Revista Colombiana de Psiquiatria最新文献

{"title":"Relación entre el consumo de sustancias psicoactivas, alcohol y cigarrillo en estudiantes de Enfermería. Un estudio de corte transversal","authors":"Jenny Paola Garzón Ruiz,&nbsp;Fabián Cortés-Muñoz,&nbsp;Mónica Alexandra Ferrer Buenaño,&nbsp;Anggie Lizeth García Hernández,&nbsp;John Jalber Lombana Cortés,&nbsp;José Luis Quimbay Mondragón,&nbsp;Mateo Alejandro Gil Cabezas,&nbsp;Angie Paola Parada Fresneda,&nbsp;Johan Stiven Buitrago Arcila,&nbsp;Luis Fernando Agudelo Cruz,&nbsp;Laura Daniela Fonseca Granados,&nbsp;Jennifer Tatiana Ruiz Barrera","doi":"10.1016/j.rcp.2021.11.003","DOIUrl":"10.1016/j.rcp.2021.11.003","url":null,"abstract":"<div><h3>Background</h3><p>The increase in the use of psychoactive substances, alcohol and cigarettes in young people has become a public health problem. The identification of factors that increase or reduce the risk of exposure to these substances and the possible relationship between them is essential for planning strategies with a risk approach; hence the reason for this study. The objective was to establish the profile of use of psychoactive substances, alcohol and cigarettes and the factors associated with such use in nursing students of a higher education institution.</p></div><div><h3>Methods</h3><p>Quantitative, observational, analytical cross-sectional study.</p></div><div><h3>Results</h3><p>We included 310 students from 1<!--> <!-->st to 9<!--> <!-->th semester of a Nursing programme from a private higher education institution in Bogotá. The prevalence of psychoactive substance use in the last year was 2.96% (95%CI, 1.36-5.54), with marijuana being the substance most used (55.55%). The prevalence of alcohol and cigarette use during the last 12 months was estimated at 86.64% (95%CI, 83.24-91.0) and 12.16% (95%CI, 8.43-15.88) respectively. A statistically significant association was found between the use of these substances: alcohol use was associated with cigarette use (OR<!--> <!-->=<!--> <!-->3.22; P<!--> <!-->=<!--> <!-->0.006) and smoking was associated with psychoactive substance use (OR<!--> <!-->=<!--> <!-->15.4; P &lt;<!--> <!-->0.001).</p></div><div><h3>Conclusions</h3><p>Alcohol use increases the likelihood of smoking cigarettes, and this in turn increases the likelihood of psychoactive substance use, in this university population.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 73-84"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47769500","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":"Incidencia del Síndrome Confusional (delirio) en un Hospital Universitario Latinoamericano","authors":"Gabriel Fernando Oviedo Lugo ,&nbsp;Paola Andrea García Martínez ,&nbsp;Andrés Duarte Osorio ,&nbsp;Carlos Javier Rincón ,&nbsp;Alejandra López ,&nbsp;Roberto Chavarría ,&nbsp;Catalina Pineda Betancur ,&nbsp;Natalia García Gil ,&nbsp;María Natalia Duarte Ariza ,&nbsp;Juan Agustín Patiño Trejos ,&nbsp;Juan Sebastián Insignares ,&nbsp;Carlos Gómez-Restrepo","doi":"10.1016/j.rcp.2022.01.001","DOIUrl":"10.1016/j.rcp.2022.01.001","url":null,"abstract":"<div><h3>Background</h3><p>Little is known about the incidence of delirium and its subtypes in patients admitted to different departments of university hospitals in Latin America.</p></div><div><h3>Objective</h3><p>To determine the incidence of delirium and the frequency of its subtypes, as well as its associated factors, in patients admitted to different departments of a university hospital in Bogotá, Colombia.</p></div><div><h3>Methods</h3><p>A cohort of patients over 18 years of age admitted to the internal medicine (IM), geriatrics (GU), general surgery (GSU), orthopaedics (OU) and intensive care unit (ICU) services of a university hospital was followed up between January and June 2018. To detect the presence of delirium, we used the CAM (Confusion Assessment Method) and the CAM-ICU if the patient had decreased communication skills. The delirium subtype was characterised using the RASS (Richmond Agitation and Sedation Scale). Patients were assessed on their admission date and then every two days until discharged from the hospital. Those in whom delirium was identified were referred for specialised intra-institutional interdisciplinary management.</p></div><div><h3>Results</h3><p>A total of 531 patients admitted during the period were assessed. The overall incidence of delirium was 12% (95% <span>C</span>I, 0.3-14.8). They represented 31.8% of patients in the GU, 15.6% in the ICU, 8.7% in IM, 5.1% in the OU, and 3.9% in the GSU. The most frequent clinical display was the mixed subtype, at 60.9%, followed by the normoactive subtype (34.4%) and the hypoactive subtype (4.7%). The factors most associated with delirium were age (adjusted RR<!