Revista Colombiana de Psiquiatria最新文献

{"title":"Seudología fantástica como manifestación de una organización patológica de la personalidad: un reporte de caso","authors":"Paola Andrea García ,&nbsp;Manuela Torres ,&nbsp;Juan Junco ,&nbsp;Francisco J. Muñoz","doi":"10.1016/j.rcp.2024.03.002","DOIUrl":"10.1016/j.rcp.2024.03.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Pseudologia fantastica is a concept that has been relegated to the history books about psychopathology, which is sparely used nowadays because it is not included in any nosological category.</div></div><div><h3>Discussion</h3><div>A clinical case is presented to serve as an invitation to think about its genesis and to search for a model of understanding that explains it. Since the current diagnostic categories are insufficient to explain this phenomenon, we used the psychodynamic model proposed by Otto Kernberg and collaborators about personality organizations from the structural point of view.</div></div><div><h3>Conclusion</h3><div>It is important to widen the comprehension of the personality functioning, through different nosologic models to understand the diverse manifestations related to this group of disorders.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 694-699"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780015","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":"Do Coping Strategies Modify the Association Between Experiencing Parental Alcohol Misuse and Symptoms of Depression, Anxiety and Alcohol Consumption? A Case–Control Study Among Young People From Deprived Urban Areas in Latin America","authors":"Daniela Ramirez-Meneses ,&nbsp;Adriana Carbonel ,&nbsp;Ana L. Vilela-Estrada ,&nbsp;Antonio Bernabe-Ortiz ,&nbsp;José Miguel Uribe-Restrepo ,&nbsp;Natividad Olivar ,&nbsp;Natalia Godoy-Casasbuenas ,&nbsp;Sofia Madero ,&nbsp;Diliniya Stanislaus Sureshkumar ,&nbsp;Catherine Fung ,&nbsp;Carlos Gómez-Restrepo ,&nbsp;Luis Ignacio Brusco ,&nbsp;Francisco Diez-Canseco ,&nbsp;Stefan Priebe","doi":"10.1016/j.rcp.2025.05.002","DOIUrl":"10.1016/j.rcp.2025.05.002","url":null,"abstract":"<div><h3>Objective</h3><div>Assess the association between experiencing parental alcohol misuse with depression, anxiety and frequency of alcohol use among young people, and evaluate participants’ coping strategies as effect modifiers.</div></div><div><h3>Methods</h3><div>Participants were adolescents and young adults from deprived Bogotá, Buenos Aires, and Lima areas. We evaluated the relationship between experiencing parental alcohol misuse and presence of depression (PHQ-8), anxiety (GAD-7), and frequency of alcohol use (ASSIST), and examined the modifying effect of coping (CCSC-R1).</div></div><div><h3>Results</h3><div>Young people who experienced parental alcohol misuse in the last year had 2.41 and 2.30 times higher odds of having depression and anxiety, respectively, and 1.91 and 2.49 times higher odds of drinking monthly and weekly, compared to those who did not. Those who experienced it more than a year ago had 1.60 and 1.58 times higher odds of having depression and anxiety, respectively, compared to participants who did not. Coping strategies were not significant effect modifiers.</div></div><div><h3>Conclusions</h3><div>Parental alcohol misuse is associated with emotional distress and frequency of alcohol use in young people. Family-based interventions should address youth drinking and promote positive parenting practices.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 15-24"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529514","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":"Do Resilience and Social Capital Modify the Association Between Bullying, Depression, and Anxiety Among Youth From Deprived Urban Areas in Latin America?","authors":"Adriana Carbonel ,&nbsp;Ana L. Vilela-Estrada ,&nbsp;Antonio Bernabe-Ortiz ,&nbsp;Mauricio Toyama ,&nbsp;José Miguel Uribe-Restrepo ,&nbsp;Carlos Gomez-Restrepo ,&nbsp;Natalia Godoy-Casasbuenas ,&nbsp;Luis Ignacio Brusco ,&nbsp;Fernando Luis Carbonetti ,&nbsp;Natividad Olivar ,&nbsp;Diliniya Stanislaus Sureshkumar ,&nbsp;Catherine Fung ,&nbsp;Francisco Diez-Canseco ,&nbsp;Stefan Priebe","doi":"10.1016/j.rcp.2025.08.002","DOIUrl":"10.1016/j.rcp.2025.08.002","url":null,"abstract":"<div><h3>Objective</h3><div>Explore the association between being a victim of bullying and the presence of symptoms of depression and anxiety, and evaluate if participants’ resilience and structural and cognitive social capital are effect modifiers.