Carlos Castilla del Pino: resistir, explorar, comunicar / Carlos Castilla del Pino: Resisting, Exploring, Communicating

A partir de una experiencia en común, se intenta resaltar alguna característica personal descollante de Carlos Castilla del Pino que le permitió resistir la atonía socio-cul-tural y profesional del franquismo y desarrollar, a pesar de todo, una vida profesional y teó-rica relevante. Tuvo que resistir esa atonía y amordazamiento de la larga noche de piedra y argamasa del franquismo en una ciudad de provincias duramente represaliada durante la guerra y posguerra civil española, dominada por tanto durante decenios por el fascismo institucional e ideológico. A pesar de ello, Carlos Castilla logró desarrollar una obra teórica (en especial en psicopatología, antropología e ideología) sumamente avanzada, coherente y arriesgada, para cuya compresión propongo un marco pragmático. El lema republicano, resistir es vencer, podría ser un buen resumen de su vida profesional y teórica, aunque es más dudoso que tal afirmación pueda tener el mismo valor para su vida personal. (AU)

Based on a common experience, we try to highlight some outstanding perso-nal characteristic of Carlos Castilla del Pino that allowed him to resist the socio-cultural and professional lethargy of Francoism and develop, despite everything, a relevant pro-fessional and theoretical life. To do so, he had to resist that lethargy and gagging of the long night of stone and mortar of Francoism and, on top of that, in a provincial city hars-hly retaliated during and after the Spanish civil war; therefore dominated for decades by institutional and ideological fascism. Despite this, Castilla del Pino managed to develop a highly advanced, coherent and risky theoretical work, especially in psychopathology, anthropology and ideology, for whose understanding I propose a pragmatic framework. The Republican motto, “to resist is to win”, could be a good summary of his professional and theoretical life, although it is more doubtful that such statement can have the same value for his personal life. (AU)

[Prevention of mental health disorders in primary care: Pregnancy in adolescence]. / Prevención de los trastornos de la salud mental. Embarazo en la adolescencia.

Adolescent pregnancy is generally an unwanted pregnancy, a situation that involves significant biological, psychological and social overloads, with repercussions on the health of the mother and the child. But the psychosocially important fact is that an unwanted pregnancy in its entirety gives rise to the birth of an ambivalently wanted child, a high-risk child. Those born in Spain in 2020 to women under 20 years of age were 8,305, which corresponds to 1.97% of all births. This review presents measures and recommendations for the protection and prevention of the mental health of the mother and child when pregnancy takes place in adolescence.

Pandemia de la COVID-19 y salud mental: reflexiones iniciales desde la atención primaria de salud española / COVID-19 pandemic and mental health: Initial considerations from spanish primary health care

En el trabajo se hace una aproximación a las características psicológicas y psicosociales que está adquiriendo la pandemia de la COVID-19 en los países de nuestro medio socio-cultural. Se discute la escasez de investigaciones al respecto y la necesaria aceptación de la incertidumbre para enfrentar la situación, tanto a nivel social, como sanitario y personal. En consecuencia, se proponen una serie de reflexiones y recomendaciones para los cuidados psicológicos de la población, los trabajadores sanitarios y la organización social basándose en: 1) La existencia de investigaciones psicológicas y psicosociales sobre temas conectados con estos y 2) En las nuevas perspectivas neurocientíficas sobre las emociones y su elaboración en situaciones de crisis

An approach is made to the psychological and psychosocial characteristics that the COVID-19 pandemic is acquiring in the countries of our socio-cultural environment. The scarcity of research in this regard and the necessary acceptance of uncertainty to face the situation, both socially, as well as health and psychological, are discussed. Consequently, a series of reflections and recommendations are proposed for the psychological care of the population, health workers and social organization based on: 1) The existence of psychological and psychosocial research into connected fields and 2) In the new neuroscientific perspectives on emotions and their elaboration in crisis situations

[COVID-19 pandemic and mental health: Initial considerations from spanish primary health care]. / Pandemia de la COVID-19 y salud mental: reflexiones iniciales desde la atención primaria de salud española.

