Spanish Journal of Psychiatry and Mental Health最新文献

{"title":"Direct access to forensic sources and comprehensiveness of official suicide mortality records","authors":"Beatriz Fernández-Prieto , Carles Martin-Fumadó , Amadeo Pujol Robinat , Jordi Alonso , Esperanza L. Gómez-Durán , Xavier Duran Jordà , Diego Palao","doi":"10.1016/j.rpsm.2021.06.003","DOIUrl":"10.1016/j.rpsm.2021.06.003","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 268-269"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39155273","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":"Holistic approach to COVID-19 aftermath","authors":"Sergio Nuñez Sevillano","doi":"10.1016/j.rpsm.2022.02.004","DOIUrl":"10.1016/j.rpsm.2022.02.004","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 264-265"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9236706","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":"Performance of a measure to assess distress in bipolar disorder","authors":"Ana Pascual-Sánchez ,&nbsp;Cristina Jenaro ,&nbsp;José Manuel Montes","doi":"10.1016/j.rpsm.2020.05.007","DOIUrl":"10.1016/j.rpsm.2020.05.007","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Bipolar disorder is a condition that causes distress even for euthymic patients, having an impact on functional capabilities and </span>quality of life<span>. Personal and social variables are potential sources of distress. Yet, there is a lack of measures to identify specific distress in bipolar disorder. This study describes the development and evaluation of a brief measure for assessing distress in patients with bipolar disorder. We also identify associations with related constructs such as functioning, stigma, and personal beliefs regarding mental illness.</span></p></div><div><h3>Material and methods</h3><p><span>We used a sample of 101 euthymic bipolar outpatients. Psychological assessment consisted of the Young Mania Rating Scale (YMRS) and the </span>Hamilton Depression Scale<span> (HAM-D) to establish euthymia. Distress was assessed with Distress on Bipolar Patients-Short (DISBIP-S); associated variables were assessed with the Functioning Assessment Short Scale (FAST), the Internalized Stigma of Mental Illness (ISMI), and the Personal Beliefs about Illness Questionnaire (PBIQ).</span></p></div><div><h3>Results</h3><p>The DISBIP-S has strong internal consistency (Cronbach's alpha<!--> <!-->=<!--> <!-->0.90), and medium-high correlation coefficients with the time since last relapse (<em>r</em> <!-->=<!--> <!-->−0.401), predominant polarity (<em>r</em> <!-->=<!--> <!-->0.309), HDRS (<em>r</em> <!-->=<!--> <!-->−0.644), FAST (<em>r</em> <!-->=<!--> <!-->0.453), ISMI (<em>r</em> <!-->=<!--> <!-->0.789), and PBIQ (<em>r</em> <!-->=<!--> <!-->−0.796). Taken together, the scores on the ISMI, and PBIQ and the time since last relapse together explain 69.2% of the variability in distress.</p></div><div><h3>Conclusions</h3><p>The DISBIP-S can be used as a first step to develop interventions aimed at dealing with problematic personal beliefs and interpersonal sources of distress. Reducing distress experienced by bipolar disorder patients could help improve their quality of life and daily functioning.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 209-214"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38167308","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":"Intestinal permeability and low-grade chronic inflammation in schizophrenia: a multicentre study on biomarkers. Rationale, objectives, protocol and preliminary results","authors":"Gerard Anmella, Silvia Amoretti, Gemma Safont, Ana Meseguer, Eduard Vieta, Maria Teresa Pons-Cabrera, Miqueu Alfonso, Carla Hernández, Monica Sanchez-Autet, Ferran Pérez-Baldellou, Leticia González-Blanco, Maria Paz García-Portilla, Miquel Bernardo, Belén Arranz","doi":"10.1016/j.sjpmh.2023.09.005","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.09.005","url":null,"abstract":"Background: Altered intestinal permeability and low-grade chronic inflammation disrupt the integrity of the blood-brain barrier (microbiota-gut-brain axis), probably playing a role in the pathophysiology of schizophrenia-spectrum disorders. However, studies assessing the microbiota-gut-brain axis are inconsistent. This article describes the rationale, objectives, protocol, and presents descriptive results for a new project. Methods: The sample of this study came from an observational, cross-sectional and multisite study including four centers in Spain (PI17/00246) recruiting adult patients with DSM-5 schizophrenia-spectrum disorders at any stage of the disease. The aims of the project are to assess the interrelation between intestinal permeability and low-grade chronic inflammation in schizophrenia-spectrum disorders and the role of peripheral biomarkers, diet, exercise, metabolic syndrome, disease severity and functioning as well as cognition. Assessments included the following variables: 1) anthropometric, 2) intestinal permeability, diet, and physical exercise, 3) clinical and functional, 4) neuropsychological and cognitive reserve, and 5) peripheral biomarkers from blood. Results: A total of 646 patients were enrolled (257, 39.7% female). Mean age was 43.2±13.6 years, illness duration 15.1±11.5 years. 