Revista Colombiana de Psiquiatría最新文献

{"title":"Treatment-Resistant Depression in Colombia: Results From a Longitudinal Analysis of the TRAL Study","authors":"Lina María Agudelo Baena, Rodrigo Cordoba-Rojas, Eugenio Ferro, G. Kanevsky, Sergio Perocco","doi":"10.1016/j.rcp.2023.11.006","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.11.006","url":null,"abstract":"","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"225 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139026083","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":"El juego patológico en estudiantes de salud de una institución universitaria, Cauca, Colombia","authors":"Andrés José Dulcey-Cepeda, María Virginia Pinzón- Fernández, Andrés Felipe Rojas-Yoque, Angie Fernanda Romo-Paredes, Yina Pamela Daza-Imbachí, Diana Sofía Montero-Molina","doi":"10.1016/j.rcp.2023.09.006","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.09.006","url":null,"abstract":"Establecer la prevalencia del juego patológico en estudiantes de Ciencias de la Salud de la Universidad del Cauca. Estudio descriptivo cross-sectional, en 243 estudiantes de la Facultad de Salud, seleccionados por muestreo estratificado proporcional bietápico. Se envió una encuesta a través de los correos institucionales la cual constó de variables sociodemográficas, académicas, clínicas, y hábitos de consumo de cigarrillo y sustancias psicoactivas, además del Cuestionario Breve de Juego Patológico. Los datos fueron analizados en el paquete estadístico SPSS.25. La mayoría de los participantes fueron mujeres, sin embargo la mayoría de los que tenían alguna relación con el JP fueron hombres; la prevalencia fue 5,8% de posible adicción al juego; 2,5% y 91,8% registra algunos o ningún problema relacionado con la adicción al juego respectivamente. Las variables consumo de cigarrillo, de PSA y diagnóstico de depresión fueron estadísticamente significativas (p = 0,001, p = 0,01, p = 0,043) en relación a la «posible adicción al juego». Los resultados de prevalencia indican que los estudiantes universitarios se consideran una población de riesgo para el JP. To establish the prevalence of pathological gambling in students to health sciences at the Cauca university. Cross sectional descriptive research in 243 students of the health faculty, selected by two-stage proportional stratified sampling. A survey was sent through institutional emails, which consisted of sociodemographic, academic, clinical aspects and habits of cigarette and psychoactive substance consumption, in addition to the Brief Pathological Gambling Questionnaire. Data were analyzed using the statistical package SPSS.25. Most of the participants were women, however the majority of those who has some relationship with the gambling were men; the prevalence was 5.8% of possible gambling addiction; 2.5% and 91.8% register some or no problems related to gambling addiction respectively. The variables cigarette consumption, psychoactive substance consumption and diagnosis of depression were statistically significant (p = 0.001; p = 0.01; p = 0.043) in relation to possible gambling addiction. The prevalence results indicate that university health students are considered a population at risk for pathological gambling.","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135222288","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":"Frequency of Narcissistic Personality Disorder in Cannabis Consumer Engineering Students","authors":"Roya Vaziri-harami, Saharnaz Vaziri-harami, Ali Yousefzadeh","doi":"10.1016/j.rcp.2023.08.001","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.08.001","url":null,"abstract":"Cannabis is the most widely used illicit drug, particularly by those in their adolescence to mid-adulthood. Its effects include altered time perception, decreased concentration, and learning impairment, as well as feelings of relaxation and euphoria. This study seeks to explore the possible correlation between cannabis use and the manifestation of narcissistic personality disorder. By identifying such a relationship, early detection, and treatment of patients with this disorder may prevent future substance abuse. In this descriptive-cross-sectional study, a sample of 100 engineering students who were cannabis consumers at (Shahid Beheshti University in Tehran) was selected using snowball sampling. After confirming cannabis use and selecting individuals based on DSM-5 criteria, their status was