Spanish Journal of Psychiatry and Mental Health最新文献

{"title":"New units for perinatal mental health disorders: Description of the first 150 dyads attended at Mother Baby Day Hospital CLINIC-BCN","authors":"Alba Roca-Lecumberri ,&nbsp;Anna Torres ,&nbsp;Susana Andrés ,&nbsp;Carmen Naranjo ,&nbsp;Ester Roda ,&nbsp;Cristina Lopez ,&nbsp;Barbara Sureda ,&nbsp;Eva Solé ,&nbsp;María Luisa Imaz ,&nbsp;Sara Lera ,&nbsp;Andrea Mallorquí ,&nbsp;Lluisa García-Esteve","doi":"10.1016/j.rpsm.2022.06.004","DOIUrl":"10.1016/j.rpsm.2022.06.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Perinatal Mental Disorders are considered a public health problem due to the impact on both, the maternal health and the children, in the short and long term. During 2018, at the Hospital Clínic of Barcelona, the first Mother Baby Day Hospital (MBDH) in Spain was developed and implemented.</p></div><div><h3>Method</h3><p>The first 150 dyads (mother and baby) attended from January 2018 to October 2021 were selected. The sociodemographic and clinical characteristics were described. The clinical variables studied were anxious and depressive symptoms, mother–baby relationship and maternal functionality.</p></div><div><h3>Results</h3><p>The mean age of mothers was 34 years and of babies 3.7 months. 80% had a psychiatric background and 30.7% had required some psychiatric inpatient admission. 48.7% of the patients were diagnosed with a major depressive episode and a half had some psychiatric comorbidity (54.7%). One in 3 patients admitted had a moderate–high suicidal risk and 10.7% had attempted suicide in the current episode. At discharge, significant improvements were observed in the scales of depression (EPDS), anxiety (STAI-E), mother–baby relationship (PBQ) and functionality (HoNOS).</p></div><div><h3>Conclusions</h3><p>The MBDH allows us a comprehensive, intensive and multidisciplinary care for postpartum mothers with a mental disorder with good results and containment of risk behaviours. Likewise, MBDH allows us to detect and to intervene in bonding difficulties and maternal care giving.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 41-45"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989122000751/pdfft?md5=bdfb0d41664565f04ed88bc1e739e8e0&pid=1-s2.0-S1888989122000751-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74799704","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":"Child and adolescent psychiatry in the context of disease prevention","authors":"Celso Arango","doi":"10.1016/j.sjpmh.2024.01.001","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2024.01.001","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950285324000012/pdfft?md5=b6f34e0427862f3f3305accdccc51598&pid=1-s2.0-S2950285324000012-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139480227","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":"Assessment and management of individuals consulting for a suicidal crisis: A European Delphi method-based consensus guidelines.","authors":"Aiste Lengvenyte, Lucas Giner, Vincent Jardon, Emilie Olié, Victor Perez, Pilar Saiz, Ana Gonzalez Pinto, Philippe Courtet","doi":"10.1016/j.sjpmh.2023.12.001","DOIUrl":"10.1016/j.sjpmh.2023.12.001","url":null,"abstract":"<p><strong>Introduction: </strong>Managing patient with suicidal thoughts and behaviours presents significant challenges due to the scarcity of robust evidence and clear guidance. This study sought to develop a comprehensive set of practical guidelines for the assessment and management of suicidal crises.</p><p><strong>Materials and methods: </strong>Utilizing the Delphi methodology, 80 suicide clinician and research experts agreed on a series of recommendations. The process involved two iterative rounds of surveys to assess agreement with drafted recommendations, inviting panellists to comment and vote, culminating in 43 consensus recommendations approved with at least 67% agreement. These consensus recommendations fall into three main categories: clinical assessment, immediate care, and long-term approaches.</p><p><strong>Results: </strong>The panel formulated 43 recommendations spanning suicidal crisis recognition to continuous long-term care. These guidelines underscore systematic proactive suicide risk screening, in-depth medical and toxicological assessment, and suicide risk appraisal considering personal, clinical factors and collateral information from family. The immediate care directives emphasize a secure environment, continuous risk surveillance, collaborative decision-making, including potential hospitalization, sensible pharmacological management, safety planning, and lethal means restriction counselling. Every discharge should be accompanied by prompt follow-up care incorporating proactive case management and multi-modal approach involving crisis lines, brief contact, and psychotherapeutic and pharmacological interventions.