Revista de Psiquiatría y Salud Mental (English Edition)最新文献

{"title":"Clinical symptoms and social functioning in schizophrenia","authors":"Maria Jose Escandell ,&nbsp;Gemma Prat ,&nbsp;Mar Garcia-Franco ,&nbsp;Jose Ramón Martín-Martínez ,&nbsp;Susana Ochoa ,&nbsp;Ingrid Tortades ,&nbsp;Sonia Vilamala ,&nbsp;Marina Verdaguer-Rodríguez ,&nbsp;Emma Casas-Anguera","doi":"10.1016/j.rpsmen.2020.05.003","DOIUrl":"10.1016/j.rpsmen.2020.05.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim of the present study was to assess the relationship between social functioning and clinical symptoms in people with schizophrenia, analyzing the influence of both global social functioning and the specific aspects of social functioning, assertiveness and communication skills in the explanation of type of symptoms.</p></div><div><h3>Material and methods</h3><p><span>A cross-sectional descriptive study composed of 125 people diagnosed with schizophrenia was performed. Patients were assessed with the Communication Skills Questionnaire (CSQ), the Gambrill and Richey Assertiveness Inventory (GR), the Global Assessment of Functioning Scale (GAF) and the Global Assessment of Social Functioning Scale (SOFAS), Social Functioning Scale (SFS), Life Skills Profile (LSP) scale and the </span>Clinical Global Impression scale for Schizophrenia (CGI-S).</p></div><div><h3>Results</h3><p>SOFAS, LSP and GR are related to each of the subscales and total scores of symptoms (<em>p</em> <!-->&lt;<!--> <!-->0.05–0.001). The multiple regressions show that SOFAS and GR explained 59% of the total symptoms. SOFAS and GR, accounting for 65% of the variance, explain positive symptoms. GR and SOFAS explained 34% of the variance of negative symptoms. SOFAS, CSQ and LSP, accounting for 20% of the variance, explain depressive symptoms. SOFAS explained 46% of the variance of cognitive symptoms.</p></div><div><h3>Conclusions</h3><p>Our findings suggest the usefulness of social functioning assessment in the explanation of clinical symptoms in people with schizophrenia. Moreover, our results point out that not only negative and cognitive symptoms, but also positive and depressive symptoms, should be taken into account in the rehabilitation process in order to improve patient adaptation in the community.</p></div>","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 4","pages":"Pages 251-258"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10407153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors of deficit and non-deficit schizophrenia: Results from a cross-sectional study","authors":"Agnieszka Cyran ,&nbsp;Patryk Piotrowski ,&nbsp;Jerzy Samochowiec ,&nbsp;Tomasz Grąźlewski ,&nbsp;Błażej Misiak","doi":"10.1016/j.rpsmen.2022.05.001","DOIUrl":"10.1016/j.rpsmen.2022.05.001","url":null,"abstract":"<div><h3>Aim</h3><p>It has been observed that deficit and non-deficit schizophrenia (SCZ-D and SCZ-ND) might be characterized by different risk factors. Therefore, the present study aimed to assess as to whether previously reported risk factors of schizophrenia are specifically associated with SCZ-D and SCZ-ND.</p></div><div><h3>Method</h3><p><span>This study was based on a cohort of 118 stable outpatients with schizophrenia. A diagnosis of SCZ-D was established using the Schedule for the Deficit Syndrome (SDS). Risk factors were recorded using structured interview, the Operational Criteria for Psychotic Illness (OPCRIT) checklist and the Traumatic Experience Checklist (TEC). The following risk factors were explored: male sex, a history of schizophrenia in first-degree relatives, seasonality of birth, birth weight &lt;3000</span> <span>g, delivery by cesarean section, a history of childhood trauma (emotional abuse, emotional neglect, physical abuse and sexual abuse) as well as substance abuse (other than nicotine) and cigarette smoking at psychosis onset.</span></p></div><div><h3>Results</h3><p>Individuals with SCZ-D were more likely to be males as well as reported higher rates of birth weight &lt;3000<!--> <span><span>g and any categories of childhood trauma. In turn, substance abuse (other than nicotine) at psychosis onset was significantly more frequent in patients with SCZ-ND. Binary </span>logistic regression, controlling for multiple comparisons, revealed similar findings, except for the association with any categories of childhood trauma that appeared to be not significant.</span></p></div><div><h3>Conclusion</h3><p>Our findings partially replicate differential patterns of risk factors for SCZ-D (male sex and birth weight &lt;3000<!--> <!