described, and the NPI-16 questionnaire was administered to investigate narcissistic personality disorder. The frequency of narcissistic personality disorder and its association with demographic parameters were then statistically analyzed. Based on the results obtained in the present study, the prevalence of individuals with narcissistic personality disorder was estimated to be 15%, which is higher than the general population with a prevalence of around 2%. The frequency of cannabis use was higher in men, high school graduates, and in the age range of 24–25. Additionally, in individuals with narcissistic personality disorder, the frequency of men, high school graduates, age 24, and those residing in (XXX) was higher. This study suggests that cannabis consumption may be linked to a higher incidence of narcissistic personality disorder compared to the general population. Given the potential impact on young people's mental health, particularly students, it is crucial to identify individuals who may be affected and offer appropriate therapeutic and counseling services. As there are existing treatments available for substance abuse and narcissistic personality disorder, taking proactive measures to address these issues can be crucial in mitigating their effects. el cannabis es la fármaco ilícita más consumida, sobre todo entre la adolescencia y la edad adulta media. Sus efectos incluyen percepción alterada del tiempo, disminución de la concentración y deterioro del aprendizaje, así como sentimientos de relajación y euforia. Este estudio busca explorar la posible correlación entre el consumo de cannabis y la manifestación del trastorno narcisista de la personalidad. Al identificar dicha relación, la detección temprana y el tratamiento de pacientes con este trastorno pueden prevenir el abuso de sustancias en el futuro. En este estudio descriptivo transversal, se seleccionó una muestra de 100 estudiantes de ingeniería consumidores de cannabis en la (XXX) un muestreo de bola de nieve. Después de confirmar el consumo de cannabis y seleccionar a los individuos según los criterios del DSM-5, se describió su estado y se administró el cuestionario NPI-16 para investigar ","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"18 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":"135605806","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":"Evaluation of the Suicide Attempt Surveillance System in Santiago de Cali, Colombia, 2016–2019","authors":"Gisel Viviana Osorio-Cuéllar, Lyda Osorio","doi":"10.1016/j.rcp.2023.09.005","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.09.005","url":null,"abstract":"Suicidal behaviors are one of the top ten causes of death worldwide. It is recommended to prioritize the surveillance of suicide attempts, as this is a useful risk factor in the short-term prediction of suicide. In Colombia, its surveillance was implemented in 2016. The study evaluated the performance of the suicide attempt surveillance system in Cali, Colombia, in the period 2016–2019. The attributes of timeliness, data quality and representativeness were evaluated according to the CDC Guidelines for Violence and Injury Surveillance, in addition to describing patterns of occurrence through time series. The median timeliness of notification was 0 days (RIQ = 3). The variables exposure to violence (73.5%), depressive disorder (49.6%) and personality disorder (44.1%) had the highest percentages of missing data. The system identifies priority populations similar to other sources of information, such as young people between 15 and 24 years of age (28.1%), women (64.8%), students (35.5%) and the single population (69.6%); triggering factors such as relationship problems (35.6%), economic problems (13.7%) and serious illness (7%); and mechanisms used such as intoxication (61.6%), short stabbing weapon (27.6%) and hanging (5.3%). The system predicts 22 cases (95% CI = 21.6–22.3) per week of attempted suicide in the short term. The system meets the attributes of quality, timeliness and representativeness. It also allows the identification of an expected threshold of cases that needs to be validated to detect outbreak situations. This study contributes to the knowledge and prevention of the suicidal phenomenon. Las conductas suicidas son una de las 10 primeras causas de muerte en el mundo. Se recomienda priorizar la vigilancia del intento de suicidio, al ser este un factor de riesgo útil en la