</div></div><div><h3>Methods</h3><div>In this case–control study, participants were adolescents and young adults from disadvantaged neighbourhoods in Bogotá, Buenos Aires, and Lima. We conducted logistic regressions to address the association between bullying and the presence of symptoms of depression (PHQ-8) and anxiety (GAD-7). We stratified the analysis by resilience (CD-RISC 10), cognitive social capital, and structural social capital (SASCAT) levels and obtained the predicted probabilities of having symptoms.</div></div><div><h3>Results</h3><div>Young people who were bullied more than a year ago had 2.39 and 2.06 times higher odds of having symptoms of depression and anxiety, respectively, compared to participants who were never bullied. Those bullied in the last year had 3.58 and 4.01 times higher odds of having symptoms of depression and anxiety, respectively, compared to young people who were never bullied. Having high levels of resilience and cognitive social capital reduced the probability of having symptoms of depression and anxiety, but structural social capital did not.</div></div><div><h3>Conclusions</h3><div>Bullying was linked to depression and anxiety in disadvantaged Latin American youth. Interventions should focus on preventing bullying and enhancing resilience and community resources to support mental well-being.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 70-81"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529502","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":"Reducción del estigma/discriminación hacia los trastornos mentales en estudiantes universitarios: estudio piloto","authors":"Adalberto Campo-Arias ,&nbsp;Carmen Cecilia Caballero-Domínguez ,&nbsp;Jorge Mario Ortega-Iglesias","doi":"10.1016/j.rcp.2023.11.001","DOIUrl":"10.1016/j.rcp.2023.11.001","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 712-714"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139016219","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":"Old Man in Warnemünde (1907) Edvard Munch","authors":"","doi":"10.1016/j.rcp.2025.11.001","DOIUrl":"10.1016/j.rcp.2025.11.001","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Page 533"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665412","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":"Escala de fatiga mental por la pandemia debida a la COVID-19: desarrollo y validación inicial","authors":"Diana Ximena Puerta-Cortés ,&nbsp;Bianda Jeni González-Santos","doi":"10.1016/j.rcp.2024.04.005","DOIUrl":"10.1016/j.rcp.2024.04.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Mental fatigue may be an unintended result of restrictions to minimize contagion during the COVID-19 pandemic. Even so, valid and reliable instruments to study the phenomenon are not available in Latin America.</div></div><div><h3>Objective</h3><div>To analyze the psychometric properties of the new FaCov19 scale that assesses pandemic fatigue in a non-clinical sample.</div></div><div><h3>Methods</h3><div>Exploratory study with cross-sectional design. The 10-item FaCov19 questionnaire was designed and applied online to 369 Colombian participants. Psychometric analyses were performed to identify the reliability and validity of the instrument.</div></div><div><h3>Results</h3><div>The reliability of the instrument from McDonald's Omega was ω<!--> <!-->=<!--> <!-->0.83. In the exploratory factor analysis the Kaiser-Meyer-Olkin coefficient (KMO) was 0.84 and Bartlett's test of sphericity χ² of 1074.57; <em>P</em> <!-->=<!--> <!-->.00. In confirmatory factor analysis, the proposed FaCov19 test model was tested (χ²/gl<!--> <!-->=<!--> <!-->2.79; CFI<!--> <!-->=<!--> <!-->0.94; GFI<!--> <!-->=<!--> <!-->0.95; TLI<!--> <!-->=<!--> <!-->0.92; NFI<!--> <!-->=<!--> <!-->0.91; IFI<!--> <!-->=<!--> <!-->0.94 and RMSEA<!--> <!-->=<!--> <!-->0.07).</div></div><div><h3>Conclusions</h3><div>The FaCov19 questionnaire presents a three-dimensional structure, good internal consistency and acceptable validity. The study provides empirical and methodological evidence of a new questionnaire to assess mental fatigue due to the FaCov19 pandemic. It is an instrument adaptable to future pandemics, since the phenomenon of mental fatigue is prevalent in these circumstances and could possibly explain the cause of the reduction in self-care measures.