Desarrollo de una batería de evaluación psicofisiológica en el ámbito clínico

  1. Comeche Moreno, María Isabel
  2. Vallejo Pareja, Miguel Ángel
  3. Díaz García, Marta I.
Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2004

Volumen: 16

Número: 3

Páginas: 481-489

Tipo: Artículo

Otras publicaciones en: Psicothema

Resumen

El creciente desarrollo de la psicofisiología exige metodologías cada vez más asequibles para su utilización en el ámbito clínico. Este trabajo presenta la elaboración de una batería de evaluación psicofisiológica exploratoria (el Perfil de Estrés) adaptada a las características del quehacer clínico, que permite la evaluación del componente psicofisiológico de una forma relativamente sencilla. La utilización del análisis factorial para el análisis de los registros posibilita la obtención de perfiles o patrones psicofisiológicos basados en la covariación entre respuestas psicofisiológicas pertenecientes a diversos sistemas. Los factores identificados muestran patrones de activación relevantes, que ofrecen una visión global del funcionamiento psicofisiológico de la muestra evaluada, y pueden considerarse datos normativos de la población de referencia

Referencias bibliográficas

  • Abelson, J.L., Weg, J.G., Nesse, R.M. y Curtis, G.C. (2001). Persistent respiratory irregularity in patients with panic disorder. Biological Psychiatry, 49, 588-595.
  • Acierno, R., Hersen, M., Tremont, G., Van Hasselt, V.B. y Kabacoff, R. (1999). Psychophysiological identification of depression subtypes in older adults: problematic diagnotic heterogeneity in the DSM-III-R and DSM-IV. Journal of Clinical Geropsychology, 5, 245-263.
  • Backs, R.W. (1998). A comparison of factor analytic methods of obtaining cardiovascular autonomic components for the assessment of mental workload. Ergonomics, 41, 733-745.
  • Backs, R.W. (2001). An autonomic space approach to the psychophysiological assessment of mental workload. En P.A. Hancok y P.A. Desmond (Eds.), Stress, workload and fatigue. Human factors in transportation. US: Lawrence Erlbaum Associates.
  • Backs, R.W., Lenneman, J.K. y Sicard, J.L. (1999). The use of autonomic components to improve cardiovascular assessment of mental workload in fligth simulation. International Journal of Aviation Psychology, 9, 33-47.
  • Berntson, G.G., Cacioppo, J.T. y Quigley, K.S. (1991). Autonomic determinism: the modes of autonomic control, the doctrine of autonomic space, and the laws of autonomic constraint. Psychological Review, 98, 459-487.
  • Berntson, G.G., Cacioppo, J.T., Quigley, K.S. y Fabro,V. (1994). Autonomic space and psychophysiological response. Psychophysiology, 31, 44-61.
  • Blanchard, E.B., Morrill, B., Wittrock, D.A., Scharff, L. y Jaccard, J. (1989). Hand temperature norms for headache, hypertension, and irritable bowel syndrome. Biofeedback and Self-Regulation, 14, 319-331.
  • Boucsein, W. (1992). External and internal influences. En W. Boucsein (Ed.), Electrodermal activity. NY: Plenum Press.
  • Burt, C.(1948). The factorial study of temperamental traits. British Journal of Psychology, Statistical Section, 1, 178-203.
  • Cacioppo, J.T., Tassinary, L.G. y Berntson, G.G (2000). Psychophysiological science. En J.T. Cacioppo, L.G. Tassinary y G.G. Berntson (Eds.), Handbook of Pyschophysiology. New York: Cambridge University Press.
  • Carroll, D. (1990). Ambulatory psychophysiological recording: some final comments. Journal of Psychophysiology, 4, 343-345.
  • Cattell, R.B. (1978). The scientific use of factor analysis in behavioral and life science. New York: Plenum Press.
  • Cohen, R. y Coffman, J.(1981). Beta-adrenergic vasodilator mechanism in the fingers. Circulation Research, 49, 289-292.
  • Comeche, M.I., Vallejo, M.A. y Díaz, M.I. (2000). Tratamiento psicológico de la cefalea. Predicción de la mejoría en un acercamiento activopasivo. Psichotema, 12, 55-63.
