas respostas diferenciais na capacidade de colonização micorrízica (%CM) de plantas de cana-de-açúcar pelos FMAs inoculados nos diferentes sistemas, além do efeito diferencial dos FMAs quanto às alterações nas comunidades de fungos e bactérias do solo. Num estudo mais detalhado, desenvolvido apenas com R. clarus em plantas de milho, foi verificado que a maiores diversidades microbianas do solo resultaram em maior colonização do hospedeiro, principalmente no período inicial de desenvolvimento das plantas. Neste experimento foi descrita a correlação direta da capacidade de colonização do FMA com a riqueza e a diversidade filogenética da microbiota dos solos. A descrição dos perfis metabólicos dos solos contendo diferentes comunidades microbianas revelou a capacidade diferencial destes solos em utilizar diferentes fontes de carbono, além de demonstrar um aumento no metabolismo (evidenciado pelo consumo total de fontes de carbono) devido à inoculação do FMA. Em conjunto, os dados obtidos nos dois estudos indicam que a micorrização das plantas depende da ação de outros microrganismos do sistema solo, que atuam como um terceiro fator nesta simbiose e que a microbiota do solo responde a inoculação de um organismo exógeno, primordialmente aumentando seu metabolismo. Deve-se, portanto, considerar que a degradação biológica dos solos, com perda de sua biodiversidade, pode ter papel determinante no funcionamento de interações específicas e benéficas às plantas. / Knowledge about the associations between microbial components of soil microbiota is of great interest in the scientific community, primarily related to microorganisms that are associated beneficially with plants. In this context, there is the arbuscular mycorrhiza, which is made of the association between mycorrhizal fungi (AMF) and a range of plant species. In this close interaction between these organisms, it is necessary to describe the importance of other components of the soil system, such as the microbiota formed by fungi and bacteria from the soil, to establish this interaction. The objectives of the studied that compose this thesis focused on the evaluation of AMF (D. heterogama, R. clarus and Gi. rosea) fitness, when inoculated in modified systems on the composition of the microbial communities in the soil, with alterations promoted by the \'dilution to extinction\' methodology. In the first study, differential responses were found in root colonization capacity (% CM) of sugarcane by AMF inoculated in different systems, and the differential effect of AMFs, changing the communities of fungi and bacteria of soil. In a more detailed study, designed only to R. clarus in corn plants, it was found that higher microbial diversity of soil resulted in higher colonization of the host, especially in the initial period of plant development. In this experiment it was described the direct correlation of AMF colonization capacity with richness and phylogenetic diversity of soil microbiota. The description of the metabolic profiles of soil containing various microbial communities revealed the differential ability of these soils utilize different carbon sources, in addition to demonstrating an increase in metabolism (as evidenced by the total consumption of carbon sources) due to inoculation of the AMF. Together, the data from the two studies indicate that colonization of plants by AMF depends on the action of other microorganisms soil system, which act as a third factor in this symbiosis, and that the soil microbes respond to inoculation of an exogenous organism, primarily increasing its metabolism. One should therefore consider that the biological degradation of the soil, with loss of biodiversity, may have crucial role in the functioning of specific and beneficial interactions to plants.

