Revista Colombiana de Psiquiatria最新文献

{"title":"Treatment-Resistant Depression in Colombia: Results From a Longitudinal Analysis of the TRAL Study","authors":"Lina Maria Agudelo Baena ,&nbsp;Rodrigo Cordoba-Rojas ,&nbsp;Eugenio Ferro ,&nbsp;Gabriela Kanevsky ,&nbsp;Sergio Perocco","doi":"10.1016/j.rcp.2023.11.006","DOIUrl":"10.1016/j.rcp.2023.11.006","url":null,"abstract":"<div><h3>Objectives</h3><div>This manuscript reports on the clinical outcomes (response, remission and relapse) in TRD patients in Colombia under Standard-of-Care (SOC), and patient reported outcomes (PROs) – QoL, disability, depression severity – over a 1-year follow-up.</div></div><div><h3>Materials and methods</h3><div>From a sample of 162 MDD patients from 4 centres in Colombia, 52 had a formal diagnosis of TRD and were included in the 1-year follow-up. Exclusion criteria were patients with psychosis, schizophrenia, bipolar disorder, schizoaffective disorder, dementia, with severe chemical dependence or currently participating in another clinical trial. Clinical outcomes were measured with MADRS and PHQ-9, while PROs included EQ-5D (QoL) and Sheehan Disability Scale (SDS – disability).</div></div><div><h3>Results</h3><div>Patients’ mean age was 41.88 years, 80.8% of which were female, 37.3% were married or on consensual union and 42.3% had at least 13 years of formal education. Half of the sample achieved clinical response after 1-year of follow-up, while remission was not achieved by 57.9% of the participants (MADRS). Over 60% of the patients had mild to severe depression at the end of study (PHQ-9), while 57.9% reported feeling anxious/depressed (EQ-5D). Over three-quarters of the sample reported disruption in work/school, social life/leisure and family/home responsibilities (SDS).</div></div><div><h3>Conclusions</h3><div>Present results for Colombia underline the burden of TRD in most aspects of daily living. Current SOC fails to deliver the necessary clinical outcomes and patient centric approach, which suggests the need to improve treatment protocols, while increasing access to specialists, foster earlier diagnosis and the implementation on a nationwide programme for mental health.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 600-609"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139026083","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":"Trastorno afectivo bipolar y trastorno por uso de sustancias. Prevalencia y factores asociados a la patología dual en población general de Colombia","authors":"Susana Arroyave Bustamante ,&nbsp;Valentina López Gómez ,&nbsp;Sara Montoya González ,&nbsp;Melissa Sierra Restrepo ,&nbsp;Valentina Solarte Góngora ,&nbsp;Isabella Trujillo Duque ,&nbsp;Daniel Vásquez Botero ,&nbsp;Gloria María Sierra Hincapié ,&nbsp;Diana Restrepo ,&nbsp;Finalmente, queremos agradecer a la población de estudio por su colaboración","doi":"10.1016/j.rcp.2024.03.003","DOIUrl":"10.1016/j.rcp.2024.03.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Comorbidity between bipolar disorder (BD) and substance use disorder is relevant in the context of dual pathology due to its high prevalence and clinical and social implications. The objective of the study was to determine the prevalence of comorbid bipolar affective disorder with substance use disorder and associated sociodemographic and clinical factors in the general population.</div></div><div><h3>Methodology</h3><div>Analytical cross-sectional study, with a secondary source of information from a population study with 2,072 participants from 15 to 65 years of age interviewed with CIDI 3.0 (Composite International Diagnosis Interview); 23 mental disorders were diagnosed according to DSM-IV criteria. Sociodemographic and psychiatric clinical variables were included.</div></div><div><h3>Results</h3><div>Lifetime prevalence of BD and alcohol comorbidity (abuse 7.4%, dependence 9.7%); BD and drugs (abuse 6.5%, dependence 18.8%) and substance use disorder (including alcohol and drugs) 12.2%. After adjusting for clinical and sociodemographic variables in the multivariate model, alcohol abuse [RPa 6.60, 95%CI (1.54-28.26)], drug dependence [RPa 6.16, CI95% (1.38 -27.45)], oppositional defiant disorder [RPa 7.39, 95% CI (2.40-22.72)], and physical abuse [RPa 2.58 (1.01-6.58)].</div></div><div><h3>Discussion</h3><div>In the subgroup of people with BD, after controlling for confounding factors such as mental disorders and sociodemographic variables, a strong association with drug dependence and alcohol abuse was observed. Two additional risk factors emerge, childhood physical abuse and oppositional defiant disorder, which have previously been associated with poor mental health outcomes.