CLINICAL PSYCHOLOGY

Author: RODRÍGUEZ SANTOS LAURA.
Year: 2002.
University: EXTREMADURA [www.unex.es].
Place of defense: FACULTAD MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: Introduction: The objective of this work is to study the expressed emotion (EEC) in families of patients with tractornos food (TCA) Other objectives were to analyze the relationship between the SEC and various factors related to both the patient (ubles evolving diagnosis, pathology c, psicopatología and personality). was also analyze the relationship between EE and family functioning. Material and methods: -- consisted of 43 families (43 patients and 71 family members). All patients were women average age of 20.4 years (4.2) suffering from TCA N community extremadura.El 65% had a diagnosis of Amoxia nervous CAN), and 35% had BN according to DSM-IV. The instruments -- used with patients were IDED, BIA, EDI-II, SOL-90-R, SCID-II and FACES -II.La EE was assessed with the estrevista family comborwel (EFC) and also used with familiarres SCL-90-R, SCID-II and FACES-II. In analissis Statistical was conducted l bet Ude wan Whituey and the Cli-cendrado as varibales possess quantitative or qualitative. Tambien se realizo post a logistic regression analysis with the aim of determining potential predictive variables high EE. Results: 46.5% of the families had high EE, introducing the madrs a sobreimplicación (SAR) higher than padres.Las patients from families in a high. EE had a BMI less than the relatives of patients who had a daughter with NAs and those ténian a daughter a BN, but the families -- EE was found a strong fendencia to submit further consult --. No relationship was found between the United Food and pathology and psychopathology general presentban patients if it was found strong tendency for patients to a high EE families were not found real ciónentre EE who had relatives and psychopathology presnetada these, only parents (not mothers) who had a high EE that tended to make more feature derogatory. A low BMI, the greater number of behaviors purgativas and rastos lumites in patients as possible predictive variables.

Author: GUTIÉRREZ MARTINEZ OLGA.
Year: 2003.
University: ALMERÍA [www.ual.es].
Place of defense: HUMANIDADES Y CIENCIAS DE LA EDUCACION.
Place of preparation: UNIVERSIDAD DE ALMERÍA.

Summary: It compares two protocols aimed at coping brief pain induced experimentally with electrical stimuli that are administered through an exercise restraint in a sample population no-clínica (N = 40). One of the protocols is composed of strategies based on the acceptance pscologica (ACT) pain and lead to the exposure active participant in the thoughts and discomfort ralacionados with electrical stimuli. The other protocol consists of the control strategies based on cognitive pain that guide the participant to destraerse of thoughts and discomfort associated with the eestimulación aversive. Except for the specific formulas of acceptance and cognitive control, are even various components (recuersos rhetorical function of compromise, etc.) through genetic two protocols. Each participant was randomly assigned to one of two self protocolos.La task over which apply electrical stimulation plays a situation of conflict or election, because it implies that the participant can achieve some worthwhile goals from Performance continuanda a monotonous activity that involves direct contingencies always the same and that involves the application of genetic stimuli electrical averssivos magnitude creciente.Cada participant performs the task of self twice, separdauna the other by the application of the relevant protocol coping. The principoales measures taken at the stage pre-text and post text at the stage of the task are: the reports of trouble to discharges and that the differences between the two protocols are particularly marked when the magnitude of discharges is greater. On the other hand, it is noted that participants who received cognitive control protocol, which reported only a modest level of discomfort is willing to increase the number of downloads toleradas.Se discuss these results withthe connecting literature basic verbal and regulation on paradoxical effects of the abolition dl thought. It examines inplicaciones clinical data, analyzing the appropriateness of interventions based on an acceptance in patients with pain that ajuntan the pattern of avoidance experiential.

Author: CARDONER ALVAREZ NARCҍS.
Year: 2003.
University: BARCELONA [www.ub.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD MEDICINA CLҍNICO.

