2006, Number 4
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Perinatol Reprod Hum 2006; 20 (4)
Psychological discomfort: some clinical manifestations in the hospitalized gineco-obstetric patient
Espíndola HJG, Morales-Carmona F, Gíaz FE, Pimentel D, Meza RP, Henales AC, Carreño J, Ibarra MA
Language: Spanish
References: 29
Page: 112-122
PDF size: 123.27 Kb.
ABSTRACT
Gyneco-obstetric hospitalized patients usually present secondary emotional reactions to hospitalization, pregnancy and their illnesses. These reactions may or may not anchor to character structure, showing clinical data that not necessarily are to be considered as pathological manifestations. Within the range of reactions, it is possible to identify the psychological discomfort, which is erected as a diagnosis that is characterized by its reactivity, rapid evolution, egodistonia and good prognosis. In this sense it is an alteration of the emotional condition and not properly a psychopathology. In this work, the clinical manifestations and its habitual evolution are expounded with the intention to differentiate them from the simthomatology and diverse character and personality disorders as well as proper pregnancy manifestations. Although it is a coping process it should be evaluated and cared for by a mental health professional. Its evaluation requires diverse strategies and its attention, specific techniques that flavor conflict solution with reality and work as prophylactic of a secondary and psiquic conflict, and also in the attention of gyneco-obstetric and hospital complications.
REFERENCES
Morales-Carmona F, Díaz-Franco E, Espíndola-Hernández J, Henales-Almaraz C, Meza-Rodríguez P, Mota-González C, Pimenel-Nieto Diana. Concepto de salud psicológica. Temas Selectos en Orientación Psicológica, Creando Alternativas. Universidad Iberoamericana-Scranton University. Vol. 1. México, D.F.: El Manual Moderno; 2005, p. 49-62.
Fullerton C, Acuña J, Florezano R, Cruzv C, Weil K. Psicopatología en pacientes hospitalizados en un hospital general. Rev Chil Neurol Psyquiatry 2003; 41: 103-9.
Tapia P, Micheli C, Koppmann A. Morbilidad psiquiátrica en un hospital general. Rev Psyquiatry Clin 1994; 31: 99-107.
García-Viniegras V, Carmen R. Manual para la utilización del cuestionario de salud general de Goldberg. Adaptación cubana. Revista Cubana Med Gen Integr 1999; 15: 88-97.
González-Forteza C, Morales-Carmona F, Gutiérrez Calderón E. Indicadores clínicos de malestar psicológico en pacientes obstétricas y ginecológicas. Un estudio comparativo en México. Psicopatol 1992; 2: 1-4.
Cano GJM, Díaz-Martínez A, Juárez MC, Ortega R de CHR, Martínez SJL, Cano GL, Zamora SM, Rodríguez LMT, Hernández MI, Pérez PJ. Exploración epidemiológica de la salud mental a través de la aplicación de la escala de Goldberg en el Estado de México. Boletín Informativo; Dirección de Prevención y Bienestar Familiar del DIFEM 2001; 2: 2-12.
Diagnostical and statistical manual: mental disorders (DSM-IV). American Psychiatric Association Committee of Nomenclature and Statistics. Barcelona, España: Masson: 1996.
Kaplan BH, Cassel JC, Gores. Social support and Health. Med Care 1977; 15: 47-58.
Morales-Carmona F, González CG, Valderrama BG. Perfil de la personalidad de un grupo de mujeres embarazadas. Perinatol Reprod Hum 1988; 2: 165-7.
Morales-Carmona F, Luque-Coqui M, Barroso-Aguirre J. Alteraciones emocionales en una muestra de mujeres mexicanas con eventos ginecoobstétricos. Ginecol Obstet Mex 2002; 4: 157-62.
Instituto Nacional de Perinatología. Anuario Estadístico Versión para Microsoft Word. México; 2004.
Bjelica A, Kapor-Stanulovic N. Pregnancy as a psychological event. Medicinski Pregled 2004; 57: 144-8.
Currid TJ. Improving perinatal mental health care. Nursing Standard 2004; 19: 40-3.
Espíndola-Hernández J, Meza RP, Díaz FE, Rodríguez PL, Mota GC. Aproximación de la intervención psicológica en pacientes hospitalizados de instituciones no psiquiátricas. Perinatol 2003; 3: 9-13.
Hughes BM. Psychology, hospitalization and some thoughts on medical training. Eur J Psychoter Counsell Health 2001; 411: 7-26.
Kush FRI. Primary Care and Clinical Psychology: Assessment Strategies in Medical Settings. Clin Psichol Med Sett 8: 219-28.
Morales-Carmona F. Capítulo I. En: Psicología de la Reproducción Humana. Instituto Nacional de Perinatología. México, D.F.: Trillas; 2001: 11-29.
Knop J, Osterberg-Larsen B. Psychological intervention during pregnancy. A multidisciplinary hospital network. Ugeskrift for Laeger 2001; 163: 5018-22.
Morales Calatayud F. Introducción a la psicología de la salud. Argentina: Paidós; 1999: p. 193-211.
Goldberg DP. The detection of psychiatric illness by questionnaire. Londres: Oxford University Press; 1972.
Espíndola JG, Morales CF, Mota C, Díaz E, Meza P, Rodríguez L. Calibración del punto de corte para la Escala de Depresión Perinatal de Edinburgh, en pacientes obstétricas del Instituto Nacional de Perinatología. Perinatol Reprod Hum 2004; 18: 179-86.
Freud S. Inhibición síntoma y angustia. Obras Completas. Vol XX. Buenos Aires, Argentina: Amorrortu; 1926.
Páez D. Factores psicosociales y salud mental. España: Ed. Fundamentos; 1986.
Urrego MZ. Evaluación de un programa de intervención en crisis para pacientes psiquiátricos. Hospital del Sur. Colombia, Bogotá: ESE; 2000.
Leichtentritt RD, Blumenthal N, Elyai A, Rotmensch S. High-risk pregnancy and hospitalization: the woman’s voices. Health Soc Work 2005; 30: 39-45.
Gamble J, Creedy D, Moyle W, Webster J, McAllister M, Dickson P. Effectiveness of a counseling intervention after the traumatic childbirth: a randomized controlled trial. Birth 2005; 32: 11-9.
Engelhard IM, Van den Hout MA, Valaeyen JW. The sense of coherence in early pregnancy and crisis support and posttraumatic stress after pregnancy loss: a prospective study. Behav Med 2003; 29: 80-4.
Baldus M. From diagnosis to decision-decision process of women in the context of prenatal diagnosis. Prax Kinderpsychol kinderpsychiatr 2001; 9: 736.
Hambridge JJ, Baker A. Medical Psychology in Australia. J Med Psichol Medic Sett 2001; 8: 3-7.