Revista Colombiana de Psiquiatria最新文献

{"title":"Exploring Stigma Towards People with Schizophrenia in Mass Media and Their Private Discourses","authors":"Emmanuel Méndez ,&nbsp;Alicia Figueroa-Barra ,&nbsp;Cristina Martínez ,&nbsp;Eduardo Durán","doi":"10.1016/j.rcp.2022.08.003","DOIUrl":"10.1016/j.rcp.2022.08.003","url":null,"abstract":"<div><h3>Introduction</h3><div>It has been shown that public stigma towards people with schizophrenia hinders their psychosocial integration. Public stigma expresses itself through lexical labels used in the print media and social networks, heightening the internalization of stigma in this population, a phenomenon known as internalised stigma or self-stigma. This paper analyses the diffusion in the mass media of two dimensions of stigma: public stigma and self-stigma.</div></div><div><h3>Methods</h3><div>For public stigma, we searched for the lexical labels “schizophrenia”, “schizophrenic”, “psychosis” and “psychotic” in Chilean newspapers from 2010 to 2020, and for self-stigma, we used semi-structured interviews with people with a diagnosis of schizophrenia who are users of mental health services in Santiago de Chile. The findings were organised into four categories per stigma dimension. Lexical frequencies and semantic relationships were then analysed using the UAM Corpus tool and AntConc software.</div></div><div><h3>Results</h3><div>The results showed frequent use of stigmatising labels in the written press, with harmful semantic associations such as violence, delinquency, unpredictability and danger.</div></div><div><h3>Conclusions</h3><div>Such labels tend to be accepted by those affected, evidence of their internalisation of the stigma towards the disease, and create a barrier to integration and inclusion.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 471-479"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46809821","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":"Relationship Between Chronic Obstructive Pulmonary Disease Exacerbations and Depression","authors":"Pablo Salomón Montes-Arcón ,&nbsp;Adalberto Campo-Arias ,&nbsp;John Carlos Pedrozo-Pupo","doi":"10.1016/j.rcp.2022.07.006","DOIUrl":"10.1016/j.rcp.2022.07.006","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Depressive episodes are frequent in chronic obstructive pulmonary disease (COPD) patients. These episodes are related to a vast number of clinical and psychosocial variables. Nevertheless, the relationship between the number of COPD exacerbations and depression has not been extensively studied in the Colombian Caribbean. The objective was to determine the relationship between COPD exacerbations and depression in a sample of outpatients in Santa Marta, Colombia.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was designed in which COPD adult patients participated. The number of COPD exacerbations (none versus one or more) and the risk of depression were documented. The crude and adjusted association was established by calculating the odds ratios (OR) and 95% confidence interval (95%CI).</div></div><div><h3>Results</h3><div>The study included 408 patients aged between 40 and 102 years (mean 72.9<!--> <!-->±<!--> <!-->10.2), and 58.8% were male. 105 patients (25.9%) reported one or more exacerbations in COPD, and 114 patients (27.9%) were at risk for depression. The crude relationship between exacerbations and depression was statistically significant (OR<!--> <!-->=<!--> <!-->1.80; 95%CI, 1.12-2.89) and after adjusting for sex (OR<!--> <!-->=<!--> <!-->1.99; 95%CI, 1.23-3.23).</div></div><div><h3>Conclusions</h3><div>The number of COPD exacerbations among outpatients in Santa Marta, Colombia is related to depression. Longitudinal studies are needed in Colombia.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 443-447"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45992256","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":"Diferencias atencionales entre el trastorno por déficit de atención aislado y asociado a neurofibromatosis tipo 1","authors":"Esteban Vaucheret Paz,&nbsp;Rosario Ortolá,&nbsp;Matias Cestari,&nbsp;Francisco Cordoba,&nbsp;Mariana Leist,&nbsp;Luciana Petracca,&nbsp;Claudia Chirilla,&nbsp;Ignacio Appendino","doi":"10.1016/j.rcp.2022.05.003","DOIUrl":"10.1016/j.rcp.2022.05.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The incidence of ADHD in patients with NF1 reaches 60%. Beyond the published literature on cognitive aspects in subjects with NF1, some studies suggest that the attentional profile of patients with NF1+ADHD is different from those with isolated ADHD.</div></div><div><h3>Methods</h3><div>A retrospective, analytical case-control study with the objective of comparing the intellectual and attentional profile in children with NF1+ADHD, NF1 and isolated ADHD in order to characterise them, noting similarities and differences.</div></div><div><h3>Results</h3><div>Neuropsychological evaluations from 2017 to 2021 were reviewed for all subjects with a diagnosis of NF1 (n<!--> <!-->=<!--> <!-->46) with IQ<!--> <!-->&gt;70 and ADHD (n<!--> <!-->=<!--> <!-->180). In the ANOVA test, it was observed that patients with NF1+ADHD presented with greater visuospatial impairment (M<!--> <!-->=<!--> <!-->84.66; F_(2,210) <!-->=<!--> <!-->7.84; <em>P</em>&lt;<!--> <!-->0.001; η² <!-->=<!--> <!-->0.07) and a lower total intellectual level (M<!--> <!-->=<!--> <!