Summary: Various studies detected alterciones diffuse or localized to the structure and funciÃÂ charges in brain sample of patients with depresiÃÂ ³ n.Aunque a great nÃÂ eighth mere authors provide data consistent closed sÃÂ, show inconsistencies regarding the localizaciÃÂ charges and direcciÃÂ ³ n of these hallazgos.Estas inconsitencias can be explained differences in tÃÂ © cnica and metodologÃÂa utilizada.No however, increasingly gives greater importance to the study of selected samples of patients who pedan constitute grapos mÃÂ ¡s homogÃÂ © neos.El group study clÃÂnicamente homogÃÂ © schemes can reduce the variability biolÃÂ ³ gica and encourage caracterizaciÃÂ ³ n substrate biolÃÂ ³ gico of upheaval depressive clÃÂnicamente well definido.AsÃÂ therefore, the study of a group of patients selected according to this subtype clÃÂnico of depresiÃÂ ³ n may encourage detecciÃÂ ³ No changes neuroanatÃÂ ³ monkeys specific enabling deepen the compresiÃÂ ³ n based neuroanatÃÂ ³ mica of the disease depresiva.Por ÃÂ fourth last, could be assessing the possible implicaciÃÂ ³ n clÃÂnica these hallazgos.Las tÃÂ © cnicas of neuroimaging podriÃÂ ¡No encourage the development of markers clÃÂnicos addition to the prÃÂ ¡ctica clÃÂnica usual, ÃÂ eighth tiles in the management and evaluzciÃÂ charges for certain patients depresivos.El study constitutes this thesis has used resonance magnÃÂ © tica (MRI) as mÃÂ © dimensional study of the entire volume of lÃÂquido cerebrospinal (CSF) overall and cortical regions and subcorticales in a group of patients with depresiÃÂ ³ n melancÃÂ ³ lica.Se has chosen as regiÃÂ charges of interÃÂ © s the regiÃÂ ³ n dela cisura Silviana.La cisura Silviana is a cisura Primary limitta to lÃÂ ³ bulo frontal and temporal and covers cÃÂ ³ rtex island ganglia and the base.Estas structures have been implicated in a manner consistent with the neuroanatomÃÂa disorder depresivo.Los results emanating from this thesis are 1) Patients with depresiÃÂ ³ n melancÃÂ ³ lica show an overall increase of spaces LCR.2) This increased volume is prominently inthe regiÃÂ charges of cisura Silviana complement for precedir the condiciÃÂ charges of depresiÃÂ ³ n melancÃÂ ³ lica.4) After a potocolo standardized treatment, the presence of severe changes in the cisura Silviana left predicts a poorer response to treatment iantidepresivo, to be associated with a mayro nÃÂ º mero de dÃÂas needed to obtain remisiÃÂ ³ n dela clÃÂnica depresiva.5) After a follow-up to two aÃÂ ± os, the presence of a severe increase in the volume of CSF cortex is associated with an increased risk of recaÃÂda or recurrimiento depressive.

Author: HERRERO ESQUERDO OLGA.
Year: 2003.
University: RAMÓN LLULL [www.url.edu].
Place of defense: FACULTAD DE PSICOLOGÍA Y CIENCIAS DE LA EDUCACIÓN Y DEL DEPORTE BLANQUERNA.
Place of preparation: FACULTAD DE PSICOLOGIA Y CIENCIAS DE LA EDUCACIÓN Y DEL DEPORTE BLANQUERNA.

Summary: This dissertation is part of the tradition of qualitative research hermeneutics understood from the perspective constructivist relational (Bottle, 2001; Bottle and Herrero, 2000). In this work we are interested in both the investigation process in psychotherapy as a phenomenological study of a case of mourning in particular. To that end we have developed two separate studies but interlinked. In both cases, the investigation has focused on detailed qualitative analysis, using the method of grounded theory, psychotherapy with a client whose main demand is a process of mourning. The first analysis (Study 1) responds to those interested in studying mechanisms pragmático-retóricos contributing to the client in exchange for psychotherapy. Thus, we have focused on explaining and interpreting in terms of the analysis process for what is said what is said at the meeting and how they try to get what is said to have the desired effect, focusing primarily our interest in shifts spoke of the therapist especially in the first session. The goal of the second analysis (Study 2) responds to the need for fenomenológicamente approach to a particular experience of mourning, and therefore, to understand and describe the semantic content of the twelve sessions of psychotherapy at our disposal, in accordance with their own terms that client and therapist used, so this second study answers the question  what is said at the meeting?. The main results of Study 1 constitute a map of the fruit categories of analysis being category nuclear responding to the "what" and subcategories of each corresponding to the "how". Also, the results of Study 2 form another map categories in terms of how to construct a discursive significant loss, meeting by meeting, the maximum being faithful to the text. In both studies establishing connections with the results of previous research on interventions therapist and processes of mourning.

Author: PINTO MEZA ALEJANDRA.
Year: 2004.
University: AUTÓNOMA DE BARCELONA [www.uab.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: ESCUELA DE POSTGRADO.

