Actas espanolas de psiquiatria最新文献

{"title":"Effects of Personalized Nursing Combined With Mindfulness-Based Stress Reduction on Anxiety, Depression, and Quality of Life in Patients With Pneumonia-Induced Sepsis.","authors":"Xinrong Zheng, Qijun Zhang, Hesheng Zhuang","doi":"10.62641/aep.v54i3.2212","DOIUrl":"10.62641/aep.v54i3.2212","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the effects of personalized nursing combined with Mindfulness-Based Stress Reduction (MBSR) on anxiety, depression, self-efficacy, quality of life and self-care ability in patients with pneumonia-induced sepsis.</p><p><strong>Methods: </strong>This retrospective study enrolled 127 patients with pneumonia-induced sepsis admitted between July 2023 to July 2024. Among them, 59 patients in the routine nursing group received routine nursing care, while 68 patients in the combined nursing group received personalized nursing combined with MBSR. Routine nursing included vital signs monitoring, oxygen therapy, medication management, basic daily care, nutritional support, health education and complication prevention. The combined nursing group additionally received personalized nursing (e.g., psychological assessment and support, targeted health education, and dynamic adjustment of care plans) and MBSR training (e.g., mindful breathing, body scanning, mindfulness meditation and relaxation training), delivered daily or several times per week until discharge. Outcome measures included the Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), General Self-Efficacy Scale (GSES), World Health Organization Quality of Life-100 (WHOQOL-100), and Exercise of Self-Care Agency (ESCA), assessed before and after nursing measures. Categorical variables were compared using the chi-square test, and continuous variables (mean ± standard deviation) were analysed using independent-samples t tests.</p><p><strong>Results: </strong>No statistically significant baseline differences in demographic or clinical characteristics were observed between the two groups (p > 0.05). After nursing measures, both groups showed improvements in HAMA, HAMD, GSES, WHOQOL-100, and ESCA scores compared with baseline. The combined nursing group demonstrated significantly greater reduction in HAMA and HAMD scores(p < 0.05) and significantly greater increases in GSES, WHOQOL-100, and ESCA scores(p < 0.05) than the routine nursing group.</p><p><strong>Conclusions: </strong>An integrated approach combining personalized nursing and MBSR was associated with lower levels of negative emotional states, higher self-efficacy in disease management, and better quality of life and self-care ability in patients with pneumonia-induced sepsis. These findings suggest that this nursing model may represent a feasible and potentially beneficial strategy for improving psychological and functional outcomes in clinical practice.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"845-853"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive Value of Anxiety State During Acute Herpes Zoster for the Development of Postherpetic Neuralgia.","authors":"Zhe Ling, Mingyang Ren","doi":"10.62641/aep.v54i3.2214","DOIUrl":"10.62641/aep.v54i3.2214","url":null,"abstract":"<p><strong>Background: </strong>Postherpetic neuralgia (PHN) remains the most frequent and distressing sequela of herpes zoster (HZ). Although psychological factors are known to contribute to chronic pain, their role during the acute phase of HZ in predicting PHN has not been fully clarified. This study aimed to investigate whether acute-phase anxiety is independently associated with subsequent PHN development and to evaluate the added predictive value of anxiety assessment in clinical prediction models.</p><p><strong>Methods: </strong>This longitudinal cohort study enrolled 99 patients with acute HZ between January 2022 and January 2025. Anxiety was assessed at baseline using the Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A) and the State-Trait Anxiety Inventory-State subscale (STAI-S). PHN was defined as pain lasting at least 90 days after rash onset. We performed logistic regression to identify independent predictors and constructed receiver operating characteristic (ROC) curves to evaluate predictive performance.