Terapia Psicodinámica Breve en Trastornos de Síntomas Somáticos y Trastornos Relacionados: Evaluación de su Utilidad

• Autores: Daniel Prado
• Localización: Revista de Psicoterapia, ISSN-e 2339-7950, ISSN 1130-5142, Vol. 36, Nº. 131, 2025 (Ejemplar dedicado a: Psicoterapia minorías culturales y migrantes), págs. 50-61
• Idioma: español
• Títulos paralelos:
  • Brief Psychodynamic Therapy in Somatic Symptom and Related Disorders: Evaluation of its Utility
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    En España, son comunes trastornos mentales de ansiedad, depresión o de síntomas somáticos, con el 49.2% de probables casos en Atención Primaria, suponiendo costos anuales equivalentes al 2.2% del producto interior bruto o 22.778 millones de euros, de los cuales, 1.650 millones o 35.36 euros por persona, se dedican a trastornos de síntomas somáticos y trastornos relacionados. No se dispone de una Guía de Práctica Clínica (GPC) vigente para el tratamiento de trastornos de síntomas somáticos y trastornos relacionados. Se presenta una revisión sistemática para valorar la utilidad clínica de la terapia psicodinámica breve en estos trastornos, contemplada en la GPC vigente sobre la depresión en el adulto. Mediante una búsqueda en las bases de datos PsycArticles, PsycInfo, PsycTherapy, PSICODOC, Psychology and Behavioral Sciences Collection, MEDLINE y Web Of Science, se identificaron inicialmente 98 estudios, cumpliendo 13 los criterios de inclusión. Destacan la reducción significativa de síntomas somáticos durante los ensayos, con efectos estables o crecientes en los seguimientos y el uso reducido de asistencia sanitaria. Hallazgos que sugieren la inclusión de esta alternativa terapéutica en una GPC pertinente, lo cual podría suponer una reducción de costes para el Sistema Nacional de Salud en el manejo de estos trastornos

  • English

    In Spain, mental disorders of anxiety, depression or somatic symptom are common, with 49.2% of probable cases in Primary Care, involving annual costs equivalent to 2.2% of the gross domestic product or 22,778 million euros, of which 1,650 million or 35.36 euros per person, are devoted to somatic symptom disorders and related disorders. There is no current Clinical Practice Guideline (CPG) available for the treatment of somatic symptom disorders and related disorders. A systematic review is presented to assess the clinical utility of brief psychodynamic therapy in these disorders, as contemplated in the current CPG on adult depression. Through a search in the databases PsycArticles, PsycInfo, PsycTherapy, PSICODOC, Psychology and Behavioral Sciences Collection, MEDLINE and Web Of Science, 98 studies were initially identified, meeting 13 inclusion criteria. Of note were the significant reduction in somatic symptoms during the trials, with stable or increasing effects at follow-up and reduced health care use. These findings suggest the inclusion of this therapeutic alternative in a relevant CPG, which could lead to a reduction in costs for the National Health System in the management of these disorders

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