Summary: A number of studies suggest that people with depression hypoactivity of behavioral activation system (SAC) and / or hyperactivity system behavioral inhibition (SIC). These changes have been related to the course and prognosis of depression. This paper consists of two independent studies. The first is a study on the validity of the procedure for the administration of two telephone instruments used in the second study: the scale for assessing depressive symptoms Patient Health Questionnaire 9-items depression module (PHQ-9) and the questionnaire sensitivity Punishment / Sensitivity the Reward (SCSR) as a measure of the activity of the SAC and SIC. The second, and a longitudinal study with a follow-up for 6 months in which we assessed individual differences regarding the activity of the SAC and SIC in a group of people with depressive disorders who received antidepressant drug treatment in primary care. The results of the first study established that the administration of the telephone scale PHQ-9 and the questionnaire SCSR is reliable and generates results very similar to those obtained in the form auto-administrado. The results of the second suggests that people with major depression presents, in a stable and independent of the clinical status, hypoactivity the SAC when compared to people with minor depression, people with depressive disorders and unspecified persons without a history of mood disorders. These last three groups did not differ with respect to the activity of the SAC. In addition, hypoactivity SAC would relate to compliance and the activity of the SAC and SIC would be no different among people who take or not a selective reuptake inhibitor to be rotonina.

Author: CABELLO SANTAMARIA FRANCISCO.
Year: 2004.
University: MÁLAGA [www.uma.es].
Place of defense: FACULTAD DE PSICOLOGÍA.
Place of preparation: FACULATAD DE PSICOLOGÍA.

Summary: The spread erectile is a highly prevalent disease that causes a decline importance on the quality of life of affected and their dissemination pareja.Es sex by the most widely consulted on our medio.Hasta the appearance of sildenafil in the treatment of erectile dysfunction The effectiveness of sex therapy was superior to the rest of the intervenciones.No however, so far all the studies apuntal towards eficia upper sildenafil, identifies therapeutic successes while the patient is taking medicamentono referring to the result after having left the fármaco.Enel This study has evaluated the therapeutic efficacy of three different interventions: sex therapy, and combination therapy sildenafil (sildenafil more sex therapy) per month to stop handling at disfusión eréctirl situational branch of the erectile dysfuntion psicógen which gives exist alterations erection alternating with sexual intercourse where the erection is adequate. The results obtained through a recording of "sexual penetration perception coitales with adequate" and questionnaires index International Eréctil Function (IIEF), Inventory of Sexual Satisfaction (GRISS) and Questionnaire Excitabilidad Sexual (SAI-E) put showed that the combination therapy and sex therapy are most effective tools of the drug therapy in the treatment of disfusión erectile situational a month of leaving the treatment, combination therapy remains the best strategy against sexual anxiety, leaving to meet criteria difunción erectile to 90% of those who took combination therapy, 66.7% of those who made sex therapy and 50% of the drug therapy followed.

Author: GARCÍA ZAPICO AUGUSTO.
Year: 2004.
University: POLITÉCNICA DE MADRID [www.upm.es].
Place of defense: FACULTAD DE CIENCIAS DE LA ACTIVIDAD FÍSICA Y EL DEPORTE.
Place of preparation: ESCUELA TÉCNICA SUPERIOR DE ARQUITECTURA.

Summary: In order to evaluate the adaptation of two groups of athletes resistance training loads applied, a volume control and intensity of the same daily during mesociclos working general and specific, pre-competitive stage, as models planning traditional three times this season, agreeing at the beginning and end of those two mesociclos were conducted checks adaptation by anthropometric tests, ergoesprirométricas, analytical blood and nutrition, obtaining data for later comparison between groups and moments of season. Among the most relevant results are extracted improvements between 8% and 9% of maximum oxygen consumption, a 6% to 10% of the first and ventilatory threshold of a 3% to 7% in the second ventilatory threshold, and as declines in key variables associated with the volume series cross training can be seen as statements of pseudoanemia athlete. It is concluded that a model of loads more continuous, as used by cyclists further enhanced ventilatory threshold and is more suitable for prolonged periods of competition, while a more concentrated loads model, as applied by the triathlete, the second most improved ventilatory threshold and is more suitable for the development of a competition only.

Author: DAVINS PUJOLS MONTSERRAT.
Year: 2004.
University: RAMÓN LLULL [www.url.edu].
Place of defense: FACULTAD DE PSICOLOGÍA Y CIENCIAS DE LA EDUCACIÓN Y DEL DEPORTE BLANQUERNA.
Place of preparation: FACULTAD DE PSICOLOGÍA Y CIENCIAS DE LA EDUCACIÓN Y DEL DEPORTE BLANQUERNA.