</p><p><strong>Results: </strong>The 3 months incidence of PHN was 41.4% (41/99). Patients who developed PHN had significantly higher baseline HADS-A scores (10.7 ± 3.8 vs. 6.4 ± 3.2, p < 0.001) and STAI-S scores (52.8 ± 10.4 vs. 41.3 ± 9.7, p < 0.001) than those who did not. Multivariate analysis identified three independent predictors: age (adjusted odds ratio [OR] = 1.47 per 10 years, p = 0.038), baseline pain intensity (adjusted OR = 1.41, p = 0.012), and HADS-A score (adjusted OR = 1.31 per unit, p = 0.001). Clinically significant anxiety (HADS-A ≥ 8) was associated with a 4.52-fold increased risk of PHN (95% confidence interval: 1.72-8.58, p = 0.013). HADS-A demonstrated good discriminative ability (area under the curve [AUC] = 0.813), and a combined model incorporating anxiety with clinical variables achieved superior predictive performance (AUC = 0.876 vs. 0.762, p = 0.019).</p><p><strong>Conclusions: </strong>Acute-phase anxiety is an independent and clinically meaningful predictor of PHN. Adding anxiety assessment to clinical evaluation significantly improves risk prediction accuracy, supporting routine psychological screening and early intervention in patients with HZ.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"808-820"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect on Cognitive Behavioral Therapy Combined With Transcranial Direct Current Stimulation on Anxiety and Depression in Stroke Patients With Dysphagia.","authors":"Wenlin Sun, Yangyang Liu, Chang Xu, Huishan Zhu","doi":"10.62641/aep.v54i3.2204","DOIUrl":"10.62641/aep.v54i3.2204","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;This study aimed to investigate the association between cognitive behavioural therapy (CBT) combined with transcranial direct current stimulation (tDCS) on negative mood states, such as anxiety and depression, in patients with post-stroke dysphagia through a retrospective review of medical records.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective study was conducted using medical records of patients with post-stroke dysphagia who were hospitalised at The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University between January 2022 and June 2025. Sample size matching was performed using the nearest neighbour matching method in propensity score matching on the basis of data extracted from medical records, ultimately including 348 study subjects for analysis. Based on the treatment regimens documented in the medical records, 174 patients in the combination group received CBT combined with tDCS, and 174 patients in the control group received tDCS alone. Basic rehabilitation measures were consistent between the two groups as per clinical protocols. Both groups completed a continuous 4-week treatment course as recorded in the medical charts. Data on the grading of the water swallowing test, surface electromyography parameters, the Stigma Scale for Chronic Illness (SSCI) score, the Herth Hope Index (HHI) score, the Self-Rating Anxiety Scale (SAS) score and the Self-Rating Depression Scale (SDS) score were extracted from the medical records at baseline (within 48 h before treatment initiation) and after the 4-week treatment period.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Following the 4-week treatment period, the overall distribution of water swallowing test grades documented in the medical records for the combination group was superior to that for the control group (p &lt; 0.05). At baseline, no statistically significant differences were found in the surface electromyography parameters (average and maximum amplitudes) retrieved from the records between the two groups (p &gt; 0.05). After the 4-week treatment period, the recorded values for average and maximum amplitudes in the combination group were significantly higher than those in the control group (p &lt; 0.05). At baseline, no statistically significant differences were observed in various stigma scale scores extracted from the records between the two groups (p &gt; 0.05). After the treatment period, the scores for internalised stigma and the total SSCI score in the combination group were significantly lower than those in the control group (p &lt; 0.05). At baseline, no statistically significant differences were noted in any dimension scores of HHI between the two groups (p &gt; 0.05). After the treatment period, the scores for positive attitude toward reality and the future, positive actions taken and maintaining close relationships with others and the total HHI score were all markedly higher in the combination group than in the control group (p &lt; 0.05). At baseline, no