Revista Colombiana de Psiquiatria最新文献

{"title":"Valoración crítica de la guía colombiana de práctica clínica para la demencia con los instrumentos AGREE-II y el AGREE-REX","authors":"Diego Fernando Rojas Gualdrón ,&nbsp;Miguel Restrepo Martínez ,&nbsp;Melisa Carrillo Márquez ,&nbsp;Carolina Vallejo ,&nbsp;Ana María Salazar Llano ,&nbsp;Juliana Martínez ,&nbsp;Diana Restrepo Bernal","doi":"10.1016/j.rcp.2022.11.001","DOIUrl":"10.1016/j.rcp.2022.11.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Major neurocognitive disorder is characterized by substantial cognitive decline from a previous level of increased performance in one or more cognitive domains. It is a chronic, progressive syndrome associated with significant disability and dependency in adults, which currently accounts for 11.9% of the years lived with disability due to non-communicable diseases. Colombia recently adopted a guide for this pathology.</div></div><div><h3>Objective</h3><div>To evaluate the methodological quality, credibility, and applicability of the Colombian clinical practice guideline (CPG) for major neurocognitive disorders.</div></div><div><h3>Methodology</h3><div>An academic group of seven evaluators was standardized to evaluate the guide and its recommendations through the AGREE-II and AGREE-REX instruments.</div></div><div><h3>Results</h3><div>The evaluations were given in the range of 0.0–1.0, with 0.7 as the cut-off point for appropriate quality. Overall AGREE-II score was 0.72. Scores &gt; 0.70 were obtained except in the domains “participation of those involved” (0.65) and “applicability” (0.60). For the recommendations group-specific assessment carried out with the AGREE-REX, unfavorable results were obtained in general, with the quality rating being lower than the assessment of the suitability of the use of the recommendations.</div></div><div><h3>Conclusión</h3><div>Adopting the Colombian CPG for dementia was a rigorous methodological process, while the practice recommendations were rated as having low applicability. It is necessary to strengthen the generation and synthesis of evidence at the national level to provide a greater local context and favor the applicability of clinical practice recommendations.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 19-26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48793238","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 ,&nbsp;María Virginia Pinzón- Fernández ,&nbsp;Andrés Felipe Rojas-Yoque ,&nbsp;Angie Fernanda Romo-Paredes ,&nbsp;Yina Pamela Daza-Imbachí ,&nbsp;Diana Sofía Montero-Molina","doi":"10.1016/j.rcp.2023.09.006","DOIUrl":"10.1016/j.rcp.2023.09.006","url":null,"abstract":"<div><h3>Objective</h3><div>To establish the prevalence of pathological gambling in students to health sciences at the Cauca university.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>p</em> <!-->=<!--> <!-->0.001; <em>p</em> <!-->=<!--> <!-->0.01; <em>p</em> <!-->=<!--> <!-->0.043) in relation to possible gambling addiction.</div></div><div><h3>Conclusions</h3><div>The prevalence results indicate that university health students are considered a population at risk for pathological gambling.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 110-115"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","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":"Factores de riesgo del suicidio en el suroccidente colombiano (Valle del Cauca, Cauca y Nariño) antes (2018-2019) y durante la pandemia (2020-2021)","authors":"Liliana Charry Lozano ,&nbsp;Carmen Ofelia Daza Córdoba ,&nbsp;Harley Banguera Riascos ,&nbsp;Diego Illera Rivera ,&nbsp;Lina Vanessa Garzón Certuche ,&nbsp;William Darío Díaz Delgado ,&nbsp;Lissa Fernanda Muñoz Bravo ,&nbsp;Carmen Rocio Riobamba Calvache ,&nbsp;Eduarth Yessid Cuero Riascos","doi":"10.1016/j.rcp.2023.01.001","DOIUrl":"10.1016/j.rcp.2023.01.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicide is a global phenomenon and a serious public health problem; it is defined as the act in which a person deliberately causes his or her own death and depends on multiple factors, including socioeconomic, geographic, cultural, and social factors. Due to the multi-causality of suicide, studies on risk factors are of great importance.</div></div><div><h3>Method</h3><div>Retrospective descriptive quantitative research, from primary source data delivered by the National Institute of Legal Medicine and Forensic Sciences. This descriptive study was conducted to characterize suicide in southwestern Colombia (Valle del Cauca, Cauca and Nariño) before (2018-2019) and during the pandemic (2020-2021), and associated risk factors were also determined from the results obtained.