Empathic Resonance: A Case of Dissociative Identity Disorder (DID)

Dissociative identity disorder (DID) also referred as multiple personality disorder can be accompanied by related alterations in affect, behavior and sensory-motor functioning. This article describes the case of a 33-year-old woman with a diagnostic of DID and who required intensive treatment, who suffered bullying at the age of 15 with a demon personality. Despite psychopharmacological treatment there was no improvement until the emphatic resonance therapy was carried out. Our case report shows the complexity of providing treatment for patient with DID (AU)

Síndrome metabólico y antipsicóticos atípicos. Posibilidad de predicción y control / Metabolic syndrome and atypical antipsychotics: possibility of prediction and control

Introducción. La esquizofrenia y otros trastornos psicóticos se asocian a una elevada morbimortalidad debido a factores de salud inherentes a la propia enfermedad, factores genéticos y factores asociados al tratamiento psicofarmacológico. Los antipsicóticos, al igual que otros fármacos, presentan efectos secundarios que pueden repercutir de manera sustancial en la salud física de los pacientes, existiendo diferencias importantes en cuanto al perfil de efectos secundarios y en los pacientes en que se producen dichos efectos. Conocer e identificar estos grupos de riesgo podría contribuir a prevenir la aparición de los efectos indeseados. Material y método. Estudio prospectivo, de seguimiento a 24 meses, para analizar la salud física de los pacientes mentales graves en tratamiento de mantenimiento con antipsicóticos atípicos con el fin de verificar la existencia de parámetros predictores a nivel antropométrico y/o analítico para la buena/mala evolución del síndrome metabólico en estos pacientes. Resultados. No hubo cambios significativos de los parámetros físicos y bioquímicos estudiados individualmente a lo largo de las diferentes visitas. El perímetro abdominal basal (lamba de Wilks p=0,013) y los niveles de colesterol HDL basal (lamba de Wilks p=0,000) son los parámetros que parecen tener mayor relevancia, por encima del resto de los criterios diagnósticos constituyentes del síndrome metabólico, como factores predictores en la evolución a largo plazo. Conclusiones. En la búsqueda de parámetros predictores del síndrome metabólico resultaron seleccionados el colesterol HDL y el perímetro abdominal en el momento de la inclusión, de modo que a peores valores iniciales, mayor probabilidad de mejoría a largo plazo (AU)

Introduction. Schizophrenia and other psychotic disorders are associated with high morbidity and mortality, due to inherent health factors, genetic factors, and factors related to psychopharmacological treatment. Antipsychotics, like other drugs, have side-effects that can substantially affect the physical health of patients, with substantive differences in the side-effect profile and in the patients in which these side-effects occur. To understand and identify these risk groups could help to prevent the occurrence of the undesired effects. Material and method. A prospective study, with 24 months follow-up, was conducted in order to analyse the physical health of severe mental patients under maintenance treatment with atypical antipsychotics, as well as to determine any predictive parameters at anthropometric and/or analytical level for good/bad outcome of metabolic syndrome in these patients. Results. There were no significant changes in the physical and biochemical parameters individually analysed throughout the different visits. The baseline abdominal circumference (lambda Wilks P=.013) and baseline HDL-cholesterol levels (lambda Wilks P=.000) were the parameters that seem to be more relevant above the rest of the metabolic syndrome constituents diagnosis criteria as predictors in the long-term. Conclusions. In the search for predictive factors of metabolic syndrome, HDL-cholesterol and abdominal circumference at the time of inclusion were selected, as such that the worst the baseline results were, the higher probability of long-term improvement (AU)

Metabolic syndrome and atypical antipsychotics: Possibility of prediction and control. / Síndrome metabólico y antipsicóticos atípicos. Posibilidad de predicción y control.

INTRODUCTION: Schizophrenia and other psychotic disorders are associated with high morbidity and mortality, due to inherent health factors, genetic factors, and factors related to psychopharmacological treatment. Antipsychotics, like other drugs, have side-effects that can substantially affect the physical health of patients, with substantive differences in the side-effect profile and in the patients in which these side-effects occur. To understand and identify these risk groups could help to prevent the occurrence of the undesired effects. MATERIAL AND METHOD: A prospective study, with 24 months follow-up, was conducted in order to analyse the physical health of severe mental patients under maintenance treatment with atypical antipsychotics, as well as to determine any predictive parameters at anthropometric and/or analytical level for good/bad outcome of metabolic syndrome in these patients. RESULTS: There were no significant changes in the physical and biochemical parameters individually analysed throughout the different visits. The baseline abdominal circumference (lambda Wilks P=.013) and baseline HDL-cholesterol levels (lambda Wilks P=.000) were the parameters that seem to be more relevant above the rest of the metabolic syndrome constituents diagnosis criteria as predictors in the long-term. CONCLUSIONS: In the search for predictive factors of metabolic syndrome, HDL-cholesterol and abdominal circumference at the time of inclusion were selected, as such that the worst the baseline results were, the higher probability of long-term improvement.

Factores determinantes del riesgo metabólico en el tratamiento con antipsicóticos atípicos / No disponible

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