statisti","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"821-832"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Enhanced Recovery After Surgery-Based Nursing on Kinesiophobia and Anxiety-Depression in Elderly Patients After Hip Arthroplasty: A Retrospective Cohort Study.","authors":"Zheng Tian, Huan Liu, Lu Yang, Hehuan Xia, Yanjiao Li","doi":"10.62641/aep.v54i3.2191","DOIUrl":"10.62641/aep.v54i3.2191","url":null,"abstract":"<p><strong>Background: </strong>Elderly patients undergoing hip arthroplasty frequently experience postoperative pain, limited mobility, and negative psychological states, which adversely affect rehabilitation outcomes. This study aimed to investigate the effect of Enhanced Recovery After Surgery (ERAS) on kinesiophobia, anxiety, and depression in elderly patients after hip arthroplasty.</p><p><strong>Methods: </strong>A single-centre retrospective cohort study of 132 elderly patients who underwent hip arthroplasty was conducted. Relevant data were extracted from the hospital medical record system. Based on the documented nursing approach, patients were classified into a control group that received routine nursing and a study group that received ERAS-based nursing. Kinesiophobia, anxiety, depression, hope level, hip function, health-promoting lifestyle, pain intensity, and quality of life were assessed using Tampa Scale for Kinesiophobia (TSK), Hamilton Anxiety Scale (HAMA), 17-item Hamilton Depression Scale (HAMD17), Herth Hope Index (HHI), Harris Hip Score (HHS), Health-Promoting Lifestyle Profile II (HPLP-II), and Visual Analogue Scale (VAS), as recorded in the medical records before and after nursing intervention.</p><p><strong>Results: </strong>There were no significant differencesin baseline characteristics or pre-nursing care scores between the two groups (p > 0.05). After nursing care, both groups showed significant improvements in all outcomes (p < 0.05). Specifically, the study group demonstrated significantly lower TSK, HAMA, HAMD-17, and VAS scores and higher HHI, HHS, and HPLP-II scores compared with the control group (p < 0.05).</p><p><strong>Conclusions: </strong>The findings of this study suggest that ERAS-based nursing may alleviate negative emotions, reduce pain, promote functional recovery, and improve quality of life in elderly patients after hip arthroplasty.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"755-763"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Structured Physical Exercise Programs (SPEs) on Symptoms and Clinical Outcomes in Schizophrenia: A Systematic Review With Qualitative Synthesis of Randomized Controlled Trials (2015-2025).","authors":"Gustavo Baroni Araujo, Carolina Alves de Moraes Nicolau, Bruno Marson Maladogi, Sionaldo Eduardo Ferreira, Christian José Dos Santos, Helio Serassuelo Junior","doi":"10.62641/aep.v54i3.2198","DOIUrl":"10.62641/aep.v54i3.2198","url":null,"abstract":"<p><strong>Background: </strong>People with schizophrenia present persistent deficits that are poorly responsive to pharmacological treatment, particularly including negative symptoms and cognition. Recent evidence indicates that structured physical exercise programs (SPEs) can modulate relevant neurobiological mechanisms and improve essential clinical outcomes. Given the heterogeneity of existing protocols, a systematic synthesis of this evidence is necessary. The aim of this study was to investigate the effects of SPEs on symptomatology, cognition, global functioning, and physical fitness in individuals with schizophrenia.</p><p><strong>Methods: </strong>A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with searches conducted in the PubMed/Medline, Scopus, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), Scientific Electronic Library Online (SciELO), Latin American and Caribbean Health Sciences Literature (LILACS), and Virtual Health Library (VHL) databases. Randomized clinical trials with adults diagnosed with schizophrenia who underwent structured exercise interventions were included. Initial searches identified 756 records, of which 16 studies were included in the review and comprised the final synthesis. Data extraction followed a standardized form, and study characteristics are described using descriptive statistics.