Summary: The vast field of family violence, in this paper we analyze this phenomenon in relationships, and more specifically, abuse against women exercised by the partner or spouse. We raised the following objectives: 1-Describe the socio-demographic characteristics and the various circumstances of the abuse of women battered arriving in residential services. 2-To assess the perception of women battered on the quality and the adjustment of their relationships. 3-To determine the clinical symptoms and possible psychopathology that present battered women to stay at its Relief and sintomatológicas assess whether there are differences between women who go to emergency centers and women living in the shelters. 4-Identify and analyze personality styles which have battered women at the present time. 5-Analyzing whether women who have suffered abuse in their childhood are different from those without regard to certain circumstances of the abuse, the perception of the quality of their relationship of the couple, and the characteristics of personality and clinics. This is a study of an exploratory nature and use a descriptive cross-sectional design to examine women housed in a center for emergencies and women who resided at two shelters in the city of Barcelona. We evaluated a total of 43 women (N = 43). Of these, 16 (37.2%) were women from an emergency center for battered women and the other 27 women (62.8%), living in shelters. The instruments used in the study was the Millon Clinical Multiaxial Inventory-II (MCMI-II, Millon, 1999), the Dyadic Adjustment Scale (DAS Spanier, 1976), and an adaptation of Interview Semiestructurada on Domestic Abuse (Echeburúa, Corral, Sarasua, Zubizarreta and Sauca, 1994). In relation to the objectives and assumptions made concluíamos that: 1-It was a set of battered women who were characterized by having experiences suffered severe maltreatment in their relationships, with regard to its intensity, duration, frequency and length . 2-While on the one hand the group of battered women appreciated the warm and the adjustment of their relationships so poor and unsatisfactory on the other hand, some aspects of the relationship were preserved. 3-No confirmed the presence of clinically significant depressive and anxious symptoms in more than half of the women studied. No differences were observed among women sintomatológicas both Relief. 4, - found changes in their personality styles, mostly profiles esquizoides, dependents, and evitativos. 5-Women who had suffered abuse in his childhood were different from those without regard to certain circumstances of abuse and certain personality and clinical scales, showing greater seriousness psicopatológica. Future research with larger samples are required to determine the extent of this contribution.

Author: DÍAZ SIBAJA MIGUEL ÁNGEL.
Year: 2004.
University: NACIONAL DE EDUCACIÓN A DISTANCIA [www.uned.es].
Place of defense: FACULTAD DE PSICOLOGÍA DE LA UNED.
Place of preparation: FACULTAD DE PSICOLOGÍA DE LA UNED.

Summary: The Crohn's disease and ulcerative colitis are some gastrointestinal disorders, chronic and recurrent developments, which are characterized by inflammation in the walls of the digestive tract. Both diseases are to be grouped under the category of inflammatory bowel diseases. The most common symptoms were diarrhea, abdominal pain, fever, malaise, cansanciao, loss of appetite, weakness, anemia and weight loss. Most authors accept the premise of mutual interaction between the biological and psychosocial factors proposed by the biopsychosocial model and agreed to give multi etiology of the disease, which has prompted the interest for determining what psychological factors might be influencing the development and during inflammatory bowel diseases. The main aim of this pilot study was to design, implement and validate a multi psychological treatment program, based on the competency model and a metodológia psychoeducational, which included the following modules of intervention: information about the disease, model coping, problem solving, relaxation techniques, training in social skills, techniques distración and techniques of cognitive restructuring. All are techniques were adapted to the problems characteristic of inflammatory bowel disease. The program of psychological treatment had two methods of intervention (Group format and format with a minimum distance telephone contact). The sample consisted of 97 patients diagnosed with inflammatory bowel disease in patients' associations Crohn's and ulcerative colitis in Spain Madrid and Cadiz (33 participated in the program for the treatment group, 40 were treated at a distance, and 24 were assigned to the group waiting list control). The biopsychosocial variables measured were: physical variables (pain, digestive symptoms and systemic symptoms), variable emotional (anxiety and depression), cognitive variables (locus of control and self-help thinking), behavioral variables (coping strategies), social variables (support social and social affectation), and quality of life. The results showed that the program of psychological treatment of inflammatory bowel disease designed for this research is effective in producing a statistically significant improvement in much of the variables biopsychosocial measures, regardless of the mode of intervention used. Also, this improvement is maintained at follow-ups done for the 3, 6 and 12 months, when compared with the baseline.

