Clinica Y Salud最新文献

{"title":"Sobre la Validez y Eficacia de la Hipnosis Clínica. Valoración Crítica del Documento Observatorio OMC contra las Pseudociencias, Pseudoterapias, Intrusismo y Sectas Sanitarias en relación con la Hipnoterapia","authors":"H. G. Ordi","doi":"10.5093/clysa2018a8","DOIUrl":"https://doi.org/10.5093/clysa2018a8","url":null,"abstract":"Me dirijo a usted, en calidad de Doctor en Psicología, Psicólogo Especialista en Psicología Clínica, Colegiado no M-9870, Profesor de la Universidad Complutense de Madrid y Director del Curso de Experto en Hipnosis Clínica que se imparte en el Colegio Oficial de Psicólogos de Madrid, con el fin de trasladarle algunas valoraciones que se hacen en el documento Observatorio OMC contra las Pseudociencias, Pseudoterapias, Intrusismo y Sectas Sanitarias respecto a la hipnoterapia, objeto de mi campo de estudio. Dicho documento editado por la Organización Médica Colegial de España-Consejo General de Colegios Oficiales de Médicos, de treinta y ocho páginas en su versión pdf, hace referencia y pretende advertir del peligro de toda una serie de terapias, englobadas como pseudoterapias, en su mayoría sin base científica alguna. Sin embargo, este documento también aborda otras terapias que a nuestro juicio no deberían estar incluidas en éste, puesto que han demostrado evidencia científica y clínica suficientemente contrastada. Este es el caso de la hipnoterapia/hipnosis clínica: precisamente, el objeto de esta carta es contribuir a fundamentar esta última consideración. El lector puede consultar el documento en la siguiente página web: http://z.dolcarevolucio.cat/web/ObservatorioOMC.pdf Para empezar, quisiéramos destacar algunas afirmaciones que se hacen en dicho documento que, a nuestro juicio, afectan a una valoración más precisa y adecuada de la hipnosis como herramienta terapéutica. Desde el principio, en su introducción, el panel de expertos plantea lo siguiente: “En sentido amplio, entendemos una pseudoterapia como una propuesta de cura de enfermedades, alivio de síntomas o mejora de salud, basada en criterios sin el respaldo de la evidencia disponible. Algunas consideraciones previas: Una técnica que se ha mostrado eficaz en un área, puede ser considerada pseudoterapia en otra” (pág. 1) [la transcripción entrecomillada es literal del documento]. Con esta introducción, el panel de expertos incluye, bajo el mismo paraguas, un amplio número de técnicas y terapias que nada tienen que ver las unas con las otras, mezclando abordajes con evidencia y abordajes sin evidencia. Adicionalmente, no se dejan opciones de salvaguarda a las técnicas consideradas en este manuscrito porque, aunque hayan demostrado científicamente su eficacia en un campo, son denominadas “pseudoterapias” porque no lo manifiestan en otro, cuando lo aceptado generalmente entre los profesionales de la salud es que no todas las técnicas o terapias sirven para todo en todo momento. Esto es aplicable para cualquier tratamiento o modo de intervención, incluidos los fármacos, que son eficaces para unos determinados problemas de salud, pero no para otros, y cuyos efectos no son similares en todos los individuos. Esgrimir la duda sobre una técnica por quién lo aplica o por la mala indicación de la misma llevaría, por ejemplo, a calificar de “pseudoterapia” a un trasplante cardíaco porque lo ha rea","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"29 1","pages":"45-47"},"PeriodicalIF":2.7,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70895408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Espiritualmente resilientes. Relación entre espiritualidad y resiliencia en cuidados paliativos","authors":"Tamara Redondo-Elvira ,&nbsp;Celia Ibañez-del-Prado ,&nbsp;Sara Barbas-Abad","doi":"10.1016/j.clysa.2017.09.001","DOIUrl":"https://doi.org/10.1016/j.clysa.2017.09.001","url":null,"abstract":"<div><p>This paper aims to analyse if there is a positive relationship between resilience and spirituality in its three dimensions (intrapersonal, interpersonal, and transpersonal) as shown in previous studies. At the same time, it explores if there is a relationship with sociodemographic variables.</p><p>A descriptive, correlational, cross-sectional study in hospitalised palliative patients was carried out. Resilience (BRCS) and Spirituality (GES) were used as variables. A sample of 105 hospitalised palliative patients was chosen, of which the average age was 65.88 and 53.3% were women. Oncologic diagnosis<!--> <!-->=<!--> <!-->86.7%, low cultural level<!--> <!-->=<!--> <!-->59%; single<!--> <!-->=<!--> <!-->56.2%, and average PPS<!--> <!-->=<!--> <!-->54.2. Concerninn the relationship between resilience and spirituality, GES total and GES intra was 57.7%, GES inter 36.3%, and GES trans 37.3% (Pearson's correlation). As a conclusion, there is a positive correlation between resilience and spirituality, as it was proved in previous studies. However, the intrapersonal dimension has the strongest relationship with resilience.