Paula Fernández García

Acceptance and Commitment Therapy Versus Cognitive Behavioral Therapy in the Treatment of Substance Use Disorder With Incarcerated Women

OBJECTIVES This randomized controlled study compared acceptance and commitment therapy (ACT), cognitive-behavioral therapy (CBT), and a control group. METHOD The participants were 50 incarcerated women diagnosed with current substance use disorder. Two psychologists carried out pre- and posttreatment assessment and a 6-month follow-up assessment using the following instruments: Anxiety Sensitivity Index, Addiction Severity Index-6, Mini International Neuropsychiatric Interview, and Acceptance and Action Questionnaire. RESULTS The study shows that the women who received treatment benefited differentially from the interventions. At posttreatment, CBT was more effective than ACT in reducing anxiety sensitivity; however, at follow-up, ACT was more effective than CBT in reducing drug use (43.8 vs. 26.7%, respectively) and improving mental health (26.4% vs. 19.4%, respectively). CONCLUSION ACT may be an alternative to CBT for treatment of drug abuse and associated mental disorders. In fact, at long-term, ACT may be more appropriate than CBT for incarcerated women who present serious problems.

Eccema alérgico de contacto por tatuaje de henna

Resumen Introduccion La henna se obtiene de las hojas del arbusto indigena Lawsonia inermis. La dermatitis o eccema de contacto a la henna es muy poco frecuente, estando la mayoria de los casos relacionados con los aditivos anadidos en especial aceites y parafenilendiamina. Describimos el caso de un nino de 9 anos que desarrollo una reaccion eccematosa en el lugar donde se aplico un tatuaje de henna Caso clinico Un nino sano de 9 anos fue tatuado con henna en su brazo en una playa mediterranea. Cuatro dias mas tarde, sintio picor seguido de la aparicion de multiples papulas y vesiculas en el lugar del tatuaje. Se trato con crema de mometasona 20 dias con resolucion de las lesiones Material y metodos Dos meses mas tarde se le realizaron pruebas epicutaneas de parche en la espalda (True test). Los resultados se observaron tras 48 y 96 horas mostrando reacciones positivas a la parafenilendiamina, PPD-mix,y mezcla de parabenos, siendo negativas a la henna aportada Discusion El tatuaje de la piel con henna se realiza tradicionalmente en personas de origen hindu y arabe. Se suele aplicar en pelo, palmas y plantas, unas lo que provoca un tinte rojizo. La adicion de parafenilendiamina a la mezcla de henna supone un color mas oscuro. Las mezclas utilizadas por los “artistas” contienen henna natural (muy rara la sensibilizacion) y agentes quimicos colorantes: diaminotoluenos y diaminobencenos como la parafenilendiamina. Hoy en dia estos tatuajes temporales realizados por artistas en la calle estan muy de moda en zonas y temporadas estivales de Europa y del mundo lo que supondra futuros nuevos casos de sensibilizacion a la parafenilendiamina

Parental Alienation Gradient: Strategies for a Syndrome

Two factors were analyzed in 72 divorced couples: the fact of having custody of the children or not, and the sex of the parent granted the custody. These factors influence the use of 27 different alienation strategies selected for study by the authors. The results show that the fact of having custody or not affects the number and type of alienation strategies used, whereas sex of the parent with custody only appears to affect the kinds of strategies used. This marks a qualitative difference between custody-holding men and women in relation to the way they exercise alienation.