Author: LLORCA DIEZ GINES JESUS.
Year: 2004.
University: SALAMANCA [www.usal.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: From a perspective of chronic pain experience as a multidimensional and complex arose as a target of the investigation, study possible variables that might explain the emotional state of these patients. From a design cross sample was selected at random incidental, Unit Pain Service Anesthesiology Clinical Hospital of Salamanca. The sample size was 106 patients with chronic pain, divided into 3 groups: cancer, nociceptivo and neuropathic. The valuation tools used were: Interview Semiestructurada; Visual Analog Scale (VAS, 1974); Questionnaire Cogniciones Anticipatorias (QCA, 1991); battery Scales Expectations Generalized Control (BEEGC, 1992); Scale multidimensional evaluation of styles coping (COPE, 1997), Beck Depression Inventory (BDI, 1975); Questionnaire Anxiety Estado-Rasgo (STAI, 1994); Quality of Life Questionnaire (QLQ. C-30, 1995) To describe the sample We descriptive statistical analysis, and to test the assumptions made, analysis of variance of one two factors fixed effects and multivariate analysis: regression models (single and multiple), and factor analysis methods aimed at organizing subjects such as discriminant analysis. The results indicated that:-depressive mood, in contrast to the anxiety, is affected by the type of patient diagnosis, specifically in the group where cancer reaches clinical levels. Patients who suffer neuropathic pain nociceptivo and make up two groups very homogeneous, showing levels of depressive symptoms and anxious moderates. - Both the anxiety and depression are multidimensional constructs that can be explained by biopsychosocial model that can be predicted by components of the quality of life associated with pain, with a high expectation of self-efficacy, and an active coping not focused on the emotions. - There are parameters which allow to discriminate whether a patient with chronic pain is likely to suffer depression. A therapeutic level should ensure that the sick improve its expectation of efficacy, quality of life somatic, try using coping strategies active and not passive before the stressor and to conduct a proper cognitive analysis on the relationship between their actions and results in the same.

Author: BEL VILLAR M. TERESA.
Year: 2005.
University: BARCELONA [www.ub.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: In a sample of 40 patients diagnosed with Anorexia Nervosa according to DSM-IV, has studied the response to treatment applied cognitive behavioral psychotherapy, subsequent developments after 1 year of follow-up, and the factors associated with the abandonment of patients. They were valued weight and the presence / absence of amenorrhea, and used questionnaires EAT-40 (Garner and Garfinkel, 1970), EDI (Garner et al., 1983), BSQ (Cooper et al., 1987), BECK - DEPRESSION (Beck et al., 1961) and STAI (Spielberger et al., 1970) in the evaluation of the 3 phases of the study (pre-treatment and post-treatment follow-up year), plus the initial assessment were administered a Clinical Interview The questionnaire Personality 16PF (Cattell, 1970) and Inventory Obsesivo-Compulsivo -MOCI- (Rachman and Hodgson, 1980). It has implemented an Analysis of Variance with a design 3x2 in the 3 phases of the study and the results were that the most prominent patients Subtype Purgativo are less weight in all evaluations, the Academic Performance "good" is a favorable factor for response both clinics in areas, such as biological and cognitive patients with obsessive more ideation are more resistant to treatment and recovery of the disorder. As for dropouts only appears as a significant result that patients who drop out during the treatment have more capacity symbolization, abstract thinking and intellectual interests that those who leave the track.

Author: SARMIENTO LUQUE TERESA EUGENIA.
Year: 2005.
University: BARCELONA [www.ub.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: The partial hospitalization (UHPP) is a valuable modality for the treatment of acute phases of severe mental disorders. It provides a structure and substantial assistance to patients, while maintaining the involvement of the family and community, so we ask if:  Is there any way to predict which patients will benefit the hospital day and what no?,  Is it possible to reduce inappropriate referrals to the UHPP or dropouts?. The objective of this study is to identify factors predictive of response (clinical improvement or worsening) in patients with personality disorders treated in the UHPP. It studied 40 patients diagnosed with personality disorder (TP) admitted to the UHPP Service psychiatry of the Foundation Private Hospital Mollet. This is an observational study, prospective, which assesses at baseline and longitudinally a number of areas (clinical, personality, socio-demographic and utilization) related to the evolution of the patients with PR during his stay in the UHPP . The admission was collected variables: Sociodemographic, of course prior to the entry of UHPP (n eighth income in acute n eighth income UHPP, n ° Urgenze n ° dropouts of drug treatments and psychological) and clinical (Global Severity Index, GSI : Scale Evaluation Activity Global EEAG; Beck Depression Inventory, BDI). While entering variables: Clinics (Scale Autoaplicada of Social Adaptation. Questionnaire Assessment of the Response to Stress coping, COPE) and Simplified Questionnaire of Adherence and Compliance Therapy. And to become a high value the clinical variables that were valued at entry and also appreciates the personality (SCID-II), intelligence (WAIS-III), and also manages the Evaluation Questionnaire of the Patient Satisfaction. The analysis came from two perspectives: first tests were conducted bivariate (Proof Chi, Student's t U of Mann-Wittney) Second, the logistic regression analysis. We note the importance of the variables relacionads with perception and coping with stress in the prediction of the degree of improvement, which suggests that the weight may have Collisions cognitivos-conductuales. As for the role of factors related to compliance with treatment regimens in the UHPP, patients with adequate performance of medical therapy are more likely to improve as well as those who appreciate the attention given to the family has helped them a lot . There are differences in the predictive value of various factors as predictors variable evolutionary.