</div></div><div><h3>Results</h3><div>One thousand five<!--> <!-->hundred and six suicides were recorded during the 4<!--> <!-->years studied in the departments of the southwestern Colombian region (Valle del Cauca, Cauca and Nariño) with more cases in the pre-pandemic period (2018-2019); the year, month and day of highest prevalence was 2018, December and Sunday respectively, in individuals of the male sex, of adult age (18-65 years), single, with a level of education of primary/secondary complete/incomplete, using hanging as the cause of the fact, and being conflict with partner or ex-partner the most frequent reason.</div><div>The associated risk factors were the day of the week, academic level and the reason for the act. Prevalences ranged between 4.6 suicides per 100,000 inhabitants in 2018 and 5.6 in 2021 specifically for the department of Cauca, the highest overall rate was found in 2018 with 5.3 suicides per 100,000 inhabitants and the lowest was 4.4 suicides per 100,000 inhabitants for 2020.</div></div><div><h3>Conclusions</h3><div>Suicide is a public health problem that occurs in all age groups; its highest prevalence in southwestern Colombia is in the adult population and in the group of adolescents with a low level of education. It is necessary to implement health promotion and prevention programs, supported by intersectoral and regional work according to risk factors, in order to contribute to improving the quality of life of the population.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 36-44"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41637698","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":"Propiedades psicométricas del Inventario de Estimación del Afrontamiento en una muestra colombiana","authors":"Nathaly Berrío García ,&nbsp;Juan Pablo Sánchez Escudero ,&nbsp;Javier Martínez-Torres ,&nbsp;Germán Fernando Vieco Gómez","doi":"10.1016/j.rcp.2023.02.005","DOIUrl":"10.1016/j.rcp.2023.02.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The Multidimensional Coping Estimation Inventory COPE is an instrument to assess people's coping strategies in new or unusual situations. Despite its wide international use, studies on its psychometric properties in the Colombian population are unknown.</div></div><div><h3>Objective</h3><div>To estimate the Multidimensional Coping Estimation Inventory's content, structure, convergent validity, and internal consistency.</div></div><div><h3>Methodology</h3><div>A sample of 306 selected by opportunity was taken. The Multidimensional Coping Estimation Inventory test was applied through a structured survey through the Internet. Content validity was evaluated through relevance, clarity, precision and comprehension by judges, and subsequently a confirmatory factor analysis was applied to estimate construct validity. The internal consistency was estimated through the omega coefficient. Finally, the convergent validity was estimated with the IEEA-BRIEF.</div></div><div><h3>Results</h3><div>The assessment of the relevance, clarity, precision and understanding of the items had results whose average ranged between 0.90 and 1. The confirmatory factor analysis showed a structure of three factors that explained 50.3% of the total variance. For its part, the internal consistency showed a satisfactory index for the total scale (0.81).</div></div><div><h3>Conclusions</h3><div>The new version of the inventory has adequate metric properties and its use in the Colombian population is recommended.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 45-52"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47131343","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":"Clinical Factors Associated With Extreme Sleep Apnea in Patients Living at High Altitude (Bogotá D.C., Colombia): A Case–Control Study","authors":"Franklin Escobar-Córdoba ,&nbsp;Jorge Rey de Castro ,&nbsp;Charles Huamaní","doi":"10.1016/j.rcp.2023.10.002","DOIUrl":"10.1016/j.rcp.2023.10.002","url":null,"abstract":"<div><h3>Objective</h3><div>To assess risk factors associated with extreme obstructive sleep apnea (OSA) in patients living at high altitudes.</div></div><div><h3>Methods</h3><div>A case–control study was conducted using data collected between 2016 and 2017 in patients who lived in Bogotá D.C. (2640<!--> <!