Revista Colombiana de Psiquiatria最新文献

{"title":"Determinantes políticos y económicos de la salud mental: desafíos para la psiquiatría en Colombia, América Latina y el mundo","authors":"Hernando Santamaría García","doi":"10.1016/j.rcp.2024.11.002","DOIUrl":"10.1016/j.rcp.2024.11.002","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 412-413"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102496","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":"Percepción del duelo de adultos que han perdido a un familiar durante la situación de pandemia en Lima Metropolitana","authors":"Pamela Valenzuela Antezana ,&nbsp;Annie Akiko Inglish Bravo ,&nbsp;Eli Malvaceda-Espinoza ,&nbsp;Oscar Mamani-Benito ,&nbsp;Renzo Felipe Carranza Esteban","doi":"10.1016/j.rcp.2022.09.003","DOIUrl":"10.1016/j.rcp.2022.09.003","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to analyse the perceptions of grief in adults who have lost a family member during the pandemic situation in Metropolitan Lima.</div></div><div><h3>Methods</h3><div>Qualitative research with a reflexive thematic analysis design was carried out. Ten adults of both sexes, between 23 and 54 years old, who had lost a family member as a result of COVID-19, during the pandemic period, participated in the study. A semi-structured interview was administered to them.</div></div><div><h3>Results</h3><div>The results showed that adults experiencing bereavement due to the loss of a family member in the pandemic scenario perceive their grief at different times. First, there is the impossibility of seeing their loved one due to the biosecurity measures that prevent them from being with their relative, which entails a moment of shock and disbelief; then there is the release of repressed emotions, where dysfunctional thoughts and emotions occur. Later, there is the negotiation of the emotional burden, a period in which there is a reconciliation with the unbridled emotions; followed by the feeling of hopelessness, in which the person experiences deep sadness and lack of meaning in life. Finally, there is an adaptation to the loss.</div></div><div><h3>Conclusions</h3><div>It is concluded that the perception of grief in adults who lost a family member in the pandemic forms a cycle of grief perception adjusted to the pandemic context.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 488-495"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48052276","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":"Effectiveness of Paliperidone Palmitate on Treatment Adherence and Relapse in the Adult Schizophrenia Population: A One-Year Mirror-Image Study in a Colombian Mental Health Care Facility","authors":"Oscar Ribero ,&nbsp;Anne-Marie Castilloux ,&nbsp;Lina Maria Agudelo ,&nbsp;Gerardo Machnicki ,&nbsp;Vanesa Morales ,&nbsp;Sergio Perocco ,&nbsp;Genaro Castillon ,&nbsp;Yola Moride","doi":"10.1016/j.rcp.2022.06.001","DOIUrl":"10.1016/j.rcp.2022.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The benefits of long-acting injectable antipsychotics have been documented in several observational studies, but data remain scarce in Latin America. This study aimed at evaluating the effectiveness of paliperidone palmitate once monthly (PP1M) on treatment adherence and relapse in the schizophrenia population followed in a government-funded mental health care facility in Colombia.</div></div><div><h3>Methods</h3><div>A mirror-image study was conducted. Adult schizophrenia patients treated with oral antipsychotics who subsequently received ≥2 PP1M injections between Jan. 1^st, 2015 and Oct. 31^st, 2018 were included. The study consisted of two retrospective phases: 12 months before and after the first PP1M injection. Outcomes were treatment adherence (proportion of days covered ≥80%), hospitalized relapse, hospital length of stay, and non-hospitalised relapse. Effect of PP1M on outcomes was assessed through multivariable conditional Poisson regression.</div></div><div><h3>Results</h3><div>123 patients were eligible (mean age, 30.3 years; 79.7% males). Adherence was 23.6% in the pre-phase and 89.4% in the post-phase (RR<!--> <!-->=<!--> <!-->3.77; 95%CI, 2.75-5.17). The proportion of patients with hospitalised relapse decreased from 46.3% to 35.0% (RR<!--> <!-->=<!--> <!-->0.76; 95%CI, 0.59-0.99). In the 75 (61.0%) patients who continued PP1M throughout post-phase, beneficial effect on hospitalised relapse was stronger (RR<!--> <!-->=<!--> <!-->0.64; 95%CI, 0.42-0.98). The proportion of patients with non-hospitalised relapse symptoms increased from 6.5% to 18.7% (RR<!--> <!-->=<!--> <!-->2.27; 95%CI, 1.11-4.64).