Estudios De PsicologiaPub Date : 2017-01-01Epub Date: 2016-03-28DOI: 10.1093/jamia/ocw014
Jacob S Calvert, Daniel A Price, Christopher W Barton, Uli K Chettipally, Ritankar Das
{"title":"Discharge recommendation based on a novel technique of homeostatic analysis.","authors":"Jacob S Calvert, Daniel A Price, Christopher W Barton, Uli K Chettipally, Ritankar Das","doi":"10.1093/jamia/ocw014","DOIUrl":"10.1093/jamia/ocw014","url":null,"abstract":"<p><strong>Objective: </strong>We propose a computational framework for integrating diverse patient measurements into an aggregate health score and applying it to patient stability prediction.</p><p><strong>Materials and methods: </strong>We mapped retrospective patient data from the Multiparameter Intelligent Monitoring in Intensive Care (MIMIC) II clinical database into a discrete multidimensional space, which was searched for measurement combinations and trends relevant to patient outcomes of interest. Patient trajectories through this space were then used to make outcome predictions. As a case study, we built AutoTriage, a patient stability prediction tool to be used for discharge recommendation.</p><p><strong>Results: </strong>AutoTriage correctly identified 3 times as many stabilizing patients as existing tools and achieved an accuracy of 92.9% (95% CI: 91.6-93.9%), while maintaining 94.5% specificity. Analysis of AutoTriage parameters revealed that interdependencies between risk factors comprised the majority of each patient stability score.</p><p><strong>Discussion: </strong>AutoTriage demonstrated an improvement in the sensitivity of existing stability prediction tools, while considering patient safety upon discharge. The relative contributions of risk factors indicated that time-series trends and measurement interdependencies are most important to stability prediction.</p><p><strong>Conclusion: </strong>Our results motivate the application of multidimensional analysis to other clinical problems and highlight the importance of risk factor trends and interdependencies in outcome prediction.</p>","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"38 1","pages":"24-29"},"PeriodicalIF":6.4,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7654071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81717760","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":"Políticas sociais na pós-graduação stricto sensu de Psicologia","authors":"Ana Ludmila Freire Costa, O. H. Yamamoto","doi":"10.5935/1678-4669.20160044","DOIUrl":"https://doi.org/10.5935/1678-4669.20160044","url":null,"abstract":"Social policies in Psychology postgraduate courses. It aims to discuss the contributions of Psychology postgraduate studies to understand “social policy”. 105 academic theses were analyzed among 824 defended in 2007/2009 triennium. Results point to the existence of the issue in a sprayed way, predominantly, albeit appears as a priority object for a limited set of researchers; majority of these can be characterized by fragility of the theoretical frameworks, in a strictly technical perspective; and the studies aim to improve specific social policies, without questioning why they need to be carried out. Psychological science can only contribute effectively to the society development if academic community promotes a structured articulation around the theme, deepens the theoretical debate and transforms the knowledge built into organized political practice.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"51 1","pages":"456-467"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81149986","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":"Saúde mental em contextos indígenas: Escassez de pesquisas brasileiras, invisibilidade das diferenças","authors":"Marianna Queiróz Batista, Valeska Zanello","doi":"10.5935/1678-4669.20160039","DOIUrl":"https://doi.org/10.5935/1678-4669.20160039","url":null,"abstract":"Mental health in indigenous contexts: Scarcity of Brazilian researches, invisibility of differences. This study aimed to conduct a survey of articles produced on the topic mental health in indigenous contexts between the years 1999 and 2012 in the main Brazilian scientific platforms (SciELO and BVS-PSI). Three groups of descriptors were used, totaling 62 searches, which found 5510 results. Of these, only 14 articles remained after analysis. Data was collected on the distribution by year of publication, subject and object of research, ethnicity and geographic region covered, participation or not of psychology professionals in the study, among others. Also, we assessed whether the concepts of mental health and indigenous were or not problematized, \u0000taking into account the alterity and cultural diversity of these people. It was concluded that the researches are incipient and lack on epistemological reflection to support the complexity of this intercultural dialogue, which discusses knowledge arising from references that are originally so distinct.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"32 1","pages":"403-414"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72486490","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}
Lucas de Francisco Carvalho, Giselle Pianowski, F. Silveira, J. T. Bacciotti, P. Vieira