Author: RAPOSO TAVORA DE BARROS PEIXOTO BRUNO MIGUEL.
Year: 2005.
University: OVIEDO [www.uniovi.es].
Place of defense: DEPARTAMENTO DE PSICOLOGIA.
Place of preparation: DEPARTAMENTO DE PSICOLOGIA.

Summary: The minimal hepatic encephalopathy (EHM) is a dimension of clinical hepatic encephalopathy, a lthough not manifested in a clear, a high prevalence rate and brings serious implications on the quality of life in patients with hepatic dysfunction. The executive functions (FE) constitute a set of cognitive processes, which are closely associated with the prefrontal lobe, which are essential for maintaining an independent life and adpatada of individuals. Nevertheless, the presence of executive dysfunction in the box EHM has not so far been properly explored. This research analyzes the possible existence of executive dysfunction in the table on EHM, as it known distribution in the spectrum of hepatic dysfunction. To that end, we have implemented two test evaluation of the Faith, the Behaviorural Assesssment of the Dysexecutive Syndrome and the Wisconsin Card Sorting Test, three groups of subjects with varying degrees of liver cirrhosis (Child Group A, n20; Child Group B n20 ; Child Group C n20), a group of subjects with chronic infection by the hepatitis C virus (HCV Group, n20) and a group of regular donors of blood (Group Control, n20). The results have shown any adverse effects on the ability to inhibit associations prior, in the capacity of structured planning, conceptualization, abstract reasoning, search organized and the ability to maintain a non-automatic response in the liver dysfunction lightly. With the advance of liver dysfunction, these conditions are exacerbated because they are added the difficulties of estimating cognitive monitoring and control atencional, maintenance and organization of tasks over time, inhibition in complex contexts and utilizacióon of feeback for correcting behavior.

Author: LERA MIGUEL SARA.
Year: 2005.
University: BARCELONA [www.ub.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: The fibromyalgia syndrome, consisting of a pattern of chronic widespread pain for more than three months evolution is accompanied by multiple physical and emotional symptoms that reduce the quality of life of those who suffer. Several different types of treatment have been tested, with a multidisciplinary approach which gets better results. OBJECTIVES Knowing the characteristics of a clinical affected fibromyalgia, drawn from the consultation reumatológica specializes in the district of Barcelona Bages and multidisciplinary response to treatment. Knowing whether cognitive behavioral therapy adds to effect significant therapeutic effects achieved by the rest of therapeutic components of multidisciplinary treatment. Knowing the variables that predict the change. METHOD A cohort of 83 women diagnosed with fibromyalgia up the sample on which to carry out three studies. The first study is descriptive of demographic characteristics, health clinics and in addition to the behavior of psychometric questionnaire Impact of Fibromyalgia, FIQ. The second study is a randomized controlled clinical trial in which the contrasting effect of a treatment program multidisciplinary group composed of medical care, education and information on the disorder and physical rehabilitation, and the effects of the same program multidisciplinary described more psychological treatment of cognitive-behavioral approach. The third is a study of linear regression to identify predictor variables have power on the therapeutic change that has been observed. RESULTS Demographic characteristics most frequently encountered are equivalent to a low or middle socioeconomic status, mostly women who work as laborers, service workers or farm and have a level of primary school or elementary. The degree of involvement of both the physical and psychological functioning and quality of life is moderate to high. The FIQ is shown as the most sensitive to the symptoms that conforms fibromyalgia. The multidisciplinary treatment achieved significant improvements in basic functional ability and quality of life, but cognitive behavioral therapy does not add, though about to get a significant therapeutic effect achieved by the larger program without psychological treatment. The variables that best predict this improvement is the presence of fatigue in the morning, a lower number of points sensitive to pain and characteristics of personality centered on the pursuit of their own goals realistic. CONCLUSIONS A therapeutic program to provide medical care for symptom control, information and education to patients in addition to physical rehabilitation is sufficient to achieve improvements in the intensity and impact of the table fibroniálgico. The application of cognitive behavior therapy in all cases it may not be necessary. In the same way, it is advisable to adjust the programs of physical exercise on an individual basis.

