RESUMEN
Oxytocin is a neuropeptide that in mammals has important functions on different reproductive stages and socialization behaviors. In humans, its importance has been recognized in processes of social regulation such as social memory, affiliation, mentality and empathy. The objective of this work is to perform an updated review of the evidence about the role of oxytocin in psychiatric disorders. A bibliographic search was carried out on this topic through the Medline / PubMed and SciELO databases. The results show evidence on the possible etiopathogenic role of oxytocin in different clinical conditions. In addition, research has sought answers in this hormone to understand the different symptomatic profiles, such as emotional regulation, the recognition of emotions, the capacity for mentalization and the response to stress, which could operate as targets for possible therapeutic uses of oxytocin. Although the data are still incipient and inconclusive, oxytocin has been positioned as an important focus of neurobiological and therapeutic study in psychiatry for future research.
Asunto(s)
Humanos , Socialización , Oxitocina , Trastornos Mentales , Apego a ObjetosRESUMEN
Resumen Este artículo tiene como objetivo revisar las implicaciones de la identidad de género en la construcción psíquica y la salud mental, sin pretender ser una revisión exhaustiva, dada la complejidad del tema. Se realiza un recorrido por las definiciones conceptuales de la identidad de género, pasando por algunos modelos explicativos de la misma, como una forma de comprender esta experiencia. Además, se abordará la realidad transgénero como factor de estrés psicosocial y, desde una perspectiva clínica, sus repercusiones psíquicas, enfatizando la diferenciación de las identidades trans con la entidad diagnóstica llamada disforia de género. Finalmente, se caracterizará la disforia de género, con énfasis en el malestar subjetivo secundario a la discordancia de género, sus relaciones con otros diagnósticos psiquiátricos, sus repercusiones psicosociales y las barreras de atención médica que este grupo de personas experimenta.
This article aims to review the implications of gender identity in psychic construction and mental health, without intending to be an exhaustive review, given the complexity of this issue. A tour of the conceptual definitions of gender identity is made, going through some explanatory models of it, as a way to understand this experience. Also, transgender reality as a psychosocial stress factor will be addressed and, from a clinical perspective, its psychic repercussions, emphasizing the differentiation of trans identities with the diagnostic entity called gender dysphoria. Finally, gender dysphoria will be characterized, focusing on the subjective disconfort secondary to gender discordance, its relationships with other psychiatric diagnoses, its psychosocial repercussions and the health care barriers that this group of people experiences.
Asunto(s)
Humanos , Salud Mental , Identidad de Género , Personas Transgénero , Disforia de GéneroRESUMEN
Resumen Se han descrito una serie de reacciones adversas asociadas a antipsicóticos, entre las que destacan las reacciones adversas hematológicas propias de algunos antipsicóticos atípicos. Las más renombradas han sido clásicamente las discrasias sanguíneas asociadas al uso de olanzapina. En este trabajo nos enfocamos en una reacción adversa poco común: eosinofilia en un paciente esquizofrénico paranoide usuario de olanzapina, situación documentada en contadas publicaciones a lo largo de la historia de uso de este medicamento. Se trata de una reacción adversa infrecuente, y por lo mismo poco conocida y estudiada.
Many adverse effects of antipsychotic drugs have been described, among which hematologic adverse effects stand out. Classically, blood discrasias have been associated to the use of olanzapine. On this paper we will focus on an uncommon adverse reaction: eosinophilia in a patient diagnosed with a paranoid schitzophrenia, who had been using olanzapine. There have been just a few reported cases of eosinophilia secondary to the use of olanzapine, which makes this an infrequent, rarely known and even less studied adverse reaction.
Asunto(s)
Humanos , Masculino , Adulto , Esquizofrenia , Antipsicóticos , Eosinofilia , OlanzapinaRESUMEN
La importancia de la patología psiquiátrica en la infancia y la adolescencia ha ido en ascenso, debido al aumento en su diagnóstico y a sus implicancias socioculturales. El Trastorno por Déficit Atencional e Hiperactividad es el trastorno neurobiológico más diagnosticado en la práctica clínica infanto-juvenil, tanto así que debe ser conocido y manejado en la Atención Primaria por los médicos generales. Se ha descrito cierto grado de sobrediagnóstico influenciado, entre otros motivos, por las altas expectativas sociales respecto del rendimiento escolar/conductual de los niños, así como la presencia de otras patologías que se pueden manifestar con síntomas TDAH-like. En este sentido, la relación entre SAOS y TDAH, cobra gran relevancia, puesto que ambas patologías presentan una amplia prevalencia en nuestro país y un alto nivel de comorbilidad psiquiátrica/médica, además de relacionarse a través de una compleja y aún no muy bien conocida interacción neuropsicológica.
The importance of psychiatric disorders in childhood and adolescence has been increasing due to the increase in its diagnosis and its cultural implications. The Attention Deficit Hyperactivity Disorder is the neurobiological disorder most commonly diagnosed in the child-adolescent clinical practice, so much so that must be managed in primary care. It described some degree of overdiagnosis influenced by high school-social expectations and behavioral performance of children, and the presence of other conditions. In this sense, the relationship between OSA and ADHD, is very relevant, because both disorders share a wide prevalence in our country and a high level of psychiatric and medical comorbidity. In adittion, these interact through a complex and still not well known neuropsychological mechanism.
Asunto(s)
Humanos , Niño , Trastorno por Déficit de Atención con Hiperactividad/complicaciones , Trastorno por Déficit de Atención con Hiperactividad/psicología , Apnea Obstructiva del Sueño/complicaciones , Apnea Obstructiva del Sueño/psicologíaRESUMEN
Psychodermatology is an area of dermatology dedicated to the connection between this medical discipline and psychiatry. Its importance is based in that emotional factors can exacerbate skin diseases and psychiatric disorders may manifest as skin lesions. This relationship can be described as an intricate network involving psychological, social, neuroendocrine, immune and skin factors, as reflected in the complexity of the management of these patients. Is important to increase research and interest in this important issue, as an integrative and multidisciplinary approach allows for interventions in the vicious circle between psychiatric dysfunction and skin symptoms, improving significantly the quality of life of patients...