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, Flavio Kapczinski, Taiane de Azevedo Cardoso, Beatriz Atienza-Carbonell, Adriane R Rosa, Jurema C Mota, Raquel B De Boni","doi":"10.1016/j.rpsm.2020.07.003","DOIUrl":"10.1016/j.rpsm.2020.07.003","url":null,"abstract":"<p><strong>Introduction: </strong>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><p><strong>Materials and methods: </strong>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><p><strong>Results: </strong>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 (<i>p</i> < 0.001), social support (<i>p</i> = 0.001) and outdoor time (<i>p</i> < 0.001), amongst others. In contrast, being an essential worker (<i>p</i> = 0.001), worse self-rated health (<i>p</i> < 0.001), a positive screening for depression/anxiety (<i>p</i> < 0.001), and substantial changes on diet/nutrition (<i>p</i> < 0.001) and sleep (<i>p</i> < 0.001) were all associated with poorer lifestyles.</p><p><strong>Conclusions: </strong>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>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"16-26"},"PeriodicalIF":5.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871231","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 una oportunidad única para explorar la relación entre la infección prenatal materna, el desarrollo cerebral y los trastornos neuropsiquiátricos en la descendencia","authors":"Rosa Ayesa-Arriola M.S., Ph.D. ,&nbsp;Álvaro López-Díaz M.D., Ph.D. ,&nbsp;Miguel Ruiz-Veguilla M.D., Ph.D. ,&nbsp;Juan Carlos Leza M.D., Ph.D. ,&nbsp;Lourdes Fañanas Saura M.D., Ph.D. ,&nbsp;Benedicto Crespo-Facorro M.D., Ph.D.","doi":"10.1016/j.rpsm.2020.12.003","DOIUrl":"10.1016/j.rpsm.2020.12.003","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 1-3"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2020.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9628001","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":"Shock cardiogénico y disfunción multiorgánica secundaria a clozapina","authors":"María del Carmen Espinosa González ,&nbsp;Laura Nuevo Fernández","doi":"10.1016/j.rpsm.2019.07.002","DOIUrl":"10.1016/j.rpsm.2019.07.002","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 68-69"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989119300941/pdfft?md5=bea692a59ce861120facad3fe833fe0f&pid=1-s2.0-S1888989119300941-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55290819","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":"Consenso de expertos sobre propuestas de información al paciente en tratamiento con sales de litio","authors":"Ana González-Pinto ,&nbsp;Vicent Balanzá-Martínez ,&nbsp;Antoni Benabarre Hernández ,&nbsp;Luis Gutiérrez-Rojas ,&nbsp;José Manuel Montes ,&nbsp;Consuelo de Dios Perrino ,&nbsp;Víctor Pérez Sola ,&nbsp;Ángel Luis Montejo González ,&nbsp;Anna Giménez Palomo ,&nbsp;José Manuel Crespo","doi":"10.1016/j.rpsm.2019.11.001","DOIUrl":"10.1016/j.rpsm.2019.11.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Lithium is one of the first therapeutic options for bipolar disorder, which is characterized by recurrent mood swings that strongly reduce quality of life. Our purpose was to achieve professional consensus criteria to define the contents of an information sheet for patients with bipolar disorder that are starting treatment with lithium.</p></div><div><h3>Material and methods</h3><p>A modified Delphi method in two rounds was used. The Scientific Committee—made up by nine psychiatrists—created a 20-item questionnaire about the information that must be given to the patient treated with lithium and selected a panel of ambulatory and hospital psychiatric experts to agree on this information. Panelists scored each item based on a Likert scale of 9 points and could add comments in a confidential manner. It was considered consensus in agreement when median scores were within the range of [7-9] and in disagreement within the range of [1-3].</p></div><div><h3>Results</h3><p>A high level of consensus was reached. In the first round, there was agreement on 17 out of 20 items and, after the second round, there was disagreement on just one item containing information about the discovery of lithium. Finally, said item was modified in the Patient's Information Sheet based on the comments suggested by the panelists.</p></div><div><h3>Conclusions</h3><p>This study allowed to create an information sheet for patients with bipolar disorder under treatment with lithium, with information agreed upon by a group of experts from different health care settings.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 27-39"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989119301028/pdfft?md5=f6a1334619e89b5c7f5d470be821076f&pid=1-s2.0-S1888989119301028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37495887","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":"Can we increase the subjective well-being of the general population? An umbrella review of the evidence","authors":"Aleix Solanes ,&nbsp;Anton Albajes-Eizagirre ,&nbsp;Miquel A. Fullana ,&nbsp;Lydia Fortea ,&nbsp;Paolo Fusar-Poli ,&nbsp;Carla Torrent ,&nbsp;Brisa Solé ,&nbsp;Caterina Mar Bonnín ,&nbsp;Jae Il Shin ,&nbsp;Eduard Vieta ,&nbsp;Joaquim Radua","doi":"10.1016/j.rpsm.2020.08.002","DOIUrl":"10.1016/j.rpsm.2020.08.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Subjective well-being (SWB) refers to being satisfied with one's life, having positive affect and having little negative affect. We may understand it as a subjective definition of good life, or in colloquial terms “happiness”, and it has been associated with several important benefits such as lower mortality. In the last decades, several randomized controlled trials (RCT) have investigated the efficacy of several interventions in increasing SWB in the general population but results from different disciplines have not been integrated.