A brief problem-solving indicated-prevention intervention for prevention of depression in nonprofessional caregivers / Una intervención breve de solución de problemas para la prevención indicada de la depresión en cuidadoras

Background: Despite depression being a common problem among nonprofessional caregivers, no studies of prevention of depression targeting this population exist in the literature. The studies of indicated prevention of depression aim of this study was to assess the efficacy of a problem-solving intervention in preventing clinical depression in a sample of female caregivers. Method: A controlled randomized trial was conducted among 173 participants (mean age 53.9 years), 89 of whom were randomized to the intervention group and 84 (controls) to usual care. The intervention comprised five weekly 90-minute group sessions. Results: At post-treatment, depression symptoms in the intervention group had remitted significantly more than in the control group, with a large effect size (d = 1.54). The proportion of participants showing clinically significant improvement was significantly larger in the intervention group (80.9% vs. 11.9% among controls), and fewer intervention-group participants had progressed to clinical depression during the study period (4.5% vs. 13.1% among controls). The intervention group also exhibited a significantly greater reduction in emotional distress and caregiver burden than the control group. Conclusions: These findings attest to the short-term efficacy of the intervention (AU)

Antecedentes: a pesar que la depresión es un problema frecuente en los cuidadores no profesionales, en la literatura no hay estudios de prevención indicada de la depresión en esta población. Se evaluó la eficacia de una intervención de solución de problemas para prevenir la depresión clínica en una muestra de cuidadoras. Método: se realizó un ensayo controlado aleatorizado entre 173 participantes (edad promedio 53,9 años), 89 de las cuales fueron asignadas al azar al grupo de intervención y 84 (controles) a atención habitual. La intervención constó de cinco sesiones aplicadas semanalmente en formato grupal de una duración de 90 minutos cada una. Resultados: en el postratamiento, los síntomas depresivos en el grupo de intervención disminuyeron significativamente más que en el grupo control, con un tamaño del efecto d grande de 1,54. La proporción de participantes con mejoría clínicamente significativa fue signifi cativamente mayor en el grupo de intervención (80,9% frente a 11,9% entre los controles); y menos participantes del grupo de intervención progresaron a una depresión clínica durante el período del estudio (4,5% frente a 13,1% entre los controles). El grupo de intervención también tuvo una reducción significativamente mayor en malestar emocional y sobrecarga del cuidador que el grupo control. Conclusiones: estos hallazgos demuestran la eficacia de la intervención a corto plazo (AU)

A brief problem-solving indicated-prevention intervention for prevention of depression in nonprofessional caregivers.

BACKGROUND: Despite depression being a common problem among nonprofessional caregivers, no studies of prevention of depression targeting this population exist in the literature. The studies of indicated prevention of depression aim of this study was to assess the efficacy of a problem-solving intervention in preventing clinical depression in a sample of female caregivers. METHOD: A controlled randomized trial was conducted among 173 participants (mean age 53.9 years), 89 of whom were randomized to the intervention group and 84 (controls) to usual care. The intervention comprised five weekly 90-minute group sessions. RESULTS: At post-treatment, depression symptoms in the intervention group had remitted significantly more than in the control group, with a large effect size ( d = 1.54). The proportion of participants showing clinically significant improvement was significantly larger in the intervention group (80.9% vs. 11.9% among controls), and fewer intervention-group participants had progressed to clinical depression during the study period (4.5% vs. 13.1% among controls). The intervention group also exhibited a significantly greater reduction in emotional distress and caregiver burden than the control group. CONCLUSIONS: These findings attest to the short-term efficacy of the intervention.

Prevención y detección de los trastornos de alimentación en deportistas de alto rendimiento (CAR, CEARE y CTD) / Prevention and Detection of the Disorders of Food in Athletes of High Performance (CAR, CEARE and CTD)

En este trabajo se analizan los factores que determinan el riesgo de que un deportista desarrolle un Trastorno de la Conducta Alimentaria(TCA). Se ha comprobado como el nivel de competición o el tipo de práctica puede influir en que ese riesgo aumente. Dentro de los deportistas que a priori presentan mayor riesgo se encuentran los que compiten en el alto rendimiento, por lo tanto, a través de este trabajo de investigación pretendemos detectar a través del Cuestionario de Hábitos Alimentarios del Deportistas- CHAD- quienes, de los deportistas que se encuentran en un CAR, CEARE o CTD, son los más vulnerables al desarrollo de un trastorno de alimentación y que influye en esta vulnerabilidad, encontrando, en este caso, que son las mujeres que practican deportes de riesgo (AU)

In this present paper we have analyzed the factors which determine the risks for an athlete to develop an Eating Disorder (ED). The level of a competition and the kind of sport practiced have been proved to influence the development of these risks. Among the athletes who seem to show an -apriori- bigger risk of developing the problems, we find those who compete in high performance competition, so, by means of this research paper we intend to detect using the Questionnaire for the eating habits in sportsmen and women (CHAD) sportsmen and sportswomen who are among those training in the Center of High Performance (CAR), the Center of Training and High Performance (CEARE) or the Center for the Sport Tech (CTD)that are more prone to the acquisition of an eating disorder and what influences this vulnerability, discovering that, in this precise case, it is women who practice a risky sport (AU)