Spanish Journal of Psychiatry and Mental Health最新文献

{"title":"Climate change and mental health: The urgent warning of Brazil and Spain's 2024 catastrophic floods.","authors":"Daniel Prates-Baldez, Felipe Rech Ornell, Juliana Nichterwitz Scherer, Santiago Madeira Diefenthaeler, Flávio Kapczinski, Vicent Balanzá-Martínez, Simone Hauck","doi":"10.1016/j.sjpmh.2024.12.001","DOIUrl":"10.1016/j.sjpmh.2024.12.001","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866909","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":"Prediction of pharmacological response in OCD using machine learning techniques and clinical and neuropsychological variables.","authors":"Maria Tubío-Fungueiriño, Eva Cernadas, Manuel Fernández-Delgado, Manuel Arrojo, Sara Bertolin, Eva Real, José Manuel Menchon, Angel Carracedo, Pino Alonso, Montse Fernández-Prieto, Cinto Segalàs","doi":"10.1016/j.sjpmh.2024.11.001","DOIUrl":"10.1016/j.sjpmh.2024.11.001","url":null,"abstract":"<p><strong>Introduction: </strong>Obsessive compulsive disorder is associated with affected executive functioning, including memory, cognitive flexibility, and organizational strategies. As it was reported in previous studies, patients with preserved executive functions respond better to pharmacological treatment, while others need to keep trying different pharmacological strategies.</p><p><strong>Material and methods: </strong>In this work we used machine learning techniques to predict pharmacological response (OCD patients' symptomatology reduction) based on executive functioning and clinical variables. Among those variables we used anxiety, depression and obsessive-compulsive symptoms scores by applying State-Trait Anxiety Inventory, Hamilton Depression Rating Scale and Yale-Brown Obsessive Compulsive Scale respectively, while Rey-Osterrieth Complex Figure Test was used to assess organisation skills and non-verbal memory; Digits' subtests from Wechsler Adult Intelligence Scale-IV were used to assess short-term memory and working memory; and Raven's Progressive Matrices were applied to assess problem solving and abstract reasoning.</p><p><strong>Results: </strong>As a result of our analyses, we created a reliable algorithm that predicts Y-BOCS score after 12 weeks based on patients' clinical characteristics (sex at birth, age, pharmacological strategy, depressive and obsessive-compulsive symptoms, years passed since diagnostic and Raven's Progressive Matrices score) and Digits' scores. A high correlation (0.846) was achieved in predicted and true values.</p><p><strong>Conclusions: </strong>The present study proves the viability to predict if a patient would respond or not to a certain pharmacological strategy with high reliability based on sociodemographics, clinical variables and cognitive functions as short-term memory and working memory. These results are promising to develop future prediction models to help clinical decision making.</p>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650098","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":"Luis Martín-Santos: A multidimensional psychiatrist.","authors":"José Lázaro","doi":"10.1016/j.sjpmh.2024.10.002","DOIUrl":"10.1016/j.sjpmh.2024.10.002","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635357","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":"Validación transcultural de la escala Yale Food Addiction Scale for Children (YFAS-C) al idioma español para evaluar la adicción a la comida en población pediátrica (S-YFAS-c","authors":"Néstor Benítez Brito ,&nbsp;Berta Pinto Robayna ,&nbsp;Yolanda Ramallo Fariña ,&nbsp;Francisco Moreno Redondo ,&nbsp;Beatriz León Salas ,&nbsp;Carlos Díaz Romero","doi":"10.1016/j.rpsm.2021.11.006","DOIUrl":"10.1016/j.rpsm.2021.11.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The scale The Yale Food Addiction Scale Children (YFAS-c) is the first measure designed to evaluate food addiction in children. However, this tool is not adapted to the Spanish language.</div></div><div><h3>Material and methods</h3><div>A translation, adaptation and methodological validation of the YFAS-c tool into the Spanish language is carried out. Initially, the scale is translated and adapted through blinded and independent translators, estimating their adaptability and agreement (Cohen's Kappa). Subsequently, the questionnaire is submitted to a committee of experts to evaluate the cultural suitability, representativeness and face and content validity using the content validity ratio (CVR), its version modified by Tristán (CVR’) and the Content Validity Index (CVI). Finally, linguistic comprehension is evaluated in a target sample using the Chi-square test.</div></div><div><h3>Results</h3><div>Difficulty in cross-cultural adaptability of the questionnaire among translators was low (mean: 1.96, DE: 1.40; Kappa agreement: 0.32, <em>P</em> <!