{"title":"Eccentricity dimension of the Dimensional Clinical Personality Inventory: Review and psychometric properties","authors":"Lucas de Francisco Carvalho, Giselle Pianowski, F. Silveira, J. T. Bacciotti, P. Vieira","doi":"10.5935/1678-4669.20160035","DOIUrl":"https://doi.org/10.5935/1678-4669.20160035","url":null,"abstract":"We aimed to review of the Eccentricity dimension of the Dimensional Clinical Personality Inventory (IDCP), through two steps. The first one focused on developing new items and the second on testing the psychometric properties in a sample of 225 subjects (70.1% females), aging between 18 and 66 years, mostly undergraduate students (58.9%). The subjects answered the IDCP, and the Brazilian versions of the NEO-PI-R, PID-5 and MIS. The first step resulted in 42 items, which 22 were new. The second step resulted in a composite of 18 items, pooled in six interpretable factors, as Interpersonal detachment, Eccentric style, Paranormality, Persecutory style, Depersonalization and Emotional inexpressiveness, with internal consistency coefficients of .85 for the total score, and between .60 and .82 for the factors. The correlations between instruments revealed consistent and expected relations. The data suggested adequacy of the new Eccentricity dimension of IDCP.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"520 1","pages":"359-368"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86878984","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":"Assimilation of problematic experiences in Brief Strategic Therapy: Olivia and her fear of dying / La asimilación de experiencias problemáticas en la Terapia Breve Estratégica: Olivia y su miedo a morir","authors":"Sergio Pérez-Ruiz, Isabel Caro-Gabalda","doi":"10.1080/02109395.2016.1204785","DOIUrl":"https://doi.org/10.1080/02109395.2016.1204785","url":null,"abstract":"Abstract In this research process, Stiles’ assimilation of problematic experiences scale is used to study Olivia’s process of change. The objectives of this study are: first, to describe Olivia’s therapeutically successful assimilation of the problematic experience of fear of dying, treated with brief strategic therapy; and second, to study how that pattern of assimilation unfolded. We can conclude that Olivia assimilated her problematic experience of fear of dying by following a fluctuating and irregular pattern.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"37 1","pages":"311 - 343"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1204785","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212232","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":"Introduction: current developments in psychotherapy process research / Introducción: desarrollos actuales en la investigación del proceso psicoterapéutico","authors":"M. Krause, Carolina Altimir","doi":"10.1080/02109395.2016.1227574","DOIUrl":"https://doi.org/10.1080/02109395.2016.1227574","url":null,"abstract":"Abstract The questions that guide psychotherapy process research are: what changes in psychotherapy? And, how does that change occur? These questions have been present in clinical settings and psychotherapy research for decades, generating a substantial amount of knowledge for the discipline. Based on a questioning of the limitations of traditional psychotherapy research, whose primary focus has been the study of final outcomes of treatment, this area of research has exposed important conceptual and methodological proposals for the study of the process. Despite its long and productive tradition, research into the psychotherapeutic process is currently gathering a new momentum from the growing conviction of the need to focus efforts on studies that can account for the elements, mechanisms and processes associated with change. In this introduction we organize the field of psychotherapy process research, according to its units of analysis — macro- or micro-processes — and the foci on which they are based: content, factors and mechanisms of change. The different ways in which these components are organized are exemplified with the articles included in this monograph. We then give an overview of the most used methods in this field of study, also referring to the studies that report on the application of these methods in this special issue of Studies in Psychology.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"37 1","pages":"201 - 225"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1227574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212340","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}
Mariane Krause, Carolina Altimir, J. C. Pérez, Orietta Echávarri, Nelson Valdés, Katherine Strasser
{"title":"Therapeutic verbal communication in change episodes: a comparative microanalysis of linguistic basic forms / Comunicación verbal terapéutica en episodios de cambio: un microanálisis comparativo de las formas lingüísticas básicas","authors":"Mariane Krause, Carolina Altimir, J. C. Pérez, Orietta Echávarri, Nelson Valdés, Katherine Strasser","doi":"10.1080/02109395.2016.1227575","DOIUrl":"https://doi.org/10.1080/02109395.2016.1227575","url":null,"abstract":"Abstract This study examines clients’ and therapists’ verbal communication during psychotherapy, in order to determine its relation to ongoing change and outcome. It replicates previous studies showing the specificity of verbalizations depending on the speaker (client or therapist) and the phase of therapy, adding its relation to change measured at the level of process and final outcome. 7,009 speaking turns of clients and therapists, nested in 139 change episodes, were analysed regarding the use of the five Linguistic Basic Forms included in the Therapeutic Activity Coding System (TACS) through Hierarchical Modelling. Results show that three of these Linguistic Basic Forms — Question, Assertion and Agreement — are related to ongoing change as well as to final outcome.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"37 1","pages":"514 - 547"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1227575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212391","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}
