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Esquizofrenia de inicio tardío: A propósito de un caso
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100560
Olalla Frade Pedrosa, Esther Tajadura Ordóñez, Lluch Esparza de la Guía, Pablo de Fez Febré, Marta Villodres Moreno
{"title":"Esquizofrenia de inicio tardío: A propósito de un caso","authors":"Olalla Frade Pedrosa,&nbsp;Esther Tajadura Ordóñez,&nbsp;Lluch Esparza de la Guía,&nbsp;Pablo de Fez Febré,&nbsp;Marta Villodres Moreno","doi":"10.1016/j.psiq.2024.100560","DOIUrl":"10.1016/j.psiq.2024.100560","url":null,"abstract":"<div><div>The case of a 44-year-old male, who was referred for urgent evaluation by the Psychiatry Department after being seen by Clinical Psychology in the context of the appearance of delirious ideas of one week of evolution after quitting smoking and taking bupropion is presented. In the first consultation, he appears with a slightly disheveled appearance and with a delirious discourse, with the presence of ideas of prejudice and persecution, which we are able to dismantle in the first interview with a good ability to understand this situation and the presence of an illness, where at the same time we work on the adherence to medication and to the consultations of the specialty. There is also the presence of auditory sensoperceptive alterations. He presents mood and moderate baseline anxiety reactive to an experiential situation triggered by the disease and partial awareness of the disease. In view of this situation, cariprazine with withdrawal of bupropion are prescribed. Over the weeks, a good response to treatment and adherence to it is observed. After an adequate differential diagnosis and performance of the necessary complementary tests, the presence of late-onset schizophrenia can be concluded.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100560"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143170451","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}
引用次数: 0
Suicidio reciente: Inflamación y atención
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100551
Jessica Fernández-Sevillano, Itxaso González-Ortega, Iñaki Zorrilla, María Purificación López, Philippe Courtet, Juan Carlos Leza, Ana González-Pinto
{"title":"Suicidio reciente: Inflamación y atención","authors":"Jessica Fernández-Sevillano,&nbsp;Itxaso González-Ortega,&nbsp;Iñaki Zorrilla,&nbsp;María Purificación López,&nbsp;Philippe Courtet,&nbsp;Juan Carlos Leza,&nbsp;Ana González-Pinto","doi":"10.1016/j.psiq.2024.100551","DOIUrl":"10.1016/j.psiq.2024.100551","url":null,"abstract":"<div><div>To test the hypothesis that inflammatory parameters will be elevated in a recent suicide attempt and will be associated with attentional performance, 96 participants were recruited at the Department of Psychiatry of the University Hospital Araba - Santiago, including 20 patients with a recent suicide attempt diagnosed with major depressive disorder, 33 patients with the same diagnosis with past suicide attempts, 23 patients also depressed without suicide attempts and 20 volunteers with no mental health history. The results show that both recent and past suicidal behavior is associated with elevated levels of inflammation. Elevated IL-6 concentration has a reductive impact on attentional performance, increasing the risk of suicide due to incorrect interpretation and response to environmental information.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100551"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103424","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}
引用次数: 0
Simplificando tratamiento, ganando en funcionalidad
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100559
Agustín Sánchez Gayango, Paula Cañizares Moreno, Emilio José López Sánchez
{"title":"Simplificando tratamiento, ganando en funcionalidad","authors":"Agustín Sánchez Gayango,&nbsp;Paula Cañizares Moreno,&nbsp;Emilio José López Sánchez","doi":"10.1016/j.psiq.2024.100559","DOIUrl":"10.1016/j.psiq.2024.100559","url":null,"abstract":"<div><div>It is presented the case of a 50-year-old woman referred to a private psychiatrist for schizoaffective disorder of years of evolution, without psychopathological decompensation requiring hospital admission. She reports clinical stability with prescribed treatment: haloperidol 10 mg, risperidone 3 mg, olanzapine 5 mg, biperiden 2 mg, amitriptyline 75 mg and bromazepam 1.5 mg. Gradual treatment changes are proposed in order to simplify the treatment since three different antipsychotics are prescribed without having reached the maximum dose of any of them. These changes require one year to reach antipsychotic monotherapy and then other months to achieve the transition from oral risperidone to monthly injectable and then quarterly. After these changes, the patient expresses improvement of functionality in daily life, which was diminished as a consequence of the side effects of the previous treatment. Although the introduction of escitalopram and clotiapine was necessary due to affective changes when the treatment with paliperidone palmitate monotherapy was started, the current treatment is more simplified than the initial one, maintaining the patient's improvement in functionality and the absence of significant side effects.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100559"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103994","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}
引用次数: 0
Impacto de la pandemia COVID-19 y el confinamiento en los intentos de suicidio en Oviedo a lo largo de 2020
