{"title":"Here we go again! Subtyping diagnosis and refining treatments","authors":"Javier Vázquez-Bourgon","doi":"10.1016/j.rpsm.2022.11.001","DOIUrl":"https://doi.org/10.1016/j.rpsm.2022.11.001","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 4","pages":"Pages 221-222"},"PeriodicalIF":9.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989122001264/pdfft?md5=46e3d63d3d10f8e03a7894d2b1a182ce&pid=1-s2.0-S1888989122001264-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136704452","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":"A clozapine's uncharted voyage: Five years and a pandemic after the end of mandatory haematological notifications to the Spanish medicines agency","authors":"Pilar Andres-Olivera , Concha Turrion , Emilio Fernandez-Egea , Jesus Perez","doi":"10.1016/j.rpsm.2022.04.001","DOIUrl":"10.1016/j.rpsm.2022.04.001","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 4","pages":"Pages 293-294"},"PeriodicalIF":9.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88178205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jesús de la Higuera-Romero , Andrea Candelas-Muñoz , Andrea Jiménez-González , Cristina Castañeda-Jiménez , Paula Fuica-Pereg , María Zurita-Carrasco , Eloísa Martínez-Fernandez-Repeto , Cristina Senín-Calderón
{"title":"Validación y adaptación española de la Escala de Actitudes Estigmatizadoras hacia la Salud Mental entre Iguales (Peer Mental Health Stigmatization Scale, PMHSS-24)","authors":"Jesús de la Higuera-Romero , Andrea Candelas-Muñoz , Andrea Jiménez-González , Cristina Castañeda-Jiménez , Paula Fuica-Pereg , María Zurita-Carrasco , Eloísa Martínez-Fernandez-Repeto , Cristina Senín-Calderón","doi":"10.1016/j.rpsm.2020.06.004","DOIUrl":"10.1016/j.rpsm.2020.06.004","url":null,"abstract":"<div><h3>Introduction</h3><p>There is currently a growing interest in interventions aimed at the reduction of stigma towards people with emotional difficulties in adolescents. Unfortunately, the number of scales available in Spanish to assess stigma at these ages is limited. This paper aims to adapt and validate the scale of stigmatizing attitudes towards mental health among peers (Peer Mental Health Stigmatization Scale PMHSS-24).</p></div><div><h3>Material and methods</h3><p>A total of 443 adolescents (46.6% female and 53.7% male) between 13 and 17 years of age participated (<em>M</em><sub>age</sub> <!-->=<!--> <!-->14.64; <em>SD</em> <!-->=<!--> <!-->.83) in the 3rd and 4th grades of Obligatory Secondary Education. The internal consistency of the test was calculated, an exploratory factorial analysis (EFA) was performed with half of the sample and a confirmatory one (CFA) with the other half, and the invariance of measurement of the scale through sex was found.</p></div><div><h3>Results</h3><p>The EFA showed a two-factor structure for the negative scale (53% of the variance explained) and another 2<!--> <!-->for the positive scale (62% of the variance explained). The CFA corroborated the factor structure with appropriate goodness-of-fit indicators (CFI>.95; NNFI>.95, SRMR<.08, RMSEA<.08). Factor loads ranged from .49 to .89, with α factor correlation between <em>r</em>=.53 and .45. Both subscales exhibited optimal alpha values (negative .94 and positive .81). The scale was invariant between the sexes.</p></div><div><h3>Conclusions</h3><p>The data suggest that PMHSS-24 may be a useful scale for the initial screening of the stereotypes exhibited by adolescents toward people with mental illness.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 3","pages":"Pages 176-184"},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38198560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elena Hernando-Merino , Enrique Baca-Garcia , Maria Luisa Barrigón