--> <!-->=<!--> <!-->1.07; 95% CI, 1.05-1.09), the presence of four or more comorbidities (adjusted RR<!--> <!-->=<!--> <!-->2.04; 95% CI, 1.31-3.20), and being a patient in the ICU (adjusted RR<!--> <!-->=<!--> <!-->2.02; 95% CI, 1.22-3.35).</p></div><div><h3>Conclusions</h3><p>The incidence of delirium is heterogeneous in the different departments of the university hospital. The highest incidence occurred in patients that were admitted to the GU. The mixed subtype was the most frequent one, and the main associated factors were age, the presence of four or more comorbidities, and being an ICU patient.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 41-46"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49528526","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":"Determinantes sociales, síntomas y problemas mentales en población adulta víctima de desplazamiento forzado por conflicto armado interno. Soacha, Colombia, 2019","authors":"Sandra Elizabeth Piñeros-Ortíz,&nbsp;Zulma Consuelo Urrego-Mendoza,&nbsp;Nathaly Garzón-Orjuela,&nbsp;Javier Eslava-Schmalbach","doi":"10.1016/j.rcp.2022.08.001","DOIUrl":"10.1016/j.rcp.2022.08.001","url":null,"abstract":"<div><h3>Objective</h3><p>To characterise social determinants of health, mental health problems and potentially problematic symptoms in the adult population displaced by internal armed conflict in Colombia.</p></div><div><h3>Methods</h3><p>Cross-sectional descriptive study with a random sample of 98 adults forcefully displaced to Soacha, Colombia, due to internal armed conflict. The Self Report Questionnaire to detect potentially problematic mental health problems and symptoms, and a structured questionnaire on social determinants of health were applied.</p></div><div><h3>Results</h3><p>The median age was 38 [interquartile range, 28-46] years, and women predominated (69.39%). The median time since displacement was 36 [16-48] months, and time since settlement in Soacha, 48 [5-48] months. 86.32% survived on less than the minimum wage per month and 93.87% did not have an employment contract. 42.86% and 7.14% reported being owners of their homes before and after displacement, respectively. Upon arriving in Soacha, 79.60% went to primary support networks and 3% to institutions. Before displacement, 16.33% lacked health insurance and 27.55% afterwards. Regarding mental health problems; there were possible depressive or anxious disorders in 57.29%; possible psychosis in 36.73%; and potentially problematic symptoms in 91.66%, being more prevalent and serious in women (<em>P</em> <!-->=<!--> <!-->0.0025).</p></div><div><h3>Conclusions</h3><p>A deterioration in living conditions and a higher prevalence of potentially problematic mental health problems and symptoms was reported in displaced adult populations settled in Soacha compared to other regions of the country. Analyses with complementary perspectives are required to evaluate these differences.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 8-16"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42126254","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":"Trastornos Psiquiátricos en Gestantes Hospitalizadas en el Servicio de Alto Riesgo Obstétrico de la Clínica Universitaria Bolivariana de Medellín (Colombia) Durante los Años 2013 a 2017","authors":"Gustavo A. Constaín ,&nbsp;María Victoria Ocampo Saldarriaga ,&nbsp;José Gabriel Franco Vásquez ,&nbsp;Luisa Fernanda Naranjo ,&nbsp;Cristóbal Restrepo Conde ,&nbsp;Daniel Estrada Muñoz ,&nbsp;Laura Chaverra López ,&nbsp;Jerónimo Buriticá González","doi":"10.1016/j.rcp.2022.01.004","DOIUrl":"10.1016/j.rcp.2022.01.004","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the psychiatric diagnoses and treatments of patients admitted to the high-risk obstetric service who underwent a consultation with a liaison psychiatrist.</p></div><div><h3>Methods</h3><p>A descriptive observational study that included pregnant women from the high-risk obstetric service of a highly specialised clinic in Medellín, who had a liaison psychiatry consultation between 2013 and 2017. The main variables of interest were psychiatric and obstetric diagnoses and treatments, in addition to biopsychosocial risk factors.</p></div><div><h3>Results</h3><p>A total of 361 medical records were screened, with 248 patients meeting the inclusion criteria. The main prevailing psychiatric diagnosis was major depressive disorder (29%), followed by adaptive disorder (21.8%) and anxiety disorders (12.5%). The pharmacologic treatments most used by the psychiatry service were SSRI antidepressants (24.2%), trazodone (6.8%) and benzodiazepines (5.2%). The most common primary obstetric diagnosis was spontaneous delivery (46.4%), and the predominant secondary obstetric diagnoses were hypertensive disorder associated with pregnancy (10.4%), gestational diabetes (9.2%) and recurrent abortions (6.4%). Overall, 71.8% of the patients had a high biopsychosocial risk.