{"id":83563,"date":"2018-03-10T00:07:43","date_gmt":"2018-03-10T00:07:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-diagnostico-de-los-sintomas-de-primer-rango-en-la-esquizofrenia\/"},"modified":"2018-03-10T00:07:43","modified_gmt":"2018-03-10T00:07:43","slug":"valor-diagnostico-de-los-sintomas-de-primer-rango-en-la-esquizofrenia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-diagnostico-de-los-sintomas-de-primer-rango-en-la-esquizofrenia\/","title":{"rendered":"Valor diagnostico de los sintomas de primer rango en la esquizofrenia"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Victor Peralta Martin <\/strong><\/h2>\n<p>Fundamentos: tradicionalmente se ha atribuido un elevado valor diagn\u00f3stico para la esquizofrenia a un tipo especial de delirios y alucinaciones (denominados s\u00edntomas de primer ranto, spr) que representan una \u00abperdida de los limites del yo\u00bb. Sin embargo, los estudios previos que han evaluado esta cuesti\u00f3n adolecen de importantes limitaciones metodol\u00f3gicas, por lo que el valor diagn\u00f3stico real de estos s\u00edntomas es desconocido. Metodolog\u00eda: se estudiaron 12 spr en 660 pacientes psic\u00f3ticos, de los cuales 257 eran esquizofr\u00e9nicos y el resto (n=403) no esquizofr\u00e9nicos seg\u00fan los criterios de feighner. se examinaron las siguientes propiedades diagn\u00f3sticas de los spr: presencia de al menos un spr, influencia de variables de confusion, numero de spr, analisis de sensibilidad del diagn\u00f3stico, y an\u00e1lisis de sensibilidad de los s\u00edntomas (criterios amplios vs restrictivos). Tambien se reanalizaron los estudios previos seg\u00fan los parametros diagnosticos apropiados y se compararon con los resultados del presente estudio. Como estad\u00edsticos principales se emplearon la regresi\u00f3n log\u00edstica multivariante (or) y la raz\u00f3n de probabilidades diagn\u00f3sticas positivas. Resultados: la presencia de al menos un spr no se asoci\u00f3 de manera significativa al diagnostico de esquizofrenia (or=1.18, ic 95%=0.85-1.64), este estadistico tampoco fue significativo despu\u00e9s de ajustar por las variables de confusi\u00f3n (or=1.25, ic 95%=0.88-1.80). Ninguno de los otros par\u00e1metros diagn\u00f3sticos analizados mostr\u00f3 que los spr tuvieran alguna significancia clinica para el diagnostico de esquizofrenia. El rean\u00e1lisis de los estudios previos fue concordante con los resultados de la presente investigaci\u00f3n. Conclusiones: los spr no tienen valor diagn\u00f3stico en la esquizofrenia, por lo cual deber\u00edan ser suprimidos de futuros criterios diagn\u00f3sticos de la enfermedad. Dado que este tipo de sintomas han sido tradicionalmente considerados como los mas caracteristicos de la esqu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor diagnostico de los sintomas de primer rango en la esquizofrenia<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor diagnostico de los sintomas de primer rango en la esquizofrenia <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Victor Peralta Martin <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/02\/2000<\/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>Salvador Cervera Enguix<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jose Giner ubago <\/li>\n<li>enrique Baca baldomero (vocal)<\/li>\n<li>Jos\u00e9 Luis Vazquez barquero (vocal)<\/li>\n<li>jokin de Irala estevez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Victor Peralta Martin Fundamentos: tradicionalmente se ha atribuido un elevado valor diagn\u00f3stico para la esquizofrenia a un [&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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