Spanish Journal of Psychiatry and Mental Health最新文献

{"title":"Assessment and the Concept of Negative Symptoms","authors":"Brian Kirkpatrick, Emilio-Fernandez Egea","doi":"10.1016/j.sjpmh.2023.09.006","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.09.006","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"25 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":"136153969","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":"Theory of Mind as an Endophenotype for Schizophrenia Spectrum Disorder: Study in First Episode of Psychosis Patients and First-Degree Relatives","authors":"Georgelina Abreu-Fernández, Nancy Murillo-García, Víctor Ortiz-García de la Foz, Rebeca Magdaleno Herrero, Ángel Yorca-Ruiz, Rosa Ayesa-Arriola","doi":"10.1016/j.sjpmh.2023.09.004","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2023.09.004","url":null,"abstract":"Background: Deficits in Theory of mind (ToM) had been suggested as a possible endophenotype for unaffected relatives of First Episode of Psychosis (FEP) patients. There are a limited number of studies which have evaluated ToM deficits among the siblings and parents of FEP patients. Aim: This study aimed to explore ToM deficits and its correlates among FEP patients, their siblings, parents, and controls. Methodology: FEP patients (N = 102), their parents (N=135), siblings (N= 97), and controls (N = 167), were evaluated on ToM performance with the Reading the Mind in the Eyes Test (Eyes Test). Interview for sociodemographic variables of age, sex, years of education, and IQ estimation and neurocognitive tests were administered to all groups. Results: FEP patients had a significantly lower performance on the Eyes Test compared to their siblings and controls. However, no significant differences were found between siblings and parents or siblings and controls. Conclusion: Attending our results, we found no evidence for ToM deficits as an endophenotype of SSDs. Furthermore, ToM accuracy may be mediated by interaction with other cognitive domains and play a protective role against psychosis in unaffected siblings.","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"187 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":"135706848","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":"Association between perceived discrimination and mental health outcomes among health workers during the initial COVID-19 outbreak","authors":"Roberto Mediavilla ,&nbsp;Eduardo Fernández-Jiménez ,&nbsp;Jorge Andreo ,&nbsp;Inés Morán-Sánchez ,&nbsp;Ainoa Muñoz-Sanjosé ,&nbsp;Berta Moreno-Küstner ,&nbsp;Franco Mascayano ,&nbsp;José Luis Ayuso-Mateos ,&nbsp;María-Fe Bravo-Ortiz ,&nbsp;Gonzalo Martínez-Alés ,&nbsp;The COVID-19 HEalth caRe wOrkErS – Spain (HEROES-SPA) Working Group","doi":"10.1016/j.rpsm.2021.06.001","DOIUrl":"10.1016/j.rpsm.2021.06.001","url":null,"abstract":"<div><h3>Background</h3><p>During the initial COVID-19 outbreak, health systems faced unprecedented organizational stress. Meanwhile, reports of episodes of discrimination and violence towards healthcare workers increased globally. This study explores the association between perceived discrimination and mental health outcomes in a large sample of healthcare workers in Spain.</p></div><div><h3>Materials and methods</h3><p>Healthcare workers from inpatient and outpatient facilities (<em>N</em> <!-->=<!--> <!-->2,053) filled an on-line questionnaire in May or June 2020. Mental health outcomes included depression symptoms (Patient Health Questionnaire [PHQ-9]), psychological distress (General Health Questionnaire [GHQ-12]) and death thoughts (Columbia Suicide Severity Rating Scale [C-SSRS]). We also measured perceived discrimination and/or stigmatization due to being a healthcare worker since pandemic onset. Regression models adjusted for potential confounding sources (age, sex, history of a mental health diagnosis and type of job) were fitted.</p></div><div><h3>Results</h3><p>Thirty percent of the respondents reported discrimination and/or stigmatization. Perceived discrimination was associated with higher depression (<em>B</em> <!-->=<!--> <!-->2.4, 95 percent CI: 1.8, 2.9) and psychological distress (<em>B</em> <!-->=<!--> <!-->1.1, 95 percent CI: 0.7, 1.4) scores, and with a 2-fold increase in risk of reporting death thoughts (OR<!--> <!-->=<!--> <!-->2.0, 95 percent CI: 1.4, 3.1).</p></div><div><h3>Conclusions</h3><p>Perceived discrimination is a modifiable driver of mental health problems among healthcare workers. Mass media, legislators, and healthcare institutions must put in place prevention and restoration strategies to limit discrimination towards healthcare workers and reduce its mental health impact.