Sumiko Flores , Ana L. Vilela-Estrada , Adriana Carbonel , Antonio Bernabé-Ortiz , Diliniya Stanislaus Sureshkumar , Catherine Fung , Luis Ignacio Brusco , Natividad Olivar , Fernando Luis Carbonetti , Carlos Gómez-Restrepo , Karen Ariza-Salazar , Francisco Diez-Canseco , Stefan Priebe
{"title":"Does Social Support Modify the Association Between Having a Severely Ill or Injured Relative or Partner With Mental Distress Among Latin American Adolescents and Young Adults?","authors":"Sumiko Flores , Ana L. Vilela-Estrada , Adriana Carbonel , Antonio Bernabé-Ortiz , Diliniya Stanislaus Sureshkumar , Catherine Fung , Luis Ignacio Brusco , Natividad Olivar , Fernando Luis Carbonetti , Carlos Gómez-Restrepo , Karen Ariza-Salazar , Francisco Diez-Canseco , Stefan Priebe","doi":"10.1016/j.rcp.2025.07.003","DOIUrl":"10.1016/j.rcp.2025.07.003","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the association between having a relative or partner with a severe illness or injury and symptoms of depression and anxiety, and to explore whether perceived social support modifies this relationship.</div></div><div><h3>Methods</h3><div>This case–control study focuses on young people aged 15–16 and 20–24 living in deprived areas of Buenos Aires, Bogotá, and Lima. Depression and anxiety symptoms were measured using PHQ-8 and GAD-7. Logistic regression models were used, stratified by levels of perceived social support.</div></div><div><h3>Results</h3><div>Among 2342 participants, those with a severely ill or injured relative or partner had increased odds of reporting depression and anxiety symptoms. When the event occurred in the last year, low perceived social support was linked to higher odds of depression (OR<!--> <!-->=<!--> <!-->5.08) and anxiety (OR<!--> <!-->=<!--> <!-->2.89). High support reduced only the risk of depression symptoms.</div></div><div><h3>Conclusions</h3><div>These findings align with evidence from other international contexts and highlight the importance of early interventions in situations involving serious health problems of relatives or a partner. Strengthening social support may buffer the psychological impact caused by such events.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 43-51"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529451","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}
Salomón Salazar-Londoño , Felipe Botero-Rodríguez , Juanita Moreno-Contreras , Valentina Vanegas-Zamora , Carlos Gómez-Restrepo , Gabriel Fernando Oviedo-Lugo
{"title":"Self-Perception of Risky Consumption and Emotional Factors Associated With Electronic Nicotine and Non-Nicotine Delivery Systems During the SARS-CoV-2 Pandemic","authors":"Salomón Salazar-Londoño , Felipe Botero-Rodríguez , Juanita Moreno-Contreras , Valentina Vanegas-Zamora , Carlos Gómez-Restrepo , Gabriel Fernando Oviedo-Lugo","doi":"10.1016/j.rcp.2023.08.006","DOIUrl":"10.1016/j.rcp.2023.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>Because the SARS-CoV-2 pandemic fostered an environment marked by limitations for social encounters and emotional fluctuations, it is essential to determine the variations in the consumption of Electronic Nicotine Delivery Systems (ENDS) and Electronic Non-nicotine Delivery Systems (ENNDS) during this period in young Colombians between 18 and 25 years of age, evaluating the emotional factors that affect the consumption mentioned above and the risky consumption.</div></div><div><h3>Methods</h3><div>After collecting data through a virtual survey, in this cross-sectional study a mainly descriptive analysis of variables related to the consumption of ENDS and ENNDS was carried out in parallel with three different mental health outcomes: depression, anxiety, and loneliness.</div></div><div><h3>Results</h3><div>Most participants reported a decrease or cessation of their consumption during the restrictive measures, which is consistent with the fact that more than half said that consumption was limited to social gatherings. Additionally, anxiety and loneliness symptoms are more present in those participants with risky consumption than those who do not.</div></div><div><h3>Conclusion</h3><div>Although the consumption of ENDS and ENNDS has a social predominance, there may be factors that modulate it. For this reason, it is essential to deepen research on this topic to propose public health strategies that allow this consumption to be mitigated.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 536-541"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135248308","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}
