Subject(s)
Humans , /epidemiology , Cardiologists/education , Cardiologists/psychology , Stress, Psychological , Pandemics , SpainSubject(s)
COVID-19 , Cardiologists/psychology , Stress, Psychological , Cardiologists/education , Humans , Pandemics , SpainABSTRACT
OBJECTIVES: The study aimed to examine whether dissociation and attitudes towards change were associated with the psychopathology in patients with eating disorders (EDs) at 1-year follow-up. METHOD: The study included 110 females with anorexia nervosa and bulimia nervosa (48 and 62 respectively). At the beginning of the study and 1 year later, they were assessed by means of the following questionnaires: Dissociative Experiences Scale, Attitudes Towards Change (ACTA), State-Trait Anxiety Inventory, Rosenberg Self-Esteem Scale, Beck Depression Inventory, Eating Attitude Test, Bulimic Investigatory Test Edinburgh and Body Shape Questionnaire (BSQ). RESULTS: No statistically significant differences were found between both diagnostic groups regarding dissociation scores. The ACTA at baseline, specifically for patients in the contemplation stage, mediate the effect of dissociation on the psychopathological outcome. DISCUSSION: These findings suggest that dissociation might be a transdiagnostic feature related to the EDs outcome. The psychotherapeutic framework must take it into account, particularly in patients in the contemplation stage.
Subject(s)
Anorexia Nervosa/complications , Anorexia Nervosa/therapy , Bulimia Nervosa/complications , Bulimia Nervosa/therapy , Dissociative Disorders/etiology , Feeding and Eating Disorders/complications , Feeding and Eating Disorders/therapy , Psychopathology/methods , Adult , Anorexia Nervosa/psychology , Attitude , Bulimia Nervosa/psychology , Dissociative Disorders/psychology , Feeding and Eating Disorders/psychology , Female , Humans , Male , Treatment Outcome , Young AdultABSTRACT
El trastorno bipolar (TB) es una enfermedad mental grave, de carácter crónico y altamente incapacitante. La clínica principal se basa en severos cambios del ánimo que tienen una duración de semanas a meses. Las descompensaciones agudas de la enfermedad requieren con frecuencia una hospitalización, debido a la presencia de síntomas psicóticos, el alto riesgo de conductas suicidas, o las alteraciones de conductas de los pacientes. Los episodios maniacos o hipomaniacos son los que determinan el diagnóstico, los cuales estarán intercalados por episodios depresivos y periodos de recuperación total o parcial. En el caso de TBI observaremos episodios maniacos y, en TB II, episodios hipomaniacos. Estos cambios anímicos son los que provocan en el paciente un importante deterioro social, laboral y personal. En el presente trabajo nos centramos en 2subtipos de TB, el tipo I y el tipo II. Realizaremos una revisión bibliográfica sobre las variables clínicas, evolutivas y pronósticas
Bipolar disorder (BD) is a chronic and highly disabling mental illness. The clinical signs include severe alterations in the mood of the patient, which can last from few days to weeks. The decompensation of the disease often requires hospital admission because of the presence of psychotic symptoms, the high risk of suicidal, and alterations in behaviour. The manic or hypomanic episodes determine the diagnosis. It should be noted that the treatment is characterised by intermittent episodes where the patient feels depressive, and periods where the recovery can seem to be total. While manic episodes can be observed in the case of BD I, in BD II hypomanic episodes could appear. These changes in the mood of the patients are the main cause of a significant deterioration in the social, work and personal life. The present work focuses on the mentioned 2subtypes of BD, carrying out a review of the literature dealing with clinical, evolutionary, and prognostic variables
Subject(s)
Humans , Bipolar Disorder/classification , Bipolar and Related Disorders/diagnosis , Prognosis , Psychotic Disorders/diagnosis , Symptom Assessment , Symptom Flare Up , Depressive Disorder/diagnosis , Diagnosis, Differential , Psychosocial DeprivationABSTRACT
Autism spectrum disorder diagnosis is currently based on clinical observations and behavioral evaluations exclusively, without any biological determination. Molecular biomarkers are usually obtained from biological fluids, such as blood or urine, generally through invasive and uncomfortable procedures. Patients with autism are characterized by sensory reactivity and behavioral difficulties which make sample collection problematic. Saliva has emerged as a feasible alternative to obtain relevant biological information and is especially indicated in the case of children with autism due to its painless and noninvasive sampling characteristics. Furthermore, saliva represents a valuable resource to study candidate biomarkers of autism. This has resulted in a number of interesting studies reported during the last 5 years that we have gathered and briefly discussed.
