Traducción al castellano de la Terapia de Activación Conductual para la depresión y adaptación a formato grupal. : Datos preliminares de su aplicación en una muestra de pacientes deprimidos

La activación conductual se ha mostrado igual de eficaz que otras terapias bien establecidas para el tratamiento de la depresión, sin embargo todavía faltan por implementar versiones breves de la misma al formato grupal. En el presente estudio se evaluó si la Terapia de Activación Conductual para la Depresión adaptada a formato grupal produce una reducción de la sintomatología depresiva en el trastorno depresivo mayor. La idea central de la terapia es que los pacientes incrementen el número de actividades semanales encaminadas a cumplir con sus valores. El tratamiento se inició con un total de ocho pacientes ambulatorios. Los análisis mostraron que entre las puntuaciones pre-post del BDI se produjo una reducción estadísticamente significativa. La terapia mostró como a medida que los sujetos aumentaban las actividades encaminadas a cumplir con sus valores, los síntomas depresivos disminuían. La adaptación al formato grupal fue por tanto satisfactoriaBehaviour activation has been shown to be equally effective as other well-established treatments for depression, however a brief version of the group format has not yet been implemented. In the current study it was assessed if the Behavioural Activation Therapy for Depression in group format leads to a decrease in depressive symptoms in major depressive disorder. The central idea of the therapy is to increase the number of weekly activities to accomplish the personal values of the patients. The treatment was initiated with a total of 8 outpatients. Analysis showed that between pre and post BDI scores there was a statistically significant reduction. The therapy showed a reduction of depressive symptoms in patients by means of increasing their number of weekly activities to accomplish their own personal values. The adaptation to group format was therefore satisfactor

Preserved Error-Monitoring in Borderline Personality Disorder Patients with and without Non-Suicidal Self-Injury Behaviors

Background: The presence of non-suicidal self-injury acts in Borderline Personality Disorder (BPD) is very prevalent. These behaviors are a public health concern and have become a poorly understood phenomenon in the community. It has been proposed that the commission of non-suicidal self-injury might be related to a failure in the brain network regulating executive functions. Previous studies have shown that BPD patients present an impairment in their capacity to monitor actions and conflicts associated with the performance of certain actions, which suppose an important aspect of cognitive control. Method: We used Event Related Potentials to examine the behavioral and electrophysiological indexes associated with the error monitoring in two BPD outpatients groups (17 patients each) differentiated according to the presence or absence of non-suicidal self-injury behaviors. We also examined 17 age- and intelligence- matched healthy control participants. Results: The three groups did not show significant differences in event-related potentials associated with errors (Error-Related Negativity and Pe) nor in theta power increase following errors. Conclusions: This is the first study investigating the behavioral and electrophysiological error monitoring indexes in BPD patients characterized by their history of non-suicidal self-injury behaviors. Our results show that error monitoring is preserved in BPD patients and suggest that non-suicidal self-injury acts are not related to a dysfunction in the cognitive control mechanisms

¿En qué ocasiones el médico de familia solicita un tratamiento psicológico para sus pacientes? : análisis descriptivo y de concordancia entre diagnósticos

Los trastornos mentales son una de las causas más importantes de morbilidad en el mundo, y suponen elevados costes económicos y sociales. La atención primaria de salud juega un papel importante en su detección y tratamiento. Los tratamientos psicológicos, que han sido a menudo mal difundidos, son una opción de tratamiento eficaz para una gran parte de los trastornos mentales. El presente estudio pretende investigar en qué casos el médico de familia solicitó un tratamiento psicológico para sus pacientes. Se analizaron las solicitudes escritas que había realizado el médico de familia (n=322). Los principales resultados sugieren una discrepancia en cuanto a la necesidad de realizar un tratamiento psicológico, así como una ausencia de concordancia entre diagnósticos (médico de familia vs psicólogo). Los datos obtenidos podrían sugerir la necesidad de mejorar la difusión de los tratamientos psicológicos basados en la evidencia, especialmente en la atención primaria de saludThe mental health problems are one of the most important causes of morbidity in the World, and suppose a source of high economic and societal costs. The primary health care plays an important role in their detection and treatment. The psychological treatments have been often poorly disseminated; nevertheless, they are an efficacious treatment option for a great part of mental disorders. This study aims to analyze the indication of psychological treatments which were made by the general practitioners. The data presented in the written solicitude was analyzed (n=322). A discrepancy in the need to realize a psychological treatment, and the absence of concordance between diagnoses (family doctor vs. psychologist), were the major findings. These results could suggest a need of improve the dissemination of evidence based psychological treatments, especially in the primary health care setting

¿En qué ocasiones el médico de familia solicita un tratamiento psicológico para sus pacientes? : análisis descriptivo y de concordancia entre diagnósticos

