{"id":20318,"date":"2022-01-26T09:00:18","date_gmt":"2022-01-26T08:00:18","guid":{"rendered":"https:\/\/idibell.cat\/?p=20318"},"modified":"2022-01-26T06:25:44","modified_gmt":"2022-01-26T05:25:44","slug":"descriuen-marcadors-neuronals-que-prediuen-leficacia-de-la-terapia-psicologica-en-els-pacients-amb-ansietat","status":"publish","type":"post","link":"https:\/\/idibell.cat\/2022\/01\/descriuen-marcadors-neuronals-que-prediuen-leficacia-de-la-terapia-psicologica-en-els-pacients-amb-ansietat\/","title":{"rendered":"Descriuen marcadors neuronals que prediuen l&#8217;efic\u00e0cia de la ter\u00e0pia psicol\u00f2gica en els pacients amb ansietat"},"content":{"rendered":"<p>Els trastorns d&#8217;ansietat s\u00f3n el grup de trastorns mentals m\u00e9s freq\u00fcents. Inclouen el trastorn de p\u00e0nic, ansietat generalitzada, ansietat social o f\u00f2bies espec\u00edfiques. La ter\u00e0pia cognitivoconductual \u00e9s el tractament d&#8217;elecci\u00f3 per a aquest tipus de trastorns, per\u00f2 nom\u00e9s la meitat dels pacients mostren una millora important.<\/p>\n<p>Ara, un grup internacional de cient\u00edfics liderats pels Drs. Miquel \u00c0ngel Fullana i Joaquim Radu\u00e0, de l&#8217;Institut d&#8217;Investigacions Biom\u00e8diques Agust\u00ed Pi i Sunyer (<a href=\"https:\/\/www.clinicbarcelona.org\/ca\/idibaps\">IDIBAPS<\/a>), i el Dr. Carles Soriano-Mas, de l&#8217;Institut de Recerca Biom\u00e8dica de Bellvitge (<a href=\"https:\/\/idibell.cat\/\">IDIBELL<\/a>), tots investigadors del CIBER de Salut Mental (<a href=\"https:\/\/www.cibersam.es\/\">CIBERSAM<\/a>), ha descrit que l&#8217;activaci\u00f3 de dos circuits neuronals concrets \u00e9s indicadora d&#8217;una bona resposta a la ter\u00e0pia cognitivoconductual.<\/p>\n<p>Els resultats, publicats a la revista <a href=\"https:\/\/www.cambridge.org\/core\/journals\/psychological-medicine\/article\/abs\/neural-predictors-of-cognitivebehavior-therapy-outcome-in-anxietyrelated-disorders-a-metaanalysis-of-taskbased-fmri-studies\/74FAC19B2FC57FADC8E44EF73B0DFC7A\"><em>Psychological Medicine<\/em><\/a>, mostren que les persones que tenen una millora m\u00e9s gran del trastorn d&#8217;ansietat despr\u00e9s de la ter\u00e0pia presenten abans de l&#8217;inici de la ter\u00e0pia <strong>una major activaci\u00f3 de les regions cerebrals que permeten identificar els est\u00edmuls altament rellevants de l\u2019entorn<\/strong>. \u00c9s a dir, s\u00f3n capa\u00e7os de distingir clarament, per exemple, entre els est\u00edmuls indicadors d&#8217;un risc potencial i els que no aporten informaci\u00f3. A m\u00e9s, aquestes persones tamb\u00e9 tenen m\u00e9s actives les regions cerebrals que els permeten ser conscients dels efectes fisiol\u00f2gics que els causen aquests est\u00edmuls.<\/p>\n<p>Els investigadors apunten: <em>&#8220;Con\u00e8ixer el grau d<\/em><em>\u2019<\/em><em>activaci<\/em><em>\u00f3<\/em><em> d<\/em><em>\u2019<\/em><em>aquestes regions cerebrals abans de l<\/em><em>\u2019<\/em><em>inici de la ter<\/em><em>\u00e0<\/em><em>pia cognitivoconductual ens permetr<\/em><em>\u00e0<\/em><em> millorar el maneig cl<\/em><em>\u00ed<\/em><em>nic d<\/em><em>\u2019<\/em><em>aquests pacients, ja que podrem predir l<\/em><em>\u2019<\/em><em>efectivitat de la intervenci<\/em><em>\u00f3<\/em>&#8220;. I afegeixen: <em>\u201c<\/em><em>En un futur, aquests marcadors, en combinaci<\/em><em>\u00f3<\/em><em> amb altres, ens han de permetre fer tractaments m\u00e9s personalitzats i efectius dels trastorns mentals<\/em>\u201d.<\/p>\n<p>Per fer aquest estudi es van revisar els resultats d&#8217;an\u00e0lisi de les resson\u00e0ncies magn\u00e8tiques funcionals del cervell de gaireb\u00e9 <strong>450 pacients<\/strong> <strong>amb ansietat procedents de 17 estudis previs<\/strong>. Les an\u00e0lisis realitzades ara amb aquestes dades van permetre posar en relaci\u00f3 l&#8217;activitat de diferents regions cerebrals durant la realitzaci\u00f3 de diferents tasques amb components emocionals amb la reducci\u00f3 de s\u00edmptomes d&#8217;ansietat despr\u00e9s del tractament cognitivoconductual.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>L\u2019Institut d&#8217;Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l&#8217;Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l&#8217;Institut Catal\u00e0 de la Salut, l&#8217;Institut Catal\u00e0 d&#8217;Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\n<p><em>L\u2019IDIBELL \u00e9s membre del Campus d&#8217;Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L&#8217;any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un equip internacional, liderat per investigadors de l&#8217;IDIBELL, l&#8217;IDIBAPS i el CIBERSAM, han descrit que l&#8217;activaci\u00f3 de les regions cerebrals encarregades d&#8217;identificar els est\u00edmuls rellevants i avaluar la resposta fisiol\u00f2gica cap a ells \u00e9s un indicador de bon pron\u00f2stic de la ter\u00e0pia.<\/p>\n","protected":false},"author":8,"featured_media":20319,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[340,457,429],"tags":[],"publishpress_future_action":{"enabled":false,"date":"2024-05-13 20:51:21","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/20318"}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=20318"}],"version-history":[{"count":1,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/20318\/revisions"}],"predecessor-version":[{"id":20320,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/20318\/revisions\/20320"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/20319"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=20318"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=20318"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=20318"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}