-->84.20; F_(2,223) <!-->=<!--> <!-->4.35; <em>P</em> <!-->=<!--> <!-->0.01; η² <!-->=<!--> <!-->0.04). In the attentional tests they showed more errors of omission (M<!--> <!-->=<!--> <!-->72.66; F_(2,223) <!-->=<!--> <!-->18.13; <em>P</em>&lt;<!--> <!-->.001; η² <!-->=<!--> <!-->0.14) and of commission (M<!--> <!-->=<!--> <!-->57.87; F_(2,223) <!-->=<!--> <!-->4.68; <em>P</em> <!-->=<!--> <!-->0.01; η² <!-->=<!--> <!-->0.04) and lower reaction speed (M<!--> <!-->=<!--> <!-->66.58; F_(2,223) <!-->=<!--> <!-->19.24; <em>P</em>&lt;<!--> <!-->0.001; η² <!-->=<!--> <!-->0.15) compared to patients with NF1 and isolated ADHD.</div></div><div><h3>Conclusions</h3><div>Attention deficit in patients with NF1 is associated with lower performance in intellectual functioning and greater visuospatial impairment. The attentional pattern of patients with NF1+ADHD was different from those with isolated ADHD; the difference being not only quantitative but also qualitative, supporting the hypothesis that attention impairment has its own features of NF1 and independent of ADHD.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 419-425"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102495","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":"Consenso colombiano del tratamiento con cannabidiol (CBD) puro en psiquiatría","authors":"Carlos A. Cassiani-Miranda ,&nbsp;César A. Arango-Dávila ,&nbsp;Jeffrey González-Giraldo ,&nbsp;Mario D. Parra-Vera ,&nbsp;Jorge Tellez-Vargas ,&nbsp;Lilian Rocío Morales-Puerto","doi":"10.1016/j.rcp.2022.10.007","DOIUrl":"10.1016/j.rcp.2022.10.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Autism spectrum disorder, major depressive disorder, anxiety disorders, post-traumatic stress disorder, schizophrenia, insomnia, and disorders related to psychotropic substances are common diseases worldwide and in Colombia. The pharmacological treatments available for the management of mental disorders are effective, although adverse reactions sometimes limit their use, additionally, some patients do not have an adequate response to them, which generates the need to develop new effective and safe drugs.</div></div><div><h3>Methodology</h3><div>A Delphi consensus was developed in real time, with a panel of seven psychiatric specialists and a group of developer epidemiologists, a systematic search was carried out in three specialized databases and in contributed articles. By the panel of experts participating in the consensus, two questionnaires were applied for consideration by the group of experts, anonymously and on an online platform with the Likert scale.</div></div><div><h3>Results</h3><div>Recommendations were established based on the available evidence and the experience provided by the experts.</div></div><div><h3>Conclusions</h3><div>There is biological plausibility in clinical and preclinical studies that suggest the effectiveness of the use of pure pharmaceutical-grade CBD, as adjunctive therapy, for the control of symptoms associated with mental disorders such as schizophrenia and disorders related to the abuse of psychotropic substances. However, more rigorous clinical trials are required to make more precise recommendations on CBD in the treatment of other mental disorders. Additionally, pure pharmaceutical-grade CBD is considered a safe treatment.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 584-597"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45017954","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":"«No es como lo muestran en las películas»: conocimientos y experiencias de TEC desde la vivencia de pacientes y familiares","authors":"Ángela R. Acero-González ,&nbsp;Yahira R. Guzmán-Sabogal ,&nbsp;Nazly H. Yaver-Suárez ,&nbsp;Raúl A. Araújo-Tabares ,&nbsp;Karen A. Trillos-Campuzano","doi":"10.1016/j.rcp.2022.10.004","DOIUrl":"10.1016/j.rcp.2022.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Electroconvulsive therapy is an effective and safe treatment option for various mental illnesses. Despite this fact, the general population, health professionals, patients with mental illness and their families, having a negative view, prevails and acts as a barrier to access. However, personal experience and experience of others been little explored.</div></div><div><h3>Methods</h3><div>A mixed investigation was carried out with an objective was to know the perception of patients and their families using electroconvulsive therapy, to describe their experiences. A quantitative component was carried out through a survey applied before starting and after finishing the treatments. Additionally, semi-structured interviews were conducted, and analyzed through thematic narrative analysis.</div></div><div><h3>Results</h3><div>A total of 29 people participated in the quantitative part: 19 relatives and 10 patients. It was uncovered that both relatives and the patients improve in their knowledge and attitudes after the treatment, mainly on electroconvulsive therapy's technical procedures and indicated diagnosis. Regarding the qualitative part: 14 people participated in 9 interviews, of which, 5 were patients and 9 were relatives. The experience of the patient was described in 5 different categories: torture procedure, the last option, not what is shown in the movies, it is my reprieve and aspects to improve.