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1.
Vertex ; 33(156): 5-15, 2022 Jun.
Artículo en Español | MEDLINE | ID: mdl-35856778

RESUMEN

INTRODUCTION: Housing is one of the main supports needed to guarantee community life of people who had long-term psychiatric hospitalizations. In Argentina, housing support experiences have been developed for decades, although their systematization is scarce. The objective of this paper is to describe three housing support experiences developed in the province of Buenos Aires, Argentina, which have continuity over time for more than 20 years. MATERIALS AND METHODS: Document analysis and interviews with workers from the three experiences were carried out, as part of a broader project on community life and neighborhood relations of people discharged after long-term psychiatric hospitalizations. The material was analyzed qualitatively, using a time dimension and a structure and functioning one which included financing, technical resources, housing devices and support provided. RESULTS: Although the types of support provided are somehow similar between the three experiences, heterogeneity in structure and functioning is observed. DISCUSSION AND CONCLUSIONS: Despite the fact that the human rights framework proposes the provision of flexible and adequate support according to the needs of people, it is worth reflection on whether the reduced systematization of experiences such as those presented is due to the difficulties of the heterogeneity mentioned, or is due to a scarce evaluation culture that obstacles the learning from those experiences.


Asunto(s)
Hospitalización , Vivienda , Argentina , Humanos
2.
Vertex ; 33(156): 16-24, 2022 Jun.
Artículo en Español | MEDLINE | ID: mdl-35856779

RESUMEN

INTRODUCTION: Bipolar Disorders (BD) are a mood disorders group charactered by recurrent manic or hypomanic episodes, alternating with depressive episodes. Its prevalence is 4%, and several studies have shown that they generate disability. There are effective therapeutic options for acute episodes. However, the ultimate goal is to achieve functional recovery and adequate well-being. MATERIAL AND METHODS: There was done in Buenos Aires, Argentina a cross-sectional study comparing psychosocial functioning, with the Functioning Assessment Short Test (FAST) and subjective well-being with the Five Well-Being Index (WHO-5), among a sample of stabilized BD patients undergoing treatment at the Center of Medical Education and Clinical Research (Centro de Educación Médica e Investigaciones Clínicas) and the Bipolar Foundation (Fundación Bipolares de Argentina), with a control group. RESULTS: A total of 102 BD patients and 52 controls where included. The FAST mean for patients and controls was 20.71 and 9.73 respectively (P=0.0000). The WHO-5 mean for patients was 59.11 and 69.76 for controls (P=0.0011). More than 70% of the patients presented functional alteration (FAST ≥12), and almost 35% presented inadequate subjective well-being (WHO-5 ≤52). Depressive symptoms conditioned worse scores on both scales. FAST scores were better among those who participated in mutual aid groups (P=0.026). While patients who underwent psychoeducation and those who received anticonvulsant drugs, presented better WHO-5 scores (P = 0.028 and P=0.048 respectively). CONCLUSIONS: Patients with BD showed poor Functionality and poor Well-being despite being stabilized. There is direct relationship between both conditions. Depressive symptoms generated worst scores on the scales.


Asunto(s)
Trastorno Bipolar , Argentina , Trastorno Bipolar/diagnóstico , Estudios Transversales , Humanos , Organización Mundial de la Salud
3.
Vertex ; 33(156): 25-34, 2022 Jun.
Artículo en Español | MEDLINE | ID: mdl-35856780

RESUMEN

OBJECTIVES: The "Guide to understand and assess the quality of the case formulation in forensic mental health - TECF" is tested in order to contribute to the development of the forensic reports. METHOD: Twelve mental health professionals of different Latin American traditions assessed with the TECF the quality of ten international forensic reports, both psychological and psychiatric. The guide includes the manual that describes the dimensions, criteria and guidelines to assess the quality of the forensic case formulation. RESULTS: Internal consistency indicators were in a rank of 0.34- 0.81 for the dimensions and 0.85 for the total TECF. The absolute agreement intraclass correlation coefficient among evaluators with similar tradition reached values of 0.72; 0.52; 0.76 and 0.77 for the dimensions and 0.84 for the total. The agreement among evaluators with different traditions was less. CONCLUSIONS: The TECF is a promising instrument to guide the assessment of quality and to stimulate improvement of the forensic reports. Caution is recommended in light of the traditional rating scale method due to the effect that can be produced by the different practices.


