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Copyright of Clínica Contemporánea: Revista de Diagnóstico Psicológico, Psicoterapia y Salud is the property of Colegio Oficial de Psicologos de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Colombiana de Psiquiatria is the property of Asociacion Colombiana de Psiquiatria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article focus on the construction of the approach to the problem in the research about human health. The main objective is to describe the actions researchers must do for the construction of a problem statement. The paper offers a general panorama about the theoretical aspects of scientifical knowledge. However, its interest remains in illustrate guidelines for the elaboration of an interrogation in human health researches. [ABSTRACT FROM AUTHOR]

The objective of this Metasynthesis study is to provide scientific evidence by combining knowledge, based on the selection of previous studies that collect results about the processes of gender subjectivation and their link with the genesis of psychosomatic processes. From the methodological point of view, this study is carried out using the PRISMA method. Articles that address the subject are analysed, offering a detailed summary, of which the complete article will be used as the Unit of Analysis. Due to the current state of knowledge on the subject, it is considered pertinent to include in the sample articles related to the research object that, although they do not specifically address the research problem, offer theoretical arguments and data on the subject. Articles in Spanish will be selected. On the other hand, articles to which it is not possible to access the full content free are not included. Results: have been searched. 8 AU were selected, coming from the Google Scholar and Redalyc databases. The results found indicate that the processes of construction of ideals in the constitution of the feminine and masculine subjectivities are inscribed in the subjects (through culture, language and a complex web of meanings), these are so subtle that they reach make it difficult to oppose or even challenge it. This means that it is only possible to express this discomfort through somatic vulnerability. Traits of over adaptation towards generic ideals are observed, a mechanism highly associated with the genesis of psychosomatic disorders. It is concluded that the subject is constituted in the link, and in the exchange traces are inscribed, both in his body and in his process of subjectivation. The body is not exclusively determined by biology or culture. This interaction occurs within a cultural and symbolic context, where the ways of raising and existing social representations in the culture are building particular styles of gender subjectivity. Mechanisms that promote modes of connection with one's own body and particular ways of becoming ill are inscribed in this process of subjectivation. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Ciencias Médicas de Pinar del Río is the property of Editorial Ciencias Medicas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article has the general objective of addressing the problem of the psychosomatic that was exposed by Martin Heidegger and the Swiss psychiatrist Medard Boss in the so-called Zollikon Seminars. First, I provide an overview of the origin and gestation of these seminars, as well as their historical context. Then, the problem of method and the corresponding differentiation between psyche and soma in psychiatry are analyzed. Finally, the article collects Heidegger’s reflections on the phenomenon of the body (Leibphänomen) for making a brief analysis of Major Depressive Disorder in the DSM-5, and shows how the experience of the body (Leib) becomes an aspect fundamental to consider in the diagnosis of this type of disorder. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Psicoterapia y Psicosomática is the property of Instituto de Estudios Psicosomaticos & Psicoterapia Medica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Psicoterapia y Psicosomática is the property of Instituto de Estudios Psicosomaticos & Psicoterapia Medica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The main aim of this study is to assess teachers' depression symptoms in public schools in Envigado-Colombia and their association with burnout-syndrome and social and job characteristics. Participants were 194 teachers selected by proportionate stratified random probability sampling. SCL-90-R to evaluate depression symptoms, Maslach Burnout Inventory, and a demographic survey were also used. The results show that 65,8% teachers have depression symptoms and multivariate model identified that burnout syndrome emotional exhaustion component increases the depression symptoms in teachers (OR=4,0, IC=1,67-9,58). The study concluded that the depression is in teachers of high prevalence. [ABSTRACT FROM AUTHOR]

Copyright of Revista Hojas y Hablas is the property of Fundacion Universitaria Monserrate - Unimonserrate and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The life of Teresa de Lisieux is an experience of struggle and hope. Surrounded by love in the bosom of her family, she was nonetheless forced to confront the pain of death and separation, which resulted in certain behavioral disorders during her childhood, as well as an acute illness which was probably psychosomatic. Having decided during her adolescence to assume responsibility for her life, she was helped by divine Grace to overcome her limitations and to find a purpose for her existence: to come out of herself in order to give herself to others. This will be her principal attitude as she faces all subsequent situations, including her final illness. [ABSTRACT FROM AUTHOR]

