ABSTRACT
BACKGROUND: While the negative impacts of Adverse Childhood Experiences (ACEs) on mental health have already been established in previous research, the pathways through which these events affect psychological well-being are still unclear. This cross-sectional study analyzed the relationship between ACEs and psychological distress. It also examined the role of coping strategies, emotion regulation, and adult attachment in this association. METHOD: The sample consisted of 207 women receiving psychotherapeutic support from Public Mental Health Services in Spain. Just under half (46.4%) being treated by clinical psychology services and just over half (53.1%) were also being treated by psychiatry services. Descriptive and association analysis were performed on the variables involved. RESULTS: 48.3% of participants reported four or more ACEs and the correlation with symptom severity was significant. Regression equations showed that four variables explained 56.2% of the variance: Fear of Rejection and Abandonment, Lack of Control, Rejection and Cognitive Restructuring. CONCLUSIONS: ACEs are directly associated with the severity of psychological distress. The data suggest that appropriate, sensitive exploration of these experiences can be therapeutic. The relationships between type of adversity, attachment relationships, emotion regulation, and coping strategies reveal indirect pathways through which ACEs affect women's mental health.
Subject(s)
Adverse Childhood Experiences , Adaptation, Psychological , Adult , Cross-Sectional Studies , Female , Humans , Mental Health , SpainABSTRACT
La presente exploración tiene por objetivo elaborar un mapa de caracterización de las primeras intervenciones psicosociales realizadas en la Región del Maule en ocasión del terremoto del 27 de febrero de 2010 en Chile. Se solicitó información a 40 organizaciones que eventualmente realizaron intervenciones en la Región del Maule y a 7 informantes claves. Fueron reportadas un total de 67 intervenciones de las que un 76,4 por ciento fueron realizadas en las comunas de Talca, Curicó y Constitución, y mayoritariamente por instituciones públicas (50,7 por ciento) y dirigidas a todo tipo de público (46,2 por ciento). Los tipos de intervención más comunes son las atenciones grupales (26,8 por ciento) y talleres (22,3 por ciento). Una de las principales dificultades fue obtener la información desde las organizaciones contactadas. La precariedad de las organizaciones para hacer frente a la catástrofe quedó evidenciada. No obstante, el relativamente reducido número de muertos indicaría que el trabajo educativo pre-catástrofe parece haber sido eficaz.
This exploratory work is intended to generate a characterization map of psychosocial interventions conducted in the Maule Region after earthquake occurred in Chile in February 27 2010. Information was requested from 40 organizations and seven key informants that eventually made interventions in the Maule Region. A total of 67 interventions were reported, of which 76.4 percent were made in the cities of Talca, Curicó and Constitución, mostly by public institutions (50.7 percent), and aimed at all audiences (46.2 percent). The most common types of intervention were care groups (26.8 percent) and workshops (22.3 percent). A major difficulty was to obtain relevant information from the contacted organizations. The precariousness of the organizations to cope with the disaster became evident. However, the relatively small number of deaths indicates that the educational work previous to the disaster seems to have been effective.
Subject(s)
Humans , Social Support , Natural Disasters , Crisis Intervention/organization & administration , Organizations for Planning and Care in Disasters , Earthquakes , Chile , Evaluation of Results of Therapeutic Interventions , Maps as Topic , Surveys and Questionnaires , Human Resources in DisastersABSTRACT
El acné juvenil es una enfermedad crónica, frecuente en adolescentes, que evoluciona por brotes, en el que se han utilizado diversos tratamientos. El objetivo de nuestro trabajo fue evaluar los resultados terapéuticos y estéticos mediante la aplicación del ácido tricloroacético al 20 por ciento en el acné polimorfo en 110 pacientes que acudieron a la consulta de Dermatología del HGAL. 59 pacientes iniciaron en grado I, el 91,5 por ciento evolucionó satisfactoriamente, sólo 5 empeoraron pasando a grado II; 36 pacientes iniciaron en el grado II, el 88,9 por ciento pasaron al grado I mejorando notablemente y sólo 4 empeoraron para el grado III; de los 15 pacientes del grado III, el 73,3 por ciento pasó al grado II y sólo 4 permanecieron en el mismo grado con disminución de las lesiones. Se concluye que el tratamiento fue favorable para la mayoría de nuestros tanto terapéutico como estético(AU)
