Abstract

LEDESMA-TORRES, LUCÍA A. et al. CHANGES IN THE FUNCTIONAL PROFILE OF PATIENTS WITH RESISTANT PSYCHIATRIC DISORDERS SUBJECTED TO STEREOTACTIC FUNCTIONAL NEUROSURGERY. Act.Colom.Psicol. [online]. 2014, vol.17, n.2, pp.53-59. ISSN 0123-9155.  https://doi.org/10.14718/ACP.2014.17.2.6.

In order to evaluate the results of the Stereotactic Functional Neurosurgery (SFN) on the functional profile of patients diagnosed with Resistant Psychiatric Pathology (RPP), a pre / post treatment design was performed. Thirteen patients were assessed ( = 31 ± 8 years): seven women diagnosed with some type of Resistant Eating Disorder (RED); three women diagnosed with Resistant Obsessive Compulsive Disorder and Resistant Depression (TOC and RD), and three patients (two women and one man) diagnosed with Resistant Depression (RD). The Patient's Functioning Scale, axis K, consisting of seven subscales, and the Assessment of Global Activity Scale (AGAS) were applied before and after treatment (6 months after FSN). All diagnostic groups and all the patients assessed showed positive clinical changes. However, only the RED group showed important clinical improvement in the performance profile with a statistically significant difference (pre Md = 56, Md = 84 post , z = - 2.36, p <0.05). With the evidence obtained it was noted that SFN represents an effective therapeutic option aimed at reducing the suffering of patients with RPP and improve their overall level of functioning and therefore their quality of life. All patients in the study had a condition indicating resistance to conventional treatments which had been documented by an expert multidisciplinary team.

Keywords : Resistant Psychiatric Pathology; Stereotactic Functional Neurosurgery; Resistant Eating Disorder; Resistant Obsessive Compulsive Disorder; Resistant Depression.

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