Revista de psiquiatria y salud mental最新文献

{"title":"The assessment of lifestyle changes during the COVID-19 pandemic using a multidimensional scale","authors":"Vicent Balanzá-Martínez ,&nbsp;Flavio Kapczinski ,&nbsp;Taiane de Azevedo Cardoso ,&nbsp;Beatriz Atienza-Carbonell ,&nbsp;Adriane R. Rosa ,&nbsp;Jurema C. Mota ,&nbsp;Raquel B. De Boni","doi":"10.1016/j.rpsm.2020.07.003","DOIUrl":"10.1016/j.rpsm.2020.07.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Healthy lifestyles are relevant to several diseases and to maintain individuals’ mental health. Exposure to epidemics and confinement have been consistently associated with psychological consequences, but changes on lifestyle behaviours remain under-researched.</p></div><div><h3>Materials and Methods</h3><p>An online survey was conducted among the general population living in Spain during the COVID-19 home-isolation. In addition to demographic and clinical data, participants self-reported changes in seven lifestyle domains. The Short Multidimensional Inventory Lifestyle Evaluation was developed specifically to evaluate changes during the confinement (SMILE-C).</p></div><div><h3>Results</h3><p>A total of 1254 individuals completed the survey over the first week of data collection. The internal consistency of the SMILE-C to assess lifestyles during confinement was shown (Cronbach's Alpha<!--> <!-->=<!--> <!-->0.747). Most participants reported substantial changes on outdoor time (93.6%) and physical activity (70.2%). Moreover, about one third of subjects reported significant changes on stress management, social support, and restorative sleep. Several demographic and clinical factors were associated to lifestyle scores. In the multivariate model, those independently associated with a healthier lifestyle included substantial changes on stress management (<em>p</em> <!-->&lt;<!--> <!-->0.001), social support (<em>p</em> <!-->=<!--> <!-->0.001) and outdoor time (<em>p</em> <!-->&lt;<!--> <!-->0.001), amongst others. In contrast, being an essential worker (<em>p</em> <!-->=<!--> <!-->0.001), worse self-rated health (<em>p</em> <!-->&lt;<!--> <!-->0.001), a positive screening for depression/anxiety (<em>p</em> <!-->&lt;<!--> <!-->0.001), and substantial changes on diet/nutrition (<em>p</em> <!-->&lt;<!--> <!-->0.001) and sleep (<em>p</em> <!-->&lt;<!--> <!-->0.001) were all associated with poorer lifestyles.</p></div><div><h3>Conclusions</h3><p>In this study, sizable proportions of participants reported meaningful changes in lifestyle behaviours during the COVID-19 pandemic in Spain. Moreover, the SMILE-C was sensitive to detect these changes and presented good initial psychometric properties. Further follow-up studies should collect relevant data to promote healthy lifestyles in pandemic times.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 16-26"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2020.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9612185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumo de antipsicóticos y diabetes mellitus. Un análisis desde la causalidad","authors":"Laura Patricia del-Nido-Varo ,&nbsp;César Pérez-Romero ,&nbsp;Antonio Sarría-Santamera","doi":"10.1016/j.rpsm.2019.02.003","DOIUrl":"10.1016/j.rpsm.2019.02.003","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 76-77"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989119300400/pdfft?md5=5d15c930f29fbc8ff84db8837f741d34&pid=1-s2.0-S1888989119300400-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37313880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tianeptina: nueva descripción del mecanismo de acción y cambio de ficha técnica","authors":"Jaime Algorta ,&nbsp;Aurora Dominguez","doi":"10.1016/j.rpsm.2019.10.006","DOIUrl":"10.1016/j.rpsm.2019.10.006","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 70-71"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2019.10.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37531564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alteraciones tiroideas en pacientes bipolares a tratamiento con litio","authors":"Patricia Pérez-Castro ,&nbsp;Omar W. Muquebil Ali Al Shaban Rodriguez ,&nbsp;Paula Álvarez-Castro","doi":"10.1016/j.rpsm.2019.08.001","DOIUrl":"10.1016/j.rpsm.2019.08.001","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 73-74"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188898911930093X/pdfft?md5=984776fefd20c52a02dac8490636cc91&pid=1-s2.0-S188898911930093X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55290990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dificultades en el parto y sintomatología depresiva en la esquizofrenia","authors":"Gisela Mezquida ,&nbsp;Emilio Fernández-Egea ,&nbsp;Devi Treen ,&nbsp;Anna Mané ,&nbsp;Daniel Bergé ,&nbsp;George Savulich ,&nbsp;Leticia García-Álvarez ,&nbsp;María Paz García-Portilla ,&nbsp;Julio Bobes ,&nbsp;Miguel Bernardo ,&nbsp;Clemente García-Rizo","doi":"10.1016/j.rpsm.2019.12.002","DOIUrl":"10.1016/j.rpsm.2019.12.002","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 66-68"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188898912030015X/pdfft?md5=c0af8998b4cd4f45fa39a3c339ac302a&pid=1-s2.0-S188898912030015X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37647014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diferencias en la efectividad clínica y funcional, entre trastornos psiquiátricos, de un hospital de día psiquiátrico de agudos para pacientes con enfermedad mental aguda","authors":"Javier Vázquez-Bourgon ,&nbsp;Elsa Gómez Ruiz ,&nbsp;Fernando Hoyuela Zatón ,&nbsp;Luis Salvador Carulla ,&nbsp;Rosa Ayesa Arriola ,&nbsp;Diana Tordesillas Gutiérrez ,&nbsp;Benedicto Crespo Facorro","doi":"10.1016/j.rpsm.2019.04.001","DOIUrl":"10.1016/j.rpsm.2019.04.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Intensive treatment in acute day-care psychiatric units may represent an efficient alternative to inpatient care. However, there is evidence suggesting that this clinical resource may not be equally effective for every psychiatric disorder.