</div></div><div><h3>Conclusions</h3><div>Detection of specific cohorts at risk of mental disorder is challenging. This study found that people diagnosed with BD throughout life are more vulnerable than others to having a substance use disorder.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 616-623"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140786064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asociación de las tareas domésticas con el estado de ánimo de adolescentes y adultos jóvenes de contextos urbanos de América Latina. Hallazgos de un estudio de muestreo de la experiencia","authors":"Ángela Flórez-Varela ,&nbsp;Carlos Gomez-Restrepo ,&nbsp;Luis Ignacio Brusco ,&nbsp;Francisco Diez-Canseco ,&nbsp;Nicola Holt ,&nbsp;Karen Ariza-Salazar ,&nbsp;Natividad Olivar ,&nbsp;Mauricio Toyama ,&nbsp;Catherine Fung ,&nbsp;Fernando Luis Carbonetti ,&nbsp;Ana L. Vilela-Estrada ,&nbsp;Stefan Priebe","doi":"10.1016/j.rcp.2025.06.001","DOIUrl":"10.1016/j.rcp.2025.06.001","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the association between household chores and the mood of adolescents and young adults in three Latin American cities.</div></div><div><h3>Methods</h3><div>This observational study is part of an Experience Sampling Study conducted under the research program «Promoting Resilience and the Development of Resources to Overcome Depression and Anxiety in Urban Youth in Latin America». The study was carried out in Buenos Aires, Bogotá, and Lima. Participants completed questionnaires that assessed their mood (calmness-nervousness and happiness-sadness) and the activities they engaged in at random times throughout the day for seven consecutive days, using a mobile application. A multilevel analysis was performed to determine whether mood differed by gender and age, both before, during, and after performing household chores.</div></div><div><h3>Results</h3><div>Participants reported feeling significantly calmer while engaged in household chores, and this effect appeared to persist over time. However, there was an increase in reported sadness during these chores compared to previous assessments. While mood varied based on age group and gender during household tasks, no significant differences were found.</div></div><div><h3>Conclusions</h3><div>The performance of household chores has an inverse impact on mood, affecting happiness-sadness and calmness-nervousness among adolescents and young adults in Latin American cities. Further research is needed to understand the medium- and long-term effects of these activities on mood.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 62-69"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529461","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":"Estrategias de afrontamiento y síntomas de depresión y ansiedad entre jóvenes de áreas urbanas desfavorecidas en Sudamérica: un estudio longitudinal en Bogotá, Buenos Aires y Lima","authors":"Fernando Esnal ,&nbsp;Luis Ignacio Brusco ,&nbsp;Natividad Olivar ,&nbsp;Francisco Diez-Canseco ,&nbsp;Mauricio Toyama ,&nbsp;Ana L. Vilela-Estrada ,&nbsp;Carlos Gómez-Restrepo ,&nbsp;José Miguel Uribe Restrepo ,&nbsp;Natalia Godoy-Casasbuenas ,&nbsp;Catherine Fung ,&nbsp;Diliniya Stanislaus Sureshkumar ,&nbsp;Stefan Priebe","doi":"10.1016/j.rcp.2025.08.003","DOIUrl":"10.1016/j.rcp.2025.08.003","url":null,"abstract":"<div><h3>Background</h3><div>The mental health of youth living in disadvantaged areas poses a public health challenge. Previous studies have focused on cross-sectional associations between coping strategies and symptoms of anxiety and depression, with limited exploration of longitudinal relationships.</div></div><div><h3>Objective</h3><div>To examine the association between changes in coping strategies and variations in anxiety and depression symptoms over time in adolescents and young adults residing in urban neighborhoods of South American cities, exploring whether an increase in coping strategies is associated with symptom reduction.</div></div><div><h3>Methodology</h3><div>Participants included 1,437 youth aged 15-16 and 20-24 years from Bogotá, Buenos Aires, and Lima, exhibiting symptoms of anxiety and/or depression. They were followed up at 12 and 24 months. Longitudinal covariance analysis was conducted to examine whether changes in coping strategies were associated with changes in symptoms.</div></div><div><h3>Results</h3><div>Increased use of strategies such as cognitive restructuring, problem-focused coping, and seeking support was associated with greater reduction in symptoms of anxiety and depression.</div></div><div><h3>Conclusion</h3><div>The findings underscore the importance of promoting coping strategies to reduce symptoms over time despite changes in the strategies utilized.