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Letteratura scientifica selezionata sul tema "DSM-IV"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 13 febbraio 2022

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Articoli di riviste sul tema "DSM-IV"

1

Naftolowitz, David F., Stacy Donovan e Allen Frances. "DSM-IV". CNS Drugs 4, n. 1 (luglio 1995): 1–7. http://dx.doi.org/10.2165/00023210-199504010-00001.

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Call, Christine, B. Timothy Walsh e Evelyn Attia. "From DSM-IV to DSM-5". Current Opinion in Psychiatry 26, n. 6 (novembre 2013): 532–36. http://dx.doi.org/10.1097/yco.0b013e328365a321.

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Alarcon, Renato D. "DSM-IV Guidebook". Journal of Clinical Psychiatry 58, n. 4 (15 aprile 1997): 180. http://dx.doi.org/10.4088/jcp.v58n0408.

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First, Michael, e Saburo Takahashi. "DSM-IV Update". Psychiatry and Clinical Neurosciences 47, n. 4 (dicembre 1993): 939. http://dx.doi.org/10.1111/j.1440-1819.1993.tb01844.x.

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Mimouni, Daniel. "Electronic DSM-IV". Archives of General Psychiatry 54, n. 6 (1 giugno 1997): 573. http://dx.doi.org/10.1001/archpsyc.1997.01830180091012.

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Bell, Carl C. "DSM-IV Guidebook". JAMA: The Journal of the American Medical Association 274, n. 22 (13 dicembre 1995): 1812. http://dx.doi.org/10.1001/jama.1995.03530220078044.

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PINCUS, HAROLD ALAN, MICHAEL FIRST, ALLEN FRANCES e LAURIE MCQUEEN. "Reviewing DSM-IV". American Journal of Psychiatry 153, n. 6 (giugno 1996): 850. http://dx.doi.org/10.1176/ajp.153.6.850.

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Remick, Ronald A. "Book Review: DSM-IV: DSM-IV Handbook of Differential Diagnosis". Canadian Journal of Psychiatry 42, n. 1 (febbraio 1997): 78–79. http://dx.doi.org/10.1177/070674379704200113.

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Wright, Gene. "From DSM-III-R to DSM-IV". Journal of the American Academy of Child & Adolescent Psychiatry 29, n. 5 (settembre 1990): 836–37. http://dx.doi.org/10.1097/00004583-199009000-00030.

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Calache, Michael J. "From DSM-III-R to DSM-IV". Journal of the American Academy of Child & Adolescent Psychiatry 29, n. 5 (settembre 1990): 837. http://dx.doi.org/10.1097/00004583-199009000-00032.

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Tesi sul tema "DSM-IV"

1

Malkus, B. M., e Amy J. Malkus. "Using the DSM-IV-TR in Addictions". Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/4322.

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Fröhlich, Christine, Frank Jacobi e Hans-Ulrich Wittchen. "DSM-IV pain disorder in the general population". Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2013. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-105073.

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Background: Despite an abundance of questionnaire data, the prevalence of clinically significant and medically unexplained pain syndromes in the general population has rarely been examined with a rigid personal-interview methodology. Objective To examine the prevalence of pain syndromes and DSM-IV pain disorder in the general population and the association with other mental disorders, as well as effects on disability and health-care utilization. Methods: Analyses were based on a community sample of 4.181 participants 18–65 years old; diagnostic variables were assessed with a standardized diagnostic interview (M-CIDI). Results: The 12-month prevalence for DSM-IV pain disorder in the general population was 8.1%; more than 53% showed concurrent anxiety and mood disorders. Subjects with pain disorder revealed significantly poorer quality of life, greater disability, and higher health-care utilization rates compared to cases with pain below the diagnostic threshold. The majority had more than one type of pain, with excessive headache being the most frequent type. Conclusions: Even when stringent diagnostic criteria are used, pain disorder ranks among the most prevalent conditions in the community. The joint effects of high prevalence in all age groups, substantial disability, and increased health services utilization result in a substantial total burden, exceeding that of depression and anxiety.

