Sex and Body Mass Index differences after one-year follow-up of an eating disorders risk factors universal prevention intervention in university students in Mexico City / Diferencias por sexo e índice de masa corporal a un año de seguimiento de una intervención de prevención universal para disminuir factores de riesgo para los trastornos de la conducta alimentaria en estudiantes universitarios de la Ciudad de México

Abstract Introduction Interventions based on cognitive dissonance theory are the most effective for preventing eating disorders. Objective To identify the changes at one year follow-up of a universal prevention intervention in disordered eating behaviors (DEB), thin-ideal internalization (TII), and drive for muscularity (DM). Method A pre-experimental, pretest-posttest study was conducted on 602 university student subjects (76.1% women and 23.9% men) with an average age of 20.74 years at a public (30.6%) and a private university (69.4%) in Mexico City. A Split Plot ANOVA was performed with the intrasubject variable equal to each measurement (pretest, posttest, and follow-up), as well as the sex and body mass index (BMI) intersubject variables to analyze whether there was a significant interaction between these variables and the changes in dependent variables, as well as the changes through each measurement by group. Results In the intrasubject analyses, statistically significant differences were found for DEB through the various measurements, without taking the interactions into account. Statistically significant interactions were observed between each measurement and BMI, and between each measurement and sex and BMI for the DM variable. Discussion and conclusion Since a reduction of TII in women and DM in men was achieved, together with a decrease in DEB in women, the workshop can be said to have fully achieved its objectives for women and partly so for men.

Resumen Introducción Las intervenciones basadas en la teoría de la disonancia cognoscitiva son las más efectivas para la prevención de los trastornos de la conducta alimentaria. Objetivo Conocer los cambios a un año de seguimiento de una intervención de prevención universal en las conductas alimentarias de riesgo (CAR), interiorización del ideal estético de la delgadez (IED) y la motivación por la musculatura (MM). Método Se llevó a cabo un estudio pre-experimental pretest-postest en 602 (76.1% mujeres y 23.9% hombres) sujetos estudiantes universitarios con una edad promedio de 20.74 años en una universidad pública (30.6%) y una privada (69.4%) de la Ciudad de México. Se realizó un ANOVA split plot con la variable intrasujetos igual a cada medición (pretest, postest y seguimiento) así como el sexo y el índice de masa corporal (IMC) variables intersujetos, para analizar si existía una interacción significativa entre dichas variables y los cambios sobre las variables dependientes, así como los cambios a través de cada medición por grupo. Resultados en los análisis intrasujetos se encontraron diferencias estadísticamente significativas para las CAR a través de las distintas mediciones, sin tomar en cuenta las interacciones. Se observaron interacciones estadísticamente significativas entre cada medición y el IMC, y entre cada medición con el sexo y el IMC para la variable MM. Discusión y conclusión Se logró la reducción de la IED en las mujeres y de la MM en los hombres, así como la disminución de las CAR en las mujeres por lo que se considera que el taller logra sus objetivos para las mujeres y parcialmente para los varones.

Validation of a new screening questionnaire for disordered eating behaviors in men.

