Revista Colombiana de Psiquiatria最新文献

{"title":"Biomarcadores electrofisiológicos en patología dual","authors":"Luz Angela Rojas Bernal ,&nbsp;Hernando Santamaría García ,&nbsp;Guillermo Alonso Castaño Pérez","doi":"10.1016/j.rcp.2022.01.005","DOIUrl":"10.1016/j.rcp.2022.01.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The co-occurrence of substance use disorder with at least one other mental disorder is called dual pathology, which in turn is characterised by heterogeneous symptoms that are difficult to diagnose and have a poor response to treatment. For this reason, the identification and validation of biomarkers is necessary. Within this group, possible electroencephalographic biomarkers have been reported to be useful in diagnosis, treatment and follow-up, both in neuropsychiatric conditions and in substance use disorders. This article aims to review the existing literature on electroencephalographic biomarkers in dual pathology.</p></div><div><h3>Methods</h3><p>A narrative review of the literature. A bibliographic search was performed on the PubMed, Science Direct, OVID, BIREME and Scielo databases, with the key**words: electrophysiological biomarker and substance use disorder, electrophysiological biomarker and mental disorders, biomarker and dual pathology, biomarker and substance use disorder, electroencephalography, and substance use disorder or comorbid mental disorder.</p></div><div><h3>Results</h3><p>Given the greater amount of literature found in relation to electroencephalography as a biomarker of mental illness and substance use disorders, and the few articles found on dual pathology, the evidence is organised as a biomarker in psychiatry for the diagnosis and prediction of risk and as a biomarker for dual pathology.</p></div><div><h3>Conclusions</h3><p>Although the evidence is not conclusive, it suggests the existence of a subset of sites and mechanisms where the effects of psychoactive substances and the neurobiology of some mental disorders could overlap or interact.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 93-102"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47994083","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":"Efectos Adversos Hematológicos Asociados con Olanzapina en Adolescentes con Anorexia Nerviosa: Reporte de 3 Casos","authors":"Elard Bottoni-Tito,&nbsp;Wendy Messa-Aguilar","doi":"10.1016/j.rcp.2021.10.009","DOIUrl":"10.1016/j.rcp.2021.10.009","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe haematological adverse effects in adolescents with anorexia nervosa who are taking olanzapine.</p></div><div><h3>Methods</h3><p>Case series report.</p></div><div><h3>Case report</h3><p>The reported cases (two female patients and one male) were found to have blood test abnormalities after starting olanzapine and to rapidly recover their platelet and neutrophil values after the drug was discontinued. Low haemoglobin values persisted longer than observed in other series. These abnormalities became more noticeable when the dose of olanzapine was increased to 5 mg/day (initial dose 2.5<!--> <!-->mg/day). It should be noted that two of the patients already had values indicative of mild neutropenia before they started the antipsychotic drug, and that these worsened as they continued taking the drug. In one of the patients there was only a decrease in neutrophil values, as well as mild anaemia.</p></div><div><h3>Conclusions</h3><p>This first case series of haematological abnormalities in adolescents with anorexia nervosa who are taking olanzapine found values corresponding to pancytopenia in two of the three cases reported. It would be worthwhile to consider heightening haematological surveillance in this population when starting treatment with olanzapine and rethinking our knowledge regarding the frequency of these side effects.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 107-111"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44259409","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":"Psychometric Properties of the Personality Inventory for DSM-5 faceted Brief Form in a Brazilian Community Sample","authors":"André Pereira Gonçalves ,&nbsp;Gabriel Carvalho Franco ,&nbsp;Guilherme Miquelino Francisco","doi":"10.1016/j.rcp.2022.01.003","DOIUrl":"10.1016/j.rcp.2022.01.003","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the present study was to verify the psychometric qualities of the PID-5-FBF in a community sample of Brazilian adults. The internal consistency of the facets and the internal structure of the dimensions were checked. In addition, we verified the correlations between the PID-5-FBF facets and domains with a five-factor model measure.