Revista de psiquiatria y salud mental最新文献

{"title":"Comparación de la discapacidad entre trastornos mentales graves y comunes usando la escala WHODAS 2.0","authors":"Elena Hernando-Merino ,&nbsp;Enrique Baca-Garcia ,&nbsp;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> <!-->&lt;<!--> <!-->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":null,"pages":null},"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":"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 ,&nbsp;René Morgan ,&nbsp;Albert Nogué ,&nbsp;Ingrid Thelen ,&nbsp;Jordi Font ,&nbsp;Begoña Gonzalvo ,&nbsp;Pilar Oliveras ,&nbsp;Eva Bacardí ,&nbsp;Maria Dolors Malla ,&nbsp;Alex Gimeno ,&nbsp;Anna Pla ,&nbsp;Domènech Serrano ,&nbsp;Eduard Palomer ,&nbsp;Glòria Trafach ,&nbsp;Jose Luís Ignacio Sagredo ,&nbsp;Margarita De Castro ,&nbsp;Montse Gibernau ,&nbsp;Roser Serrallonga ,&nbsp;Maite Roger ,&nbsp;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":null,"pages":null},"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}

{"title":"Pedro Enrique Muñoz Rodríguez: un psiquiatra social en tiempos de confusión","authors":"Luis Salvador-Carulla ,&nbsp;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":null,"pages":null},"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}

{"title":"Estimation of the epidemiology of dementia and associated neuropsychiatric symptoms by applying machine learning to real-world data","authors":"Javier Mar ,&nbsp;Ania Gorostiza ,&nbsp;Arantzazu Arrospide ,&nbsp;Igor Larrañaga ,&nbsp;Ane Alberdi ,&nbsp;Carlos Cernuda ,&nbsp;Álvaro Iruin ,&nbsp;Mikel Tainta ,&nbsp;Lorea Mar-Barrutia ,&nbsp;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":null,"pages":null},"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}

{"title":"De la modificación de la capacidad a la provisión de apoyos en personas con discapacidad","authors":"Esperanza L. Gómez-Durán ,&nbsp;Rosa María Méndez-Tomás ,&nbsp;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":null,"pages":null},"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}

{"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 ,&nbsp;Raúl Lopez-Anton ,&nbsp;Concepción Tomás ,&nbsp;Elena Lobo ,&nbsp;Guillermo Marcos ,&nbsp;Antonio Lobo ,&nbsp;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":null,"pages":null},"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}

