Actas espanolas de psiquiatria最新文献

{"title":"Effect of PERMA Model on Anxiety, Depression, Post-Traumatic Stress Symptoms and Quality of Life in Patients With Scar Plastic Surgery After Burn.","authors":"Yan Zhong, Zhihui Wu","doi":"10.62641/aep.v54i3.2182","DOIUrl":"10.62641/aep.v54i3.2182","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore how Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment (PERMA)-based nursing anxiety, depression, post-traumatic stress symptoms (PTSD) and quality of life in patients with post-burn scar plastic surgery.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using data from patients who underwent scar plastic surgery for burn-related scar at our hospital between January 2023 and January 2025. Based on the type of nursing care they received, we divided patients into two groups: 51 patients who received PERMA-based nursing were assigned to the PERMA nursing group, and 51 patients who received routine nursing only were assigned to the routine nursing group. Both groups received 12 weeks of nursing care. We assessed all outcome measures, including the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), PTSD Checklist-Civilian Version (PCLC), Simplified Coping Style Questionnaire (SCSQ), SelfAcceptance Questionnaire (SAQ), and Generic Quality of Life Inventory-74 (GQOL-74), were assessed at baseline and again after the 12-week nursing period in both groups. Pearson correlation analysis was performed to evaluate the relationships among the psychological improvement scores.</p><p><strong>Results: </strong>After the nursing intervention, both groups showed decreases in SAS scores, SDS scores, PCL-C scores, and negative coping scores of both groups decreased after the nursing, and those of the PERMA nursing group were lower (p < 0.05). The positive coping scores and SAQ scores of both groups increased, and those of the PERMA nursing group were higher (p < 0.05). The GQOL-74 scores of both groups increased after the nursing, and those of the PERMA nursing group were higher (p < 0.05). Correlation analysis revealed that anxiety relief (∆SAS) was significantly tied to improvements in both depression and PTSD symptoms. Furthermore, reductions in negative coping strategies (∆negative coping) acted as a key factor that correlated with lower levels of anxiety and traumatic stress.</p><p><strong>Conclusions: </strong>PERMA-based nursing is associated with reduced anxiety, depression, and PTSD symptoms, as well as improved coping strategies, self-acceptance, and improved quality of life in patients undergoing scar plastic surgery after burn.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"764-773"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315313","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":"The Impact of Emergency Department Process Optimization Combined With Health Education on the Treatment Outcomes and Anxiety and Depression in Patients With Acute Ischemic Stroke.","authors":"Xiaodong Xie, Shouzhang Wang, Mingying Zhang, Lifen Tang","doi":"10.62641/aep.v54i3.2175","DOIUrl":"10.62641/aep.v54i3.2175","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;To explore the association between an optimised emergency procedure combined with structured health education and anxiety, depression and treatment outcomes in patients with acute ischaemic stroke (AIS).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a retrospective cohort study of 114 AIS patients admitted to our stroke centre between January and December 2023. On the basis of the admission timeframe, patients were divided into a conventional care group (n = 57, January to June 2023, routine care) and a comprehensive nursing group (n = 57, July to December 2023, optimised integrated care). Emergency nursing outcomes were assessed after stabilisation and before ward transfer. Neurological recovery was assessed with the European Stroke Scale (ESS); anxiety and depression were assessed with the Generalized Anxiety Disorder-7 (GAD7) and Patient Health Questionnaire-9 (PHQ-9) as primary psychological indicators. Process times and nursing satisfaction were also evaluated. Data analysis was conducted using SPSS 27.0. Normality was verified using the Shapiro-Wilk test. Normally distributed data were expressed as mean ± standard deviation and analysed using an independent samples t-test, whereas non-normal data were expressed as median (interquartile range) and analysed using the Mann-Whitney U test. Categorical data were analysed using chi-square test. Multivariate linear and logistic regression were used to analyse indicators such as neurological function and nursing satisfaction, adjusting for confounding factors. A p-value &lt; 0.05 was considered statistically significant.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Compared with the conventional care group, the waiting time, diagnosis time, emergency room waiting time and recanalisation time of patients in the comprehensive nursing group were significantly shortened (p &lt; 0.05). The degree of improvement in ESS (∆ESS) in the comprehensive nursing group was significantly higher, and the reductions in GAD-7 and PHQ-9 scores were also significantly greater (p &lt; 0.05). Patient and family satisfaction in the comprehensive nursing group were significantly higher than those in the conventional care group (p &lt; 0.05). Through multivariate linear regression analysis, with baseline National Institutes of Health Stroke Scale (NIHSS) score, time from onset to visit, hypertension and diabetes as adjustment factors, allocation to the comprehensive nursing