An approach is made to the psychological and psychosocial characteristics that the COVID-19 pandemic is acquiring in the countries of our socio-cultural environment. The scarcity of research in this regard and the necessary acceptance of uncertainty to face the situation, both socially, as well as health and psychological, are discussed. Consequently, a series of reflections and recommendations are proposed for the psychological care of the population, health workers and social organization based on: 1) The existence of psychological and psychosocial research into connected fields and 2) In the new neuroscientific perspectives on emotions and their elaboration in crisis situations.

Pandemia y salud mental de la infancia: Entre la negligencia, la identificación proyectiva y la reparación / No disponible

No disponible

¿Cómo mejorar la perspectiva integrativa de los médicos clínicos? (II): dos muestras descriptivas de grupos de reflexión "tipo Balint" / How to improve the integrative approach in clinicians (II): two descriptive samples of "Balint-type" reflection groups

Los grupos Balint significaron una importante aportación para la formación y la formación continuada del personal sanitario, y, a mi entender, del personal de todos los servicios asistenciales. En ese sentido, las ideologías, políticas y economías “neoliberales” en el ámbito asistencial proponen otro modelo de asistencia y de “formación” (¿o deformación?) de los médicos y del personal asistencial. Su progresivo avance es una de las explicaciones fundamentales para el declive en el uso de procedimientos de formación integral, formación continuada y formación para la reparatividad. En el trabajo anterior se realizó una breve descripción de la difusión y extensión de los grupos “tipo Balint” tanto a nivel nacional como internacional, así como de sus cambios técnicos. Mi perspectiva actual es que los “grupos de reflexión”, como sistemas de formación y contención del personal comunitario, siguen siendo una técnica o sistema que podría proporcionar importantes ayudas en la asistencia sanitaria y comunitaria clínica. Para contribuir a su conocimiento lo más directo posible, se incluyen dos muestras descriptivas: una transcripción completa de una sesión y un listado de los temas y aproximaciones realizadas en diversas sesiones de uno de dichos grupos

Balint groups represented an important contribution to the training and continuous education of health personnel, and, in my opinion, of the personnel of all healthcare services. In this sense, "neoliberal" ideologies, policies and economies in the health care field propose another model of doctors and health care personnel attention and "training" (or rather deformation?). Its progressive advance is one of the fundamental explanations for the decline in the use of comprehensive training procedures, continuous training, and training for reparativity. In the previous work, a brief description of the diffusion and extension of "Balint type" groups, both nationally and internationally, as well as of their technical changes, was made. My current perspective is that "reflection groups", as training and contention systems for community personnel, continue to be a technique or tool that could provide important aid in clinical health and community care. Here, to contribute to its knowledge as directly as possible, two descriptive samples are included: a complete transcription of a session and a list of the topics and approximations made in different sessions of one of these groups

¿Cómo mejorar la perspectiva integrativa de los médicos clínicos?: una revisión acerca de los grupos Balint y los grupos de reflexión (I) / How to improve the integrative approach in clinicians: a review of Balint and reflection groups