-->=<!--> <!-->.01). The evaluation of the tool by the expert committee obtained high indices: clarity (<em>n</em> <!-->=<!--> <!-->0.83), precision (<em>n</em> <!-->=<!--> <!-->0.83), comprehension (<em>n</em> <!-->=<!--> <!-->0.84) and content relevance (<em>n</em> <!-->=<!--> <!-->0.83). Of the total of 25 items, only one item presented difficulties in understanding by age groups (<em>P</em> <!-->=<!--> <!-->.02).</div></div><div><h3>Conclusions</h3><div>A validated version, translated and adapted to the Spanish language (S-YFAS-c) has been obtained that will be able to evaluate food addiction in Spanish-speaking children.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 4","pages":"Pages 222-230"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81629784","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":"Satisfacción percibida con los ingresos en unidades de hospitalización breve psiquiátricas: diseño y validación del cuestionario PSYQUEST","authors":"Clara Cocho Santalla ,&nbsp;Ignacio Vera López ,&nbsp;Belén Bardón Rivera ,&nbsp;María Dolores Gómez Olmeda ,&nbsp;Rosa Duque Domínguez ,&nbsp;Patricia Fadón Martín ,&nbsp;Margarita Blanco Prieto ,&nbsp;Silvia García Jorge ,&nbsp;Ángeles Martínez Hernanz ,&nbsp;Almudena Molina Serrano ,&nbsp;Encarnación Mollejo Aparicio ,&nbsp;Patricia Nava García ,&nbsp;Mercè Salvador Robert ,&nbsp;Eva María Sánchez Morla ,&nbsp;Belén Sanz-Aranguez Ávila ,&nbsp;Alicia Vives Luengo ,&nbsp;María Rosario Martínez Arias ,&nbsp;Francisco Javier Sanz Fuentenebro","doi":"10.1016/j.rpsm.2021.10.001","DOIUrl":"10.1016/j.rpsm.2021.10.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite of the evidence pointing out the importance of evaluating patient's satisfaction regarding medical services, there are no available tools validated in Spanish to assess perceived satisfaction regarding psychiatric hospitalization in acute units.</div></div><div><h3>Objective</h3><div>To design and validate a tool to assess perceived satisfaction regarding hospitalization in psychiatric short-term units (STU).</div></div><div><h3>Method</h3><div><span>A multicenter, cross-sectional study was conducted in 14 STU of Madrid public hospitals. A total of 370 patients participated in the study. A preliminary questionnaire version was assessed for content validity<span> by an expert and a patient focus group. A psychometrical validation analysis was carried out. Reliability was examined based on Cronbach's alpha and Omega coefficients, </span></span>construct validity<span><span> was evaluated using exploratory (EFA) and confirmatory factor analysis (CFA) and predictive </span>criterion validity<span> was explored through multiple linear regression analysis.</span></span></div></div><div><h3>Results</h3><div>PSYQUEST is a questionnaire made up of 20 items grouped under 4 dimensions (<em>information and patient-doctor relationship, health staff care, services provided and general satisfaction).</em><span> It explains 75,52% of the variance. PSYQUEST showed good reliability (α=0,88 / ω=0,89) and criterion-based validity. Lower scores were found among patients with involuntary admissions, scarce clinical improvement or restrictive measures.</span></div></div><div><h3>Conclusion</h3><div>PSYQUEST showed good psychometric qualities. It can be used for evaluating inpatient satisfaction with psychiatric admissions.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 4","pages":"Pages 195-202"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82929052","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":"Validation study of the Spanish brief version of TEMPS-A","authors":"Jessica Zapata-Téllez ,&nbsp;Hiram Ortega-Ortiz ,&nbsp;Lizette Quiroz-Casián ,&nbsp;Claudia Becerra-Palars ,&nbsp;María del Carmen Elizabeth Lara-Muñoz ,&nbsp;Gustavo H. Vázquez","doi":"10.1016/j.rpsm.2021.08.002","DOIUrl":"10.1016/j.rpsm.2021.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Identifying affective temperaments could be useful both for understanding the normal behavioral variations in the general population and to establish if there is a clinical predisposition to certain disorders. Five affective temperaments have been proposed: depressive, cyclothymic, hyperthymic, irritable and anxious. Original instrument for measuring them (TEMPS-A) is a 110-item scale but many short versions in different languages have been validated. The aim of this study was to obtain a short self-administered Spanish version of TEMPS-A with good psychometric properties.</div></div><div><h3>Materials and methods</h3><div>A sample of 550 students who answered the argentinean version of TEMPS-A was included, after psychometric analysis a comparison between inpatients with major depression and their matched controls by sex and age who answered the brief version was performed to get an external validation.