Asunto(s)
Psiquiatría Forense , Trastornos Mentales , Humanos , Salud Mental
4.
Vertex ; 33(156): 44-50, 2022 Jun.
Artículo en Español | MEDLINE | ID: mdl-35856782

RESUMEN

BACKGROUND AND OBJECTIVE: The analysis of Editorials is a little explored topic, which can facilitate the understanding of historical processes and changes in Psychiatry. In the case of de Vertex Revista Argentina de Psiquiatría, the Editorials were written by the same person for 30 years. The most frequently used thematic areas were studied, using graph theory, to characterize the orientation of the editorial lines. This analysis was complemented with semi-structured interviews with the Editor. METHOD: The most significant words of the Editorials were determined and analyzed through a system of graph theory, divided by lustrums. RESULTS: The thematic areas of the journal were concentrated in five main themes that were reiterated in each lustrum: Ethics, History, Mental Health, Psychiatry and, in the last two, Politics. The editorials showed different degrees of complexity, being those of the first 15 years simpler than the last ones. The recurrence tendencies of the thematic areas of the Editorials were related to expressions arising from the interviews. CONCLUSION: The analysis with graph theory has made it possible to visualize aspects of the de Vertex Revista Argentina de Psiquiatría Editorials, their degree of thematic complexity and how some themes were reiterated over and over again throughout the 30 years of the journal.


Asunto(s)
Psiquiatría , Argentina , Humanos , Salud Mental , Escritura
5.
Vertex ; 33(156): 51-55, 2022 Jun.
Artículo en Español | MEDLINE | ID: mdl-35856783

RESUMEN

Grief is a normal response following the death of a beloved one. Prolonged grief disorder is defined when grief is intense and has persisted for an atypically long period of time; more than 6 months (ICD-11) or more than 12 months (DSM- 5TR). This article discusses the conceptual distance between this new disorder and that of classical descriptions, as considered in a distinct Section of the DSM-5. These differences suggest disagreements among different working groups for disorders. Freud's perspective on mourning and melancholia (mayor depression disorder) pertains also to a classical scope. The grief work is exemplified with an autobiographical case, that illustrates how borders between normal and pathological grief are blurred. Although a new disorder might assist an ever longer-lived population that becomes widow, the risk is the medicalization of grief.


Asunto(s)
Aflicción , Trastorno de Duelo Prolongado , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Pesar , Clasificación Internacional de Enfermedades
6.
Vertex ; 33(156): 56-63, 2022 Jun.
Artículo en Español | MEDLINE | ID: mdl-35856784

RESUMEN

There are different degrees of cognitive functional decline and modifiable risk factors related to their evolution. Mild cognitive impairment is a state of cognitive function between that seen in normal aging and dementia and is related to an increased risk of developing dementia. Among its potentially modifiable risk factors, substance use disorders have been described. In particular, techniques with predictive value have been developed to identify this impairment during neuropsychological assessment. We present a clinical case of a young patient with mild cognitive deficit and multiple drug abuse who after 24 months of an intensive outpatient treatment showed improvement in cognitive screening scores and neuroimaging. Together with other modifiable lifestyle factors, early cognitive screening in patients with substance use disorder could be a tool to detect other dimensions affected and contribute with specific therapies that promote post-injury plasticity and overall patient improvement.