The aim of this correlational study was to identify the stress levels of graduate students due to work overload. Results revealed a significant relationship between stress levels and events triggering such stress disorders, as measured by the Occupational Wear Scale. On the basis of these results, it is proposed that mental health specialists attend this type of affectations within the educational centers that offer graduate degrees, in order to contribute to improving students' quality of life. [ABSTRACT FROM AUTHOR]

The market society, technologically advanced is a complete tangle of contradictions, which surely show that it will not be sustainable over time. One of the issues that fall within the stated, says related to the following. There is a huge market of medicines, perhaps the greatest advances have been made in this area. Life expectancies are the highest in history. But, at the same time, it is a sick society, which has naturalized the malaise and its "Clinical" treatment through legal and other drugs. Undoubtedly, the foregoing is only an effect of very profound causes, which is related to our forms of production and our way of life. At the end of the day a society that has generated the greatest amount of psychosomatic and neuronal diseases in the history of societal construction. Among them, the depression, with its rapid advance. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciencias de la Salud is the property of Colegio Mayor de Nuestra Senora del Rosario and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Cuarzo (REC) is the property of Fundacion Universitaria Juan N. Corpas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The present paper explores the relationship between psychological and somatic dissociation and different personality and emotional variables, including suggestibility, alexithymia, and emotional regulation and dysregulation. The results with a sample of 355 partipants of a normal population reveal that there is a positive relationship between both types of dissociation, suggestibility and emotional dysregulation. Likewise, there were different patterns of personality associated both to psychological and somatic dissociation. Correlations found in this study put forward the importance to take into account both types of dissociactive symptoms, psychological and somatic ones. [ABSTRACT FROM AUTHOR]

The author of this paper builds a theoretical and clinical case study, based on a patient presenting with drug resistant bifocal epilepsy, detectable by EEG, that alternates with epileptic pseudoseizures (hystero-epilepsy) that rises the question on one side, about the high percentage (30%) of drug-resistant epileptic patients and its relationship with psychosomatic disorders; and, on the other, the combination of two levels of psychic functioning with the same patient: a non-neurotic narcissist (epilepsy as a psychosomatic disorder) and a functioning neurotic hysterical conversive operation (the pseudoseizures). The importance of this work lies in the increased consultation of patients with nonneurotic narcissistic disorders, among which are psychosomatic disorders, as well as the hard-to-handle (and high percentage of) refractory epilepsy patients, that have presented an unresolved challenge to Neurology and Psychiatry and where the psychoanalytic clinic has the knowledge to contribute. [ABSTRACT FROM AUTHOR]

Background: Alexithymia is the lack of mental representations of emotions leading to limited ability to understand and regulate these and can contribute to the development or maintenance of a psychosomatic illness. The aim of the study was to demonstrate that alexithymia is a feature that occurs more frequently in patients with psoriasis and that the coexistence of alexitimia-psoriasis is associated with high levels of trait anxiety. Methods: We applied the Toronto Alexithymia Scale -20 (TAS-20), Inventory of state-trait anxiety (STAI) to 16 outpatients with psoriasis of Dermatology Service of Hospital de Especialidades (Centro Médico Nacional Siglo XXI) and the results were compared with 25 control subjects. Results: 25 % of patients with psoriasis presented alexitimia, while in the control group was 8 % (p = 0.002). Correlation between the scores of the TSA-20 and STAI-trait (r= 0.6957, p < 0.0001) was observed. Conclusions: The alexitimia occurs more frequently in individuals with psoriasis than in the general population, and levels of trait anxiety in individuals with psoriasis are similar regardless of the presence of alexithymia. [ABSTRACT FROM AUTHOR]

Copyright of Revista Salud UIS is the property of Universidad Industrial de Santander and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Throughout the analysis of a case study about an 8-year old boy and his psychotic mother, with an established 'folie à deux', we will discuss the relationship between them and all the physical attentions the minor received from her. We will explain how the psychic symptoms of the child will relate to his suffering body by analyzing the function of the attachment. Moreover, a discussion will be made on the diagnosis and the therapeutic approach, as well as on the importance of working on prevention with population in risk of psychiatric illness. [ABSTRACT FROM AUTHOR]