</p><p><strong>Results: </strong>The included trials demonstrated consistent effects of different categories of physical exercise on negative symptoms, general symptoms, and overall functioning related to physical fitness, as well as improvements in cognitive aspects. A variety of SPE protocols were observed, as well as different intensities and instruments for evaluating the effectiveness of the interventions. Regarding intensity, it was noted that low-intensity SPEs also produced benefits, especially in institutionalized contexts; however, the metabolic effects were less consistent. Furthermore, the heterogeneity of the protocols influenced the magnitude of the results.</p><p><strong>Conclusions: </strong>SPEs generate positive clinical impacts that are adaptable to the needs of each patient, an essential aspect given the common barriers observed in the diagnosis of schizophrenia. The findings support the integration of SPEs into mental health services, as a component capable of expanding clinical and functional outcomes, and offering an accessible intervention aligned with the needs of this population.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"891-906"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Progress of Research on Cognitive Impairment in Patients With Chronic Obstructive Pulmonary Disease.","authors":"Xia Zhang, Tao Li, Hongwei Ma, Yanbing Liu","doi":"10.62641/aep.v54i3.2207","DOIUrl":"10.62641/aep.v54i3.2207","url":null,"abstract":"<p><p>Cognitive impairment is a common complication in patients with chronic obstructive pulmonary disease (COPD) that substantially affects their treatment adherence, self-management ability and prognosis; it is an important extrapulmonary complication. Its pathogenesis is complex and mainly involves cerebral hypoperfusion and neuronal damage caused by chronic hypoxemia and disruption of the blood-brain barrier and neural structures by systemic inflammatory responses. Smoking, frequent acute exacerbations, coexisting cerebrovascular diseases, anxiety, depression and sleep disorders are amongst the multiple factors that contribute to and accelerate cognitive decline. This article aims to review the pathogenesis, related factors and intervention measures of cognitive impairment in patients with COPD to provide a reference for improving cognitive function in such patients.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"919-928"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicidal Ideation and Non-suicidal Self-injury in Early Adolescence: The Role of ADHD Symptoms, Affect, and Emotion Regulation.","authors":"Jon García-Ormaza, Karmele Salaberria, Amador Priede, César González-Blanch, Paloma Canduela, Ennio Ammendola, Jeffrey V Tabares, Alexander Muela","doi":"10.62641/aep.v54i3.2131","DOIUrl":"10.62641/aep.v54i3.2131","url":null,"abstract":"<p><strong>Background: </strong>Suicidal ideation and non-suicidal selfinjury (NSSI) are highly prevalent during early adolescence and represent serious public health concerns. Emotional dysregulation has been identified as a transdiagnostic factor underlying various risk behaviors, particularly in youth with externalizing difficulties such as attentiondeficit/hyperactivity disorder (ADHD). While prior research has examined these factors independently, few studies have explored their joint and differential contribution to suicide-related outcomes in early adolescence. This study aimed to examine the association of ADHD-related symptoms, positive and negative affect, and emotional dysregulation with suicidal ideation and NSSI, as well as to explore whether emotional dysregulation moderates the relationship between ADHD-related symptoms and these risk behaviors.</p><p><strong>Methods: </strong>A total of 1079 Spanish adolescents (M_age = 12.6 years, SD = 0.6) enrolled in the first year of compulsory secondary education participated in a cross-sectional study. Standardized self-report measures were used to assess ADHD-related symptoms (Strengths and Difficulties Questionnaire [SDQ]), affect (Positive and Negative Affect Schedule for Children and Adolescents [PANAS-N]), and difficulties in emotion regulation (Difficulties in Emotion Regulation Scale [DERS-18]), alongside indicators of suicidal ideation and NSSI. Data analysis included group comparisons and hierarchical logistic regression models.