</p></div><div><h3>Conclusions</h3><p>The studied population's primary psychiatric disorders were major depressive disorder, adjustment disorder and anxiety disorders, which implies the importance of timely recognition of the symptoms of these perinatal mental pathologies, together with obstetric and social risks, in the prenatal consultation. Psychiatric intervention should be encouraged considering the negative implications of high biopsychosocial risk in both mothers and children.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 17-25"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46190129","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":"Experiencia con la intervención DIALOG+ en pacientes con enfermedad mental grave en servicios de consulta externa de Colombia","authors":"Sandra Milena Ramírez ,&nbsp;Camilo Cabarique ,&nbsp;Natalia Ortiz ,&nbsp;José Miguel Uribe-Restrepo ,&nbsp;Victoria Bird ,&nbsp;Stefan Priebe ,&nbsp;Carlos Gómez-Restrepo","doi":"10.1016/j.rcp.2022.01.002","DOIUrl":"10.1016/j.rcp.2022.01.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Severe mental disorders can cause significant and lasting distress for patients and their families and generate high costs through the need for care and loss of productivity. This study tests DIALOG+, an app-based intervention to make routine patient-clinician meetings therapeutically effective. It combines a structured evaluation of patient satisfaction with a solution-focused approach.</p></div><div><h3>Methods</h3><p>We conducted a qualitative study, based on a controlled clinical trial, in which 9 psychiatrists and 18 patients used DIALOG+ monthly over a six-month period. Semi-structured interviews were used to explore the experiences of participants and analysed in an inductive thematic analysis focusing on the feasibility and effects of the intervention in the Colombian context.</p></div><div><h3>Results</h3><p>Experiences were grouped into five overall themes: <em>a)</em> impact of the intervention on the consultation and the doctor-patient relationship; <em>b)</em> impact on patients and in promoting change; <em>c)</em> use of the supporting app, and <em>d)</em> adaptability of the intervention to the Colombian healthcare system.</p></div><div><h3>Conclusions</h3><p>DIALOG+ was positively valued by most of the participants. Participants felt that it was beneficial to the routine consultation, improved communication and empowered patients to take a leading role in their care. More work is required to identify the patient groups that most benefit from DIALOG+, and to adjust it, particularly to fit brief consultation times, so that it can be rolled out successfully in the Colombian healthcare system.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 32-40"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48564321","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":"Valoración crítica de la guía de práctica clínica colombiana para la prevención, el diagnóstico y el tratamiento de la ideación y/o la conducta suicida (adopción)","authors":"Diana Restrepo,&nbsp;Ana M. Zapata-Barco,&nbsp;Juan A. Escobar,&nbsp;David Mejía-Rodríguez,&nbsp;Daniela Parra-Dunoyer,&nbsp;Oscar Vargas,&nbsp;Luis Miguel Vélez,&nbsp;Iris T. Buriticá,&nbsp;Isabel Vélez,&nbsp;Sebastián Estrada,&nbsp;Diego F. Rojas-Gualdrón","doi":"10.1016/j.rcp.2021.11.008","DOIUrl":"10.1016/j.rcp.2021.11.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Suicide is a complex, global public health problem. The Colombian clinical practice guideline provides relevant input for its prevention, diagnosis and treatment. The objective was to evaluate the methodological quality, credibility and applicability of the Colombian clinical practice guideline for suicidal behaviour.</p></div><div><h3>Methods</h3><p>An academic group of 12 evaluators was established to assess the guide and its recommendations in a standardised way, using the AGREE-II and AGREE-REX instruments. The evaluations were given in the range of 0.0-1.0 with 0.7 as a cut-off point for appropriate quality.</p></div><div><h3>Results</h3><p>The global assessment of the AGREE-II was greater than 0.7 in the dimensions: “scope and objective” (0.86), “clarity of presentation” (0.89), “applicability” (0.73) and “editorial independence” (0.89). The lowest scores were for “participation of those involved” (0.67) and “rigour in preparation” (0.69). With the AGREE-REX, the results in all dimensions were below 0.70, which indicates lower quality and suitability for use.