PURPOSE: The aim of this study was to develop an instrument to identify disordered eating behaviors (DEB) in college men (hereafter, DEBM-Q). METHODS: A two-stage project consisting of a diagnostic scale construction (n1 = 9 for interviews, n2 = 9 for cognitive laboratory) and a validation study with a cross-sectional sample (N = 570) was carried out. Both semi-structured interviews and a cognitive laboratory with nine participants were conducted to obtain DEBM-Q items. DEBM-Q was applied to 570 freshmen male in Mexico City. Psychometric characteristics and internal consistency (Cronbach's alpha) were analyzed. An item-total correlation value greater than 0.30 was determined, and factor loads greater than 0.40 were considered valid. Exploratory factor analysis (EFA, n1 = 297) and confirmatory factor analysis (CFA, n2 = 273) were performed. RESULTS: Two fixed factors explaining 55.08% of the total variance were extracted. Factor 1, "Drive for Thinness" (8 items), explained 30.84% of the variance, whereas factor 2, "Drive for Muscularity" (8 items), explained 24.23% of the variance. Cronbach's alpha for the whole questionnaire was 0.84. DEBM-Q was correlated with the Dutch Food Restriction Scale (RS) (r = 0.52, p < 0.001), Eating Disorder Examination-Questionnaire (EDE-Q) (r = 0.46, p < 0.001), Emotional Eating Scale (EES) (r = 0.18, p < 0.001), and Negative Affect Subscale (PANAS-X) (r = 0.11, p < 0.005). CONCLUSION: DEBM-Q is a valid and practical short screening tool (16 items) allowing early identification of disordered eating in young men, thereby facilitating clinical management. LEVEL OF EVIDENCE: Level V: Opinions of authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.

Efectos de la frecuencia de consumo de alimentos ultraprocesados y su asociación con los indicadores del estado nutricional de una población económicamente activa en México

RESUMEN El objetivo de este estudio fue determinar la relación entre consumo de alimentos ultraprocesados y los indicadores del estado de nutricional de una muestra de población económicamente activa en México. Se realizó un estudio transversal en individuos de ambos sexos (18 a 60 años, n=150). Para la obtención de datos antropométricos de la población y de composición corporal, se utilizó un equipo de bioimpedancia. Además, se aplicó un cuestionario de frecuencia de consumo de alimentos ultraprocesados (previamente validada) para la evaluación dietética. Los resultados de los indicadores de estado nutricional demostraron que el 80% de la población estudiada presentó obesidad y sobrepeso; el 88,7% tuvo un % de grasa alto; y el 75,3% presentó riesgo metabólico alto. Con respecto a la evaluación dietética, el grupo de alimentos de ultraprocesados con alto contenido de azúcares simples fue el de mayor consumo (47%, 10,4 veces por semana). Los resultados del análisis de correlación de Pearson, indicaron que existe una correlación negativa significativa entre la edad y el consumo en cuatro de cinco grupos de alimentos ultraprocesados. Finalmente, se encontró que la muestra presenta riesgos de salud importantes que pueden afectar su calidad de vida y productividad. Se deben implementar estrategias a corto plazo de mejora de hábitos de alimentación y estilo de vida saludables en este sector de la población tan importante.

ABSTRACT This work aimed to correlate ultra-processed product consumption and nutritional status in a sample of the Mexican labor force population. A cross-sectional study assessed subjects from both genders (18 to 60 years, n=150). Bioimpedance equipment was used to obtain anthropometric measurements and body composition parameters. Moreover, a previously validated frequency questionnaire of ultra-processed foods was used to obtain dietetic data. Results from the nutritional status evaluation indicated that 80% of the sample was obese or overweight; 88.7% had high total fat mass percentage, and 75.3% had high metabolic risk. Regarding the dietetic evaluation, ultra-processed products with high sugar content were the most consumed (47%, up to10.4 times per week). Furthermore, the Pearson correlation analysis results showed a significant negative correlation between age and consumption in four of the five ultra-processed product groups evaluated. Therefore, there is a need to implement internal strategies to diminish the consumption of ultra-processed products and improve healthy food choices and physical activity of the sample to avoid quality of life deterioration and reduce economic losses in this sector.

Sensitivity, specificity, and cut-off points in the Brief Questionnaire for Measuring Disordered Eating Behaviors in Mexican Women.

