Resumen de Algunas consideraciones respecto al diagnóstico y tratamiento farmacológico del TDA-TDAH

Ruth Alejandra Taborda, María de los Angeles Abraham

• español

  Se presenta un estudio de resultados de un abordaje terapéutico psicoanalítico, implementado frente a la consulta por púberes, derivados desde instituciones educativas refiriendo Déficit Atencional, “problemas de aprendizaje” y/o de adaptación a normas escolares. El estudio se efectuó mediante la técnica de test-retest de: a) “El Child Behavior Checklist” (CBCL) de Achenbach y Edelbrock (1983), adaptado y estandarizado por Samaniego (1999), y b) Test de Matrices Progresivas de Raven. A los siete meses de tratamiento grupal, se evidencian leves modificaciones en los perfiles sintomáticos. Al año las puntuaciones obtenidas revelan sustanciales modificaciones saludables, particularmente en la Escala Global, en “Problemas de Atención” del CBCL y en el Test de Raven. Un año después de culminado el tratamiento, los cambios en los perfiles sintomáticos se mantienen, según develan el retest del CBCL. Este estudio, nos permite proponer una revisión del diagnóstico de Déficit Atencional y una instancia previa de psicoterapia antes de recurrir al tratamiento medicamentoso y/o reeducativo

• English

  Puts forward the results obtained from a psychoanalytical therapy started individually and carried on with parallel groups of children and parents. This modality was implemented to tackle the problem of early adolescents referred to our Center by educational institutions due to Attention Deficit Disorder (ADD), learning problems and/or difficulties in adjusting to school rules. The study was carried out by the following test-retest techniques: a) “Child Behavior Checklist” (CBCL) by Achenbach and Edelbrock (1983), adapted and standardized by Samaniego (1999), and b) Test of Raven’s Progressive Matrices. After seven months of group treatment, the four early adolescents studied showed slight variations in their symptomatic profiles. With respect to “Attention Problems”, there were favorable changes. After a year of group psychotherapy, the scores obtained revealed substantial beneficial modifications, especially in Global Scale, in “Attention Problems” of CBCL, and in Raven’s SPM. A year after the completion of treatment, the changes in symptomatic profiles remained, according to CBCL retest. Taking into account this pilot study, we propose a new way of diagnosing ADD and a previous psychotherapy process to the pharmacological and/or reeducational treatment.