Introducción: Las razones por las cuales los pacientes abandonan un tratamiento para adicciones son poco estudiadas. Materiales y métodos: Mediante un análisis cuanti-cualitativo se evaluaron los datos de 55 pacientes que interrumpieron una propuesta ambulatoria intensiva entre junio del 2019 y noviembre del 2021 y sus respuestas a un cuestionario. Resultados: La tasa de abandono fue del 29,2%, con una mediana [IC del 95%] de 113 días [47-255].
View Article and Find Full Text PDFPhysicians have privileged information regarding the importance of leading a healthy and drug-free lifestyle, but in everyday reality, they are subject to extreme stressors (work stress, compassion fatigue, burnout syndrome) that have a profound emotional impact. As a result, it is not uncommon for physicians to present substance use disorders and dependencies. Recently, greater attention has been paid to specific factors that may lead to substance use disorder.
View Article and Find Full Text PDFObjective: The purpose of this study was to asess the efficacy of an intensive outpatient treatment (IOT) for substance use disorder (SUD) using a multidimensional approach.
Methods: All the patients consecutively admitted to a private institution between May 2019 and May 2020 were invited to participate in the study. The program consisted in a 12-month set of psychosocial, medical and recreative interventions requiring an attendance of at least 9 hours per week.
Addictions are one of the most important health problems worldwide. Within these disorders, cannabis is one of the psychoactive substances with more burden of morbidity and mortality worldwide. The actual knowledge about the effectiveness of treatments for cannabis use disorders is unsatisfactory.
View Article and Find Full Text PDFThere are different degrees of cognitive functional decline and modifiable risk factors related to their evolution. Mild cognitive impairment is a state of cognitive function between that seen in normal aging and dementia and is related to an increased risk of developing dementia. Among its potentially modifiable risk factors, substance use disorders have been described.
View Article and Find Full Text PDFAlcoholism represents one of the great public health problems today, which is why it is essential to develop effective therapeutic strategies for the treatment of this pathology. A drug that has been on the market for more than six decades, disulfiram, has been indicated with uneven efficacy over the years, and often used incorrectly (high doses, lack of consent). Not free of potentially serious adverse effects, it finds a subpopulation where it can be highly effective and is also a useful tool because of its low cost in many countries where the other drugs (naltrexone and acamproxate) have non-viable values for many.
View Article and Find Full Text PDFIdentifying compulsive consumption of marijuana in association with another mental disorder (attentional defcit disorder, bipolar disorder, depression or psychosis) presents the challenge of clarifying validated therapeutic strategies, especially within the teen population, in which it shows the highest prevalence. The ever-increasing prevalence and the need for regional treatments, demand that we approach this health matter as a public health issue. The ideological con?icts related to the necessary decriminalization of consumption and the current debate on the medical use of marijuana often confuse the urgent need to establish effective therapeutic strategies for the population affected by this mental disorder.
View Article and Find Full Text PDFIn the present article we will show the results of the workshop known as The First Training Psychiatrists Latin-American Meeting (2012). We will explore as well, the impact of the psychiatric practice on young physicians who look to the specialty. In this article we intend to update existing bibliography on the subject, and share the results of two research studies done by this team: a questionnaire conducted to first year medical residents working in Metropolitan Buenos Aires (2008/9) and a workshop carried out with the participants of the Latin- American meeting mentioned above.
View Article and Find Full Text PDFUnlabelled: The more frequent psychopathological alteration after religious experiences are the dissociative disorders and trance. It's not frequent to see this clinic in private practice or hospitals in Buenos Aires. To do this revision we went to religious sites where the trance and possession status are frequent, in order to observe their clinic and the methods to induce them.
View Article and Find Full Text PDFIn this paper, the history of the chronic delusional syndrome known as delusional parasitosis or Ekbom syndrome is reviewed as well as its main clinical characteristics, evolution, nosographic position and therapeutic approaches. The findings in the published literature are compared with the clinical experience of the authors who have studied twelve cases. The possible connection with other mental diseases, specifically Obsessive Compulsive Spectrum, is evaluated.
View Article and Find Full Text PDFThe aim of the present pharmacological update is to revise the problem of alcohol dependence. Starting from the biological bases and the impact of alcohol on the neurobiological and neurotransmission systems, a revision of the main pharmacological tools for alcohol dependence treatment will be done. Disulfiram, naltrexone, acamprosate, all of them approved by the FDA (Food and Drug Administration), have shown mechanisms of action, efficacy, tolerance and adherence dissimilar.
View Article and Find Full Text PDFObjective: Due to the scarcity of data and psychiatric inpatient beds in general hospitals it is a priority to generate information about the service provided in an inpatient unit of a general hospital.
Method: Between June 1st 2004 and may 31 2005 a naturalistic, prospective and descriptive study took place in the psychiatric inpatient unit of Hospital "T. Alvarez".
This article summarizes the activity of the Programa de Investigaciones en Epidemiología Psiquiátrica (PEPSI) (Research Program in Psychiatric Epidemiology) of the CONICET, directed for more than thirty years by Fernando Pages Larraya. After an anthropologic psychiatric experience done in the Gran Chaco Gualamba, by the end of the 60s, Pages Larraya and his team developed the theory of Cultural Isoidias, zones into which the country could be divided for epidemiologic studies. This article summarizes some of the principal lines of investigation of this program which departures from an initial study of the prevalence of mental diseases in Argentina.
View Article and Find Full Text PDFObjective: To assess the subjective perception of Clinical Psychology and Psychiatry Residents from Buenos Aires regarding their training in the year 2000.
Methodology: During the Seventh Annual Meeting of Mental Health Residents from the metropolitan area of Buenos Aires, an anonymous and self completed survey was carried out by Clinical Psychology and Psychiatry Residents. These quantitative results were combined with a qualitative analysis of Residents' papers published in a previous article.