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Samuel, Douglas B. "COMPARING PERSONALITY DISORDER MODELS: FFM AND DSM-IV-TR". Lexington, Ky. : [University of Kentucky Libraries], 2008. http://hdl.handle.net/10225/884.

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Thesis (Ph. D.)--University of Kentucky, 2008.
Title from document title page (viewed on October 30, 2008). Document formatted into pages; contains: vi, 43 p. Includes abstract and vita. Includes bibliographical references (p. 33-39).

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Graetz, Brian William. "Gender patterns among DSM-IV attention-deficit/hyperactivity disorder subtypes /". Title page, contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phg735.pdf.

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Valentine, Lisa M. "PTSD Symptoms and Dominant Emotional Response to a Traumatic Event: An Examination of DSM-IV Criterion A2". Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc84294/.

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To qualify for a diagnosis of posttraumatic stress disorder the DSM-IV requires that individuals report dominant emotions of fear, helplessness, and horror during the trauma. Despite this stipulation, traumatic events can elicit a myriad of emotions other than fear such as anger, guilt or shame, sadness, and numbing. The present study examined which emotional reactions to a stressful event in a college student sample are associated with the highest levels of PTSD symptoms. Results suggest mixed support for the DSM-IV criteria. Although participants who experienced a dominant emotion of fear reported high PTSD symptomatology, participants who experienced anger, disgust-related emotions, and sadness reported PTSD symptoms of equivalent severity. Participants also reported experiencing other emotions more frequently than they reported experiencing fear. Coping style was unrelated to dominant emotion experienced; however, dysfunctional coping was associated with worse outcomes in terms of PTSD symptoms. These results have diagnostic and treatment limitations.

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Alfano, Candice A. "Examination of the overlap between DSM-111-R overanxious disorder and DSM-IV generalized anxiety disorder in childhood". FIU Digital Commons, 2000. http://digitalcommons.fiu.edu/etd/1064.

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Since DSM-III-R criteria for Overanxious Disorder (OAD) was subsumed under Generalized Anxiety Disorder (GAD) in DSM-IV, three studies have investigated the overlap between the diagnoses. Although two studies have identified children meeting both OAD and GAD criteria (OAD/GAD group), a third study has identified children who met criteria for OAD, but not GAD (OAD group). Based on finding these two groups of children, we examined whether children in the OAD group (n= 30) could be differentiated from children in the OAD/GAD group (n=81) based on self and parent report of anxious symptoms and level of functional impairment. Conditional probability rates were also calculated for each of the DSM anxious symptoms to determine their overall clinicalutility. Findings revealed that the OAD group of children experienced fewer anxious symptoms than children in the OAD/GAD group, though both groups showed some amount of impairment. The implications for research and practice are discussed.

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Krane, Erica A. "Functional impairments associated with DSM-IV diagnosed adult attention-deficithyperactivity disorder". Thesis, McGill University, 2002. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=82905.

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It has recently been recognized that adult Attention-Deficit/Hyperactivity Disorder (ADHD) is a valid disorder (Gadow & Weiss, 2001). Much less is known, however, about the assessment of ADHD, and about the functional impairments associated with ADHD, in adults compared to children. The objective of the present study was to characterize the functional impairments in DSM-IV diagnosed ADHD adults compared to community control adults and clinic-referred adults reporting symptoms of inattention, hyperactivity and/or impulsivity who did not meet symptom thresholds for the disorder. Method. The sample for this study consisted of 120 adults: 47 adults with ADHD, 43 clinic-referred adults who did not meet criteria for ADHD, and 30 community control adults. All were assessed with a comprehensive battery assessing psychiatric, cognitive, school, and driving impairment. Results. ADHD adults showed significantly more impairment than community control adults on all outcome measures. ADHD adults had subtle cognitive deficits, and higher rates of lifetime conduct problems compared to clinic-comparison adults. ADHD adults did not differ reliably from clinic-comparison adults on measures of internalizing disorders, school problems, or driving impairment. Clinic-comparison adults showed significantly more impairment than community control adults on measures of psychiatric functioning and school impairment. Conclusions. DSM-IV diagnosed ADHD adults show a pattern of clinical features that mirrors well-documented findings among children with the disorder, and show significantly greater impairment than do community control adults. Adults meeting some, but not all, criteria for ADHD fall in between ADHD adults and community control adults, and may warrant treatment. Our results highlight the importance of assessing ADHD in adults in a manner that attends to the potential reduced sensitivity of the DSM-IV diagnostic criteria for use in adult populations (Faraon

