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Search Results: 1 - 10 of 603720 matches for " de la Pe?a-Olvera "
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Tratamiento multisistémico en adolescentes con trastorno disocial
de la Pea-Olvera,Francisco R;
Salud Pública de México , 2003, DOI: 10.1590/S0036-36342003000700016
Abstract: this paper reviews the main features of conduct disorder (cd), as well as the principles for diagnosis and multisystemic treatment (mst). mst includes biological, psychological and social interventions, and considers the ecological environment of conduct manifestations. some outcomes of mst delivery are discussed, along with its advantages and potential applications.
Tratamiento multisistémico en adolescentes con trastorno disocial
de la Pea-Olvera Francisco R
Salud Pública de México , 2003,
Abstract: El presente trabajo muestra las generalidades del trastorno disocial, así como las principales medidas para su reconocimiento y tratamiento. Aborda las generalidades y principios básicos de la terapia multisistémica enfocada para este trastorno; dicha terapia se basa en intervenciones biológicas, psicológicas y sociales, y considera el ámbito ecológico de las manifestaciones de la conducta de adolescentes. Se muestran algunos resultados en la aplicación de la terapia y se discuten sus ventajas y usos potenciales.
Trastornos de la conducta disruptiva en la infancia y la adolescencia: diagnóstico y tratamiento
Pea-Olvera, Francisco de la;Palacios-Cruz, Lino;
Salud mental , 2011,
Abstract: disruptive behavior disorders (dbd) in childhood and adolescence are among the most frequent reasons for consultation and counseling. in oppositional defiant disorder (odd), psychosocial management is the therapeutic intervention of choice. training parents and caregivers in the behavioral management of the child or early adolescent (12 to 15 years) is the best interventions. behavioral perspective needs to cover all contexts: family, school, and the child. the clinician must make an individualized treatment plan. the parents suggested interventions should be based on those with the greatest empirical evidence. the use of drugs may be useful as an addition to psychosocial interventions for symptomatic treatment and comorbid conditions. severe and persistent odd may require prolonged and intensive treatment. brief interventions are usually ineffective. conduct disorder (cd) is a mixed manifestation that needs biological, psychological and social therapeutic intervention. psychopharmacological treatment alone is never enough. studies with drugs for the treatment of cd may be grouped by type of drug used: mood stabilizers, antipsychotics and stimulants. the overall effect size of psychotropic agents in the treatment of aggression is 0.56. currently only three psychosocial treatments have been adequately evaluated: a) training for parents, b) cognitive training in problem-solving skills and c) multisystemic therapy. conclusions odd and cd are among the most frequent and severe mental disorders in childhood and adolescence. the treatment of these conditions must be multimodal or multisystemic, including pharmacological, psychoeducational and psychotherapy.
Tratamiento multimodal de ni?os y adolescentes con depresión
Ulloa-Flores, Rosa Elena;Pea-Olvera, Francisco de la;Nogales-Imaca, Inés;
Salud mental , 2011,
Abstract: major depressive disorder (mdd) in children and adolescents is a common and impairing condition that is both recurrent and persistent into adulthood. in this article, a review of the literature regarding multimodal treatment is presented. the literature review process for this article included ?adolescents?, ?children?, ?depression?, ?treatment?, ?antidepressants? and ?psychotherapy? as key words. the initial medline search covered a 10 year period dating back to 2001. double blind randomized and meta-analysis studies were considered as gold standard to be included in the revision, but also experts' consensus were incorporated. regarding pharmacological treatment, tricyclic-antidepressants did not show better efficacy against placebo in double blind controlled studies; selective serotonin reuptake inhibitors showed better efficacy against placebo in controlled studies, specifically fluoxetine and escitalopram, both approved to be used in pediatric population with mdd. noradrenalin and serotonin reuptake inhibitors like venlafaxine or mirtazapine had not shown superior response than placebo. comorbidity needs to be taken into account in the decisions of the pharmacological treatment; attention deficit hyperactivity disorder is the most frequent associated disorder and requires to add specific drug treatment like stimulants; if psychotic symptoms are present, atypical antipsychotics should be added. regarding psychosocial treatment, psychoeducation is the first step in this treatment approach. psychotherapy aims include decreasing symptoms severity by improving self esteem, increasing frustration tolerance and autonomy, as well as the ability to enjoy daily life activities, and establishing good relations with peers. interpersonal and cognitive behavioral therapies are good options as psychotherapy for this age group. it is important to monitor patients to prevent relapses and complications of depression and suicidal behavior.
