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Autoestima, adaptación social y suicidalidad en los trastornos afectivos

Published online by Cambridge University Press:  12 May 2020

E. G. Daskalopoulou ,
D. G. Dikeos ,
G. N. Papadimitriou ,
D. Souery ,
S. Blairy ,
I. Massat ,
J. Mendlewicz  and
C. N. Stefanis
E. G. Daskalopoulou
Affiliation:
Instituto Universitario de Investigación de la Salud mental, Facultad de Medicina de la Universidad de Atenas, Hospital Eginition, 72-74, Vas Sofias Avenue, 11528Atenas, Grecia Departamento de Psiquiatría, Facultad de Medicina de la Universidad de Atenas, Hospital Eginition, 11528Atenas, Grecia
D. G. Dikeos
Affiliation:
Instituto Universitario de Investigación de la Salud mental, Facultad de Medicina de la Universidad de Atenas, Hospital Eginition, 72-74, Vas Sofias Avenue, 11528Atenas, Grecia Departamento de Psiquiatría, Facultad de Medicina de la Universidad de Atenas, Hospital Eginition, 11528Atenas, Grecia
G. N. Papadimitriou
Affiliation:
Instituto Universitario de Investigación de la Salud mental, Facultad de Medicina de la Universidad de Atenas, Hospital Eginition, 72-74, Vas Sofias Avenue, 11528Atenas, Grecia Departamento de Psiquiatría, Facultad de Medicina de la Universidad de Atenas, Hospital Eginition, 11528Atenas, Grecia
D. Souery
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, 1070Bruselas, Bélgica
S. Blairy
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, 1070Bruselas, Bélgica
I. Massat
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, 1070Bruselas, Bélgica
J. Mendlewicz
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, 1070Bruselas, Bélgica
C. N. Stefanis
Affiliation:
Instituto Universitario de Investigación de la Salud mental, Facultad de Medicina de la Universidad de Atenas, Hospital Eginition, 72-74, Vas Sofias Avenue, 11528Atenas, Grecia
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Resumen

La autoestima (AE) y la adaptación social (AS) se deterioran a menudo durante el curso de los trastornos afectivos; este deterioro se asocia con el comportamiento suicida. El propósito del presente estudio era investigar la AE y la AS en los pacientes unipolares o bipolares en relación con las características demográficas y clínicas, especialmente la presencia de suicidalidad (ideación suicida, intento de suicidio o ambas cosas). Se examinó a 44 pacientes, 28 bipolares y 16 unipolares, en remisión durante 3 meses al menos, y a 50 individuos sanos por medio de una entrevista clínica estructurada. La AE y la AS se evaluaron por la Escala de Autoestima de Rosenberg y la Escala de Adaptación Social, respectivamente. Los resultados han mostrado que los pacientes bipolares no diferían de los controles desde el punto de vista de la AE, mientras que los pacientes unipolares tenían una AE más baja que los bipolares y los controles. No se encontraron diferencias significativas en las puntuaciones medias de AS entre los tres grupos. La suicidalidad durante la depresión se asociaba sólo en los pacientes bipolares con AE más baja en la remisión; la asociación de la suicidalidad con la AS era similar, pero no tan pronunciada. Se concluye que la AE baja que permanece en la remisión parece estar relacionada con la expresión de suicidalidad durante los episodios depresivos de los pacientes bipolares, mientras que ningún patrón similar es evidente en los pacientes unipolares.

Keywords

autoestimaadaptación socialsuicidalidadtrastorno afectivo
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 10 , Issue 1 , February 2003 , pp. 28 - 35
Copyright
Copyright © European Psychiatric Association 2003

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