BACKGROUND: Evidence suggests that disordered eating behaviors can result in eating disorders, which is already a reality for the Mexican population, representing an increasingly complex public health problem. Early detection is therefore essential. AIM OF THE STUDY: To obtain the sensitivity, specificity, and cut-off points of the Brief Questionnaire for Measuring Disordered Eating Behaviors to identify eating disorders in Mexican women. METHODS: The Eating Disorders Examination-Questionnaire and the Brief Questionnaire for Disordered Eating Behaviors were applied to patients diagnosed with eating disorders at two public health institutions and university students. ROC analysis was performed to determine sensitivity, specificity, predictive values, and cut-off points. RESULTS: Three cut-off points were obtained: first: eight points (Sensitivity = 60.7%, Specificity = 92.2%), showing low risk; second: 11 points (sensitivity = 24.1%; specificity = 98.9%), detecting moderate risk; and, finally, 15 points and over (sensitivity = 4.46%; specificity = 100%), indicating high risk. CONCLUSIONS: The instrument adequately identifies those individuals who are not at risk for eating disorders, making it possible to channel prevention efforts towards those who do have DEB, thus optimizing resources. LEVEL OF EVIDENCE: Level III: case-control analytic study.

Protuberancia ósea con adelgazamiento cortical / Bone protuberance with cortical thinning

No disponible

Parental negative weight/shape comments and their association with disordered eating behaviors: A systematic review / Comentarios negativos paternos acerca de peso/forma corporal y su asociación con las conductas alimentarias de riesgo: Una revisión sistemática

Abstract The purpose of this study was to find the association between receiving negative parental weight and shape comments, and the presence of disordered eating behaviors (DEBs) in young adults. A systematic review was conducted answering the following PECO question: Population / young adults; Exposure / negative comments, criticism or teasing about weight and shape by parents; Comparison groups / not applicable; and Outcome / DEBs. Due to the use of different statistical measurements, a narrative was chosen to present the results. An association between negative comments and DEBs was found in male and female university students. Women reported more negative comments, higher body dissatisfaction and DEBs than men. Body dissatisfaction was found as a mediator of negative comments and DEBs, and sex as a moderator between body dissatisfaction and DEBs. The results have implications for the influence social pressure has on the internalization of the thin-ideal and on body dissatisfaction as risk factors for the development of disordered eating behaviours.

Resumen El objetivo de este estudio fue examinar la asociación entre ser receptor de comentarios negativos paternos acerca del peso y la figura corporal, y la presencia de conductas alimentarias de riesgo (CAR) en adultos jóvenes. Se llevó a cabo una revisión sistemática respondiendo a la pregunta PECO siguiente: Población / adultos jóvenes; Exposición / comentarios negativos, críticas o ridiculización por parte de los padres por el peso y la figura corporal; Comparación / no aplicó; y Resultado / CAR. Debido a las diferentes medidas estadísticas utilizadas, se eligió un formato narrativo para presentar los resultados. Estos indicaron asociación entre los comentarios negativos paternos y las CAR en hombres y mujeres estudiantes universitarios. Las mujeres reportaron recibir más comentarios negativos, así como presentar mayor insatisfacción corporal y CAR que los hombres. Entre los comentarios negativos y las CAR se encontró como mediadora a la imagen corporal, y al sexo como un moderador entre la insatisfacción corporal y las CAR. Los resultados tienen implicaciones acerca de la influencia de la presión sociocultural en la interiorización del ideal estético de delgadez y de la insatisfacción corporal como factores de riesgo para el desarrollo de CAR.

Dissonance-based Program for Eating Disorders Prevention in Mexican University Students / Un programa de prevención de los trastornos de la conducta alimentaria basado en la técnica de disonancia cognitiva en alumnos universitarios mexicanos

