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Trastorno de estrés postraumático en mujeres víctimas de violencia doméstica: un programa de intervención breve y específico

Cuadernos de medicina psicosomática y psiquiatria de enlace, ISSN 1695-4238, Nº. 76-77, 2005, pags. 47-65
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    ABSTRACT: Resumen: El objetivo del estudio es identificar qué variables pueden rela-cionarse con una mayor duración de los tratamientos psicológicos empíri-camente apoyados. Se analizaron los datos de 122 pacientes de la Unidad de Psicología Clínica del Master de Psicología Clínica y de la Salud, divididos en tres grupos en función del número de sesiones de tratamiento recibidas: grupo 1º, 20 o menos; grupo 2º, entre 21 y 34, grupo 3º, 35 o más. Facto-res como edad, sexo, tipo de diagnóstico, diagnósticos en eje III y IV (DSM-IV-TR) o número de objetivos terapéuticos no señalaban diferencias significativas. Los factores que mejor explicaban la mayor duración del tra-tamiento eran: a) el número de técnicas aplicadas (9.7 en grupo 1º; 12.68 en grupo 2º y 14.65 en grupo 3º); b) la presencia de comorbilidad (el 69% de los casos con comorbilidad estaban en el grupo 3º, frente al 7.7% en el gru-po 1º). Se discuten los resultados y se proponen líneas de actuación y/o re-flexión. Palabras clave: Duración del tratamiento; comorbilidad; diagnósticos; número técnicas. Title: Factors that influence the prolongation of empirically supported psychological treatments. Abstract: The purpose of this study was to find out what factors can ex-plain a longer treatment length. The results of treatments developed with 122 patients at the Clinic of Psychology of the Master of Clinical and Health Psychology were analyzed. The patients were divided into three groups, according to the number of treatment sessions received: Group 1 (20 or less); Group 2 (21-34), and Group 3 (35 or more). Factors such as age, sex, type of diagnosis, diagnostic in axis III and IV (DSM-IV-TR) or number of therapeutic targets do not identified significant differences. The factors that explained the longer treatment length were: a) the number of applied techniques (9.7 in Group 1; 12.68 in Group 2 and 14.65 in Group 3); b), the presence of co-morbidity (69% of patients with co-morbidity were in the Group 3, versus 7.7% in the Group 1). Results are discussed and some intervention/reflection lines are proposed.
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    ABSTRACT: IntroductionIn psychological gender violence the aggressor uses a repeated conduct that injures progressively the emotional well-being of his victim. It is a variant of mistreatment of difficult expert evaluation, causing significant evidentiary problems to the courts. We reviewed the symptoms presented by a group of women who report psychological abuse by the MCMI-III. We report a standardized tool in the evaluation of abused victims to apply in a judicial context, unlike previous studies performed in other environments for evaluation.
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