| Título: | Intervention in the treatment of nonspecific anxiety: a case study : Tratamiento de un caso clínico de trastorno de ansiedad no especificado |
| Autores: | Ciccotelli, Héctor ; Nieto Centeno, Belén |
| Tipo de documento: | texto impreso |
| Editorial: | Universidad Nacional de Educacion a Distancia, 2012-07-07 |
| Dimensiones: | application/pdf |
| Nota general: |
Acción Psicológica; Vol 3, No 1 (2004); 45-54 Acción Psicológica; Vol 3, No 1 (2004); 45-54 2255-1271 1578-908X 10.5944/ap.3.1 Copyright (c) 2015 Facultad de Psicología. Servicio de Psicología Aplicada. http://creativecommons.org/licenses/by-nc-nd/4.0 |
| Idiomas: | Español |
| Palabras clave: | Estudios de casos [Case studies] , Open Access DRIVERset |
| Resumen: |
We present a case to show the therapeutical techniques used in the treatment of nonspecific anxiety as well as their effectiveness. The patient was a 46-year-old woman who displayed the following clinical features: high activation when she was angry, anticipations of negative social valuation and depressive symptoms characterized by a low self-concept, guiltiness, as well as a deficit in getting satisfying rewards. The assessment instruments used were The Revised Symptom Check-List (SCL-90-R, Derogatis; 2000), adapted for Spanish population by González y cols. (1988), The Inventory of Situations and Responses of Anxiety (ISRA, Miguel-Tobal and Cano-Vindel; 1994), Beck Depression Inventory (BOl, Beck y cols., 1961) adapted and validated for its use with Spanish population by Sanz and Vázquez (1997). The DSM-IV criteria were also used to diagnose Anxiety disorder not otherwise specific. The therapy took place within 5 months in which different techniques were applied: Time organization, Cognitive restructuring, techniques from operating conditioning to improve her children's behaviour, Breathing and «the empty chair». After 5 months, the 'patient reported to feel much better: she was able to settle more stable family relations, as far as emotions and behaviours are concerned, to diminish the anger attacks, to have more flexible cognitive evaluations and she could also be accepted by the others. What is more, the results obtained in post-treatment tests support the self-perceived improvement she had, indicating a substantial reduction of the initial symptomatology. ResumenEl caso presentado en este artículo es una exposición de la psicoterapia para el tratamiento de ansiedad no específica y su eficacia. La paciente, una mujer de 46 años presentaba un cuadro clínico en el que aparecían síntomas de alta activación activación que se manifestaba en momentos de ira, anticipaciones de varaloración social negativa y por síntomas depresivos caracterizados por una percepción de sí misma pobre, atribuciones de culpabililad, así como un déficit en la obtención de refuerzos gratificantes. Los instrumentos utilizados para la evaluación del caso fueron el Listado de Síntomas Clínicos Revisado (SCL-9O-R; Derogatis, 2000), adaptación española por González y cols. (1988); Inventario de Situaciones y Respuestas de Ansiedad (ISRA; Miguel-Tobal y Cano-Vindel, 1995); Inventario de depresión de Beck (Beck y cols., 1961), adaptado y validado para población española por Sanz y Vázquez (1997). De igual forma, se diagnosticó el Trastorno de Ansiedad no específica a través de los criterios del DSM IV. La terapia tuvo una duración de 5 meses en la que se aplicaron: Técnicas de organización del tiempo, técnicas de reestructuración cognitiva, aprendizaje de técnicas operantes para mejorar la conducta de sus hijos, una técnica de respiración y la técnica de la silla vacía. Después de 5 meses de tratamiento, la paciente informa sentirse mucho mejor: habiendo conseguido establecer unas relaciones familiares emocional y conductualmente más estables, disminuir los ataques de ira, flexibilizar sus valoraciones cognitivas, conseguuir una mayor aceptación d elos demás y recuperar su capacidad de disfrute. Por otra parte, los resultados obtenidos en las pruebas de post-tratamiento corroboran la mejoría percibida de la paciente señalando una reducción sustancial de la sintomatología inicial.AbstractWe present a case to show the therapeutical techniques used in the treatment of nonspecific anxiety as well as their effectiveness. The patient was a 46-year-old woman who displayed the following clinical features: high activation when she was angry, anticipations of negative social valuation and depressive symptoms characterized by a low self-concept, guiltiness, as well as a deficit in getting satisfying rewards. The assessment instruments used were The Revised Symptom Check-List (SCL-90-R, Derogatis; 2000), adapted for Spanish population by González y cols. (1988), The Inventory of Situations and Responses of Anxiety (ISRA, Miguel-Tobal and Cano-Vindel; 1994), Beck Depression Inventory (BOl, Beck y cols., 1961) adapted and validated for its use with Spanish population by Sanz and Vázquez (1997). The DSM-IV criteria were also used to diagnose Anxiety disorder not otherwise specific. The therapy took place within 5 months in which different techniques were applied: Time organization, Cognitive restructuring, techniques from operating conditioning to improve her children's behaviour, Breathing and «the empty chair». After 5 months, the 'patient reported to feel much better: she was able to settle more stable family relations, as far as emotions and behaviours are concerned, to diminish the anger attacks, to have more flexible cognitive evaluations and she could also be accepted by the others. What is more, the results obtained in post-treatment tests support the self-perceived improvement she had, indicating a substantial reduction of the initial symptomatology. |
| En línea: | http://revistas.uned.es/index.php/accionpsicologica/article/view/499 |
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