predicción a corto plazo del suicidio. En Colombia se implementó su vigilancia en el año 2016. El estudio evaluó el desempeño del sistema de vigilancia del intento de suicidio en Cali, Colombia, en el periodo 2016-2019. Se evaluaron los atributos de oportunidad, calidad del dato y representatividad de acuerdo con la Guía para la vigilancia de violencias y lesiones de los Centros de Estados Unidos para el Control y la Prevención de Enfermedades (CDC), además de describir patrones de ocurrencia a través de series de tiempo. La mediana de oportunidad de notificación fue de 0 días (RIQ = 3); 54,5% de las variables se diligenciaron completamente; las variables de exposición a violencias (73,5%), trastorno depresivo (49,6%) y trastorno de la personalidad (44,1%) presentaron mayores porcentajes de datos faltantes. El sistema identifica poblaciones a priorizar similares a otras fuentes de información como jóvenes entre 15-24 años (28,1%), mujeres (64,8%), estudiantes (35,5%) y población soltera (69,6%); factores desencadenantes como problemas de pareja (35,6%), problemas económicos (13,7%) y enfermedad grave (7%); y mecanismos utilizados como intoxicaciones (61,6%), arma pu","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"42 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":"135708141","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":"Retos y dificultades para los tomadores de decisiones del área de la salud durante la pandemia en Bogotá: perspectiva desde un abordaje fenomenológico interpretativo","authors":"Laura Sofía Amador-Perilla, Laura Daniela Forero-Cortés, Aneth Alvarado-Sarmiento, Luis Gonzalo Burgos-Ortiz, Mario Ávila-Daguer, Yazmín Cadena-Camargo","doi":"10.1016/j.rcp.2023.09.002","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.09.002","url":null,"abstract":"La emergencia sanitaria por COVID-19 planteó un contexto de evidencia científica limitada, escasez de recursos y cambio en las rutinas de trabajo, por lo cual el personal de salud tuvo que adaptarse a una transformación del ejercicio médico. Este estudio tuvo como objetivo conocer a profundidad las experiencias vividas por los profesionales de la salud y tomadores de decisiones de un hospital en Bogotá frente al manejo de las situaciones planteadas por la emergencia sanitaria del COVID-19. Se realizó un estudio cualitativo de tipo fenomenológico interpretativo. La población blanco fueron los médicos tomadores de decisiones. La herramienta utilizada fue la entrevista abierta a profundidad. Se realizó un análisis temático según el autor Steiner Kvale, inductivo, donde se hizo una aproximación a las entrevistas encontrando los temas preponderantes de una forma repetida considerándose como categorías para el análisis. Finalmente, la información fue agrupada para realizar análisis de la misma relacionándola con la evidencia encontrada en la literatura. Se identificaron 3 categorías emergentes: la primera corresponde a los cambios organizacionales durante la pandemia; la segunda a la cultura organizacional, y la tercera a la salud mental percibida por los participantes. Se encontró que parte del estrés provenía de tomar decisiones difíciles frente a un contexto de incertidumbre y escasez de recursos. Adicionalmente, se encontraron factores de riesgo para un efecto negativo en la salud mental reflejado en síntomas de ansiedad y depresión. También se observó que muchas de estas afectaciones fueron asesoradas con estrategias institucionales. A pesar de la limitación del contexto nacional, se generaron herramientas y planes desarrollados colectivamente que permitieron a los médicos liberarse de la carga de las situaciones que planteó la emergencia sanitaria, especialmente a la hora de tomar decisiones, disminuyendo así los factores de riesgo que podían atentar contra su salud mental. The health emergency caused by COVID-19 presented a context of limited scientific evidence, scarcity of resources, and changes in work routines, for which health workers had to adapt to a transformation of medical practice. This study seeks to know in depth the experiences lived by the health professionals and decision makers of the hospital facing the management of the situations posed by the health emergency of COVID-19. We conducted qualitative research with a phenomenological interpretative approach. The target population were the decision-making physicians. The tool used was the in-depth open interview. A thematic analysis was