group was still significantly correlated with ∆ESS (β [95% confidence interval (CI)] = 8.15 [5.72 to 10.58], p &lt; 0.001), ∆GAD-7 (β [95% CI] = -2.18 [-2.92 to -1.44], p &lt; 0.001), and ∆PHQ-9 (β [95% CI] = -2.65 [-3.32 to -1.98], p &lt; 0.001). The results of multivariate logistic regression analysis showed that, after adjusting for the above confounding factors, inclusion in the comprehensive nursing group was independently associated with a significantly higher likelihood of obtaining a satisfactory nursing evaluation (adjusted OR = 8.915, 95% CI: 2.45","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"833-844"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315075","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":"ADHD, Subtypes and Cognitive Performance: WISC-V as a Support Tool for Diagnostic Assessment.","authors":"Rocío Lavigne-Cerván, Joshua Collado-Valero, Ignasi Navarro-Soria, Megan Rosales-Gómez, Manuel Torrecillas-Martínez","doi":"10.62641/aep.v54i3.2122","DOIUrl":"10.62641/aep.v54i3.2122","url":null,"abstract":"<p><strong>Background: </strong>Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by impairments in working memory (WM) and processing speed (PS). Previous studies using earlier editions of the Wechsler Intelligence Scale for Children (WISC) have identified a cognitive response pattern defined by lower Cognitive Proficiency Index (CPI). However, evidence using the Wechsler Intelligence Scale for Children-Fifth Edition (WISC-V) remains limited. This study aimed to examine whether the WISC-V identifies a characteristic cognitive profile in ADHD and to evaluate its discriminative capacity.</p><p><strong>Methods: </strong>The sample consisted of 188 participants aged 6-16 years, including a control group (n = 56) and two clinical ADHD groups: The combined presentation of ADHD (ADHD-C; n = 57) and the predominantly inattentive presentation of ADHD (ADHD-I; n = 75). Cognitive functioning was assessed using the WISC-V. Group differences were examined using Multivariate and Univariate Analyses of Covariance (MANCOVA/ANCOVA). Binary logistic regression analyses were conducted to evaluate the predictive capacity of WISC-V.</p><p><strong>Results: </strong>Compared with controls, the clinical ADHD group showed significant multivariate differences. Univariate analyses revealed significantly lower performance in the working memory index (WMI; p < 0.001), processing speed index (PSI; p < 0.001), CPI (p < 0.001), and Full-Scale Intelligence Quotient (FSIQ; p = 0.005), in the clinical ADHD group. Differences between ADHD-C and ADHD-I were observed, with the ADHD-I group showing lower scores in WMI (p = 0.016), PSI (p < 0.001), CPI (p < 0.001), and FSIQ (p = 0.016). Logistic regression analyses indicated that WMI (B = -0.067; p < 0.001), PSI (B = -0.043; p = 0.007), and CPI (B = -0.091; p < 0.001) significantly predicted control versus clinical ADHD group membership. When comparing ADHD presentations, PSI (B = -0.055; p = 0.001) and CPI (B = -0.063; p < 0.001) emerged as significant predictors.</p><p><strong>Conclusions: </strong>The findings support the use of the WISC-V as a complementary tool in the diagnostic assessment of ADHD.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"797-807"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315296","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":"Assessment of Mental Health Nurses' Competences: A Scoping Review.","authors":"Javier Sanz Calvo, Alina Mariana Renghea, Mercedes Gómez Del Pulgar García-Madrid","doi":"10.62641/aep.v54i3.2069","DOIUrl":"10.62641/aep.v54i3.2069","url":null,"abstract":"<p><strong>Background: </strong>Research has explored how undergraduate nursing students or Registered Nurses acquire and assess competences through simulations or training programs. However, there is limited evidence regarding Mental Health Nurses (MHNs) in regular clinical practice. This review aims to identify the clinical competences-knowledge, skills, or attitudes-of MHNs in their clinical practice, and how these are evaluated.</p><p><strong>Methods: </strong>A scoping review was conducted across four databases (PubMed, CINAHL, MEDLINE, PsycInfo) adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) extension guidelines, applying a double screening process.</p><p><strong>Results: </strong>Twenty-three studies were selected, focusing on nursing competency acquisition programs and assessments tools. The quality of the included studies was deemed acceptable. The findings indicated that educational programs improved professional competences. Among the assessment tools identified, sixty-six were validated while thirty-four were researcher-developed. Most tools targeted core MHN competences, such as physical health (Physical Health Attitude Scale for Mental Health Nurses) and psychiatric emergencies (Attitudes towards Containment Measures Questionnaire). Fewer tools addressed crosscutting competences (Clinical Competency of Mental Health Nursing).</p><p><strong>Conclusions: </strong>There is a clear need to develop tools specifically designed to assess mental health nursing within Specialized Health Training Programs. To strengthen competency acquisition and evaluation, it is recommended that complementary methods, such as simulations, feedback, and targeted tools, be integrated into MHN training and assessment.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"929-948"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315286","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 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}