-->g) and SCZ-ND (substance abuse at psychosis onset), likely attributable to the effects of timing of exposure.</p></div>","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 4","pages":"Pages 223-229"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10406693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From capacity modification to support measures in people with disabilities","authors":"Esperanza L. Gómez-Durán ,&nbsp;Rosa María Méndez-Tomás ,&nbsp;Carles Martin-Fumadó","doi":"10.1016/j.rpsmen.2022.09.002","DOIUrl":"10.1016/j.rpsmen.2022.09.002","url":null,"abstract":"","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 3","pages":"Pages 216-217"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10442191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of the Functioning Assessment Short Tests (FAST), in patients with schizophrenia","authors":"Eva María Luján-Lujan ,&nbsp;María Ángeles García-León ,&nbsp;Elena Rodriguez-Cano ,&nbsp;Sergi Huertas-Martínez ,&nbsp;Juan Roldan-Merino ,&nbsp;Montserrat Puig-Llobet ,&nbsp;Maria Dolores Miguel-Ruiz ,&nbsp;Raimon Salvador ,&nbsp;Eduard Vieta ,&nbsp;Edith Pomarol-Clotet","doi":"10.1016/j.rpsmen.2022.09.003","DOIUrl":"10.1016/j.rpsmen.2022.09.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Functional impairment in schizophrenia is one of the main features of the disorder and implies a great impact on the patient's quality of life. The Brief Functioning Assessment Scale (FAST), originally validated in bipolar disorder, has also been validated for its application in other mental disorders. However, we only found one study on the reliability and validity of the Brazilian version in schizophrenia. The purpose of this study was to analyze the psychometric properties of the Spanish version of the FAST in patients diagnosed with schizophrenia.</p></div><div><h3>Material and methods</h3><p>A total of 226 patients with a diagnosis of schizophrenia were evaluated by mean the FAST, the GAF and the self-care requirements scale (ERA). Scale properties were analyzed in terms of internal consistency, inter-observer agreement and test-retest reliability. Convergent validity with the GAF and ERA scales was also analyzed, as well as construct validity by means of a Confirmatory Factor Analysis (CFA).</p></div><div><h3>Results</h3><p>For the total scale, the results showed high internal consistency (Cronbach's Alpha of, 87), as well as good inter-observer (ICC<!--> <!-->=<!--> <!-->,86) and test-retest (ICC<!--> <!-->=<!--> <!-->,77) agreement. Concurrent validity with the GAF scale was discrete (r<!--> <!-->=<!--> <!-->−,32; <em>P</em> <!-->&lt;<!--> <!-->,001) and with the ERA scale was moderate (r<!--> <!-->=<!--> <!-->,50; <em>P</em> <!-->&lt;<!--> <!-->,001). CFA showed an internal structure that matched the six factors proposed by the original scale, with a good level of item saturation for each factor.</p></div><div><h3>Conclusions</h3><p>The FAST scale showed good psychometric properties in terms of reliability and validity in its Spanish version for its application in patients with schizophrenia. It can be considered as a good tool to assess different areas of functional impairment in clinical practice and research.</p></div>","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 3","pages":"Pages 157-166"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40382936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimation of the epidemiology of dementia and associated neuropsychiatric symptoms by applying machine learning to real-world data","authors":"Javier Mar ,&nbsp;Ania Gorostiza ,&nbsp;Arantzazu Arrospide ,&nbsp;Igor Larrañaga ,&nbsp;Ane Alberdi ,&nbsp;Carlos Cernuda ,&nbsp;Álvaro Iruin ,&nbsp;Mikel Tainta ,&nbsp;Lorea Mar-Barrutia ,&nbsp;Oliver Ibarrondo","doi":"10.1016/j.rpsmen.2022.09.005","DOIUrl":"10.1016/j.rpsmen.2022.09.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Incidence rates of dementia-related neuropsychiatric symptoms (NPS) are not known and this hampers the assessment of their population burden. The objective of this study was to obtain an approximate estimate of the population incidence and prevalence of both dementia and NPS.</p></div><div><h3>Methods</h3><p>Given the dynamic nature of the population with dementia, a retrospective study was conducted within the database of the Basque Health Service (real-world data) at the beginning and end of 2019. Validated random forest models were used to identify separately depressive and psychotic clusters according to their presence in the electronic health records of all patients diagnosed with dementia.