Biomedical subjects

M Díaz Marsa

Publications and source records attributed to M Díaz Marsa.

3 recordsLinked to original sources

PubMedDate not supplied

[Progress and therapeutic response in the obsessive-compulsive disorder].

The purpose of the present work was to analyze the outcome of patients diagnosed of Obsessive Compulsive Disorder (OCD) after Hospital discharge from our Unit, focusing on therapeutical efficacy immediately after discharge and in the follow up, searching for good evolution predictors. We have studied 42 patients (26 females and 16 males) diagnosed of OCD according to ICD-9 diagnostic criteria, all patients were hospitalized during a seven years period 1981 and 1988. Therapeutical response was evaluated through a (1-4 punctuation) of a Clinical Global Impression Scale considering the changes from the moment the patient was hospitalized, the day of discharge and in the follow up (mean 4.1 years). 73.8% and 71.4% were considered as treatment "responders" the day discharged and in the follow up respectively. Through a multiple logistic regression, treatment with serotonergic drugs and insidious onset of the illness were identified as short-term treatment response predictors, while the absence of a previous obsessive personality was a long-term therapeutical response predictor. Our results show the efficacy of serotonergic drugs and the tact that the presence of a previous obsessive personality could have a prognostic value in OCD.

Adolescent↗

PubMedDate not supplied

[The discourse as the practice component. (The study of Foucault's theory of objects of discourse, represented in psychopathology)].

The subject is discourse; such discourse is far from a simple point of encounter (or disencounter) between a language, a significant system, and a wild, virginal reality that is distant from any word. Farm from being a mere actualization of a group of signs used to indicate "things per se-, to represent a reality that now, beforehand, and regardless of the language describes it as such, has a mute sense that awaits the moment of its expression; far from being, I say, words, mere words that fall softly on things to me them, transform them, form them? it regularly constitutes what is spoken. Thus discourse is something more, it does more than indicate, name, translate, express ... it produces reality; moreover, of this is the case, in theoretical knowledge, theory is not neutral or disinterested contemplation, but productive power, poetry... Therefore, the effects of discourse rather than its causes are what are expressed and what interests this philosopher is the action of Foucault's discourse, inasmuch as its practice is characterized by a group of hierarchical rules.

Humans↗

PubMedDate not supplied

[A prospective study of patient with schizophreniform disorder: a nosological dilemma?].

We study retrospectively 42 inpatients of the psychiatry department of the Ramón y Cajal Hospital, through a period between 1st January of 1988 and the 31st December 1993. All of them were diagnosed at discharge of schizophreniform disorder according to DSM-III R diagnostic criteria and it was in all of them the index episode of the psychosis. Sociodemographic, clinical, evolutive, and therapeutical variables are analyzed. We made a new assessment of the patients in the sample during April 1994 through a direct interview. The mean follow-up period was 4.18 years. The main results were: A predominance of male/female proportion (2/1), nearly half of the sample had emotional or psychosocial stressors previous to the episode. Previous schizoid personality traits were found in 57.1%. 11.9% had first degree relatives antecedents of schizophrenia and 19% of non-bipolar affective disorders. At follow-up 40.4% needed to be hospitalized again. It is noteworthy that 80.9% were rediagnosed during follow-up as schizophrenia.

Adult↗