Asunto(s)
Demencia , Trastornos Relacionados con Sustancias , Cognición , Demencia/diagnóstico , Humanos , Pruebas Neuropsicológicas , Pacientes Ambulatorios , Trastornos Relacionados con Sustancias/complicaciones , Trastornos Relacionados con Sustancias/terapia
7.
Vertex ; 33(156): 35-43, 2022 06.
Artículo en Español | MEDLINE | ID: mdl-35856781

RESUMEN

INTRODUCTION: Since the beginning of the COVID-19 pandemic, the importance of mental health actions for health personnel was emphasized and the use of Information and Communication Technologies (ICTs) was recommended. Given this unprecedented panorama, the objective of this research was to evaluate the effectiveness of an intervention with ICTs for health personnel from first-level care networks in Berazategui, Buenos Aires, Argentina. METHOD: It was an exploratory qualitative research and evaluative design. The selection of subjects included intervened health personnel who agreed to participate. Satisfaction surveys were implemented, records of the intervening team and their meetings were analyzed. RESULTS: The intervention was effective: improvements in communication and interaction, self-care and a change to a proactive and creative attitude at work, decreased anxiety and stress were detected. As a protective factor, the fact of having a solid socio-affective network was highlighted. The effectiveness was characterized by influencing a repositioning of the health personnel with respect to the context, the task and the work ties. CONCLUSION: The use of ICTs was advantageous, enabled access to mental health care and generated the feeling of continuous support, strengthening the socio-affective network.


Asunto(s)
COVID-19 , Actitud del Personal de Salud , COVID-19/prevención & control , Comunicación , Personal de Salud/psicología , Humanos , Pandemias/prevención & control
8.
Vertex ; XXXIII(155): 5-12, 2022 Mar.
Artículo en Español | MEDLINE | ID: mdl-35438681

RESUMEN

INTRODUCTION: Hypertension is the main cause of cognitive impairment and the executive dysfunction the most com- mon cognitive domain affected. The aims of this research have been to characterize the cognitive profiles (s) in hypertensive patients and to identify the most usefulness Test (s) in the routine clinical practice to identify them. METHODS: We assessed the cognitive status in 69 hypertensive patients who were administered a battery of cognitive Tests that included the MMSE, the Mini-Boston Naming Test, verbal fluency and the Clock drawing Test. RESULTS: The average of the sample was 72.2±10.1 years. The Clock-drawing Test and the Mini-Boston Naming Test differentiated 3 cognitive profiles: no cognitive impairment, minor cognitive disorder and major cognitive disorder. A strong association was observed between the semantic (0.87) and executive (0.75) components of the Clock-drawing Test with the Mini-Boston Naming Test (0.96). The analysis of clusters and switchings in the verbal fluency Test differentiated the severe forms of cognitive impairment. CONCLUSION: The results obtained confirm the value of the Clock-drawing Test to identify the different cognitive profiles in hypertensive patients, becoming a valid screening test to be used in routine clinical practice and a potential biomarker of cognitive dysfunction in hypertensive patients.


Asunto(s)
Trastornos del Conocimiento , Disfunción Cognitiva , Hipertensión , Cognición , Trastornos del Conocimiento/diagnóstico , Disfunción Cognitiva/diagnóstico , Disfunción Cognitiva/etiología , Humanos , Hipertensión/complicaciones , Hipertensión/diagnóstico , Pruebas Neuropsicológicas
9.
Vertex ; XXXIII(155): 13-24, 2022 Mar.
Artículo en Español | MEDLINE | ID: mdl-35438682