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100688
Luis Jiménez Treviño, Jennifer Fernández Fernández, Elisa Seijo Zazo, M.P. García-Portilla, P.A. Saiz, J. Bobes
{"title":"Impacto de la pandemia COVID-19 y el confinamiento en los intentos de suicidio en Oviedo a lo largo de 2020","authors":"Luis Jiménez Treviño,&nbsp;Jennifer Fernández Fernández,&nbsp;Elisa Seijo Zazo,&nbsp;M.P. García-Portilla,&nbsp;P.A. Saiz,&nbsp;J. Bobes","doi":"10.1016/j.psiq.2024.100688","DOIUrl":"10.1016/j.psiq.2024.100688","url":null,"abstract":"<div><div>The aim of this research is to study how confinement has influenced the rate of suicide attempts throughout 2020 among the general population of Oviedo, Asturias Health Area (Spain). The data show an overall reduction of suicidal behaviors after the irruption of COVID-19 in Spain. Considering gender, total incidence rates in men and women follow a parallel distribution, with a progressive decrease throughout the year, which continues beyond confinement. These results are in line with published studies in the Spanish population that focused on the early phases of the pandemic and showed a downward trend in suicide attempts. Contrary to what might initially be predicted, confinement has produced a protective effect against suicide attempts in the adult population of the Oviedo area, and this protective effect persists beyond confinement.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100688"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103999","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}
引用次数: 0
Importancia de indagar sobre salud mental en embarazadas en controles gestacionales habituales
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100557
Mirta Olga Solis Correa, Sara Jiménez Fernández, Mercedes Valverde Barea
{"title":"Importancia de indagar sobre salud mental en embarazadas en controles gestacionales habituales","authors":"Mirta Olga Solis Correa,&nbsp;Sara Jiménez Fernández,&nbsp;Mercedes Valverde Barea","doi":"10.1016/j.psiq.2024.100557","DOIUrl":"10.1016/j.psiq.2024.100557","url":null,"abstract":"<div><div>Pregnancy and the transition to motherhood involve important psychological and social changes in the mother, which have been related to the presence of anxiety and depression symptoms. Therefore, the aim of this study is to investigate aspects of mental health in pregnant patients, which could help in the early detection of mood pathologies, anxiety and suicidal behaviors. The results show that only a small number of pregnant women have been addressed in relation to their mental health in routine maternity controls, overlooking moderate/severe depression/anxiety, and even self-harming ideations. The mandatory regular visits for the control of pregnant women in both primary care and hospital care are a good opportunity to inquire about possible mood disorders, presence of anxious symptoms and suicidal ideation in this patient population, with the possibility of referral to the Emergency Department or Mental Health specialists, or simply to follow up these patients more closely.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100557"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103995","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}
引用次数: 0
Metacognition vulnerabilities in time of crisis: Who to protect from suicidal risk?
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100553
Sylvia Martin, Anna Oltra, Jonathan Del Monte
{"title":"Metacognition vulnerabilities in time of crisis: Who to protect from suicidal risk?","authors":"Sylvia Martin,&nbsp;Anna Oltra,&nbsp;Jonathan Del Monte","doi":"10.1016/j.psiq.2024.100553","DOIUrl":"10.1016/j.psiq.2024.100553","url":null,"abstract":"<div><div>During the COVID-19 pandemic, we could try to avoid negative information processing and anxiogenic content to prevent unhealthy thinking processes. One of the processes we can observe regarding our way of thinking is metacognition. The objective of this study is to look at its possible impact on suicide risk in the clinical and non-clinical populations. The results showed that the COVID 19 crisis influenced metacognitive levels for the non-clinical sample but not for the clinical population. Moreover, hopelessness predicted suicide risk for both populations, but metacognition was also a predictive factor for the non-clinical sample. In conclusion, the possible impact of preventive measures based on metacognitive work that can be created out of these results is presented.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100553"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103996","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}
引用次数: 0
Trastorno por tics y trastorno obsesivo compulsivo: Trastornos neuropsiquiátricos pediátricos autoinmunes asociados a infecciones por estreptococos (PANDAS) y enfermedades psiquiátricas en niños y adolescentes
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100554
Hilario Blasco-Fontecilla, Victor del Rio-Peña, Ping Wang, Chao Li, Marina Martin-Moratinos, Marcos Bella-Fernández