The purpose of this study was to identify changes in the risk of eating disorders after a one-year follow-up of a dissonance-based eating disorders prevention program. The Body Project was implemented in a sample of male and female university students: 133, 110, and 74 at baseline, post-test, and follow-up respectively, and we tested the change in disordered eating behaviors (DEB) over time, and by levels of variables that according to the theoretical model lie on the path between the intervention and DEB, with one-way MANOVA analyses of repeated measures for the associations between internalization of the esthetic thin ideal, depressive symptoms, and DEB. The average value of DEB was 5.23 at pre-test, 3.45 at post-test, and 2.80 at follow-up. The model with DEB at each time point, as dependent variables, and internalization of the esthetic thin ideal and depressive symptoms, as independent variables, showed a significant effect of internalization of the esthetic thin ideal, F(2, 136) = 7.66, p = .0011, while there was no significant effect of depressive symptoms, F(2, 136) = 0.45, p = .6191, indicating that the intervention exerted its effect on DEB via the former variable. The intervention proved to produce effects after a one-year follow-up. These findings support the implementation of universal prevention programs using dissonance-based techniques

El objetivo de este trabajo fue identificar los cambios en el riesgo de desarrollar trastornos de la conducta alimentaria después de un año de seguimiento de un programa de prevención basado en la técnica de la disonancia cognitiva para trastornos de la conducta alimentaria. El Body Project fue implementado en una muestra de estudiantes universitarios, hombres y mujeres: 133, 110 y 74 en el pre-test, post-test y seguimiento, respectivamente. Se comprueba el cambio en las conductas alimentarias de riesgo (CAR) a lo largo del tiempo y según las variables que, de acuerdo con el modelo teórico, se encuentran entre la intervención y las CAR, con un análisis MANOVA de medidas repetidas para las asociaciones entre interiorización del ideal estético de delgadez, los síntomas depresivos y las CAR. El valor promedio de las CAR en el pre-test fue 5.23, 3.45 en el post-test y 2.80 en el seguimiento. El modelo de las CAR como variable dependiente e interiorización del ideal estético de delgadez y los síntomas depresivos como variables independientes mostró un efecto significativo de la internalización del ideal estético de delgadez, F(2, 136) = 7.66, p = .0011, mientras que no hubo un efecto significativo de los síntomas depresivos, F(2, 136) = 0.45, p = .6191, lo que indica que la intervención tuvo un efecto en las CAR por vía de la variable antecedente. Se mostró que la intervención produce efectos después de un año de seguimiento. Este hallazgo sustenta la implementación de programas universales de prevención que utilicen la técnica de disonancia cognoscitiva

Effect of parental criticism on disordered eating behaviors in male and female university students in Mexico City.

PURPOSE: The aim of this study was to analyze the effect of parental criticism of their offspring's bodies in the development of disordered eating behaviors (DEBs) in university students in Mexico City. METHODS: A sample of 892 freshmen (502 women and 390 men) was included. The prevalence of the internalization of the aesthetic thin ideal, body dissatisfaction, self-esteem, depressive symptoms, and body mass index was estimated by sex. For each sex, the effect of parental criticism on DEBs, together with that of the other covariates, was measured through ordinal regression models. RESULTS: It was found that women received more criticism from their mothers than men. Among the participants, the likelihood of DEBs is increased in the presence of criticism from both parents (OR = 2.5), criticism from the mother alone (OR = 2.0), overweight (OR = 1.7), obesity (OR = 2.1), wanting a slimmer body (OR = 8.3), and depressive symptoms (OR = 3.3). Among men, this risk is increased in the presence of criticism from both parents (OR = 2.7), being obese (OR = 2.4), wanting a slimmer body (OR = 3.4), and depressive symptoms (OR = 2.8). CONCLUSIONS: It is essential to include issues linked to parental criticism of their bodies in interventions to prevent eating disorders in college students. Level of evidence V, cross-sectional descriptive study.

Validation of eating disorders examination questionnaire in Mexican women.