</p></div><div><h3>Methods</h3><p>The sample of this study consists of the 774 Brazilian adults aged 18 to 73 years (mean 28.9<!--> <!-->±<!--> <!-->11.58) who answered the PID-5-FBF and BFI-2S.</p></div><div><h3>Results</h3><p>The alpha values were adequate. The internal structure was similar to the PID-5 original form. All the factors and dimensions of the PID-5-FBF have a negative association with agreeableness, while, on the other hand, all correlations with neuroticism were positive. Neuroticism was the factor with the highest correlation with the PID-5-FBF, and openness was the one with the lowest number of correlations.</p></div><div><h3>Conclusions</h3><p>This research contributes to adding evidence of validity to the PID-5-FBF in the Brazilian community sample. Our results are important because it is the first study with the PID-FBF in a Brazilian sample.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 1","pages":"Pages 26-31"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45078329","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":"Validación del Mini-Z para la detección de burnout en personal sanitario colombiano","authors":"Claudia Rivera-Fernández ,&nbsp;Marcio Soto-Añari ,&nbsp;Loida Camargo ,&nbsp;Nicole Caldichoury ,&nbsp;Luis Ramos ,&nbsp;María F. Porto ,&nbsp;Norman López","doi":"10.1016/j.rcp.2021.04.002","DOIUrl":"10.1016/j.rcp.2021.04.002","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"52 ","pages":"Pages S132-S133"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rcp.2021.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39028032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Descripción de pacientes colombianos con simulación/magnificación de enfermedad mental, un problema frecuente en psiquiatría laboral","authors":"Jonathan Camilo Beltrán García ,&nbsp;Felipe Villegas Salazar ,&nbsp;Samuel David Barbosa","doi":"10.1016/j.rcp.2021.11.006","DOIUrl":"10.1016/j.rcp.2021.11.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Occupational psychiatry evaluates the relationship of manifestations of mental problems with work. The Colombian occupational insurance model provides financial and work-related benefits due to occupational disease, and simulation can therefore become a challenge for the psychiatrist.</p></div><div><h3>Methods</h3><p>We evaluated 76 patients in a mental health medical board, applying simulation tests (SIMS, TOMM and the Rey 15-item test) and cognitive performance and personality tests. We analysed the results with measures of central tendency and dispersion, Pearson's correlation index, the χ²test, Student's t test and the Mann Whitney U test. We carried out a binary logistic regression model of magnification behaviours using independent clinical, neuropsychological and personality variables.</p></div><div><h3>Results</h3><p>71% had suffered work accidents; 84.2% had a psychiatric diagnosis pre-meeting and 27.6% post-meeting; clinical inconsistencies and magnification and simulation of symptoms were demonstrated; 64.5% reported chronic pain and 50% were disabled. All simulation tests positively correlated with each other and the F-K index (MMPI-2), positively correlated with SIMS and schooling. Medical disability and chronic pain increased the risk of magnifying behaviours.</p></div><div><h3>Conclusions</h3><p>The mental health medical board enables effective identification of illness, simulation and magnification in difficult cases. The simulation and magnification behaviours are associated with medical disability and chronic pain. Our results demonstrate the importance of an adequate diagnosis and early detection of simulation and magnification behaviours.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"52 ","pages":"Pages S113-S122"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41816912","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":"Situaciones traumáticas en víctimas de desplazamiento forzado en Colombia con diagnóstico de TEPT: inicio, tipos, frecuencias, gravedad e impacto","authors":"Laura Juliana Barchelot Aceros ,&nbsp;Gonzalo Galvan ,&nbsp;Daysy Katherine Pabón-Poches ,&nbsp;Francisco Vasquez de la Hoz ,&nbsp;Pedro Elías Ramírez Bustos ,&nbsp;Manuel Francisco Guerrero Martelo ,&nbsp;Marlen Simancas Fernández ,&nbsp;Jairo Miguel Torres-Oviedo ,&nbsp;Beatriz Brunal Vergara ,&nbsp;Diana Esther Salgado ,&nbsp;Virnay Padilla","doi":"10.1016/j.rcp.2021.08.004","DOIUrl":"10.1016/j.rcp.2021.08.