Los grupos Balint, tardíamente reconocidos por las especialidades médicas en nuestro país, significaron una importante aportación para la formación y la formación continuada del personal sanitario y, a mi entender, del personal de todos los servicios asistenciales. Pero son solo una aportación para un modelo asistencial: el modelo basado en la asistencia pública, la solidaridad, el comunitarismo y la atención integral. En ese sentido, las ideologías, políticas y economías neoliberales en el ámbito asistencial proponen otro modelo de asistencia y de formación (¿o deformación?) de los médicos y del personal asistencial. Su progresivo avance es una de las explicaciones fundamentales del declive en el uso de procedimientos de formación integral, formación continuada y formación para la reparatividad. Precisamente, esos eran los objetivos básicos de los grupos Balint y de los grupos de reflexión, los que los llevaron a ocupar un lugar relevante durante los años ochenta y noventa del siglo XX en la formación de los especialistas de medicina de familia y comunitaria en numerosos países del "primer y segundo mundos". En este trabajo se realiza una breve descripción de la difusión y extensión de los grupos "tipo Balint" tanto a nivel nacional como internacional. Apoyándome en otros trabajos anteriores sobre el tema, se apuntan algunas de sus variantes y aplicaciones. Mi perspectiva actual es que los grupos de reflexión, como sistemas de formación y contención del personal comunitario, siguen siendo una técnica o sistema que podría ayudar de forma importante a lograr esos objetivos. Sin embargo, están siendo progresivamente arrinconados en los sistemas de formación occidentales con el silencio cómplice de numerosos administradores y docentes sanitarios, psicoanalistas incluidos

Balint groups, belatedly recognized by medical specialties in our country, meant an important contribution to the training and continuing education of health personnel, and, in my opinion, of personnel across all healthcare services. However, they are only a part of a welfare model: the model based on public assistance, solidarity, communitarianism, and comprehensive care. In this regard, neoliberal ideologies, policies and economies in care settings propose another model of assistance and "formation" (or deformation?) of doctors and health care personnel. Its progressive advance is one of the fundamental explanations for the decline in the use of comprehensive training procedures, ongoing training, and training for reparation. Precisely, these were the basic objectives of Balint and reflection groups, which led them to play a relevant part in the training of family and community medicine specialists in many first and second world countries during the eighties and nineties of the twentieth century. In this paper a brief description of the diffusion and extension of Balint-type groups is made, both nationally and internationally. Drawing on other previous works on the subject, some of their variants and applications are pointed out. My current perspective is that reflection groups, as systems of containment and training of care and community personnel, continue to be a technique or system that could provide important support for these objectives. However, they are being progressively cornered in Western training systems with the complicit silence of many health administrators and teachers, including psychoanalysts

¿Trastorno límite de personalidad, trastorno por inestabilidad emocional o trastorno por desequilibrio emocional?: una actualización para la Atención Primaria de Salud / Is it a borderline personality disorder, an emotional instability disorder or an emotional imbalance disorder? An update for Primary Health Care / Trastorn límit de la personalitat, trastorn per inestabilitat emocional o trastorn per desequilibri emocional?

El trastorno límite de personalidad es uno de los trastornos más debatidos de la psiquiatría y la psicopatología contemporáneas. Además, es un problema que en atención primaria manifiesta una prevalencia y una frecuentación mayor y más grave que otros muchos tipos de problemas, tanto orgánicos como emocionales. Sin embargo, es uno de los cuadros de la psicopatología actual que resulta más urgente replantearse, al menos desde las perspectivas teóricas, etiopatogénicas y terapéuticas

The borderline personality disorder is one of the most debated disorders in contemporary psychiatry and psychopathology. In addition, in primary care, it represents a more severe problem, with higher and more frequent prevalence compared to other types of problems, both organic and emotional. However, it is one of the icons of the current psychopathology that is most urgent to reconsider, at least from the theoretical, etiopathogenic and therapeutic perspectives

El trastorn límit de la personalitat és un dels trastorns més debatuts de la psiquiatria i la psicopatologia contem-porànies. A més, és un problema que a l'atenció primária manifesta una prevalença i una freqüentació més gran i més greu que molts altres tipus de problemes, tant orgánics com emocionals. No obstant, és un dels quadres de la psicopatologia actual que resulta més urgent replantejar-se, almenys des de les perspectives teóriques, etiopatogéniques i terapéutiques

Investigación de una sospecha de brote de lipoatrofia semicircular en niños / Investigation of a suspected outbreak of lipoatrophia semicircularis in children