</p></div>","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 3","pages":"Pages 117-121"},"PeriodicalIF":2.7,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92055758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El trastorno límite de personalidad en la producción científica publicada en revistas editadas en España","authors":"María-José Fernández-Guerrero,&nbsp;Beatriz Palacios-Vicario","doi":"10.1016/j.clysa.2017.05.002","DOIUrl":"https://doi.org/10.1016/j.clysa.2017.05.002","url":null,"abstract":"<div><p>The objective of this work is to analyze the scientific literature production on borderline personality disorder in Spain over the 2010-2015 period, making a comparative study of articles collected from scientific journals in the field of psychology from several perspectives: year of publication, type of journal (indexing), type of study, clinical sample, and main topic. After the analysis of 80 articles obtained in WOS, Scopus, Psicodoc, Dialnet, and ISOC databases, it was found that most analysis units appear in type C and D publications in adult population and in theoretical studies, being the prevailing subject different psychotherapeutic strategies, especially Dialectic-Behavioral and Transference-Focused Therapy, although with increasing trends of new procedures applied to BPD population. The scarcity of publications on topics such as psychopharmacological and etiological studies, design of new measuring instruments, or differential diagnosis deserves special attention.</p></div>","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 3","pages":"Pages 147-153"},"PeriodicalIF":2.7,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92138234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Los acontecimientos vitales estresantes, la sintomatología y la adaptación en la infancia: estudio comparativo con pacientes de salud mental y escolares","authors":"Mayelin Rey-Bruguera ,&nbsp;Isabel Calonge-Romano ,&nbsp;María del Rosario Martínez-Arias","doi":"10.1016/j.clysa.2017.05.005","DOIUrl":"10.1016/j.clysa.2017.05.005","url":null,"abstract":"<div><p>This paper studied the relationship between stressful life events (SLE) and psychological symptoms (externalizing and internalizing symptomatology) and school and family adaptation in childhood. Participants were 552, 53.4% boys and 46.6% girls, aged between 10-12 years. Patients receiving treatment in mental health services and a community group were compared. At least one SLE in the past two years is experienced by 88.2% of children. SLE were significantly higher in the clinical group than in the community group. SLE are related to the increased presence of symptoms and lower levels of adaptation. The association between family SLE and hyperactivity symptoms is stronger in the clinical group than in the community group. Having experienced SLE and being a patient predict both symptomatology and adaptation.</p></div>","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 3","pages":"Pages 123-129"},"PeriodicalIF":2.7,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.05.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133436309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological characteristics of dissociation in general population","authors":"Ángeles Serrano-Sevillano ,&nbsp;Héctor González-Ordi ,&nbsp;Beatriz Corbí-Gran ,&nbsp;Miguel Ángel Vallejo-Pareja","doi":"10.1016/j.clysa.2017.09.003","DOIUrl":"https://doi.org/10.1016/j.clysa.2017.09.003","url":null,"abstract":"<div><p>Dissociation is defined as the separation of those processes that should be accessible, considering that both somatoform and conversion symptoms may be understood as dissociative. In recent decades, psychological variables have been related to dissociation, such as suggestibility, fantasy, alexithymia, abnormal emotional processes, and also a particular personality profile. The aim of this paper is to study the profile associated with psychoform and somatoform dissociation. The sample consisted of 355 participants. University students employed the snowball sampling. The following instruments were used: the Dissociative Experiences Scale-II (DES-II), the Questionnaire Somatoform Dissociation (SDQ-20), the Inventory Suggestibility (IS), the Alexithymia Scale Toronto (TAS-20), the Scale Difficulties in Emotion Regulation (DERS), the revised NEO Personality Inventory (NEO-PI), and some ad hoc questions to evaluate sleep-related experiences. The results indicated that high dissociators showed higher scores on suggestibility, alexithymia, sleep- related experiences, neuroticism, openness to experience, and lower conscientiousness than low dissociators, the results being similar to those obtained by high somatizers. As a conclusion, the profile found in both types of dissociation indicated their existing relationship, and pointed out possible lines of future research and treatment.</p></div>","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 3","pages":"Pages 101-106"},"PeriodicalIF":2.7,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92055490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Actitudes disfuncionales en pacientes con trastorno grave de personalidad: inespecificidad sintomatológica y cambio","authors":"Juan M. Ramos,&nbsp;Amelia Franquelo,&nbsp;Bárbara Franesqui,&nbsp;Amanda López","doi":"10.1016/j.clysa.2017.09.002","DOIUrl":"https://doi.org/10.1016/j.clysa.2017.09.002","url":null,"abstract":"<div><p>The frequent co-occurrence of affective and personality disorders (PD) is associated with poor prognosis. We examined the role of dysfunctional attitudes (DA) in this interaction, analysing different self-reporting variables in people with a diagnosis of PD (<em>n</em> <!-->=<!--> <!-->262) with and without depression. We found no differences by age, sex, or therapeutic adherence; DA are associated with depressive symptoms, general and PD severity, pathological traits (especially borderline and self-destructive, with <em>d</em> <!