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Inicio Revista Colombiana de Psiquiatría Psicopatología y género: visión longitudinal e histórica a través del DSM
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Vol. 39. Issue 2.
Pages 389-404 (June 2010)
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Vol. 39. Issue 2.
Pages 389-404 (June 2010)
Artículos de revisión/actualización
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Psicopatología y género: visión longitudinal e histórica a través del DSM
Psychopathology and Gender: Longitudinal and Historical View Through DSM
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1415
Silvia L. Gaviria1,
Corresponding author
sgaviria@une.net.co

Correspondencia: Silvia Gaviria, Departamento de Psiquiatría, Universidad CES, Calle 10A No. 22-04, Medellín, Colombia
, Renato D. Alarcón2
1 Médica psiquiatra. Directora del Departamento de Psiquiatría Universidad CES. Medellín, Colombia
2 Médico psiquiatra. Master of Public Health (MPH). Mayo Clinic, Estados Unidos
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Resumen
Introducción

El estudio del género y sus efectos en la salud mental es un fascinante y creciente campo de la investigación clínica. La exclusión de mujeres en la mayoría de estudios clínicos ha dado lugar a vacíos importantes sobre las enfermedades mentales y su tratamiento.

Objetivos

(a) Examinar áreas relevantes de la relación entre el género y la vulnerabilidad a los trastornos mentales; (b) a la luz de investigaciones recientes, revisar la historia del uso del género en las cuatro versiones del Manual diagnóstico y estadístico de los trastornos mentales (DSM), y (c) evidenciar posibilidades, ventajas y desventajas de la activa consideración de género en DSM-V, que se va a publicar dentro de los próximos cuatro o cinco años.

Método

La búsqueda de estudios fue realizada a través de las bases de datos: PubMed, Medline, Ovid, LILACS y SciELO.

Resultado y conclusión

La enfermedad mental es el resultado de una compleja matriz de factores, como perfil genético, experiencias recientes y eventos vitales tempranos, apoyo social, creencias religiosas y, por supuesto, el género.

Palabras clave:
género
trastornos mentales
DSM
Abstract
Introduction

The study of gender and its effects on mental health is a fascinating and growing field of clinical research. The exclusion of women in most clinical studies has generated significant gaps in our knowledge about mental illnesses and their treatments.

Objectives

(a) First, to examine relevant areas of the relationship between gender and vulnerability to mental disorders; (b) on the basis of recent research, to review the history of the use of gender in the four versions of the Diagnostic and Statistical Manual of Mental Disorders (DSM), and, finally, (c) to show the possibilities, advantages and disadvantages of an active consideration of gender in DSM-V, to be published within the next four or five years.

Method

The search for studies was conducted through the following databases: PubMed, Medline, Ovid, LILACS, and SciELO.

Results and conclusion

Mental illness is the result of a complex matrix of factors such as genetic profile, recent experiences and early life events, social support, religious beliefs, and, of course, gender.