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 647-654"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665459","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":"Co-producción de recomendaciones para mejorar los servicios de salud mental para jóvenes en Perú: análisis de talleres con profesionales y usuarios","authors":"Daniela Ramirez-Meneses ,&nbsp;Mauricio Toyama ,&nbsp;Ana L. Vilela-Estrada ,&nbsp;Sumiko Flores ,&nbsp;Adriana Carbonel ,&nbsp;Camila Gianella ,&nbsp;Lina Arenas Romero ,&nbsp;Stefan Priebe ,&nbsp;Francisco Diez-Canseco","doi":"10.1016/j.rcp.2025.09.001","DOIUrl":"10.1016/j.rcp.2025.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>Co-produce recommendations with professionals and users to improve mental health services for young people and adolescents in Lima, Peru.</div></div><div><h3>Methods</h3><div>We conducted 4 co-production workshops with 30 users and health professionals from 2 primary health care centres and 3 Community Mental Health Centres located in Lima, Peru. Their recommendations were organised into four categories: centres’ resources, health personnel, challenges in care access and continuity, guidelines and health service packages. A final list was compiled by identifying commonalities between suggestions.</div></div><div><h3>Results</h3><div>The recommendations included guaranteeing users’ privacy during sessions, training the staff to deliver efficient and empathetic care, promoting and disseminating mental health services options, and prioritising treatment adherence. While professionals suggested changes related to the administrative aspects of health facilities, users recommended improvements in the interpersonal treatment received during care.</div></div><div><h3>Conclusion</h3><div>Engaging both users and professionals allows for the identification of valuable recommendations to improve access to and the quality of mental health services for young people. Future efforts should focus on developing sustainable strategies to address the needs of key stakeholders.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 90-99"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529517","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":"Sleep Quality and Mental Health in Students at a Jungle University in Peru: A Cross-sectional Study During COVID-19 Pandemic Confinement","authors":"Valentina Murrieta-Ruiz ,&nbsp;Martin E. Reátegui-Garcia ,&nbsp;Abraham De-Los-Rios-Pinto ,&nbsp;Jefferson Reategui-Garcia ,&nbsp;Raysa M. Benito-Vargas ,&nbsp;Brenda Caira-Chuquineyra ,&nbsp;Daniel Fernandez-Guzman ,&nbsp;Alberto Salazar Granara","doi":"10.1016/j.rcp.2023.11.005","DOIUrl":"10.1016/j.rcp.2023.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>The objective was to evaluate the association between sleep quality and mental health in students at a jungle university in Peru.</div></div><div><h3>Materials and methods</h3><div><span><span>An analytical cross-sectional study was conducted on university students ≥18 years old during September and November 2020. Mental health status was measured with General Health Questionnaire (GHQ-12), and sleep quality with the </span>Pittsburgh Sleep Quality Index (PSQI). The association was assessed using linear regression models, and crude (</span><em>β</em>_c) and adjusted (<em>β</em>_a) beta regression coefficients with their respective 95% confidence intervals (95%CI) were estimated.</div></div><div><h3>Results</h3><div>Two hundred and seventy-nine students were evaluated, 35.1% were 20–21 years old and 56.6% were male. The mean PSQI was 7.9<!--> <!-->±<!--> <!-->3.2, and 75.3% presented sleep problems. The mean GHQ-12 was 14.0<!--> <!-->±<!--> <!-->6.6, and 57.7% showed suspected psychopathology. The total sleep quality score (<em>β</em>_a <!-->=<!--> <!-->0.36; 95% CI: 0.11–0.61; <em>p</em> <!-->=<!--> <!-->0.005), as well as, higher component scores, subjective sleep quality (<em>β</em>_a <!-->=<!--> <!-->1.57; 95% CI: 0.28–2.87; <em>p</em> <!-->=<!--> <!-->0.018), sleep duration (<em>β</em>_a <!-->=<!--> <!-->1.25; 95% CI: 0.35–2.16; <em>p</em> <!-->=<!--> <!-->0.007), hypnotic medication use (<em>β</em>_a <!-->=<!--> <!-->1.79; 95% CI: 0.43–3.15; <em>p</em> <!-->=<!--> <!-->0.010), and daytime dysfunction (<em>β</em>_a <!-->=<!--> <!-->1.15; 95% CI: 0.10–2.19; <em>p</em> <!-->=<!--> <!-->0.032), were associated with worse mental health status score.</div></div><div><h3>Conclusion</h3><div>After 6 months of initiation of COVID-19 confinement, the frequency of sleep disturbance and mental health were elevated. Sleep quality disturbance was associated with worse mental health status.