RESUMO
BACKGROUND: and purpose: Heart rate variability (HRV) represents a marker of autonomic activity, self-regulation and psychiatric illness. Few studies of manual therapy have investigated the neurophysiological effects of manual cranial therapy (MC-t). This study assessed the neurophysiological short/medium-term effects of two manual therapy interventions: massage therapy (Mss-t) and MC-t. MATERIALS AND METHODS: A double-blind clinical trial was conducted with 50 healthy children, randomized into two groups who received a Mss-t intervention or MC-t. The variables analysed included vital signs (temperature, respiratory rate, heart rate, blood pressure) and HRV components, including the root mean square of successive differences (RMSSD), high frequency (HF), low frequency (LF) and LF/HF ratio. RESULTS: Both interventions produced short-term parasympathetic effects, although the effects of MC-t were more persistent. CONCLUSION: The persistence of the MC-t intervention suggested a prominent vagal control and better self-regulation. Autonomic imbalances in mental pathologies may benefit from the neurophysiological effects of MC-t.
Assuntos
Frequência Cardíaca/fisiologia , Manipulações Musculoesqueléticas , Criança , Método Duplo-Cego , Humanos , Taxa Respiratória/fisiologiaRESUMO
El síndrome velo-cardio-facial (SVCF) es una alteración cromosómica frecuente con afectación multisistémica, incluyendo alteración neurocognitiva y psiquiátrica, siendo el factor genético de más riesgo para esquizofrenia. En este caso clínico analizamos las manifestaciones clínicas de una paciente con SVCF, con comienzo de esquizofrenia de inicio temprano, así como la compleja intervención terapéutica
Velocardiofacial syndrome (VCFS) is a common chromosome alteration with multisystemic affectation, including neurocognitive deficit and psychiatric manifestations. It is the highest genetic risk factor known for the development of schizophrenia. In this case report we analyze the clinic manifestations of a patient affected with VCFS, with debut of early onset schizophrenia. As well as the complex therapeutic intervention required
Assuntos
Humanos , Feminino , Adolescente , Antipsicóticos/administração & dosagem , Esquizofrenia/tratamento farmacológico , Síndrome de DiGeorge/tratamento farmacológico , Síndrome de DiGeorge/complicações , Esquizofrenia/complicações , Anticonvulsivantes/uso terapêutico , Clozapina/efeitos adversosRESUMO
No disponible
Assuntos
Humanos , Feminino , Adolescente , Síndrome de Asperger/complicações , Transtorno Bipolar/complicações , Transtorno Autístico/complicações , Comorbidade , Fatores de Risco , Sintomas Afetivos/tratamento farmacológicoRESUMO
INTRODUCTION: Self-perceived weight status among adolescents has been associated with weight-control behaviors. However, this relationship varies across weight status. OBJECTIVES: The aim of this study was to examine the effect of self-perceived weight status on dieting and unhealthy weight-control behaviors among Spanish male adolescents, across weight status. METHOD: Participants were 597 Spanish male adolescents (M = 13.94 years old, SD = 0.60). Body weight and height were measured in situ. Self-perceived weight status, dieting, and unhealthy weight-control behaviors were evaluated. RESULTS: The adolescents were inaccurate on estimating their weight status. Those who were overweight or obese, or who perceived themselves to be so, were more likely to report dieting and unhealthy weight-control behaviors. DISCUSSION: There is a need to promote healthier eating behaviors among adolescents, and to take into account the fact that self-perceived weight status may hinder the adoption of such behaviors.
Introducción: El estatus de peso percibido se ha asociado a conductas de control del peso en adolescentes. Esta relación varía de acuerdo al estatus de peso corporal. Objetivos: Explorar el efecto del estatus de peso percibido sobre la práctica de dieta y conductas no saludables de control del peso en adolescentes varones españoles, considerando su estatus de peso. Método: Participaron 597 adolescentes (M = 13,94 años, DS = 0,60). Se registró in situ la talla y peso corporal. Se evaluó el peso percibido, la práctica de dieta y conductas no saludables de control del peso. Resultados: Los adolescentes fueron inexactos al estimar su estatus de peso. Aquellos con sobrepeso, obesidad o los que se percibían como tales, fueron los que más informaron hacer dieta y conductas no saludables de control del peso. Discusión: Es necesario promover conductas alimentarias saludables entre los adolescentes y considerar que el estatus de peso percibido puede limitar la adopción de estos comportamientos.
Assuntos
Peso Corporal , Dieta Redutora , Comportamento Alimentar , Autoimagem , Adolescente , Humanos , Masculino , EspanhaRESUMO
The aim of the present study was to examine the association between sociocultural influences to attain an ideal body and body change strategies (BCS) in Spanish adolescent boys of different weight status. A total of 594 Spanish boys (M=13.94 years, SD=0.20) participated. Measures included in the study were weight status according to body mass index (BMI), sociocultural influences (perceived pressures to attain an ideal body, general internalization of an ideal body, internalization of an athletic-ideal body), BCS to lose/control weight (dieting, healthy and unhealthy weight-control behaviors), and BCS to gain weight and muscles. Underweight boys engaged more frequently in weight-gain behaviors. Overweight boys reported higher levels of perceived sociocultural pressures and general internalization compared to normal-weight boys, and were more likely to be engaged in BCS to lose/control weight compared with the other weight-status groups. There were no differences between groups in terms of internalization of an athletic-ideal body and BCS to increase muscles. Future research and prevention programs should consider male-specific behaviors and weight-status differences.