BACKGROUND: Efficient assessment of eating disorders (ED) is indispensable for research and clinical practice in Mexico. One of the most commonly used questionnaires, the EDE-Q, has a self-applicable questionnaire format with 28 questions and four subscales drawn from the Eating Disorder Examination (EDE), a semistructured interview developed to evaluate the specific symptomatology of eating disorders. OBJECTIVE: Obtain the factorial structure and construct validity of the EDE-Q questionnaire in Mexican women. METHOD: The language in the EDE-Q was adapted. It was applied to university students (N = 330) and a sample of patients with ED (N = 165) from two ED outpatient treatment services. The anthropometric data of the participants was obtained. Internal consistency was explored using the Cronbach's Alpha coefficient and a confirmatory factor analysis was conducted by group. RESULTS: Cronbach's alpha was 0.9 for the full scale in all groups, while the reliability of each of the subscales fluctuated between 0.8 and 0.9. Confirmatory factor analysis showed that the fit of the seven-item model in three factors was better than that of the original 22-item one and that of the eight-item model for one factor. CONCLUSIONS: This study provides information supporting the seven-item and three-factor version, rather than the original or eight-item versions of the EDE-Q. In the future, the adapted version of the EDE-Q will make it possible to draw comparisons between Mexican samples in other socio-cultural contexts. Future research is required to continue refining the instruments to achieve more representative results from the general ED population.

Variables associated with disordered eating behaviors among freshman students from Mexico City.

OBJECTIVE:: To estimate the prevalence of disordered eating behaviors (DEB) and identify their associations with demographic and psychological variables among freshman students at a public university in Mexico City. MATERIALS AND METHODS:: A sample of 892 subjects participated in the study. Bivariate and multinomial models were performed to determine associations between DEB and covariates. RESULTS:: Of those surveyed, 6.8% of the women and 4.1% of the men exhibited DEB (p<0.05). The variables increasing the risk of eating disorders (ED) for women were internalization of the aesthetic thin ideal (IATI), body mass index (BMI), self-esteem and physical activity, while for men they were IATI, drive for muscularity, and self-esteem. CONCLUSIONS:: The frequency of DEB among women and men and the internalization of the thin ideal in both sexes suggest the possibility of a change in the precursor conditions for eating disorders, particularly for men, who exhibit increased risk of such behaviors.

Variables associated with disordered eating behaviors among freshman students from Mexico City / Variables asociadas con conductas alimentarias de riesgo en estudiantes de la Ciudad de México

Abstract: Objective: To estimate the prevalence of disordered eating behaviors (DEB) and identify their associations with demographic and psychological variables among freshman students at a public university in Mexico City. Materials and methods: A sample of 892 subjects participated in the study. Bivariate and multinomial models were performed to determine associations between DEB and covariates. Results: Of those surveyed, 6.8% of the women and 4.1% of the men exhibited DEB (p<0.05). The variables increasing the risk of eating disorders (ED) for women were internalization of the aesthetic thin ideal (IATI), body mass index (BMI), self-esteem and physical activity, while for men they were IATI, drive for muscularity, and self-esteem. Conclusions: The frequency of DEB among women and men and the internalization of the thin ideal in both sexes suggest the possibility of a change in the precursor conditions for eating disorders, particularly for men, who exhibit increased risk of such behaviors.

Resumen: Objetivo: Estimar la prevalencia de conductas alimentarias de riesgo (CAR) e identificar asociaciones con variables sociodemográficas y psicológicas en estudiantes de nuevo ingreso de una universidad pública de la Ciudad de México. Material y métodos: Se aplicó una encuesta a 892 estudiantes de ambos sexos. Para analizar asociaciones entre CAR y sus covariables se emplearon modelos bivariados y multivariados. Resultados: Se estimó que 6.8% de las mujeres y 4.1% de los hombres presentaron CAR (p>0.05). Entre las mujeres las variables que aumentaron el riesgo de CAR fueron interiorización del ideal estético de la delgadez (IIED), índice de masa corporal (IMC), autoestima y actividad física. Entre los hombres, las variables que sobresalieron fueron IIED, deseo por un cuerpo musculoso y autoestima. Conclusiones: La frecuencia de CAR entre mujeres y hombres, así como la IIED en ambos sexos sugiere un cambio en las condiciones de riesgo, especialmente entre los varones.

