Actas luso-españolas de neurología, psiquiatría y ciencias afines

Description

  • Impact factor
    0.00
    Show impact factor history
     
    Impact factor
  • 5-year impact
    0.00
  • Cited half-life
    0.00
  • Immediacy index
    0.00
  • Eigenfactor
    0.00
  • Article influence
    0.00
  • Other titles
    Actas luso-españolas de neurología, psiquiatría y ciencias afines
  • ISSN
    0300-5062
  • OCLC
    7533539
  • Material type
    Periodical
  • Document type
    Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Use of BMT (bone marrow transplatation) has rapidly grown in the last few years. It extends to a variety of neoplastic illnesses and hematological malignancies. This procedure includes implicit appearance of many and important stressors, both physical and psychological, due to the illness and to chemotherapy treatments, among which the appearance and severe colateral effects during the stay in hospital has a special relevance. The need to consider the influency of predictive variables like, prior experiences, optimistic vs. pesimistic expectancies and the strategies of coping used in the adaptation through the treatment, are a central point in the study of the fluctuations of the different psychological responses and their interrelation with the physiology symtomatology which are present during the different phases of the process of BMT.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 09/2013; 26(2):130-8.
  • Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/2002; 17(2):126-31.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The pharmacological treatment of serious mental disorders in the pregnancy, supposes a clinical dare by the possible repercussions on the fetus and the pregnancy: theratogenesis, perinatal syndrome or postnative sequels in the development. The electroconvulsive therapy (ECT) as much takes implicit a minimum risk for the mother as for the fetus and therefore, it must be located in the highest positions of the therapeutic decision trees. In the present article, are reviewed the consequences of the pharmacological treatment and the ECT in the serious mental disorders during the pregnancy. Is referenced to all of the pharmacological groups and with respect to the ECT: their indications, counterindications, complications and technical procedures advisables. Finally is reviewed the guide line for each syndromical group of psychiatric diseases.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 12/2000; 26(3):187-200.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Despite obsessive-compulsive symptoms in schizophrenia have been described for over 60 years, their clinical significance and treatment still remain unclear. Described below is a schizophrenic patient with obsessional thinking and compulsive rituals who markedly reduced the obsessive-compulsive symptoms after fluoxetine was added to neuroleptic treatment.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(3):201-3.
  • [Show abstract] [Hide abstract]
    ABSTRACT: In this work with the SPECT we tried to define the most possible the disfuntions that could exist in a group of patients with severe recurrent depression. The sample is compound for fifteen patients (2 men and 13 woman) diagnosed of recurrent depression according CIE-10 with equal distribution between melancholic depressions and depressions with psychotic symptoms congruents and not congruents with the state of mood. The mean age of the group is of 55.4 years. All the patients have been studied with de SPECT (Tc-HMPAO) during the first week of hospitalization. The severity of the depressive syndrome was studied with the questionnaire for depression of Beck and the state of anxiety was studied with the questionnaire of anxiety of Spielberger. All the patients were severes depressives and anxious according to the questionnaires. We appreciated disfunction, hypocaptation, in frontoorbital zones, well bilateral (mainly in recurrent depressions with psychotic symptoms) or only in the left frontal side (areas of Brodmann 10 and 11) mainly in recurrent melancholies. We also found that in almost all the patients existed hypocaptation in the left angular circunvolution (areas of Brodmann 37 and 39). In the recurrent melancholies the localization of the hypocaptation is fundamentally posterior parietotemporal in the left side. In the recurrent serious depressions the hypocaptation is located to prefrontal level with tendency to bilateral being and/or posterior parietotemporal left side, that in the melancholies the localization of the hypocaptation is fundamentally posterior parietotemporal in the left side and it could imply that when the severity clinic gets complicated with psychotic symptoms the hypocaptation is located in a bigger number of places (prefrontal and left posterior parietotemporal) in relation to what it happens in the melancholic depressions. It seems to exist relationship between depressive and anxious severity and localization of the hypocaptation.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(4):223-32.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The diagnosis of attention-deficit hyperactivity disorder among adolescents and adults, when they were not diagnosed during childhood, requires retrospective evaluation of the disorder. Parents are usually the best source of information about childhood conduct, but sometimes it is impossible to get them. The Wender-Utah Rating scale was developed as an aid in the retrospective evaluation of symptoms of attention-deficit, hyperactivity e impulsivity. The objective of this study was to determine the consistency and the validity of this questionnaire in Spanish. We evaluated medical students of the Universidad Autónoma de Puebla in Mexico with the Wender-Utah Questionnaire-Spanish. Some of them were evaluated again fifteen days later. We gave them the parents Rating Scale. We calculated the internal and the test-retest consistency and also the correlation between this Questionnaire and the Parents Rating Scale. We evaluated 946 students, 400 had the test-retest procedure and 532 returned the Parents Rating Scale. The internal consistency was superior to .80. The correlation symptoms of attention deficit, hyperactivity and impulsivity. The test-retest consistency was at least .80, for the evaluation of with the Parents Rating Scale were moderate. This Spanish translation of the Wender-Utah Questionnaire has adequate consistency and reproducibility so it can be used as a screening tool, also the validity of the different versions suggested can be evaluated.