</p></div><div><h3>Conclusions</h3><p>The adoption process of the Colombian guideline for suicidal behaviour was a rigorous methodological process, while the practice recommendations were valued as of low applicability due to low support in local evidence. It is necessary to strengthen the generation and synthesis of evidence at the national level to give greater support and applicability to the practice recommendations.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 85-92"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46742702","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 psiquiatría contemporánea y la posibilidad de una nueva neuropsiquiatría","authors":"Hernando Santamaría-García","doi":"10.1016/j.rcp.2024.02.001","DOIUrl":"https://doi.org/10.1016/j.rcp.2024.02.001","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140030472","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":"Implicaciones de la etnia/raza en salud mental pública","authors":"Adalberto Campo-Arias ,&nbsp;Robin Andrés Grubert ,&nbsp;Edwin Herazo","doi":"10.1016/j.rcp.2022.04.002","DOIUrl":"10.1016/j.rcp.2022.04.002","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 3-4"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44286823","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":"Disforia o incongruencia de género: más de lo mismo en la CIE-11 y el DSM-5-TR","authors":"Adalberto Campo-Arias,&nbsp;Mónica Reyes-Rojas","doi":"10.1016/j.rcp.2022.04.001","DOIUrl":"10.1016/j.rcp.2022.04.001","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 5-7"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49285093","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":"Violence Exposure and Disability in Colombian Female Survivors of Intimate Partner Violence: the Mediating Role of Depressive Symptoms","authors":"Lina Marcela Sandoval ,&nbsp;Elvis Siprian Castro ,&nbsp;Andrés Fandiño-Losada ,&nbsp;Sara Gabriela Pacichana-Quinayaz ,&nbsp;Shirley Evelyn Lennon ,&nbsp;María Isabel Gutiérrez-Martínez","doi":"10.1016/j.rcp.2021.11.009","DOIUrl":"https://doi.org/10.1016/j.rcp.2021.11.009","url":null,"abstract":"<div><h3>Background</h3><p>Violence is an important public health problem and one of the main causes of deaths worldwide. The mental health consequences of surviving intimate partner violence (IPV) include depression, anxiety and post-traumatic stress disorder. Previous studies have identified that there is a relationship between depression and level of disability in female survivors of IPV. Estimating the direct, indirect or total effect of an exposure on an outcome makes it possible to identify mediating effects between a group of variables. Detecting mediation effects is useful for identifying casual pathways that generate a final outcome and provides a rationale for designing interventions to target the mediator, which in turn positively affects the outcome. The objective was to identify the mediating role of depressive symptoms on the relationship between IPV and disability.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study of 94 women over the age of 18 who were survivors of IPV by men. They were recruited from two public hospitals in Cali and Tuluá in southwest Colombia. An analysis of casual relationships was performed using structural equation modelling that was made up of: four exogenous observed variables (age, current relationship status [in a relationship or single], level of schooling, and history of an impairment), intermediate endogenous variables (violence and depressive symptoms), and the main endogenous variable (disability). The analyses were carried out in Stata14.2.</p></div><div><h3>Results</h3><p>The direct effect of IPV severity on the level of disability was not statistically significant (β<!--> <!-->=<!--> <!-->0.09; <em>P</em> <!-->=<!--> <!-->0.63). However, the indirect effect of IPV severity on disability mediated by depressive symptoms was (β<!--> <!-->=<!--> <!-->0.39; <em>P</em> <!-->&lt;<!--> <!-->0.01). The total effect of IPV severity on the level of disability was even greater (β<!--> <!-->=<!--> <!-->0.48; <em>P</em> <!-->=<!--> <!-->0.01).</p></div><div><h3>Conclusions</h3><p>This study found a complete mediating role of depressive symptoms on the relationship between the severity of IPV and the level of disability for the female participants in this study. The results of this research contribute to defining strategies to prevent and address intimate partner violence, depressive symptoms and disability in this population.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 55-62"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140030511","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}