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 25-32"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asociación entre práctica deportiva y síntomas de ansiedad y depresión en jóvenes: estudio longitudinal en áreas urbanas desfavorecidas de América Latina","authors":"Sofía Madero ,&nbsp;Luis Ignacio Brusco ,&nbsp;Francisco Diez-Canseco ,&nbsp;Carlos Gomez-Restrepo ,&nbsp;Natividad Olivar ,&nbsp;Pablo Ezequiel Flores-Kanter ,&nbsp;Karen Ariza-Salazar ,&nbsp;José Miguel Uribe-Restrepo ,&nbsp;Sumiko Flores ,&nbsp;Ana L. Vilela-Estrada ,&nbsp;Diliniya Stanislaus Sureshkumar ,&nbsp;Catherine Fung ,&nbsp;Stefan Priebe","doi":"10.1016/j.rcp.2025.08.004","DOIUrl":"10.1016/j.rcp.2025.08.004","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study is to explore the association between participation in sports activities over a two-year follow-up period and recovery in young people from disadvantaged urban areas of Bogotá, Lima, and Buenos Aires who present symptoms of anxiety or depression.</div></div><div><h3>Methods</h3><div>A longitudinal study was conducted, including adolescents (15-16 years old) and young adults (20-24 years old) with symptoms of anxiety and/or depression at baseline. Symptoms were assessed using the Patient Health Questionnaire-8 (PHQ-8) and the Generalised Anxiety Disorder-7 (GAD-7) scale, while participation in sports activities during the past month was recorded through a questionnaire. Descriptive and correlational analyses were conducted to evaluate the association between engaging in sports activities and changes in anxiety and/or depression scores at 12- and 24-month follow-ups</div></div><div><h3>Results</h3><div>A total of 1,434 participants answered all questions regarding symptoms and sports activities. Sports participation was significantly, but weakly associated with lower depression scores, but not anxiety scores. When participants who initially did not do any sports took up such activities, this was not associated with clinically relevant benefits in symptom reduction.</div></div><div><h3>Conclusions</h3><div>The study shows a limited potential of sports as a tool to reduce depression in both genders. However, it does not provide evidence for a clinically relevant benefit of taking up sports in young people with anxiety and/or depression.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 82-89"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529519","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":"Automatic Speech Recognition in Psychiatric Interviews: A Rocket to Diagnostic Support in Psychosis","authors":"José Tomás García Molina ,&nbsp;Pablo A. Gaspar ,&nbsp;Alicia Figueroa-Barra","doi":"10.1016/j.rcp.2023.12.002","DOIUrl":"10.1016/j.rcp.2023.12.002","url":null,"abstract":"<div><div>Speech analysis is a crucial tool in discerning the complex cognitive and emotional subtleties of individuals. It holds a significant role in psychiatric research, particularly in the detection and understanding of psychopathological conditions such as psychosis. The process involves computational analysis of speech using natural language processing (NLP) tools, which necessitates a transcription of the speech. However, the manual transcription process is both time-consuming and costly, posing a substantial challenge to large-scale investigations. To address this, we explore the use of “Whisper”, an automated speech recognition (ASR) tool developed by OpenAI©, for transcribing psychiatric interviews in Spanish in heterogeneous environmental conditions. The specific objectives are to compare the transcription accuracy of Whisper with a manual transcription, determine and compare linguistic elements (noun phrases, determiners, and type–token ratio), and examine environmental elements that could alter the quality of the transcription. Sixteen interviews were transcribed using Whisper, and all of them had a manual reference transcription to be compared. A word error ratio (WER, which measures the insertions, deletions, and substitutions that are required to change one word for another) of 7.80% was obtained, with no significant differences by gender. Furthermore, no differences were found in the count and proportionality of nominal phrases, use of determiners, and the type–token ratio (TTR). The findings indicate that Whisper is a precise instrument for transcribing clinical interviews in Spanish. It has a minimal error rate and negligible loss of linguistic data, even in adverse conditions. This could streamline large-scale research endeavors in speech analysis within the clinical domain.