-->m above sea level) and were treated at FUNDASUVICOL. <em>Participants</em>: Six hundred twenty patients met the inclusion criteria: 110 had moderate OSA, 144 had severe OSA, 203 had very severe OSA and 163 had extreme OSA (cases). The controls–cases ratio was 3:1. <em>Measurements</em>: Participants’ data were obtained from their medical records. Logistic regression models were used to calculate adjusted odds ratios and 95% confidence intervals.</div></div><div><h3>Results</h3><div>The bivariate analysis showed that the following variables were associated with extreme OSA: morbid obesity (ORcrude<!--> <!-->=<!--> <!-->32.22; 95% CI<!--> <!-->=<!--> <!-->9.10–114.1), high blood pressure (HBP) (ORcrude<!--> <!-->=<!--> <!-->2.40; 95% CI<!--> <!-->=<!--> <!-->1.66–3.46), snoring (ORcrude<!--> <!-->=<!--> <!-->4.69; 95% CI<!--> <!-->=<!--> <!-->1.42–15.45), body mass index (BMI) (ORcrude<!--> <!-->=<!--> <!-->1.14; 95% CI<!--> <!-->=<!--> <!-->1.10–1.18), neck circumference (ORcrude<!--> <!-->=<!--> <!-->1.13; 95% CI<!--> <!-->=<!--> <!-->1.08–1.18) and age (ORcrude<!--> <!-->=<!--> <!-->1.02; 95% CI<!--> <!-->=<!--> <!-->1.01–1.04). Somehow, after performing a multivariate regression analysis adjusted by age, gender, morbid obesity, snoring, HBP and neck circumference, it was determined that only morbid obesity (OR<!--> <!-->=<!--> <!-->8.34; 95% CI<!--> <!-->=<!--> <!-->2.04–34.05) and neck circumference (OR<!--> <!-->=<!--> <!-->1.09; 95% CI<!--> <!-->=<!--> <!-->1.01–1.16) are risk factors for extreme OSA.</div></div><div><h3>Discussion</h3><div>Morbid obesity and neck circumference were significantly associated with extreme OSA. Therefore, losing weight and improving anthropometric measurements should be considered in OSA treatment to reduce the severity of symptoms and to improve polysomnographic parameters in these patients.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 116-122"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139297946","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":"Prevalencia y factores del trastorno de conducta alimentaria en estudiantes de medicina humana del perú en el contexto de la pandemia de covid-19: estudio multicéntrico","authors":"Jean Pierre Zila-Velasque ,&nbsp;Pamela Grados-Espinoza ,&nbsp;Kateriny Margot Regalado-Rodríguez ,&nbsp;Cesia J. Luna-Córdova ,&nbsp;Gabriela Stefanie Sierra Calderón ,&nbsp;Mills Díaz-Vargas ,&nbsp;Jhesly Sifuentes-Rosales ,&nbsp;Cristian Diaz-Vélez","doi":"10.1016/j.rcp.2022.07.005","DOIUrl":"10.1016/j.rcp.2022.07.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Eating disorders (ED) are serious conditions that have diverse consequences, associated with high morbidity and mortality: Among the factors associated with their development are, being female, and stress, which increased during the pandemic, and was higher in medical students. Our objective was to identify the prevalence and factors associated with ED in medical students.</div></div><div><h3>Methods</h3><div>Cross-sectional study, conducted with an online questionnaire, between January 1 and 31, 2021, in 22 universities, using the Eating Disorder Scale (EAT-26) and the Family Communication Scale (FCS). Generalized logistic regressions were used to identify the association between variables.</div></div><div><h3>Results</h3><div>A total of 1224 participants were recruited, and the prevalence was 12.5%. Associated factors included a poor perception of health in 34.3%, having a family and/or social environment member with an eating disorder in 21.7%, and medium or low satisfaction with family communication in 57.3% and 34.9% respectively, in addition to the academic year, dieting, concern for body image and the perception of inadequate eating.</div></div><div><h3>Conclusions</h3><div>Our results show that, in the context of the COVID-19 pandemic, 1-2 out of 10 Human Medicine students had an ED. The associated factors that influenced development of the condition included a fair or poor perception of health, the academic year completed, and medium or low satisfaction with family communication.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40612453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Costo de las incapacidades por trastornos mentales y del comportamiento en Colombia, 2016-2018","authors":"Ivonne Constanza Valero-Pacheco ,&nbsp;Martha Isabel Riaño-Casallas","doi":"10.1016/j.rcp.2023.06.002","DOIUrl":"10.1016/j.rcp.2023.06.002","url":null,"abstract":"<div><h3>Aim</h3><div>To determine the costs of temporary disability due to mental and behavioral disorders for the period 2016–2018 in Colombia.