Stress na infância e Diabetes: emoções cada vez mais ligadas a saúde

A muito se tenta identificar a relação entre fatores emocionais ou psicológicos com doenças, o que deu origem a uma disciplina chamada psicossomática. Cada vez mais os estudos tem demonstrado que não existe uma real separação entre o mundo mental e o corpo como um todo e que as nossas emoções são mesmo capazes de influenciar a fisiologia de vários órgãos.

Recente estudo realizado na Suécia e publicado em fevereiro de 2015 na revista Diabetologia adiciona uma nova evidência de como essa relação é forte. Segundo os resultados do ABIS (sigla de All Babies In Southeast Sweden), crianças que experimentam eventos de vida significativos com vivência de stress apresentam um risco maior de apresentarem diabetes do tipo 1. Entre os eventos avaliados estavam morte de um dos pais, divórcio ou separação, perda de suporte social e de emprego dos pais ou cuidadores, exposição a violência e brigas domésticas. Mesmo quando se levava em consideração a história familiar de diabetes e o índice de massa corporal, esses eventos continuavam sendo associados ao desenvolvimento da doença.

A hipótese levantada pelos pesquisadores é que os eventos estressores elevam os níveis de cortisol, um hormônio relacionado ao estresse crônico, que seria capaz de produzir resistência a insulina. A insulina então passaria a não funcionar adequadamente elevando a glicemia. Outra alteração que o cortisol provocaria seria uma disfunção imunológica que levaria a produção de anticorpos contra as células produtoras de insulina. Isso levaria a sua destruição e a instalação do Diabetes tipo 1. Outra parte do estudo já havia demonstrado que anticorpos contra as células pancreáticas produtoras de insulina foram produzidas após os eventos negativos.

Esse estudo e outros mais tem demonstrando cada vez mais o efeito das condições de vida e do ambiente emocional durante a infância sobre a saúde geral e mental na vida adulta. O cuidado com a infância e uma assistência à saúde mental preventiva tem portanto se mostrado como essenciais para uma boa qualidade de vida futura.

About Luiz Carlos

Luiz Carlos é médico psiquiatra, PhD em Ciências da Saúde e professor na Faculdade de Medicina da Universidade Federal de Uberlândia. Coordena a Liga Acadêmica de Inovação em Saúde e o ambulatório de Psicogeriatria da Residência Médica de Psiquiatria da UFU. Também é pesquisador na áreas de genética psiquiátrica e do comportamento no Laboratório de Genética da UFU. Além disso estuda terapia de aceitação e compromisso, metodologias de ensino multimídia e inovação em saúde, psicologia positiva. Membro da Associação Brasileira de Psiquiatria e da Association for Contextual Behavioral Science. Sócio da Associação Brasileira de Nutrologia.

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