<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-5274</journal-id>
<journal-title><![CDATA[Clínica y Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Clínica y Salud]]></abbrev-journal-title>
<issn>1130-5274</issn>
<publisher>
<publisher-name><![CDATA[Colegio Oficial de la Psicología de Madrid]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-52742018000200101</article-id>
<article-id pub-id-type="doi">10.5093/clysa2018a15</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento cognitivo-conductual de un caso de estrés postraumático por accidente ferroviario. ¿Éxito terapéutico o evitación?]]></article-title>
<article-title xml:lang="en"><![CDATA[Cognitive-behavior treatment in a case of post traumatic stress after a train accident. Therapeutic success or avoidance?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Gutiérrez]]></surname>
<given-names><![CDATA[Mar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaparro-Morillo]]></surname>
<given-names><![CDATA[Gema]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martín-de-Francisco]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Crespo]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universidad Complutense de Madrid  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>101</fpage>
<lpage>104</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-52742018000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-52742018000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-52742018000200101&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se describe el caso clínico de una mujer de 53 años con trastorno de estrés postraumático (TEPT), a raíz de un accidente ferroviario en Galicia (España) en julio 2013. El accidente le supuso diferentes lesiones e intervenciones quirúrgicas. El impacto a nivel psicológico aparece de forma demorada, presentando, además de sintomatología TEPT, alta ansiedad, síntomas depresivos y alta irritabilidad. En el tratamiento se aplicó &#8220;exposición prolongada&#8221; enmarcada en un tratamiento cognitivo-conductual más amplio, en el que se incluyó reestructuración cognitiva y entrenamiento en regulación emocional, para abordar las interpretaciones disfuncionales que favorecían la aparición de la ira. Se describe la aplicación del tratamiento y las principales dificultades encontradas, principalmente la evitación de la exposición al recuerdo del trauma y la solicitud de la paciente del cese anticipado del tratamiento. Se presentan los resultados, incluyendo los seguimientos a 1, 3, 6 y 12 meses, y se discute la evolución de la paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT This paper presents the case of a 53-year old woman with posttraumatic stress disorder (PTSD) after a train accident in Galicia (Spain) in July, 2013. The accident caused the patient several injuries and surgical interventions. The psychological impact is delayed and consists of PTSD symptoms, besides high anxiety, depression symptoms, and high anger. The treatment involved Prolonged Exposure into a broader cognitive-behavior therapy that included cognitive restructuring and training in emotional regulation to treat dysfunctional cognitive responses that promoted anger. The article describes the implementation of the treatment and the main difficulties encountered, namely, the avoidance of exposure to trauma memories and the premature end of the treatment at patient's request. We present the results of the treatment, including 1, 3, 6, and 12 months follow-ups and discuss patient's progression.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estrés postraumático]]></kwd>
<kwd lng="es"><![CDATA[Accidente en medio de transporte]]></kwd>
<kwd lng="es"><![CDATA[Terapia cognitivo-conductual]]></kwd>
<kwd lng="en"><![CDATA[Posttraumatic stress]]></kwd>
<kwd lng="en"><![CDATA[Transport accident]]></kwd>
<kwd lng="en"><![CDATA[Cognitive-behavior therapy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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