Conductas alimentarias de riesgo y correlatos psicosociales en estudiantes universitarios de primer ingreso con sobrepeso y obesidad / Disordered eating behaviors and psychological correlates among overweight and obese freshmen College students

Resumen: INTRODUCCIÓN: El comienzo de los estudios universitarios es un estresor importante para los jóvenes que se asocia con un incremento en la incidencia de depresión, ansiedad, abuso de alcohol y CAR. OBJETIVO: Analizar la relación entre CAR e IMC, su asociación con variables demográficas y psicológicas y la interacción con el IMC. MÉTODO: En una muestra de 892 estudiantes universitarios de nuevo ingreso (502 mujeres y 390 hombres) (Xedad=19.7; DE=2.9) se midió peso y estatura y se utilizaron cuestionarios validados. RESULTADOS: La prevalencia de CAR fue de 6.1% en mujeres y de 4.1% en hombres. La prevalencia de sobrepeso y obesidad en mujeres fue de 22.6% y de 7.4%, y en hombres fue de 26.6% y de 9.3%, respectivamente. Las mujeres y los hombres con obesidad 10.8% y 11.1% presentaron CAR de frecuencia alta, y las mujeres y hombres con sobrepeso 13.2% y 3.8%, respectivamente. En las mujeres el IMC aumenta el riesgo de CAR 1.6 veces (p < 0.05) y en los hombres 1.4 veces (p > 0.05). No se encontró interacción del IMC en la asociación de CAR con el resto de las variables. DISCUSIÓN Y CONCLUSIÓN: En ambos sexos, las variables relacionadas con la imagen corporal aumentan el riesgo de CAR significativamente (p < 0.05). Los síntomas depresivos, la baja autoestima y el IMC aumentan el riesgo entre las mujeres, y el deseo por la musculatura, nivel socioeconómico y el área de estudio entre los hombres. Se recomienda llevar a cabo una investigación específica sobre CAR en varones, para evitar el subregistro de casos.

Abstract: INTRODUCTION: The beginning of college studies involves important stress, which is related to an increase in the incidence of depression, anxiety, alcohol abuse and DEB. OBJECTIVE: To analyze the relationship between DEB and nutritional status measured with BMI, its association with demographic and psychological variables, and the interaction with BMI. METHOD: A sample of 892 college students in their freshman year (502 females and 390 males) (Xage=19.7; SD=2.9) was studied. Weight and height were measured, and validated questionnaires were used. RESULTS: The prevalence of DEB was 6.1% in females and 4.1% in males. The prevalence of overweight and obesity in females was 22.6%, and 7.4% and 26.6% and 9.3% in males, respectively. Among women and men with obesity 10.8% and 11.1% showed high-DEB, whilst among overweight women and men 13.2% and 3.8% showed high-DEB, respectively. BMI increases the risk for DEB 1.6 times among women (p < 0.05), 1.4 times among men (p > 0.05). There was no interaction found between BMI and the other variables. DISCUSSION AND CONCLUSION: The variables related with body image increase the risk of DEB significantly (p < 0.05) in both sexes. Depressive symptoms, low self-steem increase the risk among women, and socioeconomic status and study area increase the risk of DEB among men. The specific research of DEB among males is highly recommended to avoid the under registration of cases.

Experience in Bedside Placement, Clinical Validity, and Cost-Efficacy of a Self-Propelled Nasojejunal Feeding Tube.