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Gomez, Tracy L. "Debunking the DSM-IV, a look at scripture and mental illness". Theological Research Exchange Network (TREN) Access this title online, 2005. http://www.tren.com/search.cfm?p091-0044.

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Brady, Sharon. "Societal representations of dsm-iv-tr personality disorder criteria : an examination of dsm and dimensional assessment of personality pathology structures". Thesis, Ulster University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542224.

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This research provides an examination of DSM personality disorder criteria using the DSM-IV-TR Axis II and Dimensional Assessment of Personality Pathology (DAPP) frameworks. Data. The British Psychiatric Morbidity of Adults Living in Private Households, 2000 (BPMS) survey, an epidemiological study covering England, Scotland and Wales (n=8580) was obtained from the UK Data Archives at the University of Essex. The personality disorder section of the interview was measured by self-report methods using the SCID-II (Structured Clinical Interview for DSM Axis II Disorders) screening questionnaire. Methods. The statistical software programme MplusTM version 5.21 was used to carry out statistical analyses. Item response theory (IRT) methods produced discriminatory and severity characteristics of the DSM personality disorder criteria. Confirmatory factor analysis (CFA) was utilized to examine the latent factors of the DSM personality disorders and clusters, and DAPP primary traits and domains. Hybrid modelling that combines CFA with latent class analysis techniques (LCFA) identified sub-populations within both the DSM and DAPP structures. Binomial logistic regression analyses of these sub-populations provided examination of group characteristics. Results. IRT item characteristic parameters indicated a number of DSM personality disorder are not performing well in terms of the underlying 11 disorders and domains. CFA indicated good model fit for the structures on inclusion of a number of extra specified relationships between some criteria. LCFA identified sub-populations that differ in terms of severity and likelihoods of criteria endorsements. Conclusions. IRT and LCFA both confirm that a number of criteria used for the assessment of personality disorder have poor discriminant validity, and these should be reviewed as indicators in new guidelines. Analyses at sub-population levels provide support for dimensional trait-type representations of personality disorder, and have provided useful profiles for hidden groups that have not been previously identified and should be of interest for clinicians, policy-makers and working groups for future editions of psychiatric guidelines.

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Baumann, Andreas. "DSM IV und Fagerström: Korrelation von Nikotinabhängigkeit, soziodemographischen Faktoren und persönlichen Rauchgewohnheiten". Diss., lmu, 2008. http://nbn-resolving.de/urn:nbn:de:bvb:19-82957.

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Libri sul tema "DSM-IV"

1

Frances, Allen. DSM-IV guidebook. Washington, DC: American Pyschiatric Press, 1995.

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2

1944-, Wise Michael G., a cura di. DSM-IV training guide. New York: Brunner/Mazel, 1995.

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E, McQueen Laurie, e Pincus Harold Alan 1951-, a cura di. DSM-IV coding update. Washington, D.C: American Psychiatric Association, 1996.

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First, Michael B. DSM-IV-TR guidebook. Washington, DC: American Psychiatric Pub., 2004.

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5

Wittchen, Hans-Ulrich, Henning Saß e Michael Zaudig. Handbuch der Differentialdiagnosen DSM-IV. Göttingen, Germany: Hogrefe, Verlag für Psychologie, 1999.

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6

Study guide to DSM-IV. Washington, D.C: American Psychiatric Press, 1994.