</div></div><div><h3>Results</h3><div>The sample was composed by 298 (54.2%) women. The mean age was 23.3 year (<em>SD</em> <!-->=<!--> <!-->6.2). A forced five factor analysis was performed. The 7 items with the highest factorial load (more than 0.350) for each subscale were included in the brief version. The Cronbach alpha's ranged from 0.690 to .800. The most prevalent temperament was hyperthymic followed by cyclothymic for students sample. Similarities between students and controls sample were observed, but not with patients with major depression.</div></div><div><h3>Conclusions</h3><div>This brief Spanish version of TEMPS-A (35 items) has good psychometric properties and can be used in general and clinical population.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 4","pages":"Pages 190-194"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39383254","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":"EMDR therapy vs. supportive therapy as adjunctive treatment in trauma-exposed bipolar patients: A randomised controlled trial","authors":"Bridget Hogg ,&nbsp;Joaquim Radua ,&nbsp;Itxaso Gardoki-Souto ,&nbsp;Marta Fontana-McNally ,&nbsp;Walter Lupo ,&nbsp;María Reinares ,&nbsp;Esther Jiménez ,&nbsp;Mercè Madre ,&nbsp;Laura Blanco-Presas ,&nbsp;Romina Cortizo ,&nbsp;Anna Massó-Rodriguez ,&nbsp;Juan Castaño ,&nbsp;Isabel Argila ,&nbsp;José Ignacio Castro-Rodriguez ,&nbsp;Mercè Comes ,&nbsp;Cristina Macias ,&nbsp;Roberto Sánchez-González ,&nbsp;Estanislao Mur-Mila ,&nbsp;Patricia Novo ,&nbsp;Adriane R. Rosa ,&nbsp;Benedikt L. Amann","doi":"10.1016/j.sjpmh.2023.11.005","DOIUrl":"10.1016/j.sjpmh.2023.11.005","url":null,"abstract":"<div><h3>Introduction</h3><div><span><span>Patients with bipolar disorder (BD) are frequently exposed to traumatic events which worsen </span>disease course, but this study is the first multicentre </span>randomised controlled trial to test the efficacy of a trauma-focused adjunctive psychotherapy in reducing BD affective relapse rates.</div></div><div><h3>Materials and methods</h3><div><span><span><span>This multicentre randomised controlled trial included 77 patients with BD and current trauma-related symptoms. Participants were randomised to either 20 sessions of trauma-focused </span>Eye Movement Desensitization and Reprocessing<span><span> (EMDR) therapy for BD, or 20 sessions of supportive therapy (ST). The primary outcome was relapse rates over 24-months, and secondary outcomes were improvements in affective and trauma symptoms, general functioning, and </span>cognitive impairment, assessed at baseline, post-treatment, and at 12- and 24-month follow-up. The trial was registered prior to starting enrolment in </span></span>clinical trials (</span><span><span>NCT02634372</span><svg><path></path></svg></span>) and carried out in accordance with CONSORT guidelines.</div></div><div><h3>Results</h3><div>There was no significant difference between treatment conditions in terms of relapse rates either with or without hospitalisation. EMDR was significantly superior to ST at the 12-month follow up in terms of reducing depressive symptoms (<em>p</em> <!-->=<!--> <!-->0.0006, <em>d</em> <!-->=<!--> <!-->0.969), manic symptoms (<em>p</em> <!-->=<!--> <!-->0.027, <em>d</em> <!-->=<!--> <!-->0.513), and improving functioning (<em>p</em> <!-->=<!--> <!-->0.038, <em>d</em> <!-->=<!--> <!-->0.486). There was no significant difference in dropout between treatment arms.</div></div><div><h3>Conclusions</h3><div>Although the primary efficacy criterion was not met in the current study, trauma-focused EMDR was superior to ST in reducing of affective symptoms and improvement of functioning, with benefits maintained at six months following the end of treatment. Both EMDR and ST reduced trauma symptoms as compared to baseline, possibly due to a shared benefit of psychotherapy. Importantly, focusing on traumatic events did not increase relapses or dropouts, suggesting psychological trauma can safely be addressed in a BD population using this protocol.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 4","pages":"Pages 203-214"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138625613","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":"Persons first: staying close to the roots of psychiatry","authors":"Rafael Tabarés-Seisdedos ,&nbsp;Vicent Balanzá-Martínez","doi":"10.1016/j.sjpmh.2024.10.001","DOIUrl":"10.1016/j.sjpmh.2024.10.001","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 4","pages":"Pages 179-180"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640543","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":"Spanish validation of the Empirically Developed Clinical Staging Model (EmDe-5) for patients with bipolar disorder","authors":"Lorena de la Fuente-Tomás ,&nbsp;Belén Arranz ,&nbsp;Pilar Sierra ,&nbsp;Mónica Sánchez-Autet ,&nbsp;Ana García-Blanco ,&nbsp;Luis Gutiérrez-Rojas ,&nbsp;Vicent Balanzá-Martínez ,&nbsp;Sonia Vidal-Rubio ,&nbsp;Eduard Vieta ,&nbsp;Esther Jiménez ,&nbsp;Carla Hernández ,&nbsp;Manuel Arrojo ,&nbsp;Jesús Gómez-Trigo ,&nbsp;Yolanda Zapico-Merayo ,&nbsp;Jose María Pelayo-Terán ,&nbsp;Victor Pérez-Solà ,&nbsp;Estanislao Mur ,&nbsp;Narcís Cardoner ,&nbsp;Ana González-Pinto ,&nbsp;Iñaki Zorrilla ,&nbsp;Maria Paz García-Portilla","doi":"10.1016/j.rpsm.2021.09.005","DOIUrl":"10.1016/j.rpsm.2021.09.