La relación angustia depresión desde una perspectiva clínica

Se analizan, desde el punto de vista clinico, las relaciones existentes entre angustia y depresión, según la hipótesis unitaria (ambos estados serían variantes dentro de un mismo núcleo afectivo) o binaria (ambas entidades son totalmente independientes). Se expone, por último, una interpretación personal de este problema.

Socio-economic inequalities in reported depression in Spain : a decomposition approach

Recent evidence questions some conventional view on the existence of income-related inequalities in depression suggesting in turn that other determinants might be in place, such as activity status and educational attainment. Evidence of socio-economic inequalities is especially relevant in countries such as Spain that have a limited coverage of mental health care and are regionally heterogeneous. This paper aims at measuring and explaining the degree of socio-economic inequality in reported depression in Spain. We employ linear probability models to estimate the concentration index and its decomposition drawing from 2003 edition of the Spanish National Health Survey, the most recent representative health survey in Spain. Our findings point towards the existence of avoidable inequalities in the prevalence of reported depression. However, besides ¿pure income effects¿ explaining 37% of inequality, economic activity status (28%), education (15%) and demographics (15%) play also a key encompassing role. Although high income implies higher resources to invest and cure (mental) illness, environmental factors influencing in peoples perceived social status act as indirect path as explaining the prevalence of depression. Finally, we find evidence of a gender effect, gender social-economic inequality in income is mainly avoidable.

Community pharmacist intervention in depressed primary care patients (PRODEFAR study): randomized controlled trial protocol.

Background: Treatment of depression, the most prevalent and costly mental disorder, needs to be improved. Non-concordance with clinical guidelines and non-adherence can limit the efficacy of pharmacological treatment of depression. Through pharmaceutical care, pharmacists can improve patients' compliance and wellbeing. The aim of this study is to evaluate the effectiveness and costeffectiveness of a community pharmacist intervention developed to improve adherence and outcomes of primary care patients with depression. Methods/design: A randomized controlled trial, with 6-month follow-up, comparing patients receiving a pharmaceutical care support programme in primary care with patients receiving usual care. The total sample comprises 194 patients (aged between 18 and 75) diagnosed with depressive disorder in a primary care health centre in the province of Barcelona (Spain). Subjects will be asked for written informed consent in order to participate in the study. Diagnosis will be confirmed using the SCID-I. The intervention consists of an educational programme focused on improving knowledge about medication, making patients aware of the importance of compliance, reducing stigma, reassuring patients about side-effects and stressing the importance of carrying out general practitioners' advice. Measurements will take place at baseline, and after 3 and 6 months. Main outcome measure is compliance with antidepressants. Secondary outcomes include; clinical severity of depression (PHQ-9), anxiety (STAI-S), health-related quality of life (EuroQol-5D), satisfaction with the treatment received, side-effects, chronic physical conditions and sociodemographics. The use of healthcare and social care services will be assessed with an adapted version of the Client Service Receipt Inventory (CSRI). Discussion: This trial will provide valuable information for health professionals and policy makers on the effectiveness and cost-effectiveness of a pharmaceutical intervention programme in the context of primary care. Trial registration: NCT00794196

La mirada errante: de la 'Spaltung' en Lacan al 'caos-cosmos' de Deleuze

En psicoanálisis, la Spaltung se configura como la escisión o división del sujeto entre el yo o el psiquismo más íntimo y el sujeto del discurso consciente. La distancia que separa el lenguaje del inconsciente de la articulación del habla, se muestra como un abismo en el que el escritor o el artista se pierden. En la experiencia artística contemporánea se evidencia esta forma de desdoblamiento del sujeto que supone la división entre el «Yo» del enunciado y la realidad psíquica que representa: su mirada oscilante no encuentra otro reflejo que el espejo opaco de su subjetividad. Sólo en la asunción del discurso fragmentado por la grieta, en la inrnolación de uno mismo, y por la que el cuerpo cristaliza en un caos-cosmos, puede liberarse el resorte que el olvido del eterno retorno representa, la sola posibilidad de la mirada errante.

Socio-economic inequalities in reported depression in Spain : a decomposition approach

Recent evidence questions some conventional view on the existence of income-related inequalities in depression suggesting in turn that other determinants might be in place, such as activity status and educational attainment. Evidence of socio-economic inequalities is especially relevant in countries such as Spain that have a limited coverage of mental health care and are regionally heterogeneous. This paper aims at measuring and explaining the degree of socio-economic inequality in reported depression in Spain. We employ linear probability models to estimate the concentration index and its decomposition drawing from 2003 edition of the Spanish National Health Survey, the most recent representative health survey in Spain. Our findings point towards the existence of avoidable inequalities in the prevalence of reported depression. However, besides ¿pure income effects¿ explaining 37% of inequality, economic activity status (28%), education (15%) and demographics (15%) play also a key encompassing role. Although high income implies higher resources to invest and cure (mental) illness, environmental factors influencing in peoples perceived social status act as indirect path as explaining the prevalence of depression. Finally, we find evidence of a gender effect, gender social-economic inequality in income is mainly avoidable.

Recursos web sobre lectura fàcil i serveis especial

Recull comentat de recursos en línia, d'abast general, relacionats amb la lectura fàcil. Donada la relació directa, s'hi inclouen recursos sobre serveis especials en biblioteques, adreçats a persones amb alguna discapacitat (psíquica o motora) o amb dificultats de lectura, és a dir, polítiques integradores, proinclusió social, polítiques d¿alfabetització i promoció de la lectura, etc. S'hi ressenyen directoris, guies, reculls d'adreces web, revistes, lectures recomanades, etc.

Guía de contenido digital accesible: vídeo

La guía consta de un conjunto de documentos PDF y de una web (http://www.videoaccessible.udl.cat) que se complementan para dar pautas, recomendaciones y ejemplos necesarios para poder mostrar información en formato video digital accesible para las personas con diferentes discapacidades.

Familia i disminució

Dins l'ambit de la intervenció familiar, o de l'educació familiar -com s'anomena en els pa'isos francófons-, Durning (1997) defineix quatre grups de famílies als quals van dirigides les accions de la intervenció: Famílies d'origen social desfavorit, Famílies amb infants amb diferents disminucions, Famílies amb infants amb dificultats d'adaptació social, joves delinqüents o molt pertorbats, Famílies que tenen dificultats amb el seu filio filia i busquen ajuda o consell. L'article que presentem té com a grup diana les famílies amb fills o filies amb disminució, tant si la disminució és física com si és sensorial o psíquica.

Correlación entre diversos cuestionarios de ansiedad y depresión

En nuestra práctica clínica observamos la insuficiencia de los cuestionarios como método diagnostico, especialmente cuando se trata de establecer diferencias cualitativas entre cuadros de angustia y depresión. Esta hipótesis se ha confirmado al realizar correlaciones entre 6 cuestionarios (tres de angustia y tres de depresión), que se administraron a 41 pacientes (28 angustiados y 13 depresivos) y observar el elevado indice de interrelaciones existentes entre ellos. Los pacientes depresivos tienden a puntuar alto, tanto en los cuestionarios de depresión como en los de angustia, mientras que los angustiados solo lo hacen en estos últimos.