</p></div><div><h3>Results</h3><p>Among the 631,949 individuals over 60 years registered, 28,563 were diagnosed with dementia, of whom 15,828 (55.4%) showed psychotic symptoms and 19,461 (68.1%) depressive symptoms. The incidence of dementia in 2019 was 6.8/1000 person-years. Most incident cases of depressive (72.3%) and psychotic (51.9%) NPS occurred in cases of incident dementia. The risk of depressive-type NPS grows with years since dementia diagnosis, living in a nursing home, and female sex, but falls with older age. In the psychotic cluster model, the effects of male sex, and older age are inverted, both increasing the probability of this type of symptoms.</p></div><div><h3>Conclusions</h3><p>The stigmatization factor conditions the social and attitudinal environment, delaying the diagnosis of dementia, preventing patients from receiving adequate care and exacerbating families’ suffering. This study evidences the synergy between big data and real-world data for psychiatric epidemiological research.</p></div>","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 3","pages":"Pages 167-175"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40652474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spanish adaptation and validation of the Peer Mental Health Stigmatization Scale (PMHSS-24)","authors":"Jesús de la Higuera-Romero ,&nbsp;Andrea Candelas-Muñoz ,&nbsp;Andrea Jiménez-González ,&nbsp;Cristina Castañeda-Jiménez ,&nbsp;Paula Fuica-Pereg ,&nbsp;María Zurita-Carrasco ,&nbsp;Eloísa Martínez-Fernandez-Repeto ,&nbsp;Cristina Senín-Calderón","doi":"10.1016/j.rpsmen.2022.09.001","DOIUrl":"10.1016/j.rpsmen.2022.09.001","url":null,"abstract":"<div><h3>Introduction</h3><p>There is currently a growing interest in interventions aimed at the reduction of stigma towards people with emotional difficulties in adolescents. Unfortunately, the number of scales available in Spanish to assess stigma at these ages is limited. This paper aims to adapt and validate the scale of stigmatizing attitudes towards mental health among peers (Peer Mental Health Stigmatization Scale PMHSS-24).</p></div><div><h3>Material and methods</h3><p>A total of 443 adolescents (46.6% female and 53.7% male) between 13 and 17 years of age participated (<em>M</em>_age = 14.64; <em>SD</em><span> = 0.83) in the 3rd and 4th grades of Obligatory Secondary Education. The internal consistency of the test was calculated, an exploratory factorial analysis (EFA) was performed with half of the sample and a confirmatory one (CFA) with the other half, and the invariance of measurement of the scale through sex was found.</span></p></div><div><h3>Results</h3><p><span>The EFA showed a two-factor structure for the negative scale (53% of the variance explained) and another 2 for the positive scale (62% of the variance explained). The CFA corroborated the factor structure with appropriate goodness-of-fit indicators (CFI &gt; 0.95; NNFI &gt; 0.95, SRMR &lt; 0.08, RMSEA &lt; 0.08). Factor loads ranged from 0.49 to 0.89, with α factor correlation between </span><em>r</em> = 0.53 and 0.45. Both subscales exhibited optimal alpha values (negative 0.94 and positive 0.81). The scale was invariant between the sexes.</p></div><div><h3>Conclusions</h3><p>The data suggest that PMHSS-24 may be a useful scale for the initial screening of the stereotypes exhibited by adolescents toward people with mental illness.</p></div>","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 3","pages":"Pages 176-184"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40379096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pedro-Enrique Muñoz Rodríguez: A social psychiatrist in times of confusion","authors":"Luis Salvador-Carulla ,&nbsp;Antonio Bulbena Vilarrasa","doi":"10.1016/j.rpsmen.2022.09.004","DOIUrl":"10.1016/j.rpsmen.2022.09.004","url":null,"abstract":"","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 3","pages":"Pages 218-219"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2173505022000425/pdfft?md5=dd14da80968804c550c86dca2371fbfb&pid=1-s2.0-S2173505022000425-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40388475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of disability between common mental disorders and severe mental disorders using WHODAS 2.0","authors":"Elena Hernando-Merino ,&nbsp;Enrique Baca-Garcia ,&nbsp;Maria Luisa Barrigón","doi":"10.1016/j.rpsmen.2022.09.008","DOIUrl":"10.1016/j.rpsmen.2022.09.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Mental disorders<span> are among the leading causes of disability worldwide. Despite the fact that severe mental disorders (SMD) are associated with high disability, the impact of common mental disorders (CMD) is not negligible. In this work, we compare the disability measured with the WHODAS 2.0 scale of both diagnostic groups at the Mental Health Nurse facility.