Demencia frontotemporal luego de un evento vital. Presentación de un caso / Frontotemporal dementia after a stressful life event. A case report

Fundamento: La demencia frontotemporal es un trastorno degenerativo caracterizado por disturbios cognitivos o del comportamiento debido a la atrofia de los lóbulos frontales y temporales anteriores. No se han descrito casos que ocurran a partir de un evento vital estresante. Objetivo: Presentar un paciente con demencia frontotemporal que debuta después de un evento vital y que implica una peculiaridad para el diagnóstico y el manejo de estos pacientes así como para la posible relación causal. Presentación del caso: Paciente de 47 años con antecedentes de salud anterior y no antecedentes familiares de demencia o trastornos neurológicos que, inmediatamente después de un evento vital como lo fue la muerte de su hijo, desarrolla síntomas compatibles con una psicosis aguda y una depresión asociados a profundos trastornos de la conducta y del lenguaje típicos de una demencia frontotemporal. Las imágenes de resonancia magnética nuclear confirmaron la atrofia frontotemporal. Trascurrieron menos de dos años desde el primer síntoma hasta el diagnostico de la demencia. Conclusiones: A pesar de las evidencias morfológicas y epidemiológicas en contra, la posible relación causal entre los eventos vitales estresantes y el desarrollo ulterior de una demencia no deben descartarse.

Background: Frontotemporal dementia is a degenerative disorder characterized by atrophy of frontal and anterior parietal lobes. Cases of frontotemporal dementia that occur after a stressful life event have not been described. Objective: To present a case of frontotemporal dementia that took place after a stressful life event and implies a peculiarity for diagnosis and management of these patients and for the causal relationship. Case report: A 47 year-old male, previously healthy, and without a family history of dementia or neurological diseases, immediately after a stressful life event such as the death of his son, developed symptoms compatible with an acute psychosis or depression associated with severe behavioral and language disorders typical of a frontotemporal dementia. Magnetic Resonance Imaging study confirmed the diagnosis of frontotemporal dementia. Less than two years passed from the first symptom until the diagnosis of dementia. Conclusions: In spite of morphological and epidemiological evidences against, the possible causal relation between the stressful life events and the onset of dementias can not be ruled out and deserve a deeper study.

Subjectivity on Stressful Life Events of Middle-aged Women: A Q Methodology Approach / 간호학회지

PURPOSE: This study measures the subjectivity on stressful life events of middle- aged women. METHOD: Q-Methodological method was used for that purpose. As for the research method, Q-statements were collected reliminary to the study of through in-depth interviews and a literature review. For the study 38 Q-statements were selected. There were 28 middle aged women as subjects for the research. Q-Factor Analysis by using PC Quanl Program to supply the material. RESULT: Through the result of this study, the stressful life events of middle-aged women could be identified by 4 types. The type I is called the conflict in relationship with husband's family members. The type II is called lack of marital intimacy. The type III is called low self-esteem. The type IV is called changing life cycle itself. CONCLUSION: Therefore, identifing the subjectivity on the stressful life events of middle-aged women would be a basic step for the understanding of middle aged women.

Stressful Life Event., Close Relationship, Self-Esteem, and Depression in College Women / 간호학회지

Koreans rarely complain of depression or other psychological problems because mental illness is viewed as a stigmatizing and threatening experience. This study examined the relationships among stressful life events, close relationships, self-esteem, and depression in 400 college women aged 18 to 30 years. Depression was positively related to stressful life events(r=.21 p=<.01). Depression and stressful life events were negatively associated with self-esteem(r=-.67: r=-.11, p<.01; p<.05 respectively). Close relationships with women and men friends were each negatively associated with depression (r=-.24; r=-.16, p<.05). Close relationships with women and men friends were positively associated with self-esteem (r=.23; r=.20, p<.01). Forty nine percent of variance in depression rates in this sample was explained. After adjustment for degrees of freedom, a total of 49% of the variance in depression was explained by self-esteem and stressful life event. This investigation into the relationships among the variables influencing depression for college women is a critical issue as health professional interventions are those designed for specific populations to meet unique care needs and since young Korean women may be at considerable risk for depression.