This study confirms that paediatric OCD can be a chronic condition that persists into adulthood. Early recognition and treatment might prevent chronicity. Important challenges for services are ensuring adequate treatment and a smooth transition from child to adult services.

There are some factors that promote the personal development and psychological wellbeing, which we want to increase and adapt in the patient's life to improve their quality of life. The aim of this study is to analyze some components of Positive Psychology in women with breast cancer, like resilience, sense of humor and selfefficacy, and to observe their relation with emotional wellbeing and variables like type of surgery and type of treatment. The sample of participants consisted in 131 women diagnosed with breast cancer from different Spanish hospitals. They were evaluated by a first interview where we collected demographic data, information about disease and personal strengths; and the Hospital Depression and Anxiety Scale (HADS) to evaluated emotional wellbeing. We found relationships between emotional wellbeing and protective factors proposed. Emotional well-being was associated with a sense of humor, resilience and how to understand the disease and self-efficacy, presenting fewer symptoms of anxiety and depression.

PurposeTo explore the consequences of broadening DSM-IV criteria for Generalized Anxiety Disorder (GAD) on patient's disability.MethodsA multicentre and observational study was carried-out in outpatient psychiatric clinics in Spain between years 2007 and 2008. Naïve diagnosed patients with GAD according to DSM-IV criteria or with anxiety symptoms fulfilling broadened criteria were compared. At least 1-month of excessive or non-excessive worry along with only two of the associated symptoms listed on DSM-IV for GAD were considered as broadened GAD criteria. Socio-demographic data, medical history and functional outcome measures were recorded.ResultsA total of 3,549 patients were systematically recruited, 12.8% excluded because not found eligible for inclusion in analysis; 1,815 in the DSM-IV group (DG) and 1,264 in the broadening criteria group (BG). Both groups were similar on their sociodemographic characteristics. Total disability score in the WHO-DAS II scale was slightly, but statistically significant, higher in DG; 41.9 (17.1) versus 38.9 (16.0) points, p < 0.05. These weak differences were observed in all of the scale domains but mainly in domains “Getting around” [34.5 (23.6) versus 29.4 (22.8), p< 0.05] and “Life activities” [55.5 (27.1) versus 52.1 (26.2), p< 0.05], since differences in the other domains, even statistically significant, were negligible.ConclusionPatients with standard DSM-IV criteria for GAD appears to show slightly, but significant, worst level of disability than subjects with broadening diagnostic GAD criteria. Life-activities and participation in society domains seems to be the functional domains most impacted by symptoms of anxiety.

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