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(3):165-71.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Families of adolescent and young adult suicide attempters are studied to analyze their role in these extremely dangerous behaviors. 72 adolescents and young adults (aged 15-24) who have made a suicide attempt and 72 normal controls matched by sex, age and marital status, are studied in a case-control design. Several aspects of each family are explored: composition, degree of stability in parental couple, type of relationships among the members, labor status of parents and medical-psychiatric and legal family history. Only parameters analyzing parents-offspring interactions can differentiate both groups. Keep an unsatisfactory relation with any of the living parents are the family factors which place the young or adolescent subject in risk of making a suicide attempt in our surrounding.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(2):97-103.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The prevalence of personality disorders in penal population was studied with two instruments, the classic MMPI and the recently published IPDE, authorized by the WHO for the diagnosis of personality disorders in both, DSM-IV and ICD-10 versions. A sample of 56 prisoners from a Spanish prison was studied, mean age 22, all male, 98% of them had never requested psychiatric help. The crimes most frequently committed were related to drug traffic and drug abuse (thefts, robberies, crimes against public health). There were also cases of homicide, homicide attempt, rape and kidnapping. 91% of the studied sample presented one or more personality disorders, being the most frequent: Antisocial (79%), Paranoid (52%) and Borderline (41%). The MMPI scales most frequently obtained were: Psychopathic deviation (59%), Paranoia (46%) and Schizophrenia (41%). There was a good clinical correlation between the IPDE and the MMPI results.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(3):151-4.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Clinical observation: A 67-year-old female patient operated of a severe aortic esthenosis with extracorporeal circulation during cardiac surgery, developed psychiatric disturbances with excitement and delirium, being necessary internamtient in a psychiatric ward, a month later. The evolution was right after neuroleptic treatment and nowdays she's assimptomatic. We review what is wrote about posteparative cognitive dysfunction (POCD), being this a tardive presentation case. We analize the definition, prevalence, etiology, pathofisiology, treatment and prevention since it is a reversible surgery complication but if it isn't early diagnosed and treated, its morbidity and mortality can be high.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(4):273-6.
  • [Show abstract] [Hide abstract]
    ABSTRACT: This study examined the relative efficacy of a brief-psychoeducational treatment approaches for bulimia nervosa. Our sample comprised 26 women who sought consecutively treatment at the Eating Disorders Outpatient Unit. All subjects met DSM-IV criteria for Bulimia nervosa. For the assessment were used commonly applied questionnaires in the fiel of eating disorders such as: Eating Attitudes Test (EAT-40), Eating Disorders Inventory (EDI) and the Beck Depression Inventory (BDI). Outcome measures included also change in vomiting and binge-eating episodes per week. Each patient was assessed before and after a 6 weeks brief psychoeducational group therapy. At posttreatment, 30% of the patients were abstinent from binge eating-purging and 62% reduced their weekly frequency in binge eating and 56% reduced their weekly frequency in vomiting. Good-outcome (EAT scores < 30) was observed in more than 35% of our patients. The authors sought to identify factors that differentiate bulimic patients who improve while receiving treatment from those who do not.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(1):23-8.
  • [Show abstract] [Hide abstract]
    ABSTRACT: A common idea is the that the patients with affective and anxiety disorders recover in a partial way their memories in function of their state. This particular fact can influence the remembrance of the upbringing so that the memory is facilitated for facts congruent with their current affects. The authors apply a questionnaire of upbringing (PBI) to a group of anxious and depressive patients at the beginning of the treatment and when the improvement has taken place. There are not variations for the punctuations in the scale of upbringing, which is invariant with the changes of the humour.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(4):241-6.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Data from naturalistic studies have reported differences in the clinical use of antidepressants referring to the need for adjusting doses, treatment duration, tolerability and use of concomitant medication. These differences could be considered as an indicator of the effectiveness of antidepressants in clinical practice settings. It is a naturalistic, retrospective, observational study which objective is to evaluate and compare the pattern of antidepressant use (fluoxetine, fluvoxamine, paroxetine, sertraline, venlafaxine) and to establish if there is a relation between the different pattern of use and the effectiveness of them. A retrospective dataset of patients who initiated therapy on fluoxetine, fluvoxamine, paroxetine, sertraline, or venlafaxine with a follow-up period of 6 months was used. Information about clinical characteristics of patients and antidepressant pattern of use were collected. Pattern of antidepressant use were defined as: "initial doses", "upward dose titration", "augmentation strategy", "switching" and "early interruption of treatment". The efficacy of the therapy was assessed by the CGI-improvement. Fluoxetine was the antidepressant more associated with a statistical significance (p = 0.001) to an stable pattern of use (initial doses without upward dose titration, switching or augmentation). After controlling for other observed baseline characteristics, patients who remained on their initial antidepressant therapy, with a stable pattern of use were 1.61 times more likely than patients who had an adjustment to therapy to experience a treatment response. Patients who initiated treatment with sertraline or venlafaxine were 2.155 and 4.831 times less likely, respectively, to experience a response relative to patients who initiated therapy on fluoxetine. The need to upward dose titration, switching or augmentation in the treatment could be indicated a worse therapeutic control of the symptoms. Patients treated with fluoxetine are in a stable pattern of use more likely than patients in the other antidepressants, this fact is related with better global therapeutic results.