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Adaptación social y autoestima en pacientes con remisión de trastorno del estado de ánimo

Published online by Cambridge University Press:  12 May 2020

A. Serretti
Affiliation:
Instituto Científico Hospital San Rafael, Departamento de Neuropsiquiatría, Universidad de Milán Facultad de Medicina, Milán, Italia
M. C. Cavallini
Affiliation:
Instituto Científico Hospital San Rafael, Departamento de Neuropsiquiatría, Universidad de Milán Facultad de Medicina, Milán, Italia
F. Macciardi
Affiliation:
Instituto Científico Hospital San Rafael, Departamento de Neuropsiquiatría, Universidad de Milán Facultad de Medicina, Milán, Italia
C. Namia
Affiliation:
Instituto Científico Hospital San Rafael, Departamento de Neuropsiquiatría, Universidad de Milán Facultad de Medicina, Milán, Italia
L. Franchini
Affiliation:
Instituto Científico Hospital San Rafael, Departamento de Neuropsiquiatría, Universidad de Milán Facultad de Medicina, Milán, Italia
D. Souery
Affiliation:
Departamento de Psiquiatría, Universidad de Bruselas, Hospital Erasme, Bruselas, Bélgica
O. Lipp
Affiliation:
Departamento de Psiquiatría, Universidad de Bruselas, Hospital Erasme, Bruselas, Bélgica
F. Bauwens
Affiliation:
Departamento de Psiquiatría, Universidad de Bruselas, Hospital Erasme, Bruselas, Bélgica
E. Smeraldi
Affiliation:
Instituto Científico Hospital San Rafael, Departamento de Neuropsiquiatría, Universidad de Milán Facultad de Medicina, Milán, Italia
J. Mendlewicz
Affiliation:
Departamento de Psiquiatría, Universidad de Bruselas, Hospital Erasme, Bruselas, Bélgica
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Resumen

Los trastornos del estado de ánimo se caracterizan por episodios maniacos y depresivos que se alternan con un estado de ánimo normal. Aunque la función social tiene grandes deficiencias durante los episodios de enfermedad, hay opiniones contrapuestas sobre la función entre los episodios. El presente artículo se centra en la autoestima y la adaptación social en pacientes en los que el trastorno del estado de ánimo ha remitido. Se compararon pacientes con trastorno del estado de ánimo (99 sujetos bipolares y 86 con depresión mayor) con un grupo de 100 sujetos de control. Se utilizó la Escala de autoestima (SES) y la Escala de adaptación social (SAS) para medir la autoestima y la adaptación social, respectivamente, en ambos grupos de sujetos. Los pacientes con trastorno de estado de ánimo mostraban peor adaptación social y una autoestima más baja que los sujetos de control. Estos resultados confirman convincentemente observaciones previas de una mala función entre episodios en los pacientes con trastorno del estado de ánimo.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2000

