Psiquiatria Biologica最新文献

{"title":"Factores de riesgo de ansiedad y depresión en adolescentes embarazadas atendidas en un programa de control prenatal en Atlántico, Colombia","authors":"María Arana-Baquero ,&nbsp;Valery Bernal-Ceballos ,&nbsp;Ivanna Castro-Lozano ,&nbsp;Sofía Jiménez- de la Ossa ,&nbsp;Rachel Sefair-Ceballos ,&nbsp;Tania Acosta-Vergara ,&nbsp;Victor Florez-García ,&nbsp;Ana Gutiérrez-Polo","doi":"10.1016/j.psiq.2025.100735","DOIUrl":"10.1016/j.psiq.2025.100735","url":null,"abstract":"<div><h3>Introduction</h3><div>Adolescent pregnancy is a prevalent social issue in our context and entails significant mental health risks, with high rates of anxiety and depression in this vulnerable group. Given the scarcity of studies in Colombia, it is essential to identify factors associated with these disorders.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional observational study with 103 pregnant adolescents between the ages of 15 and 19 enrolled in a prenatal care program in Atlántico, Colombia. Data collection included a structured telephone survey comprising a sociodemographic and clinical questionnaire, the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder Scale (GAD-7).</div></div><div><h3>Results</h3><div>The prevalence of anxiety and depression symptoms was 8.7 and 14.5%, respectively. Factors associated with depression included having an academic title (OR = 3.16; 95% CI: 1.41–7.09) and being in the 17 to 19 age group (OR = 2.50; 95% CI: 1.10–5.66). For anxiety, the identified factors were education level, age, and planned pregnancy, although these were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Symptoms of anxiety and depression show significant variability among pregnant adolescents in Atlántico and are associated with specific sociodemographic factors. Comprehensive preventive interventions are recommended to improve mental health in this population.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100735"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656821","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":"Compilation of animal-assisted therapy studies: A narrative review of clinical evidence","authors":"Vanessa Herrera ,&nbsp;Luis Gutierrez-Rojas ,&nbsp;Miguel Angel Alvarez-Mon","doi":"10.1016/j.psiq.2025.100738","DOIUrl":"10.1016/j.psiq.2025.100738","url":null,"abstract":"<div><div>Animal-assisted interventions are classified into animal-assisted therapy, animal-assisted activities, and animal-assisted programs. These interventions aim to improve emotional, cognitive, social, and physical functioning. Animal-assisted therapy is defined as an intervention in which animals play an active role in improving health and well-being. It involves interactions between individuals and animals, facilitated by a trained therapist or healthcare professional, to achieve specific therapeutic goals. This therapy encompasses emotional, psychological, and physical dimensions and involves not only the individuals participating in the therapy but also the animals and the environment in which interactions take place. Animal-assisted therapy is based on the fundamental principle of facilitating human-animal interactions to promote therapeutic outcomes. This therapy is formed by a team of trained animals, therapeutic interactions, and positive results associated with rehab goals. The use of dogs, as the most common animal in these interventions, is associated with significant benefits, including stress reduction, mood improvement, and the strengthening of social skills, highlighting their transformative impact on participants' quality of life. Additionally, this review underscores that animal-assisted therapy is not only effective in clinical contexts but also has the potential to humanize healthcare and foster deep emotional connections. This makes it a valuable and underutilized strategy that could revolutionize conventional therapeutic approaches. Despite these contributions, the article emphasizes the need to standardize practices and develop more rigorous studies to maximize its effectiveness, ensuring its sustainable and evidence-based implementation.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100738"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662916","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":"La mente en violencia: trastorno delirante en víctimas de violencia de género. A propósito de un caso","authors":"Carlota Duro de la Merced,&nbsp;Ana Blanco Barrón,&nbsp;Ana del Cuvillo Yges,&nbsp;Lourdes Johnson Redondo,&nbsp;Mónica Fernández Rodríguez,&nbsp;Olga Méndez González","doi":"10.1016/j.psiq.2025.100739","DOIUrl":"10.1016/j.psiq.2025.100739","url":null,"abstract":"<div><div>Gender-based violence is not only a social and legal problem, but also a significant public health issue that can have devastating consequences for the physical and mental health of its victims. The following is a case of a patient who develops a delusional disorder after years of continued marital abuse. This is not an isolated case, as previous studies have shown that women who suffer gender violence can experience a variety of mental disorders, including depression, anxiety and psychotic disorders.</div><div>This case illustrates how prolonged exposure to violence can lead to the breakdown of mental health, resulting in the emergence of delusional symptoms. Understanding this relationship is crucial for developing effective interventions and supporting victims of gender-based violence.