Trastornos de regulación del procesamiento sensorial : una constribución a la validación de los criterios para su diagnóstico en la primera infancia /

Los Tratsornos de Regulación del Procesamiento Sensorial (TRPS) son un diagnóstico clínico recogido en la clasificación Diagnostic Classification of Mental Health and Development Disorders of Infancy and Early Childhood Revised edition: DC:0-3R (Zero to Three, 2005). Aún son escasos los datos que apoyan que TRPS sea un trastorno diferencial y válido. Esta fue la razón de que no se incluyeran en el DSM-IV-TR (APA, 2000). Objetivo: Para contribuir a la validación de los criterios sensoriales y conductuales de TRPS, este estudio examinó muestras clínicas de niños para analizar 1) la presencia y severidad de los déficits de modulación sensorial y los síntomas conductuales de TRPS, 2) las asociaciones entre dichos síntomas sensoriales y conductuales, y 3) el papel específico de los déficits de modulación sensorial en el diagnóstico TRPS Método: En función del diagnóstico clínico del niño, basado en la observación clínica y apoyado en los criterios de la DC:0-3R (2005), los niños fueron clasificados en dos grupos: El primero incluyó a los niños con TRPS y el segundo segundo grupo inluyó aquellos con "otros diagnósticos en el Eje I/II de la DC :0-3R" (OD3R). De forma independiente al proceso clínico los padres completaron el Perfil Sensorial Bebés y Niños Pequeños (Infant Toddler Sensory Profile, ITSP) y el Cuestionario de Síntomas del Niño de Achenbach (CBCL 1 ½ -5). Posteriormente se compararon los resultados entre los grupos. Resultados: Los resultados revelaron en el grupo TRPS déficits más graves en la modulación sensorial y síntomas conductuales específicos más intensos; mostraron asociaciones más intentas, aunque no significativas entre los síntomas más sensoriales y conductuales, y un efecto significativo de los déficits en la modulación sensorial en el diagnóstico de TRPS. Conclusión: Los resultados confirmaron nuestras hipótesis indicando capacidad discriminativa de los síntomas de TRPS frente a OD3R, mostraron la independencia de los criterios sensoriales y de comportamiento y un efecto significativo del déficit de modulación sensorial en TRPS diagnóstico. Los resultados también revelaron validez convergente entre los instrumentos y los criterios de diagnóstico que apoyan la validez de TRPS diagnóstico como una categoría independiente. Estos hallazgos sugieren la importancia de identificar TRPS con el fin de mejorar las capacidades sensoriales de los niños y para prevenir futuras situaciones clínicas en las edades más avanzadas.Regulation Disorders of Sensory Processing (TRPS) is a clinical diagnosis in the Diagnostic Classification of Mental Health and Development Disorders of Infancy and Early Childhood Revised edition: DC:0-3R (Zero to Three, 2005). Data supporting TRPS as distinct and valid disorder are scant. This was the reason for its no inclusion in the DSM-IV-TR (APA, 2000). Aim: To contribute to the validation of the sensory and behavioral criteria for TRPS this study examined a sample of toddlers in a clinical setting to analyze: (1) the severity of sensory modulation deficits and the behavioral symptoms of TRPS; (2) the associations between sensory and behavioral symptoms; and (3) the specific role of sensory modulation deficits on the TRPS diagnosis. Method: Based on clinical observations, toddlers were classified into two groups: toddlers with TRPS and those with ''other diagnoses in Axis I/II of the DC:0-3R''. Independently of the clinical process, parents completed the Infant Toddler Sensory Profile (as a checklist for sensory symptoms) and the Achenbach Behavior Checklist for ages 1_-5 (CBCL 1 ½-5). The scores from the two groups were compared. Results: The results revealed that the TRPS group had more severe sensory modulation deficits and specific behavioral symptoms; stronger, although not significant, associations between most sensory and behavioral symptoms; and a significant sensory modulation deficits effect. Conclusion: The results confirmed our hypotheses showing discriminative capacities of TRPS symptoms versus OD3R, independence of both sensory and behavioral criteria and a significant effect of sensory modulation deficits on TRPS diagnostic. The results also revealed convergent validity between the instruments and the diagnostic criteria supporting the validity of TRPS diagnostic as an independent category. These findings suggested the importance of identifying TRPS in order to enhance the sensory capacities of children and to prevent future clinical conditions in older ages