Antecedentes y objetivo: Los informes recientes sobre brotes de lipoatrofia semicircular (LS) en diversos países han generado debate acerca del papel potencial de las características ambientales de los puestos de trabajo en los nuevos edificios. El objetivo de este estudio fue investigar la sospecha de un brote de LS entre los niños de una guardería pública de Barcelona, lo cual generó una tremenda alarma. Métodos: Realizamos una valoración epidemiológica, incluyendo análisis descriptivo y de prevalencia, y una investigación ambiental seguida de una valoración psiquiátrica de acuerdo con los criterios de Small. Comparamos la prevalencia de LS y su intervalo de confianza del 95% entre los niños y entre el personal de la guardería en estudio, y con otros centros. Resultados: Entre los 86 niños que acudieron a la guardería detectamos 11 casos confirmados y 2 casos posibles de LS (15,1%), y entre los 41 niños que acudieron a otros centros identificamos 8 casos confirmados y 4 casos posibles (29,3%) (p=0,10). Entre el personal de la guardería, detectamos 8 casos de LS (66,7%), y entre las 19 mujeres que trabajaban en otros sitios identificamos 14 con la misma condición que el personal (73,7%) (p=0,98). Se clasificaron finalmente todas las lesiones como hendiduras con diferentes localizaciones. La evaluación ambiental no identificó ningún factor de riesgo con relación significativa con la aparición del brote. Dicho brote compartió 13 de los criterios de Small en relación con el trastorno somatoforme epidémico («histeria colectiva»). Conclusión: La presencia de hendiduras puede considerarse como una variante de la normalidad en las extremidades inferiores de los niños. El desarrollo característico del proceso nos conduce a la conclusión de que este brote fue un trastorno somatoforme epidémico (AU)

Background and objective: Recent reports of outbreaks of lipoatrophia semicircularis (LS) in various countries have generated discussion regarding the potential role of the environmental characteristics of office workplaces in new buildings. The objective of this study was to investigate a suspected outbreak of LS among children in a public school in Barcelona, which generated tremendous alarm. Methods: We performed an epidemiological assessment including descriptive and prevalence analyses, and an environmental investigation followed by a psychiatric assessment according to Small's criteria. We compared the prevalence of LS and its 95% confidence interval between children and staff attending the day-care centre under study and other centres. Results: Among 86 children attending a day-care centre we detected 11 confirmed and 2 possible cases of LS (15.1%) while among 41 children attending other day-care centres we identified 8 cases and 4 possible cases (29.3%) (P=.10). Among 12 day-care staff, we detected 8 cases of LS (66.7%) while among 19 women working different jobs we identified 14 with the same condition as the staff (73.7%) (P=.98). All lesions were finally classified as indentations with different locations. The environmental evaluation didn’t identify any exposure factors with a significant role in the onset of the outbreak. The outbreak shared 13 of Small's 16 criteria regarding epidemic somatoform disorder (‘mass hysteria’). Conclusion: The presence of indentations can be considered a normal variant in the lower extremities of children. The characteristic development of the process leads us to the conclusion that this outbreak was an epidemic somatoform disorder (AU)

Investigation of a suspected outbreak of lipoatrophia semicircularis in children. / Investigación de una sospecha de brote de lipoatrofia semicircular en niños.