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Bipolar disorder (BD) has been reconceptualised as a progressive disorder that develops from mild to severe presentations. An empirical staging model – the Empirically Developed Clinical Staging Model for BD (EmDe-5) – was developed in a previous study. This study aims to further validate that model using a larger and more representative Spanish sample.</div></div><div><h3>Material and methods</h3><div>183 BD outpatients were recruited at 11 sites in Spain. Assessment included clinical characteristics of the BD (number of hospitalisations, number of suicide attempts, comorbid personality disorders), physical health (BMI, metabolic syndrome<span><span>, number of physical illnesses), cognition (SCIP), functioning (permanently disabled due to BD, FAST), and quality of life (SF-36). The CGI-S, VAS-S, and </span>psychopharmacological treatment pattern were used as external validators.</span></div></div><div><h3>Results</h3><div>Ten patients (51.5%) were classified as stage 1, 33 (18%) as stage 2, 93 (50<!--> <!-->8%) as stage 3, 37 (20<!--> <!-->2%) as stage 4, and 10 (5<!--> <!-->5%) as stage 5. All profilers, other than number of suicide attempts (<em>p</em> <!-->=<!--> <!-->0.311) and comorbid personality disorder (<em>p</em> <!-->=<!--> <!-->0.061), exhibited worse scores from stage 1 to 5. As expected, VAS-S and CGI-S scores were worse in the later stages. Regarding treatment, early stages (1–2) were associated with the use of one to three drugs while late stages (4–5) were associated with four or more drugs (<em>p</em> <!-->=<!--> <!-->0.002).</div></div><div><h3>Conclusions</h3><div>We confirm the EmDe-5 staging model's construct validity. The ease of obtaining the profilers, together with the operational criteria provided to quantify them, will facilitate the use of the EmDe-5 staging model in daily clinical practice.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 4","pages":"Pages 215-221"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79934665","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":"Pharmacological treatment for challenging behavior in adults with intellectual disability: Systematic review and meta-analysis","authors":"Rodrigo Campos-Jara ,&nbsp;Cristian Martínez-Salazar ,&nbsp;Christian Campos-Jara ,&nbsp;José María Fernández ,&nbsp;Darío Martínez-García ,&nbsp;Falonn Contreras-Osorio","doi":"10.1016/j.rpsm.2023.01.003","DOIUrl":"10.1016/j.rpsm.2023.01.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Few evidence on the use of antipsychotics in people with intellectual disabilities and challenging behaviors, generates the need to develop studies that contribute to collect, compare and synthesize the available information. The present systematic review and meta-analysis aims to determine the clinical efficacy of antipsychotic medication in reducing critical episodes in this population.</div></div><div><h3>Methods</h3><div>We searched Web of Science, Scopus, EBSCO, Embase, and PubMed for randomized controlled trials of antipsychotic medication versus placebo. Preliminarily yielded 1354 abstracts and citations; six studies with 274 subjects met the inclusion criteria of studies with experimental design, longitudinal type, with pre- and post-intervention measurements.</div></div><div><h3>Results</h3><div>There is evidence for the use of psychotropic drugs in the acute management of challenging behaviors in patients with intellectual disability (SMD<!--> <!-->=<!--> <!-->−0.85; 95% CI<!--> <!-->=<!--> <!-->−1.69 to −0.01; <em>p</em> <!-->=<!--> <!-->0.05).</div></div><div><h3>Conclusions</h3><div>Our results coincide with the recommendations on the efficacy of the use of antipsychotics. Although our study provides evidence, the limited number of studies included in this research does not allow us to obtain totally conclusive results, although it can be considered as a guide for future studies.</div></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 4","pages":"Pages 231-238"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238292","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}