La importància de la disponibilitat emocional en el desenvolupament de l'infant

Quines són les necessitats emocionals en la primera infància? Quines són les conseqüències de la negligència emocional greu en infants de 0 a 4 anys? Què posa en risc la capacitat dels adults d'estar «emocionalment disponibles» i quines condicions l'afavoreixen

Development of a screening tool enabling identification of infants and toddlers at risk for family abuse and neglect : A feasibility study from three South European countries

Background: Child abuse is a health and social problem, and few screening instruments are available for the detection of risk in primary health care. The aim was to develop a screening instrument to be used by professionals in the public health care sector, thus enabling the detection of infants and toddlers at risk of emotional and physical abuse and neglect, and to provide evidence for the feasibility of the instrument in Cyprus, Greece and Spain. Method: A total of 50 health professionals from paediatric public health-care centres in the three countries were involved in a three-step process for guiding the development of the screening tool and its application. Results: A nine-item screening tool, consisting of items assessing relational emotional abuse, physical abuse and other risk factors, was developed. The screening tool was applied on a total of 219 families with 0 to 3-year-old children attending public health centres in the three countries. Clinicians reported that they agreed on the inclusion of the questions (86.4-100%) and that they found the questions to be useful for the clinical evaluation of the family (63.2-100%). Conclusion: The screening tool shows considerable face validity and was reported feasible by an international set of clinician

Perceived Stress, Resilience, and Wellbeing in Seasoned Isha Yoga Practitioners Compared to Matched Controls During the COVID-19 Pandemic

Background: Yoga practices, including breathing, meditation, and posture protocols (asanas), have been shown to facilitate physical and mental wellbeing. Methods: Seasoned yoga practitioners were recruited from the Isha Foundation. Recruitment of the comparison group was achieved using snowball sampling and were not yoga practitioners. Participants in the non-yoga group were randomized to a 3-min Isha practice or a comparator group asked to perform 15-min of daily reading. Participants completed a series of web-based surveys (REDCap) at baseline, 6, and 12 weeks. These surveys include validated scales and objective questions on COVID-19 infection and medical history. The validated questionnaires assess for: perceived stress (PSS), mood states [anxiety and depression (PHQ-4), joy (DPES-Joy subscale)], mindfulness attention and awareness (MAAS), resilience (BRS), mental wellbeing (WEMWBS) and recovery from traumatic event (PTGI). Weekly activity diaries were employed as a tool for collecting compliance information from study participants. Perceived stress scale scores were identified as primary outcome for this study. Findings: The median Perceived Stress Scale (PSS) score for the yoga practitioners compared to the active and placebo comparators was significantly lower at all time-points: baseline: 11 [IQR 7–15] vs. 16 [IQR 12–21] in both the active and placebo comparators (p \u3c 0.0001); 6 weeks: 9 [IQR 6–13] vs. 12 [IQR 8–17] in the active comparator and 14 [IQR 9–18] in the placebo comparator (p \u3c 0.0001); and 12 weeks: 9 [IQR 5–13] vs. 11.5 [IQR 8–16] in the active comparators and 13 [IQR 8–17] in the placebo comparator (p \u3c 0.0001). Among the randomized participants that were compliant for the full 12 weeks, the active comparators had significantly lower median PSS scores than the placebo comparators 12 weeks [10 (IQR 5–14) vs. 13 (IQR 8–17), p = 0.017]. Further, yoga practitioners had significantly lower anxiety at all three-time points (p \u3c 0.0001), lower depression at baseline and 6 weeks (p \u3c 0.0003), and significantly higher wellbeing (p \u3c 0.0001) and joy (p \u3c 0.0001) at all three-time points, compared to the active and placebo comparator groups. Interpretation: The lower levels of stress, anxiety, depression, and higher level of wellbeing and joy seen in the yoga practitioners compared to the active and placebo comparators illustrate the impact of regular yoga practices on mental health even during the pandemic