carried out according to the author Steiner Kvale, inductive, where an approximation to the interviews was made, finding the preponderant themes in a repeated way, considering them as categories for the analysis. Finally, the information was grouped to carry out its analysis, relating it to the evidence found in the literature. Three emerging catego","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"156 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":"135656391","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":"Risk Factors Associated With Maternity Blues and Postpartum Depression in Ecuadorian Women Going Through Their Immediate Puerperium During 2021: A Cross-sectional Study","authors":"Mateo Alejandro Andrade Miño, Genesis Nicole Vásquez Flores","doi":"10.1016/j.rcp.2023.09.003","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.09.003","url":null,"abstract":"Perinatal factors such as lack of breastfeeding, complications during pregnancy or childbirth, and psychosocial factors such as maternal psychiatric history or socioeconomic status have been associated with the development of postpartum mood disorders. The combination of these factors during the peripartum can predict the development of maternity blues (MB) and postpartum depression (PD). To characterize risk factors associated with MB and PD in Ecuadorian women going through their immediate puerperium in the gynecology and obstetrics service of “Hospital General San Francisco” in Quito-Ecuador. A cross-sectional study was conducted, with a sample of 250 women attending their immediate puerperium. Data was collected using a self-applied questionnaire during the first 24 postpartum hours. Stein blues scale (SBS) was applied for MB screening and the Edinburgh Postpartum Depression Scale (EPDS) for PD screening. Informed consent and data confidentiality were explained to all participants. Using the SBS, a probability of MB of 32.4% (n = 81) was observed, while applying the EPDS, a PD probability of 17.6% (n = 44) was established. MB and PD protective factors were rooming-in (OR .21, p < .001) (OR .21, p < .001), pregnancy planning (OR .13, p < .001) (OR .25, p < .001) and breastfeeding (OR .20, <.001) (OR .23, p < .001). Meanwhile MB and PD risk factors found were: breastfeeding difficulties (OR 5.88, p < .001) (OR 5.14, p < .001), complications during pregnancy (OR 8.39, p < .001) (OR 7.02, p < .001), complications during delivery (OR 5.29, p < .001) (OR 5.58, p < .001) and economic instability (OR 2.10, p .023) (OR 2.61, p .009). The risk and protective factors associated with MB and PD in the Ecuadorian population are similar to those described internationally. The recognition of risk factors by health personnel can improve early identification and timely management of puerperal mood disorders. Factores perinatales como la ausencia de lactancia materna, complicaciones durante el embarazo o parto y factores psicosociales como antecedentes psiquiátricos de la madre o nivel socioeconómico se han asociado con el desarrollo de trastornos del estado de ánimo puerperales. La combinación de estos puede predecir el desarrollo de maternity blues (MB) y depresión posparto (PD). Caracterizar factores de riesgo asociados a MB y PD en mujeres ecuatorianas cursando su puerperio inmediato en el Servicio de Ginecología y Obstetricia del Hospital General San Francisco en Quito-Ecuador. Se realizó un estudio transversal con 250 mujeres cursando su puerperio inmediato. Los datos se recogieron mediante un cuestionario que fue aplicado durante las primeras 24 horas posparto, se aplicó la escala de blues de Stein (SBS) para determinar MB y la escala de depresión posparto de Edimburgo (EPDS) para determinar PD. Todas las participantes aceptaron el consentimiento informado. Utilizando la SBS se observó una probabilidad de MB de 32,4% (n = 81), mientras que aplicando la E","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"37 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":"135761957","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":"Temporal Changes in Suicide Mortality Rates Before and During the COVID-19 Pandemic in Colombia. A Joint Point Regression Model","authors":"Julio Ricardo Zuluaga Peña, Juan P. Zuluaga Peña, Ángela P. Vega Landaeta, Eugenio Ferro, Alejandro Lopera Marín, Diana R. Chávez Bejarano, Julián Enrique Barrera López","doi":"10.1016/j.rcp.2023.09.001","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.09.001","url":null,"abstract":"The