{"id":101011,"date":"2018-03-11T10:22:38","date_gmt":"2018-03-11T10:22:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/insomnio-cronico-subtipos-basados-en-hallazgos-polisomnograficos-psicopatologicos-y-neuropsicologicos\/"},"modified":"2018-03-11T10:22:38","modified_gmt":"2018-03-11T10:22:38","slug":"insomnio-cronico-subtipos-basados-en-hallazgos-polisomnograficos-psicopatologicos-y-neuropsicologicos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/insomnio-cronico-subtipos-basados-en-hallazgos-polisomnograficos-psicopatologicos-y-neuropsicologicos\/","title":{"rendered":"Insomnio cr\u00f3nico: subtipos basados en hallazgos polisomnogr\u00e1ficos, psicopatol\u00f3gicos y neuropsicol\u00f3gicos."},"content":{"rendered":"

Tesis doctoral de Julio Jose Fernandez Mendoza <\/strong><\/h2>\n

Los cuatro estudios de esta tesis doctoral examinaron las caracter\u00edsticas cl\u00ednicas subjetivas y objetivas de dos subtipos de insomnio cr\u00f3nico basados en medidas polisomnogr\u00e1ficas (psg) de la duraci\u00f3n de sue\u00f1o. La hip\u00f3tesis de partida se fundamenta en que la alteraci\u00f3n objetiva (psg) del sue\u00f1o en el insomnio cr\u00f3nico se relaciona directamente con la presencia de hiperactivaci\u00f3n fisiol\u00f3gica (p.Ej., Del sistema neuroendocrino de respuesta al estr\u00e9s) y de un mayor riesgo cardiovascular y endocrino-me tab\u00f3lico (p.Ej., Hipertensi\u00f3n o diabetes tipo 2). Se clasific\u00f3 a los sujetos de la muestra como \u00c2\u00bfinsomnes cr\u00f3nicos\u00c2\u00bf o \u00c2\u00bfcontroles\u00c2\u00bf y, a partir del \u00edndice de eficiencia de sue\u00f1o (psg), se los reagrup\u00f3 en: \u00c2\u00bfduraci\u00f3n normal de sue\u00f1o\u00c2\u00bf (? 6 horas) y \u00c2\u00bfdurac i\u00f3n corta de sue\u00f1o\u00c2\u00bf (\u00ed\u00a7 6 horas). Los datos se analizaron con un dise\u00f1o de efectos mixtos (2×2) y se realizaron pruebas post hoc para examinar las diferencias existentes entre los 4 subgrupos resultantes. Los resultados mostraron que los insomnes con duraci\u00f3n corta de sue\u00f1o presentaban alteraciones en tareas que implicaban control ejecutivo de la atenci\u00f3n (p.Ej., Atenci\u00f3n alternante), y un mayor riesgo de padecer depresi\u00f3n a los 5 a\u00f1os de seguimiento (independientemente de su perfil psicol\u00f3gico) . Los insomnes con duraci\u00f3n normal de sue\u00f1o no mostraron alteraciones neuropsicol\u00f3gicas y su riesgo de padecer depresi\u00f3n estaba significativamente mediado por su perfil ansioso-rumiativo; este subtipo adem\u00e1s se quejaba significativamente de tener un sue\u00f1o no reparador y presentaba una clara subestimaci\u00f3n de su duraci\u00f3n de sue\u00f1o. Estos estudios confirman que la duraci\u00f3n objetiva de sue\u00f1o es indicativa de la gravedad biol\u00f3gica del insomnio cr\u00f3nico. Por tanto, las clasificaciones diagn\u00f3sticas actua les deber\u00edan reconsiderar la categorizaci\u00f3n unitaria del insomnio cr\u00f3nico y, en consecuencia, se deber\u00eda considerar la contribuci\u00f3n relativa de los factores fisiol\u00f3gicos y psicol\u00f3gicos en la fisiopatolog\u00eda de estos dos subtipos de insomnio cr\u00f3nico.<\/p>\n

 <\/p>\n

Datos acad\u00e9micos de la tesis doctoral \u00abInsomnio cr\u00f3nico: subtipos basados en hallazgos polisomnogr\u00e1ficos, psicopatol\u00f3gicos y neuropsicol\u00f3gicos.<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Insomnio cr\u00f3nico: subtipos basados en hallazgos polisomnogr\u00e1ficos, psicopatol\u00f3gicos y neuropsicol\u00f3gicos. <\/li>\n
  • Autor:<\/strong>\u00a0 Julio Jose Fernandez Mendoza <\/li>\n
  • Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 21\/05\/2010<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Antonio Vela Bueno<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: carmelo V\u00e1zquez valverde <\/li>\n
        • marcos R\u00edos lago (vocal)<\/li>\n
        • bernardo Moreno jim\u00e9nez (vocal)<\/li>\n
        • Luis Carreti\u00e9 arang\u00ed\u00bcena (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Julio Jose Fernandez Mendoza Los cuatro estudios de esta tesis doctoral examinaron las caracter\u00edsticas cl\u00ednicas subjetivas y […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[4862,14440,51330,205481,63072,78092],"class_list":["post-101011","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-antonio-vela-bueno","tag-bernardo-moreno-jimenez","tag-carmelo-vazquez-valverde","tag-julio-jose-fernandez-mendoza","tag-luis-carretie-arangiena","tag-marcos-rios-lago"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/101011","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=101011"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/101011\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=101011"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=101011"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=101011"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}