Assuntos
Imagem Corporal/psicologia , Comportamentos Relacionados com a Saúde , Sobrepeso/psicologia , Percepção Social , Magreza/psicologia , Adolescente , Índice de Massa Corporal , Características Culturais , Humanos , Masculino , Força Muscular , Espanha , Aumento de Peso , Redução de PesoRESUMO
Introduction: Self-perceived weight status among adolescents has been associated with weight-control behaviors. However, this relationship varies across weight status. Objectives: The aim of this study was to examine the effect of self-perceived weight status on dieting and unhealthy weight-control behaviors among Spanish male adolescents, across weight status. Method: Participants were 597 Spanish male adolescents (M = 13.94 years old, SD = 0.60). Body weight and height were measured in situ. Self-perceived weight status, dieting, and unhealthy weight-control behaviors were evaluated. Results: The adolescents were inaccurate on estimating their weight status. Those who were overweight or obese, or who perceived themselves to be so, were more likely to report dieting and unhealthy weight-control behaviors. Discussion: There is a need to promote healthier eating behaviors among adolescents, and to take into account the fact that self-perceived weight status may hinder the adoption of such behaviors (AU)
Introducción: El estatus de peso percibido se ha asociado a conductas de control del peso en adolescentes. Esta relación varía de acuerdo al estatus de peso corporal. Objetivos: Explorar el efecto del estatus de peso percibido sobre la práctica de dieta y conductas no saludables de control del peso en adolescentes varones españoles, considerando su estatus de peso. Método: Participaron 597 adolescentes (M = 13,94 años, DS = 0,60). Se registró in situ la talla y peso corporal. Se evaluó el peso percibido, la práctica de dieta y conductas no saludables de control del peso. Resultados: Los adolescentes fueron inexactos al estimar su estatus de peso. Aquellos con sobrepeso, obesidad o los que se percibían como tales, fueron los que más informaron hacer dieta y conductas no saludables de control del peso. Discusión: Es necesario promover conductas alimentarias saludables entre los adolescentes y considerar que el estatus de peso percibido puede limitar la adopción de estos comportamientos (AU)
Assuntos
Adolescente , Humanos , Masculino , Autoimagem , Imagem Corporal , Comportamento Alimentar , Nutrição do Adolescente , Pesos e Medidas Corporais/estatística & dados numéricos , Redução de Peso , Comportamento AlimentarRESUMO
Objetivo: Determinar el coste y la carga social de la depresión en la ciudad de Sabadell en los años 2007 y 2008. Método: El coste social asociado a la depresión se calculó a partir del enfoque de la prevalencia, según la información obtenida en el desarrollo del proyecto European Project Against Depression (EAAD). Los resultados se refirieron al coste de los recursos públicos utilizados, y las fuentes provinieron de los registros oficiales correspondientes. Resultados: El coste directo público de la depresión en la ciudad de Sabadell fue de 9.155.620 € en 2007 y de 9.304.706 € en 2008. El peso relativo de las visitas de atención primaria y el consumo de fármacos representaron más del 85% del coste directo. En el apartado de los costes indirectos no se ha podido obtener el correspondiente a la incapacidad laboral permanente. En 2007 los costes indirectos alcanzaron los 9.720.225 € y en 2008 fueron 9.763.541 €. En ambos casos, el peso correspondiente a la incapacidad laboral transitoria fue el más importante, llegando a 8.561.962 € y 7.333.181 €, respectivamente. Conclusiones: La depresión ocasiona un sustancial impacto económico sobre el sistema sanitario, ya que se asocia a unos altos costes directos públicos. Sin embargo, en el apartado de los costes indirectos, el desconocimiento del coste relacionado con la incapacidad laboral permanente provoca un vacío importante, pues para esta afección esta categoría de coste es la que representa un porcentaje más grande (AU)
Objective: To determine the social cost and burden of depression in the city of Sabadell (Barcelona, Spain) in 2007 and 2008. Method: The social cost of depression was calculated using the prevalence approach, based on information obtained in the development of the European Project Against Depression (EAAD). The results referred to the cost of public resources used, and the sources came from the appropriate official registers. Results: The direct public cost of depression in the city of Sabadell was € 9,155,620 in 2007 and € 9,304,706 in 2008. The relative weight of primary care visits and the use of drugs accounted for more than 85% of direct costs. In the section of indirect costs, the cost of permanent work disability could not be obtained. Indirect costs amounted to € 9,720,225 in 2007 and € 9,763,541 in 2008. In both years, the highest weight corresponded to temporary work disability reaching € 8,561,962 and € 7,333,181, respectively. Conclusions: Depression has a substantial economic impact on the health system because it is associated with high direct public costs. However, the lack of knowledge of the cost associated with permanent work disability is a major limitation, as this cost category represents the highest percentage for this disorder (AU)
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Humanos , Efeitos Psicossociais da Doença , Depressão/epidemiologia , Licença Médica/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Fatores de Risco , Estudos RetrospectivosRESUMO
OBJECTIVE: To determine the social cost and burden of depression in the city of Sabadell (Barcelona, Spain) in 2007 and 2008. METHOD: The social cost of depression was calculated using the prevalence approach, based on information obtained in the development of the European Project Against Depression (EAAD). The results referred to the cost of public resources used, and the sources came from the appropriate official registers. RESULTS: The direct public cost of depression in the city of Sabadell was 9,155,620 in 2007 and 9,304,706 in 2008. The relative weight of primary care visits and the use of drugs accounted for more than 85% of direct costs. In the section of indirect costs, the cost of permanent work disability could not be obtained. Indirect costs amounted to 9,720,225 in 2007 and 9,763,541 in 2008. In both years, the highest weight corresponded to temporary work disability reaching 8,561,962 and 7,333,181, respectively. CONCLUSIONS: Depression has a substantial economic impact on the health system because it is associated with high direct public costs. However, the lack of knowledge of the cost associated with permanent work disability is a major limitation, as this cost category represents the highest percentage for this disorder.