coronavirus disease (COVID-19) pandemic was declared in March 2020. This disease affects the respiratory system, and shown high rates of morbidity and mortality during 2020 and 2021. Neurological compromise and increased rates of depression, anxiety, insomnia, and substance abuse have also been described. Public health policies to prevent COVID-19 infection, decrease in control and monitoring of mental illness, and social and economic impact may have contributed to the increase in suicidal ideation and suicides. It is not yet clear if there have been changes in suicide mortality rates in Colombia before and during the pandemic. To describe and analyze the changes in the temporal trends of suicide mortality rates in Colombia between 2008 and 2020. Based on national records, suicide mortality rates observed in Colombia during the COVID-19 pandemic were calculated and compared with those reported in previous years (2008–2019). Mortality rates were analyzed by age, sex, educational level, type of affiliation to health system, region, and etiology of death by suicide. Using the joint point regression software 3.4.4, changes in time trends in suicide mortality rates were estimated for each mentioned variable. Annual percentage changes (APC) were estimated, and their statistical significance was calculated. The crude suicide mortality rate in Colombia in 2020 (5.4 per 100 000 inhabitants) decreased compared to those reported in the previous 3 years. Estimates of changes in time trends in suicide mortality rates between 2008 and 2020 showed a decrease in men of −5.28 (APC) (p < 0.05) between 2018 and 2020, and an increase in women of 3.75 (APC) (p < 0.05) between 2011 and 2020. Regarding age (by five-year periods), an increase of 3.87 (APC) (p < 0.05) was determined in people between 15 and 19 years old between 2012 and 2020. According to health system affiliation regimen, decreases were estimated between 2016 and 2020 (−58.45 CPA; p < 0.05) for people affiliated to especial and exceptional health regimes; and between 2015 and 2020 (−53.49 CPA; p < 0.05) for the uninsured. The crude suicide mortality rate during the COVID-19 pandemic in Colombia decreased compared to what was reported in the previous years. Although significant changes were found in the temporal trends of suicide mortality rates in different periods for all variables, no significant increases were identified between 2019 and 2020. La pandemia por coronavirus (COVID-19) se declaró en marzo de 2020. Esta enfermedad afecta el sistema respiratorio, y mostró altas tasas de morbimortalidad durante los años 2020 y 2021. También se ha descrito compromiso neurológico e incremento en las tasas de depresión, ansiedad, insomnio y abuso de sustancias. Las políticas de salud pública para prevenir la infección por COVID-19, la disminución del control y del seguimiento de patologías mentales, así como el impacto social y económico, pueden haber contribuido al incremento en ideación suicida y suicidi","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"10 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":"135606427","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":"Validación del cuestionario de anosognosia en demencia en personas con trastorno neurocognitivo mayor de Colombia","authors":"Claudia Ramos, Juliana Pulido, Jesús David Bedoya, Claudia Madrigal, Margarita Giraldo, Diana Alzate, Daniel Camilo Aguirre-Acevedo, Francisco Lopera, Jenny García","doi":"10.1016/j.rcp.2023.09.004","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.09.004","url":null,"abstract":"Establecer la validez y confiabilidad del cuestionario de anosognosia en demencia (AQ-D) en personas con diagnóstico de trastorno neurocognitivo mayor (TNM) en la población colombiana. La escala AQ-D se adaptó y validó para pacientes con TNM en Colombia mediante entrevistas cognitivas y revisión de expertos. Se incluyeron 189 pares de participantes a quienes se les aplicó el AQ-D para el cuidador y el de paciente, respectivamente. Se evaluó validez estructural, consistencia interna, validez de constructo discriminativo y de criterio concurrente, validez convergente y confiabilidad test-retest. Después de explorar 3 modelos en el análisis factorial confirmatorio, se adoptó un modelo de 4 dimensiones para evaluar la validez de la escala AQ-D. La escala tuvo una buena consistencia interna (alfa de Cronbach y omega de