</div></div><div><h3>Conclusions</h3><div>PP1M initiation led to a dramatic improvement in treatment adherence and a decrease in hospitalised relapse. Observed increase in non-hospitalised relapse may be explained by a decrease in severity. Limitations are absence of a parallel comparison group and a generalisability limited to the population treated at this facility. Study provides data for the Latin America region and strength is the assessment of non-hospitalised relapse symptoms.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 426-434"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49643600","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":"Paul Klee. Chosen Site (1927)","authors":"","doi":"10.1016/j.rcp.2024.11.001","DOIUrl":"10.1016/j.rcp.2024.11.001","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Page 411"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102497","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":"Características demográficas, clínicas y del uso de recursos hospitalarios de los pacientes pediátricos con trastorno de síntomas somáticos y trastornos relacionados, hospitalizados en un centro de referencia de Medellín","authors":"Diana Judith Beltrán ,&nbsp;Juan Pablo Zapata-Ospina ,&nbsp;Paula Andrea Duque","doi":"10.1016/j.rcp.2022.09.005","DOIUrl":"10.1016/j.rcp.2022.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Somatic symptom and related disorders (SSRD) constitute a clinical challenge in pediatric psychiatry due to the difficulties in their conceptualization, the complexity of their clinical presentation, which also depends on the cultural context, repeated consultations to health services and the predominance of studies in adults.</div></div><div><h3>Objective</h3><div>To describe the characteristics of the pediatric inpatients with SSRD in a reference hospital.</div></div><div><h3>Design and methods</h3><div>Descriptive cross-sectional study of demographic, clinical variables, and the use of institutional resources, based on the review of medical records of hospitalized patients under 18 years of age with a diagnosis of SSRD evaluated by psychiatry or pediatric psychiatry between 2018 and 2021 at reference pediatric hospital in Medellín, Colombia.</div></div><div><h3>Results</h3><div>The clinical records of 83 patients were included. Most patients were female (72%), with a median age of 12 years, anxiety and depression were the most frequent comorbidities (83% and 75%) and also the most frequent disorders in mothers (25% and 26%). The frequency of exposure to stressors in the family setting anytime in life, was high (83%) and required the involvement of multiple medical specialties and therapeutic supports, and the use of varied diagnostic aids.</div></div><div><h3>Conclusions</h3><div>Pediatric patients hospitalized with SSRD are generally female adolescents with depression or anxiety, surrounded by adverse family and social contexts that require interdisciplinary care from a comprehensive biopsychosocial model.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 536-545"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45771441","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":"Salud mental positiva como factor protector en la prevención del comportamiento suicida. Afianzamiento desde grupos de apoyo","authors":"John Jairo García Peña ,&nbsp;David Ignacio Molina Velásquez ,&nbsp;Eliza Kratc ,&nbsp;Gloria Cecilia Cardona Ríos","doi":"10.1016/j.rcp.2022.09.002","DOIUrl":"10.1016/j.rcp.2022.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicidal behaviour is a mental health problem that reveals an imbalance with life. It is necessary to promote life, the protective factors that nurture mental health; hence, the objective of this study was to recognise positive mental health as a protective factor for the prevention of suicidal behaviour, based on the implementation of support groups as a methodological device.</div></div><div><h3>Methods</h3><div>The study was carried out from a qualitative approach using a phenomenological method with the purpose of presenting the perceptions and subjective elaborations of participants in a support group for suicide prevention offered by the Luis Amigó Catholic University, Medellín, Colombia.</div></div><div><h3>Results</h3><div>It was found that relational aspects such as family care, emotions, spirituality, and self-care are dimensions of positive mental health that need to be strengthened.</div></div><div><h3>Conclusions</h3><div>Positive mental health allows us to achieve daily strategies that favour the understanding of multiple life factors for the containment and treatment of suicidal behaviour.