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 624-631"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139881563","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":"Carga de comorbilidad en pacientes adultos con trastorno psiquiátrico ingresados en un hospital general 2012-2018","authors":"Mercè Salvador-Robert ,&nbsp;Enrique Baca-García","doi":"10.1016/j.rcp.2024.08.002","DOIUrl":"10.1016/j.rcp.2024.08.002","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>People with mental disorders are at higher risk of developing organic pathologies than the general population. It is estimated that 25% of the adult population suffers from a mental disorder and 68% of them suffer from a comorbid disease. The aim of this work is to estimate the relationship between severe somatic comorbidity and mental disorders.</div></div><div><h3>Methods</h3><div>Between 2012 and 2018 we studied the somatic comorbidity of patients admitted to the Hospital [University Hospital of Mostoles] with a diagnosis of mental disorder ICD-10 using the Charlson-Quan index.</div></div><div><h3>Results</h3><div>5073 patients had a diagnosis of mental disorder. Of these, 1490 (29.4%) had a somatic disease of known impact and prognostic significance (Charlson-Quan index equal to or greater than 1), different among the groups of mental disorders (organic mental disorder 78.3%, substance use disorder 38.9%, schizophrenia spectrum disorders “non-schizophrenia psychosis” 21.9%, common mental disorder “anxiety-depression” 19.7% and schizophrenia 19.0%). The distribution by sex and age of psychiatric diagnoses was not homogeneous. In schizophrenia, the majority were male (64.5%), while in the rest of the diagnostic categories, women predominated. Organic mental disorders had a higher proportion of people over 65 years of age (77.9%), compared to the rest of the categories, which were mostly between 35 and 65 years of age. The most frequent somatic diseases in the sample are: chronic lung disease (14%), diabetes with chronic complications (11.3%), hemiplejía/paraplejía (11.3%), any malignancy (7.5%) and mild liver disease (5.7%).</div><div>The occurrence of somatic comorbidity throughout the life cycle is different in the mental disorder groups, with 4 patterns observed. Substance use disorders have the earliest onset of severe somatic comorbidity. Schizophrenia and schizophrenia spectrum disorders “non-schizophrenia psychosis” have an intermediate onset and a very sharp increase in morbidity rate. Common mental disorders initiate severe comorbidity later and more progressively. Organic mental disorders are those with the latest onset of morbidity, above 60 years of age, and rapidly become more complicated.</div></div><div><h3>Conclusions</h3><div>This study provides an estimate of the prevalence and characteristics of somatic illness in hospitalized patients with mental illness in a general hospital. Mental illness is associated with a substantial burden of physical comorbidities that appear at different evolutionary moments according to the diagnostic group of mental illness.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 655-664"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665524","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 neuropsiquiátricos como primera manifestación de lupus eritematoso sistémico en un adulto mayor: reporte de caso","authors":"Sandra Brigitte Amado Garzón ,&nbsp;Andrés Mauricio Martínez Suárez ,&nbsp;María Susana Redondo García ,&nbsp;Natalia Caicedo Sarria ,&nbsp;Andrea Vanessa Plaza Pérez ,&nbsp;Paola Andrea García Martínez","doi":"10.1016/j.rcp.2024.04.013","DOIUrl":"10.1016/j.rcp.2024.04.013","url":null,"abstract":"<div><h3>Case Description</h3><div>A 68-year-old man with subacute symptoms of irritability, abulia, anhedonia, apathy, anorexia, and weight loss.</div></div><div><h3>Clinical Findings</h3><div>He had erythematous-violaceous plaques on the face, trunk and arms; poikiloderma in lower limbs, livedo reticularis, clubbing and melanomichia. On mental examination he presented apathetic and indifferent with a flat affect.</div><div>Pancytopenia and intrahepatic cholestasis were documented. Infectious, nutritional and infiltrative causes were ruled out, as well as malignancy or structural alterations in the liver or central nervous system that could explain the symptoms.</div></div><div><h3>Treatment and Outcome</h3><div>Autoimmunity studies together with skin biopsy led to the diagnosis of systemic lupus erythematosus (SLE). Given the initial suspicion of confusional syndrome versus depression with psychotic symptoms, he received sequential management with multiple antipsychotics; the start of the systemic steroid led to resolution of symptoms.