recerTIC: visualizando la publicación científica en ámbitos TIC

RecerTIC UPC es un conjunto de diez estudios bibliométricos elaborados por la Biblioteca Rector Gabriel Ferraté (BRGF), de la Universitat Politècnica de Catalunya (UPC), que buscan dar una visión representativa de la publicación científica de la UPC en materias estratégicas en el campo de las tecnologías de la información y la comunicación (TIC). Los estudios ofrecen una visión de las publicaciones de los investigadores de la UPC, subrayando el impacto y las temáticas, así como, sobre todo, los vínculos r de colaboración externa e interna y coautoría. Estas relaciones se muestran gráficamente a través de una aplicación que genera mapas visuales, desarrollada especialmente para esta finalidad. La combinación de esos elementos representa una novedad en la forma en la que nuestros estudios bibliométricos son compartidos con nuestra comunidad académica, y facilitan la experiencia del usuario en el momento de consultar la información que proveemos. Por ello recerTIC UPC constituye una mejora en los análisis bibliométricos que hemos realizado hasta ahora en la BRGFPostprint (published version

Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality

Bones pràctiques en atenció compartida: recomanacions per a una gestió òptima dels PIIC

Bones pràctiques; Presa decisions; Plans d’intervenció individualitzats i compartitsBuenas prácticas; Toma de decisiones; Planes de intervención individualizados i compartidosGood practices; Decision making; Individualized and shared intervention plansAquest document és un instrument per a professionals de l'atenció sanitària per posar al dia els criteris de bon ús dels PIIC respecte a la revisió que es va publicar l’abril de 2015

La importància de la disponibilitat emocional en el desenvolupament de l'infant

Quines són les necessitats emocionals en la primera infància? Quines són les conseqüències de la negligència emocional greu en infants de 0 a 4 anys? Què posa en risc la capacitat dels adults d'estar «emocionalment disponibles» i quines condicions l'afavoreixen

Validating Regulatory Sensory Processing Disorders Using the Sensory Profile and Child Behavior Checklist (CBCL 1-5)

Abstract The objective was to validate Regulatory Sensory Processing Disorders' criteria (DC:0-3R, 2005) using empirical data on the presence and severity of sensory modulation deficits and specific psychiatric symptoms in clinical samples. Sixty toddlers who attended a child mental health unit were diagnosed by a clinical team. The following two groups were created: toddlers with RSPD (N = 14) and those with ''other diagnoses in Axis I/II of the DC:0-3R 00 (OD3R) (N = 46). Independently of the clinical process, parents completed the Infant Toddler Sensory Profile (as a checklist for sensory symptoms) and the Achenbach Behavior Checklist for ages 1-5 (CBCL 1-5). The scores from the two groups were compared. The results showed the following for the RSPD group: a higher number of affected sensory areas and patterns than in the OD3R group; a higher percentage of sensory deficits in specific sensory categories; and a higher severity of behavioral symptoms such as withdrawal, inattention, other externalizing problems and pervasive developmental problems in CBCL 1-5. The results confirmed our hypotheses by indicating a higher severity of sensory symptoms and identifying specific behavioral problems in children with RSPD. The results revealed convergent validity between the instruments and the diagnostic criteria for RSPD and supported the validity of RSPD as a unique diagnosis. The findings also suggested the importance of identifying sensory modulation deficits in order to develop an early intervention to enhance the sensory capacities of children who do not fully satisfy the criteria for some DSM-IV-TR disorders

Development of a screening tool enabling identification of infants and toddlers at risk for family abuse and neglect : A feasibility study from three South European countries

Background: Child abuse is a health and social problem, and few screening instruments are available for the detection of risk in primary health care. The aim was to develop a screening instrument to be used by professionals in the public health care sector, thus enabling the detection of infants and toddlers at risk of emotional and physical abuse and neglect, and to provide evidence for the feasibility of the instrument in Cyprus, Greece and Spain. Method: A total of 50 health professionals from paediatric public health-care centres in the three countries were involved in a three-step process for guiding the development of the screening tool and its application. Results: A nine-item screening tool, consisting of items assessing relational emotional abuse, physical abuse and other risk factors, was developed. The screening tool was applied on a total of 219 families with 0 to 3-year-old children attending public health centres in the three countries. Clinicians reported that they agreed on the inclusion of the questions (86.4-100%) and that they found the questions to be useful for the clinical evaluation of the family (63.2-100%). Conclusion: The screening tool shows considerable face validity and was reported feasible by an international set of clinician