ABSTRACT
El trastorno por déficit de atención/hiperactividad(TDAH) constituye una derivación frecuente en lasUnidades públicas de Salud Mental Infanto-Juvenil. Sinembargo, en muchas ocasiones esta derivación no esadecuada, magnificándose el número de casos incluidosbajo este epígrafe.El diagnóstico de TDAH debe hacerse atendiendo aunos criterios estrictos y siguiendo una metodologíaespecífica. La realización de evaluaciones eficaces seráclave a la hora de implementar tratamientos más efectivosa nivel cognitivo, emocional, comportamental, deaprendizaje social y escolar, generalizándose los resultadosa los dos contextos más habituales del niño: familiay escuela.Desde la Unidad de Salud Mental Infanto-Juvenil delInstituto Psiquiátrico José Germain, hemos detectado lanecesidad de establecer un protocolo de intervenciónmultiprofesional para nuestra zona que optimice la evaluacióne intervención en los casos de TDAH, presentándoseen este trabajo sus principales directrices
The Attention Hiperactivity Deficit Disorder (TDAH) constitutes a frequent derivation in the public Units ofInfant-Juvenile Mental Health. However, in many occasionsthis derivation is not accepted, being magnified thenumber of cases included under this epigraph.The diagnosis of TDAH should be made assisting tosome strict criteria and following a specific methodology.The realization of effective evaluations will be crucialto implement more effective treatments in theselevels: cognitive, emotional, comportamental, socialand school learning; being generalized the results to thetwo more habitual contexts of the children: family andschool.From the Infant-Juvenile Unit of Mental Health ofthe Psychiatric Institute José Germain, we have detectedthe necessity to establish a protocol of intervention withseveral proffesionals for our area that optimizes theevaluation and intervention in the TDAH cases, showingup in this work their main guidelines (AU)
Subject(s)
Humans , Male , Female , Adolescent , Child , Clinical Protocols , Hyperkinesis/diagnosis , Hyperkinesis/psychology , Attention Deficit Disorder with Hyperactivity/diagnosis , Attention Deficit Disorder with Hyperactivity/psychology , Diagnostic and Statistical Manual of Mental Disorders , Psychometrics/history , Psychometrics/methods , Evaluation Study , Outcome and Process Assessment, Health Care , Mental Health , Neuropsychology/methods , Neuropsychology/trends , Community Health Services , Comorbidity , Audiometry/psychology , AudiometryABSTRACT
BACKGROUND: The percentage of lack of adherence in schizophrenia is estimated in 50%. Non-compliance cause higher rates of relapses, rehospitalizations, suicide, homicide and violent behaviour among schizophrenic patients. The aim of this study was to find several factors related to adherence in schizophrenia. MATERIAL AND METHODS: 40 schizophrenic patients were assessed with a protocol which examined sociodemographic, clinical and therapeutical variables, scales in order to evaluate insight (Birchwood), drug attitude (Drug Attitude Inventory), psychopathology (BPRS) and side effects (UKU). Variables of outcome and overall functioning (GAS) in the previous year were also included. RESULTS: Multiple regression analysis revealed that BPRS thought disorder subscale and UKU neurologic side effects subscale predicted 24% of the variance of adherence. Adherence is related to insight and attitude to medication too. An adequate adherence was related to better overall functioning, less psychopathology and fewer hospitalizations during the year prior to the study.
