Actualización sobre intervenciones psicológicas para adultos con crisis funcionales/disociativas: Una revisión sistemática

• Guido P. Korman ^[1] ; Camila Wolfzun ^[1] ; Alejandra I. Lanzillotti ^[1] ; Lucila González Molina ^[1] ; M. Marta Areco Pico ^[1] ; Micaela Ponieman ^[1] ; Mercedes Sarudiansky ^[1]
  1. [1] Universidad de Buenos Aires

     Universidad de Buenos Aires

     Argentina

     
• Localización: Revista de psicopatología y psicología clínica, ISSN 1136-5420, Vol. 29, Nº. 3, 2024, págs. 261-281
• Idioma: español
• DOI: 10.5944/rppc.39634
• Títulos paralelos:
  • Update on psychological interventions for adults with functional/dissociative seizures: A systematic review
• Enlaces
  • Texto completo
• Resumen
  • español

    Esta revisión se propone sintetizar las interveciones psicológicas para adultos con crisis funcionales/disociativas (CFD) y sus principales resultados. Las CFD son eventos involuntarios y abruptos de alteración del funcionamiento normal, con reducción del autocontrol y manifestaciones motoras, sensoriales y mentales, La psicoterapia es el tratamiento de primera elección. Se realizó una revisión sistemática siguiendo la guía PRISMA en las bases de datos Cochrane, PubMed, SciELO, Lilacs, Dialnet y Science. Se seleccionaron 34 artículos (2010-2024). Se destaca la diversidad de enfoques psicoterapéuticos, predominado las intervenciones cognitivo-conductuales, aunque también se utilizan modelos psicodinámicos y eclécticos. Los resultados indican beneficios en la reducción de la frecuencia de las crisis en la mayoría de los estudios. Sin embargo, hay limitaciones en la evidencia debido a la heterogeneidad de los instrumentos de medida. El estudio de las intervenciones psicológicas para CFD es incipiente, pero numerosos modelos han demostrado ser eficaces, proporcionando herramientas clínicas útiles.

  • English

    This review aims to synthesize psychological interventions for adults with functional/dissociative seizures (FDS) and their main outcomes. FDS are involuntary and abrupt events that disrupt normal functioning, characterized by reduced selfcontrol and motor, sensory, and mental manifestations. Psychotherapy is its firstline treatment. A systematic review was conducted following the PRISMA guidelines across Cochrane, PubMed, SciELO, Lilacs, Dialnet, and Science databases. Thirtyfour articles (20102024) were selected. A variety of psychotherapeutic approaches were highlighted, predominantly cognitivebehavioral interventions, although psychodynamic and eclectic models were also used. The results indicate benefits in reducing seizure frequency in most studies. However, there are limitations in the evidence due to the heterogeneity of other outcome measures. The study of psychological interventions for FDS is in its early stages, but numerous models have proven effective, providing useful clinical tool

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