RESUMEN

INTRODUCTION: Melatonin is a safe medication with multiple uses in sleep medicine for the treatment of circadian rhythm disorders, insomnia, and REM sleep behavior disorder. In view that melatonin has been recommended as an adjuvant treatment in COVID-19 pandemic mainly due to its anti-inflammatory properties, the objective of the present study was to evaluate the history of COVID-19 infection and the requirement of hospitalization in a group of adult patients previously treated with melatonin for various sleep disorders. MATERIAL AND METHODS: This is a retrospective cross-sectional study of data from a closed population of 110 adult patients at a University Hospital treated with melatonin for various sleep disorders, analyzed until the onset of COVID-19 pandemic. Demographic and melatonin-related variables (dose, treatment time) were analyzed and were reevaluated during the pandemic period, by scheduled tele-consultation regarding diagnosis, hospitalization requirements, variables related to COVID-19 infection prior to specific vaccination. Categorical variables were described as relative and absolute frequencies. RESULTS: N = 110 patients. Age range = 40- 96 years (mean = 71 years ± 9.9), older adults > 65 years: N =87 (79,1%). COVID-19 infection was recorded in 15 patients (13.5%) requiring hospitalization in 5 of those infected, only one of them with severe pneumonia. There were no deaths due to COVID-19. There were no differences between infected vs. uninfected in age (p = 0.74), body mass index (p = 0.65) or melatonin dose (p = 0.10).The melatonin dose range was 3-150 mg / day (mean = 46.33 ± 34.1), older adults receiving a mean dose of 50,3 ± 35,6.The 75.5% of the patients were treated for at least 12 months with melatonin. CONCLUSION: We found that 13.5% of patients previously treated with melatonin for various sleep disorders were infected by COVID-19, requiring hospitalization with subsequent medical discharge one third of them. According to national records the lethality rate in older adults in August 2020 was 10.5%. No patient treated with melatonin died for this cause in this sample. We did not find statistically significant differences in terms of indicated melatonin dose, age or body mass index, when comparing those infected with those not infected. The patients in general were mostly older adults, treated with a mean dose greater than 40 mg / day of melatonin for various sleep disorders, mainly for complaints of insomnia, for more than 12 months. The results are consistent with a possible preventive effect of melatonin in the COVID-19 pandemic.


Asunto(s)
COVID-19 , Melatonina , Trastornos del Inicio y del Mantenimiento del Sueño , Trastornos del Sueño-Vigilia , Adulto , Anciano , Anciano de 80 o más Años , COVID-19/epidemiología , Estudios Transversales , Humanos , Melatonina/uso terapéutico , Persona de Mediana Edad , Pandemias , Estudios Retrospectivos , SARS-CoV-2 , Trastornos del Inicio y del Mantenimiento del Sueño/tratamiento farmacológico , Trastornos del Sueño-Vigilia/tratamiento farmacológico , Trastornos del Sueño-Vigilia/epidemiología
10.
Vertex ; XXXIII(155): 25-35, 2022 Mar.
Artículo en Español | MEDLINE | ID: mdl-35438683

RESUMEN

INTRODUCTION: The aim of this research is to establish and evaluate the frequency of anxiety, burnout and post-traumatic stress disorder in health personnel during the COVID-19 pandemic according to the degree of exposure in three public healthcare facilities with different levels of complexity in Buenos Aires, Argentina. METHODS: Multicenter, prospective, analytical study. The sample was taken through a three-step voluntary and anonymous online form with three invento- ries: Gad 7, Maslach Inventory and Davidson Trauma Scale and a self-perceived risk questionnaire. RESULTS: In a total sample of n=1391, a higher prevalence of anxiety symptoms (mild: M=41%; moderate to severe: M=27%) and sleep difficulties (M=73%) was found, while levels of post-traumatic stress (M=36%) and burnout remained lower (M=19%). While the chi-square tests indicated associations between job positions with higher exposure and the presence of symptoms, the logistic regression models indicated that the professionals in training and those who reported higher levels of self-perceived risk showed a greater presence of psychological symptoms. DISCUSSION: The self-perception of risk is an important factor when considering the presence of symptoms, regardless of the actual degree of exposure. CONCLUSIONS: Measures to promote mental well-being in healthcare workers must be implemented immediately and sustained over time, especially in young people, females and frontline workers.