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Armed conflict is associated with the presence of emotional symptoms and mental disorders in victims, the most recurrent being post-traumatic stress disorder, mood disorders, anxiety and depressive reactions. The purpose of the study is to characterise situations due to forced displacement in people who meet diagnostic criteria for post-traumatic stress disorder according to gender.</p></div><div><h3>Methods</h3><p>A descriptive, cross-sectional non-experimental study in a sample consisting of 1367 subjects between 18 and 70 years of age included in the single registry of victims, of which 588 were classified as the clinical sample. The symptoms, history and severity of PTSD were evaluated using the EGEP-5 instrument. The data were analysed using descriptive and frequency techniques, as well as differences in means and Chi2 in relation to the gender variable.</p></div><div><h3>Results</h3><p>In categorizing situations, it was observed that women were exposed with a significantly higher frequency than men to physical violence, sexual harassment and partner violence; in turn, men were exposed with a significantly higher frequency than women to acts of terrorism or torture, serious accidents in means of transport, other types of accidents and violence, abuse or sexual assault.</p></div><div><h3>Conclusions</h3><p>All the people included in this study, in addition to the fact of forced displacement, have been exposed to at least one potentially traumatizing adverse event; of these, just over two-fifths meet clinical criteria for PTSD and, no less noticeable, is the fact that they are polytraumatised people, having been exposed to multiple traumatic situations.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"52 ","pages":"Pages S25-S35"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41761953","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":"Propiedades psicométricas del Inventario de Depresión de Beck-II (BDI-II) en población universitaria colombiana","authors":"Natalia Maldonado-Avendaño,&nbsp;Rubby Castro-Osorio,&nbsp;Pilar Cardona-Gómez","doi":"10.1016/j.rcp.2021.08.007","DOIUrl":"10.1016/j.rcp.2021.08.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The Beck Depression Inventory-II (BDI-II) is one of the most frequently used instruments in clinical and research practice for depression symptoms. However, its psychometric properties in the Colombian population are unknown. The objective of this study was to find evidence of these properties in university students, who have a high prevalence of depression.</p></div><div><h3>Method</h3><p>An instrumental study was carried out to evaluate the reliability, and to know the evidence of validity of the internal structure and the relationship with other variables of the BDI-II in a sample of 409 students of a private university in Bogotá.</p></div><div><h3>Results</h3><p>Regarding reliability, a Cronbach's alpha<!--> <!-->=<!--> <!-->0.91 was obtained. As evidence of validity, item-test correlations were found that ranged from 0.31 to 0.67, all of them statistically significant (P&lt;<!--> <!-->0.0001) and a good fit of a bifactorial model (RMSEA<!--> <!-->=<!--> <!-->0.040; SRMR<!--> <!-->=<!--> <!-->0.046; CFI<!--> <!-->=<!--> <!-->0.984; TLI<!--> <!-->=<!--> <!-->0.981) and of a second-order model to the data. (RMSEA<!--> <!-->=<!--> <!-->0.045; SRMR<!--> <!-->=<!--> <!-->0.045; CFI<!--> <!-->=<!--> <!-->0.978; TLI<!--> <!-->=<!--> <!-->0.975). In relation to other variables, a direct and statistically significant correlation was found with risk factors (=0.65) and inverse with the protective factors (=–0.519) of the Positive and Negative Suicide Ideation Inventory (PANSI).</p></div><div><h3>Conclusions</h3><p>This evidence indicates that the BDI-II scores obtained enable depression symptoms to be inferred in this population and its clinical and research use is recommended. However, more confirmatory studies are needed in populations with greater variability.