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":"Temporal Changes in Suicide Mortality Rates Before and During the COVID-19 Pandemic in Colombia. A Joint Point Regression Model","authors":"Julio Ricardo Zuluaga Peña ,&nbsp;Juan P. Zuluaga Peña ,&nbsp;Ángela P. Vega Landaeta ,&nbsp;Eugenio Ferro ,&nbsp;Alejandro Lopera Marín ,&nbsp;Diana R. Chávez Bejarano ,&nbsp;Julián Enrique Barrera López","doi":"10.1016/j.rcp.2023.09.001","DOIUrl":"10.1016/j.rcp.2023.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The coronavirus disease (COVID-19) pandemic was declared in March 2020. This disease affects the respiratory system, and shown high rates of morbidity and mortality during 2020 and 2021. Neurological compromise and increased rates of depression, anxiety, insomnia, and substance abuse have also been described. Public health policies to prevent COVID-19 infection, decrease in control and monitoring of mental illness, and social and economic impact may have contributed to the increase in suicidal ideation and suicides. It is not yet clear if there have been changes in suicide mortality rates in Colombia before and during the pandemic.</div></div><div><h3>Objective</h3><div>To describe and analyze the changes in the temporal trends of suicide mortality rates in Colombia between 2008 and 2020.</div></div><div><h3>Methods</h3><div>Based on national records, suicide mortality rates observed in Colombia during the COVID-19 pandemic were calculated and compared with those reported in previous years (2008–2019). Mortality rates were analyzed by age, sex, educational level, type of affiliation to health system, region, and etiology of death by suicide. Using the joint point regression software 3.4.4, changes in time trends in suicide mortality rates were estimated for each mentioned variable. Annual percentage changes (APC) were estimated, and their statistical significance was calculated.</div></div><div><h3>Results</h3><div>The crude suicide mortality rate in Colombia in 2020 (5.4 per 100<!--> <!-->000 inhabitants) decreased compared to those reported in the previous 3 years. Estimates of changes in time trends in suicide mortality rates between 2008 and 2020 showed a decrease in men of −5.28 (APC) (<em>p</em> <!-->&lt;<!--> <!-->0.05) between 2018 and 2020, and an increase in women of 3.75 (APC) (<em>p</em> <!-->&lt;<!--> <!-->0.05) between 2011 and 2020. Regarding age (by five-year periods), an increase of 3.87 (APC) (<em>p</em> <!-->&lt;<!--> <!-->0.05) was determined in people between 15 and 19 years old between 2012 and 2020. According to health system affiliation regimen, decreases were estimated between 2016 and 2020 (−58.45 CPA; <em>p</em> <!-->&lt;<!--> <!-->0.05) for people affiliated to especial and exceptional health regimes; and between 2015 and 2020 (−53.49 CPA; <em>p</em> <!-->&lt;<!--> <!-->0.05) for the uninsured.</div></div><div><h3>Conclusions</h3><div>The crude suicide mortality rate during the COVID-19 pandemic in Colombia decreased compared to what was reported in the previous years. Although significant changes were found in the temporal trends of suicide mortality rates in different periods for all variables, no significant increases were identified between 2019 and 2020.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 89-97"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135606427","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":"Validación del cuestionario de anosognosia en demencia en personas con trastorno neurocognitivo mayor de Colombia","authors":"Claudia Ramos ,&nbsp;Juliana Pulido ,&nbsp;Jesús David Bedoya ,&nbsp;Claudia Madrigal ,&nbsp;Margarita Giraldo ,&nbsp;Diana Alzate ,&nbsp;Daniel Camilo Aguirre-Acevedo ,&nbsp;Francisco Lopera ,&nbsp;Jenny García","doi":"10.1016/j.rcp.2023.09.004","DOIUrl":"10.1016/j.rcp.2023.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>To establish the validity and reliability of the Anosognosia Questionnaire in Dementia (AQ-D) in individuals diagnosed with major neurocognitive disorder (MND) in the Colombian population.</div></div><div><h3>Methods</h3><div>The AQ-D scale was adapted and validated for MND patients in Colombia through cognitive interviews and expert review. A total of 189 pairs of participants, consisting of caregivers and patients, were included in the study and administered the AQ-D questionnaire. Structural validity, internal consistency, discriminative and concurrent criterion validity, convergent validity, and test–retest feasibility were assessed.</div></div><div><h3>Results</h3><div>After exploring three models in confirmatory factorial analysis, a four-dimension model was adopted to evaluate the validity of the AQ-D scale. The scale demonstrated good internal consistency (Cronbach's alpha and McDonald's omega above 0.7 for each dimension and the total scale), and acceptable test-retest reliability (ICC 0.73; 95% CI: 0.55-0.84). A sensibility was 80.0% and specificity 57.6% were found using a cutoff point of 10, indicating good discriminative validity (<em>P</em>&lt;.05 for all cases). Additionally, positive correlations were found between the AQ-D and the Zarit and NPI scales, while negative correlations were observed with the Mini-mental and Yesavage scales.</div></div><div><h3>Conclusion</h3><div>The AQ-D is valid and reliable for screening anosognosia in Colombian patients with MND.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 98-109"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135762453","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}