Asunto(s)
Agotamiento Profesional , COVID-19 , Trastornos por Estrés Postraumático , Adolescente , Ansiedad/epidemiología , Ansiedad/etiología , Argentina/epidemiología , Agotamiento Profesional/epidemiología , Agotamiento Profesional/etiología , COVID-19/epidemiología , Depresión/epidemiología , Femenino , Personal de Salud/psicología , Hospitales , Humanos , Pandemias , Estudios Prospectivos , SARS-CoV-2 , Trastornos por Estrés Postraumático/epidemiología , Trastornos por Estrés Postraumático/etiología
11.
Vertex ; XXXIII(155): 36-49, 2022 Mar.
Artículo en Español | MEDLINE | ID: mdl-35438684

RESUMEN

Treatment-Resistant Depression (TRD) prevalence varies considerable between regions and epidemiology of TRD in Argentina is lacking. Based on the Treatment-Resistant Depression in America Latina (TRAL) study, epidemiology and burden of TRD in MDD patients from Argentina is reported in this paper. A sample of adult MDD patients (n=396) from 5 sites in Argentina, with clinical diagnosis were included. Patients with psychosis, schizophrenia, bipolar disorder, schizoaffective disorder, dementia, with severe chemical dependence or currently participating in another clinical trial were excluded. Patient reported outcomes and clinical assessment scales were used as outcomes. The prevalence of TRD in MDD patients in Argentina is 33.2%, based on TRAL data. Patients in TRD are older compared to those without TRD, and was more evident in married/consensual union MDD patients. Higher suicidality, greater comorbidity based on MINI, and worse scores in MADRS and PHQ-9 were identified in TRD patients. The prevalence identified in TRAL study for Argentina is substantial comparing with other Latin American countries and worldwide prevalence. TRD represents a disproportional burden to society, and efforts should be placed on reducing the burden of MDD and TRD in Argentina by improving early diagnosis, therapeutic management and ensuring that all patients have better access to mental healthcare.


Asunto(s)
Trastorno Depresivo Mayor , Adulto , Argentina/epidemiología , Depresión , Trastorno Depresivo Mayor/diagnóstico , Trastorno Depresivo Mayor/epidemiología , Trastorno Depresivo Mayor/terapia , Humanos , América Latina/epidemiología , Estudios Retrospectivos
12.
Vertex ; XXXIII(155): 50-65, 2022 Mar.
Artículo en Español | MEDLINE | ID: mdl-35438685

RESUMEN

INTRODUCTION: the present work reviewed the literature on the developments regarding the burden of family caregivers of patients with schizophrenia, focusing on the concepts of "objective burden" and "subjective burden". MATERIALS & METHODS: a bibliographic search was carried out in English, using the PubMed database. The following descriptors were used: "Family Caregiver", "Schizophrenia" and "Burden". The time range used was 2015 to 2021. RESULTS & DISCUSSION: the search yielded a total of 51 full articles. Throughout the literature, the importance of both objective and subjective burden on the health of the caregiver of patients with schizophrenia and the possibilities of addressing it as an aspect of the treatment plan are noted. The importance of designing community-centered strategies is discussed, where the psychiatrist can give indications not only in relation to the patient suffering from schizophrenia, but also provide tools to their family caregivers for a favorable evolution.


Asunto(s)
Cuidadores , Esquizofrenia , Costo de Enfermedad , Humanos , Esquizofrenia/terapia
13.
Vertex ; XXXIII(155): 66-69, 2022 Mar.
Artículo en Español | MEDLINE | ID: mdl-35438686

RESUMEN

In this work we critically reflect on psychiatry and its various possibilities in a world in permanent change. We make a brief tour of some of the changes it has undergone through narrative, philosophical and epistemological contributions, asking ourselves the question of the future of the specialty in times when information takes away our freedom, making us feel, at the same time, falsely free. Finally, we propose a "rephilosophization" that places us once again in the world of those who think and think, of those who worry about asking themselves daily about the tools available for the clinic, without considering any of them as something already given, turned into doctrine or religion.


