Emotional dysregulation is a key factor in the development and maintenance of multiple disabling mental disorders through a person’s lifespan. Therefore, there is an urgent need to prevent emotional dysregulation as early as possible. The main aim of this study was to evaluate the acceptability and preliminary effectiveness of an adapted Dialectical Behavior Therapy Skills Training program for Emotional Problem Solving in Adolescents (DBT STEPS-A) during secondary school. The sample included 93 adolescents (mean age = 12.78; SD = 0.54; and 53% female) studying in their 2nd year of secondary school in a public center in Catalonia (Spain). Measures of acceptability, difficulties of emotional regulation, mental health problems, and life satisfaction were completed before and after participation in the DBT STEPS-A program during one academic year. The majority of students rated the program as useful (64%) and enjoyed the classes (62%) and 48% of them reported practicing the newly learned skills. Statistically significant improvements were revealed in some emotional regulation-related variables, namely the number of peer problems (p = 0.003; d = 0.52) and prosocial behaviors (p < 0.001; d = −0.82). Although non-significant, the scores in the remaining outcomes indicated a general positive trend in emotional dysregulation, mental health, and life satisfaction. The adapted DBT STEPS-A was very well-accepted and helped overcome some emotional regulation difficulties in Spanish adolescents.
Chronic compartment syndrome (CCS) is a pathological situation in which there is an increase in the interstitial muscular pressure which produces a conflict of microcirculation and enervation. The main characteristic is pain and stiffness during activity with intense neurovascular symptoms.The initial presentation is clinical with diagnosis confirmed by an intracompartmental pressure measurement (ICP) to confirm the diagnosis. Other non-invasive diagnostic techniques like magnetic resonance imaging and near infrared spectroscopy produce less clear results.Conventional treatment reduces the symptoms but its application presents difficulties for sportspeople. Fasciotomy is still the treatment of choice followed by postsurgical rehabilitation, although the possibility of relapse cannot be discounted.Materials and methods10 sportspersons have been studied with CCS, diagnosed by ICP, and looked at in the medical department of CAR Sant Cugat during the period 2003–2009. Personal characteristics were: age: 31.5 years +12.07; weight: 72.4 kg + 6.55: height 171.4 cm+4.95; IMC 24.67+2.42; one woman and nine men. The Whitesides technique was used for administering the PIC and the Pedowitz criteria for confirming the diagnosis. The treatment was evaluated using a test based on Slimonet al(2002). The patients evaluated the results as bad, medium, good or excellent. The pain was evaluated on a subjective scale of 1–10 together with the presence or absence of weakness, muscular contractions or paresthesia.Results10 subjects diagnosed with CCS (8 flexors and 8 extensors). The latent diagnostic period was from 18,6 months±19,8.Over the total 16, 10 were treated with fasciotomy and 6 with conventional treatment.Total recovery: using fasciotomy 9 versus conservative 0. Using fasciotomy, the total recuperation period took more than a year in eight cases. Compartments with an unsatisfactory therapeutic result: fasciotomy 1, conservative 6. Two cases diagnosed as CCS without fulfilling the Pedowitz criteria due to an extended recovery time. These two cases were given conservative treatment but were not complete a good recovery.ConclusionThe latency diagnostic period are longFasciotomy comes out as the better treatment but with recovery times longer than a year in all cases except one.The recovery time of basal pressure during the test seems a variable worth taking into account independently of the Pedowitz criteria, so for that reason we think it deserve an analysis in greater depth.
Background Describe patterns of ultrasound and elastography in patellar and achilles tendons in a population of young footballers, jumpers and sprinters. Methods We studied 48 athletes (7 female and 41 male) aged between 15 and 26 years; 24 of them are from a youth soccer team in the national first division and 24 high performance jumpers and sprinters. The information was obtained by Esaote -my lab ultrasound and performed in all cases by the same observer. The 192 tendons were studied in relation to their diameter, presence of vessels within the tendons and their elastography. Results The average diameter was between 4.63 and 4.82 mm including achilles and patellar. Most tendons showed no vessels (88.55%). The elastography pattern was predominantly "medium hard" (in classification by points 0-4, prevailed 2-3) and described the patellar stiffer than achilles. There were 14
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