Efectos del bienestar subjetivo y psicológico en los resultados terapéuticos de un hospital de día

Background. Well-being is a multidimensional construct that includes the hedonic well-being focused on the achievement of pleasure and eudaimonic well-being as realization of human potentials. The main objective of this study was to determine whether the level of well-being of patients on admission could predict the decreased level of psychopathology when are discharged in a Day Hospital. Method. Ex post facto prospective study of 56 patients was performed with severe mental illness who were admitted to the Day Hospital using the Spanish version of the CORE-OM (Evans et al., 2000), PANAS (Watson et al., 1988), SWLS (Pavot y Diener, 1993) and SPWB (Ryff, 1989) scales. Results. Patients discharged significantly improved in level of psychopathology. None subscale, neither hedonic nor eudaimonic scales predicted significant part of the outcome variables measures such as malaise, psychopathological symptoms, vital dysfunction, risk of self or heteroaggression or a total score of all such variables. Only eudaimonic welfare in its overall score, not the hedonic well-being, was the one who explained significant part of the results at discharge. Conclusion. Positive psychology through improving psychological well-being seems useful for reducing psychopathology in patients with severe mental disorders that are referred to the Day Hospital. ResumenAntecedentes. El bienestar es un constructo multidimensional que incluye el bienestar hedónico focalizado sobre la consecución del placer y el bienestar eudaimónico como consecución de los potenciales humanos. El principal objetivo del presente estudio fue comprobar si el nivel de bienestar de los pacientes al ingreso podía predecir la disminución del nivel de psicopatología al alta en un Hospital de Día. Método. Se realizó estudio ex post facto prospectivo de 56 pacientes con trastorno mental grave que fueron ingresados en el Hospital de Día utilizando la versión en español de las escalas CORE-OM (Evans et al., 2000), PANAS (Watson, Clark y Tellegen, 1988), SWLS (Pavot y Diener, 1993) y SPWB (Ryff, 1989). Resultados. Los pacientes al alta mejoraron significativamente en el nivel de psicopatología. Ninguna subescala, tanto de bienestar hedónico como eudaimónico, predecía parte significativa de las variables de resultado medidas como malestar, síntomas psicopatológicos, disfunción vital, riesgo de auto o heteroagresión ni tampoco una puntuación total de todas las variables referidas. Sólo el bienestar eudaimónico, en su puntuación global, y no el bienestar hedónico, fue el que explicó parte significativa de los resultados al alta. Conclusión. La psicología positiva a través de la mejora del bienestar psicológico parece útil para la reducción de la psicopatología en los pacientes con trastorno mental grave que son derivados al Hospital de Día. Abstract Background. Well-being is a multidimensional construct that includes the hedonic well-being focused on the achievement of pleasure and eudaimonic well-being as realization of human potentials. The main objective of this study was to determine whether the level of well-being of patients on admission could predict the decreased level of psychopathology when are discharged in a Day Hospital. Method. Ex post facto prospective study of 56 patients was performed with severe mental illness who were admitted to the Day Hospital using the Spanish version of the CORE-OM (Evans et al., 2000), PANAS (Watson et al., 1988), SWLS (Pavot y Diener, 1993) and SPWB (Ryff, 1989) scales. Results. Patients discharged significantly improved in level of psychopathology. None subscale, neither hedonic nor eudaimonic scales predicted significant part of the outcome variables measures such as malaise, psychopathological symptoms, vital dysfunction, risk of self or heteroaggression or a total score of all such variables. Only eudaimonic welfare in its overall score, not the hedonic well-being, was the one who explained significant part of the results at discharge. Conclusion. Positive psychology through improving psychological well-being seems useful for reducing psychopathology in patients with severe mental disorders that are referred to the Day Hospital.

Ring-Opening Polymerization of L-Lactide Catalyzed by Potassium-Based Complexes: Mechanistic Studies

Two non-toxic potassium compounds, 1 and 2, with a commercial oximate ligand have been prepared and fully spectroscopically characterized. Their activity as catalysts for the ring-opening polymerization (ROP) process of LLA has been studied, showing that they are extremely active and able to polymerize the monomer in a few minutes. For derivative 2, the presence of a crown ether in the potassium coordination sphere affects the nuclearity of the compound and consequently its solubility, with both aspects having an influence in the polymerization process. Detailed studies of the polymerization mechanism have been performed, and an unusual anionic mechanism was observed in absence of a co-initiator. Indeed, the monomer deprotonation generates a lactide enolate, which initiates the polymerization propagation. On the contrary, when a 1:1 ratio of cat:BnOH is used, a mixture of mechanisms is observed, the anionic mechanism and the activated monomer one, while from a cat:BnOH ratio of 1:2 and over, only the activated monomer mechanism is observed