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100739"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694690","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":"Encefalomielopatía necrotizante subaguda: síndrome de Leigh","authors":"Pedro Moltó-Balado","doi":"10.1016/j.psiq.2025.100734","DOIUrl":"10.1016/j.psiq.2025.100734","url":null,"abstract":"<div><h3>Introduction</h3><div>Leigh syndrome is a very rare neurodegenerative metabolic disease associated with psychomotor retardation or regression and brainstem and/or basal ganglia involvement bilaterally and symmetrically. It usually appears between 3 and 12 months of life with limited sucking, loss of head support and psychomotor deficit. Unfortunately, there is no therapeutic option.</div></div><div><h3>Objective</h3><div>To describe the main characteristics of this entity and review the most current concepts.</div></div><div><h3>Case presentation</h3><div>A 6-month-old infant was seen for a pediatric check-up with axial hypotonia, poor eye contact and swallowing difficulties. Due to gastroenteritis the patient was admitted to hospital with metabolic acidosis with hyperlactacidemia. Further studies were performed on suspicion of mitochondrial disease, confirming the suspicion with electrophysiological tests, neuroimaging and genetic study.</div></div><div><h3>Conclusions</h3><div>Leigh syndrome is a very rare disease, appearing mainly in infancy with generally poor prognosis.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100734"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480720","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":"The hidden footprint of the pandemic: A three-year analysis of the impact of COVID-19 confinements on substance addiction","authors":"Lucía Ibarra-Pertusa ,&nbsp;Vicent Llorca-Bofí ,&nbsp;Eugènia Nicolau-Subires ,&nbsp;Carla Albert-Porcar ,&nbsp;Marina Adrados-Pérez ,&nbsp;Laura Arenas-Pijoan ,&nbsp;Núria Domènech-Martínez ,&nbsp;María Mur-Laín ,&nbsp;Jorge López-Castroman ,&nbsp;María Irigoyen-Otiñano","doi":"10.1016/j.psiq.2025.100732","DOIUrl":"10.1016/j.psiq.2025.100732","url":null,"abstract":"<div><h3>Introduction</h3><div>It has been studied how the COVID-19 pandemic led to higher rates of substance abuse and relapse. However, few longitudinal studies have been conducted to examine the clinical course of incident patients with substance use disorders (SUDs) in the context of the pandemic.</div></div><div><h3>Aim</h3><div>To assess the subsequent evolution of incident cases of SUD diagnosed during the confinements in the psychiatric emergency department.</div></div><div><h3>Methods</h3><div>Retrospective clinical information was obtained on all patients diagnosed with SUD in the psychiatric emergency department during the two confinements in Spain (<em>N</em> = 156). Sociodemographic characteristics and clinical variables related to consumption were extracted from electronic health records in the period 2020–2023. Clinical severity was established with the number of hospital admissions, emergency department visits and suicidal behaviors.</div></div><div><h3>Results</h3><div>Incidence was higher in men without previous psychiatric comorbidity. Patients in methadone maintenance therapy showed greater adherence to follow-up, although the group that achieved the longest abstinence were male cocaine users. In terms of dose, the prescription of antidepressants and antipsychotics increased, especially long-acting formulations. Greater clinical severity was observed in cocaine and polydrug users, as these were the groups with the highest number of suicide attempts. Finally, only half of the patients were followed up to the end of the 18-month observation period.</div></div><div><h3>Conclusion</h3><div>Delay in the first outpatient psychiatric follow-up visit, return to the emergency department and increased prescription of psychotropic medication were associated with greater clinical severity. Cocaine and polydrug use are an additional risk factor for suicidal behavior in this population.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100732"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307924","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":"Asociación entre el autismo y la disforia de género. Actualización","authors":"Elena de la Fuente-Ruiz ,&nbsp;Sergio Ciria Villar ,&nbsp;Marta Pilar Jiménez Cortés","doi":"10.1016/j.psiq.2025.100733","DOIUrl":"10.1016/j.psiq.2025.100733","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Numerous studies have focused on assessing the coexistence of autism and gender dysphoria. These two entities have been associated with an increased risk of concurrent mental health disorders, thereby elevating the risk of suicide. The aim of our work is to update the existing information regarding this relationship.</div></div><div><h3>Materials and methods</h3><div>A search for articles was conducted in the PubMed database, filtering from the date of the last meta-analysis published in May 2022, to provide an update on this information. Ultimately, 11 articles were selected.</div></div><div><h3>Results</h3><div>From the selected articles, all of them concluded that there was a direct relationship between autism and gender dysphoria.</div></div><div><h3>Discussion and conclusion</h3><div>Individuals with autism are more likely than the general population to experience gender dysphoria, and vice versa. Hence, a proper early diagnosis and appropriate treatment are crucial.