["Folie à Famille", an interdisciplinary experience from a clinical and therapeutic stance]. / "Folie à Famille", una experiencia interdisciplinaria desde la clínica y la terapéutica.

UNLABELLED: Report of a learning process experience by Psychiatry residents in the Mental Health area of a public monovalent hospital of the province of Entre Ríos. This work is based on an analysis of roles played by interdisciplinary experiences such as Psychiatry, Psychology, Therapeutic Assistance, Social Work and Occupational Therapy as well as Clinical and Therapeutical perspectives (Psychosocial, Psychoeducational and Psycopharmacology), not only addressing the peculiarity of the "Folie à Famille" case but also the institutional, legal, locational and neighborhood level elements taking into account the development of the diagnostic and therapeutic strategies in the area of Mental Health. Clinical case report of the entire family from the legal admission to its final home and neighborhood reinsertion. Consisting of clinical diagnosis, legal, situational, social and therapeutic interventions during hospitalization, home and social networks restoring process, hospital release and support of outpatient treatment. A full review of the concept of "Folie à Famille" will be provided as described previously in the literature. METHOD: Observational analytic descriptive study.

Depressive symptoms are related to decreased low-frequency heart rate variability in older adults with decompensated heart failure.

BACKGROUND/AIMS: Depression has been associated with increased mortality among individuals with heart failure, but the mechanism for this association is unsettled. Depression is often found to result in autonomic dysfunction which, if present in heart failure, might help explain worsened outcomes. METHODS: This study was a cross-sectional evaluation of the relationship between depressive symptoms and cardiac autonomic function, as assessed by short-term heart rate variability (HRV) analysis in aged patients with acute/decompensated heart failure of coronary origin (CHF). A 21-item Hamilton Depression score and measures of short-term HRV were obtained in 31 inpatients >or=65 years of age, 24-72 h after admission to the coronary care unit with a diagnosis of CHF. RESULTS: Clinical depression was present in 22.6% of participants. In the sample as a whole, increasing depressive symptoms were associated with decreased low-frequency HRV. CONCLUSION: These results may be important in light of recent indications that decreased low-frequency HRV is a predictor of mortality in patients with heart failure.