  • Cram, J.R. (1986). Muscle scanning and diagnostic manual for surface recordings. Biofeedback Institute of Seattle, Clinical Resources and J&J.
  • Cram, J.R. y Steger, J.C. (1983). EMG scanning in the diagnosis of chronic pain. Biofeedback and Self-Regulation, 8, 229-241.
  • Dawson, M.E., Schell, A.M. y Filion, D. (1990). The electrodermal system. En J.T. Cacioppo y L.G. Tassinary (Eds.), Principles of psyophysiology. New York: Cambridge University Press.
  • Delmonte, M.M. (1984). Physiological responses during meditations and rest. Biofeedback and Self-Regulation, 9, 181-200.
  • Díaz, M.I., Comeche, M.I. y Vallejo, M.A (1995). Auto-observación y cambios psicofisiológicos en pacientes de cefalea primaria. Revista de la Sociedad Española de Dolor, 2, 396-400.
  • Edelberg, R. (1972). Electrical activity of the skin: its measurement and uses in psychophysiology. En N.S. Greenfield y R.A. Sternbach (Eds.), Handbook of Psychophysiology. New York: Holt, Rinehart & Winston.
  • Engebretson, T.O. y Matthews, K.A. (1992). Dimensions of hostility in men, women and boys: relationships to personality and cardiovascular responses to stress. Psychosomatic Medicine, 54, 311-323.
  • Ewart, C.K. y Kolodner, K.B. (1991). Social competence interview for assessing physiological reactivity in adolescents. Psychosomatic Medicine, 53, 289-304.
  • Fahrenberg, J. y Foerster, F. (1982). Covariation and consistency of activation parameters. Biological Psychology, 15, 151-169.
  • Fahrenberg, J. y Foerster, F. (1991). A multiparameter study in non-invasive cardiovascular assessment. Journal of Psychophysiology, 5, 145-158.
  • Fahrenberg, J. y Foerster, F. (1996). Psychophysiological profiles in subjects with normal and with elevated blood pressure. Journal of Psychophysiology, 10, 26-35.
  • Fahrenberg, J., Foerster, F., Schneider, H.J., Müller, W. y Myrtek, M. (1986). Predictability of individual differences in activation processes in a field setting based on laboratory measures. Psychophysiology, 23, 323-333.
  • Fetcher, E., Hall, J. y Shaub, H. (1949). The skin temperature of an extremity as a measure of its blood flow. Science, 110, 422-423.
  • Foster, P. y Webster, D. (2001). Emotional memories: the relationship between age of memory and the corresponding psychophysiological responses. International Journal of Psychophysiology, 41, 11-18.
  • Fowles, D.C. (1986). The eccrine system and electrodermal activity. En M.G.H. Coles, E. Donchin y S.W. Porges (Eds.), Psychophysiology: systems, process and applications. Oxford: Guilford Press.
  • Freedman, R.R. (1991). Physiological mechanisms of temperature biofeedback. Biofeedback and Self-regulation, 2, 95-114.
  • Freedman, R.R. (1989). Quantitative measures of finger blood flow during behavioral treatments for Raynaud’s disease. Psychophysiology, 4, 437-441.
  • Freedman, R.R. y Ianni,P. (1983). Self-control of digital temperature: physiological factors and transfer effects. Psychophysiology, 20, 682-688.
  • Freedman, R.R., Keegan, D., Rodríguez, J. y Galloway, M.P. (1993). Plasma catecholamine levels during temperature biofeedback training in normal subjects. Biofeedback and Self-Regulation, 18, 107-114.
  • Freedman, R.R., Morris, M., Norton, D.A., Masselink, D., Sabharwal, S.C. y Mayes, M. (1988a). Physiological mechanism of digital vasoconstriction training. Biofeedback and Self-Regulation, 13, 299-305.
  • Freedman, R.R., Sabharwa, S.C., Ianni, P., Desai, N., Wenig, P. y Mayes, M. (1988b). Noneural beta-adrenergic vasodilating mechanism in termperature biofeedback. Psychosomatic Medicine, 50, 394-401.
  • Hatch, J.P., Moore, P.J., Borcherding, S., Cyr-Provost, M., Boutros, N.N. y Seleshi, E. (1992). Electromyographic and affective responses of episodic tension-type headache patients and headache-free controls during stressful task performance. Journal of Behavioral Medicine, 15, 89-112.
  • Hinz, A., Hüber, B. y Schreinicke, G. (1996). Covariation of cardiovascular parameters across subjects, situations and replications. Journal of Psychophysiology, 10, 115-124.