Trastornos de la conducta disruptiva en la infancia y la adolescencia: diagnóstico y tratamiento
Francisco de la Pea-Olvera,Lino Palacios-Cruz
Salud mental , 2011,
Abstract: Los Trastornos de la Conducta Disruptiva (TCD) en la infancia y la adolescencia constituyen uno de los motivos más frecuente de consulta. En el Trastorno Negativista y Desafiante (TND) el tratamiento psicosocial es la intervención terapéutica de primera elección. Los programas de intervención desde una perspectiva conductual abarcan todos los contextos: familiar, escolar y del propio ni o o adolescente. El clínico debe considerar importante cualquier información obtenida de otros informantes, vgr. maestros, para realizar un plan de tratamiento individualizado. Las intervenciones sugeridas a los padres deben basarse en las de mayor evidencia científica. El uso de medicamentos puede ser útil como tratamiento adjunto a las intervenciones psicosociales, para el tratamiento sintomático y el de las comorbilidades. Cuando el TND es intenso y persistente se pueden requerir tratamientos prolongados e intensivos. Las intervenciones cortas usualmente son inefectivas. El Trastorno Disocial (TD) es un fenómeno que por su naturaleza mixta, biológica, psicológica y social, requiere de una intervención terapéutica integral. La magnitud del efecto global de los fármacos en el tratamiento de la agresión es de 0.56. Actualmente sólo tres tratamientos psicosociales han sido adecuadamente evaluados: a) El entrenamiento para padres, b) el entrenamiento cognitivo en habilidades para resolver problemas y c) la terapia multisistémica. Conclusiones Los padecimientos externalizados como el TND y el TD; constituyen algunos de los problemas más frecuentes y graves dentro de los trastornos mentales de inicio en la infancia y la adolescencia. El tratamiento de estos padecimientos debe tener un enfoque multimodal o multisistémico que incorpore las aproximaciones farmacológicas, psicoeducativas y psicoterapéuticas necesarias.
Tratamiento multimodal de ni os y adolescentes con depresión
Rosa Elena Ulloa-Flores,Francisco de la Pea-Olvera,Inés Nogales-Imaca
Salud mental , 2011,
Abstract: El trastorno depresivo mayor (TDM) en ni os y adolescentes es un trastorno común y discapacitante, a menudo recurrente, que persiste hasta la edad adulta y se ha asociado a disfunción familiar, social y escolar y a la conducta suicida. Este artículo presenta una revisión de la bibliografía acerca de la eficacia y seguridad de los antidepresivos en este grupo de edad, así como el efecto de la psicoeducación y otras intervenciones psicológicas en el funcionamiento académico y social de los pacientes. Para su elaboración se examinaron preferentemente estudios aleatorizados doble ciego y metaanálisis; también se revisaron los consensos de expertos. En cuanto al tratamiento farmacológico, los inhibidores selectivos de recaptura de serotonina han mostrado eficacia superior a la del placebo en estudios controlados doble ciego. En particular, la fluoxetina ha sido aprobada por la FDA para su uso en ni os y adolescentes y el escitalopram para su uso en adolescentes. Otros antidepresivos, como la venlafaxina o mirtazapina, no han mostrado eficacia superior al placebo en estudios controlados. El tratamiento farmacológico debe considerar la comorbilidad. La psicoeducación es el primer componente del tratamiento psicosocial. La psicoterapia tiene como objetivo la reducción de la gravedad de los síntomas a través del incremento de la autoestima, de la tolerancia a la frustración, de la autonomía y de la capacidad de disfrutar actividades de la vida diaria. La terapia interpersonal y la terapia cognitivo conductual han mostrado eficacia en ni os y adolescentes en ensayos controlados. Es importante el seguimiento de los pacientes para evitar las recaídas y complicaciones como la conducta suicida.
Algoritmo latinoamericano de tratamiento multimodal del trastorno por déficit de atención e hiperactividad (TDAH) a través de la vida
Palacio,Juan David; De la Pea-Olvera,Francisco; Palacios-Cruz,Lino; Ortiz-León,Silvia;
Revista Colombiana de Psiquiatría , 2009,
Abstract: introduction: the first latin-american attention deficit hyperactivity disorder (adhd) pharmacological treatment algorithms were published in 2007. since then, new studies have appeared, not only on drug therapy, but also on psychosocial management strategies. objective: to review the literature on adhd psychosocial and pharmacological treatment throughout: pre-school children, school children, adolescents and adults. method: a team of latin-american adhd expert clinicians updated the four treatment algorithms and constructed the decision trees, based on the most recent literature. results: there is enough scientific evidence to propose two branches for each decision tree, one with the psychosocial management and the other with the drug treatment. the first branch is headed by psycho-education followed by other measures such as: management training for parents, behavioral intervention in classroom, and cognitive behavioral therapy; depending on the patient's age. the second branch is generally headed by methylphenidate, followed by amphetamines or atomoxetine. conclusions: psychosocial and pharmacological interventions were distributed on the decisions trees according to the level of scientific evidence. adhd treatment should be multimodal, and the concurrent and rational use of psychosocial and drug therapies is recommended.
