Revista Colombiana de Psiquiatria最新文献

{"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}

{"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}

{"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":"Síntomas depresivos en trabajadores de la salud dos años después del inicio de la pandemia COVID-19 en Bogotá, Colombia","authors":"Cindy N. Noguera Novoa ,&nbsp;Yorcelis T. Sarmiento-Melendez ,&nbsp;Gloria M. Sierra-Hincapié ,&nbsp;Jairo M. González-Díaz","doi":"10.1016/j.rcp.2023.04.006","DOIUrl":"10.1016/j.rcp.2023.04.006","url":null,"abstract":"<div><h3>Introduction</h3><div>During the COVID-19 pandemic, different events arose worldwide, including the impact on the mental health of health personnel. Our main aim was to determine the association between sociodemographic, clinical, tobacco and alcohol abuse, and fear of COVID-19 variables with the presence of depressive symptoms in a healthcare facility, in Bogotá DC, in 2022.</div></div><div><h3>Materials and methods</h3><div>Analytical cross-sectional study. Sociodemographic and clinical variables, alcohol and tobacco abuse, and fear of COVID-19 were explored. The presence and severity of depressive symptoms were evaluated with the PHQ-9 scale. Descriptive analysis and chi-square tests were performed. Statistically significant variables (<em>P</em> <!-->&lt;<!--> <!-->.05) were entered into a logistic regression model with depressive symptoms as the dependent variable.</div></div><div><h3>Results</h3><div>597 people were included, 80% female. The median age was 34<!--> <!-->years (Interquartile Range [IQR]: 28-41. The prevalence of depressive symptoms was 12.4% (95%<!--> <!-->CI: 9,74-15,05). The multivariate analysis showed that fear of COVID-19, tobacco use, age under 28, and middle socioeconomic status were the factors that best explained the presence of depressive symptoms.</div></div><div><h3>Conclusions</h3><div>Two years after COVID-19 was declared a pandemic, the prevalence of depressive symptoms is 12.4%. It is necessary to carry out strategies to promote mental health in health professionals.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 61-69"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9713484","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":"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}