</p><p><strong>Conclusions: </strong>This study generated comprehensive guidelines addressing care for individuals in suicidal crises, covering pre- to post-discharge care. These practical recommendations can guide clinicians in managing patients with suicidal thoughts and behaviours, improve patient safety, and ultimately contribute to the prevention of future suicidal crises.</p>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139072534","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":"Second victim experience in Spanish psychiatrists coping with patient suicide: A call for postvention.","authors":"Víctor Pérez-Solà, José Luis Ayuso, Cecilia Borrás-Murcia, Matilde Elices, Maite Campillo, Lucas Giner, Ana González-Pinto, Julio Antonio Guija, Mercedes Navío, Diego Palao, Pilar Saiz","doi":"10.1016/j.sjpmh.2023.11.004","DOIUrl":"10.1016/j.sjpmh.2023.11.004","url":null,"abstract":"<p><strong>Background: </strong>Losing a patient by suicide may lead to psychological distress and mid/long-term personal and professional consequences for psychiatrists, becoming second victims.</p><p><strong>Material and methods: </strong>The validated Spanish version of the Second Victim Experience and Support Tool (SVEST-E) questionnaire and a 30-item questionnaire created ad-hoc was administered online to psychiatrists from all over Spain to evaluate how patient suicide affects mental health professionals.</p><p><strong>Results: </strong>Two hundred ninety-nine psychiatrists participated in the survey, and 256 completed the SVEST-E questionnaire. The results of the SVEST-E questionnaire revealed a negative impact of suicide on emotional and physical domains, although this seemed not to lead to work absenteeism. Most respondents desired peer support from a respected colleague and considered institutional support, although desirable, lacking. Almost 70% of surveyed stated that an employee assistance program providing free counseling to employees outside of work would be desirable. The ad-hoc questionnaire showed that up to 88% of respondents considered some suicides unavoidable, and 76% considered the suicide unexpected. Almost 60% of respondents reported no changes in the approach of patients with suicidal ideation/behavior, after losing a patient. However, up to 76% reported performing more detailed clinical evaluations and notes in the medical record. Up to 13% of respondents considered leaving or changing their job or advancing retirement after losing a patient by suicide.</p><p><strong>Conclusions: </strong>After a patient's suicide, psychiatrists often suffer the feelings of second victim, impacting personal and professional areas. The study results indicate the need for postvention strategies to mitigate the negative impact of patient suicide.</p>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441955","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":"Increased risk of early lung function alterations in people with psychosis: A cross-sectional case-control study.","authors":"Ana Viejo Casas, Carlos Amado Diago, Juan Agüero Calvo, Marcos Gómez-Revuelta, Paula Suarez Pinilla, Claudia Ovejas Catalán, Paloma Fuentes Pérez, Mario Ruiz Núñez, Roberto Garrastazu López, María Juncal Ruiz, Benedicto Crespo-Facorro, Javier Vázquez-Bourgon","doi":"10.1016/j.sjpmh.2023.10.004","DOIUrl":"10.1016/j.sjpmh.2023.10.004","url":null,"abstract":"<p><strong>Background: </strong>Tobacco smoking has been described as the main cause of chronic obstructive pulmonary disease (COPD) and this habit is clearly more frequent among individuals with psychosis than in the general population, with rates reaching up to 60%. However, little attention has been focused on the association of COPD and psychosis. We aimed to explore the risk of presenting early lung function alterations in a group of individuals with psychosis.</p><p><strong>Methods: </strong>Following an observational cross-sectional design we studied a cohort of individuals with established psychosis (N=128), and compared them with a sex, age, and smoking habit matched control group (N=79). We evaluated respiratory symptoms by means of mMRC, CAT and Dyspnea-12 scales. And lung function through spirometry tests.