</div></div><div><h3>Methods</h3><div>Descriptive-correlational observational cross-sectional study, using the totality of disability records of contributors to the Colombian General System of Social Security in Health between 2016 and 2018, reported according to ICD-10 as mental and behavioral disorders (F00–F99) and provided by the Ministry of Health and Social Protection.</div></div><div><h3>Results</h3><div>The highest number of incapacities corresponds to anxiety disorders and depressive episode with a participation of more than 20% each. The average per disability was 2.68 days, with schizophrenia (4.09), bipolar affective disorder (3.48) and recurrent depressive disorder (3.23) generating the highest number of disabilities. The average daily cost for each incapacity was $27,178; and for each patient, taking into account the average number of days of incapacity, the cost rises to $411,278 per person.</div></div><div><h3>Conclusions</h3><div>Women most frequently presented some type of illness and the greatest number of records occurred in the central-eastern area and coffee-growing region of Colombia; it was established that anxiety and depressive disorders are the most common and, finally, the analysis indicated that people with salaries of less than 2 SMLMV were more disabled than those with higher salaries.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 78-88"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42195226","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 temor a caer sin haber caído y la vida exclusiva en el hogar en población colombiana a partir de la encuesta SABE, Colombia","authors":"Maria Manuela Moreno ,&nbsp;Diego Andrés Chavarro-Carvajal ,&nbsp;María Zuluaga ,&nbsp;Andrés Peralta ,&nbsp;Felipe Marín ,&nbsp;Samir Aruachan ,&nbsp;Carlos Alberto Cano-Gutiérrez","doi":"10.1016/j.rcp.2023.11.002","DOIUrl":"10.1016/j.rcp.2023.11.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The fear of falling syndrome is usually associated with functional impairment, depression, anxiety, poorer quality of life, and it has also been seen to have a higher prevalence in multimorbid people, those with polypharmacy, cardiovascular disease, and affective symptoms. Our study aims to evaluate the relationship between fear of falling in absence of a history of falls and exclusive life at home on a representative sample of older people in Colombia.</div></div><div><h3>Materials and methods</h3><div>This is a secondary study of the Health, Well-being, and Aging Survey in Colombia. The dependent variable considered in this study was the fear of falling without having fallen, while the exposure variable was exclusive homebound living. We conducted a descriptive and bivariate analysis of the sample, followed by a multivariate analysis adjusting for confounding variables.</div></div><div><h3>Results</h3><div>Among the 16,006 older adults included in the analysis, the mean age was 71.4 years, 53.84% were women; 35.44% reported a fear of falling without having experienced a fall, and 6.3% had an exclusive homebound lifestyle. Three regression models were conducted to examine the relationship between the fear of falling without prior falls and exclusive homebound living. The first model was adjusted for age, the second included adjustments for age, malnutrition, self-perceived health status, sarcopenia, and polypharmacy, and the third model incorporated the first 2 adjustments along with cardiovascular and musculoskeletal diseases. Model 1 revealed an OR of 1.27 (95% CI 1.28-1.45) with p<!--> <!-->&lt;<!--> <!-->0.001, while Models 2 and 3 both yielded an OR of 1.26 (95% CI 1.10-1.44), independently of the other variables (p<!--> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>There is an association between fear of falling without having fallen and exclusive life at home. The foregoing provides evidence to include this characteristic as a complementary parameter in the evaluation of older adults suffering from fear of falling.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 123-130"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139021075","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":"Caracterización de los mecanismos de afrontamiento de los pacientes hospitalizados en la unidad de trasplante de médula ósea de una institución de alta complejidad en Cali (Colombia) entre febrero y junio de 2022","authors":"Cristhian Fernando Cordero Rojas ,&nbsp;Juan Manuel Jaramillo Mejía ,&nbsp;Julian Esteban Agreda Dorado ,&nbsp;Alejandro Castillo Martinez","doi":"10.1016/j.rcp.2023.04.007","DOIUrl":"10.1016/j.rcp.2023.04.