</p></div><div><h3>Methods</h3><p>We conducted an umbrella review of systematic reviews and meta-analyses of RCT that assess the efficacy of any kind of interventions in increasing SWB in the general population, including both positive psychology interventions (PPI) and other interventions. We (re)calculated the meta-analytic statistics needed to objectively assess the quality of the evidence of the efficacy of each type of intervention in improving each component of SWB according to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.</p></div><div><h3>Results</h3><p>There was moderate-quality evidence that PPI might induce small decreases of negative affect, and low-quality evidence that they might induce moderate increases of positive affect. We found similar results for those PPI specifically consisting in conducting acts of kindness (especially spending money on or giving items to others), for which there was low-quality evidence that they might induces small increases of life satisfaction, but not for PPI specifically consisting in practicing gratitude. Quality of the evidence of the efficacy for the other interventions included in the umbrella review (yoga, resilience training, physical activity, leisure, control enhancement, psychoeducation, and miscellaneous) was very low.</p></div><div><h3>Conclusion</h3><p>There is some evidence that PPI, and specially conducting acts of kindness such as spending money on others, may increase the SWB of the general population. The quality of the evidence of the efficacy for other interventions (e.g., yoga, physical activity, or leisure) is still very low.</p><p><strong>Registration number</strong>: PROSPERO CRD42020111681.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 50-64"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989120301014/pdfft?md5=73e8bccba87c51335d3cc7a5231a2d8f&pid=1-s2.0-S1888989120301014-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38672479","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":"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":"Cognitive biases are associated with clinical and functional variables in psychosis: A comparison across schizophrenia, early psychosis and healthy individuals","authors":"Maribel Ahuir ,&nbsp;Josep Maria Crosas ,&nbsp;Francesc Estrada ,&nbsp;Wanda Zabala ,&nbsp;Sara Pérez-Muñoz ,&nbsp;Alba González-Fernández ,&nbsp;Meritxell Tost ,&nbsp;Raquel Aguayo ,&nbsp;Itziar Montalvo ,&nbsp;Maria José Miñano ,&nbsp;Estefania Gago ,&nbsp;Montserrat Pàmias ,&nbsp;José Antonio Monreal ,&nbsp;Diego Palao ,&nbsp;Javier Labad","doi":"10.1016/j.rpsm.2020.07.005","DOIUrl":"10.1016/j.rpsm.2020.07.005","url":null,"abstract":"<div><h3>Objective</h3><p>We investigated the presence of cognitive biases in people with a recent-onset psychosis (ROP), schizophrenia and healthy adolescents and explored potential associations between these biases and psychopathology.</p></div><div><h3>Methods</h3><p>Three groups were studied: schizophrenia (<em>N</em> <!-->=<!--> <!-->63), ROP (<em>N</em> <!-->=<!--> <!-->43) and healthy adolescents (<em>N</em> <!-->=<!--> <!-->45). Cognitive biases were assessed with the Cognitive Biases Questionnaire for Psychosis (CBQ). Positive, negative and depressive symptoms were assessed with the PANSS and Calgary Depression Scale (ROP; schizophrenia) and with the CAPE-42 (healthy adolescents). Cannabis use was registered. The association between CBQ and psychopathology scales was tested with multiple linear regression analyses.</p></div><div><h3>Results</h3><p>People with schizophrenia reported more cognitive biases (46.1<!--> <!-->±<!--> <!-->9.0) than ROP (40<!--> <!-->±<!--> <!-->5.9), without statistically significant differences when compared to healthy adolescents (43.7<!--> <!-->±<!--> <!-->7.3). Cognitive biases were significantly associated with positive symptoms in both healthy adolescents (Standardized <em>β</em> <!-->=<!--> <!-->0.365, <em>p</em> <!-->=<!--> <!-->0.018) and people with psychotic disorders (<em>β</em> <!-->=<!--> <!-->0.258, <em>p</em> <!-->=<!--> <!-->0.011). Cognitive biases were significantly associated with depressive symptoms in healthy adolescents (<em>β</em> <!-->=<!--> <!-->0.359, <em>p</em> <!-->=<!--> <!-->0.019) but in patients with psychotic disorders a significant interaction between schizophrenia diagnosis and CBQ was found (<em>β</em> <!-->=<!--> <!-->1.804, <em>p</em> <!-->=<!--> <!-->0.011), which suggests that the pattern differs between ROP and schizophrenia groups (positive association only found in the schizophrenia group). Concerning CBQ domains, jumping to conclusions was associated with positive and depressive symptoms in people with schizophrenia and with cannabis use in ROP individuals. Dichotomous thinking was associated with positive and depressive symptoms in all groups.</p></div><div><h3>Conclusions</h3><p>Cognitive biases contribute to the expression of positive and depressive symptoms in both people with psychotic disorders and healthy individuals.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Pages 4-15"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989120300999/pdfft?md5=26496f53699a8245eed21aac6bfd0144&pid=1-s2.0-S1888989120300999-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38494657","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":"Comentario sobre «Psiconeuroinmunología de los trastornos mentales»","authors":"Arthur Saniotis","doi":"10.1016/j.rpsm.2019.11.003","DOIUrl":"10.1016/j.rpsm.2019.11.003","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"14 1","pages":"Page 71"},"PeriodicalIF":9.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989119301041/pdfft?md5=ba65d39c78ffe7c7bd8a5c92dc0f8bf4&pid=1-s2.0-S1888989119301041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37495885","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}