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1950-, Stamps Robert F., a cura di. The DSM-IV internet companion. New York: W. W. Norton, 1998.

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DSM-IV-TR in action. 2^a ed. Hoboken, N.J: John Wiley & Sons, 2010.

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Association, American Psychiatric. Diagnostic criteria from DSM-IV. Washington, DC: American Psychiatric Association, 1996.

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DSM-IV-TR in action. New York: Wiley, 2002.

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Capitoli di libri sul tema "DSM-IV"

1

Volkmar, Fred R. "DSM-IV". In Encyclopedia of Autism Spectrum Disorders, 1–5. New York, NY: Springer New York, 2020. http://dx.doi.org/10.1007/978-1-4614-6435-8_1444-3.

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Stabel, Aaron, Kimberly Kroeger-Geoppinger, Jennifer McCullagh, Deborah Weiss, Jennifer McCullagh, Naomi Schneider, Diana B. Newman et al. "DSM-IV". In Encyclopedia of Autism Spectrum Disorders, 1002–6. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1698-3_1444.

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Peter, Helga, e Thomas Penzel. "DSM-IV". In Springer Reference Medizin, 1. Berlin, Heidelberg: Springer Berlin Heidelberg, 2020. http://dx.doi.org/10.1007/978-3-642-54672-3_470-1.

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Volkmar, Fred R. "DSM-IV". In Encyclopedia of Autism Spectrum Disorders, 1544–48. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-91280-6_1444.

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Henschel, Aisling V., Stephanie M. Jeffirs, Isabel F. Augur e Julianne C. Flanagan. "Changes from DSM-IV to DSM-5". In Posttraumatic Stress and Substance Use Disorders, 99–115. New York, NY : Routledge, [2019]: Routledge, 2019. http://dx.doi.org/10.4324/9781315442648-6.

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Stabel, Aaron, Kimberly Kroeger-Geoppinger, Jennifer McCullagh, Deborah Weiss, Jennifer McCullagh, Naomi Schneider, Diana B. Newman et al. "DSM-IV Field Trial". In Encyclopedia of Autism Spectrum Disorders, 1006–10. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1698-3_1446.

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Volkmar, Fred R. "DSM-IV Field Trial". In Encyclopedia of Autism Spectrum Disorders, 1–5. New York, NY: Springer New York, 2020. http://dx.doi.org/10.1007/978-1-4614-6435-8_1446-3.

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Volkmar, Fred R. "DSM-IV Field Trial". In Encyclopedia of Autism Spectrum Disorders, 1548–52. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-91280-6_1446.

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Dana, Richard H. "Examining the Usefulness of DSM-IV". In Asian American Mental Health, 29–46. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-1-4615-0735-2_3.

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Dingemans, Peter. "Beschrijvende diagnostiek van DSM-IV-TRpersoonlijkheidsstoornissen". In Handboek Persoonlijkheidspathologie, 143–64. Houten: Bohn Stafleu van Loghum, 2007. http://dx.doi.org/10.1007/978-90-313-6404-6_8.

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Atti di convegni sul tema "DSM-IV"

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Pinnelli, Stefania. "Internet Addiction Disorder and Identity on line: the Educational Relationship". In 2002 Informing Science + IT Education Conference. Informing Science Institute, 2002. http://dx.doi.org/10.28945/2557.

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In the mid 1990s people became fascinated with the Internet, a fact which has not only redesigned the geographic borders of communication within a totally new dimension, but has also created new profiles of personal identities. This paper aims to describe how identities are constructed in cyberspace and outline the risks and the opportunities of such an evolution of human identity. Moving from the identity concept from the theories of Goffman, Erikson and other authors, this paper intends to answer these questions and to discuss the problem of personal identity in the age of the Internet. The aim is to introduce and to discuss through a pedagogical point of view, a specific type of mental disturbance of the Internet age called Internet Addiction Disorder (IAD), a disturbance classified through the criteria of DSM IV as a new form of dependency.