BACKGROUND: The procedures needed to insert nasojejunal tubes (NJTs) are often invasive or uncomfortable for the patient and require hospital resources. The objectives of this study were to describe our experience in inserting a self-propelling NJT with distal pigtail end and evaluate clinical validity and cost efficacy of this enteral nutrition (EN) approach compared with parenteral nutrition (PN). MATERIALS AND METHODS: Prospective study from July 2009 to December 2010, including hospitalized noncritical patients who required short-term jejunal EN. The tubes were inserted at bedside, using intravenous erythromycin as a prokinetic drug. Positioning was considered correct when the distal end was beyond the ligament of Treitz. Migration failure was considered when the tube was not positioned into the jejunum within 48 hours postinsertion. RESULTS: Fifty-six insertions were recorded in 47 patients, most frequently in severe acute pancreatitis (69.6%). The migration rates at 18 and 48 hours postinsertion were 73.2% and 82.1%, respectively. There was migration failure in 8.9% of cases, and 8.9% were classified null (the tube was no longer in the gastrointestinal tract at 18 hours). There were no reported or observed complications. The mean duration of the EN was 12 ± 10.8 days. Five different types of EN formula were used. The total study cost was 53.9% lower compared with using PN in all patients. CONCLUSIONS: Our study demonstrated that bedside insertion of a self-propelling NJT is a safe, cost-effective, and successful technique for postpyloric enteral feeding in at least 73% of the patients, and only 18% of patients could eventually need other placement techniques. It can avoid the need for more aggressive or expensive placement techniques or even PN if we cannot achieve enteral access.

Estrategia aplicada a la carrera de medicina en condiciones de universalización / Strategy Applied to Medicine Career According to Universalization of Higher Education

A partir de la experiencia de cursos anteriores y el papel de la Medicina General Integral como disciplina principal integradora se elaboró, de conjunto con este departamento y el Comité Horizontal asesor, una estrategia aplicada a diferentes procesos: primero, el Comité Horizontal como principal actividad pedagógica en las sedes universitarias; segundo, control del proceso docente educativo en la educación en el trabajo y tercero, trabajo independiente del estudiante con enfoque interdisciplinario. Se ejecutó gradualmente a través de varias acciones, donde la implementación de una metodología para la realización del Comité Horizontal en las sedes universitarias fue el principal resultado, además del instrumento de control del proceso docente educativo en la educación en el trabajo y la vinculación interdisciplinaria a través de instrumentos utilizados por el estudiante, que propició su inserción a la comunidad con un enfoque integrador. Los resultados de la estrategia en su conjunto fueron satisfactorios...(AU)

Taking into account the experience of previous courses and the role of the Integral General Medicine as integrative main discipline an strategy was elaborated by this department together with Horizontal Committee, which was applied to different processes: first, Horizontal Committee as main pedagogic activity at the university headquarters; second, control of the teaching-learning process and third, student independent work with interdisciplinary focus. This strategy was carried out through several actions in which the Horizontal Committee methodology was represented as the main result ; as well as an instrument to control the teaching-learning process in the Education. The strategy results were satisfactory...(AU)

Terapia grupal en síndrome ansioso depresivo y situaciones de estrés / Group therapy in anxietydepressive disorder and stress situations

En el centro de Asistencia Primaria Turó deBarcelona se ha iniciado la utilización de la terapiagrupal como intervención terapéutica en mujeresque presentan síndromes ansioso depresivos y/osituaciones de estrés.La intervención ha sido llevada a cabo por unprofesional de Enfermería con formación en saludmental, dinámica de grupos y meditación seitai.Dicha intervención tiene continuidad, una vezfinalizadas las sesiones iniciales, en un centrocívico de la zona.Como resultado de esta experiencia se hacomprobado una disminución tanto en las visitas alcentro de asistencia como en el consumo demedicamentos, así como una significativa mejoraen la calidad de vida de las participantes del grupo

The Turó Primary Care Centre in Barcelona hasstarted a programme of group therapy as atherapeutic intervention in women presentinganxiety-depressive disorder and/or stress situations.A nursing professional trained in mental health,group dynamics and seitai meditation hasconducted the intervention. Once the initialsessions are completed, the intervention will becontinued in a civic centre of the area. As a resultof this experience, a decreased consumption ofdrugs as well as a decreased number inconsultations, have been observed. A noticeableimprovement in the quality of life of the groupparticipants has also been noted