</p><p><strong>Results: </strong>Individuals with psychosis presented more respiratory symptoms than controls. Similarly, we observed significant differences in the lung function tests between these two groups, where individuals with psychosis presented worse results in most of the spirometry mean values (FEV₁ or forced expiratory volume in the first one second: 3.29L vs. 3.75L, p<0.001; forced vital capacity or FVC: 4.25L vs. 4.72L, p=0.002; and FEV₁/FVC ratio: 0.78 vs. 0.80, p=0.052). Patients also presented worse values of lung diffusion, with lower diffusing capacity for carbon monoxide (DLCO) than controls (6.95 vs. 8.54mmol/min/kPa, p<0.001).</p><p><strong>Conclusions: </strong>The individuals with psychosis in our study presented greater respiratory symptoms and poorer lung function measured through spirometry. These signs have been described as early signs of COPD.</p>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296890","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":"Improved estimation of the risk of manic relapse by combining clinical and brain scan data","authors":"Pol Palau ,&nbsp;Aleix Solanes ,&nbsp;Merce Madre ,&nbsp;Naia Saez-Francas ,&nbsp;Salvador Sarró ,&nbsp;Noemí Moro ,&nbsp;Norma Verdolini ,&nbsp;Manel Sanchez ,&nbsp;Sílvia Alonso-Lana ,&nbsp;Benedikt L. Amann ,&nbsp;Anna Romaguera ,&nbsp;Marta Martin-Subero ,&nbsp;Lydia Fortea ,&nbsp;Paola Fuentes-Claramonte ,&nbsp;Maria A. García-León ,&nbsp;Josep Munuera ,&nbsp;Erick Jorge Canales-Rodríguez ,&nbsp;Paloma Fernández-Corcuera ,&nbsp;Paolo Brambilla ,&nbsp;Eduard Vieta ,&nbsp;Joaquim Radua","doi":"10.1016/j.rpsm.2023.01.001","DOIUrl":"10.1016/j.rpsm.2023.01.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Estimating the risk of manic relapse could help the psychiatrist individually adjust the treatment to the risk. Some authors have attempted to estimate this risk from baseline clinical data. Still, no studies have assessed whether the estimation could improve by adding structural magnetic resonance imaging (MRI) data. We aimed to evaluate it.</p></div><div><h3>Material and methods</h3><p>We followed a cohort of 78 patients with a manic episode without mixed symptoms (bipolar type I or schizoaffective disorder) at 2–4–6–9–12–15–18 months and up to 10 years. Within a cross-validation scheme, we created and evaluated a Cox lasso model to estimate the risk of manic relapse using both clinical and MRI data.</p></div><div><h3>Results</h3><p>The model successfully estimated the risk of manic relapse (Cox regression of the time to relapse as a function of the estimated risk: hazard ratio (HR)<!--> <!-->=<!--> <!-->2.35, <em>p</em> <!-->=<!--> <!-->0.027; area under the curve (AUC)<!--> <!-->=<!--> <!-->0.65, expected calibration error (ECE)<!--> <!-->&lt;<!--> <!-->0.2). The most relevant variables included in the model were the diagnosis of schizoaffective disorder, poor impulse control, unusual thought content, and cerebellum volume decrease. The estimations were poorer when we used clinical or MRI data separately.</p></div><div><h3>Conclusion</h3><p>Combining clinical and MRI data may improve the risk of manic relapse estimation after a manic episode. We provide a website that estimates the risk according to the model to facilitate replication by independent groups before translation to clinical settings.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 235-243"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989123000022/pdfft?md5=b98803d376e7eb52f2d91340a66ac9d4&pid=1-s2.0-S1888989123000022-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238290","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":"Clinical simulation: A useful and underutilized training tool for the present and the future of learning in psychiatry","authors":"Andrés Gómez del Barrio ,&nbsp;Javier Vázquez-Bourgon ,&nbsp;Jesús Esteban Pellón ,&nbsp;José María Maestre ,&nbsp;Marcos Gómez-Revuelta","doi":"10.1016/j.sjpmh.2023.06.003","DOIUrl":"10.1016/j.sjpmh.2023.06.003","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 262-263"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134917283","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":"Associations between unhealthy lifestyle and depression: cross-sectional results from the Spanish National Health Survey","authors":"Guillem Navarra-Ventura, Victoria Coronado-Simsic, Pau Riera-Serra, Adoración Castro, Mauro García-Toro, Miquel Roca, Margalida Gili","doi":"10.1016/j.sjpmh.2023.08.001","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.08.001","url":null,"abstract":"Introduction: Depression usually worsens lifestyle habits, but previous evidence also suggests that an Unhealthy Lifestyle (UL) increases the risk of depression. Many studies have analyzed the association