55.8% consumed tobacco. Positive PANSS score was 13.68±6.55, and 20.38±8.69 in the negative symptoms. CGI was 4.16±2.22 and GAF was 60.00±14.84. Conclusion: The results obtained by this project are expected to contribute towards the understanding of the physiopathology of schizophrenia-spectrum disorders. This will likely aid to personalize treatments in real-world clinical practice, potentially including variables related to intestinal permeability and inflammation.","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"46 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":"135707215","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":"Upward trends in eating disorders, self-harm, and suicide attempt emergency admissions in female adolescents after COVID-19 lockdown","authors":"Adriana Fortea, Lydia Fortea, Marta Gómez-Ramiro, Giovanna Fico, Anna Giménez-Palomo, Maria Sagué-Vilavella, Maria Teresa Pons, Mireia Vázquez, Nuria Baldaquí, Lluc Colomer, Tábatha Maria Fernández, Felipe Gutiérrez-Arango, Maria Llobet, Ester Pujal, Luisa Lázaro, Eduard Vieta, Joaquim Radua, Inmaculada Baeza","doi":"10.1016/j.sjpmh.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.09.003","url":null,"abstract":"Introduction: Increased mental health problems have been reported in children and adolescents related to the COVID-19 lockdown and its immediate aftermath, especially among adolescent females. However, the longer-term impact of persistent quarantine measures and social restrictions on this population is yet to be further explored. Materials and Methods: We compared the number of children/adolescents admissions to the psychiatric emergency department (ED) of Hospital Clínic de Barcelona during the COVID-19 lockdown and the following year with the numbers of admissions the year before lockdown, adjusting for variations in the population. We also conducted separate analyses by gender, age group, and diagnostic categories. Finally, we also repeated the analyses considering the cumulated deficit/excess since the start of the lockdown. Statistical significance was estimated using binomial tests with Bonferroni correction. Results: A total of 2425 admissions were recorded. Globally, admission rates decreased during the lockdown (46%) and progressively increased during the one-year aftermath (43% by spring 2021). This increase was particularly high in adolescent females (85%) while unclear in children and/or males. The main diagnostic categories involved were anxiety, depressive, and eating disorders, as well as self-harm behavior, suicidal ideation, and suicide attempts. The increase in eating disorders, self-harm behavior, and suicide attempts admissions in female adolescents remained statistically significant when considering the cumulated deficit/excess. Conclusions: We found increased ED admissions during the aftermath of the COVID-19 lockdown among adolescent females. We recommend strengthening the attention to this population to provide adequate specialized care and prevention strategies.","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"38 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":"134978155","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":"MOVING FORWARD IN BIPOLAR DISORDER RESEARCH","authors":"Eduard Vieta","doi":"10.1016/j.sjpmh.2023.11.003","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.11.003","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 207-208"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295028532300090X/pdfft?md5=153ad0800b1c09dca1fd851e163d4f6e&pid=1-s2.0-S295028532300090X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138465896","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":"Maternity in women with schizophrenia and schizoaffective disorder","authors":"Gemma Safont, Marina Garriga, Alexandre González-Rodríguez, Silvia Amoretti, Olga Simón, Eva Solè, Clemente Garcia-Rizo, Belén Arranz, Eduard Vieta, Miquel Bernardo","doi":"10.1016/j.sjpmh.2023.04.002","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.04.002","url":null,"abstract":"Maternity rates in women with schizophrenia have tripled in the past decades, with a current percentage similar to the general population (50–60%). However, mothers with schizophrenia present higher rates of single marital status, and social dysfunction than the general population. In addition, the incidence of unplanned pregnancy, abortions, miscarriages and