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100733"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144364589","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":"Corticosteroid-induced neuropsychiatric effects: A rare case of persistent bipolar disorder","authors":"Catarina Pinto Desport ,&nbsp;Liliana Correia de Castro ,&nbsp;Mónica Figueiredo Santos","doi":"10.1016/j.psiq.2025.100731","DOIUrl":"10.1016/j.psiq.2025.100731","url":null,"abstract":"<div><div>Corticosteroids are commonly prescribed for various medical conditions, but their neuropsychiatric side effects are significant and often overlooked. These side effects can occur at any point during treatment and can range from mild to severe, and the prognosis is often excellent. We present the case of a 49-year-old woman who received a single course of corticosteroids for the treatment of plantar fasciitis. Shortly after, she became manic with psychotic symptoms and, soon after, experienced a severe depressive episode that required hospitalization. Despite discontinuation of the corticosteroids, she went on to have another manic episode. This case appears to represent a rare instance of persistent bipolar disorder following a manic episode triggered by exogenous steroid administration. There is no consensus on the risk factors for these severe complications or on guidelines for management. We aim to present this rare clinical case while reviewing the available literature on the topic.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100731"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281176","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 protectores e intervenciones preventivas frente al suicidio en las minorías sexuales y de género. Una revisión sistemática","authors":"José María Madruga Rubio ,&nbsp;Antonio Hipólito Guzmán del Castillo","doi":"10.1016/j.psiq.2025.100730","DOIUrl":"10.1016/j.psiq.2025.100730","url":null,"abstract":"<div><div>This study is a systematic review aimed at identifying protective factors and preventive interventions against suicidal behaviors within the sexual and gender minorities. A total of 30 articles were included, sourced from PubMed, Embase, Cochrane, and IBECS databases. Of these, 11 focused on protective factors and 19 on preventive interventions. Critical analysis of the articles revealed that the most researched protective factors are self-acceptance and an inclusive school environment, while the primary interventions focused on mitigating minority stress through various therapies. Additionally, other interventions with different objectives were identified. The transdiagnostic approach is being applied in multiple therapies and is of particular interest, as certain mental health stressors appear to be common across the entire LGTBIQ+.<!--> <!-->community. A key limitation is that several of the studies are ongoing, preventing the extraction of conclusive results. We conclude that some challenges remain, such as the limited exploration of self-harming behaviors among bisexual individuals and the lack of studies outside school settings. A positive school environment emerges as a significant protective factor, while preventive interventions, though promising, require further investigation and exploration of options such as family therapy and mindful self-compassion. In the future, it is crucial to improve interventions during critical moments of suicidal behavior and assess their effectiveness in conjunction with other strategies.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100730"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106778","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":"Síntomas psicóticos en cáncer de pulmón. A propósito de un caso","authors":"Elena Ramos García ,&nbsp;Francisco Guillermo Puig Sánchez ,&nbsp;María Palomo Monge","doi":"10.1016/j.psiq.2025.100727","DOIUrl":"10.1016/j.psiq.2025.100727","url":null,"abstract":"<div><div>Psychotic symptoms can occur within a variety of disorders, including some of organic etiology. The differential diagnosis of these conditions is often complex, although its relevance is of utmost importance for the orientation and design of the therapeutic plan.</div><div>The case of a 70-year-old patient referred to the Psychiatric Emergency Department for psychotic symptoms in the context of a brain metastasis from lung cancer is presented below.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100727"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937604","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":"Síntomas psicóticos tras mordedura de una víbora de Seoane. A propósito de un caso","authors":"María del Pilar Paz-Otero,&nbsp;Carmen Elena Regueiro Martín-Albo,&nbsp;María Rosario Pérez Moreno,&nbsp;Idir Mesián Pérez","doi":"10.1016/j.psiq.2025.100729","DOIUrl":"10.1016/j.psiq.2025.100729","url":null,"abstract":"<div><div>Snake bites in Spain are rare phenomena that constitute a potentially serious medical emergency. Among the main venomous snakes in our country is the Seoane's viper, whose venom has a hemotoxic and neurotoxic profile, although its specific effects on the central nervous system have not yet been studied in depth. Moreover, the diagnosis and treatment of this type of cases involves an added difficulty due to the scarce literature available, and to date, there is no clinical case described of psychotic symptomatology after the bite of this type of viper.</div><div>We present the case of a 16-year-old patient, with no psychiatric history of interest, who two weeks after being bitten by a Seoane's viper suddenly developed florid and fluctuating psychotic symptoms, with the presence of hallucinations, delusional ideas, disorganized thinking, mood oscillations and motor symptoms. The snake bite and the torpid evolution, marked by an atypical clinical presentation and a limited response to treatment, pose important difficulties both in the differential diagnosis and in the therapeutic management.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 3","pages":"Article 100729"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937605","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}