Intervención psicológica en artritis reumatoid: caso clínico /
Bibliographic record
Abstract
Se presenta la intervención psicológica llevada a cabo en el caso de un varón de 44 años con Artritis Reumatoide. El motivo de consulta es un alto grado de tristeza, ansiedad e irritabilidad. Para la evaluación se emplearon los siguientes instrumentos y técnicas: entrevista clínica, autorregistros y pruebas de autoinforme (Cuestionario Biográfico; Inventario de Situaciones y Respuestas de Ansiedad –ISRA–; Cuestionario Tridimensional para la Depresión –CTD–; Inventario de Expresión de Ira Estado-Rasgo –STAXI 2–; Cuestionario de Dolor de McGill e Inventario de Sugestionabilidad –IS–). La evaluación permitió establecer el diagnóstico, según criterios DSM-IV-TR (APA, 2000), de «Trastorno por dolor asociado a factores psicológicos y a enfermedad médica, de carácter crónico». A partir del análisis funcional del caso se fijaron los objetivos terapeúticos y se planificó el tratamiento cognitivo-conductual, dirigido al control de las emociones negativas y de los niveles de dolor del paciente, así como al manejo de su incapacidad. Los resultados ponen de manifiesto la eficacia de las técnicas de tratamiento empleadas.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".