Key words:
Gender
mental disorders
DSM
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Referencias
[1]
SG Kornstein, AH Clayton.
Preface.
Women's mental health: a comprehensive textbook,
[2]
N Stotland.
Gender-based biology.
Am J Psychiatry, 158 (2001), pp. 161-162
[3]
KL Wisner, R Dolan-Sewell.
Why gender matters.
Age and gender considerations in psychiatric diagnosis: A research agenda for DSM-V,
[4]
JB Frank, K Weihs, E Minerva, DZ Lieberman.
Women's mental health in primary care. Depression, anxiety, somatization, eating disorders, and substance abuse.
Med Clin North Am, 82 (1998), pp. 359-389
[5]
NC Andreasen.
Vulnerability to mental illness: gender makes a difference and so does providing good psychiatric care.
Am J Psychiatry, 162 (2005), pp. 211-213
[6]
Age and gender considerations in psychiatric diagnosis: A research agenda for DSM-V,
[7]
A Vieitez, A López-Matto.
Psicopatología de la mujer.
Psiconeuroinmunoendocrinología: Aspectos epistemológicos, clínicos y terapéuticos,
[8]
D Stewart.
La salud mental de las mujeres en el mundo.
Psicopatología de la mujer,
[9]
KS Kendler, CA Prescott.
A population-based twin study of lifetime major depression in men and women.
Arch Gen Psychiatry, 56 (1999), pp. 39-44
[10]
RC Kessler, KA McGonagle, M Swartz, DG Blazer, et al.
Sex and depression in the National Comorbidity Survey. I: Lifetime prevalence, chronicity and recurrence.
J Affect Disord, 29 (1993), pp. 85-96
[11]
N Breslau.
Gender differences and posttraumatic stress disorder.
J Gend Specific Med, 5 (2002), pp. 34-40
[12]
A Caspi, K Sugden, TE Moffitt, A Taylor, et al.
Influence of life stress on depression: moderation by a polymorphism in the 5HTT gene.
Science, 301 (2003), pp. 386-389
[13]
D Kuh, Y Ben-Shlomo, J Lynch, J Hallqvist, et al.
Life course epidemiology.
J Epidemiol Community Health, 57 (2003), pp. 778-783
[14]
CN Soares, OP Almeida, H Joffe, LS Cohen.
Efficacy of estradiol for the treatment of depressive disorders in perimenopausal women: a double-blind, randomized, placebo controlled trial.
Arch Gen Psychiatry, 58 (2001), pp. 529-534
[15]
KA Yonkers, KL Wisner, Z Stowe, E Leibenluft, et al.
Management of bipolar disorder during pregnancy and the postpartum period.
Am J Psychiatry, 161 (2004), pp. 608-620
[16]
DP Misra, B Guyer, A Allston.
Integrated perinatal health framework. A multiple determinants model with a life span approach.
Am J Prev Med, 25 (2003), pp. 65-75
[17]
RM Nonacs.
Postpartum mood disorders.
Mood and anxiety disorders during pregnancy and postpartum,
[18]
KL Wisner, K Peindl, BH Hanusa.
Symptomatology of affective and psychotic illness related to childbearing.
J Affect Disord, 30 (1994), pp. 77-87
[19]
S Durston, HE Hulshoff Pol, BJ Casey, JN Giedd, et al.
Anatomical MRI of the developing human brain: what have we learned?.
J Am Acad Child Adolesc Psychiatry, 40 (2001), pp. 1012-1020
[20]
S Nolen-Hoeksema.
Gender differences in coping with depression across the lifespan.
Depression, 3 (1995), pp. 81-90
[21]
H Häfner.
Gender differences in Schizophrenia.
Psychoneuroendocrinology, Suppl 2 (2003), pp. 17-54
[22]
M Piccinelli, G Wilkinson.
Gender differences in depression. Critical review.
Br J Psychiatry, 177 (2000), pp. 486-489
[23]
MV Seeman.
Gender differences in the prescribing of antipsychotic drugs.
Am J Psychiatry, 161 (2004), pp. 1324-1333
[24]
M Bloch, PJ Schmidt, M Danaceau, J Murphy, et al.
Effects of gonadal steroids in women with a history of postpartum depression.
Am J Psychiatry, 157 (2000), pp. 924-930
[25]
SL Gaviria.
Estrés prenatal, neurodesarrollo y psicopatología.
Rev Colomb Psiquiatr, 35 (2006), pp. 210-224
[26]
M Dodic, K Moritz, EM Wintour.
Prenatal exposure to glucocorticoids and adult disease.
Arch Physiol Biochem, 111 (2003), pp. 61-69
[27]
SL Gaviria.
Climaterio: vulnerabilidad versus desafío.
Climaterio: una visión integradora,
[28]
SL Gaviria.
El síndrome premenstrual.
Afrodita y Esculapio: una visión integradora de la medicina de la mujer,
[29]
EB Susser, A Brown, TD Matte.
Prenatal factors and adult mental and physical health.
Can J Psychiatry, 44 (1999), pp. 326-334
[30]
TA Widiger.
DSM's approach to gender: history and controversies.
Age and gender considerations in psychiatric diagnosis: A research agenda for DSM-V,
[31]
RL Spitzer, JB Williams, AE Skodol.
DSM-III: the major achievements and an overview.
Am J Psychiatry, 137 (1980), pp. 151-164
[32]
R Ross, AJ Frances, TA Widiger.
Gender issues in DSM-IV.
pp. 205-226
[33]
CM Hartung, TA Widiger.
Gender differences in the diagnosis of mental disorders: conclusions and controversies of the DSM-IV.
Psychol Bull, 123 (1998), pp. 260-278
[34]
JA Granados, L Ortiz.
Patrones de daños a la salud mental: psicopatología y diferencias de género.
Salud Mental, 26 (2003), pp. 42-50
[35]
S Weich, A Sloggett, G Lewis.
Social roles and the gender difference in rates of the common mental disorders in Britain: a 7-year, population-based cohort study.
Psychol Med, 31 (2001), pp. 1055-1064
[36]
P Matud, M Carballeira, M López, R Marrero, et al.
Apoyo social y salud: Un análisis de género.
Salud Mental, 25 (2002), pp. 32-37

Conflicto de interés: los autores manifiestan que no tienen ningún conflicto de interés en este artículo.

Copyright © 2010. Asociación Colombiana de Psiquiatría
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