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"52 ","pages":"Pages S51-S59"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43365486","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":"Caracterización de la consulta de salud mental comunitaria de un centro de atención primaria en Cali, Colombia","authors":"Mauricio Hernández-Carrillo,&nbsp;Juan Pablo Gil,&nbsp;Ricardo Andrés Londoño,&nbsp;Cristian Ricardo Rojas,&nbsp;María Adelaida Arboleda-Trujillo","doi":"10.1016/j.rcp.2021.08.003","DOIUrl":"10.1016/j.rcp.2021.08.003","url":null,"abstract":"<div><h3>Objective</h3><p>To characterise community mental health consultations in a primary care centre in Cali, Colombia.</p></div><div><h3>Methods</h3><p>Observational, descriptive, cross-sectional study. A secondary database was used, systematically recording patients seen in the community outpatient clinic, and a description of the information recorded therein was prepared. All the records available in the database were used. The data were processed using Microsoft Excel and the program SPSS 25 was used for the statistical analysis.</p></div><div><h3>Results</h3><p>481 consultations were conducted, of which 272 were first time consultations; in total 383 patients were seen, which indicates that 1.26 consultations were carried out per patient. The average age of the patients who consulted was 43.5<!--> <!-->±<!--> <!-->21.7 years. Sixty-one point five percent of the consultations were for women, while adulthood was the stage of life in which the highest percentage (51.8%) attended. The most common socioeconomic stratum was 1, which indicates that this institution serves above all the low-income population.</p></div><div><h3>Conclusions</h3><p>The results of this study allowed us to recognise the main reasons for consultation in the community mental health service, a necessary input to design and develop preventive programmes that promote and strengthen community-based rehabilitation strategies.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"52 ","pages":"Pages S17-S24"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39445655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19, Stigma and Mental Health: Roots and Solutions","authors":"Sheikh Shoib ,&nbsp;Irfan Ullah ,&nbsp;Dorottya Ori ,&nbsp;Sheikh Mohd Saleem ,&nbsp;Nida Hashmi ,&nbsp;Sheikh Mohammed Shariful Islam","doi":"10.1016/j.rcp.2021.10.004","DOIUrl":"10.1016/j.rcp.2021.10.004","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"52 ","pages":"Pages S134-S135"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8576097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39622558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rechazo del tratamiento para la anorexia nerviosa: opinión de los profesionales de la salud mental sobre voluntariedad y estrés de rol","authors":"José-Luis Fernández-Hernández ,&nbsp;Pablo Herranz-Hernández ,&nbsp;Laura Segovia-Torres","doi":"10.1016/j.rcp.2021.01.005","DOIUrl":"10.1016/j.rcp.2021.01.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The hospitalisation of patients with anorexia nervosa poses an important bioethical quandary and can generate stress for the healthcare professionals. Our goal was to know and analyse the opinion of mental health professionals on some conditions for applying the involuntary hospitalisation of patients with anorexia nervosa.</p></div><div><h3>Methods</h3><p>Cross-sectional descriptive observational study on a sample of 270 mental health professionals, using an ad hoc questionnaire with scores ranging from 0 to 10.</p></div><div><h3>Results</h3><p>The professionals state that, in some cases, the patient accepts admission reluctantly: 7.74 (95% <span>C</span>I, 7.55-7.93). In the event of physical risk, it is difficult for them to combine respect for the patient's autonomy and the duty of care: 6.06 (95% CI, 5.70-6.41) and the relationship with the patient is largely oriented to convince them: 7.18 (95% CI, 6.91-7.46). They do not decide on the suitability of the participation of non-medical staff in the decision: 5.13 (95% CI, 4.75-5.52), or if the indication should correspond to someone other than the doctor in charge of their care: 4.79 (95% CI, 4.39-5.19). They reject the possibility of conscientious objection: 4.05 (95% CI, 3.68-4.41).</p></div><div><h3>Conclusions</h3><p>Mental health professionals are subject to ambiguous work demands, which affects their care dynamics.</p></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"52 ","pages":"Pages S123-S131"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38899218","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}