{"title":"Comparación de la discapacidad entre trastornos mentales graves y comunes usando la escala WHODAS 2.0","authors":"Elena Hernando-Merino , Enrique Baca-Garcia , Maria Luisa Barrigón","doi":"10.1016/j.rpsm.2021.08.004","DOIUrl":"10.1016/j.rpsm.2021.08.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Mental disorders are among the leading causes of disability worldwide. Despite the fact that severe mental disorders (SMD) are associated with high disability, the impact of common mental disorders (CMD) is not negligible. In this work, we compare the disability measured with the WHODAS 2.0 scale of both diagnostic groups at the Mental Health Nurse facility.</p></div><div><h3>Material and methods</h3><p>Sociodemographic data, clinical diagnosis and disability scores were collected, using the WHODAS 2.0 scale, of the patients attended by the Mental Health specialist nurse at the Infanta Elena de Valdemoro Hospital (Madrid) and disability was compared in patients with SMD and CMD, using the Student <em>t</em> test.</p></div><div><h3>Results</h3><p>Our study sample consisted of 133 patients. Patients with CMD showed greater disability compared to patients with SMD. It was observed that the disability associated with CMD is higher, compared to SMD, this difference being significant for the domain of work (<em>p</em> <!--><<!--> <!-->0.001) and participation in society (<em>p</em> <!-->=<!--> <!-->0.041).</p></div><div><h3>Conclusions</h3><p>In this study we showed that the level of disability associated with CMD was higher in certain areas compared to SMD, this difference was of special relevance for the «Work» and «Participation» domains. This may serve to adapt the interventions aimed at these people and improve their quality of life.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 3","pages":"Pages 205-210"},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39446441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pedro Enrique Muñoz Rodríguez: un psiquiatra social en tiempos de confusión","authors":"Luis Salvador-Carulla , Antonio Bulbena Vilarrasa","doi":"10.1016/j.rpsm.2022.05.007","DOIUrl":"10.1016/j.rpsm.2022.05.007","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 3","pages":"Pages 218-219"},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989122000623/pdfft?md5=4a277e0f557846ab27ef86e6521fd785&pid=1-s2.0-S1888989122000623-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77246764","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}
Eva Frigola-Capell , René Morgan , Albert Nogué , Ingrid Thelen , Jordi Font , Begoña Gonzalvo , Pilar Oliveras , Eva Bacardí , Maria Dolors Malla , Alex Gimeno , Anna Pla , Domènech Serrano , Eduard Palomer , Glòria Trafach , Jose Luís Ignacio Sagredo , Margarita De Castro , Montse Gibernau , Roser Serrallonga , Maite Roger , Jordi Cid
{"title":"Towards a classification framework for patient safety incidents and adverse events for a mental health community-based model of service provision","authors":"Eva Frigola-Capell , René Morgan , Albert Nogué , Ingrid Thelen , Jordi Font , Begoña Gonzalvo , Pilar Oliveras , Eva Bacardí , Maria Dolors Malla , Alex Gimeno , Anna Pla , Domènech Serrano , Eduard Palomer , Glòria Trafach , Jose Luís Ignacio Sagredo , Margarita De Castro , Montse Gibernau , Roser Serrallonga , Maite Roger , Jordi Cid","doi":"10.1016/j.rpsm.2021.11.007","DOIUrl":"10.1016/j.rpsm.2021.11.007","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 3","pages":"Pages 211-212"},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86256530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Javier Mar , Ania Gorostiza , Arantzazu Arrospide , Igor Larrañaga , Ane Alberdi , Carlos Cernuda , Álvaro Iruin , Mikel Tainta , Lorea Mar-Barrutia , Oliver Ibarrondo
{"title":"Estimation of the epidemiology of dementia and associated neuropsychiatric symptoms by applying machine learning to real-world data","authors":"Javier Mar , Ania Gorostiza , Arantzazu Arrospide , Igor Larrañaga , Ane Alberdi , Carlos Cernuda , Álvaro Iruin , Mikel Tainta , Lorea Mar-Barrutia , Oliver Ibarrondo","doi":"10.1016/j.rpsm.2021.03.001","DOIUrl":"10.1016/j.rpsm.2021.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Incidence rates of dementia-related neuropsychiatric symptoms (NPS) are not known and this hampers the assessment of their population burden. The objective of this study was to obtain an approximate estimate of the population incidence and prevalence of both dementia and NPS.</p></div><div><h3>Methods</h3><p>Given the dynamic nature of the population with dementia, a retrospective study was conducted within the database of the Basque Health Service (real-world data) at the beginning and end of 2019. Validated random forest models were used to identify separately depressive and psychotic clusters according to their presence in the electronic health records of all patients diagnosed with dementia.