BACKGROUND AND OBJECTIVE: Recent reports of outbreaks of lipoatrophia semicircularis (LS) in various countries have generated discussion regarding the potential role of the environmental characteristics of office workplaces in new buildings. The objective of this study was to investigate a suspected outbreak of LS among children in a public school in Barcelona, which generated tremendous alarm. METHODS: We performed an epidemiological assessment including descriptive and prevalence analyses, and an environmental investigation followed by a psychiatric assessment according to Small's criteria. We compared the prevalence of LS and its 95% confidence interval between children and staff attending the day-care centre under study and other centres. RESULTS: Among 86 children attending a day-care centre we detected 11 confirmed and 2 possible cases of LS (15.1%) while among 41 children attending other day-care centres we identified 8 cases and 4 possible cases (29.3%) (P=.10). Among 12 day-care staff, we detected 8 cases of LS (66.7%) while among 19 women working different jobs we identified 14 with the same condition as the staff (73.7%) (P=.98). All lesions were finally classified as indentations with different locations. The environmental evaluation didn't identify any exposure factors with a significant role in the onset of the outbreak. The outbreak shared 13 of Small's 16 criteria regarding epidemic somatoform disorder ("mass hysteria"). CONCLUSION: The presence of indentations can be considered a normal variant in the lower extremities of children. The characteristic development of the process leads us to the conclusion that this outbreak was an epidemic somatoform disorder.

Reliability and Validity of the List of Mental Health Items (LISMEN).

BACKGROUND: The detection of risk factors is a key element in the prevention of mental health disorders. It is widely known that in the formation of personality and its disorders, relational experiences (vital events) in childhood condition both neurological and emotional development. The accumulation of these circumstances brings about altered life trajectories, which make people more vulnerable to mental health disorders. METHOD: A structured interview called LISMEN was designed based on the scientific literature to detect the risk of developing mental health disorders. A descriptive, reliability, and validity statistical study was carried out on four samples, one of which was the control group. There were 372 subjects in total. RESULTS: The technique was highly reliable (kappa coefficient 0.7 [p<0.05]) and internally consistent (Cronbach's alpha between 0.80 and 0.98). Sensitivity and specificity were high (AUC [Area Under Curve] OR =1.18 [1]), with the cut-off point between 9 and 10. CONCLUSIONS: LISMEN is a useful tool for detecting the risk of developing mental health disorders. A score of 10 or higher indicates that the subject belongs to the most sensitive or vulnerable population group at risk.

Impact of attachment style on the 1-year outcome of persons with an at-risk mental state for psychosis.

Attachment theory provides key elements for understanding the psychosocial vulnerability for and response to the emergence of psychosis. This study examined (1) whether pre-treatment attachment styles are differentially associated with clinical and functional outcome in at-risk mental state (ARMS) for psychosis patients across one year of psychosocial treatment, and (2) whether clinical change is associated with changes in attachment ratings beyond the effect of baseline symptom severity. Thirty-eight ARMS patients (mean age=16.7, S.D.=5.9) identified from a psychosocial needs-adapted treatment were evaluated with the Positive and Negative Syndrome Scale, the Global Assessment of Functioning, and the Relationships Questionnaire. Lower levels of insecure-avoidant attachment predicted better clinical outcomes, whereas higher levels of secure attachment predicted improvement in functioning. A decrease in preoccupied-anxious attachment was associated with symptom amelioration. The findings suggest that the intensity of insecure attachment plays a significant role in the clinical outcome of ARMS patients involved in psychosocial treatment. Reducing the levels of insecure attachment in the therapeutic setting probably favors a better course in the early phases of psychosis. Furthermore, the finding that negative models of the self and others were associated with symptom outcome is consistent with current psychosocial models of psychosis.

Una revisión sobre los factores de riesgo en la infancia para la esquizofrenia y los trastornos mentales graves del adulto / Review of risks factors in childhood for schizophrenia and severe mental disorders in adulthood

