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Vol. 39. Issue 1.
Pages 168-177 (March 2010)
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Vol. 39. Issue 1.
Pages 168-177 (March 2010)
Artículos de revisión/actualización
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Despersonalización en pacientes quemados
Depersonalization in Burned Patients
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Jorge Andrés Niño García1,
Corresponding author
nino-jorge@javeriana.edu.co

Correspondencia: Jorge Andrés Niño García, Departamento de Psiquiatría y Salud Mental, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Carrera 7 No. 40-62, Bogotá, Colombia
1 Médico psiquiatra. Fellow de Psiquiatría de Enlace, Pontificia Universidad Javeriana. Instituto de Ortopedia Infantil Roosevelt, Clínica La Inmaculada. Bogotá, Colombia
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Resumen
Introducción

Las tasas de mortalidad en pacientes que sufren quemaduras ha disminuido, el reto ahora es la calidad de vida de los supervivientes, en quienes se han encontrado altas prevalencias de trastornos mentales.

Objetivo

Describir la prevalencia de trastorno de despersonalización en pacientes quemados.

Método

Revisión de la literatura médica publicada sobre el tema, utilizando las bases de datos MedLine, Ovid y Tripdatabase.

Resultados

Está bien documentado que los síntomas disociativos, entre ellos la despersonalización, acompañan las reacciones de estrés agudo que se desencadenan por traumas mayores, y que ciertos estilos cognitivos predisponen a los individuos que se exponen a traumas a desarrollar psicopatología, primordialmente trastorno por estrés postraumático.

Conclusión

A pesar de estos conocimientos, escasos estudios se han realizado para establecer la prevalencia de los fenómenos de despersonalización-desrealización en pacientes quemados, un campo de estudio que ofrece infinidad de oportunidades.

Palabras clave:
despersonalización
disociación
quemadura
dolor
Abstract
Introduction

Mortality rates in patients suffering from burns have decreased, and the challenge now is quality of life of survivors, who have a high prevalence of mental disorders.

Objective

To describe the prevalence of depersonalization disorder in burned patients.

Methods

Review of the literature published on the subject, using the databases Medline, Ovid and Tripdatabase.

Results

It is well documented that dissociative symptoms including depersonalization accompany acute stress reactions that are triggered by major trauma, and that cognitive styles predispose certain individuals exposed to trauma to develop psychopathology, mostly posttraumatic stress disorder.

Conclusion

Despite this knowledge few studies have been conducted to establish the prevalence of phenomena of depersonalization-derealization in burned patients.

Key words:
depersonalization
dissociative symptoms
burn
pain
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Conflicto de interés: el autor manifiesta que no tiene ningún conflicto de interés en este artículo.

Copyright © 2010. Asociación Colombiana de Psiquiatría
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