  • Hinz, A., Schreinicke, G. y Hüber, B. (1992). Stability of cardiovascular reactions to mental stessors in repeated studies. Journal of Psychophysiology, 6, 155-161.
  • Iezzi, A., Adams, H.E. y Pilon, R.N. (1994). Psychological management of headache pain. En C.D. Tollison, J.R. Satterhwaite y J.W. Tollison (Eds.), Handbook of pain management. Baltimore: Williams and Wilkins.
  • Krantz, D.S. y Manuck, S.B. (1984). Acute psychophysiological reactivity and risk of cardiovascular disease: a review and methodologic critique. Psychological Bulletin, 96, 435-464.
  • Lawler, K.A., Wilcox, Z.C. y Anderson, S.F. (1995). Gender differences in patterns of dynamic cardiovascular regulation. Psychosomatic Medicine, 57, 357-365.
  • Lenneman, J.K. y Backs, R.W. (2000). The validity of factor analytically derived cardiac autonomic components for mental workload assess- ment. En R.W. Backs y W. Boucsein (Eds.), Engineering psychophysiology: Issues and applications. New Jersey: Lawrence Erlbaum Associates.
  • Myrtek, M. (1991). Covariation and reliability of ECG parameters during 24-hour monitoring. International Journal of Psychophysiology, 10, 117-123.
  • Obrist, P. (1981). Cardiovascualar psychophysiology. A perspective. New York: Plenum Press.
  • Orr, S.P., Claiborns, J.M., Altaman, B., Forgue, D.F., Jong, J.B., Pitman, R.K. y Herz, L.R. (1990). Psychometric profile of posttraumatic stress disorder, anxious, and healthy vietnam veterans: correlations with psychophysiological responses. Journal of Consulting and Clinical Psychology, 58, 329-335.
  • Orr, S.P. y Roth, W.T. (2000). Psychophysiological assessment: clinical applications for PTSD. Journal of affective Disorders, 61, 225-240.
  • Rockstroh, S., Müller, W., Foerster, F. y Brügner, G. (1993). Covariation of physiological sleep parameters in coronary patients and their relationships to sleep quality. Biological Psychology, 35, 225-234.
  • Shapiro, D., Goldstein, I.B. y Jamner, L.D. (1995). Effects of anger/hostility, defensiveness, gender, and falily history of hypertension on cardiovascular reactivity. Psychophysiology, 32, 425-435.
  • Stoney, C.M., Davis, M.C. y Matthews, K. (1987). Sex differences in physiological responses to stress and in coronary heart disease: a causal link?. Psychophysiology, 24, 127-131.
  • Stoney, C.M. y Engebretson, T.O. (1994). Anger and hostility: potentials mediators of the gender differences in coronary heart disease. En A. Siegman y T. Smith (Eds.), Anger, hostility and the heart. Hillsdale: Earlbaum.
  • Stoney, C.M. y Manzi, L. (2000). Psychophysiological applications in clinical health psychology. En J.T. Cacioppo, L.G. Tassinary y G.G. Berntson (Eds.), Handbook of Pyschophysiology (2nd ed.). New York: Cambridge University Press.
  • Sturgis, E.T. y Arena, J.G. (1984). Psychophysiological assessment. Progress in Behavior Modification, Vol. 17. New York: Academic Press.
  • Tucker, L.R. (1951). A method for synthesis of factor analysis studies.PRS Rpt No. 984, Educational Testing Service.
  • Vallejo, M.A., Díaz, M.I. y Comeche, M.I. (1993). Desarrollo de un pro- grama de evaluación psicofisiológica del estrés. En M. Forns y T. Anguera (Eds.), Aportaciones recientes a la evaluación psicológica. Barcelona: Promociones y Publicaciones Universitarias (PPU).
  • Venables, P.H. y Christie, M.J. (1980). Electrodermal activity. En I. Martin y P.H. Venables (Eds.), Techniques in Psychophysiology. Chichester: John Wiley & Sons.
  • Wickramasekera, I.E., Kolm, P., Pope, A. y Turner, M. (1998) Observation of a paradoxical temperature increase during cognitive stress in some chronic pain patients. Applied Psychophysiology and Biofeedback, 23, 233-241.
  • Wilhem, F.H. y Roth, W.T. (2001). The somatic paradox in DSM.IV anxiety disorders: suggestions for a clinical focus in psychophysiology. Biological Psychology, 57, 105-140.