</div></div><div><h3>Clinical Relevance</h3><div>SLE mainly affects young women; in older adults it is uncommon and underlying malignancy must always be ruled out. Neuropsychiatric manifestations are atypical in this group, with cognitive impairment and behavioral disorders observed in 1-5% of cases. (1) It is important to consider it as a differential diagnosis in patients with symptoms refractory to conventional management, giving that there may be improvement with immunomodulatory treatment.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 700-704"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665526","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":"Post-Traumatic Stress Risk Among COVID-19 Survivors in Colombia","authors":"Edwin Herazo ,&nbsp;John Carlos Pedrozo-Pupo ,&nbsp;Adalberto Campo-Arias","doi":"10.1016/j.rcp.2023.11.007","DOIUrl":"10.1016/j.rcp.2023.11.007","url":null,"abstract":"<div><h3>Background</h3><div>Symptoms of post-traumatic stress are common in people who have experienced a life experience that significantly threatened their physical or psychological integrity. Nevertheless, little information about post-traumatic stress disorder risk (PSTD-R) in Colombian COVID-19 survivors is available.</div></div><div><h3>Objective</h3><div>To establish the prevalence and variables associated with PTSD-R in a sample of COVID-19 survivors in Santa Marta, Colombia.</div></div><div><h3>Method</h3><div>A cross-sectional study was designed with a non-probabilistic sample of adult COVID-19 survivors. Participants were demographically characterized and completed scales for depression risk, insomnia risk, and PTSD-R.</div></div><div><h3>Results</h3><div>Three hundred and thirty COVID-19 survivors between 18 and 89 years participated; 61.5% were women. The frequency of depression risk was 49.7%; insomnia risk, 60.6%; and PTSD-R, 13.3%. Depression risk (OR<!--> <!-->=<!--> <!-->41.4, 95% CI 5.5–311.6), insomnia risk (OR<!--> <!-->=<!--> <!-->5.3, 95% CI 1.8–18.7), low income (OR<!--> <!-->=<!--> <!-->3.5, 95% CI 1.4–8.7) and being married or free union (OR<!--> <!-->=<!--> <!-->2.7, 95% CI 1.1–6.2) were associated with PTSD-R.</div></div><div><h3>Conclusions</h3><div>Two out of every fifteen COVID-19 survivors are in PTSD-R. Depression and insomnia risk are strongly associated with PTSD-R among Colombian COVID-19 survivors. Studies that follow COVID-19 survivors long-term are needed.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 640-646"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665458","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":"Sistematización y resultados cuatro años después del proceso de alistamiento territorial para la implementación de la Política Nacional de Salud Mental en el Departamento de Boyacá 2023","authors":"Daniela Assis Fierro ,&nbsp;Laura Restrepo-Escudero ,&nbsp;María José Correa-Méndez ,&nbsp;Mariana Vásquez-Ponce ,&nbsp;Giancarlo Zuliani-Escalante ,&nbsp;Lina María González Ballesteros","doi":"10.1016/j.rcp.2023.12.006","DOIUrl":"10.1016/j.rcp.2023.12.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Boyacá was chosen for the pilot implementation of the National Mental Health Policy (NMHP). The aim of this study was to reconstruct the process of territorial enlistment for the adoption and adaptation of the NMHP during the 2019-2020 period in Boyacá and to describe its current situation, evidencing the challenges and results obtained in the short term.</div></div><div><h3>Methods</h3><div>A qualitative, interpretative, observational, and non-participant methodology was used. An open survey was conducted on 116 key actors of the process and then a semi-structured interview to 14 people chosen with a purposive sampling based on the type of interaction they had in the implementation of the NMHP, with a thematic categorical qualitative analysis.</div></div><div><h3>Results</h3><div>The main problems were psychoactive substances (PAS) and alcohol use, and domestic violence. The participants considered that the policy was well designed and was fitting for the territory, and highlighted as a strength the political will. They indicated as weaknesses the shortage of resources, institutional capacity and human capital, and the lack of a territorial approach by not considering its conditions of rurality.</div></div><div><h3>Conclusion</h3><div>Even though some of the main concerns mentioned still persist and the impact of the NMHP has not been evidenced in indicators, its results are notable in terms of the direction and budget allocation in favor of mental health in the region.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 542-550"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464294","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}