The March 11, 2004, train bombings in Madrid, Spain, caused the largest loss of life from a single terrorist attack in modern European history. We used a cross-sectional random digit dial survey of Madrid residents to assess the prevalence of posttraumatic stress disorder (PTSD) and major depression in the general population of Madrid 1 to 3 months after the March 11 train bombings. Of respondents 2.3% reported symptoms consistent with PTSD related to the March 11 bombings and 8.0% of respondents reported symptoms consistent with major depression. The prevalence of PTSD was substantially lower, but the prevalence of depression was comparable to estimates reported after the September 11 attacks in Manhattan. The findings suggest that across cities, the magnitude of a terrorist attack may be the primary determinant of the prevalence of PTSD in the general population, but other factors may be responsible for determining the population prevalence of depression.

BackgroundTerrorist attacks are traumatic events that may result in a wide range of psychological disorders for people exposed. This review aimed to systematically assess the current evidence on major depressive disorder (MDD) after terrorist attacks.MethodsA systematic review was performed. Studies included assessed the impact of human-made, intentional, terrorist attacks in direct victims and/or persons in general population and evaluated MDD based on diagnostic criteria.ResultsA total of 567 reports were identified, 11 of which were eligible for this review: 6 carried out with direct victims, 4 with persons in general population, and 1 with victims and general population. The reviewed literature suggests that the risk of MDD ranges between 20 and 30% in direct victims and between 4 and 10% in the general population in the first few months after terrorist attacks. Characteristics that tend to increase risk of MDD after a terrorist attack are female gender, having experienced more stressful situations before or after the attack, peritraumatic reactions during the attack, loss of psychosocial resources, and low social support. The course of MDD after terrorist attacks is less clear due to the scarcity of longitudinal studies.ConclusionsMethodological limitations in the literature of this field are considered and potentially important areas for future research such as the assessment of the course of MDD, the study of correlates of MDD or the comorbidity between MDD and other mental health problems are discussed.

BackgroundDemand for primary care (PC) services in Spain exceeds available resources. Part of this strong demand is due to the high prevalence of emotional disorders (EDs)—anxiety, depression, and somatic symptom disorders—and related comorbidities such as pain or chronic illnesses. EDs are often under- or misdiagnosed by general practitioners (GPs) and, consequently, treatment is frequently inadequate.ObjectiveWe aim to compare the short- and long-term effectiveness of group-delivered transdiagnostic cognitive behavioral therapy (TD-CBT) versus treatment as usual (TAU) in the treatment of EDs in the PC setting in Spain. We also aim to compare the effect of these treatments on disability, quality of life, cognitive-emotional factors, and treatment satisfaction.MethodsHere we present the study design of a two-arm, single-blind, randomized controlled trial (N=1126) to compare TAU to TD-CBT for EDs. TAU will consist primarily of pharmacological treatment and practical advice from the GP while TD-CBT will be administered in seven 90-minute group sessions held over a period ranging from 12 to 14 weeks. Psychological assessments are carried out at baseline (ie, pretreatment); posttreatment; and at 3-, 6-, and 12-month follow-up. The study is conducted in approximately 26 PC centers from the National Health System in Spain.ResultsThis study was initiated in December 2013 and will remain open to new participants until recruitment and follow-up has been completed. We expect all posttreatment evaluations to be completed by December 2017, and follow-up will end in December 2018.ConclusionsWe expect the TD-CBT group to have better results compared to TAU on all posttreatment measures and that this improvement will be maintained during follow-up. This project could serve as a model for use in other areas or services of the National Health System in Spain and even in other countries.ClinicalTrialInternational Standard Randomized Controlled Trial Number (ISRCTN): 58437086; http://www.isrctn.com/ISRCTN58437086 (Archived by WebCite at http://www.webcitation.org/6mbYjQSn3)

No abstract

Abstract. Cognitive emotion regulation strategies have been proposed as an explanation for transdiagnostic vulnerability to emotional disorders, which are highly prevalent in the primary care setting. The use of brief psychological instruments to detect cognitive-emotional factors – such as worry, rumination, interpretative and attentional distortions, and metacognitions – could provide valuable clinical data to better guide treatment in primary care. The aim of the present study was to evaluate the psychometric properties of four brief scales derived from the full versions of four assessment instruments (PSWQ, RRS, IACTA, and MCQ-30). The brief scales were completed by 1,250 primary care patients with an emotional disorder diagnosed by a general practitioner. The following characteristics of the scales were assessed: (a) internal structure (assessed by confirmatory factor analysis), (b) internal consistency, (c) convergent validity, (d) metric invariance across gender and age, and (e) predictive validity. The results showed a unifactorial structure for all of the tested scales, with an acceptable internal consistency and convergent validity, and invariance across gender and age. The brief scales presented predictive validity using the PHQ-4, a 4-item scale used to detect depression and generalized anxiety disorders, suggesting that these brief scales are optimal for use in the primary care setting.