Objectives: Determine an association of kind of family and family life cycle with the presence of psychosomatic problems in an academic family practice outpatient setting. Methods: Cross-sectional study that involved revision of patient´s charts in an outpatient setting. Results: A higher proportion of nuclear families was found, 41% had at least one psychosomatic problem. No association between kind of family and family life cycle with the development of psychomotor problems was found. Conclusions: Psychosomatic problems are not related with kind of families or family life cycle in an academic family practice outpatient setting. [ABSTRACT FROM AUTHOR]

This article discusses the research conducted into the health and hygiene of workers in Mexico. The authors comment on the development of a health-disease profile of the employees to determine any similarities and possible causes of work-related illness. The prevalence of psychosomatic symptoms among administrative staff members is explored.

El artículo presenta un análisis de la dismenorrea como una de las dolencias femeninas más frecuentes, con énfasis en los aspectos psicológicos del padecimiento. El autor ofrece una tipología de la dismenorrea, así como una descripción de la posible etiología de cada caso. Se incluyen referencias al diagnóstico de padecimientos psicosomáticos, medicina psicosomática y aspectos nutricionales.

It is assumed that work overload in caregivers of geriatric patients predisposes them to develop somatic symptoms. However, this relationship has not been well studied in. Objective: Determine the relationship between development of somatic symptoms and work overload in caregivers of geriatric patients in the district of Independencia. Methods: Cross-sectional study based on the application of measurement scales to 93 caretakers of geriatric patients. Comparison of proportions was made using the statistical package SPSS version 18.0. Results: 77,4% of participants had 25-59 years of age; 61,29% worked as caregivers for 1-8 years, and 67,74% of them worked less than 8 hours daily. No previous training had been received in 90,3% of caregivers. Intense work overload was observed in 75,27%, and 40,86% had severe somatic symptoms. These two variables were statistically associated. Conclusions: An association between work overload and development of somatic symptoms among caregivers of geriatric patients in the urban-rural area of Payet was found. [ABSTRACT FROM AUTHOR]

Introduction. Flight attendants are important pieces of aviation security emergency during the flight and also have an obligation to serve in accordance with the shifts that designed commercial airlines. Objective. Analyze the working conditions of attendants and their influence on the onset of fatigue and stress on them. Material and methods. Five different evaluations were performed: A) Determination of cortisol and 17 ketosteroids in blood as an indicator of stress. B) Survey to assess subjectively the load and working conditions, generating stress and fatigue. C) Psychological assessment test, which was used keys Wais subtest (Weischeler intelligence scale for adults) evaluating motor coordination, learning ability and visual perception as indices of stress. D) Direct observation of the operational activities of the attendants. E) Determination of working days vs. rest periods. Results. The working conditions of attendants impairs their quality of life due to constant stimuli that cause imbalances stressogenic biopsychosocial. Stress and fatigue result in downtime and job dissatisfaction. Conclusions. The flight attendants are at risk for short and medium term, various psychosomatic diseases, suffer premature aging and degenerative diseases due to working conditions and adverse stimuli that are presented during the working day. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Psicologia GEPU is the property of Universidad del Valle and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Se presenta una reproducción de un artículo publicado originalmente en la misma revista en el año 1957, sobre un caso clínico de atrofia genital debido a una inhibición psíquica. Se incluye información sobre la salud de la paciente, sobre los factores psicológicos y sobre las implicaciones sociales del trastorno ginecológica de la paciente. También se discurre sobre el tratamiento del trastorno.