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Kelly, Lourah, Nicholas Livingston, Tess Drazdowski e Kristyn Zajac. "Gender and Age Differences in Comorbid Cannabis Use Disorders and Suicidality in a National Sample". In 2020 Virtual Scientific Meeting of the Research Society on Marijuana. Research Society on Marijuana, 2021. http://dx.doi.org/10.26828/cannabis.2021.01.000.28.

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Approximately 40 million adults use marijuana annually, making marijuana one of the most commonly used substances in the United States (SAMHSA, 2019). Men and emerging adults (ages 18-25) report higher prevalence of cannabis use disorders (CUDs) relative to women and older adults (CBHSQ, 2015; Khan et al., 2013). More frequent marijuana use is associated with greater likelihood of suicidal ideation (Ilgen et al., 2009), and past year use in emerging adults is associated with future suicide attempts (Pedersen, 2008). Similar to correlates of marijuana use, emerging adults and men have higher rates of suicidality (SAMHSA, 2019; Krug et al., 2002). Limited research has tested gender and age differences in comorbid CUDs and suicidality. The current study evaluated gender and age differences in CUDs only, suicidality only, or comorbid CUDs and suicidality in a national sample of adults. We hypothesized that men and emerging adults would be over-represented in comorbid CUDs and suicidality and CUDs only groups. Data were from four consecutive years (2015-2018) of the National Survey of Drug Use and Heath. Multinomial logistic regressions tested gender and age differences in adults with DSM-IV cannabis abuse or dependence (CUDs) only, suicidality only, and comorbid CUDs and suicidality, all compared to adults with neither CUDs or suicidality. Four separate regressions were conducted for passive suicidal ideation, active suicidal ideation, suicide planning, and suicide attempts. Gender was coded as male or female. Age groups were 18–25, 26–34, 35–49, and 50 years or older. Analyses controlled for survey year, race/ethnicity, sexual orientation, education, household income, past year major depressive episode, past year DSM-IV alcohol abuse or dependence, and past year illicit drug abuse or dependence other than CUDs. Men disproportionately reported CUDs only (ORs=1.73-2.19, p<.001) and comorbid CUDs and passive suicidal ideation, active suicidal ideation, and suicide planning (ORs=1.72-2.12, p<.01), but not attempts (OR=1.16, p=.45) relative to women. Men reported 22% higher odds of active suicidal ideation than women. Women reported 15% higher odds of suicide attempts than men. Gender differences in passive suicidal ideation and planning were not statistically significant. Compared to older age groups, emerging adults were significantly more likely to report CUDs only (ORs=1.74-10.49, p’s<.01) and showed 2.36 to 14.24 times greater odds of comorbid CUDs and all four forms of suicidality (p<.001). Emerging adults were at 18% to 66% higher odds of either passive or active suicidal ideation alone compared to all older age groups (p’s<.001). This study investigated the relations between CUDs, suicidality, gender, and age in a nationally representative sample of adults. Results indicated that men and emerging adults consistently reported the highest likelihood of negative outcomes. Next steps include determining the direction of the relationship between CUDs and increasing severity of suicidality. Further, development and investment in programs for emerging adults with CUDs and suicidality are vitally important given the striking risk profile compared to other age groups. Future research should include program development and evaluation as well as gathering more information on risk and protective factors for these populations.

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Di Stefano, Francesco, Alban Gorreja, Fabio Piccinini, Roberto Pierdicca e Eva Savina Malinverni. "3D GIS FOR A SMART MANAGEMENT SYSTEM APPLIED TO HISTORICAL VILLAGES DAMAGED BY EARTHQUAKE". In ARQUEOLÓGICA 2.0 - 9th International Congress & 3rd GEORES - GEOmatics and pREServation. Editorial Universitat Politécnica de Valéncia: Editorial Universitat Politécnica de Valéncia, 2021. http://dx.doi.org/10.4995/arqueologica9.2021.12132.