McDonald superiores a 0,7 para cada una de las dimensiones y para la escala total) y una reproducibilidad test-retest aceptable (ICC: 0,73; IC95%: 0,55-0,84). Se encontró una sensibilidad del 80,0%, una especificidad del 57,6%, con un punto de corte de 10, buena validez discriminativa (p < 0,05 para todos los casos). Además, se encontraron correlaciones positivas entre AQ-D y las escalas Zarit y NPI, y correlaciones negativas con Mini mental y Yesavage. El AQ-D es válido y confiable para el tamizaje de la anosognosia en pacientes colombianos con TNM. To establish the validity and reliability of the Anosognosia Questionnaire in Dementia (AQ-D) in individuals diagnosed with major neurocognitive disorder (MND) in the Colombian population. The AQ-D scale was adapted and validated for MND patients in Colombia through cognitive interviews and expert review. A total of 189 pairs of participants, consisting of caregivers and patients, were included in the study and administered the AQ-D questionnaire. Structural validity, internal consistency, discriminative and concurrent criterion validity, convergent validity, and test–retest feasibility were assessed. After exploring three models in confirmatory factorial analysis, a four-dimension model was adopted to evaluate the validity of the AQ-D scale. The scale demonstrated good internal consistency (Cronbach's alpha and McDonald's omega above 0.7 for each dimension and the total scale), and acceptable test-retest reliability (ICC 0.73; 95% CI: 0.55-0.84). A sensibility was 80.0% and specificity 57.6% were found using a cutoff point of 10, indicating good discriminative validity (P<.05 for all cases). Additionally, positive correlations were found between the AQ-D and the Zarit and NPI scales, while negative correlations were observed with the Mini-mental and Yesavage scales. The AQ-D is valid and reliable for screening anosognosia in Colombian patients with MND.","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"24 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":"135762453","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":"Self-Perception of Risky Consumption and Emotional Factors Associated With Electronic Nicotine and Non-Nicotine Delivery Systems During the SARS-CoV-2 Pandemic","authors":"Salomón Salazar-Londoño, Felipe Botero-Rodríguez, Juanita Moreno-Contreras, Valentina Vanegas-Zamora, Carlos Gómez-Restrepo, Gabriel Fernando Oviedo-Lugo","doi":"10.1016/j.rcp.2023.08.006","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.08.006","url":null,"abstract":"Because the SARS-CoV-2 pandemic fostered an environment marked by limitations for social encounters and emotional fluctuations, it is essential to determine the variations in the consumption of Electronic Nicotine Delivery Systems (ENDS) and Electronic Non-nicotine Delivery Systems (ENNDS) during this period in young Colombians between 18 and 25 years of age, evaluating the emotional factors that affect the consumption mentioned above and the risky consumption. After collecting data through a virtual survey, in this cross-sectional study a mainly descriptive analysis of variables related to the consumption of ENDS and ENNDS was carried out in parallel with three different mental health outcomes: depression, anxiety, and loneliness. Most participants reported a decrease or cessation of their consumption during the restrictive measures, which is consistent with the fact that more than half said that consumption was limited to social gatherings. Additionally, anxiety and loneliness symptoms are more present in those participants with risky consumption than those who do not. Although the consumption of ENDS and ENNDS has a social predominance, there may be factors that modulate it. For this reason, it is essential to deepen research on this topic to propose public health strategies that allow this consumption to be mitigated. Debido a las limitaciones sociales propiciados por la pandemia por SARS-CoV-2 y las fluctuaciones emocionales asociadas, es esencial determinar las variaciones en el consumo de sistemas electrónicos de administración de nicotina (SEAN) y sistemas electrónicos sin suministro de nicotina (SSSN) durante este periodo en jóvenes colombianos entre 18 y 25 años, evaluando los factores emocionales que afectaron el patrón de consumo y aquel riesgoso. Después de recopilar datos por medio de una encuesta virtual, en este estudio transversal se realizó un análisis