Silvia Gaviria , Renato D. Alarcón , Miriam Lucio , Elvia Velásquez , Alina Uribe , Antonio Lozano-Vargas , José Ordoñez-Mancheno
{"title":"The Feminization of Migrations: Psychosocial and Mental Health Aspects of Venezuelan Women in Colombia","authors":"Silvia Gaviria , Renato D. Alarcón , Miriam Lucio , Elvia Velásquez , Alina Uribe , Antonio Lozano-Vargas , José Ordoñez-Mancheno","doi":"10.1016/j.rcp.2024.04.012","DOIUrl":"10.1016/j.rcp.2024.04.012","url":null,"abstract":"<div><h3>Objective</h3><div>Review the sociodemographic and psychosocial conditions related to female migration from Venezuela to Colombia, with emphasis on psychosocial and mental health factors.</div></div><div><h3>Method</h3><div>The information was extracted from reports from international organizations, demographic surveys and articles published in different scientific media. Based on this information, different topics are analyzed considering statistical values, conditions and presentation of different variables that affect the quality of life and mental health of migrant Venezuelan women and their families.</div></div><div><h3>Results</h3><div>The studies and sources reviewed show that they allow us to infer that the Venezuelan migrant status and gender are factors that strongly affect access to employment, health and decent housing, with women in an irregular migratory situation being the most affected. Likewise, stereotypes, xenophobic events, and gender-based violence negatively impact access to services and mental health.</div></div><div><h3>Conclusions</h3><div>It is necessary to continue building programs aimed at the needs of the female population, since migration accentuates gender gaps and negatively impacts mental health.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 680-688"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665525","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":"Confiabilidad prueba-reprueba del Cuestionario de Síntomas Prodrómicos (PQ-16) en adolescentes escolarizados en Santa Marta, Colombia, 2022","authors":"Adalberto Campo-Arias , Carmen Cecilia Caballero-Domínguez , Aneta Dorazilová , Mabel Rodríguez","doi":"10.1016/j.rcp.2023.12.007","DOIUrl":"10.1016/j.rcp.2023.12.007","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The 16-item Prodromal Questionnaire (PQ-16) is a screening instrument for cases of schizophrenia. However, the test–retest reliability of the device in Colombian adolescents is unknown. The study's objective was to determine the test–retest reliability of the PQ-16 in Colombian school adolescents.</div></div><div><h3>Methods</h3><div>A validation study was designed with the participation of 49 Colombian students between the ages of 14 and 17 (M<!--> <!-->=<!--> <!-->15.3, SD<!--> <!-->=<!--> <!-->0.91), 27 (55.1%) were females and 22 (44.9%) males.</div></div><div><h3>Results</h3><div>Total scores were similar in both applications (M<!--> <!-->=<!--> <!-->7.1, SD<!--> <!-->=<!--> <!-->4.1 versus M<!--> <!-->=<!--> <!-->6.6, SD<!--> <!-->=<!--> <!-->4.7, t<!--> <!-->=<!--> <!-->1.34, gl<!--> <!-->=<!--> <!-->48, p<!--> <!-->=<!--> <!-->0.19), Pearson's correlation of 0.80, correlation coefficient of 0.89 (95% <span>C</span>I: 0.84–0.94) and Lin's coefficient of concordance of 0.92.</div></div><div><h3>Conclusions</h3><div>The PQ-16 is an instrument with high test-retest reliability in Colombian adolescents. Testing the dimensionality and validity against a structured clinical interview with a larger sample of participants is necessary.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 610-615"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139882101","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}
Santiago César Lucchetti , Luis Ignacio Brusco , Francisco Diez-Canseco , Carlos Gomez-Restrepo , Fernando Carbonetti , Catherine Fung , José Miguel Uribe-Restrepo , Sumiko Flores , Natalia Godoy-Casasbuenas , Adriana Carbonel , Diliniya Stanislaus Sureshkumar , Stefan Priebe