Normal fear is defined as a reaction to a real or imagined threat and is considered an integral and adaptive feature related to the primary function of survival. Nevertheless, when fear is intense and maladaptive, it may lose its role for survival and may progress in a phobic disorder with a negative impact for the individual who suffers it. According to some researchers, childhood and adolescence are the main life periods where phobias and other anxiety disorders develop. It is estimated that up to 50% of children and adolescents report one or more intense fears and more than 20% of these meet diagnostic criteria for specific phobias, frequently related to the development of future mental disorders during adulthood. In the assessment of fear, it is important to consider the evaluation of its intensity as well as its frequency among three main dimensions: the subjective dimension (including feelings and thoughts), the physical dimension (e.g., tachycardia and paleness) and the behavioral dimension (e.g., avoidant behaviors). So far, the main fear assessment methods include self-reports, observation and psychophysiological registers. In the area of mental health, the Fear Survey Schedule for Children II (FSSC-II) is the most widely used instrument for the assessment of fears in youth population. The cultural adaptation of an internationally instrument such as the FSSC-II brings the opportunity for subsequent comparison of investigation findings with other populations. The FSSC-II is an updated version of the original instrument as it includes other type of fears such as fear of war and/or AIDS designed to both children and adolescents. Since it is possible that some mental disorders in adulthood are conditioned by the presence of fears in early stages of life, it is important to have an objective characterization of the main fears in our culture. On this basis, adequate psychopathology prevention programs and treatment strategies can be designed and tested. In general, psychopathology is influenced by the cultural context and fears are not the exception as they tend to manifest differently from one cultural context to another. Therefore, the aim of the present work was to translate, culturally adapt and examine the psychometric properties of the FSSC-II in a Mexican sample of high school students. Method A total of 5030 high school students who accepted to participate in the study were recruited. Age ranged between 14 and 24 years old. The FSSC-II is composed of 78 items scored in a three-point Likert scale that assess frequency and intensity of different fears classified in five main dimensions: fear of death and danger, fear of the unknown, fear of failure or criticism, fear of animals and physical stress-medical fears. Before the enrollment procedure, the FSSC-II was adapted for Mexican population. First, translation-back translation was performed by two independent translators. Some items of the instrument were culturally adapted by consensus to reach the final version of the instrument. A principal component analysis with varimax rotation was per- formed to determine the construct validity of the instrument in Mexican population. Cronbach's alpha was used to determine the internal consistency of each domain and total score of the FSSC-II. All analyses were performed with the 10th version of the SPSS-X. Results A total of 2992 women and 2038 men participated. Mean age was of 16.43±1.2 years old. For the Mexican adaptation of the FSSC-II, 11.53% of the items (n=l 8) were culturally adapted. Factor analysis showed five factors for the instrument. These factors were consistent with those described in the original version: fear of death and danger, fear of animals or injuries, fear of failure or criticism, fear of the unknown and medical fears. Internal consistency of the FSSC-II was .96. Alpha coefficients for four dimensions were above .80, except the "medical fears" dimension (.70). Discussion The Spanish version of the FSSC-II among Mexican high school students showed adequate psychometric properties. The adaptation process implicated the modification of some items of the original instruments in order to reach a correct assessment of the proposed constructs of the instrument according to the predominant cultural patterns of Mexico. On the other hand, some items were not modified and were taken literally from either U.S. or Australian versions. Although more than 10% of the items were adjusted, the factor structure of the instrument remained congruent with the original version and the U.S version of the FSSC-II. The Mexican version was totally compatible with the five constructs found in the U.S. version; nevertheless it is important to remark that the content of the Mexican version was more compatible with the content of the items of the Australian version. Some of the inconsistencies found between the three versions may be the result of the subjects' age in the studies. The U.S. study included subjects with ages between 8 and 11 years, the Australian study included subjects between 7 and 1 8 years old, while our study included subjects with ages between 14 and 24 years old. The way children experience reality is not the same as that of adolescents or adults. It is possible to assume that the fears of children are more related to immediate, concrete stimuli, while the ones of adolescents and young adults are related to anticipatory or abstract stimuli. For example, the item of "Fear of being scolded by the principal" can be experienced by a child as something extremely dangerous and, therefore, the item will classify in the dimension "fear of death and danger" and not in the dimension of "fear of failure or criticism" where the answer of an adolescent or a young adult is most likely to be classified. Despite the disparities between the three versions, the FSSC-II showed high internal consistency values and an adequate percentage of explained variance in our sample. These results highlight the utility of the FSSC-II for the assessment of the frequency and intensity of fears in both adolescents and young adults in Mexico. It would be desirable to perform future studies among children. [ABSTRACT FROM AUTHOR]