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Information about coping mechanisms of patients who are taken to bone marrow transplant (BMT) are limited. Besides, the long hospitalization has a high emotional impact. We characterize coping mechanisms and evaluate hopelessness, anxiety and depression of patients who were taken to bone marrow transplant (BMT) in a high complexity health institution in the department of Valle del Cauca between February 1 and June 30, 2022</div></div><div><h3>Methods</h3><div>Descriptive cross-sectional design, with convenience sampling of patients over 18 years of age who were admitted for BMT. Participants filled out five questionnaires (sociodemographic data, Patient Health Questionnaire 9 (PHQ-9), Generalized Anxiety Disorder (GAD-7), the Beck hopelessness scale and The mental adjustment to cancer scale (MAC-s). The qualitative variables were summarized with absolute frequencies and percentages, the quantitative variables were summarized in medians and interquartile ranges. For the correlation of variables, Spearman's correlation coefficients were used.</div></div><div><h3>Outcomes</h3><div>From 34 participants, 61.5% were men. The MAC-s scale found fighting spirit as the main coping style, no correlation was found between the scale MAC-s and the clinical variables evaluated. The PHQ-9 and GAD-7 scale showed depressive and anxiety symptoms in 20.8% of the participants. The correlation was positive between those with symptoms of depression (PHQ-9 scale) and those with anxiety (GAD-7 scale) (Spearman's coefficient 0.8).</div></div><div><h3>Conclusion</h3><div>This study found fighting spirit as the main coping style. High frequency of anxiety and depression. The high frequency of anxiety and depression raises the need for screening and preventive strategies.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 70-77"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43060178","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":"Duelo y atención domiciliaria para pacientes al final de la vida durante la pandemia por COVID-19 en Colombia. Análisis desde la perspectiva de familiares","authors":"Marta Ximena León Delgado ,&nbsp;Ángela Rocío Acero González ,&nbsp;Lina Angélica Buitrago Reyes ,&nbsp;Luisa Fernanda Rodríguez Campos ,&nbsp;Luisa Fernanda Vásquez Ángel ,&nbsp;Laura Isabel Hernández Rodríguez ,&nbsp;María Alejandra López Granados ,&nbsp;Laura Vanessa González Salazar","doi":"10.1016/j.rcp.2022.10.005","DOIUrl":"10.1016/j.rcp.2022.10.005","url":null,"abstract":"<div><h3>Introduction</h3><div>End-of-life care is one of the most crucial experiences for both the patient and their loved ones. However, as a result of the changes generated by the COVID-19 pandemic, the dynamics of the end-of-life process has undergone changes at both the family, social and health levels. In turn, this has altered the perception and development of the grief of relatives of patients who died during the pandemic regardless of the cause of death. Then, the aim of this study is to analyze the perceptions and some aspects of bereavement of died patients’ relatives during the pandemic of COVID-19.</div></div><div><h3>Methods</h3><div>Through the admission evaluation and follow-up of the relatives with an adapted version of the international Care Of the Dying Evaluation questionnaire.</div></div><div><h3>Results</h3><div>Two hundred and thirty-nine relatives were surveyed, of which 112 completed the follow-up questionnaire. Most of the patients died at home and their family members were highly involved in their care. Medical attention was considered adequate and the symptom with the highest perception was pain. A percentage of 87 of those surveyed participated in funeral rites, and 42% rated them as very sober. Regarding grief, the scale of personal growth predominates, however, in the negative aspects, the feeling of pressure in the chest and frequent crying predominates.</div></div><div><h3>Conclusions</h3><div>The end of life of home-care patients during the pandemic was perceived as adequate, allowing family support and symptom control. The grieving process shows no complications. The training of health professionals in these fundamental aspects of patient care is important.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 11-18"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9595366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40433845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}