Psiquiatria Biologica最新文献_第9页

Regulation and applied science in psychotherapies 心理疗法中的调节和应用科学

Psiquiatria Biologica Pub Date : 2024-07-01 DOI: 10.1016/j.psiq.2024.100486

José Manuel Bertolín-Guillén

{"title":"Regulation and applied science in psychotherapies","authors":"José Manuel Bertolín-Guillén","doi":"10.1016/j.psiq.2024.100486","DOIUrl":"https://doi.org/10.1016/j.psiq.2024.100486","url":null,"abstract":"<div><h3>Background and objectives</h3><p>Psychiatric and clinical–psychological practice must be based on the finest scientific knowledge. In Spain, the corresponding disciplines are official specialisations in the health sciences. The present article aims documentally to scrutinise the involvement of science in the psychotherapeutic activity of both.</p></div><div><h3>Methods</h3><p>A non-systematic study of quality scientific literature, mainly using the PubMed directory and Google Scholar, and examination of the applicable regulations.</p></div><div><h3>Results</h3><p>(1) <em>Scientific method:</em> Scientific knowledge is critical, well-founded, methodical, verifiable, and systematic. However, psychiatry and clinical psychology are hybrids of the natural and psychosocial sciences. (2) <em>Psychotherapies and psychiatry:</em> Psychiatry uses psychotherapies as well as various other authorised treatments. The Spanish Constitution and ministerial planning regulate the best training for health specialisations in Spain and guarantee the correct use of scientific knowledge. The US National Institute of Mental Health specifies that psychotherapies should be carried out by mental health professionals. (3) <em>Psychotherapies and psychology:</em> As specialised treatments, only psychiatry and clinical psychology have the optimal body of knowledge for practising psychotherapy. However, the plurality of psychological–psychotherapeutic schools is innumerable and not all of them are supported by science, although their efficacy seems to be similar. Other types of conversational interventions may accompany patients and, as they are not strictly speaking treatments, may be practised by people with a variety of qualifications or none at all.</p></div><div><h3>Conclusions</h3><p>Psychotherapies are non-formal health interventions. Intrusiveness is common, to the detriment of the best scientific information.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 3","pages":"Article 100486"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141593145","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

Agitación psicomotriz por abstinencia a benzodiacepinas agravada por un cuadro de retirada brusca de antidepresivos 由于突然停用抗抑郁药，苯二氮卓类药物戒断导致精神运动性躁动加剧。

Psiquiatria Biologica Pub Date : 2024-07-01 DOI: 10.1016/j.psiq.2024.100491

Marta Ramírez Bravo, Susana Macayo Villalobos, Mar González Testón, Elena Blanco Martín

引用次数: 0

What are blood cortisol levels in anxious, depressive, mixed, and healthy controls in high altitude? 高海拔地区焦虑、抑郁、混合和健康对照组的血液皮质醇水平如何？

Psiquiatria Biologica Pub Date : 2024-05-21 DOI: 10.1016/j.psiq.2024.100485

Hesed Virto-Farfan , Carlos Virto , Gustavo E. Tafet

引用次数: 0

Catatonia induced by abrupt discontinuation of clozapine—case report 突然停用氯氮平引发的紧张症--病例报告

Psiquiatria Biologica Pub Date : 2024-05-11 DOI: 10.1016/j.psiq.2024.100482

Catarina M. Oliveira, Liliana Gomes, Paulo S. Martins, Catarina Portela, Filipa Caldas, Marta Gonçalves

{"title":"Catatonia induced by abrupt discontinuation of clozapine—case report","authors":"Catarina M. Oliveira, Liliana Gomes, Paulo S. Martins, Catarina Portela, Filipa Caldas, Marta Gonçalves","doi":"10.1016/j.psiq.2024.100482","DOIUrl":"10.1016/j.psiq.2024.100482","url":null,"abstract":"<div><p>Catatonia is characterized by a severe psychomotor change that, according to DSM-5, requires 3 or more of the following symptoms that is necessary to affirm its diagnosis: stupor, catalepsy, brain flexibility, mutism, negativism, posturing, mannerisms, stereotypes, agitation not influenced by external stimuli, grimaces, echolalia, or echopraxia. Clozapine is one of the second-generation antipsychotics that is recognized for its effectiveness in treating catatonia, rather than inducing it. However, its abrupt discontinuation can induce rapid clinical deterioration with multiple presentations including, psychoses or cholinergic rebound states, serotonergic syndromes, and catatonia.</p><p>Based on a clinical case, the authors intend to review the literature on catatonia associated with abrupt interruption of clozapine.</p><p>In this article, we present a case of a 34-year-old man, with a diagnosis of schizoaffective disorder, admitted to the psychiatric ward due to a psychotic decompensation, who developed a state of agitated catatonia secondary to the abrupt discontinuation of clozapine.</p><p>It is well established that the abrupt discontinuation of clozapine can trigger catatonia. This clinical case and literature review serves to emphasize the importance of educating psychiatrists on the adverse effects of psychiatric drugs and, in this case, the gradual and cautious discontinuation of clozapine in order to avoid its rebound effects.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 3","pages":"Article 100482"},"PeriodicalIF":0.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141039750","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