OBJETIVO: A través de la revisión bibliográfica sobre los factores de riesgo psicosociales en salud mental se pretende demostrar la existencia de una asociación entre la acumulación de factores estresantes en la infancia y el incremento del riesgo de aparición de un trastorno mental en la vida adulta. DISEÑO: Búsqueda bibliográfica, realizada hasta diciembre del 2011, en las bases de datos electrónicas de Medline y de las universidades Autónoma y central de Barcelona. Las palabras clave utilizadas fueron: infancia, prenatal, vulnerabilidad, riesgo, abusos, negligencia, trastorno mental en la infancia, esquizofrenia, prevención. Selección de estudios: Los incluidos fueron aquellos que cumplían las siguientes condiciones: a) estudios prospectivos sobre acontecimientos vitales adversos en la gestación, parto o infancia; b) estudios que incluyan grupo control; c) estudios con información estadística el riesgo de aparición de trastornos mentales, y d) estudios de tamaño de la muestra superior a 30 sujetos. RESULTADOS: Existe una amplia variedad de factores de riesgo fáciles de identificar en la infancia y que pueden ayudar a prevenir la aparición de un trastorno mental grave. Se pueden agrupar en: a) embarazo, parto y puerperio; b) alteración de los vínculos con las figuras paternas; c) los 2 primeros años de vida, y d) dificultades en los aprendizajes y en las relaciones en la escuela. CONCLUSIONES: Existen acontecimientos vitales que pueden ser considerados de riesgo para la salud mental de un niño. Se ha demostrado que la acumulación de estas circunstancias genera una trayectoria de vida alterada que hace más vulnerables a las personas ante la posibilidad de presentar un trastorno mental (AU)

AIM: To provide scientific evidence, using a literature review on psychosocial risk factors in mental health, that a high exposure to psychosocial stress situations in childhood increases the risk of mental disorders in adult hood,. DESIGN: A literature review up to December 2011 in the electronic databases from Medline, Universitat de Barcelona, and the Universitat Autonoma de Barcelona. The keywords used were: childhood, prenatal, vulnerability, risk, abuse, neglect, child mental disorder, schizophrenia, and prevention. Inclusion criteria for the studies reviewed: 1) designed to investigate childhood risk factors; 2) Comparative studies with persons without risk factors; 3) Studies with sufficient statistical significance; 4) Studies with ''n'' participants equal to o more than30 persons. RESULTS: There are a group of easily identifiable mental health risk factors in childhood that can help in the prevention of mental disorders in the adulthood. They can be grouped into four categories: A) Pregnancy, birth and perinatal problems; B) Poor interpersonal relations with parents; C) Adverse life events in the first two years of life; D) Cognitive deficits in primary school, and social isolation during school years. CONCLUSIONS: There are life events that may increase the possibilities of suffering some kind of Psychopathology. It is necessary to consider those events as Risk Factors for Mental Health. The accumulation of these Risk Factors increases vulnerability to Mental Disorders

[Review of risks factors in childhood for schizophrenia and severe mental disorders in adulthood]. / Una revisión sobre los factores de riesgo en la infancia para la esquizofrenia y los trastornos mentales graves del adulto.

AIM: To provide scientific evidence, using a literature review on psychosocial risk factors in mental health, that a high exposure to psychosocial stress situations in childhood increases the risk of mental disorders in adulthood,. DESIGN: A literature review up to December 2011 in the electronic databases from Medline, Universitat de Barcelona, and the Universitat Autonoma de Barcelona. The keywords used were: childhood, prenatal, vulnerability, risk, abuse, neglect, child mental disorder, schizophrenia, and prevention. Inclusion criteria for the studies reviewed: 1) designed to investigate childhood risk factors; 2) Comparative studies with persons without risk factors; 3) Studies with sufficient statistical significance; 4) Studies with "n" participants equal to o more than 30 persons. RESULTS: There are a group of easily identifiable mental health risk factors in childhood that can help in the prevention of mental disorders in the adulthood. They can be grouped into four categories: A) Pregnancy, birth and perinatal problems; B) Poor interpersonal relations with parents; C) Adverse life events in the first two years of life; D) Cognitive deficits in primary school, and social isolation during school years. CONCLUSIONS: There are life events that may increase the possibilities of suffering some kind of Psychopathology. It is necessary to consider those events as Risk Factors for Mental Health. The accumulation of these Risk Factors increases vulnerability to Mental Disorders.