principalmente descriptivo de variables relacionadas con el consumo de SEAN y SSSN en paralelo con tres desenlaces de salud mental distintos: depresión, ansiedad y soledad. La mayoría de los participantes reportó una disminución o cesación de su consumo durante las medidas restrictivas, lo cual es acorde con el hecho de que más de la mitad haya reportado al momento de realizar la encuesta un consumo limitado a las reuniones sociales. Adicionalmente, la sintomatología ansiosa y de soledad está más presente en aquellos participantes con un consumo riesgoso en comparación con aquellos que no lo tienen. Aunque el consumo de SEAN y SSSN tenga un predominio social, puede haber factores que lo modulen. Por ello, es importante ahondar la investigación en este tema para poder plantear estrategias de salud pública que permitan atenuar este consumo.","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248308","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":"Factores relacionados con la severidad de la intención suicida en pacientes de urgencias y corta estancia psiquiátricas","authors":"Edgar Efraín Pazmiño Erazo, Karla Patricia Armas Lanas","doi":"10.1016/j.rcp.2023.08.003","DOIUrl":"https://doi.org/10.1016/j.rcp.2023.08.003","url":null,"abstract":"El suicidio es uno de los temas más relevantes mundialmente en psiquiatría por su gran influencia social, económica, familiar y sobre todo en salud. Existen múltiples factores asociados a la severidad de la intención suicida; uno de ellos es la impulsividad, la cual es de gran importancia en la génesis del comportamiento suicida, siendo esta más relevante en los individuos que sufren trastornos mentales no depresivos que en los trastornos depresivos; es por esto que el presente estudio tiene como objetivo establecer la relación entre los factores sociodemográficos y psiquiátricos con la severidad de la intención suicida en pacientes de urgencias y corta estancia psiquiátricas. Se realizó un estudio observacional transversal con componente analítico en el cual se recolectó información a través de una encuesta, que constó de 6 preguntas con respuesta de opción múltiple, 2 preguntas abiertas y 3 test psicométricos: Escala de valoración de severidad de riesgo suicida de Columbia (C-SSRS), Escala de impulsividad de Barrat (BIS-11) y Escala de depresión de Montgomery-Asberg (MADRS) a los sujetos que cumpliera con los criterios de inclusión. Posteriormente, los datos fueron procesados en el software SPSS versión V22. Se tuvo en cuenta a 166 participantes pertenecientes a 4 instituciones de salud mental, de los cuales 140 fueron adultos (84,3%) —93 mujeres (56,1%)—, 51 tenían pareja estable (30,7%), 54 con trabajo estable (32,5%), 137 creyentes (67,5%), 52 con antecedente de abuso sexual (31,3%), 58 con consumo de sustancias en patrón patológico (34,9%) y 43 con conducta suicida (25,9%). En cuanto a los resultados de los test psicométricos fueron: el puntaje de impulsividad (BIS 11) estuvo entre 33 y 120 (promedio: 78,52, DE: 11,6), la severidad de la intención suicida (C-SSRS) se encontró en rango entre 0 y 45 (promedio: 17,9, DE: 14,7) y los síntomas depresivos (MADRS) entre 0 y 51 (promedio: 13,6, DE: 12,2). Se demostró una relación estadísticamente significativa de la severidad de la intención suicida con ser adolescente, no ser creyente, tener antecedente de abuso sexual y padecer depresión, factores que fueron respaldados al realizar el análisis multivariado, donde se evidenció una relación positiva entre dichos factores y la intención de la severidad suicida. Sin embargo, al analizar la variable que atañe a la religión no se encontró significación estadística en el análisis multivariado, aunque sí se evidenció una relación positiva. No se demostró una relación con el sexo, la condición laboral, tener o no una relación estable, tener historias de consumo de sustancias en patrón patológico, ni con la impulsividad. Los factores que se relacionaron con la severidad de la intención suicida fueron, dentro de las variables sociodemográficas, ser adolescente y no ser creyente, mientras que en los factores psiquiátricos se encontró tener antecedente de abuso sexual y padecer depresión. No se demostró relación con los otros factores estudiados. Suicide is o","PeriodicalId":300802,"journal":{"name":"Revista Colombiana de Psiquiatría","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135255482","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}