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Historic villages are included in the category of cultural heritage to be safeguarded and preserved. Accidental events, such as earthquakes, represent a threat to their vulnerability. Usually, the analyses of damaged buildings, which are part of these villages, are then carried out singularly, not fostering instead the constitution of a mapping at the urban scale that allows a more complete knowledge of the state of damage and risk of adjacent buildings and of the entire area. An information system such as 3D GIS is a suitable solution for this purpose. The aim of this research is to develop a SMART management system for preservation activities of historical villages through the management of heterogeneous types of data, from the survey to the technical documentation. The workflow is structured as follows: (i) Data acquisition: the survey of a small village was carried out by combining geomatic techniques necessary to produce a complete point cloud; (ii) 3D modeling: data extrapolation from the post-processed point cloud and subsequently generation of a GIS based on 3D model thanks to the creation of DTM and DSM of the area of interest; (iii) Knowledge modeling: a geospatial information model is necessary to put in order and together all the information collected for the whole village and for each building composing it; (iv) SMART management modeling: improvement of the information management system that guarantees the possibility to enrich and update data at any time. This research paves the way to develop a web platform where GIS data would be imported for a digital twin approach.

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Sauras Quetcuti, Rosa Blanca, Gerard Mateu Codina, Adriana Farré Marinez, David Suarez, Fernando Dinamarca Cáceres, Rebeca Alayon Santana, Ana Maria Coratu et al. "Características diferenciales entre pacientes con consumo de psicoestimulantes ingresados en una Unidad de Patologia Dual". In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020p060.

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Introducción: El consumo de psicoestimulantes como la cocaina y los derivados anfetamínicos se asocia frecuentemente a comorbilidad psiquiátrica. A pesar de que la cocaína y los derivados anfetamínicos comparten muchos efectos agudos y crónicos, existen algunas diferencias importantes entre el tipo de consumidor y las consecuencias de su consumo. Objetivos: Estudiar de forma prospectiva las características diferenciales entre los pacientes ingresados en una unidad de patología dual con consumo de cocaína y de derivados anfetamínicos. Material y métodos: Durante 3 años recopilamos datos demográficos, sociofamiliares y clínicos de aquellos pacientes ingresados en la unidad de patología dual del Parc de Salut Mar que cumplían criterios de trastorno por consumo de psicoestimulantes. Estos pacientes fueron divididos en dos categorías: trastorno por consumo de derivados anfetamínicos o trastorno por consumo de cocaína según los criterios del DSM-IV. Resultados: Se incluyeron 498 pacientes (70,9% hombres; edad media 36,8 ± 7,8 años). La razón principal del ingreso fueron las alucinaciones y/o delirios (36,5%), seguidos de los trastornos de conducta (25,3%). El diagnóstico psiquiátrico más frecuente fue el trastorno psicótico (41,8%). Los sujetos del grupo de anfetaminas eran con más frecuencia varones solteros, con un nivel educativo más elevado y con una mayor prevalencia de antecedentes familiares de enfermedad mental. Requirieron de ingresos de mayor duración y presentaron mayor prevalencia de trastornos por consumo de cannabis y de policonsumo de sustancias psicoactivas así como una menor gravedad clínica en el momento del ingreso. Cabe destacar que los sujetos del grupo de anfetaminas tuvieron un inicio más precoz del consumo de cocaína, cannabis y alcohol. Conclusiones: Nuestros datos muestran que los consumidores de anfetaminas presentan un mayor policonsumo de sustancias y un inicio más precoz del consumo de otras sustancias aunque al inicio del ingreso presentan una menor gravedad clínica.

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Nieto Rodríguez, Evaristo, Adria Palau Miguel, Pedro Alvarez Guerrero e Meriem Khatib. "INCIDENCIA , VARIABLES ASOCIADAS E IMPLICACIONES DEL POSITIVO DE ALCOHOL EN ORINA AL INGRESO DE LOS PACIENTES BIPOLARES". In 22° Congreso de la Sociedad Española de Patología Dual (SEPD) 2020. SEPD, 2020. http://dx.doi.org/10.17579/sepd2020o036.