Author: DÍAZ DIGÓN LAURA.
Year: 2005.
University: BARCELONA [www.ub.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAT MEDICINA UV.

Author: ALBERDI ALORDA MARIA DEL CARMEN.
Year: 2006.
University: AUTÓNOMA DE BARCELONA [www.uab.es].
Place of defense: AUTONOMA DE BARCELONA.
Place of preparation: HOSPITAL SAN JUAN DE DIOS.

Summary: ESTUDIAMOS AGENTS OF BOND IN A SHOW OF CHILDREN FOR 6 YEARS, COMPARANDO WHICH NACIERON TO THE TERM AND WHICH NACIERON PREMATURE. BE CONSIDERED IF, ADDITION OF PREMATURIDAD, AFFECTING THE RESULTS: THE RISK BIOLOGICAL, GENDER, AGE GESTACIONAL AND GEMELARIDAD. DETERMINAMOS IF THE VARIABLES ESTUDIADAS: PREMATURIDAD, RISK BIOLOGICAL, GENDER, AGE GESTACIONAL And GEMELARIDAD, AFFECTING THE CHARACTERISTICS OF CONTENTS NARRATIVO COLLECTIONS THROUGH THE SCALES OF 'LETTERS TO COMPLETE STORIES' (CCH). HALLAMOS WHICH CHILDREN PREMATUROS SUBMIT MORE HIGH SCORES OF BOND INSEGURO HIPERACTIVADO And DESORGANIZADO.

Author: PALMA SEVILLANO CAROLINA.
Year: 2006.
University: RAMÓN LLULL [www.url.edu].
Place of defense: F.PISCOLOGIA Y CIENCIAS.
Place of preparation: FACULTAD DE PSICOLOGIA Y CIENCIAS DE LA EDUCACION Y DEL DEPORTE BLANQUERNA.

Summary: Background: Many studies over the past fifteen years have demonstrated the effectiveness of early intervention programs des in schizophrenia and its impact on the prognosis of the disease. In fact, preventive intervention in phase prodrómica and after the first episode has become one of the main lines of research and clinical application for the boarding of schizophrenia. Objective: To assess the impact of a psychotherapeutic intervention during the initial phase of schizophrenia on clinical improvement and relapse of a group that received an early intervention (PIPE) compared with a control group (CG) received psychiatric routine checks. Methods: We conducted a controlled clinical trial comparing single-blind, a program of routine (CG) with the PIPE program. We randomized 34 patients who were in the initial stages of schizophrenia both groups: GC (n = 13) and GC & PIPE (n = 21). The program was formed by PIPE individual therapy and family cognitivo-motivacional, with a duration of 18 months (between 34-36 meetings). Clinical evaluations were carried out in the baseline assessment, the 3,6,9,12 and 18 months by external evaluators, in addition to the follow-up to 6 months. Patients were assessed by the scale PANSS (Spanish version of the Scale of positive and negative syndromes; Peralta and Cuesta, 1994), the scale BPRS (Brief Psychiatry Rating Scale; Overall and Gorham, 1962), the scale CGI (Clinical Global Impressions; National Institute of Mental Health, 1976) and EEAG (Scale Evaluation Activity Global; American Psychiatric Association, 1995). In addition, the indexes were collected relapse global and specific number of hospitalizations, day hospital stays, emergency room visits, unscheduled visits, worsening symptoms and increases in medication. Main results: There are statistically significant differences between the groups mentioned and the three-month intervention respect to baseline (p = 0000) that are stable up to follow up the 6 months (p = 0000) in the evaluation with the BPRS scale. With regard to the evaluation of the syndrome positive, negative and general psychopathology punctuated with the PANSS are also notable differences in the six months that remain until the end of the speech to 18 months (PANSS-P, p = 0.02; PANSS-N, p = 0004; PANSS-PG, p = 0000). In line with these results are statistically significant differences in ratings scales CGI and EEAG with remarkable results and at six months (CGI, p = 0000; EEAG, p = 0001) and that will be held until the track to 6 months (CGI, p = 0000; EEAG, p = 0000). With regard to relapse was observed statistically significant differences between the groups at 18 months and 6 months follow-up in the number of hospitalizations (p = 0000), day hospital stay (p = 0000) in emergency department visits (p = 0048) and increases in medication (p = 0002). Similar results were observed in the overall relapse in the comparison between both groups at the end of the intervention and at follow-up at 6 months (p = 0018, p = 0048 respectively). Main conclusion: The program of early intervention PIPE has a high impact on the clinical improvement and relapse at 18 months of intervention that is maintained during the follow-up period to 6 months.

