Efectividad de los tratamientos psicológicos en el ámbito aplicado

Mental health disorders are becoming more prevalent in the society. Any mental health alteration causes a severe impact in the people quality of life. So, their treatment has achieved great importance. Initiatives are needed to discern not just which treatment is effective, but in which conditions a...

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Author: Ballesteros Pérez, Francisco
Format: doctoral thesis
Publication Date:2015
Country:España
Institution:Universidad Complutense de Madrid (UCM)
Repository:Docta Complutense
Language:Spanish
OAI Identifier:oai:docta.ucm.es:20.500.14352/26121
Online Access:https://hdl.handle.net/20.500.14352/26121
Access Level:Open access
Keyword:159.9(043.2)
Psicología
Psichology
Psicología clínica y psicodiagnóstico
6101 Patología
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spelling Efectividad de los tratamientos psicológicos en el ámbito aplicadoBallesteros Pérez, Francisco159.9(043.2)PsicologíaPsichologyPsicología clínica y psicodiagnóstico6101 PatologíaMental health disorders are becoming more prevalent in the society. Any mental health alteration causes a severe impact in the people quality of life. So, their treatment has achieved great importance. Initiatives are needed to discern not just which treatment is effective, but in which conditions and for whom and, if possible, achieve it in the shortest time. Once the efficacy is established, further step must be taken to establish the effectiveness. After that, the third step to consider would be the efficiency.The current thesis has a double objective. Firts, it attempts to verify whether the Empirically Supported Treatment ETS can prove effectiveness in the applied field, especially in the anxiety disorders. Second, it is hoped that the present work serves to the dissemination of knowledge among psychologists.The current research gathers the results of four articles. The sample was form with the patients that had sought care in the Clinical Psychology Unit of the UCM, being a total of 122, and patients of the University Psychology Clinic of the UCM who demanded treatment for Social Phobia N igual a71 and Panic Disorder with Agoraphobia N igual a50. Patients profile was of a woman, young, single and with university studies.The independent variable was the administration of EST for each disorder. The dependent variables were divided into sociodemographic, clinical, treatment and economic factors. A quasi-experimental design has been used for these works, without random assignment and incidental samples. Among people who look for assistance in the clinical practice, social phobia was the most common within the anxiety disorders. The comorbidity was 21per cent, and the presence of problem in the Axis III or IV rose up to 27per cent and 60per cent. The average number of objectives and techniques were 8.1 and 12.34. And the mean number of therapy sessions was 35.70. Considering a single diagnosis, the social phobia 16 sessions, and 15 for the panic disorder with agoraphobia. The factors that explain the longer treatment length were the presence of comorbidity, the number of applied therapeutic techniques and the diagnosis presence such as the Posttraumatic Stress Disorder PTSD and the Dysthymia. The psychological treatment is comparable to the pharmacological cost. The results showed that at least 64per cent of the patients achieved discharged. The effect sizes reached were large d mayor que 1, with changes statistically significant p menor que.05 after treatment. Psychological length treatment in the clinic does not take much longer than when an action protocol is applied. The utility of generalizing the ETS developed in research setting to a welfare clinic is defended. As well as being able to extrapolate the results of the efficacy studies to the daily clinical work.Universidad Complutense de MadridLabrador Encinas, Francisco JavierUniversidad Complutense de Madrid20152015-06-2420152015-06-24doctoral thesishttp://purl.org/coar/resource_type/c_db06info:eu-repo/semantics/doctoralThesisapplication/pdfhttps://hdl.handle.net/20.500.14352/26121reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Españolspaopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/261212026-06-02T12:44:21Z
dc.title.none.fl_str_mv Efectividad de los tratamientos psicológicos en el ámbito aplicado
title Efectividad de los tratamientos psicológicos en el ámbito aplicado
spellingShingle Efectividad de los tratamientos psicológicos en el ámbito aplicado
Ballesteros Pérez, Francisco
159.9(043.2)
Psicología
Psichology
Psicología clínica y psicodiagnóstico
6101 Patología
title_short Efectividad de los tratamientos psicológicos en el ámbito aplicado
title_full Efectividad de los tratamientos psicológicos en el ámbito aplicado
title_fullStr Efectividad de los tratamientos psicológicos en el ámbito aplicado
title_full_unstemmed Efectividad de los tratamientos psicológicos en el ámbito aplicado
title_sort Efectividad de los tratamientos psicológicos en el ámbito aplicado
dc.creator.none.fl_str_mv Ballesteros Pérez, Francisco
author Ballesteros Pérez, Francisco
author_facet Ballesteros Pérez, Francisco
author_role author
dc.contributor.none.fl_str_mv Labrador Encinas, Francisco Javier
Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 159.9(043.2)
Psicología
Psichology
Psicología clínica y psicodiagnóstico
6101 Patología
topic 159.9(043.2)
Psicología
Psichology
Psicología clínica y psicodiagnóstico
6101 Patología
description Mental health disorders are becoming more prevalent in the society. Any mental health alteration causes a severe impact in the people quality of life. So, their treatment has achieved great importance. Initiatives are needed to discern not just which treatment is effective, but in which conditions and for whom and, if possible, achieve it in the shortest time. Once the efficacy is established, further step must be taken to establish the effectiveness. After that, the third step to consider would be the efficiency.The current thesis has a double objective. Firts, it attempts to verify whether the Empirically Supported Treatment ETS can prove effectiveness in the applied field, especially in the anxiety disorders. Second, it is hoped that the present work serves to the dissemination of knowledge among psychologists.The current research gathers the results of four articles. The sample was form with the patients that had sought care in the Clinical Psychology Unit of the UCM, being a total of 122, and patients of the University Psychology Clinic of the UCM who demanded treatment for Social Phobia N igual a71 and Panic Disorder with Agoraphobia N igual a50. Patients profile was of a woman, young, single and with university studies.The independent variable was the administration of EST for each disorder. The dependent variables were divided into sociodemographic, clinical, treatment and economic factors. A quasi-experimental design has been used for these works, without random assignment and incidental samples. Among people who look for assistance in the clinical practice, social phobia was the most common within the anxiety disorders. The comorbidity was 21per cent, and the presence of problem in the Axis III or IV rose up to 27per cent and 60per cent. The average number of objectives and techniques were 8.1 and 12.34. And the mean number of therapy sessions was 35.70. Considering a single diagnosis, the social phobia 16 sessions, and 15 for the panic disorder with agoraphobia. The factors that explain the longer treatment length were the presence of comorbidity, the number of applied therapeutic techniques and the diagnosis presence such as the Posttraumatic Stress Disorder PTSD and the Dysthymia. The psychological treatment is comparable to the pharmacological cost. The results showed that at least 64per cent of the patients achieved discharged. The effect sizes reached were large d mayor que 1, with changes statistically significant p menor que.05 after treatment. Psychological length treatment in the clinic does not take much longer than when an action protocol is applied. The utility of generalizing the ETS developed in research setting to a welfare clinic is defended. As well as being able to extrapolate the results of the efficacy studies to the daily clinical work.
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-06-24
2015
2015-06-24
dc.type.none.fl_str_mv doctoral thesis
http://purl.org/coar/resource_type/c_db06
dc.type.openaire.fl_str_mv info:eu-repo/semantics/doctoralThesis
format doctoralThesis
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/26121
url https://hdl.handle.net/20.500.14352/26121
dc.language.none.fl_str_mv Español
spa
language_invalid_str_mv Español
language spa
dc.rights.none.fl_str_mv open access
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dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad Complutense de Madrid
publisher.none.fl_str_mv Universidad Complutense de Madrid
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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