{"id":16338,"date":"2002-10-04T00:00:00","date_gmt":"2002-10-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-prospectivo-del-efecto-de-la-sintomatologa%c2%ada-depresiva-en-la-evolucion-del-recuento-de-celulas-cd4-y-cd8-en-pacientes-vih-asintomaticos\/"},"modified":"2002-10-04T00:00:00","modified_gmt":"2002-10-04T00:00:00","slug":"estudio-prospectivo-del-efecto-de-la-sintomatologa%c2%ada-depresiva-en-la-evolucion-del-recuento-de-celulas-cd4-y-cd8-en-pacientes-vih-asintomaticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-prospectivo-del-efecto-de-la-sintomatologa%c2%ada-depresiva-en-la-evolucion-del-recuento-de-celulas-cd4-y-cd8-en-pacientes-vih-asintomaticos\/","title":{"rendered":"Estudio prospectivo del efecto de la sintomatolog\u00eda depresiva en la evoluci\u00f3n del recuento de c\u00e9lulas cd4 y cd8 en pacientes vih+ asintom\u00e1ticos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jordi Blanch Andreu <\/strong><\/h2>\n<p>Introducci\u00f3n  estudios previos han observado resultados contradictorios en relaci\u00f3n a la asociaci\u00f3n entre la presencia de sintomatolog\u00eda depresiva y signos cl\u00ednicos y inmunol\u00f3gicos de progresi\u00f3n de la infecci\u00f3n por el virus de la inmunodeficiencia humana (vih). La mayor parte de estos estudios se realizaron antes de la introducci\u00f3n de las nuevas combinaciones de tratamientos antirretrovirales, y mostraban importantes limitaciones debidas al sesgo en la captaci\u00f3n de los pacientes, la falta de criterios psiqui\u00e1tricos estandarizados, o la falta de control de posibles factores de confusi\u00f3n relacionados con variables m\u00e9dicas o relativas al tratamiento.  objetivo  estudiar la relaci\u00f3n entre la sintomatolog\u00eda depresiva y cambios en los valores inmunitarios (cd4 y cd8) durante un per\u00edodo de 2 a\u00f1os en una muestra de pacientes vih+ asintom\u00e1ticos.  m\u00e9todo  65 pacientes vih+ asintom\u00e1ticos y que acud\u00edan de forma consecutiva y por primera vez al dispensario del servicio de enfermedades infecciosas fueron evaluados de forma peri\u00f3dica cada 4 meses durante 2 a\u00f1os. La sintomatolog\u00eda depresiva se med\u00eda mediante el inventario de depresi\u00f3n de beck (beck depression inventory, bdi). Como variable dependiente se utilizaron los valores del recuento de linfocitos cd4 y cd8 en sangre perif\u00e9rica. Se examin\u00f3 la asociaci\u00f3n entre la puntuaci\u00f3n en el bdi y los valores de cd4 y cd8 mediante el an\u00e1lisis univariante y multivariante de regresi\u00f3n linear con efectos aleatorios (random-effects linear regression) del programa estad\u00edstico stat 7.0, controlando el efecto de variables relacionadas con las caracter\u00edsticas de los pacientes, con la infecci\u00f3n y su tratamiento y el momento de la evaluaci\u00f3n.  resultados  la v\u00eda de contagio sexual (= 1,271; p=0,001; ic95%= 1,108-1,457) y el hecho de tomar tra tamiento arv durante alg\u00fan momento del seguimiento (=1,215; p=0,003; ic95%=1,067-1,383) se asociaban de forma indpendiente con el aumen<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio prospectivo del efecto de la sintomatolog\u00eda depresiva en la evoluci\u00f3n del recuento de c\u00e9lulas cd4 y cd8 en pacientes vih+ asintom\u00e1ticos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio prospectivo del efecto de la sintomatolog\u00eda depresiva en la evoluci\u00f3n del recuento de c\u00e9lulas cd4 y cd8 en pacientes vih+ asintom\u00e1ticos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jordi Blanch Andreu <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/04\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Cristobal Gasto  Ferrer<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Valdes miyar <\/li>\n<li>josep Mar\u00eda Gatell artigas (vocal)<\/li>\n<li>Jos\u00e9 Luis Ayuso mateos (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jordi Blanch Andreu Introducci\u00f3n estudios previos han observado resultados contradictorios en relaci\u00f3n a la asociaci\u00f3n entre la [&hellip;]<\/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 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