between lifestyle and depression in several nationally representative samples, but none have done so in the Spanish adult population. Our aim was to examine the associations between UL habits and depression in Spain. Materials and Methods: Analysis of cross-sectional data from the latest National Health Survey published in 2018 (N=23,089). Data on depression and 4 lifestyle factors (diet, physical exercise, smoking, and alcohol consumption) were used. These factors were combined into an UL index ranging from 0 (healthiest lifestyle) to 4 (unhealthiest lifestyle). The prevalence of depression at different levels of the UL index, and the association between depression and both the cumulative UL index and the 4 UL factors was analyzed using parametric and non-parametric tests. Results: Sedentarism was the most prevalent UL factor, followed by unhealthy diet, smoking and alcohol consumption. Having ≥1 UL factors was associated with a higher prevalence of depression compared to having 0 UL factors (2.5% vs. ≥5.0%), regardless of the cumulative number UL factors. Being physically inactive (OR=1.6) and a smoker (OR=1.3) were positively associated with depression. Being a high-risk wine drinker (OR=0.26) was negatively associated with depression. Dietary intake was not significant. Conclusions: The prevalence of depression changes depending on several modifiable lifestyle factors. Policy makers should therefore spare no resources in promoting strategies to encourage healthy lifestyles and prevent the acquisition of UL habits.","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134937291","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":"COVID-19 pandemic and mental health in Spain: An analysis of their relationship using Google Trends","authors":"Juan Antonio Becerra-García,&nbsp;Teresa Sánchez-Gutiérrez,&nbsp;Sara Barbeito,&nbsp;Ana Calvo","doi":"10.1016/j.rpsm.2021.05.001","DOIUrl":"10.1016/j.rpsm.2021.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>This study aims to examine the public interest that exists on Internet regarding various mental health topics and its relationship with evolution of COVID-19 pandemic in Spain.</p></div><div><h3>Materials and methods</h3><p>Google Trends was used to explore relative search volume (RSV) for the following terms related with mental health (TRMH): “anxiety”, “depression”, “stress”, “insomnia” and “suicide”; between January and December 2020. The cross-correlation function was performed to assess association between new COVID-19 cases and RSV levels for TRMH. Finally, Mann–Whitney test was used to examine differences between RSV values for TRMH before and after of state of alarm declarations on March and October 2020.</p></div><div><h3>Results</h3><p>The “anxiety” term showed the highest RSV indices. A significant correlation was found between new COVID-19 cases and RSV for “anxiety” with a time-lag of +<!--> <!-->1 week (<em>r</em> <!-->=<!--> <!-->0.49; <em>p</em> <!-->&lt;<!--> <!-->.05). Was found an increase of SRV for “anxiety” (<em>U</em> <!-->=<!--> <!-->0.00; <em>p</em> <!-->=<!--> <!-->.01) and a decrease of SRV for “depression” (<em>U</em> <!-->=<!--> <!-->1.00; <em>p</em> <!-->=<!--> <!-->.04) between 4-week period before and after state of alarm of March 2020. Regarding the state of alarm of October 2020, a higher RSV for “anxiety” (<em>U</em> <!-->=<!--> <!-->0.50; <em>p</em> <!-->=<!--> <!-->.02) was found in the four weeks after it compared with a similar previous period.</p></div><div><h3>Conclusions</h3><p>Anxiety is the mental health topic of greatest public interest on Internet in context of COVID-19 pandemic. Public concern about anxiety rises one week after the increase in COVID-19 cases and is greater after introduction of control measures that entail any type of mobility restriction or activity limitation. There is a greater general need for information on anxiety at specific times in the pandemic evolution.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 215-220"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2021.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9236215","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":"Looking to the future after reintroduction of clozapine","authors":"Leticia I. Muñoz-Manchado ,&nbsp;Jose María Villagrán-Moreno ,&nbsp;Roberto Palacios-Garrán ,&nbsp;Jose Ildefonso Pérez-Revuelta","doi":"10.1016/j.sjpmh.2023.03.003","DOIUrl":"10.1016/j.sjpmh.2023.03.003","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 266-267"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248665","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}