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 221-224"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2021.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235392","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":"SARS-COV2 pandemic impact on suicide attempts admitted to pediatric critical care: A monographical observational retrospective study","authors":"Ana Moral-Larraz,&nbsp;Alberto García-Salido,&nbsp;Nuria Lamagrande-Casanova,&nbsp;Marianna Di Campli-Zaghlul,&nbsp;Mar Braza-Claver,&nbsp;Montserrat Nieto-Moro","doi":"10.1016/j.sjpmh.2023.05.003","DOIUrl":"10.1016/j.sjpmh.2023.05.003","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 259-261"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135389738","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":"Lifestyle in bipolar disorder: A cross-sectional study","authors":"Mario Simjanoski ,&nbsp;Taiane de Azevedo Cardoso ,&nbsp;Benicio N. Frey ,&nbsp;Luciano Minuzzi ,&nbsp;Raquel B. De Boni ,&nbsp;Vicent Balanzá-Martínez ,&nbsp;Flavio Kapczinski","doi":"10.1016/j.rpsm.2023.04.001","DOIUrl":"10.1016/j.rpsm.2023.04.001","url":null,"abstract":"<div><h3>Background</h3><p>Modifiable lifestyle behaviors are important factors for improving mental health, yet there has been a lack of research studying lifestyle as a multidimensional construct in bipolar disorder (BD). The aim of this cross-sectional study was to compare the lifestyle patterns of individuals with BD in a current mood episode with healthy controls (HCs) using the Short Multidimensional Inventory Lifestyle Evaluation (SMILE).</p></div><div><h3>Materials and methods</h3><p>The sample consisted of 46 individuals with BD currently experiencing a depressive or manic episode and 50 HC, assessed using the MINI International Neuropsychiatric Interview, Montgomery-Åsberg Depression Rating Scale (MADRS), and the Young Mania Rating Scale<span> (YMRS). The SMILE scale assesses lifestyle across seven domains: diet and nutrition, substance abuse, physical activity, stress management<span>, restorative sleep, social support, and environmental exposures. Between-groups comparisons were performed based on the presence of a psychiatric diagnosis and the type of BD episode.</span></span></p></div><div><h3>Results</h3><p>We found significant differences in the total SMILE score (<em>r</em> <!-->=<!--> <!-->0.75, <em>p</em> <!-->&lt;<!--> <!-->0.001) and in scores from each domain of the scale between BD and HC (<em>p</em> <!-->&lt;<!--> <!-->0.05), where individuals with BD in a depressive or manic episode with or without mixed features reported worse lifestyle across all domains. Differences between individuals with BD in different mood episodes across domains on the SMILE scale were non-significant.</p></div><div><h3>Conclusion</h3><p>Findings from this study highlight the presence of unhealthy lifestyle patterns in people with BD regardless of the polarity of their mood episode. Implementation of multidimensional lifestyle assessments is an essential step toward detecting the clustering of unhealthy lifestyle patterns in BD.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 244-250"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238291","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":"Two-year evaluation of a multifamily psychoeducational program (PROTEC) in the family burden and prognosis of bipolar patients","authors":"Sara Barbeito ,&nbsp;Patricia Vega ,&nbsp;Sonia Ruiz de Azúa ,&nbsp;Itxaso González-Ortega ,&nbsp;Susana Alberich ,&nbsp;Ana González-Pinto","doi":"10.1016/j.rpsm.2021.07.002","DOIUrl":"10.1016/j.rpsm.2021.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Bipolar disorder<span> causes a significant burden on the lives of patients and their families. The family is one of the targets for therapeutic intervention, related to the prognosis in patients with bipolar disorder.</span></p></div><div><h3>Aim</h3><p>To assess the effectiveness of a multifamily psychoeducational program for people with bipolar disorder, in the family burden: objective and subjective and in the variables related to the course of the patients with bipolar disorder (symptoms, adherence, functionality, hospitalizations), comparing it with a control group (CG).</p></div><div><h3>Materials and methods</h3><p>A total of 148 relatives of bipolar patients and 148 bipolar patients were recruited. The sample was randomized (experimental group [EG] and CG) and with single-blind evaluations (baseline, at 5 months and one year). Clinical and sociodemographic variables were collected from families and patients (family burden self-report scale, Strauss-Carpenter Scale, Global Assessment of Functioning<span><span>, Morisky Green adherence Scale). Both, EG and CG received 8 multifamily sessions, applied exclusively on the relatives of patients with bipolar disorder, but in the EG a psychoeducational treatment was carried out and in the CG only playful and current topics were discussed. Bivariate and </span>logistic regression models were used, among others.