Alexithymia (AL) is characterized as an emotional communicative deficit, associated with operational thinking, impulsivity and heavy bodily sensations. AL is a frequent male profile (prevalence of 10%). Cerebroorganic, psychic or social factors take part in its etiology. A differential diagnosis is essential with blocking of affect and atypical depression. The new concept of pseudoalexithymia is introduced here. AL disturbs seriously the dyadic adjustment into the couple and increases the susceptibility to somatic or mental diseases. Some orientations for diagnosis and treatment are given. In conclusion, this study supports the great importance of AL in society, family and clinic. [ABSTRACT FROM AUTHOR]

The goal of this study was to test the effect of family variables (cohesion, adaptability and satisfaction) on the relationship between communication and psychosomatic symptoms. The Family Communication Patterns Model (Koerner & Fitzpatrick, 2004) and the Circumplex Model (Olson, 2000) were used to study family communication and family functioning. The sample consisted of 455 university students in the Basque Country. The results emphasize that there are more symptoms in members of families with irregular leadership and with roles that are not clear, whereas those families with an open expression of ideas, thoughts and feelings, tend to have fewer symptoms. These results open a new line of research that will help to verify the results presented and to have a better comprehension of the psychosomatic symptoms. [ABSTRACT FROM AUTHOR]

Domestic violence is one of the most common forms of violence found both domestically and internationally. Within these, child abuse has alarming figures. This is the subject of this review. The effects of this problem significantly impact on those who survive; their long-term consequences are most severe and expensive for victimized child and his/her family than associated primary physical injuries. The long-term consequences for these children range from adverse effects on its psycholigical development to psychological, psychiatric organic disoders. It is important to note that good speeches are not enough to achieve success if any intervention are not done correctly. All prevention strategies include well-trained staff, appropriate supervision, resources, and a optimal time for addressing this problem to get the best results. [ABSTRACT FROM AUTHOR]

Copyright of Diversitas (17949998) is the property of Universidad Santo Tomas, Facultad de Psicologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To test the relationship between anxiety, joint hypermobility syndrome (JHS) and other associated variables, and identify physical and psychological variables that distinguish individuals with and without JHS. Method: One hundred undergraduate students were assessed using the following instruments: Brighton's criteria for JHS, State-Trait Anxiety Inventory (STAI), Liebowitz Social Anxiety Scale (LSAS), Hospital Anxiety and Depression Scale (HADS), a questionnaire of neuropsychosomatic affections (ALPIN) and a questionnaire of anxiety disorders. Results: Anxiety scores measured by the HADS and STAI (state scale) were significantly higher among participants with JHS. A set of physical and psychological variables turned out to be statistically significant when distinguishing students with or without JHS. Conclusions: Participants with JHS reported relatively higher levels of anxiety than those without JHS in this study. We suggest it is possible to detect the presence of JHS by assessing physical and psychopathological symptoms. [ABSTRACT FROM AUTHOR]

This paper follows a previous research line where team environment and some sociodemographic dimensions are configured as antecedents of burnout and psychosomatic symptoms. The paper has four objectives. Predicting variables include sociodemographic dimensions and team environment; criterion variables are burnout and psychosomatic manifestations. The sample consisted of 532 participants belonging to 110 work teams from companies in Tarragona, Lleida, Barcelona and Valladolid. Four instruments were applied: Socio-demographic aspects, TCI, MBI, PSICOSOM-27. Results obtained indicate that team environment is a predictor of burnout and psychosomatic manifestations. [ABSTRACT FROM AUTHOR]

Copyright of Cuadernos de Información y Comunicación is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper reviews the grounds of psychosomatic principles held by different authors and analyzes the clinical case of a teenager with a number of traumatic characteristics and a sacralgia as somatic defense. A special emphasis is placed on the fear of collapse in front of repetitive circumstances --a fear that explains the characteristics of this pathology resulting from a loss of an emotionally supportive environment. The paper also shows the relevance of keeping a setting in psychosomatic patients' treatment. It also reflects on the difficulties experienced by doctors, teachers and parents in understanding body and emotional changes in adolescence that have a psychological and social impact on teenagers --who have to face a metamorphosis and the misunderstanding on the side of adults. Suggestions for the training of specialized doctors and teachers in operational, Balint and supervision groups are made. [ABSTRACT FROM AUTHOR]

