Identidad, relación y construcción del self en el encuentro psicoterapéutico.

Las distintas representaciones del self se van solapando, perfilando una identidad global que contiene matices propios de todas las representaciones sucesivas. Los autores aprovechan una viñeta clínica que parece contradecir este planteamiento

Identidad, relación y construcción del self en el encuentro psicoterapéutico

Las distintas representaciones del self se van solapando, perfilando una identidad global que contiene matices propios de todas las representaciones sucesivas. Los autores aprovechan una viñeta clínica que parece contradecir este planteamiento

Identidad, relación y construcción del self en el encuentro psicoterapéutico.

Las distintas representaciones del self se van solapando, perfilando una identidad global que contiene matices propios de todas las representaciones sucesivas. Los autores aprovechan una viñeta clínica que parece contradecir este planteamiento

Identidad, relación y construcción del self en el encuentro psicoterapéutico.

Las distintas representaciones del self se van solapando, perfilando una identidad global que contiene matices propios de todas las representaciones sucesivas. Los autores aprovechan una viñeta clínica que parece contradecir este planteamiento

Prediction of long-term outcomes of HIV-infected patients developing non-AIDS events using a multistate approach

Outcomes of people living with HIV (PLWH) developing non-AIDS events (NAEs) remain poorly defined. We aimed to classify NAEs according to severity, and to describe clinical outcomes and prognostic factors after NAE occurrence using data from CoRIS, a large Spanish HIV cohort from 2004 to 2013. Prospective multicenter cohort study. Using a multistate approach we estimated 3 transition probabilities: from alive and NAE-free to alive and NAE-experienced ("NAE development"); from alive and NAE-experienced to death ("Death after NAE"); and from alive and NAE-free to death ("Death without NAE"). We analyzed the effect of different covariates, including demographic, immunologic and virologic data, on death or NAE development, based on estimates of hazard ratios (HR). We focused on the transition "Death after NAE". 8,789 PLWH were followed-up until death, cohort censoring or loss to follow-up. 792 first incident NAEs occurred in 9.01% PLWH (incidence rate 28.76; 95% confidence interval [CI], 26.80-30.84, per 1000 patient-years). 112 (14.14%) NAE-experienced PLWH and 240 (2.73%) NAE-free PLWH died. Adjusted HR for the transition "Death after NAE" was 12.1 (95%CI, 4.90-29.89). There was a graded increase in the adjusted HRs for mortality according to NAE severity category: HR (95%CI), 4.02 (2.45-6.57) for intermediate-severity; and 9.85 (5.45-17.81) for serious NAEs compared to low-severity NAEs. Male sex (HR 2.04; 95% CI, 1.11-3.84), ag

Impact of late presentation of HIV infection on short-, mid- and long-term mortality and causes of death in a multicenter national cohort : 2004-2013

To analyze the impact of late presentation (LP) on overall mortality and causes of death and describe LP trends and risk factors (2004-2013). Cox models and logistic regression were used to analyze data from a nation-wide cohort in Spain. LP is defined as being diagnosed when CD4 < 350 cells/ml or AIDS. Of 7165 new HIV diagnoses, 46.9% (CI:45.7-48.0) were LP, 240 patients died.First-year mortality was the highest (aHR = 10.3[CI:5.5-19.3]); between 1 and 4 years post-diagnosis, aHR = 1.9(1.2-3.0); an