Author: GALLEGO PITARCH MARIA JOSE.
Year: 2006.
University: JAUME I DE CASTELLON [www.uji.es].
Place of defense: FACULTAD DE CIENCIAS HUMANAS Y SOCIALES.
Place of preparation: FACULTAD DE CIENCIAS HUMANAS Y SOCIALES.

Summary: The main objective of this study is to compare the efficacy of a treatment program for the MHP entirely self-administered using the Internet as a medium, compared to the same program implemented by the therapist and compared with a control group waiting list. A total of 77 people with social phobia (according to DSM-IV criteria) were randomly assigned to one of the following experimental conditions: a) treatment group entirely self-administered via the Internet (N = 30), b) the same treatment applied by a therapist (N = 22), or c) a waiting list control group (N = 25). The treatment consisted of a psycho component, a component of cognitive restructuring, a component exhibit, a component of change in focus atencional and a component of relapse prevention. There were no significant differences between the treatment group and the self-applied by the therapist in the post, with both a statistically significant improvement after treatment. However, when comparing the two treatment groups with the control group showed significant differences, which are both more effective treatments than the control group waiting list. The improvement obtained in the treatment was maintained at follow-ups to the 3 and 6 months. Therefore, the results support the efficacy of treatment programs entirely self.

Author: GONZÁLEZ GOIZUETA EUGENIA.
Year: 2006.
University: ZARAGOZA [www.unizar.es].
Place of defense: FACULTAD DE MEDICINA.
Place of preparation: FACULTAD DE MEDICINA.

Summary: Observational, transverse and descriptive conducted among 239 residents who were part of the team of University Teaching Hospital "Lozano Blesa" Zaragoza in January 2004. These included those who wanted to participate on a voluntary basis. Data collection was carried out between January and July 2004 questioning on socio-demographic aspects, job satisfaction (Job descriptive Index, the overall index of job satisfaction, ambigà ¼ age role and scale of priorities); bumout (Maslach Burnout Inventory), malaise psychic (Questionnaire Goldberg to assess overall health GHQ-28), and used a questionnaire valued aspects of the period as Internal Medical Resident. Following the presentation of results and discussion has been possible to draw the following conclusions: 1. The job satisfaction of the residents are related to better mental health, the absence of symptoms of burnout and greater satisfaction with the inherent characteristics of the work and physicians who work with the deputies. The fact that these doctors deputy monitor training and care task carried out by residents, and make corrections and / or constructive criticism to the work, is associated with greater job satisfaction. 2. The job dissatisfaction is related to residents with the presence of psychic discomfort, as well as suffering from emotional exhaustion, depersonalization and a lack of self-esteem training, all of them components of the syndrome Wear Professional. This dissatisfaction is working closely associated with that residents do not feel supported in their daily decisions in the workplace. 3. Some 83% of the residents of University Teaching Hospital "Lozano Blesa" Zaragoza are happy with their work. Of the remaining, are more engaged in the stock neutral (12'8%), poor (4.3%). 4. Information on the contents of the task to be performed out as a major factor in job satisfaction overall, but were not observed in the case of information on the performance of work. However, when we refer to the satisfaction with superiors (Deputy), both information content, as on the results of the work favors a greater degree of satisfaction. The lack of information about the content of the task gives rise to emotional exhaustion in the residents. 5. The prevalence of Professional Wear Syndrome among residents of University Teaching Hospital "Lozano Blesa" Zaragoza, using the most stringent criteria in its definition (high emotional exhaustion, depersonalization and low high professional), is 7.6%. 6. The perception by residents of a lack of appropriate theoretical training as well as a lack of correction and / or constructive criticism for the work they do favors emotional exhaustion. The lack of professional conduct relates to the printing of not receiving recognition by doctors attached to the work, or monitoring, backing and support needed in the guards. 7. The 20'7% of the residents of University Teaching Hospital "Lozano Blesa" Zaragoza have a significant psychological malaise. This discomfort is related to the presence of emotional exhaustion, and with the subjective feeling of lack of supervision, support and support in the guards. 8. The job satisfaction and the SDP does not relate to the year of residence being enrolled. However specialty done it can be linked to the SDP. The medical specialties are associated with a high emotional exhaustion, the central services with a low emotional exhaustion and depersonalization, and surgical specialties with low depersonalization. 9. Dissatisfaction 8 labor, 428 exhaustion and emotional presence of psychic discomfort associated closely with the residents do not feel supported in their daily decisions in the field of care, a fact highlighted among all of the aforementioned period MIR. More studies are needed that allow us to generalize the data, establish causal relations and to evaluate various alternatives for prevention in SDP residents.