ABSTRACT
Several lines of evidence have raised the question of whether Borderline Personality Disorder (BPD) is an independent disease entity or it might be better conceptualized as belonging to the spectrum of mood disorders. This study explores a wide array of lifetime mood features (mood, cognitions, energy, and rhythmicity and vegetative functions) in patients with BP and mood disorders. The sample consisted of 25 BPD patients who did not meet the criteria for bipolar disorders, 16 bipolar disorders patients who did not meet the criteria for BPD, 19 unipolar patients who did not meet the criteria for BPD, and 30 non-clinical subjects. Clinical diagnoses were determined by administering the structured clinical interviews for DSM-IV disorders. The Mood Spectrum Self-Report (MOODS-SR) was used for measuring lifetime mood phenomenology. Clinical subjects displayed higher mean scores than normal subjects in all domains of the MOODS-SR, and BPD patients displayed higher scores than unipolar patients in the Mood and Cognition depressive subdomains. Differences between patients with BP and bipolar disorders on MOODS psychopathology did not attain statistical significance for any (sub)domain considered. The results of this study are consistent with previous findings suggesting the importance of mood dysregulations in patients with BPD.
Subject(s)
Borderline Personality Disorder/diagnosis , Borderline Personality Disorder/psychology , Mood Disorders/diagnosis , Mood Disorders/psychology , Surveys and Questionnaires , Adult , Bipolar Disorder/diagnosis , Bipolar Disorder/epidemiology , Bipolar Disorder/psychology , Borderline Personality Disorder/epidemiology , Chi-Square Distribution , Comorbidity , Control Groups , Depressive Disorder/diagnosis , Depressive Disorder/epidemiology , Depressive Disorder/psychology , Diagnosis, Differential , Diagnostic and Statistical Manual of Mental Disorders , Female , Humans , Male , Mood Disorders/epidemiology , Personality Inventory/statistics & numerical data , Psychiatric Status Rating Scales/statistics & numerical data , PsychometricsABSTRACT
The study focuses on the adaptation into Spanish and on the validation of the Social Phobia Spectrum Self-Report (SHY-SR) and the Obsessive-Compulsive Spectrum Self-Report (OBS-SR). The questionnaires were designed to measure a broad range of subtle and atypical features related to social anxiety and obsessive-compulsive phenomenology, respectively. Sixty-two outpatients who met DSM-IV criteria for social phobia (SP, n = 20), obsessive-compulsive disorder (OCD, n = 22) and major depression (MD, n = 20), and 25 non-clinical subjects participated. The spectra questionnaires were administered along with the Liebowitz Social Anxiety Scale and the Maudsley Obsessional Compulsive Inventory. The instruments proved to have satisfactory internal consistency and test-retest reliability. Convergent validity with other instruments was excellent for the SHY-SR and moderate for the OBS-SR. Both questionnaires were able to detect differences between patients with the disorder of interest (SP in the case of the SHY-SR scores and OCD in the case of the OBS-SR scores) and either normal controls or patients with MD. Receiver-Operating Characteristic Curve analyses were conducted to determine cut-off values in the Spanish versions of the questionnaires denoting the presence of significant SP and OCD symptomatology. Are the questionnaires available on the website?
Subject(s)
Cross-Cultural Comparison , Obsessive-Compulsive Disorder/diagnosis , Personality Inventory/statistics & numerical data , Phobic Disorders/diagnosis , Adult , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/psychology , Female , Humans , Male , Middle Aged , Obsessive-Compulsive Disorder/psychology , Phobic Disorders/psychology , Psychometrics/statistics & numerical data , Reproducibility of Results , Spain , Surveys and QuestionnairesABSTRACT
The present study reports on the psychometric properties of the adaptation into Spanish of the Panic-Agoraphobic Spectrum Self-Report (PAS-SR). Drawing on a dimensional and longitudinal perspective of psychopathology, the PAS-SR was designed to measure a wide array of lifetime Panic-Agoraphobic features. Participants included outpatients with a DSM-IV-TR diagnosis of panic disorder (n=26) or major depression (n=28), and a normal control group (n=41). Internal consistency and test-retest reliability were excellent for the total score, and moderate to excellent for most domains. Significant and high correlations between PAS-SR scores and instruments measuring similar constructs indicated good concurrent validity. The findings support the discriminant validity of the questionnaire. Patients with a diagnosis of panic disorder attained higher scores than normal controls on all domains, and displayed higher scores than patients with major depression on five of the eight domains.
Subject(s)
Agoraphobia/diagnosis , Language , Panic Disorder/diagnosis , Surveys and Questionnaires , Adult , Agoraphobia/psychology , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/psychology , Diagnosis, Differential , Diagnostic and Statistical Manual of Mental Disorders , Factor Analysis, Statistical , Female , Humans , Male , Panic Disorder/psychology , Reproducibility of Results , SpainABSTRACT
El estudio analiza los efectos de distintos procedimientos quirúrgicos para tratar la obesidad mórbida, así como el grado de satisfacción de los participantes con las intervenciones y sus resultados. La muestra está formada por veintiséis sujetos con obesidad mórbida que fueron sometidos a gastroplastia vertical anillada o a bandeleta de silicona ajustable. Los resultados indican que ambas técnicas son efectivas para promover la pérdida de peso, así como para producir mejoras en las complicaciones físicas asociadas a la obesidad. Sin embargo, los usuarios están más satisfechos con aquellos procedimientos que producen menos complicaciones post-quirúrgicas, aunque produzcan pérdidas ponderales inferiores. Los beneficios psicosociales asociados a la cirugía bariátrica y la satisfacción del usuario con los resultados del tratamiento, por otra parte, no se relacionan con las pérdidas de peso como con los cambios en otras variables de naturaleza psicológica o comportamental (AU)
This studys main aim is to analyze the effects on physical and psychological health of different surgical procedures to treat morbid obesity. We also analyze the degree of patient satisfaction regarding intervention and outcome. The sample comprised 26 subjects with morbid obesity (23 women and 4 men) who received surgery to reduce their weight (vertical ring gastroplasty or adjustable silicone gastric banding). The results show that these techniques are effective methods to promote weight loss in morbid obesity and to reduce complications associated with obesity. However, the results show that patients prefer methods with fewer post-surgical complications, even if weight losses are smaller. The psychosocial benefits associated with bariatric surgery and patient satisfaction with outcome are less related to weight loss and more to changes in other psychological and behavioral variables (AU)