10 years of hyponatremia: Focus on medical communication in liaison psychiatry. A case report 低钠血症 10 年：关注精神病学联络中的医疗沟通。病例报告

Psiquiatria Biologica Pub Date : 2024-04-05 DOI: 10.1016/j.psiq.2024.100472

Catarina Pinho , Emanuela Maldonado , Joana Correia , Manuel Guimarães , André Novo , Joana Raposo Gomes , Conceição Cardoso

{"title":"10 years of hyponatremia: Focus on medical communication in liaison psychiatry. A case report","authors":"Catarina Pinho , Emanuela Maldonado , Joana Correia , Manuel Guimarães , André Novo , Joana Raposo Gomes , Conceição Cardoso","doi":"10.1016/j.psiq.2024.100472","DOIUrl":"https://doi.org/10.1016/j.psiq.2024.100472","url":null,"abstract":"<div><h3>Background</h3><p>Effective communication is one of the pillars of the doctor–patient relationship. Hyponatremia is defined as a decrease in serum sodium levels below 135 mEq/L.</p></div><div><h3>Objective</h3><p>To draw attention to the possible results of ineffective medical communication and the importance of active listening to the patient.</p></div><div><h3>Material and methods</h3><p>Descriptive study of the Case Report type, based on the Case REport guidelines.</p></div><div><h3>Case description</h3><p>An 85-year-old female, hospitalized from October to December 2021 in acute psychiatry for self-injurious behavior following an experiential crisis. In this episode, hyponatremia with 10 years of evolution was detected. She was evaluated by multiple medical specialties and in the last 10 years suffered from anorexia, asthenia, insomnia, and dizziness, a condition attributed to psychoactive drug-related hyponatremia. After hospitalization in psychiatry, it was found that this condition started before the introduction of psychotropic drugs and that there could be a total restriction of salt in the diet, motivated by a bias in doctor–patient communication.</p></div><div><h3>Conclusion</h3><p>With a careful collection of the patient's history, it is possible to deconstruct and clarify concepts and beliefs that can negatively affect her health status.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 3","pages":"Article 100472"},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140645429","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

«La piel que habito»: a propósito de un caso de síndrome de Ekbom "我生活的皮肤：一例埃克博姆综合征。

Psiquiatria Biologica Pub Date : 2024-04-01 DOI: 10.1016/j.psiq.2024.100467

Patricia Latorre Forcén , Cristian Blanco Torrecilla , Cristina Antoñanzas Pérez

引用次数: 0

Un caso de parafrenia. Atención por parte de un equipo de psiquiatría de enlace 一例副恐惧症。由精神病学联络小组提供护理。

Psiquiatria Biologica Pub Date : 2024-04-01 DOI: 10.1016/j.psiq.2024.100474

Beatriz Fernández Durán, Sara Santamaría Rodríguez, Eduardo Delgado Parada

{"title":"Un caso de parafrenia. Atención por parte de un equipo de psiquiatría de enlace","authors":"Beatriz Fernández Durán, Sara Santamaría Rodríguez, Eduardo Delgado Parada","doi":"10.1016/j.psiq.2024.100474","DOIUrl":"10.1016/j.psiq.2024.100474","url":null,"abstract":"<div><p><em>Objective:</em> In reference to a case of hallucinatory psychosis in an elderly individual treated by the Liaison Psychiatry Team, we will conduct a historical review of the term paraphrenia, linking it to the characteristics of this condition, its treatment, and progression.</p><p><em>Clinical Case:</em> A nonagenarian woman admitted to the Internal Medicine service due to behavioral disturbances of several months' duration. She presents delusional ideas of persecution and visual and auditory hallucinations. There is no history of mental health issues or cognitive impairment. Relevant comorbidities include lumbar canal stenosis and moderate hearing loss.</p><p><em>Results:</em> Additional tests ruled out brain damage, toxic psychosis, neurodegenerative disorders, and delirium. With the approach and follow-up conducted (including antipsychotic treatment), the patient showed sustained behavioral improvement and partial encapsulation of the delusion.</p><p><em>Conclusions:</em> Although paraphrenia is not recognized as a distinct entity in current diagnostic classifications, there are cases that warrant consideration; patients with a well-systematized delusion, onset in late age, and bizarre perceptual phenomena of a unique pathoplasty.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 2","pages":"Article 100474"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140399735","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