A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) é uma ferramenta para descrever os estados de saúde e estados relacionados à saúde. O objetivo do estudo foi utilizar a CIF para descrever o perfil de funcionalidade relacionado à incapacidade para o trabalho por motivo odontológico. Foram avaliados 41 indivíduos que necessitaram de afastamento do trabalho para tratamento de saúde bucal. As principais deficiências identificadas no componente Funções do corpo referem-se a mastigar (b5102), funções emocionais (b152) e sensação de dor (b280). No componente Estruturas do corpo, as deficiências mais observadas pelo perito relacionam-se aos dentes (s3200) e gengivas (s3201). As principais dificuldades referidas no componente Atividades e Participação relacionam-se ao cuidado dos dentes (d5201), comer (d550), realizar a rotina diária (d230), fala (d330) e produção da linguagem corporal (d3350). Os principais facilitadores no componente Fatores Ambientais referem-se aos medicamentos (e1101), alimentos (e1100) e ao apoio de profissionais de saúde (e355) e da família imediata (e310). O uso da CIF pode fornecer dados relevantes para a avaliação de resultados de intervenções, necessidades de reabilitação e planejamento das ações de saúde bucal, possibilitando uma melhor compreensão do processo vivenciado pelos indivíduos, bem como sua relação com o bem-estar e a qualidade de vida. / The International Classification of Functioning, Disability and Health (ICF) is a tool to describe the health status and health-related states. The aim of this study was to use the ICF to describe the functioning profile related to work disability due to dental reasons. A total of 41 participants requiring sick leave were evaluated. The main disabilities identified in the component Body functions were chewing (b5102), emotional functions (b152) and sensation of pain (b28010). In the component Body Structures, the main disabilities observed by the expert were teeth (s3200) and gums (s3201). The main difficulties related to the component Activities and Participation were caring for teeth (d5201), eating (d550), carrying out daily routine (d230), speaking (d330) and producing body language (d3350). The main facilitators in the component Environmental Factors were drugs (e1101), food (e1100) and support from health professionals (e355) and immediate family (e310). The use of the ICF can provide relevant data to the outcome evaluation, assessment of rehabilitation needs and oral health planning, conducting to a better understanding of the process experienced by individuals, as well as its relation with the well-being and quality of life.

Introdução. A linguagem comum e padronizada oferecida pela Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) permite a categorização dos estados de saúde relacionados à funcionalidade e incapacidade facilitando a construção de sistemas de informação. Ainda hoje, o uso da CIF é limitado pela sua complexidade. Alguns instrumentos para facilitar sua aplicação foram criados sem, no entanto, suprir todas as necessidades para seu uso em algumas áreas. O objetivo deste trabalho é construir facilitadores para que a CIF possa ser aplicada na área de Fisioterapia. Métodos. Foram desenvolvidos três estudos: dois consensos com especialistas e uma análise do uso da CIF em um inquérito de saúde, apresentados no formato de artigos científicos. Os dois primeiros estudos estruturam ferramentas de coleta de dados por meio adaptado da técnica Delphi e o terceiro estudo explora o uso da CIF como ferramenta classificatória de resultados de um inquérito de saúde aplicado em pessoas com incapacidades. Resultados. Um conjunto de categorias relevantes da CIF para Fisioterapia Geral e para cada especialidade da área reconhecida pela Classificação Brasileira de Ocupações foi definido (primeiro artigo). Foi estruturada uma proposta de ferramenta classificatória para uso em Fisioterapia do Trabalho (segundo artigo). O terceiro artigo apresenta benefícios do uso da CIF em inquéritos de saúde como meio de geração de dados sobre a incapacidade. Conclusões. Os estudos indicam que a operacionalização da CIF será mais adequada se houver um menor número de categorias em uso. Em princípio, sugere-se três simplificações: redução do número de categorias, escolha de categorias de baixo nível de complexidade (segundo estrutura da classificação) e uso do qualificador \"não especificado\" / Introduction. The common language and standard offered by the International Classification of Functioning, Disability and Health (ICF) enables the categorization of functioning and disability, facilitating the construction of information systems. Even today, the completed use of ICF is limited by its complexity. Some tools aimed to facilitate its application were created withoutcovering all the needs for its use by some areas. The objective of this thesis is topropose facilitators to ICF application in the field of Physical Therapy. Methods. We developed three studies: two consensuses with experts and a review of the use of the ICF in a health survey, presented in the format of scientific papers. The first two studies structured data collection tools through Delphi technique adapted and the third study explores the use of the ICF as a tool for classifying the results of a health survey applied to a population with disabilities. Results. A set of ICF categories relevant to General Physiotherapy and for each specialty recognized by the Brazilian Classification of Occupations was defined (first article). We got a classification tool for use by Physiotherapists of Occupational Health (second article). The third article presents the benefits of using the ICF in health surveys as a way to generate data on disability. Conclusions. The use of the ICF is facilitated by a list with a small number of categories. Actually, it is suggested three simplifications: reducing the number of categories, selecting categories of low complexity (second classification structure) and use of the \"unspecified\" qualifier