{"title":"Social Media Use, Quality of Life, and Recovery From Depression and Anxiety in Young People From Deprived Urban Areas: A Longitudinal Study in South America","authors":"Santiago César Lucchetti , Luis Ignacio Brusco , Francisco Diez-Canseco , Carlos Gomez-Restrepo , Fernando Carbonetti , Catherine Fung , José Miguel Uribe-Restrepo , Sumiko Flores , Natalia Godoy-Casasbuenas , Adriana Carbonel , Diliniya Stanislaus Sureshkumar , Stefan Priebe","doi":"10.1016/j.rcp.2025.07.004","DOIUrl":"10.1016/j.rcp.2025.07.004","url":null,"abstract":"<div><h3>Background</h3><div>Young people in South America's deprived urban regions are at heightened risk for mental disorders. High social media engagement (SME) – the intensity of use and emotional connection to social platforms – is associated with depression and anxiety, but its role in symptom persistence or recovery remains unclear.</div></div><div><h3>Objective</h3><div>To assess if SME changes in young people from deprived urban areas of South America with depression/anxiety link to improvement of symptoms or quality of life (QoL).</div></div><div><h3>Methods</h3><div>A longitudinal study assessed 1280 participants with depression and/or anxiety at baseline. We used the Multidimensional Facebook Intensity Scale (MFIS, SME), Patient Health Questionnaire (PHQ-8, depression), General Anxiety Disorder (GAD-7, anxiety), and Manchester Short Assessment (MANSA, QoL). At 12- and 24-month follow-ups, 1255 and 1013 participants were analyzed. Analyses included descriptive statistics, Pearson correlations, ANOVA, and Games–Howell post hoc tests.</div></div><div><h3>Findings</h3><div>Higher SME levels were associated with higher depression/anxiety scores at all time points. Participants who reduced or maintained stable SME showed significantly greater improvements in depression and QoL compared to those who increased SME.</div></div><div><h3>Conclusions</h3><div>Reducing SME or fostering healthier engagement may be clinically relevant to reduce depression and anxiety risk and improve QoL. Future research should explore intervention efficacy.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 52-61"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529459","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}
Carlos Gómez-Restrepo , Isabela Osorio Jaramillo , Karen Ariza-Salazar , María Camila Roldan Bernal , Luis Arturo Bustamante Ortiz , Andrés Felipe Avendaño , Diliniya Stanislaus Sureshkumar , Catherine Fung , Stefan Priebe
{"title":"Percepciones del malestar emocional juvenil en los adolescentes y adultos de Bogotá","authors":"Carlos Gómez-Restrepo , Isabela Osorio Jaramillo , Karen Ariza-Salazar , María Camila Roldan Bernal , Luis Arturo Bustamante Ortiz , Andrés Felipe Avendaño , Diliniya Stanislaus Sureshkumar , Catherine Fung , Stefan Priebe","doi":"10.1016/j.rcp.2025.05.001","DOIUrl":"10.1016/j.rcp.2025.05.001","url":null,"abstract":"<div><h3>Objective</h3><div>Emotional distress in youth has been related to a deterioration in quality of life. Therefore, this study aims to understand the perception of adolescents, young adults and professionals working with young people about the factors that contribute to the development of emotional distress in young people in the city of Bogota (Colombia).</div></div><div><h3>Methods</h3><div>Six focus groups were conducted (2 with adolescents, 2 with young adults and 2 with professionals who have experience working with youth). A thematic analysis was conducted.</div></div><div><h3>Results</h3><div>Participants describe that emotional distress in youth is related to feelings of frustration, stress, and fear of being judged, especially due to academic issues, work or due to parental pressure, the desire to be accepted by peers, and conflicting interpersonal relationships. The perception of professionals seems to be linked to a social construction of youth as a stage characterized by the exacerbation of the emotional.</div></div><div><h3>Conclusions</h3><div>The participants’ perception of the factors that contribute to emotional distress in youth reflects different situations in the environments in which they live their daily lives such as personal, school, family, work and peer relationships; and these are characterized by feelings such as worry, stress, misunderstanding and anxiety.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 100-108"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529518","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}