-->&gt; 0.80) and, in the opposite way, with self-efficacy, self-esteem, and social competence. Those who manage to reverse DA after 6 months’ intervention (37.4%) also obtained a better outcome. A non-linear perspective may help explain the complex interaction between the increased sense of personal and interpersonal agency (preparing behavioural change), DA (cognitive schemata), and the preservation of well-being (emotional homeostasis).</p></div>","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 3","pages":"Pages 107-116"},"PeriodicalIF":2.7,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92055759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un estudio de caso de trastorno adaptativo con ansiedad por situación de sobrecarga laboral","authors":"Inmaculada Domínguez-Rodríguez ,&nbsp;Vicente Prieto-Cabras ,&nbsp;Jorge Barraca-Mairal","doi":"10.1016/j.clysa.2017.05.003","DOIUrl":"10.1016/j.clysa.2017.05.003","url":null,"abstract":"<div><p>The case of a thirty-eight-year-old man with an adjustment disorder together with anxiety is described. The perception of his work overload led to consequences such as symptoms of anxiety, perception of inability to solve problems, difficulty disconnecting, and continuing in the present situation. Another consequence was a deterioration in his daily routine, in addition to excessive drinking. Cognitive behavioral therapy, a multicomponent treatment for anxiety (psycho-education, cognitive techniques, and physiological techniques deactivation), was applied, together with controlling his drinking program as to reduce alcohol consumption, and training in problem solving and time management to reduce his work overload and eliminate stress. At the end of the treatment, there was an improvement with his physiological arousal, especially in the decrease of anxiety regarding working environment and resolved drinking behavior. Intervention results which confirm the effectiveness of treatment are discussed.</p></div>","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 3","pages":"Pages 139-146"},"PeriodicalIF":2.7,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54046638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trastorno de síntomas somáticos: de la sospecha de simulación al tratamiento cognitivo-conductual","authors":"María Isabel Casado Morales,&nbsp;Sara Laguna-Bonilla","doi":"10.1016/j.clysa.2017.05.004","DOIUrl":"https://doi.org/10.1016/j.clysa.2017.05.004","url":null,"abstract":"<div><p>Chronic pain is considered one that persists for more than three months. The treatment of pain is complicated even more when the health professional has a second thought about a possible malingering. This is a deliberate attempt to simulate a disease or disability, exaggerating the symptomatology, with the aim of obtaining a benefit, which is usually of an economic type. This paper depicts the case of a patient treated for chronic pain in a pain unit, which is suspected of obtaining an economic benefit due to permanent disability. After the evaluation, a malingering process is ruled out and a cognitive-behavioral treatment is started. We describe the evaluation that allows to rule out the suspicion of malingering, the cognitive-behavioral treatment with the choice of scientifically endorsed techniques for the treatment of chronic pain, and the results obtained.</p></div>","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 3","pages":"Pages 131-138"},"PeriodicalIF":2.7,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91992092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La anosmia neurosensorial: relación entre subtipo, tiempo de reconocimiento y edad","authors":"Virginia Chaves-Morillo ,&nbsp;Cristina Gómez-Calero ,&nbsp;Juan José Fernández-Muñoz ,&nbsp;Adolfo Toledano-Muñoz ,&nbsp;Javier Fernández-Huete ,&nbsp;Nieves Martínez-Monge ,&nbsp;Domingo Palacios-Ceña ,&nbsp;Cecilia Peñacoba-Puente","doi":"10.1016/j.clysa.2017.04.002","DOIUrl":"https://doi.org/10.1016/j.clysa.2017.04.002","url":null,"abstract":"<div><p>Currently, smell is considered one of the most complex and unknown sensory system that exist. A recent research concluded that there is a possible relationship between the loss of smell and neurodegenerative diseases, focusing on its importance like an early indicator. The present study focuses on the relationship between the variable Recognition Time (RCT) of the <em>Valoración de Estímulos Olfativos Cotidianos Abreviado</em> (V.E.O.C.A.) test, age, and type of anosmia. A sample of 64 subjects with anosmia derived from the Alcorcón Foundation University Hospital was used for the study. The results indicated TRC significant differences in the variables analyzed. These findings suggested a possible influence of cognitive aspects, according with previous studies. Higher scores were found on TRC in the cases of the traumatic anosmia and young people compared to the rest of groups.</p></div>","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 3","pages":"Pages 155-161"},"PeriodicalIF":2.7,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92055760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depresión perinatal: rentabilidad y expectativas de la intervención preventiva","authors":"Rosa Marcos-Nájera ,&nbsp;María de la Fe Rodríguez-Muñoz ,&nbsp;Nuria Izquierdo-Mendez ,&nbsp;María Eugenia Olivares-Crespo ,&nbsp;Cristina Soto","doi":"10.1016/j.clysa.2017.05.001","DOIUrl":"10.1016/j.clysa.2017.05.001","url":null,"abstract":"","PeriodicalId":45730,"journal":{"name":"Clinica Y Salud","volume":"28 2","pages":"Pages 49-52"},"PeriodicalIF":2.7,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.clysa.2017.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114203786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}