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OBJETIVO: -Determinar la incidencia de alcohol positivo en orina en las hospitalizaciones psiquiátricas de pacientes Bipolares y sus relaciones con diferentes características sociodemográficas y clínicas. MÉTODO Pacientes: Estudiamos una cohorte retrospectiva formada por todos los pacientes Bipolares tipo I o II (según criterios DSM-IV) ingresados por primera vez en nuestra unidad de psiquiatría de un hospital general entre 2009 y 2018. Método: Se recogieron múltiples variables durante el ingreso hospitalario y se compararon entre los pacientes que marcaron positivo en la prueba de alcohol en orina recogida el primer día del ingreso y los que no. Análisis estadístico : Primero realizamos un análisis univariante entre positivo en alcohol en orina y el resto de variables y posteriormente un análisis multivariante de regresión logística multinomial con alcohol positivo en prueba de orina como variable dependiente RESULTADOS: Solo en 19 (4,2%) de 451 primeros ingresos de pacientes bipolares hubo una prueba de orina positiva para alcohol al ingreso. Después del análisis de regresión logística solo el subtipo Bipolar II (OR = 3,4, P <0,025), el sexo masculino (OR = 3,28, P <0,029) y la ausencia de alteración psicomotora al ingreso (OR = 4,4, P <0,01) tenían una asociación significativa con alcohol positivo . El suicidio consumado en el seguimiento se asoció significativamente (OR = 11,7, P <0,008) con la prueba de orina positiva para alcohol en el ingreso. CONCLUSIONES: 1.Sólo el 4,2% de los pacientes bipolares marcaron alcohol positivo en orina al ingreso. 2. El sexo masculino, el subtipo Bipolar II y la ausencia de alteración psicomotora al ingreso se asociaron claramente con la prueba de alcohol positivo en orina en estos pacientes bipolares. 3.Los pacientes bipolares que marcaron alcohol positivo en orina tuvieron un mal pronóstico en el seguimiento ya que multiplicaron por 10 su riesgo de suicidio consumado

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Rapporti di organizzazioni sul tema "DSM-IV"

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Madu, Laura, Jacqueline Sharp e Bobby Bellflower. Efficacy of Integrating CBT for Mental Health Care into Substance Abuse Treatment in Patients with Comorbid Disorders of Substance Abuse and Mental Illness. University of Tennessee Health Science Center, aprile 2021. http://dx.doi.org/10.21007/con.dnp.2021.0004.

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Abstract: Multiple studies have found that psychiatric disorders, like mood disorders and substance use disorders, are highly comorbid among adults with either disorder. Integrated treatment refers to the treatment of two or more conditions and the use of multiple therapies such as the combination of psychotherapy and pharmacotherapy. Integrated therapy for comorbidity per numerous studies has consistently been superior to the treatment of individual disorders separately. The purpose of this QI project was to identify the effectiveness of Cognitive Behavioral Therapy (CBT) instead of current treatment as usual for treating Substance Use Disorder (SUD) or mental health diagnosis independently. It is a retrospective chart review. The review examines CBT's efficacy for engaging individuals with co-occurring mood and substance u se disorders in treatment by enhancing adherence and preventing disengagement and relapse. Methods: Forty adults aged 26-55 with a DSM-IV diagnosis of a mood disorder of Major Depressive Disorder and/or anxiety and concurrent substance use disorder (at least weekly use in the past month). Participants received 12 sessions of individual integrated CBT treatment delivered with case management over a 12-week period. Results: The intervention was associated with significant improvements in mood disorder, substance use, and coping skills at 4, 8, and 12 weeks post-treatment. Conclusions: These results provide some evidence for the effectiveness of the integrated CBT intervention in individuals with co-occurring disorders. Of note, all psychotherapies are efficacious; however, it would be more advantageous to develop a standardized CBT that identifies variables that facilitate treatment outcomes specifically to comorbid disorders of substance use and mood disorders. It is concluded that there is potentially more to be gained from further studies using randomized controlled designs to determine its efficacy.

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