A anorexia nervosa caracteriza-se pela recusa em manter um peso corporal na faixa mínima, um temor intenso de engordar, acompanhado por grave distorção da imagem corporal. Nas avaliações neuropsicológicas em pacientes com AN, além das complicações clínicas, também são identificadas alterações neurocomportamentais, déficits cognitivos, distorções da imagem corporal e por vezes alterações cognitivas leves. Este trabalho teve como objetivo geral, identificar as funções cognitivas de atenção, linguagem, habilidade visuo espacial e viso construtiva, funções executivas e memória, por meio da avaliação neuropsicológica, de pacientes com Anorexia Nervosa internadas, no início e após alta hospitalar. Teve como objetivos específicos, relacionar o perfil neuropsicológico aos aspectos sócio demográficos, número de internações prévias, aspectos diagnósticos de índice de massa corporal - IMC, distorção de imagem corporal, comorbidades, o tempo de doença, e traços de personalidade, de pacientes internadas, avaliando a evolução e/ou declínio no funcionamento cognitivo ao final da internação de pacientes com Anorexia Nervosa. Foram avaliadas 17 pacientes internadas, no início e na alta hospitalar, com protocolo de avaliação neuropsicológica, sintomas de depressão e ansiedade, e traços de personalidade. As pacientes não apresentaram melhora no desempenho na memória visual tardia, na atenção, nas habilidades visuo espaciais, visuo construtivas, e nas funções executivas, na flexibilidade cognitiva, controle inibitório, raciocínio verbal, formação de conceitos e planejamento, após a alta hospitalar. Os resultados apresentados nesta pesquisa, sugerem que pacientes com AN apresentam vários déficits neuropsicológicos na internação, e mesmo recebendo tratamento de forma intensiva para o transtorno alimentar e suas comorbidades, ainda apresentam déficits cognitivos, após a alta hospitalar. Sugere-se que esses déficits cognitivos possam fazer parte de um padrão de funcionamento associado aos sintomas psicopatológicos da doença, possam ser traços pré mórbidos, ou seja, existentes anterior à doença, bem como por se tratarem de pacientes graves, com um tempo de doença significativo. Propõe-se, portanto, a realização de reabilitação neuropsicológica a fim de compensar ou reduzir os déficits cognitivos, visando trazer uma melhora funcional que auxilie não só no funcionamento cognitivo, buscando remodelar a capacidade cerebral, reformulando suas conexões em função das necessidades, como nos aspectos emocionais, interação social, comportamento e aprendizagem / Anorexia nervosa is characterized by refusal to maintain a body weight at minimum range, an intense fear of gaining weight, accompanied by severe distortion of body image. In neuropsychological evaluations in patients with AN, in addition to clinical complications, are also identified neurobehavioral alterations, cognitive deficits, distortions of body image and sometimes mild cognitive impairment. This study aimed to identify the cognitive functions of attention, language, spatial ability and visuo constructive vision, executive function and memory, through neuropsychological assessment of patients with Anorexia Nervosa hospitalized at the beginning and after discharge. Its specific objectives relate profile neuropsychological socio demographics, number of previous admissions, diagnostic aspects of body mass index - BMI, body image distortion, comorbidities, disease duration, and personality traits of hospitalized patients, assessing the progress and / or decline in cognitive functioning at the end of hospitalization of patients with Anorexia Nervosa. 17 hospitalized patients were evaluated at baseline and at discharge, with neuropsychological evaluation protocol, symptoms of depression and anxiety, and personality traits. Patients showed no improvement in performance on delayed visual memory, attention, visuo in spatial skills, visuo constructive and executive functions, cognitive flexibility, inhibitory control, verbal reasoning, concept formation and planning, after hospital discharge. The results presented in this study suggest that patients with AN have several neuropsychological deficits on admission, and even being treated intensively for the eating disorder and its comorbidities, still have cognitive deficits after hospital discharge. It is suggested that these cognitive deficits may be part of an operation pattern associated with psychopathological symptoms of the disease may be pre morbid traits, or existing before the disease, and because they are seriously ill patients with a disease duration significant. Therefore, it is proposed to carry out neuropsychological rehabilitation in order to compensate or reduce cognitive deficits, aiming to bring a functional improvement that helps not only in cognitive functioning, seeking to reshape the brain capacity, revamping its connections to the needs, as in emotional, social interaction, behavior and learning