</p><p>The primary aim of this study was to explore differences between main psychiatric diagnostic groups, in the effectiveness of an acute partial hospitalization program. And, to identify predictors of treatment response.</p></div><div><h3>Material and methods</h3><p>The study was conducted at an acute psychiatric day hospital. Clinical severity was assessed using BPRS, CGI, and the HoNOS scales. Main socio-demographic variables were also recorded. Patients were clustered into 4<!--> <!-->wide diagnostic groups (i.e.: non-affective psychosis; bipolar; depressive; and personality disorders) to facilitate statistical analyses.</p></div><div><h3>Results</h3><p>A total of 331 participants were recruited, 115 of whom (34.7%) were diagnosed with non-affective psychosis, 97 (28.3%) with bipolar disorder, 92 (27.8%) with affective disorder, and 27 (8.2%) with personality disorder. Patients with a diagnosis of bipolar disorder showed greater improvement in BPRS (<em>F</em>=5.30; <em>P</em>=0.001) and CGI (<em>F</em>=8.78; <em>P</em>&lt;0.001) than those suffering from psychosis or depressive disorder. Longer length of stay in the day-hospital, and greater baseline BPRS severity, were identified as predictors of good clinical response. Thirty-day readmission rate was 3%; at long-term (6 months after discharge) only 11.8% (N=39) of patients were re-admitted to a psychiatric hospitalization unit, and no differences were observed between diagnostic groups.</p></div><div><h3>Conclusions</h3><p>Intensive care in an acute psychiatric day hospital is feasible and effective for patients suffering from an acute mental disorder. However, this effectiveness differs between diagnostic groups.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 40-49"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2019.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37038926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psicosis como síntoma inicial de encefalitis autoinmune con anticuerpos negativos","authors":"Carlos Peña-Salazar ,&nbsp;Tanja Erben ,&nbsp;Christof Klötzsch","doi":"10.1016/j.rpsm.2019.10.002","DOIUrl":"10.1016/j.rpsm.2019.10.002","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 72-73"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989119300977/pdfft?md5=cf32214cb5a56ac7e1764db3d5163a4b&pid=1-s2.0-S1888989119300977-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37476124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State anxiety and trait anxiety in patients with aortic pathology. Another therapeutic target?","authors":"Alberto Alperi,&nbsp;María Martín,&nbsp;Rubén Alvarez-Cabo,&nbsp;Iria Silva,&nbsp;José Rozado,&nbsp;César Morís","doi":"10.1016/j.rpsm.2019.02.001","DOIUrl":"10.1016/j.rpsm.2019.02.001","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 65-66"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989119300370/pdfft?md5=2274853826326530200367a925b896e2&pid=1-s2.0-S1888989119300370-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37254769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 natural herd immunity and risk of neuropsychiatric disorders","authors":"Beatriz Losilla-Rodríguez ,&nbsp;Natalia Maldonado ,&nbsp;Elisa Moreno-Mellado ,&nbsp;Álvaro López-Díaz","doi":"10.1016/j.rpsm.2020.07.002","DOIUrl":"10.1016/j.rpsm.2020.07.002","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"13 4","pages":"Pages 228-229"},"PeriodicalIF":9.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2020.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9612184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tendencias divergentes en la mortalidad por suicidio según comunidad autónoma y sexo (1980-2016)","authors":"Lucía Cayuela ,&nbsp;Francisco José Pilo Uceda ,&nbsp;Agustín Sánchez Gayango ,&nbsp;Susana Rodríguez-Domínguez ,&nbsp;Antonio Andrés Velasco Quiles ,&nbsp;Aurelio Cayuela","doi":"10.1016/j.rpsm.2019.07.003","DOIUrl":"10.1016/j.rpsm.2019.07.003","url":null,"abstract":"<div><h3>Objectives</h3><p>To analyse the changes in mortality trends by suicide according to Autonomous Community and sex in Spain during the period 1980-2016 using joinpoint regression models.</p></div><div><h3>Methods</h3><p>Mortality data were obtained from the Instituo Nacional de Estadística. For each Spanish autonomous community and sex, crude and standardised rates were calculated. The joinpoint analysis was used to identify the best-fitting points where a statistically significant change in the trend occurred.</p></div><div><h3>Results</h3><p>The joinpoint analysis allows to differentiate areas in which the rates remain stable in men (Cantabria, Castilla-La Mancha) and women (Canary and Cantabria) throughout the study period and others with a continued decline (Extremadura in both men and women and Castilla-La Mancha in women). In those communities where changes in the trend are observed, in almost all of them, there is a first period of increase in rates in both men and women. The most recent trends show divergences between the different autonomous communities and, in men, Andalusia, the Canary Islands, Castilla-León, the Valencian Community, Galicia, Murcia, the Basque Country and La Rioja show significant downward trends, while Catalonia and Madrid show significant increases (2007-2016: 2.4% and 2010-2016: 18.7% respectively). Something similar is observed in women where Andalusia, Castilla y León, Valencian Community, Galicia, Murcia, País Vasco and La Rioja show downward trends while in the Balearic Islands, Catalonia and Madrid the trend is upward (2001-2016: 5.0%; 2006-2016: 4.2% and 2010-2016: 18.7% respectively).</p></div><div><h3>Conclusions</h3><p>Suicide mortality varies widely among the Spanish autonomous communities, both in terms of mortality level and trends. Little is known about the determinants of observed trends and, therefore, more studies are needed.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"13 4","pages":"Pages 184-191"},"PeriodicalIF":9.2,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989119300953/pdfft?md5=6c0e0e8bd35b65adf44ff147a03e72f2&pid=1-s2.0-S1888989119300953-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55290901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}