{"id":18519,"date":"2018-03-09T09:07:05","date_gmt":"2018-03-09T09:07:05","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/sa%c2%adntomas-somaticos-medicamente-inexplicados-en-el-hospital-general\/"},"modified":"2018-03-09T09:07:05","modified_gmt":"2018-03-09T09:07:05","slug":"sa%c2%adntomas-somaticos-medicamente-inexplicados-en-el-hospital-general","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/sa%c2%adntomas-somaticos-medicamente-inexplicados-en-el-hospital-general\/","title":{"rendered":"S\u00edntomas som\u00e1ticos m\u00e9dicamente inexplicados en el hospital general"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Teresa Rangil Mu\u00f1oz <\/strong><\/h2>\n<p>Antecedentes  los s\u00edntomas som\u00e1ticos m\u00e9dicamente inexplicados (ssmi) son un importante problema sanitario, con alta preValencia en mujeres, y una estrecha relaci\u00f3n con la patolog\u00eda afectiva. En este estudio nos propusimos estudiar las caracter\u00edsticas de los ssmi en una muestra de pacientes m\u00e9dicos hospitalizados.  sujetos, material y m\u00e9todo  el estudio se realiz\u00f3 durante 18 meses sobre los pacientes m\u00e9dico-quir\u00fargicos ingresados en un hospital general, con un rango de edad de 18-74 a\u00f1os. participaron 1.822 sujetos. Durante los primeros d\u00edas del ingreso los pacientes completaron varios cuestionarios autoadministrados: el cuestionario de salud del paciente (phq), con una secci\u00f3n de 13 s\u00edntomas som\u00e1ticos presentes durante el \u00faltimo mes, el inventario de depresi\u00f3n de beck (bdi), la escala autoadministrada de ansiedad de zung (sas), y la encuesta de salud general del mos (sf-20). Adem\u00e1s, 1.003 pacientes recibieron una entrevista semiestructurada para diagn\u00f3sticos psiqui\u00e1tricos. Igualmente se revisaron las historias cl\u00ednicas para recoger los diagn\u00f3sticos m\u00e9dicos, evaluando de forma ciega a las variables psicopatol\u00f3gicas la congruencia o no de los s\u00edntomas som\u00e1ticos que el paciente hab\u00eda referido en su respuesta al phq.  resultados  el 29% de los pacientes ten\u00edan al menos un ssmi, el 13% ten\u00edan dos o m\u00e1s, y el 7% ten\u00edan al menos tres (criterios de trastorno multisomatomorfo). las mujeres presentaban un n\u00famero mayor de ssmi, que los varones, y era significativamente m\u00e1s frecuente que cumplieran criterios de trastorno multisomatomorfo (el 11% frente al 3%). Representaban el 38% de los pacientes que no ten\u00edan ning\u00fan ssmi, el 58% de los que ten\u00edan uno, el 66% de los que ten\u00edan dos, y el 73% de los que ten\u00edan tres o m\u00e1s. El trastorno multisomatomorfo estaba presente en el 34% de las depresiones mayores, el 48% de los trastornos de p\u00e1nico y el 25% de la ansiedad generalizada. Los pacientes con trastorno mu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>S\u00edntomas som\u00e1ticos m\u00e9dicamente inexplicados en el hospital general<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 S\u00edntomas som\u00e1ticos m\u00e9dicamente inexplicados en el hospital general <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Teresa Rangil Mu\u00f1oz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/07\/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: julio Vallejo ruiloba <\/li>\n<li>celestino Rey-joly barroso (vocal)<\/li>\n<li>carmen Leal cerc\u00f3s (vocal)<\/li>\n<li>Luis S\u00e1nchez planell (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Teresa Rangil Mu\u00f1oz Antecedentes los s\u00edntomas som\u00e1ticos m\u00e9dicamente inexplicados (ssmi) son un importante problema sanitario, con alta [&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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