Venlafaxine, serotonin syndrome, and differential diagnoses.
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Adult↗
Biomedical subjects
M T de Lucas-Taracena
Publications and source records attributed to M T de Lucas-Taracena.
[Swallowing phobia: a case report].
Choking phobia is characterized by fear and avoidance of swallowing food, fluids or pills. It often appears in women after an episode of choking on food. We present the case of an adolescent beginning her phobia after a mononucleosis with severe dysphagia. Patient's solid restriction raised concerns about differential diagnosis with eating disorders. She was treated with psychoeducation, cognitive restructuring and graduated exposure in vivo, achieving a total recovery.
Adolescent↗
[Drop-out from out-patient treatment for alcohol dependence: a two-year prospective study].
INTRODUCTION: Treatment compliance in alcohol-dependent patients seems closely related to abstinence rates, so it could be an outcome measure. The aim of our study was to identify which sociodemographic and clinical characteristics of alcohol-dependent patients are associated to high drop-out rates. METHOD: 165 alcohol-dependent out-patients were assessed by means of a structured questionnaire and followed for two years. RESULTS: It was shown a predictive value for personal history of suicidal intents or affective and anxiety disorders, comorbidity with affective and personality disorders, family history of affective disorders and psychiatric and somatic complications of dependence, and past or present abstinence. DISCUSSION: Implications of these findings and inconsistencies between previous studies and these results are discussed.
Adult↗
[Assessment of Machiavellian intelligence in antisocial disorder with the MACH-IV Scale].
INTRODUCTION: The objective is to evaluate the presence of Machiavellian intelligence with the MACH-IV Scale in antisocial patients versus community controls. MATERIAL AND METHODS: Categorical diagnosis and dimensional evaluation program according to IPDE were obtained from 26 controls from the community and 40 patients from a methadone program. Both groups were evaluated on cooperation with TCI and on Machiavellian intelligence with MACH-IV. RESULTS: Higher figures in MACH-IV Global Score, Tactics subscale (to manipulate others), Visions subscale (interpretations on Machiavellian behavior of others) were found in the 20 antisocial patients compared with the 26 community controls achieving statistical significance. No statistical differences were found for Morality subscale scores (abstract morality) between groups. Dimensional evaluation of antisocial disorder according to IPDE shows statistically significant positive correlations for Tactics subscale, Visions subscale and Global Score of MACH-IV scale, but no statistically significant correlation was found for Morality subscale. There is a statistically significant negative correlation between MACH-IV Tactics subscale and TIC altruism subscale. CONCLUSIONS: Antisocial patients have the same level of abstract moral attitudes as controls but are prone to use Machiavellian intelligence to interpret the actions of others, rationalize their own conduct and manipulate the behavior of others to get a benefit. These data support the hypothesis that many of the features of the antisocial syndrome may be explained by an abnormal development of an innate predisposition to be dominant in social relationships.
Adult↗
[Swallowing phobia: symptoms, diagnosis and treatment].
INTRODUCTION: Choking phobia (or swallowing phobia) is characterized by a fear of swallowing foods, liquids or pills, sometimes after an episode of choking on food. METHODS: Forty-one case reports on swallowing phobia from 1978 to 2005 were studied. Clinical and therapeutic variables of the disorder were studied. RESULTS: It appears to occur more often in females (two-thirds of the cases) and has a high comorbidity with anxiety disorders (panic disorder, 41 %; obsessive conditions, 22 %, and separation anxiety, 15 %). Life-events and eating traumatic antecedents are frequently present (44% and 56% cases, respectively). Cognitive-behavioral treatments have been of proven efficacy, as well as anti-panic drugs (alprazolam, lorazepam, bromazepan, imipramine, clomipramine, fluoxetine, paroxetine) with a remission rate of 58.5%. Gender and treatment differences are also analyzed.
Adolescent↗