RESUMO
BACKGROUND: and purpose: Heart rate variability (HRV) represents a marker of autonomic activity, self-regulation and psychiatric illness. Few studies of manual therapy have investigated the neurophysiological effects of manual cranial therapy (MC-t). This study assessed the neurophysiological short/medium-term effects of two manual therapy interventions: massage therapy (Mss-t) and MC-t. MATERIALS AND METHODS: A double-blind clinical trial was conducted with 50 healthy children, randomized into two groups who received a Mss-t intervention or MC-t. The variables analysed included vital signs (temperature, respiratory rate, heart rate, blood pressure) and HRV components, including the root mean square of successive differences (RMSSD), high frequency (HF), low frequency (LF) and LF/HF ratio. RESULTS: Both interventions produced short-term parasympathetic effects, although the effects of MC-t were more persistent. CONCLUSION: The persistence of the MC-t intervention suggested a prominent vagal control and better self-regulation. Autonomic imbalances in mental pathologies may benefit from the neurophysiological effects of MC-t.
Assuntos
Frequência Cardíaca/fisiologia , Manipulações Musculoesqueléticas , Criança , Método Duplo-Cego , Humanos , Taxa Respiratória/fisiologiaRESUMO
No disponible
Assuntos
Humanos , Feminino , Adolescente , Síndrome de Asperger/complicações , Transtorno Bipolar/complicações , Transtorno Autístico/complicações , Comorbidade , Fatores de Risco , Sintomas Afetivos/tratamento farmacológicoRESUMO
Objetivo: Determinar el coste y la carga social de la depresión en la ciudad de Sabadell en los años 2007 y 2008. Método: El coste social asociado a la depresión se calculó a partir del enfoque de la prevalencia, según la información obtenida en el desarrollo del proyecto European Project Against Depression (EAAD). Los resultados se refirieron al coste de los recursos públicos utilizados, y las fuentes provinieron de los registros oficiales correspondientes. Resultados: El coste directo público de la depresión en la ciudad de Sabadell fue de 9.155.620 € en 2007 y de 9.304.706 € en 2008. El peso relativo de las visitas de atención primaria y el consumo de fármacos representaron más del 85% del coste directo. En el apartado de los costes indirectos no se ha podido obtener el correspondiente a la incapacidad laboral permanente. En 2007 los costes indirectos alcanzaron los 9.720.225 € y en 2008 fueron 9.763.541 €. En ambos casos, el peso correspondiente a la incapacidad laboral transitoria fue el más importante, llegando a 8.561.962 € y 7.333.181 €, respectivamente. Conclusiones: La depresión ocasiona un sustancial impacto económico sobre el sistema sanitario, ya que se asocia a unos altos costes directos públicos. Sin embargo, en el apartado de los costes indirectos, el desconocimiento del coste relacionado con la incapacidad laboral permanente provoca un vacío importante, pues para esta afección esta categoría de coste es la que representa un porcentaje más grande (AU)
Objective: To determine the social cost and burden of depression in the city of Sabadell (Barcelona, Spain) in 2007 and 2008. Method: The social cost of depression was calculated using the prevalence approach, based on information obtained in the development of the European Project Against Depression (EAAD). The results referred to the cost of public resources used, and the sources came from the appropriate official registers. Results: The direct public cost of depression in the city of Sabadell was € 9,155,620 in 2007 and € 9,304,706 in 2008. The relative weight of primary care visits and the use of drugs accounted for more than 85% of direct costs. In the section of indirect costs, the cost of permanent work disability could not be obtained. Indirect costs amounted to € 9,720,225 in 2007 and € 9,763,541 in 2008. In both years, the highest weight corresponded to temporary work disability reaching € 8,561,962 and € 7,333,181, respectively. Conclusions: Depression has a substantial economic impact on the health system because it is associated with high direct public costs. However, the lack of knowledge of the cost associated with permanent work disability is a major limitation, as this cost category represents the highest percentage for this disorder (AU)
Assuntos
Humanos , Efeitos Psicossociais da Doença , Depressão/epidemiologia , Licença Médica/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Fatores de Risco , Estudos RetrospectivosRESUMO
OBJECTIVE: To determine the social cost and burden of depression in the city of Sabadell (Barcelona, Spain) in 2007 and 2008. METHOD: The social cost of depression was calculated using the prevalence approach, based on information obtained in the development of the European Project Against Depression (EAAD). The results referred to the cost of public resources used, and the sources came from the appropriate official registers. RESULTS: The direct public cost of depression in the city of Sabadell was 9,155,620 in 2007 and 9,304,706 in 2008. The relative weight of primary care visits and the use of drugs accounted for more than 85% of direct costs. In the section of indirect costs, the cost of permanent work disability could not be obtained. Indirect costs amounted to 9,720,225 in 2007 and 9,763,541 in 2008. In both years, the highest weight corresponded to temporary work disability reaching 8,561,962 and 7,333,181, respectively. CONCLUSIONS: Depression has a substantial economic impact on the health system because it is associated with high direct public costs. However, the lack of knowledge of the cost associated with permanent work disability is a major limitation, as this cost category represents the highest percentage for this disorder.