S. Priebe , L.I. Brusco , C. Gómez-Restrepo , F. Diez-Canseco
{"title":"A Journey of Collaborative Research on the Mental Health of Young People in Deprived Urban Areas in South America","authors":"S. Priebe , L.I. Brusco , C. Gómez-Restrepo , F. Diez-Canseco","doi":"10.1016/j.rcp.2025.10.006","DOIUrl":"10.1016/j.rcp.2025.10.006","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529007","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}
Juan Camilo Castro Martinez , Francisco Diez-Canseco , Luis Ignacio Brusco , Nelcy Rodríguez Malagón , Catherine Fung , Magda Cepeda-Gil , Fernando Luis Carbonetti , Daniela Ramirez-Meneses , Fernando Esnal , Adriana Carbonel , Victoria Bird , Stefan Priebe , Carlos Gómez-Restrepo
{"title":"Depression, Anxiety and Comorbid Anxiety–Depression and its Relation to Social Capital and Resilience in Young People From Deprived Urban Areas: A Cross-sectional Study in South America","authors":"Juan Camilo Castro Martinez , Francisco Diez-Canseco , Luis Ignacio Brusco , Nelcy Rodríguez Malagón , Catherine Fung , Magda Cepeda-Gil , Fernando Luis Carbonetti , Daniela Ramirez-Meneses , Fernando Esnal , Adriana Carbonel , Victoria Bird , Stefan Priebe , Carlos Gómez-Restrepo","doi":"10.1016/j.rcp.2025.08.001","DOIUrl":"10.1016/j.rcp.2025.08.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Youth is a critical period for the development of anxiety and depression, contributing to the disease burden in this population. Psychosocial resources (resilience and social capital) are important in coping with this burden but are under-researched in urban areas of low- and middle-income countries (LMICs). This study describes the sociodemographic characteristics, psychosocial resources, psychopathological symptoms and quality of life, and examines the relationship between psychopathological symptoms with psychosocial resources in a multi-country Latin American sample.</div></div><div><h3>Methods</h3><div>Using data from the OLA research program, this cross-sectional study involved youth aged 15–16 and 20–24 years from vulnerable urban areas in Latin America. Participants completed sociodemographic questionnaires and assessments for anxiety (GAD-7), depression (PHQ-8), social capital (ASCAT), and resilience (CD-RISC 10). Multinomial regression analyzed the relationships between psychopathology and psychosocial resources.</div></div><div><h3>Results</h3><div>Out of 2402 participants, 59.8% reported psychopathology: 6.8% with only anxiety, 18.9% with only depression, and 34.1% with comorbid anxiety–depression. Participants with comorbid anxiety–depression had the highest percentage of low cognitive social capital (92.4%) and the lowest resilience scores (median<!--> <!-->=<!--> <!-->21, IQR<!--> <!-->=<!--> <!-->11). Resilience showed a protective role across all psychopathological groups. High cognitive social capital was protective for those with depression and comorbid anxiety–depression.</div></div><div><h3>Conclusion</h3><div>Comorbidity was most prevalent and associated with lower resilience and quality of life. Resilience and cognitive social capital emerged as protective factors, suggesting potential targets for interventions in the population studied. These findings highlight the need for further research.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 33-42"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529460","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}
Fernando Luis Carbonetti , Luis Ignacio Brusco , Natividad Olivar , Karen Ariza-Salazar , Francisco Diez-Canseco , Carlos Gomez-Restrepo , Ezequiel Flores Kanter , Catherine Fung , Mauricio Toyama , José Miguel Uribe-Restrepo , Ana L. Vilela-Estrada , Victoria J. Bird , Priebe Stefan