</div></div><div><h3>Conclusions</h3><div>After the electroconvulsive therapy experience, patients and relatives improve their perception of the procedure; however, it is important to continue strengthening psychoeducation in the general population, health professionals, patients, and their families.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 517-528"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55039719","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":"Creation and Validation of an Educational Booklet on Autism Spectrum Disorder","authors":"Marciana Fernandes Moll ,&nbsp;Carla Aparecida Arena Ventura ,&nbsp;Aldo Matos ,&nbsp;Ana Beatriz Rizzo Zanardo ,&nbsp;Mary Carla Velasco Melo ,&nbsp;Ronadia dos Santos Silva","doi":"10.1016/j.rcp.2022.09.004","DOIUrl":"10.1016/j.rcp.2022.09.004","url":null,"abstract":"<div><h3>Objectives</h3><div>To develop and validate an educational booklet that contributes to alleviating the difficulties experienced by family members of children diagnosed as being on the Autism Spectrum.</div></div><div><h3>Methods</h3><div>A descriptive exploratory study with a quali-quantitative approach. Ten families of children on the autism spectrum and twelve judges participated in the validation. Data collection took place through open interviews and data was analysed according to the procedures recommended by Bardin.</div></div><div><h3>Results</h3><div>Difficulties identified included problems in children's verbal and non-verbal communication, daily care, school inclusion, late diagnosis due to the lack of specialists, and lack of psychological support for the family and for handling the child during an episode of crisis. Informational needs included early diagnosis, evolution and management of crises, children's ability to learn daily life activities, and information about their right to inclusion in formal education. Based on these difficulties and needs, the booklet was created and validated by eight experts and four family members. Comparing the average of positive reviews in each section, which were obtained in the first and second evaluations, there was a general improvement in the quality of the booklet.</div></div><div><h3>Conclusions</h3><div>The validation of educational materials on this topic can be essential to improve the quality of life of children, families, and educators.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 496-504"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143102145","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":"COVID-19 y telepsiquiatría: un reto para el tratamiento de la salud mental","authors":"Damaris Urquizo Romo","doi":"10.1016/j.rcp.2022.08.005","DOIUrl":"10.1016/j.rcp.2022.08.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Due to the COVID-19 pandemic, in-person psychiatric care decreased, but mental disorders, such as post-traumatic stress disorder, anxiety, depression, obsessive compulsive symptoms and insomnia increased. Our objective was to describe the usefulness, advantages, disadvantages and limitations of telemedicine used in psychiatric patients’ clinical care before and during the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>A critical search was carried out on platforms such as PubMed, Cochrane, Lilacs and academic Google, in addition to an in-depth assessment of all the primary studies that answer our questions.</div></div><div><h3>Results</h3><div>Telepsychiatry is a tool that can help resolve the need for psychiatric care in a more comprehensive way. Advantages include cost reduction, enabling care provision to rural areas, the fact that its effectiveness is comparable to in-person care and its use is suitable in a variety of scenarios, and also that it helps reduce stigma and enables continuous training processes among medical staff. In the context of the current pandemic, it reduces the risk of transmission by maintaining biosecurity measures. However, there are also limitations in its use, such as the collection of medical insurance payments, mandatory in-person visits for examinations or procedures, difficulty in developing a doctor-patient relationship, and uncertainty about how to give informed consent and maintain the patient's privacy. Additionally, there is the difficulty in controlling the patient's environment, with the risk of the consultation taking place somewhere inappropriate, and the fact that there are certain populations which would not benefit from the use of telepsychiatry and areas where its use is made difficult by a greater digital gap. Based on these advantages and disadvantages, recommendations can be made when considering telepsychiatry as a medical care option.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 555-561"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40355912","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":"La investigación sobre el tratamiento de depresión con base en registros de historia clínica: análisis de una experiencia en un hospital universitario","authors":"María I. Molina-Echeverry ,&nbsp;Roger A. Figueroa-Paz ,&nbsp;María M. Cardozo-Rengifo ,&nbsp;Valentina Galindo-Velasco ,&nbsp;Hernán G. Rincón-Hoyos","doi":"10.1016/j.rcp.2022.08.002","DOIUrl":"10.1016/j.rcp.2022.