obstetric complications is higher. This study aimed to describe variables related to maternity in this population. One-hundred and ninety-two outpatient women diagnosed with schizophrenia and schizoaffective disorders were included (DSM-IV-TR criteria) in a two-site study. Psychosocial risk factors, demographic variables and clinical features were recorded in the same visit. Non-parametric tests were used in order to describe variables for likelihood offspring in psychotic women. One-hundred and forty-seven (76.6%) women suffered from schizophrenia and 45 (23.4%) schizoaffective disorder. Psychotic mothers used to be married/having a partner and presented a later onset of the illness (over 36 years old) compared to non-mothers. In addition, mothers generally presented pregnancy before the onset of illness. Regarding obstetric complications, around the 80% of the sample presented at least one obstetric complication. Although desire or wish of pregnancy was reported in 66.3% of the mothers, rates of planned pregnancy were 25% and only the 47.9% were currently taking care of their children with their husband/partner. Maternity rate is high in this population. This study highlights the need to promote reproductive health care for women with mental disorders and to consider their reproductive life plan. Later onset of disease and being married are potential predictors of maternity in our sample of women with a schizophrenia and schizoaffective disorders while only the half were caring their children at the moment of the evaluation.","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135890038","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":"Latin American Consensus Recommendations for the Management and Treatment of Patients with Treatment Resistant Depression (TRD)","authors":"Ricardo Corral, Enrique Bojórquez, Marcelo Cetkovich-Bakmas, Rodrigo Córdoba, Julio Chestaro, Clarissa Gama, Gerardo García Bonetto, Carlos López Jaramillo, Ricardo Alberto Moreno, Bernardo Ng, Edilberto Pena de Leon, Luis Risco, Hernán Silva, Gustavo Vazquez","doi":"10.1016/j.sjpmh.2023.06.001","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.06.001","url":null,"abstract":"Despite the abundance of literature on treatment-resistant depression (TRD), there is no universally accepted definition of TRD, and available treatment pathways for the management of TRD vary across the Latin American region, highlighting the need for a uniform definition and treatment principles to optimize the management of TRD in Latin America. Methods: Following a thematic literature review and pre-meeting survey, a Latin America expert panel comprising 14 psychiatrists with clinical experience in managing patients with TRD convened and utilized the RAND/UCLA Appropriateness Method to develop consensusbased recommendations on the appropriate definition of TRD and principles for its management. Results: The expert panel agreed that ‘treatment-resistant depression’ (TRD) is defined as ‘failure of two drug treatments of adequate doses, for 4–8 weeks duration with adequate adherence, during a major depressive episode’. A stepwise treatment approach should be employed for the management of TRD – treatment strategies can include maximizing dose, switching to a different class, and augmenting or combining treatments. Nonpharmacological treatments, such as electroconvulsive therapy, are also appropriate options for patients with TRD. Conclusion: These consensus recommendations on the operational definition of TRD and approved treatments for its management can be adapted to local contexts in the Latin American countries but should not replace clinical judgement. Individual circumstances and benefit-risk balance should be carefully considered while determining the most appropriate treatment option for patients with TRD.","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135429468","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":"Negative symptoms and sex differences in first episode schizophrenia: what’s their role in the functional outcome? A longitudinal study","authors":"Silvia Amoretti, Gisela Mezquida, Norma Verdolini, Miquel Bioque, Ana M. Sánchez-Torres, Laura Pina-Camacho, Iñaki Zorrilla, Amira Trabsa, Roberto Rodriguez-Jimenez, Iluminada Corripio, Salvador Sarró, Angela Ibañez, Judith Usall, Rafael Segarra, Eduard Vieta, Natalia Roberto, J Antoni Ramos-Quiroga, Alfonso Tortorella, Giulia Menculini, Manuel J Cuesta, Mara Parellada, Ana González-Pinto, Esther Berrocoso, Miguel Bernardo","doi":"10.1016/j.sjpmh.2023.04.001","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.04.001","url":null,"abstract":"Introduction: Negative symptoms (NS) include asociality, avolition, anhedonia, alogia, and blunted affect and are linked to poor prognosis. It has been suggested that they reflect two different factors: diminished expression (EXP) (blunted affect and alogia) and amotivation/pleasure (MAP) (anhedonia, avolition, asociality). The aim of this article was to examine potential sex differences among first-episode schizophrenia (FES) patients and analyze sex-related predictors of two NS symptoms factors (EXP and MAP) and functional outcome. Material and Methods: Two hundred and twenty-three FES (71 females and 152 males) were included and evaluated at baseline, six-months and one-year. Repeated measures ANOVA was used to examine the effects of time and sex on NS and a multiple linear regression backward elimination was performed to predict NS factors (MAP-EXP) and functioning. Results: Females showed fewer NS (p=0.031; Cohen’s d=-0.312), especially those related to EXP (p=0.024; Cohen’s d=-0.326) rather than MAP (p=0.086), than males. In both male and female group, worse premorbid adjustment and higher depressive symptoms made a significant contribution to the presence of higher deficits in EXP at one-year follow-up, while positive and depressive symptoms predicted alterations in MAP. Finally, in females, lower deficits in MAP and better premorbid adjustment predicted better functioning at one-year follow-up (R2=0.494; p<0.001), while only higher deficits in MAP predicted worse functioning in males (R2=0.088; p=0.012). Conclusions: Slightly sex differences have been found in this study. Our results lead us to consider that early interventions of NS, especially those focusing on motivation and pleasure symptoms, could improve functional outcomes. Introducción: Los síntomas negativos (SN) incluyen la asocialidad, la avolición, la anhedonia, la alogia y el afecto embotado y están relacionados con un mal pronóstico. Se ha sugerido que reflejan dos factores: la disminución de la expresión (EXP) (afecto embotado y alogia) y la amotivación/placer (MAP) (anhedonia, avolición, asocialidad). El objetivo de este artículo fue examinar las posibles diferencias de sexo entre los pacientes con un primer episodio de esquizofrenia (FES) y analizar los predictores relacionados con el sexo de las dimensiones negativas (EXP y MAP) y el funcionamiento al año de seguimiento. Material y métodos: Se incluyeron 223 FES (71 mujeres y 152 hombres) que fueron evaluados al inicio, a los seis meses y al año. Se utilizó un ANOVA de medidas repetidas para examinar los efectos del tiempo y el sexo sobre el SN y se realizó una regresión lineal múltiple (eliminación hacia atrás) para predecir los factores MAP-EXP y el funcionamiento. Resultados: Las mujeres mostraron menos SN que los hombres (p=0.031; d de Cohen=-0.312]), especialmente las relacionadas con la EXP (p=0.024; d de Cohen=-0.326) más que con la MAP (p=0,086). En ambos sexos un peor ajuste premórbido y una mayor sintomatología","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135346679","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":"Clinical predictors and psychosocial risk factors of suicide attempt severity","authors":"Itxaso González-Ortega, Marina Diaz-Marsa, Purificación López-Peña, Jessica Fernández-Sevillano, Jorge Andreo-Jover, Julio Bobes, María Fe Bravo-Ortiz, Ana Isabel Cebria, Benedicto Crespo-Facorro, Alejandro de la Torre-Luque, Matilde Elices, Verónica Fernández-Rodriguese, Nathalia Garrido-Torres, Iria Grande, Ángela Palao-Tarrero, Andrés Pemaue, Natalia Roberto, Miguel Ruiz-Veguilla, Elisa Seijo-Zazo, Susana Alberich, Ana González-Pinto, Víctor Pérez","doi":"10.1016/j.sjpmh.2023.07.002","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.07.002","url":null,"abstract":"Background: Suicide attempts are an important predictor of completed suicide and may differ in terms of severity of medical consequences or medical lethality. There is little evidence on serious suicide attempt (SSA) and very few studies have compared SSA with non-SSA. Objective: The aim of this multisite, coordinated, cohort study was to analyze the role of clinical variables and the sociodemographic and psychological risk factors of SSA. Method: In this multisite, coordinated, cohort study, 684 participants (222 for the mild suicide attempt group, 371 for the moderate suicide attempt group and 91 for the SSA group) were included in the study. Ordinal regression models were performed to analyze the predictor variables of SSA. Results: Early physical abuse, (OR=1.231) andimpulsivity (OR=1.036) were predictors of SSA, while depressive symptoms were associated with a lower risk of SSA. Conclusion: environmental and psychological factors as physical abuse and impulsivity are related with severe suicide severity. These findings will help to develop strategies to prevent suicide and may be considered for the treatment and management of suicide.","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135588290","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}