No abstract

La dependencia emocional se define como una necesidad afectiva extrema que una persona siente hacia su pareja. Se ha relacionado con el déficit de control de impulsos y con el estilo de apego preocupado. El presente estudio tiene como objetivos analizar la relación entre la dependencia emocional, el apego y la conducta impulsiva, así como, analizar si estas dos últimas predicen la dependencia emocional. Además, se analiza si la dependencia emocional media en la relación entre el apego y la impulsividad y, finalmente, se estudian las diferencias de género en las tres variables mencionadas. La muestra está formada por 1533 adolescentes (707 mujeres y 826 hombres), con edades que oscilan entre los 14-18 años (M = 15.76; DT = 1.25). Los resultados muestran relaciones positivas entre la dependencia emocional y la permisividad parental, traumatismo infantil e impulsividad. Asimismo, la impulsividad se relaciona de manera positiva con evitar estar solo, relación asimétrica, necesidad de agradar, permisividad parental y traumatismo infantil. Igualmente, se comprueba como la permisividad parental, autosuficiencia y rencor contra los padres y el traumatismo infantil predicen la dependencia emocional. Finalmente, se observa como la relación entre el apego y la conducta impulsiva es mediada por la dependencia emocional y se aprecian diferencias en las tres variables en función del género.

Título: Dependencia emocional y consecuencias psicológicas del abuso de internet y móvil en jóvenes. Resumen: La creciente presencia de las nuevas tecnologías en nuestras vidas hace necesaria el estudio de sus posibles consecuencias y del desarrollo de conductas adictivas. En este sentido, la adolescencia es una edad especialmente vulnerable a la aparición de conductas de riesgo como las adicciones por tratarse de una etapa marcada por un exceso de dependencia. Por ello, con una muestra de 535 jóvenes universitarios, el presente estudio pretende analizar la dependencia emocional y las consecuencias psicológicas en relación al uso de Internet y móvil (a nivel de sintomatología ansiosodepresiva y autoestima), considerando también las diferencias de género, así como el papel que juega la dependencia emocional en este uso y el papel predictor del uso sobre las mencionadas consecuencias. Los resultados muestran que habría diferencias de género en el abuso de móvil, depresión y autoestima. Además, la dependencia emocional correlacionaría con el abuso de Internet y móvil, y ambos constructos correlacionarían con ansiedad, depresión y autoestima. Finalmente. La dependencia emocional sería predictora del abuso de Internet y móvil, así como de la sintomatología ansiosa y depresiva, y de la autoestima, que también serían predictores del abuso de móvil e Internet. Este estudio proporciona nuevas claves a la hora de comprender la dependencia emocional y el abuso de Internet y móvil, y de la relación que mantienen entre sí y con otros constructos. Palabras clave: Dependencia emocional; Internet; móvil; ansiedad; depresión; autoestima.Abstract: New technologies are increasingly present in our daily lives, what makes necessary the study of their possible consequences and relationship with addictive behaviors. In this sense, adolescence is an especially vulnerable age for the appearance of risk behaviors such as addictions, as there is a tendency towards dependency at this development stage. The present study was carried out with a sample of 535 young university students in order to analyze emotional dependency in dating relationships and the psychological consequences of Internet and mobile use (such as anxious and depressive symptoms and low self-esteem), considering gender differences, the role that emotional dependency plays in their use, and the predictive role of their use on the aforementioned consequences. The results showed gender differences in mobile abuse, depression, and self-esteem. Also, emotional dependency correlated with Internet and mobile abuse, and both constructs correlated with anxiety, depression, and low self-esteem. Finally, emotional dependency predicted Internet and mobile abuse, as well as anxious and depressive symptomatology and low self-esteem. These variables also predicted mobile and Internet abuse. This study provides new keys to understanding emotional dependency and Internet and mobile abuse, and their inter-relationships and relationship with other constructs.