</span></p></div><div><h3>Results</h3><p>The caregivers and patients of the EG and CG did not differ in any of the baseline variables (sociodemographic and clinical) (<em>P</em> <!-->&gt;<!--> <!-->.001). In the total sample, the baseline objective burden was light (mean 0.6<!--> <!-->±<!--> <!-->0.4) and the subjective ones was medium-moderate (mean 1.1<!--> <!-->±<!--> <!-->0.3). During the follow-up, in relation to the variables of the caregivers, there was a greater reduction in the objective burden in the EG compared to the CG (5 months <em>P</em> <!-->=<!--> <!-->.006; one year <em>P</em> <!-->=<!--> <!-->.002). It was found that the objective burden (<em>P</em> <!-->=<!--> <!-->.006) and the subjective burden (<em>P</em> <!-->=<!--> <!-->.003) were significantly reduced over a year in EG but not in the CG. During the follow-up, the patients whose caregivers belonged to the EG showed a greater increase in the frequency of social activity (<em>P</em> <!-->=<!--> <!-->.008), in the work activity (<em>P</em> <!-->=<!--> <!-->.002), and global functioning (<em>P</em> <!-->=<!--> <!-->.002), and reduced their symptoms (<em>P</em> <!-->≤<!--> <!-->.001). Longitudinal analyses, over a year, showed that patients in the EG had a greater improvement in functionality compared to patients in the CG (<em>P</em> <!-->=<!--> <!-->.001). After the intervention, adherence to pharmacological treatment improved more in EG than in the CG (<em>P</em> <!-->≤<!--> <!-->.001). Regarding hospitalizations, any patients in the CG were hospitalized during the 5 months after the interv","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 225-234"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39202575","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":"Mindfulness-based cognitive therapy versus psychoeducational intervention in bipolar outpatients: Results from a randomized controlled trial","authors":"Consuelo de Dios ,&nbsp;Diego Carracedo-Sanchidrián ,&nbsp;Carmen Bayón ,&nbsp;Beatriz Rodríguez-Vega ,&nbsp;María-Fe Bravo-Ortiz ,&nbsp;Ana Mª González-Pinto ,&nbsp;Guillermo Lahera ,&nbsp;BIMIND Group","doi":"10.1016/j.rpsm.2021.08.001","DOIUrl":"10.1016/j.rpsm.2021.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Few controlled trials have assessed the impact of Mindfulness Based Cognitive Therapy (MBCT) on symptoms and functioning in bipolar disorder (BD). This study aims to evaluate the effectiveness of MBCT adjunctive group treatment.</p></div><div><h3>Material and methods</h3><p>Randomized, prospective, multicenter, single-blinded trial that included BP-outpatients with subthreshold depressive symptoms. Participants were randomly assigned to three arms: treatment as usual (TAU); TAU plus psychoeducation; and TAU plus MBCT. Primary outcome was change in Hamilton-D score; secondary endpoints were change in anxiety, hypo/mania symptoms and functional improvement. Patients were assessed at baseline (V1), 8 weeks (V2) and 6 months (V3). Main hypothesis was that adjunctive MBCT would improve depressive symptoms more than psychoeducation.</p></div><div><h3>Results</h3><p>Eighty-four participants were recruited (MBCT<!--> <!-->=<!--> <!-->40, Psychoeducation<!--> <!-->=<!--> <!-->34, TAU<!--> <!-->=<!--> <!-->10). Depressive symptoms improved in the three arms between V1 and V2 (<em>p</em> <!-->&lt;<!--> <!-->0.0001), and between V1 and V3 (<em>p</em> <!-->&lt;<!--> <!-->0.0001), and did not change between V2 and V3. At V3 no significant differences between groups were found. There were no significant differences in other measures either.</p></div><div><h3>Conclusions</h3><p>In our BD population we did not find superiority of adjunctive MBCT over adjunctive Psychoeducation or TAU on subsyndromal depressive symptoms; neither on anxiety, hypo/mania, relapses, or functioning.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"16 4","pages":"Pages 251-258"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39367536","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":"Direct access to forensic sources and comprehensiveness of official suicide mortality records","authors":"Beatriz Fernández-Prieto ,&nbsp;Carles Martin-Fumadó ,&nbsp;Amadeo Pujol Robinat ,&nbsp;Jordi Alonso ,&nbsp;Esperanza L. Gómez-Durán ,&nbsp;Xavier Duran Jordà ,&nbsp;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}