</p><p><strong>Results: </strong>Suicidal ideation was reported by 10.1% of participants, and NSSI by 16.4%. Adolescents with either behavior exhibited significantly more hyperactivityinattention symptoms, greater negative affect, lower positive affect, and substantially elevated emotional dysregulation. In regression analyses, ADHD-related symptoms remained significant predictors after accounting for affect, although emotional dysregulation emerged as the strongest predictor, reducing the effects of other variables. Specific dimensions such as lack of emotional clarity and nonacceptance of emotional responses were associated with suicidal ideation, while impulse control difficulties and lack of adaptive strategies predicted NSSI. No moderation effects were found.</p><p><strong>Conclusions: </strong>ADHD-related symptoms and emotional dysregulation both contribute independently to adolescent suicidal ideation and NSSI, with emotional dysregulation showing the most robust predictive value. Schoolbased prevention efforts should incorporate emotion regulation skill-building to reduce suicide risk and NSSI in early adolescence.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"726-740"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Characteristics and Influencing Factors of Depressive Symptoms in Patients With Vascular Cognitive Impairment.","authors":"Hui Sun, Jingjing Ye, Yuyu Li, Li Xu","doi":"10.62641/aep.v54i3.2194","DOIUrl":"10.62641/aep.v54i3.2194","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to characterize depressive symptoms in patients with vascular cognitive impairment (VCI) after ischemic stroke and to identify independent predictors of treatment response to antidepressant therapy, with a focus on lesion-location heterogeneity.</p><p><strong>Methods: </strong>This retrospective observational cohort study enrolled 224 patients with VCI and concomitant depressive symptoms from June 2022 to June 2024. Depression severity was assessed using the 17-item Hamilton Depression Rating Scale (HAMD-17). All patients completed 8 weeks of standardized treatment including antidepressant medication and cognitive rehabilitation. Treatment response was defined as ≥50% reduction in HAMD-17 from baseline to week 8. Lesion locations were categorized into eight mutually exclusive anatomical groups (frontal, temporal, parietal, occipital, basal ganglia/internal capsule, thalamus, pons and cerebellum). Univariate and multivariable logistic regression identified predictors of treatment response, and Receiver Operating Characteristic (ROC) analysis evaluated model performance.</p><p><strong>Results: </strong>Mean baseline HAMD-17 was 27.4 ± 3.1, and 65.2% (146/224) achieved treatment response. Baseline depressive symptom severity differed significantly across lesion locations (one-way analysis of variance (ANOVA): F (7,216) = 3.48, p = 0.001), whereas baseline anxiety severity did not (F (7,216) = 0.72, p = 0.652). In multivariable analysis, lower baseline Hamilton Anxiety Rating Scale (HAMA) score (odds ratio (OR) = 0.93, 95% confidence interval (CI): 0.88-0.98, p = 0.006), shorter time since stroke (OR = 0.86 per month, 95% CI: 0.75 to 0.99, p = 0.034), and higher education-adjusted Montreal Cognitive Assessment (MoCA) score (OR = 1.12 per point, 95% CI: 1.01-1.24, p = 0.031) were independently associated with treatment response. The prediction model demonstrated moderate discriminative ability (area under the curve (AUC) = 0.795, 95% CI: 0.738-0.851), with sensitivity of 0.890 and specificity of 0.608 at the optimal cutoff.</p><p><strong>Conclusions: </strong>Depressive symptom burden in poststroke VCI exhibits significant anatomical heterogeneity across lesion locations. Baseline anxiety severity, disease duration, and baseline cognitive performance moderately predict treatment response, supporting early risk stratification and individualized management.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"774-785"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Effects of Lactate on Improving Cognitive Function and Survival Rate in a Mouse Model of Post-Sepsis Cognitive Impairment.","authors":"Jinyong Huang, Haiyong Liu, Yongwei Wu, Xiaochun Yuan, Yongtao Gao","doi":"10.62641/aep.v54i3.2303","DOIUrl":"10.62641/aep.v54i3.2303","url":null,"abstract":"<p><p></p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"962"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prescribing Under Uncertainty: The Hidden Psychology of Psychiatric Decision-Making.","authors":"Carlos De Las Cuevas","doi":"10.62641/aep.v54i3.2271","DOIUrl":"10.62641/aep.v54i3.2271","url":null,"abstract":"<p><p></p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"956-961"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148314885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}