Taller de sensibilización en salud mental: una experiencia de prevención con adolescentes / Workshop on mental health: a prevention experience with teenagers

La prevención en salud mental es un objetivo prioritario que al utilizar actividades accesibles a la población evita la estigmatización y favorece la detección y tratamiento precoz. En el ámbito escolar la Educación Secundaria Obligatoria es el último escalón social donde se vinculan todos los ciudadanos.El taller se realiza en base a una actividad grupal con estímulo previo: el cuestionario de autopercepción de salud, el GHQ-28 y la técnica de “lluvia de ideas”. Posteriormente, en grupo, se comentan las vivencias de los adolescentes. La actividad se realiza con alumnos de la ESO, de una zona de Barcelona, en colaboración con los Equipos de Asesoramiento Psicopedagógico.Resultados: un 35% obtienen puntuaciones de rango patológico en la autopercepción de salud y quieren saber que les ocurre. Las valoraciones cualitativas del grupo muestran un alto grado de satisfacción, tanto del profesorado como del alumnado ya que hablan de temas, a menudo, estigmatizantes (AU)

Promotion of Mental Health has become a priority of social and health policies. The aim is to avoid the mental disorders stigma associated and bring awareness to improve early detection and treatment. School institution, particularly High School, is the last step required for citizens. Workshop on mental health based on a group activity with two steps of intervention: a pre encouragement, students must answer the GHQ-28 and participate in a “brainstorming”. Later the student’s ideas and experiences are discussed in group. This intervention was taken place in three different Barcelona neighbourhoods in collaboration with Psycho pedagogical Counselling Equipment. The results show that about 35% of teenagers have a pathological range scores on their own perception of mental health and are interested to know more about themselves. The qualitative evaluations about the group show a high satisfaction in both teachers and pupils, to discuss issues whom often are stigmatizing(AU)

Estudio de la calidad de vida en pacientes con psicosis incipiente / Study of the quality of life of patients in early psichosis

Introducción: La descripción de las características de personas diagnosticadas de Estado Mental de Alto Riesgo (EMAR), que son susceptibles de convertirse en un Primer Episodio Psicótico (PEP), es el primer paso para la prevención primaria y secundaria efectuada en los servicios de nuestro sistema sociosanitario. Material: 23 pacientes diagnosticados de EMAR y otros 23 de PEP que han sido atendidos en el Equipo de Atención Precoz a Pacientes en riesgo de Psicosis (EAPPP) de Barcelona, durante el período 2006-2011. Método: Estudio transversal descriptivo para determinar la percepción subjetiva de la calidad de vida, condiciones psicosociales y clínicas de pacientes según presenten un EMAR o un PEP. Resultados: Se observa que los pacientes con EMAR y PEP tienen una percepción subjetiva de la calidad de vida y un Funcionamiento Global (GAF) similar, a pesar de obtener puntuaciones diferentes en la escala PANSS. Conclusiones: A la vista de los resultados, es importante diagnosticar a las personas que presentan un EMAR, cuyas características psicosociales son similares a las que presentan un PEP, para así evitar una posible evolución hacia un trastorno psicótico (AU)

The description of the characteristics of persons diagnosed with Ultra High Risk (UHR) of psychosis, which are likely to become a First Episode of Psychosis (FEP), is the first step primary and secondary prevention made in our health service system. Material: 23 patients diagnosed EMAR and 23 of PEP who have been treated in the Early Care Team for Patients at risk of psychosis (EAPPP) of Barcelona, between the years 2006-2011. Method: Descriptive cross-sectional study to determine the subjective perception of quality of life, psychosocial and clinical conditions of patients by presenting At-Risk Mental State of psychosis (EMAR) or a First Episode of Psychosis (PEP). Results: Patients with EMAR and PEP have a subjective perception of quality of life and a similar Global Functioning despite getting different scores on the PANSS scale. Conclusions: It is important to diagnose people with EMAR, whose psycho-social characteristics are similar to PEP, in order to avoid a possible evolution towards a psychotic disorder (AU)