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 581-590"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139021789","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":"Actitudes y respuestas emocionales de los padres frente a la identidad de género diversa de sus Hijxs: Recursos y barreras en su abordaje","authors":"Angélica María Restrepo ,&nbsp;Clara Elisa Reyes ,&nbsp;Camilo José Yanza ,&nbsp;Alejandro Castillo","doi":"10.1016/j.rcp.2024.04.003","DOIUrl":"10.1016/j.rcp.2024.04.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Raising a child with a diverse gender identity implies a challenge for their parents. This research seeks to document beliefs, emotions and attitudes of parentś of children with a diverse gender identity, who have received psychological and/or endocrinological care at the Fundación Valle de Lili clinic, located in the city of Cali, Colombia, with the intention to develop strategies that could be implemented in the therapeutic field.</div></div><div><h3>Methods</h3><div>Based on semi-structured interviews and a phenomenological analysis of them, the authors identify variables that affect the ways in which parents approach the diverse identity of their children at three levels: microsystemic, mesosystemic, and macrosystemic. Likewise, the text describes the emotional response that is typically given by the parents when facing the diverse identity of their child, as well as the resources and obstacles experienced.</div></div><div><h3>Results</h3><div>The results show the attitudes described by the parents in this research and their variation according to individual experiences. Emotional responses ranged from sadness, anger, and guilt to emotions of gratification and improved emotional bonding with their child. Regarding behaviours, a shift toward more openness in interacting with transgender and gender diverse people was evident in participants’ descriptions.</div></div><div><h3>Conclusions</h3><div>The emotional responses of parents are influenced by contextual variables, from which it seeks to provide clinical guidelines to accompany the process of children with diverse identities and their families, in order to prevent or reduce individual and family suffering. discrimination and gender-based violence.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 591-599"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140766","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":"Problemas conceptuales y de traducción en psiquiatría y neurología con el uso de las palabras «consciousness» y «awareness» en español","authors":"Marco Fierro ,&nbsp;Rafael Arias-Duarte ,&nbsp;Efrain Noguera ,&nbsp;Soraya Aparicio ,&nbsp;Ana Hernandez ,&nbsp;Jorge Holgin ,&nbsp;Esteban Perez","doi":"10.1016/j.rcp.2024.05.003","DOIUrl":"10.1016/j.rcp.2024.05.003","url":null,"abstract":"<div><h3>Introduction</h3><div>In the neurological and psychiatric literature in English, the terms <em>consciousness</em> and <em>awareness</em> are often used. When translating them into Spanish, two different words are not used but one: <em>conciencia</em>. Such linguistic practice has given rise to ambiguities in the description and denomination of some diagnostic criteria.</div></div><div><h3>Method</h3><div>From conceptualizing consciousness as a set of general capacities of growing complexity to dynamically interact with the environment and with oneself, one of those capacities is described: the basic connection with the environment.</div></div><div><h3>Results</h3><div>When the basic connection with the environment is altered, the subject has significant difficulties to understand the elementary general context of what is happening in the immediate environment, which manifests itself in all observable behavior. This alteration is one of the main signs/symptoms of the <em>delirium</em> and serves to establish differences between focal onset seizures.</div></div><div><h3>Conclusions</h3><div>The disturbance in basic connection with the environment is clinically characterized and it is proposed to adopt the name <em>alteración de la conexión básica con el entorno</em> (ACOBE) in Spanish for the sign/symptom that in English is called impaired awareness, disturbance in awareness, alteration of awareness or reduced awareness of the environment.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 705-711"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665527","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}