{"title":"Trastorno por tics y trastorno obsesivo compulsivo: Trastornos neuropsiquiátricos pediátricos autoinmunes asociados a infecciones por estreptococos (PANDAS) y enfermedades psiquiátricas en niños y adolescentes","authors":"Hilario Blasco-Fontecilla,&nbsp;Victor del Rio-Peña,&nbsp;Ping Wang,&nbsp;Chao Li,&nbsp;Marina Martin-Moratinos,&nbsp;Marcos Bella-Fernández","doi":"10.1016/j.psiq.2024.100554","DOIUrl":"10.1016/j.psiq.2024.100554","url":null,"abstract":"<div><div>PANDAS syndrome (Pediatric Autoimmune Neuropsychiatric Disorders associated with Streptococcal infections) is associated with different neuropsychiatric disorders, such as tic disorders and obsessive-compulsive disorder (OCD). This study of 801 children and adolescents compares the socio-demographic, clinical and academic functioning profile of ASLO-positive patients with that of ASLO-negative or non-ASLO-positive patients. The results indicate that ASLO-positive patients are seven times more likely to have tics and OCD, as well as a higher frequency of Emergency Department admissions and a higher prevalence of trauma or fractures. However, no association between ASLO positivity and attention deficit hyperactivity disorder (ADHD) or academic functioning is found.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100554"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103997","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}
引用次数: 0
Influencia de la ketamina en el abordaje y control de la ideación suicida en adultos con depresión mayor e impacto a nivel cognitivo
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100556
Luz Maria González Gualda, María Aliño Dies, Nora Inés Muros Cobos, Juan del Águila Águila, Ruben Roig Cremades, Javier Bajen Espuña
{"title":"Influencia de la ketamina en el abordaje y control de la ideación suicida en adultos con depresión mayor e impacto a nivel cognitivo","authors":"Luz Maria González Gualda,&nbsp;María Aliño Dies,&nbsp;Nora Inés Muros Cobos,&nbsp;Juan del Águila Águila,&nbsp;Ruben Roig Cremades,&nbsp;Javier Bajen Espuña","doi":"10.1016/j.psiq.2024.100556","DOIUrl":"10.1016/j.psiq.2024.100556","url":null,"abstract":"<div><div>In this work, a review of the literature is carried out to analyze the influence of ketamine in the approach and control of suicidal ideation, as well as in the impact at the cognitive level, among adult patients (over 20 years of age) diagnosed with major depression. The results show that ketamine has been shown to be an effective strategy in the control of treatment-resistant depression and suicidal ideation, acting acutely in situations of adult patients of all ages with major depression. Although the analysis of the impact on the cognitive functioning of patients has identified deleterious and temporary alterations within the first hours after ketamine administration, in the long term, improvements in the cognitive function of patients are identified. Reduced anxiety, improved mood and better functioning are identified after ketamine treatment. A reduction in suicidal ideation and in the severity of depressive symptomatology is also observed.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100556"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143170456","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}
引用次数: 0
Hemidistonía como efecto adverso de neurolépticos: A propósito de un caso clínico
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100558
Sheila Cruz Bailén, Fermín González Higueras, Mirta Olga Solís
{"title":"Hemidistonía como efecto adverso de neurolépticos: A propósito de un caso clínico","authors":"Sheila Cruz Bailén,&nbsp;Fermín González Higueras,&nbsp;Mirta Olga Solís","doi":"10.1016/j.psiq.2024.100558","DOIUrl":"10.1016/j.psiq.2024.100558","url":null,"abstract":"<div><div>Tardive dyskinesias are persistent abnormal movements, occasionally irreversible, that appear during prolonged use of neuroleptics. It is presented the case of a 21-year-old male under follow-up in Mental Health since 2013 with a diagnosis of schizophrenia and on neuroleptic treatment since the age of 13. Two years ago he began to present orolingual dyskinesia and steppage gait; medication was reduced, but no clinical improvement was found. The patient was being treated with aripiprazole and paliperidone, which was reduced due to the appearance of extrapyramidalism, and he was switched to monotherapy with paliperidone depot. In the last months, lurasidone was introduced and depot was discontinued, persisting with gait and speech difficulties. Finally, a diagnosis of hemidystonia secondary to drugs was made. No improvement has been found with muscle relaxants or any of the drugs used and local botulinum toxin and deep brain stimulation have been proposed. The adverse effects of neuroleptics can be expressed with a wide variety of clinical manifestations and are difficult to reverse. In conclusion, prevention by monitoring symptoms every 6–12 months and assessing the risk–benefit of these drugs is important.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100558"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103993","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}
引用次数: 0
XIII Encuentros Nacionales en Psiquiatría. Un foro de comunicación para expertos en conducta suicida y jóvenes investigadores
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100687
María José Jaén Moreno , María José Moreno Díaz
{"title":"XIII Encuentros Nacionales en Psiquiatría. Un foro de comunicación para expertos en conducta suicida y jóvenes investigadores","authors":"María José Jaén Moreno ,&nbsp;María José Moreno Díaz","doi":"10.1016/j.psiq.2024.100687","DOIUrl":"10.1016/j.psiq.2024.100687","url":null,"abstract":"","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100687"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143170452","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}
引用次数: 0
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