Paula von Mengden-Campezatto, Fernanda Barcelos-Serralta, L. Habigzang
{"title":"Interrupted therapeutic process of a patient with borderline personality disorder / Proceso terapéutico interrumpido con un paciente con trastorno de personalidad borderline","authors":"Paula von Mengden-Campezatto, Fernanda Barcelos-Serralta, L. Habigzang","doi":"10.1080/02109395.2016.1233710","DOIUrl":"https://doi.org/10.1080/02109395.2016.1233710","url":null,"abstract":"Abstract Aim: to describe and understand an interrupted psychotherapy of a patient with Borderline Personality Disorder. Method: systematic, naturalistic and exploratory case study of the therapeutic dyad. The Therapeutic Cycles Model (TCM) and the Psychotherapy Process Q-Set (PQS) were the instruments used. Results: according to TCM, the case can be divided into two stages: one with cycles of change and one without cycles of change. According to the PQS, the themes addressed by the dyad were relevant to psychotherapy and related to patient diagnosis. However, the patient seemed to be uncommitted to the therapeutic process and did not rely on the therapist to solve her problems. The therapist’s attitudes were adequate but technical interventions were not prominent. The combination of patient and therapist data assisted in understanding why the psychotherapy was abandoned.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"37 1","pages":"484 - 513"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1233710","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212467","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}
Javier Morán, Claudio Martínez, Alemka Tomicic, J. C. Pérez, Mariane Krause, Marcela Guzmán, Diego San Martín, Salvador Angulo, Isabelle Barroux, A. Gerstmann, Cecilia de la Cerda, Diego Portales
{"title":"Verbal and nonverbal expressions of mutual regulation in relevant episodes of psychotherapy / Manifestaciones verbales y no verbales de la regulación mutua en episodios relevantes de psicoterapia","authors":"Javier Morán, Claudio Martínez, Alemka Tomicic, J. C. Pérez, Mariane Krause, Marcela Guzmán, Diego San Martín, Salvador Angulo, Isabelle Barroux, A. Gerstmann, Cecilia de la Cerda, Diego Portales","doi":"10.1080/02109395.2016.1204784","DOIUrl":"https://doi.org/10.1080/02109395.2016.1204784","url":null,"abstract":"Abstract The purpose of this paper is to describe verbal and nonverbal expressions of mutual regulation between patients and therapists through the analysis of relevant episodes of five psychotherapy processes. Microanalyses of discourse, vocal quality and facial expression of emotions were conducted on both patients and therapists in 67 Episodes of Change and 86 Episodes of Rupture of the Therapeutic Alliance. The analyses were carried out using hierarchical regression, showing that both Episodes of Change and Episodes of Rupture correspond to interactional scenarios where patients and therapists use different forms of speech, vocal qualities and facial expressions that account for specific regulation processes which are coherent with such scenarios.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"37 1","pages":"548 - 579"},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1204784","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212619","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":"Relational offers and demands: analysing the conflictual interactional components of anaclitic and introjective female depressive patients / Ofertas y demandas relacionales: análisis de los componentes interaccionales conflictivos de pacientes mujeres depresivas anaclíticas e introyectivas","authors":"Nelson Valdés, L. Arriagada, N. Alamo","doi":"10.1080/02109395.2016.1205872","DOIUrl":"https://doi.org/10.1080/02109395.2016.1205872","url":null,"abstract":"Abstract Depressive symptoms are associated with typical ways of relating to and handling conflict with others. This study empirically analysed the most frequent relational ‘demands’ and ‘offers’ identified in the verbal expressions of depressive patients during the first session, comparing them according to their personality organization (anaclitic vs introjective). The CCRT-LU-S Category System was used to analyse the first session of 27 patients with depressive symptomatology. The results showed that the highest percentage of depressive patients’ interactional components identified were relational ‘offers’, whereas the remainder percentage were relational ‘demands’. At the same time, the highest percentage of those interactional components were verbalized as disharmonious (weakness, withdrawing, unpleasant and fighting) by anaclitic patients, while the highest percentage were verbalized as harmonious (loving or having self-determination) by introjective patients. Implications for clinical relevance of these results are discussed.","PeriodicalId":55642,"journal":{"name":"Estudios De Psicologia","volume":"37 1","pages":"432 - 483"},"PeriodicalIF":0.0,"publicationDate":"2016-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02109395.2016.1205872","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59212294","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}