</span></p></div><div><h3>Material and methods</h3><p><span>Sociodemographic data, clinical diagnosis and disability scores were collected, using the WHODAS 2.0 scale, of the patients attended by the Mental Health specialist nurse at the Infanta Elena de Valdemoro Hospital (Madrid) and disability was compared in patients with SMD and CMD, using the Student </span><em>t</em> test.</p></div><div><h3>Results</h3><p>Our study sample consisted of 133 patients. Patients with CMD showed greater disability compared to patients with SMD. It was observed that the disability associated with CMD is higher, compared to SMD, this difference being significant for the domain of work (<em>p</em> &lt; 0.001) and participation in society (<em>p</em> = 0.041).</p></div><div><h3>Conclusions</h3><p>In this study we showed that the level of disability associated with CMD was higher in certain areas compared to SMD, this difference was of special relevance for the «Work» and «Participation» domains. This may serve to adapt the interventions aimed at these people and improve their quality of life.</p></div>","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 3","pages":"Pages 205-210"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33498133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards a classification framework for patient safety incidents and adverse events for a mental health community-based model of service provision","authors":"Eva Frigola-Capell ,&nbsp;René Morgan ,&nbsp;Albert Nogué ,&nbsp;Ingrid Thelen ,&nbsp;Jordi Font ,&nbsp;Begoña Gonzalvo ,&nbsp;Pilar Oliveras ,&nbsp;Eva Bacardí ,&nbsp;Maria Dolors Malla ,&nbsp;Alex Gimeno ,&nbsp;Anna Pla ,&nbsp;Domènech Serrano ,&nbsp;Eduard Palomer ,&nbsp;Glòria Trafach ,&nbsp;Jose Luís Ignacio Sagredo ,&nbsp;Margarita De Castro ,&nbsp;Montse Gibernau ,&nbsp;Roser Serrallonga ,&nbsp;Maite Roger ,&nbsp;Jordi Cid","doi":"10.1016/j.rpsmen.2022.09.010","DOIUrl":"10.1016/j.rpsmen.2022.09.010","url":null,"abstract":"","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 3","pages":"Pages 211-212"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10508727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scale of psychological pain: Spanish adaptation of the Psychache Scale in young adults","authors":"Jorge L. Ordóñez-Carrasco,&nbsp;Isabel Cuadrado Guirado,&nbsp;Antonio Rojas Tejada","doi":"10.1016/j.rpsmen.2022.09.006","DOIUrl":"10.1016/j.rpsmen.2022.09.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Psychological pain is understood as an intolerable and disturbing mental state characterized by an internal experience of negative emotions. This study was aimed at making a Spanish adaptation of the Psychache Scale by Holden and colleagues in a sample of young adults.</p></div><div><h3>Material and methods</h3><p>The scale evaluates psychological pain as a subjective experience. It is composed of 13 items with a Likert-type response format. Following the guidelines of the International Tests Commission for the adaptation of the test, we obtained a version conceptually and linguistically equivalent to the original scale. Through an online questionnaire, participants completed the psychological pain scale along with other scales to measure depression (BDI-II), hopelessness (Beck’s scale of hopelessness) and suicide risk (Plutchik suicide risk scale). The participants were 234 people (94 men, 137 women and three people who identified as a different sex) from 18 to 35 years old.</p></div><div><h3>Results</h3><p>The EFA showed a one-factor solution, and the FCA revealed adequate indexes of adjustment to the unifactorial model. It also showed good reliability of the test scores. The evidence of validity of the scale in relation to the other variables showed high, positive and statistically significant correlations with depression, hopelessness, suicidal ideation and suicidal risk.</p></div><div><h3>Conclusion</h3><p>In summary, this Spanish adaptation of the Psychache Scale could contribute to improving the evaluation of both the patient with suicide risk and the effectiveness of psychological therapy, as well as suicidal behaviour prevention and intervention.</p></div>","PeriodicalId":101104,"journal":{"name":"Revista de Psiquiatría y Salud Mental (English Edition)","volume":"15 3","pages":"Pages 196-204"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40388479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}