Paternal postpartum depression: A reflection through a case report 父亲产后抑郁症：通过病例报告进行反思。

Psiquiatria Biologica Pub Date : 2024-04-01 DOI: 10.1016/j.psiq.2024.100469

Beatriz Fonseca Silva, Odete Nombora, Ângela Venâncio, André Oliveira

引用次数: 0

Development of frontotemporal dementia in a patient followed up with late-onset bipolar disorder: A case report 一名晚发躁郁症患者的额颞叶痴呆发展：病例报告。

Psiquiatria Biologica Pub Date : 2024-04-01 DOI: 10.1016/j.psiq.2024.100473

Merve Şahin Can, Sinan Altunöz, Hediye Hilal Yapıcı, Hayriye Baykan

{"title":"Development of frontotemporal dementia in a patient followed up with late-onset bipolar disorder: A case report","authors":"Merve Şahin Can, Sinan Altunöz, Hediye Hilal Yapıcı, Hayriye Baykan","doi":"10.1016/j.psiq.2024.100473","DOIUrl":"10.1016/j.psiq.2024.100473","url":null,"abstract":"<div><p>Frontotemporal dementia is an insidious neurodegenerative clinical syndrome characterized by progressive deficits in behavior, executive function, and language. The initial clinical presentation of some patients with FTD may resemble bipolar mood disorder.In this case, it was planned to diagnose FTD in addition to the emergence of behavioral and cognitive problems in the patient followed up with bipolar mood disorder and to discuss the difficulties experienced in the treatment. In 2017, he was diagnosed with bipolar mood disorder due to loud speech, irritability, thinking that he was cast under a spell, increased spending, driving fast, swearing at relatives. He was followed up with lithium, olanzapine and quetiapine treatment, and he benefited from the treatment. The diagnosis of frontotemporal dementia was considered in the patient who underwent brain diffusion MRI and PET CT in December 2020, upon the onset of the complaint of forgetfulness. Informed consent was obtained from the patient and his relatives.In conclusion, in our case who was followed up with bipolar disorder, a co-diagnosis of frontotemporal dementia was made with the emergence of memory and behavioral pathologies in the later follow-ups. With the diagnosis of FTD, the severity of the patient's manic episodes, clinical presentation, and treatment response changed. Therefore, FTD should be considered in the differential diagnosis of patients who are followed up with bipolar disorder and subsequently have clinical changes.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 2","pages":"Article 100473"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781522","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

No adherencia en pacientes con esquizofrenia y trastorno esquizoafectivo. Estudio prospectivo de variables asociadas y posibles subtipos "精神分裂症和情感分裂症患者不坚持服药。相关变量和可能亚型的前瞻性研究"。

Psiquiatria Biologica Pub Date : 2024-04-01 DOI: 10.1016/j.psiq.2024.100466

Dulcinea Vega , Francisco J. Acosta , Pedro Saavedra , Guillermo Pírez

{"title":"No adherencia en pacientes con esquizofrenia y trastorno esquizoafectivo. Estudio prospectivo de variables asociadas y posibles subtipos","authors":"Dulcinea Vega , Francisco J. Acosta , Pedro Saavedra , Guillermo Pírez","doi":"10.1016/j.psiq.2024.100466","DOIUrl":"10.1016/j.psiq.2024.100466","url":null,"abstract":"<div><h3>Introduction</h3><p>The rate of non-adherence to treatment in schizophrenia is between 40 and 50%. The scarcity of consistently identified variables associated with nonadherence could be due to real heterogeneity among nonadherent patients.</p></div><div><h3>Objectives</h3><p>Evaluate the prevalence of non-adherence in patients with schizophrenia or schizoaffective disorder. Evaluate the possible subtypes of non-adherence according to intentionality.</p></div><div><h3>Methodology</h3><p>110 consecutively admitted patients diagnosed with schizophrenia and schizoaffective disorder were included. They were evaluated during admission and six months after hospital discharge. Sociodemographic, clinical, psychopathological, and treatment-related variables were included. Adherence was defined as the concurrence of adherence to antipsychotic treatment and follow-up. The subtype of non-adherence was established according to the main reason for non-adherence.</p></div><div><h3>Results</h3><p>Non-adherence was found in 58.2% of the patients. Low socioeconomic status, cannabis use, nonadherence as a reason for relapse and admission, and severity of symptoms were independently associated with nonadherence. Low educational level, poorer treatment knowledge at six months, and use of non-psychiatric treatment at six months were independently associated with the subtype of unintentional non-adherence.</p></div><div><h3>Conclusions</h3><p>A high percentage of patients with schizophrenia and schizoaffective disorder do not show adherence after hospital discharge. There seem to be subtypes of non-adherence according to the intention, which suggests the need for a differentiated approach.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 2","pages":"Article 100466"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140273977","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