{"title":"Mental Distress and Subjective Quality of Life Among Adolescents and Young Adults Living in Deprived Urban Areas in South America – A Cross-sectional Study","authors":"Fernando Luis Carbonetti , Luis Ignacio Brusco , Natividad Olivar , Karen Ariza-Salazar , Francisco Diez-Canseco , Carlos Gomez-Restrepo , Ezequiel Flores Kanter , Catherine Fung , Mauricio Toyama , José Miguel Uribe-Restrepo , Ana L. Vilela-Estrada , Victoria J. Bird , Priebe Stefan","doi":"10.1016/j.rcp.2025.08.005","DOIUrl":"10.1016/j.rcp.2025.08.005","url":null,"abstract":"<div><h3>Background</h3><div>There has been extensive research on mental distress and quality of life, and various studies have shown an association between high distress and poorer subjective quality of life (SQoL). However, hardly any research has addressed these issues in young people in deprived urban areas who are exposed to a range of risk factors for experiencing mental distress.</div></div><div><h3>Objective</h3><div>The study aimed to assess the SQoL and symptoms of anxiety and depression among adolescents and young adults living in deprived urban areas in South America and explore the link between SQoL and symptoms.</div></div><div><h3>Methods</h3><div>In a cross-sectional study, we recruited participants aged 15/16 and 20–24 years old in deprived areas in Bogotá, Buenos Aires and Lima. Participants rated symptoms of depression and anxiety on the Patient Health Questionnaire-8 and General Anxiety Disorder-7 respectively and SQoL on the Manchester Short Assessment of Quality of Life.</div></div><div><h3>Results</h3><div>We recruited 2396 participants (1077 adolescents and 1319 young adults), with on average moderate symptom levels of depression and anxiety. Variations of satisfaction with different life domains were largely similar in the two age groups. Overall, participants were explicitly dissatisfied with their personal safety and financial situation, and most satisfied with the people they lived with, their sex life, family relations and friendships. Higher scores on both depression and anxiety scales showed moderate associations (from <em>r</em> <!-->=<!--> <!-->−0.31 to <em>r</em> <!-->=<!--> <!-->−0.52) with poorer SQoL in both age groups.</div></div><div><h3>Conclusion</h3><div>The SQoL of young people with moderate symptom levels of depression and anxiety and living in deprived urban areas in South America reflects the adverse environment they live in and points to positive resources in social relationships reducing mental distress and improving social conditions may lead to an improvement of quality of life in this population.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 109-116"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529516","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}
María Camila Mejía Arias , Juan Carlos Rivas Nieto , María Paulina Cortés Palacio , María Isabel Motta Martínez
{"title":"Patient with Progressive Supranuclear Palsy Initially Diagnosed as Anxiety and Depression","authors":"María Camila Mejía Arias , Juan Carlos Rivas Nieto , María Paulina Cortés Palacio , María Isabel Motta Martínez","doi":"10.1016/j.rcp.2023.10.003","DOIUrl":"10.1016/j.rcp.2023.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Progressive Supranuclear Palsy (PSP) encompasses a broad spectrum of syndromes related to movement and behavioral disorders. The most common symptoms include motor disturbances such as frequent falls, rigidity, bradykinesia, and ocular movements. Behavioral changes may precede these symptoms, complicating the diagnosis and delaying treatment. This case aims to highlight symptoms that may raise suspicion for PSP diagnosis and facilitate timely treatment.</div></div><div><h3>Clinical case</h3><div>The patient is a 58-year-old woman with neuropsychiatric symptoms such as disinhibition and depressive symptoms, initially diagnosed as anxiety and depression, and later, in the presence of psychotic symptoms, as schizophrenia. Eight years after the onset of symptoms, she consulted a psychiatric hospital, where alterations in affect, psychomotor function, and neurological examination were found. A simple brain magnetic resonance imaging showed suggestive signs of PSP<span>, and treatment was initiated with haloperidol and levodopa/carbidopa, resulting in partial improvement of symptoms.</span></div></div><div><h3>Conclusions</h3><div>Due to the multiple psychiatric symptoms presented by PSP, it is often misdiagnosed as a primary psychiatric disorder, leading to delayed management and exposing patients to possible adverse effects of unnecessary treatments.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 689-693"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139298617","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}