Impulsividad y sintomatología depresiva en la población adulta: Revisión sistemática a partir de la experiencia práctica.

Abstract

Abstract: The present curricular integration project addressed the issue of depressive symptomatology with impulsivity traits in an adult population, identified during practical training experiences in the field of clinical psychology. A systematic literature review was conducted, organized into three chapters, to analyze the available scientific evidence on the association between depression and motor, cognitive, and non-planned impulsivity. The reviewed studies supported this association, indicating that non-planned impulsivity is linked to more severe clinical presentations, while attentional impulsivity constitutes a key indicator of suicide risk. These theoretical findings were applied through the development of a simulated clinical case of a 33-year-old adult diagnosed with Major Depressive Disorder, single episode, severe, without psychotic features （F32.2）, associated with a self-harm attempt involving medication ingestion. The case formulation included identifying information, chief complaint, psychological assessment, and a twelve-session cognitive-behavioral treatment proposal tailored to the patient's needs. The findings indicate that the systematic assessment of impulsivity provides prognostic information that enables stratification of self-harm risk and, thereby, supports precise clinical decision-making and the selection of appropriate intervention techniques.