Algoritmo latinoamericano de tratamiento multimodal del trastorno por déficit de atención e hiperactividad (TDAH) a través de la vida Latin American Multimodal Treatment Algorithm for Attention Deficit Hyperactivity Disorder (ADHD) throughout Life
Juan David Palacio,Francisco De la Pea-Olvera,Lino Palacios-Cruz,Silvia Ortiz-León
Revista Colombiana de Psiquiatría , 2009,
Abstract: Introducción: Los primeros algoritmos latinoamericanos de tratamiento farmacológico para el trastorno por déficit de atención e hiperactividad (TDAH) se publicaron en 2007. Desde entonces han surgido nuevos estudios, no sólo sobre tratamientos farmacológicos, sino sobre estrategias de manejo psicosociales. Objetivo: Revisar la literatura sobre el manejo psicosocial y farmacológico del TDAH a través de la vida: preescolares, escolares, adolescentes y adultos. Método: Un grupo de clínicos latinoamericanos, expertos en TDAH, actualizaron los cuatro algoritmos de tratamiento y construyeron los árboles de decisiones a partir de la literatura mas reciente. Resultados: Existe suficiente evidencia científica para proponer dos brazos en cada árbol de decisiones, uno con el manejo psicosocial y otro con el tratamiento farmacológico. El primer brazo está encabezado por la psicoeducación, seguida de medidas como terapia de manejo para padres, intervenciones en el aula de clase o terapia cognitivo-conductual, que se utilizan según la edad de cada paciente. El segundo brazo está encabezado generalmente por el metilfenidato, seguido de anfetaminas o atomoxetina. Conclusiones: Las intervenciones psicosociales y farmacológicas fueron distribuidas en los árboles de decisiones de acuerdo con el nivel de evidencia. El tratamiento del TDAH debe ser multimodal y se recomienda el uso conjunto y racional de tratamientos farmacológicos y psicosociales Introduction: The first Latin-American Attention Deficit Hyperactivity Disorder (ADHD) pharmacological treatment algorithms were published in 2007. Since then, new studies have appeared, not only on drug therapy, but also on psychosocial management strategies. Objective: To review the literature on ADHD psychosocial and pharmacological treatment throughout: pre-school children, school children, adolescents and adults. Method: A team of Latin-American ADHD expert clinicians updated the four treatment algorithms and constructed the decision trees, based on the most recent literature. Results: There is enough scientific evidence to propose two branches for each decision tree, one with the psychosocial management and the other with the drug treatment. The first branch is headed by psycho-education followed by other measures such as: management training for parents, behavioral intervention in classroom, and cognitive behavioral therapy; depending on the patient's age. The second branch is generally headed by methylphenidate, followed by amphetamines or atomoxetine. Conclusions: Psychosocial and pharmacological interventions were distri
Trastorno por déficit de atención con hiperactividad: Actualidades diagnósticas y terapéuticas
Ruiz-García, Matilde;Gutiérrez-Moctezuma, Juvenal;Garza-Morales, Saúl;de la Pea-Olvera, Francisco;
Boletín médico del Hospital Infantil de México , 2005,
Abstract: attention deficit hyperactivity disorder it is the most frequent causes of pediatric neuro psychiatric consultation. numerous studies sustain the biological origin of this illness. it is a chronic suffering that is characterized by a consistent triad of symptoms in attention deficit, hyperactivity and impulsiveness that affect the academic, social and physical activities of those who suffer it. the diagnosis is clinical and there is strong comorbidity with other psychiatric disorders. the main therapeutic approach is with the stimulants the first line drugs. the psychosocial intervention is complementary.
Análisis de la competitividad de la cadena del arroz (Oriza sativa) con enfoque CADIAC, en el sur de Morelos, México
Ireta-Paredes, Arely del R.;Garza-Bueno, Laura E.;Mora-Flores, José S.;Pea-Olvera, Benjamín V.;
Agrociencia , 2011,
Abstract: the state of morelos, méxico, is traditionally a rice-growing state, recognized for the quality of its production nationally and internationally. the state's area cultivated under rice has decreased in the last 15 years as the result of competition from imported rice. because of the urgent need to deal with this displacement, this study analyzed the rice situation in the southern region of the state emphasizing the crop and the social actors, using the chains, dialog, and action (cadiac) approach, proposed by the instituto interamericano de cooperación para la agricultura (iica) and grounded in the policy analysis matrix and participative research. application of the methodology showed that it is impossible for most of the rice farmers of the area to compete with imported rice and helped to identify the alternative strategy of differentiating production. the cooking quality of the region's rice emerged as a possibility for advantageous insertion in a segment of the domestic market. the results showed the advantages of the cadiac methodology.
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