ABSTRACT
En España aún no existe un título oficial de especialista sanitario en Psicología Clínica de la Infancia y la Adolescencia, sin embargo, son muchos los argumentos que evidencian la necesidad de su creación. Entre los principales están la urgente necesidad de mejorar la calidad de la atención a la salud mental de la infancia y la adolescencia; el hecho de que esta especialidad sanitaria ya existe como rama científica diferenciada y consolidada; la necesidad de un programa de formación reglada propio para esta área de la psicología clínica, dada la especificidad y extensión de los conocimientos científicos y competencias profesionales necesarios para su ejercicio; o que la Psicología Clínica de la Infancia y la Adolescencia ya existe de facto como especialidad sanitaria diferenciada en algunos sistemas sanitarios públicos autonómicos. En este artículo se exponen y desarrollan estos y otros argumentos con el objetivo de impulsar la creación de esta nueva especialidad sanitaria en nuestro país. (AU)
There is still no official title of health specialist in Clinical child and adolescent psychology in Spain. However, there are many reasons for creating it: the urgent need to improve the quality of children and adolescents´ mental health care; the fact that this health specialty already exists as a differentiated and consolidated scientific discipline; the need for a proper training program for this clinical psychology area, due to the specificity and extent of the scientific knowledge and professional skills necessary for its exercise; or that Clinical child and adolescent psychology, as a matter of fact (although it is not yet officially or legally recognized), already exists as a differentiated health specialty in some public health systems. This article presents and explains these and other equally relevant reasons in detail, with the aim of promoting the creation of this new health specialty in our country. (AU)
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Psychology, Clinical , Mental Health , Medicine , Quality of Health Care , Psychology, Child , SpainABSTRACT
OBJECTIVE: To analyse the feasibility of Basic Body Awareness Therapy in people with eating disorders. DESIGN: A randomized controlled trial; the assessors were not blinded to the group allocation. SETTING: The eating disorders department within a hospital setting. SUBJECTS: Twenty-eight outpatients with eating disorders for less than five years. INTERVENTION: All patients received standard outpatient treatment. The intervention group (n = 14) also received Basic Body Awareness Therapy for seven weeks. MAIN MEASURES: Eating Disorder Inventory, Eating Attitude Test, Body Attitude Test and Quality of Life Scale SF-36. RESULTS: Analysing the differences between both groups, significant differences were found in Eating Disorder Inventory (mean difference: 26.3; P = 0.015) and in its subscales 'drive to thinness' (P = 0.003), 'body dissatisfaction' (P = 0.025) and 'ineffectiveness' (P = 0.014). Also in Body Attitude Test (mean difference: 33.0; P = 0.012), Eating Attitude Test-40 (mean difference: 17.7; P = 0.039) and SF-36 in the section 'mental health' (mean difference: 13.0; P = 0.002). CONCLUSIONS: This study has shown some effectiveness of Basic Body Awareness Therapy in improving some symptoms in outpatients with eating disorders. Further studies should include larger samples, double-blinded and placebo methodologies, and should focus on questions such as which eating disorder diagnoses benefit most from physical therapy.