Asunto(s)
Psiquiatría , Conocimiento
14.
Vertex ; XXXIII(155): 70-71, 2022 Mar.
Artículo en Español | MEDLINE | ID: mdl-35438687

RESUMEN

Empirical studies have shown that Alzheimer's patients have language-processing difficulties. In particular, they frequently fail to identify the referent of pronouns and other anaphoric expressions. In healthy individuals, the explicit repetition of proper names elicits a processing delay known as the repeated name penalty. However, in Alzheimer's patients, such repetitions help them establish connections between phrases and allow them to process language more easily. The study of anaphoric processing in patients with cognitive deficits shows: (a) the existence of design features of the language faculty independent of the language in question; (b) the interdependence of language and other cognitive processes; (c) the involvement of working memory in the resolution of pronouns; (d) the contribution of psycholinguistics to the improvement of communication between Alzheimer's patients and health care professionals.


Asunto(s)
Enfermedad de Alzheimer , Enfermedad de Alzheimer/complicaciones , Comunicación , Humanos , Lenguaje , Memoria a Corto Plazo , Psicolingüística
15.
Vertex ; XXXIII(155): 72-74, 2022 Mar.
Artículo en Español | MEDLINE | ID: mdl-35438688

RESUMEN

Delusional misidentification syndromes are misperceptions of external stimuli with an associated belief or elaboration that is held with delusional intensity. In the TV sign patient believes that the observed television events are occurring in a real three-dimensional space. It is one of the very rare forms of delusional misidentification syndrome in patients withdementia.Wereport7patientswithcognitiveimpairmentcaseswhohavepresentedTVsignduringtheCOVID-19 pandemic. Two patients had Alzheimer's dementia type diagnosis, 1 atypical Alzheimer dementia, 1 vascular dementia and 3 of them had mixed etiology (2 Alzheimer dementia + vascular and 1 dementia with Lewy bodies + vascular). Three presented other psychotic symptoms and 1 patient also had Capgras syndrome. These 7 cases series raise the possibility of an increase incidence of TV sign in patients with dementia during pandemia triggered by the rise in expo- sure to screen devices and a social isolation during this period.


Asunto(s)
Enfermedad de Alzheimer/complicaciones , Deluciones/etiología , Trastornos Psicóticos , Aislamiento Social/psicología , Realidad Virtual , Deluciones/diagnóstico , Deluciones/epidemiología , Humanos , Incidencia , Pandemias , Televisión
16.
Vertex ; XXXII(151): 6-14, 2021 Mar.
Artículo en Español | MEDLINE | ID: mdl-34783772

RESUMEN

The confinement due to the pandemic caused by COVID-19 in Argentina produced many changes. OBJECTIVE: To assess sleep, anxiety disorders, and depression in adults. SUBJECTS AND METHODS: Through an anonymous survey distributed in the country through the web that was completed by 2,594 people (69% women, 32% men). 30% reported working in the health field. Demographic information, quality and other sleep variables, depressive symptoms and anxiety were analyzed. RESULTS: The general prevalence of bad sleepers, depressive symptoms, and anxiety were 53%, 21.1%, and 43.8%, respectively. Those over 65 years of age showed a significantly higher prevalence of going to bed earlier and having a lower sleep onset latency. Multivariate logistic regression showed that age <55 years and being a woman were associated with anxiety and with being a poor sleeper. Sleeping more than 10 hours, going to bed later, being a poor sleeper and anxiety, were associated with depressive symptoms. Being a healthcare worker was associated with more anxiety. CONCLUSIONS: We identified poor sleep quality and alteration mental health in times of confinement. We found that more than half of the evaluated population turned out to be poor sleepers and presented high scores of symptoms related to anxiety and depression. Additionally, health workers presented more anxiety than the rest.