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References

Bibliografía

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (3rd ed, Revised). Washington. DC: APA; 1997.Google Scholar
Blazer, DG. Severe episode of depression in late life the long road to recovery. Am J Psychiatry 1996; 153: 1620–3.Google Scholar
Bauwens, F, Tracj, A, Pardoen, D, Vander Elst, M, Mendlewicz, J.Social adjustment of remitted bipolar and unipolar outpatients. A comparison with age-and sex-matched Controls. Br J Psychiatry 1991; 159: 239–44.CrossRefGoogle Scholar
Casey, PR, Tryer, PJ. Personality, functioning and symptomatology. J Psychiatr Res 1996; 20: 363–74.CrossRefGoogle Scholar
Coryell, W, Scheftner, W, Keller, M, Endicott, J, Maser, J, Klerman, GL. The enduring psycho-social consequences of mania and depression. Am J Psychiatry 1993; 150: 750–7.Google Scholar
DeLisio, G, Maremmani, I, Perugi, G, Cassano, GB, Deltito, J, Akiskal, HG. Impairment of work and leisure in depressed outpatients: a preliminary communication. J Affect Disord 1986; 10: 7984.CrossRefGoogle Scholar
Devereux, G.Essais d'etnopsychiatrie générale. París: Gallimard; 1970.Google Scholar
Dixon, WJ. BMDP statistical software manual. Berkeley: University of California Press; 1990.Google Scholar
Dohrenwend, BP, Levav, I, Shrout, PE, Schwartz, S, Naveh, G, Link, BG, et al. Socioeconomic status and psychiatric disorders: the causation-selection. Science 1992; 255: 946–52.CrossRefGoogle ScholarPubMed
Dunner, D, Igel, G, Fieve, R.Social adjustment in primary affective disorder. Am J Psychiatry 1978; 135: 1412–3.Google ScholarPubMed
Endicott, J, Spitzer, RL. A diagnostic interview: the schedule for affective disorders and schizophrenia. Arch Gen Psychiatry 1978; 35: 837–44.CrossRefGoogle Scholar
Fredman, L, Weissman, MM, Leaf, PJ, Bruce, ML. Social functioning in community residents with depression and other psychiatric disorders. J Affect Disord 1988; 15: 103–12.CrossRefGoogle ScholarPubMed
Hamilton, M.A rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23: 5662.CrossRefGoogle ScholarPubMed
Hensley, WE, Roberts, MK. Dimensions of Rosenburg's selfesteem scale. Psychol Rep 1976; 38: 583–4.CrossRefGoogle Scholar
Nathan, T.La folie des autres. Traité d'etnospsychiatrie clinique. París: Dunod; 1986.Google Scholar
Orme, JG, Reis, J, Herz, EJ. Factorial and discriminant validity of the center of epidemiological studies depression (CES-D) scale. J Clin Psychol 1986; 42: 2833.3.0.CO;2-T>CrossRefGoogle ScholarPubMed
Pardoen, D, Bauwens, F, Tracy, AS, Martin, F, Mendlewicz, J.Self-esteem in recovered bipolar and unipolar outpatients. Br J Psychiatry 1993; 163: 755–62.CrossRefGoogle Scholar
Paykel, ES, Weissman, MM, Prusoff, BA. Social maladjustment and severity of depression. Compr Psychiatry 1978; 19: 121–8.CrossRefGoogle ScholarPubMed
Perugi, G, Maremmani, I, McNair, D, Cassano, GB, Akiskal, HS. Differential changes in areas of social adjustment from depressive episodes through recovery. J Affect Disord 1988; 15: 3943.CrossRefGoogle ScholarPubMed
Post, RM. Transduction of psycho-social stress into the neurobiology of recurrent. Am J Psychiatry 1992; 149: 9991010.Google Scholar
Rice, JP, Rochberg, N, Endicott, J, Lavori, PW, Miller, C.Stability of Psychiatric Diagnoses. An application to the affective disorders. Arch Gen Psychiatry 1992; 49: 824–30.CrossRefGoogle ScholarPubMed
Rosenberg, M.The measurement of self-esteem. In: Society and the adolescent self-image. Princeton: Princeton University Press; 1992; 1636.Google Scholar
Shapurian, R, Hojat, M, Nayerahmadi, H.Psychometric-characteristics and dimensionality of a Persian versión of Rosenberg self-esteem scale. Percept Mot Skills 1989; 65: 2734.CrossRefGoogle Scholar
Souery, D, Lipp, O, Mahieu, B, Serretti, A.Cavallini, C, Macciardi, F, et al. European collaborative project on affective disorders: interactions between genetic and psycho-social vulnerability factors. Psychiatr Genet 1998; 8: 197206.CrossRefGoogle Scholar
Tsuang, MT, Faraone, SV. The genetics of mood disorders. Baltimore: The Johns Hopkins University Press; 1990; 130Google Scholar
Vocisano, C, Klein, DN, Keefe, RS, Dienst, ER, Kincaid, MM. Demographics, family history, pre-morbid functioning, developmental characteristics, and course of patients with deteriorated affective disorder. Am J Psychiatry 1996; 153: 248–55.Google Scholar
Weissman, MM, Paykel, ES, Siegel, R, Klerman, GL. The social role performance of depressed women: compari son with a normal group. Am J Orthopsychiatry 1971; 41: 390415.CrossRefGoogle Scholar
Weissman, MM, Bothwell, S.Assessment of social adjustment by patient self-report. Arch Gen Psychiatry 1976; 33: 1111–5.CrossRefGoogle ScholarPubMed
Weissman, MM, Prusoff, BA, Thompson, WD, Harding, PS, Myers, JK. Social adjustment by self-report in a community sample and in psychiatric outpatients. J Nerv Ment Dis 1978; 166: 317–26.CrossRefGoogle Scholar
Weissman, MM, Klerman, GL, Paykel, ES, Prusoff, B, Hanson, B.Treatment effects on the social adjustment of depressed outpatients. Arch Gen Psychiatry 1978; 30: 771–8.CrossRefGoogle Scholar
Weissman, MM, Prusoff, BA, DiMascio, A, Neu, C, Goklaney, M, Klerman, GL. The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes. Am J Psychiatry 1979; 136: 555–8.CrossRefGoogle ScholarPubMed
Weissman, MM, Klerman, GL, Prusoff, BA, Sholamskas, D, Paclian, N.Depressed outpatients. Results one year after treatment with drugs and/or interpersonal psychotherapy. Arch Gen Psychiatry 1981; 38: 51–5.CrossRefGoogle ScholarPubMed