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(2):75-81.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To determine the factors associated with the maintenance of HIV-related risk behaviours in opiate patients dependent and establish whether psychopathology and more specifically personality disorders are part of them. Cross-sectional study with descriptive and analytical elements. The inpatient Drug-Dependence Unit of the Psychiatry Department at the Hospital Clínico Universitario in Valencia, Spain. Study subjects (n = 110) were consecutive first admissions to the Drug-Dependence Unit. The following instruments were used a structured clinical history, a Questionnaire on HIV-related risk behaviours, the Symptom Checklist-90 (SCL-90), the Beck Depression Inventory (BDI), and the Structured Clinical Interview for DSM-III-R personality disorders (SCID-II). Patients who had HIV-related risk behaviours were younger (CI95% = 0.43-3.99) and showed a younger age of first heroin and cocaine use. An association was found between a maintenance of risk behaviours and a current cocaine dependence (OR = 2.39; CI95% = 1.04-5.48), a current benzodiazepine dependence (OR = 6.81; CI95% = 2.67-17.38) and being HIV positive (OR = 2.5; CI95% = 1.10-5.67). An association was also found between HIV-related risk behaviours and the number of prior drug-related hospital admissions. The maintenance of risk behaviours was associated with the presence of personality disorders (OR = 2.63; CI95% = 1.18-5.84) and particularly with the antisocial personality disorder (OR = 3.75; CI95% = 1.61-8.75). The logistic regression analysis showed that the existence of benzodiazepine dependence, cocaine dependence, antisocial personality disorder and the number of drug-related admissions classified correctly 81.08% of patients. The higher severity of patients that maintained HIV-related risk behaviours and the association found with personality disorders suggests the need of designing more efficient therapeutic strategies for a subpopulation of drug misuser that showing HIV-related risk behaviours.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(3):155-64.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Despite its high frequency and its severe financial, social and personal complications, compulsive buying is rarely described in the psychiatric literature. We reviewed all the published papers on this syndrome to describe its clinical features, epidemiology and response to drug or psychological treatment. Psychiatric comorbidity is also reviewed and nosologic implications are analyzed.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(4):264-72.
  • [Show abstract] [Hide abstract]
    ABSTRACT: We present the use of risperidone as a potentiation strategy of the serotonergic antidepressants in four patients suffering from refractory obsessive-compulsive disorder. There were an important improvement in three patients. Adding risperidone to serotonergic antidepressants causes complex interactions between serotonergic, dopaminergic and noradrenergic systems, that could lay to the clinical improvement. These and other similar cases make necessary controlled studies. Adding risperidone to serotonergic antidepressants in patients suffering from refractory obsessive-compulsive disorder might be an effective strategy with low risk for secondary effects and without the presence of tics or psychotic symptoms.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(6):399-402.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The epidemiological data of prevalence of mental disorders according to gender differences are controversial. We analysed the prevalence among men and women via a two-stage epidemiological community study using the GHQ-28 and the SCAN on the island of Formentera (Spain). There are no sex differences in total prevalence; nevertheless some significant differences are detected when data is analysed on specific disorders. Affective disorders, sleep disorders and neurotic and somatoform disorders are more prevalent among women, whereas men have more psychoactive substance use disorders. Comorbidity with medical illness are higher in women but differences are not significant. These findings suggest the need to standardise procedures and instruments in these kinds of studies. This is because one of the bias could be the difference in the number of disorders included in the instrument design used (in our study, sleep disorders and psychoactive substance use disorders were included and personality disorders were excluded.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(2):90-6.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Alimentary restraint, cognitive variable related to eating behavior and obesity, is reportedly a valuable predictor for the development of therapeutic strategies. This paper addresses the relationship between maternal restraint and several psychological variables in their daughters (alexithymia, neuroticism, extraversion). From the study of 35 mother-daughter dyads it can be concluded that daughters of highly restrained mothers tend to present high scores in the Restraint scale of the Three Factor Eating Questionnaire of Stunkard and Messick, translated into Spanish and validated as Cuestionario de Conducta Alimentaria. Daughters of highle restrained mothers present also higher scores in the Neuroticism scale of the revised version of the Eysenck Personality Questionnaire. Daughters of mothers with low Restraint scores are in average higher than those of their mothers, although lower than those belonging to daughters of highle restrained mothers. Previous observations on the positive correlation between Disinhibition and Hunger of the Three Factor Eating Questionnaire are confirmed. These results add an additional risk factor for obesity (mothers with high Restraint) and contribute to delineate a set of psychometric indicators which might be useful in the diagnosis and prognosis of eating and body weight disorders.
    Actas luso-españolas de neurología, psiquiatría y ciencias afines 01/1998; 26(5):303-8.