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 480-487"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42544930","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":"Infodemia: la guerra de la desinformación en medio del conflicto bélico entre Rusia y Ucrania","authors":"Juan Pablo Sánchez-de la Cruz ,&nbsp;Thelma Beatriz González-Castro ,&nbsp;Diana Laura González-Morales ,&nbsp;Maria Lilia López-Narváez ,&nbsp;Carlos Alfonso Tovilla-Zárate","doi":"10.1016/j.rcp.2022.05.002","DOIUrl":"10.1016/j.rcp.2022.05.002","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 417-418"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43889750","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":"¿Qué se ha investigado sobre la genética en psiquiatría? Análisis bibliométrico de la contribución científica latinoamericana en los últimos 5 años","authors":"Jhony Alejandro Díaz-Vallejo ,&nbsp;Laura Valentina González-Bolaños ,&nbsp;María José Merlano-Almanza ,&nbsp;Doris Mileck Vera-Higuera ,&nbsp;Wendy Dayanna Cuji-Galarza","doi":"10.1016/j.rcp.2022.09.001","DOIUrl":"10.1016/j.rcp.2022.09.001","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 414-416"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46224237","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":"Subcultural Representations of Perpetrators and Victims of Crime and Violence Associated with Mental Disorders","authors":"Fabian Pavez ,&nbsp;Erika Saura ,&nbsp;Pedro Marset","doi":"10.1016/j.rcp.2022.07.007","DOIUrl":"10.1016/j.rcp.2022.07.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The beliefs and opinions of the general population are based substantially on mass media, which often equates mental disorders with violence and criminality. These stigmatising depictions contribute to the development and persistence of negative attitudes towards people with psychiatric conditions. The objective was to examine, through popular music, the subcultural representations of crime and violence in the context of mental disorders, focusing on depictions of victims and offenders.</div></div><div><h3>Methods</h3><div>Strategy of analysis: Content analysis of Spanish punk lyrics (1981-2010) with references to violent and criminal behaviour associated with mental disorders.</div></div><div><h3>Results</h3><div><span>257 Spanish punk bands were identified. The discographies included 7,777 songs, of which 190 were related to aggression, violence, or crime. A predilection for violent crimes and descriptions of the perpetrator as “mentally disturbed” was observed. Although they were present, psychotic </span>symptoms were not the main psychiatric symptoms associated with violent crime, but instead it was substance use, antisocial personality traits and paraphilic behaviour. There was less attention paid to victims than to perpetrators.</div></div><div><h3>Conclusions</h3><div>The relationships between mental disorders and criminality/violence are overemphasised in the analysed subculture. A positive connotation of social deviance and violent content (particularly serial murder) in service to the provocative nature of this type of music was observed.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 458-470"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45965158","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 asociados a delirium en pacientes hospitalizados durante pandemia de COVID-19","authors":"Glauco Valdivieso-Jiménez ,&nbsp;Gustavo Valencia-Mesias ,&nbsp;Jimmy Paucar-Alfaro","doi":"10.1016/j.rcp.2022.10.006","DOIUrl":"10.1016/j.rcp.2022.10.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the risk factors associated with delirium in patients admitted to a COVID-19 hospitalization of a general hospital during the first year of the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>An observational, analytical, case-control study was conducted. We analyzed 50 medical records of patients who presented delirium and 50 who did not present delirium in a COVID hospitalization area during the period from March 2020 to March 2021. The odd ratio of sociodemographic and clinical factors for presenting delirium was evaluated. The logistic regression statistical test was performed using STATA 17.0 software. The protocol was approved by the Research Ethics Committee of the Villa El Salvador Emergency Hospital.</div></div><div><h3>Results</h3><div>Ventilatory support (<em>P</em>=.04), especially the use of a reservoir mask (OR: .34; 95%CI: 0.12–0.88) and the presence of systemic complications (<em>P</em>=.03) such as metabolic acidosis (OR: 12.9; 95%CI: 1.45-115.58) were statistically significant variables associated with a higher risk of presenting delirium.</div></div><div><h3>Conclusions</h3><div>The type of ventilatory support and the presence of systemic complications were significant risk factors for delirium in patients hospitalized in a COVID area. Further studies are required in this field to obtain more evidence in this regard.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 529-535"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40433847","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}