</p></div><div><h3>Results</h3><p>Among the 631,949 individuals over 60 years registered, 28,563 were diagnosed with dementia, of whom 15,828 (55.4%) showed psychotic symptoms and 19,461 (68.1%) depressive symptoms. The incidence of dementia in 2019 was 6.8/1000 person-years. Most incident cases of depressive (72.3%) and psychotic (51.9%) NPS occurred in cases of incident dementia. The risk of depressive-type NPS grows with years since dementia diagnosis, living in a nursing home, and female sex, but falls with older age. In the psychotic cluster model, the effects of male sex, and older age are inverted, both increasing the probability of this type of symptoms.</p></div><div><h3>Conclusions</h3><p>The stigmatization factor conditions the social and attitudinal environment, delaying the diagnosis of dementia, preventing patients from receiving adequate care and exacerbating families’ suffering. This study evidences the synergy between big data and real-world data for psychiatric epidemiological research.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 3","pages":"Pages 167-175"},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25522608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Esperanza L. Gómez-Durán , Rosa María Méndez-Tomás , Carles Martin-Fumadó
{"title":"De la modificación de la capacidad a la provisión de apoyos en personas con discapacidad","authors":"Esperanza L. Gómez-Durán , Rosa María Méndez-Tomás , Carles Martin-Fumadó","doi":"10.1016/j.rpsm.2021.12.005","DOIUrl":"10.1016/j.rpsm.2021.12.005","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 3","pages":"Pages 216-217"},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83679899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Cristina Gracia-Rebled , Raúl Lopez-Anton , Concepción Tomás , Elena Lobo , Guillermo Marcos , Antonio Lobo , Javier Santabárbara
{"title":"El efecto de la ocupación laboral en la incidencia de demencia vascular: un estudio de cohortes de 12 años de seguimiento","authors":"Ana Cristina Gracia-Rebled , Raúl Lopez-Anton , Concepción Tomás , Elena Lobo , Guillermo Marcos , Antonio Lobo , Javier Santabárbara","doi":"10.1016/j.rpsm.2020.05.002","DOIUrl":"10.1016/j.rpsm.2020.05.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Vascular dementia (DV) is the second cause of dementia with 15.8-20% of cases. Previous studies of the effect of occupation in DV do not show conclusive results, therefore, the objective was to analyze if the type of occupation can vary the risk of developing DV in those older than 55 years.</p></div><div><h3>Material and methods</h3><p>In the ZARADEMP project, a community sample of 4,803 individuals were followed longitudinally in 4 waves. The occupation was classified following the National Classification of Occupations of 2011 and the International Standard Classification of Occupations of 2008. Different standardized instruments were used: the medical and psychiatric histories (History and Aetiology Schedule) and other risk factors (Mini-Mental Status Examination, Geriatric Mental State-AGECAT). For this study, we calculated incidence rates, incidence rate ratios and hazard ratios in multivariate Cox regression models, stratified by gender. For this study, we included 3,883 participants.</p></div><div><h3>Results</h3><p>In women, the risk of DV was doubled in <em>blue-collar</em> workers, with a moderate effect (Cohen's d<!--> <!-->=<!--> <!-->0.54), and multiplying by 2.7 in <em>homeworks</em> respect to <em>white-collar</em> with a moderate effect (Cohen's d<!--> <!-->=<!--> <!-->0.77), although they did not reach statistical significance. We did not observe the effect of occupation on the risk of DV in men.</p></div><div><h3>Conclusions</h3><p>We have found a moderate but non-significant effect between occupation and DV risk in women. We found no effect of occupation on the risk of VD in males while other clinical factors (age, diabetes or body mass index) presented a clearer effect than the occupation.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":"15 3","pages":"Pages 185-195"},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38123458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}