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>In Latin America, there are few publications on depression, especially those based on electronic health records (EHR), a useful resource for obtaining information on patient care in the context of health systems. The objective of the study was to characterize the population with depression, taking into account sociodemographic, clinical, and pharmacological management aspects, based on information provided by the EHRs in a high complexity hospital in Cali, Colombia.</div></div><div><h3>Methods</h3><div>Retrospective descriptive study, based on medical history records of patients with a diagnosis of unipolar depression treated for the first time. A sample of 31 patients with at least three follow-up visits was analysed; sociodemographic, clinical, and treatment variables were collected.</div></div><div><h3>Results</h3><div>The population was mostly women (67.7%), with a mean age of 49 years. One in every two patients had a job, an opportunity for direct access through their health plan and university education. Twenty patients had a history of mental illness. 84.3% had a moderate or severe depressive episode, 87.1% were exposed to psychosocial and 80.6% biological-medical stressors. Twenty-seven patients had started antidepressant management. Approximately 30% of cases were identified as treatment-resistant depression. Barriers to accessing mental health services and to accessing the information in the EHRs were evidenced.</div></div><div><h3>Conclusions</h3><div>EHRs are a useful tool for accessing information for research on depression, relationship with other comorbidities, care, and treatment. It is proposed that adjustments be made to the clinical registry platforms that allow access to quality information for research purposes.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 448-457"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49204048","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":"Structural Study of Anxiety and Mood-related Symptomatology in Psychiatric Outpatients","authors":"Johann M. Vega-Dienstmaier ,&nbsp;Frine Samalvides ,&nbsp;Renato D. Alarcón","doi":"10.1016/j.rcp.2022.10.003","DOIUrl":"10.1016/j.rcp.2022.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Knowledge of the symptomatological structure of mental disorders is relevant for their understanding and classification. In the absence of previous Latin American research on the simultaneous structural exploration of various types of psychiatric symptomatologies, the objective of this study is to examine the structure of anxious and mood-related symptoms, resulting syndromes, and their correlations.</div></div><div><h3>Method</h3><div>Several instruments for the evaluation of anxious, depressive, and manic symptoms were administered to 305 psychiatric outpatients. Using factor analysis and network graphs based on polychoric correlations between the symptoms, their clustering patterns (syndromes) were explored. Further, correlations between the scores of each resulting syndrome were performed.</div></div><div><h3>Results</h3><div>The symptom grouping process led to a total of fifteen generally overlapping syndromes: fear of evaluation, fear of people, agoraphobia, general anxiety, somatization, anergy, depressive core, lack of positive mood, cognitive difficulties, mania, post-traumatic stress/obsessions, fear of madness/loss of control, acrophobia, irritability, and sleep disturbances. General anxiety was at the center of the structure. Morning/matinal pole, hypersomnia, and increased appetite were relatively isolated symptoms.</div></div><div><h3>Conclusion</h3><div>Overlapping and/or highly correlated psychiatric syndromes were prominent findings, underlining the pertinence of a dimensional approach as a substantial strategy toward a more inclusive understanding of mental disorders.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 505-516"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55039707","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":"Fagofobia Como Síntoma Inicial de Demencia Frontotemporal: Reporte de Caso","authors":"Nilton Custodio ,&nbsp;Miguel A. Vences ,&nbsp;Fiorella Baca ,&nbsp;Rosa Montesinos ,&nbsp;Virgilio E. Failoc-Rojas ,&nbsp;José Cuenca ,&nbsp;David Lira","doi":"10.1016/j.rcp.2022.06.002","DOIUrl":"10.1016/j.rcp.2022.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Frontotemporal dementia is an important cause of dementia, and its diagnosis is complex due to the multiple neurocognitive manifestations that patients present. Eating disorders associated with this pathology have been reported, but phagophobia is an atypical manifestation.</div></div><div><h3>Case report</h3><div>We present the case of a 74-year-old adult patient with onset of phagophobia associated with a progressive and significant loss of executive functions, compromised spatial orientation, presenting in parallel a marked compromise in instrumental daily activities, psychotic symptoms, apathy, gait disturbance and sleep problems.</div></div><div><h3>Conclusions</h3><div>It is important that adult and older patients with eating disorders, particularly those who also present cognitive, behavioural and social dysfunction are evaluated to rule out the broad spectrum of frontotemporal dementia, since timely diagnosis and treatment can improve quality of life or slow its progression.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 4","pages":"Pages 580-583"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48947058","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}