Asunto(s)
COVID-19 , Depresión , Adulto , Ansiedad/epidemiología , Ansiedad/etiología , Trastornos de Ansiedad/epidemiología , Depresión/epidemiología , Depresión/etiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , SARS-CoV-2 , Sueño
17.
Vertex ; XXXII(151): 15-24, 2021 Mar.
Artículo en Español | MEDLINE | ID: mdl-34783773

RESUMEN

In the global and national context of the COVID 19 pandemic, early detection and prevention of mental illnesses in exposed populations is relevant in situations of extreme demand. In this context, hospital workers are a highly demanded population being a clear risk group. This work shows the partial results of an investigation that is being carried out by the Mental Health Service of the General Hospital "B. Rivadavia", of the Autonomous City of Buenos Aires (CABA), which aims to evaluate some aspects of the mental health of its staff. A survey is underway that was proposed by the members of the Mental Health Service to the different sectors of the Hospital and sent electronically. The survey includes indicators of the following aspects: symptoms of stress, the depressive and anxious series and consumption of psychoactive substances. Partial results show clear involvement of health personnel in different areas evaluated.


Asunto(s)
COVID-19 , Pandemias , Personal de Salud , Humanos , Salud Mental , SARS-CoV-2
18.
Vertex ; XXXII(151): 25-31, 2021 Mar.
Artículo en Español | MEDLINE | ID: mdl-34783774

RESUMEN

This paper focuses on the remote mental health care program developed at DGSAM, in Buenos Aires City during the COVID-19 pandemic. It is based on the concepts of telemental health. The change carried out from a previous phone orientation program towards a healthcare system with comprehensive health electronic records (HIS) and carried-out by mental health professionals, intersectorial articulation and progressive mental health care networks are the most outstanding aspects of the program. As well as the strengthening on health information systems and training professionals in telemental health care. During the first six months of operation, 7.154 calls were attended, 95,62% were solved within the program protocols and the remaining 4,38% were referred for georeferenced treatments and for re-linking with the respective health care teams. It was also useful in solving psychiatric emergency situations.


Asunto(s)
COVID-19 , Servicios de Salud Mental , Personal de Salud , Humanos , Pandemias , SARS-CoV-2
19.
Vertex ; XXXII(151): 32-44, 2021 Mar.
Artículo en Español | MEDLINE | ID: mdl-34783775

RESUMEN

This study provides evidence on the inter-rater reliability and concurrent validity of the Historical, Clinical and Risk Management-20, Version 3 (HCR-20V3) in a sample of 35 patients admitted to a forensic psychiatric unit in Argentina. The HCR-20V3 showed significant correlations with the VRAG-R and the PCL: SV. HCR-20V3 was independently coded by two evaluators in 15 patients. The inter-rater reliability indices were moderate to excellent in the coding of presence of risk factors and in the estimation of the summary risk ratings of future violence and imminent violence, although ICC were non-significant for the summary risk rating of serious physical damage. These findings have implications for the HCR-20V3 implementation in local professional contexts and raise future research possibilities which could be relevant for decision-making in violence risk management with patients committed to legal security measures.


Asunto(s)
Psiquiatría Forense , Violencia , Humanos , Reproducibilidad de los Resultados , Medición de Riesgo , Gestión de Riesgos
20.
Vertex ; XXXII(151): 55-61, 2021 Mar.
Artículo en Español | MEDLINE | ID: mdl-34783777

RESUMEN

Autism is a developmental disorder that has significant consequences on the future of the individuals concerned. Officially described for the first time in the 1940's, the disorder knew conceptual oscillations, but increasingly it is considered a sort of spectrum or continuum characterized mainly by a difficulty in social communication. In this article we will show how two very different clinical types of the autistic spectrum, i.e. the clinical descriptions of Kanner and Asperger's, owe much to the role played by the Viennese psychiatrist Georg Frankl who worked with both clinicians. Frankl's role would not only have been that a sort of channel of communication between Kanner and Asperger, but it would have been Frankl who influenced both psychiatrists in a decisive way.


Asunto(s)
Trastorno Autístico , Psiquiatría , Comunicación , Humanos
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