Los trastornos mentales son una de las causas más importantes de morbilidad en el mundo, y suponen elevados costes económicos y sociales. La atención primaria de salud juega un papel importante en su detección y tratamiento. Los tratamientos psicológicos, que han sido a menudo mal difundidos, son una opción de tratamiento eficaz para una gran parte de los trastornos mentales. El presente estudio pretende investigar en qué casos el médico de familia solicitó un tratamiento psicológico para sus pacientes. Se analizaron las solicitudes escritas que había realizado el médico de familia (n=322). Los principales resultados sugieren una discrepancia en cuanto a la necesidad de realizar un tratamiento psicológico, así como una ausencia de concordancia entre diagnósticos (médico de familia vs psicólogo). Los datos obtenidos podrían sugerir la necesidad de mejorar la difusión de los tratamientos psicológicos basados en la evidencia, especialmente en la atención primaria de saludThe mental health problems are one of the most important causes of morbidity in the World, and suppose a source of high economic and societal costs. The primary health care plays an important role in their detection and treatment. The psychological treatments have been often poorly disseminated; nevertheless, they are an efficacious treatment option for a great part of mental disorders. This study aims to analyze the indication of psychological treatments which were made by the general practitioners. The data presented in the written solicitude was analyzed (n=322). A discrepancy in the need to realize a psychological treatment, and the absence of concordance between diagnoses (family doctor vs. psychologist), were the major findings. These results could suggest a need of improve the dissemination of evidence based psychological treatments, especially in the primary health care setting

Traducción al castellano de la Terapia de Activación Conductual para la depresión y adaptación a formato grupal. : Datos preliminares de su aplicación en una muestra de pacientes deprimidos

La activación conductual se ha mostrado igual de eficaz que otras terapias bien establecidas para el tratamiento de la depresión, sin embargo todavía faltan por implementar versiones breves de la misma al formato grupal. En el presente estudio se evaluó si la Terapia de Activación Conductual para la Depresión adaptada a formato grupal produce una reducción de la sintomatología depresiva en el trastorno depresivo mayor. La idea central de la terapia es que los pacientes incrementen el número de actividades semanales encaminadas a cumplir con sus valores. El tratamiento se inició con un total de ocho pacientes ambulatorios. Los análisis mostraron que entre las puntuaciones pre-post del BDI se produjo una reducción estadísticamente significativa. La terapia mostró como a medida que los sujetos aumentaban las actividades encaminadas a cumplir con sus valores, los síntomas depresivos disminuían. La adaptación al formato grupal fue por tanto satisfactoriaBehaviour activation has been shown to be equally effective as other well-established treatments for depression, however a brief version of the group format has not yet been implemented. In the current study it was assessed if the Behavioural Activation Therapy for Depression in group format leads to a decrease in depressive symptoms in major depressive disorder. The central idea of the therapy is to increase the number of weekly activities to accomplish the personal values of the patients. The treatment was initiated with a total of 8 outpatients. Analysis showed that between pre and post BDI scores there was a statistically significant reduction. The therapy showed a reduction of depressive symptoms in patients by means of increasing their number of weekly activities to accomplish their own personal values. The adaptation to group format was therefore satisfactor

Preserved Error-Monitoring in Borderline Personality Disorder Patients with and without Non-Suicidal Self-Injury Behaviors

Background: The presence of non-suicidal self-injury acts in Borderline Personality Disorder (BPD) is very prevalent. These behaviors are a public health concern and have become a poorly understood phenomenon in the community. It has been proposed that the commission of non-suicidal self-injury might be related to a failure in the brain network regulating executive functions. Previous studies have shown that BPD patients present an impairment in their capacity to monitor actions and conflicts associated with the performance of certain actions, which suppose an important aspect of cognitive control. Method: We used Event Related Potentials to examine the behavioral and electrophysiological indexes associated with the error monitoring in two BPD outpatients groups (17 patients each) differentiated according to the presence or absence of non-suicidal self-injury behaviors. We also examined 17 age- and intelligence- matched healthy control participants. Results: The three groups did not show significant differences in event-related potentials associated with errors (Error-Related Negativity and Pe) nor in theta power increase following errors. Conclusions: This is the first study investigating the behavioral and electrophysiological error monitoring indexes in BPD patients characterized by their history of non-suicidal self-injury behaviors. Our results show that error monitoring is preserved in BPD patients and suggest that non-suicidal self-injury acts are not related to a dysfunction in the cognitive control mechanisms

¿En qué ocasiones el médico de familia solicita un tratamiento psicológico para sus pacientes? : análisis descriptivo y de concordancia entre diagnósticos

Los trastornos mentales son una de las causas más importantes de morbilidad en el mundo, y suponen elevados costes económicos y sociales. La atención primaria de salud juega un papel importante en su detección y tratamiento. Los tratamientos psicológicos, que han sido a menudo mal difundidos, son una opción de tratamiento eficaz para una gran parte de los trastornos mentales. El presente estudio pretende investigar en qué casos el médico de familia solicitó un tratamiento psicológico para sus pacientes. Se analizaron las solicitudes escritas que había realizado el médico de familia (n=322). Los principales resultados sugieren una discrepancia en cuanto a la necesidad de realizar un tratamiento psicológico, así como una ausencia de concordancia entre diagnósticos (médico de familia vs psicólogo). Los datos obtenidos podrían sugerir la necesidad de mejorar la difusión de los tratamientos psicológicos basados en la evidencia, especialmente en la atención primaria de saludThe mental health problems are one of the most important causes of morbidity in the World, and suppose a source of high economic and societal costs. The primary health care plays an important role in their detection and treatment. The psychological treatments have been often poorly disseminated; nevertheless, they are an efficacious treatment option for a great part of mental disorders. This study aims to analyze the indication of psychological treatments which were made by the general practitioners. The data presented in the written solicitude was analyzed (n=322). A discrepancy in the need to realize a psychological treatment, and the absence of concordance between diagnoses (family doctor vs. psychologist), were the major findings. These results could suggest a need of improve the dissemination of evidence based psychological treatments, especially in the primary health care setting