Santiago Boira

Anxiety, Depression, Quality of Life and Patient Satisfaction in Acne Patients Treated with Oral Isotretinoin

Oral isotretinoin is effective in the clinical control of acne, but the relationship between this treatment and its psychosocial impact on the patient has not been completely clarified. The aim of this study was to determine if the use of oral isotretinoin in total accumulated doses of 120 mg/kg in a sample of 346 patients with moderate acne was useful in controlling symptoms of anxiety and/or depression and improving quality of life. A further objective was to ascertain the level of patient satisfaction with the treatment. After 30 weeks, there was a significant reduction in clinical symptoms (p < 0.001). The negative impact on quality of life, measured with the Dermatology Life Quality Index and the Health Survey Short-Form-36 (p < 0.001), showed a significant reduction, as did the Hospital Anxiety and Depression Scale scores for anxiety (p < 0.001) and depression (p < 0.005). At the end of the study, the mean level of patient satisfaction with improvement of symptoms was 84.4%.

Psychological characteristics and motivation for change in men convicted of intimate partner violence

Knowledge about men who are violent with their partners is essential to reduce the risk of the victims, as well as to design treatment programs. This paper examines some of the psychological characteristics of the offenders and their motivation to change. We present a descriptive study of a group of men who participated in a program designed to treat men convicted of domestic violence crime. We analysed data from the following questionnaires: URICA, HADS, SCL-90-R, BDHI, IRI and IPD. The results show that the men in the study sample were mostly in the contemplation stage regarding their willingness to change. Concerning psychological characteristics, the results show low scores in depression, anxiety and hostility, with moderate scores regarding empathy towards the victim and the presence of distorted thinking. Finally, no statistically significant differences were found between the initial predisposition of the subjects to change and the other variables studied

Quality of Life, Emotional Wellbeing and Family Repercussions in Dermatological Patients Experiencing Chronic Itching: A Pilot Study

A better understanding of the psychosocial impact of chronic itching could lead to improved intervention strategies. The aim of this study is to examine the prevalence and characteristics of chronic itching in dermatological patients. The Itch Severity Scale (ISS) was completed by a sample of 201 patients from a Dermatology Outpatient Clinic in Spain and 61.69% (n = 124) of participants recorded a positive score (X = 8.89, DT = 4.06). The results indicate that chronic itching has significant psychosocial repercussions. The Dermatology Life Quality Index (DLQI) showed that the negative impact on quality of life was significantly greater for the group that experienced chronic itching (p < 0.001). Scores on the Anxiety and Depression Scale (HADS) revealed that the group with chronic itching had more symptoms associated with anxiety (p = 0.001). The Family APGAR found no statistically significant differences between the groups with regards to repercussions on the family dynamic.

Responsive versus Treatment-Resistant Perpetrators in Batterer Intervention Programs: Personal Characteristics and Stages of Change

This article aims to identify different personal characteristics in treatment-responsive and treatment-resistant perpetrators of intimate partner violence who completed a batterer intervention program (BIP). The sample consists of 105 perpetrators of intimate partner violence who were court-mandated to a community-based cognitive behavioral program. Perpetrators were classified by professionals as resistant or responsive to treatment based on the stage of change they reached upon completion of the program. The results show that before starting the intervention program, treatment-resistant perpetrators scored higher than treatment-responsive perpetrators in external responsibility attributions and attitudes toward violence in intimate relationships. No differences were found in personality disorders or psychological symptoms between the groups. However, longer program participation correlates with increasing differences between the two groups. The results suggest that targeting the personal characteristics which differentiate treatment-responsive perpetrators from treatment-resistant ones may help to increase the efficacy of BIPs.

Femicide: A social challenge

ResumeLe femicide est plus qu’un neologisme. Il designe un phenomene violent et un meurtre intentionnel. Tous les femicides sont l’expression d’une forme extreme de violence. Il s’agit d’une « path...

Theories of femicide and their significance for social research

Almost four decades have passed since the term femicide was coined in 1976. This new word had a political purpose, in that it intended to produce changes in the social order which tolerated the violent death of women. Since that time, the word has generated a theoretical concept that encompasses the killing of a woman as a specific social phenomenon. Femicide is an effort in sociological imagination that has been successful in transforming conventional perception, public awareness, scientific research and policy making. This article undertakes to review how femicide has evolved in social research. It analyses the most important theories explaining femicide: the feminist, sociological, criminological, human rights and decolonial research approaches and their theoretical significance. It discusses Mexico as a case study, exemplifying how a new English term was then translated into another language and applied in a very specific socio-political context, so that it became instrumental in changing reality and improving the lives of women. Finally, the article proposes a framework where femicide is understood as a social phenomenon that demands an interdisciplinary approach. The authors recommend a systemic, multifaceted model in order to improve both scientific analysis and prevention.

Male abuser: type of violence and perception of the relationship with the victim.

This article explores violent behavior within a relationship from the male abusers perspective. A systemic approach was used, combining qualitative and quantitative information in two parallel studies. The first (Study 1) is a descriptive analysis of a group of men (N = 220) who participated in a program to address violence within the couple. In the second (Study 2), a subgroup of 8 participants was interviewed in-depth for describing and analyzing their perceptions of violence. The data analysis suggest that relationship violence (a) begins in the early stages of the relationship, (b) is long-term, (c) rarely includes serious physical aggression, (d) is dominated by a growing hostility and isolation, (e) is characterized by a lack of awareness and responsibility for the violent behavior, and (f) includes intentional and strategic use of violent behavior.