Ring-Opening Polymerization of L-Lactide Catalyzed by Potassium-Based Complexes: Mechanistic Studies

Two non-toxic potassium compounds, 1 and 2, with a commercial oximate ligand have been prepared and fully spectroscopically characterized. Their activity as catalysts for the ring-opening polymerization (ROP) process of LLA has been studied, showing that they are extremely active and able to polymerize the monomer in a few minutes. For derivative 2, the presence of a crown ether in the potassium coordination sphere affects the nuclearity of the compound and consequently its solubility, with both aspects having an influence in the polymerization process. Detailed studies of the polymerization mechanism have been performed, and an unusual anionic mechanism was observed in absence of a co-initiator. Indeed, the monomer deprotonation generates a lactide enolate, which initiates the polymerization propagation. On the contrary, when a 1:1 ratio of cat:BnOH is used, a mixture of mechanisms is observed, the anionic mechanism and the activated monomer one, while from a cat:BnOH ratio of 1:2 and over, only the activated monomer mechanism is observed

Efectos del bienestar subjetivo y psicológico en los resultados terapéuticos de un hospital de día [Effects of subjective and psychological well - being on the therapeutic outcomes at a day hospital]

Background. Well-being is a multidimensional construct that includes the hedonic well-being focused on the achievement of pleasure and eudaimonic well-being as realization of human potentials. The main objective of this study was to determine whether the level of well-being of patients on admission could predict the decreased level of psychopathology when are discharged in a Day Hospital. Method. Ex post facto prospective study of 56 patients was performed with severe mental illness who were admitted to the Day Hospital using the Spanish version of the CORE-OM (Evans et al., 2000), PANAS (Watson et al., 1988), SWLS (Pavot y Diener, 1993) and SPWB (Ryff, 1989) scales. Results. Patients discharged significantly improved in level of psychopathology. None subscale, neither hedonic nor eudaimonic scales predicted significant part of the outcome variables measures such as malaise, psychopathological symptoms, vital dysfunction, risk of self or heteroaggression or a total score of all such variables. Only eudaimonic welfare in its overall score, not the hedonic well-being, was the one who explained significant part of the results at discharge. Conclusion. Positive psychology through improving psychological well-being seems useful for reducing psychopathology in patients with severe mental disorders that are referred to the Day Hospital. ResumenAntecedentes. El bienestar es un constructo multidimensional que incluye el bienestar hedónico focalizado sobre la consecución del placer y el bienestar eudaimónico como consecución de los potenciales humanos. El principal objetivo del presente estudio fue comprobar si el nivel de bienestar de los pacientes al ingreso podía predecir la disminución del nivel de psicopatología al alta en un Hospital de Día. Método. Se realizó estudio ex post facto prospectivo de 56 pacientes con trastorno mental grave que fueron ingresados en el Hospital de Día utilizando la versión en español de las escalas CORE-OM (Evans et al., 2000), PANAS (Watson, Clark y Tellegen, 1988), SWLS (Pavot y Diener, 1993) y SPWB (Ryff, 1989). Resultados. Los pacientes al alta mejoraron significativamente en el nivel de psicopatología. Ninguna subescala, tanto de bienestar hedónico como eudaimónico, predecía parte significativa de las variables de resultado medidas como malestar, síntomas psicopatológicos, disfunción vital, riesgo de auto o heteroagresión ni tampoco una puntuación total de todas las variables referidas. Sólo el bienestar eudaimónico, en su puntuación global, y no el bienestar hedónico, fue el que explicó parte significativa de los resultados al alta. Conclusión. La psicología positiva a través de la mejora del bienestar psicológico parece útil para la reducción de la psicopatología en los pacientes con trastorno mental grave que son derivados al Hospital de Día. Abstract Background. Well-being is a multidimensional construct that includes the hedonic well-being focused on the achievement of pleasure and eudaimonic well-being as realization of human potentials. The main objective of this study was to determine whether the level of well-being of patients on admission could predict the decreased level of psychopathology when are discharged in a Day Hospital. Method. Ex post facto prospective study of 56 patients was performed with severe mental illness who were admitted to the Day Hospital using the Spanish version of the CORE-OM (Evans et al., 2000), PANAS (Watson et al., 1988), SWLS (Pavot y Diener, 1993) and SPWB (Ryff, 1989) scales. Results. Patients discharged significantly improved in level of psychopathology. None subscale, neither hedonic nor eudaimonic scales predicted significant part of the outcome variables measures such as malaise, psychopathological symptoms, vital dysfunction, risk of self or heteroaggression or a total score of all such variables. Only eudaimonic welfare in its overall score, not the hedonic well-being, was the one who explained significant part of the results at discharge. Conclusion. Positive psychology through improving psychological well-being seems useful for reducing psychopathology in patients with severe mental disorders that are referred to the Day Hospital.