Video Experimental Relacionado
Updated: Apr 25, 2026
06:52
The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
Published on: November 13, 2009
17.7K
Entrega de tratamiento basado en la evidencia para los trastornos de ansiedad múltiple en la atención primaria: un
Peter Roy-Byrne1, Michelle G Craske, Greer Sullivan
1Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine and Harborview Center for Healthcare Improvement for Addictions, Mental Illness, and Medically Vulnerable Populations, Seattle, Washington 98104, USA. roybyrne@u.washington.edu
JAMA
|May 21, 2010
Resumen
El modelo de Aprendizaje y Gestión Coordinada de la Ansiedad (CALM) mejoró significativamente los síntomas de ansiedad y las tasas de remisión en la atención primaria en comparación con la atención habitual. Este enfoque de tratamiento flexible mejora los resultados de salud mental para los trastornos de ansiedad.
Área de la Ciencia:
- Investigación en Salud Mental.
- Intervenciones de atención primaria Las intervenciones de atención primaria.
- Trastorno de Ansiedad Tratamiento Tratamiento Trastorno de Ansiedad
Sus antecedentes:
- La traducción de las intervenciones de salud mental de la investigación a la práctica es crucial para mejorar la calidad de la atención.
- Si bien existen avances para la depresión, la investigación sobre los trastornos de ansiedad en entornos del mundo real es limitada.
Objetivo del estudio:
- Evaluar la efectividad de un modelo flexible de entrega de tratamiento, Aprendizaje y Gestión Coordinada de la Ansiedad (CALM, por sus siglas en inglés), para los trastornos de ansiedad comunes en la atención primaria.
- Para comparar el modelo CALM con la atención habitual (UC) en la mejora de los resultados del paciente.
Principales métodos:
- Un ensayo controlado aleatorizado que involucró a 1004 pacientes con trastornos de ansiedad en 17 clínicas de atención primaria.
- El modelo CALM ofrecía opciones de tratamiento flexibles (TCC, medicación o ambas) con monitoreo de resultados en tiempo real y soporte asistido por computadora para los gerentes de atención.
- Los pacientes recibieron tratamiento durante 3-12 meses, con evaluaciones de seguimiento a los 6, 12 y 18 meses.
Principales resultados:
- CALM demostró una mejoría significativamente mayor en los síntomas de ansiedad global en comparación con UC a los 6, 12 y 18 meses.
- A los 12 meses, la CALM mostró mayores tasas de respuesta (63,7% frente a 44,7%) y tasas de remisión (51,5% frente a 33,3%) que la UC.
- El número necesario para tratar la respuesta y la remisión fue de aproximadamente 5,3 y 5,5, respectivamente.
Conclusiones:
- El modelo CALM es más eficaz que la atención habitual para el tratamiento de los trastornos de ansiedad en los entornos de atención primaria.
- CALM conduce a mayores mejoras en los síntomas de ansiedad y depresión, discapacidad funcional y calidad general de la atención durante 18 meses.
Más Videos Relacionados
Videos de Conceptos Relacionados
01:54The Placebo Effect
5.9K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
5.9K
01:18Anxiety: Overview
1.2K
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
1.2K
01:26Anxiolytic Drugs: Overview
1.5K
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
1.5K
01:27Panic Disorder
1.2K
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
1.2K
01:24Treatment Strategies for Psychological Disorders
964
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
964
01:22Behavior Therapy
1.1K
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
1.1K