{"title":"Is intensive home-treatment a real alternative to classical hospitalization for managing acute psychiatric processes? Insights from clinical practice","authors":"Ana Martín-Blanco ,&nbsp;Laura Calvo-Saiz ,&nbsp;Jacopo Baccarin ,&nbsp;Alba González-Fernández ,&nbsp;Alejandro Keymer-Gausset ,&nbsp;Sara Vieira-Costa ,&nbsp;Núria Ribas-Fitó ,&nbsp;Carles Garcia-Ribera","doi":"10.1016/j.rpsm.2021.11.001","DOIUrl":"10.1016/j.rpsm.2021.11.001","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73936646","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":"Validación de la versión española de la Escala de funcionamiento breve (FAST) en pacientes diagnosticados de esquizofrenia","authors":"Eva Maria Lujan-Lujan ,&nbsp;Maria Angeles Garcia-Leon ,&nbsp;Elena Rodriguez-Cano ,&nbsp;Sergi Huertas-Martinez ,&nbsp;Juan Roldan-Merino ,&nbsp;Montserrat Puig-Llobet ,&nbsp;Maria Dolores Miguel-Ruiz ,&nbsp;Raymond Salvador ,&nbsp;Eduard Vieta ,&nbsp;Edith Pomarol-Clotet","doi":"10.1016/j.rpsm.2022.01.006","DOIUrl":"10.1016/j.rpsm.2022.01.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Functional impairment in schizophrenia is one of the main features of the disorder and implies a great impact on the patient's quality of life. The brief functioning assessment scale (FAST), originally validated in bipolar disorder, has also been validated for its application in other mental disorders. However, we only found one study on the reliability and validity of the Brazilian version in schizophrenia. The purpose of this study was to analyze the psychometric properties of the Spanish version of the FAST in patients diagnosed with schizophrenia.</p></div><div><h3>Material and methods</h3><p>A total of 226 patients with a diagnosis of schizophrenia were evaluated by mean the FAST, the GAF and the self-care requirements scale (ERA). Scale properties were analyzed in terms of internal consistency, inter-observer agreement and test–retest reliability. Convergent validity with the GAF and ERA scales was also analyzed, as well as construct validity by means of a Confirmatory Factor Analysis (CFA).</p></div><div><h3>Results</h3><p>For the total scale, the results showed high internal consistency (Cronbach's Alpha of .87), as well as good inter-observer (ICC<!--> <!-->=<!--> <!-->.86) and test–retest (ICC<!--> <!-->=<!--> <!-->.77) agreement. Concurrent validity with the GAF scale was discrete (<em>r</em> <!-->=<!--> <!-->−.32; <em>P</em> <!-->&lt;<!--> <!-->.001) and with the ERA scale was moderate (<em>r</em> <!-->=<!--> <!-->.50; <em>P</em> <!-->&lt;<!--> <!-->.001). CFA showed an internal structure that matched the six factors proposed by the original scale, with a good level of item saturation for each factor.</p></div><div><h3>Conclusions</h3><p>The FAST scale showed good psychometric properties in terms of reliability and validity in its Spanish version for its application in patients with schizophrenia. It can be considered as a good tool to assess different areas of functional impairment in clinical practice and research.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83135219","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":"Escala de dolor psicológico: adaptación de la Psychache Scale al español en jóvenes adultos","authors":"Jorge L. Ordóñez-Carrasco,&nbsp;Isabel Cuadrado Guirado,&nbsp;Antonio Rojas Tejada","doi":"10.1016/j.rpsm.2019.04.003","DOIUrl":"10.1016/j.rpsm.2019.04.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Psychological pain is understood as an intolerable and disturbing mental state characterized by an internal experience of negative emotions. This study was aimed at making a Spanish adaptation of the Psychache Scale by Holden and colleagues in a sample of young adults.</p></div><div><h3>Material and methods</h3><p>The scale evaluates psychological pain as a subjective experience. It is composed of 13 items with a Likert-type response format. Following the guidelines of the International Tests Commission for the adaptation of the test, we obtained a version conceptually and linguistically equivalent to the original scale. Through an online questionnaire, participants completed the psychological pain scale along with other scales to measure depression (BDI-II), hopelessness (Beck's scale of hopelessness) and suicide risk (Plutchik suicide risk scale). The participants were 234 people (94 men, 137 women and three people who identified as a different sex) from 18 to 35 years old.</p></div><div><h3>Results</h3><p>The EFA showed a one-factor solution, and the FCA revealed adequate indexes of adjustment to the unifactorial model. It also showed good reliability of the test scores. The evidence of validity of the scale in relation to the other variables showed high, positive and statistically significant correlations with depression, hopelessness, suicidal ideation and suicidal risk.</p></div><div><h3>Conclusion</h3><p>In summary, this Spanish adaptation of the Psychache Scale could contribute to improving the evaluation of both the patient with suicide risk and the effectiveness of psychological therapy, as well as suicidal behaviour prevention and intervention.</p></div>","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2019.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37307575","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":"ECT: A decision to decrease risks during COVID-19 pandemic","authors":"Miguel Martinez-Roig,&nbsp;Jose Alfonso Arilla-Aguilella,&nbsp;Maria Carmen Bono-Ariño,&nbsp;Raquel Rolando-Urbizu,&nbsp;Argia Arriola-Segura","doi":"10.1016/j.rpsm.2021.04.004","DOIUrl":"10.1016/j.rpsm.2021.04.004","url":null,"abstract":"","PeriodicalId":21391,"journal":{"name":"Revista de psiquiatria y salud mental","volume":null,"pages":null},"PeriodicalIF":9.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rpsm.2021.04.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9236216","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}