Objective. To determine how anxiety, depression, and somatic symptoms are related in a sample of university students in northern Mexico. Methods. An exploratory study was conducted through self-administered questionnaires applied to a convenience sample of 506 psychology students at two universities in Monterrey, in the state of Nuevo León, Mexico. To evaluate somatic symptoms, the Patient Health Questionnaire was used; for depression, the Beck Depression Inventory; and for anxiety, the Social Anxiety Scale for Adolescents. Spearman's correlation was used to determine to what extent the associations among the variables were significant. The Kruskal-Wallis test was used to compare anxiety and depression levels between groups of students organized by severity of somatic symptoms. Results. Of the participants, 129 (25.5%) presented somatic symptoms that were of medium intensity or severe; just 4 (0.8%) had severe depression; and only 2 (0.4%) students presented anxiety levels over 75% of the scale maximum. The severity of somatic symptoms increased in step with anxiety and depression levels. The somatic symptoms occurring most frequently and of greatest concern among the study sample were: headache, menstrual pain, and backache, as well as feeling tired and having difficulty sleeping. Conclusions. The direct association between the severity of somatic symptoms and depression and anxiety was confirmed. It is recommended that all treatment and/or prevention programs addressing one of these conditions, include the other two as well. Programs specifically aimed at university youth should be implemented. [ABSTRACT FROM AUTHOR]

Objetivo: La previsibilidad es un modulador fundamental de la ansiedad en el sentido de que la capacidad de predecir acontecimientos aversivos mitiga las respuestas ansiosas. En el trastorno de angustia, los síntomas persistentes de ansiedad están causados por la predicción de tener otra crisis de angustia sin indicios (imprevisible). Los autores pusieron a prueba la hipótesis de que la elevada reactividad ansiosa, específicamente por acontecimientos aversivos imprevisibles, es un correlato psicofisiológico del trastorno de angustia. Método: Los participantes fueron expuestos a una situación en la que estímulos aversivos previsibles eran señalados por un indicio, a una segunda situación en la que los estímulos aversivos se administraban de manera imprevisible y a una tercera situación en la que no se preveían estímulos aversivos. Se utilizó el sobresalto para evaluar las respuestas ansiosas a indicios y contextos. Resultados: Con respecto a los individuos sanos de comparación, los pacientes con trastorno de angustia mostraron niveles equivalentes de sobresalto potenciado por miedo ante el indicio amenazador y una elevada potenciación del sobresalto en el contexto de la situación imprevisible. Conclusiones: Los pacientes con trastorno de angustia son demasiado sensibles a los acontecimientos aversivos imprevisibles. Esta vulnerabilidad podría ser tanto un rasgo indicador premórbido del trastorno como una característica adquirida causada por haber experimentado una crisis de angustia sin indicios. Como rasgo premórbido, la vulnerabilidad a la imprevisibilidad podría estar relacionada en su etiología con el trastorno de angustia a través de la sensibilización del individuo al peligro, dando lugar finalmente a respuestas intensas de miedo/alarma ante amenazas leves. Como característica adquirida, dicha vulnerabilidad contribuiría al mantenimiento y empeoramiento de los síntomas del trastorno de angustia, aumentando la ansiedad de anticipación. [ABSTRACT FROM AUTHOR]

Factitious disorder is defined by the intentional production or feigning of physical or psychological symptoms with the objective of assuming the patient role. It is frequently difficult to adequately diagnose this disorder, above all, when the faked symptoms are those of a psychological or a psychiatric disorder. In these cases, there is often high comorbidity with other mental disorders, thus making it difficult to differentiate between real and factitious symptoms. Moreover, the lack of clear objective markers makes assessing the diagnosis even more difficult. In this article, we have aimed to clarify how a correct diagnosis of factitious disorder with psychological symptoms can be reached, to observe the different therapeutic strategies described in the literature and to analyze the utility of each one of them in a given case report. [ABSTRACT FROM AUTHOR]

Se presenta una reproducción de un artículo publicado originalmente en la misma revista en el año 1957, sobre un caso clínico de atrofia genital debido a una inhibición psíquica. Se incluye información sobre la salud de la paciente, sobre la metodología del diagnóstico de la atrofia y sobre la depresión hormonal que causó el problema y la psicoterapia ocupacional que lo curó.