Revista Colombiana de psiquiatria (English ed.)最新文献

{"title":"Exploring Stigma Towards People with Schizophrenia in Mass Media and Their Private Discourses","authors":"Emmanuel Méndez ,&nbsp;Alicia Figueroa-Barra ,&nbsp;Cristina Martínez ,&nbsp;Eduardo Durán","doi":"10.1016/j.rcpeng.2024.12.004","DOIUrl":"10.1016/j.rcpeng.2024.12.004","url":null,"abstract":"<div><h3>Introduction</h3><div>It has been shown that public stigma towards people with schizophrenia hinders their psychosocial integration. Public stigma expresses itself through lexical labels used in the print media and social networks, heightening the internalization of stigma in this population, a phenomenon known as internalised stigma or self-stigma. This paper analyses the diffusion in the mass media of two dimensions of stigma: public stigma and self-stigma.</div></div><div><h3>Methods</h3><div>For public stigma, we searched for the lexical labels “schizophrenia”, “schizophrenic”, “psychosis” and “psychotic” in Chilean newspapers from 2010 to 2020, and for self-stigma, we used semi-structured interviews with people with a diagnosis of schizophrenia who are users of mental health services in Santiago de Chile. The findings were organised into four categories per stigma dimension. Lexical frequencies and semantic relationships were then analysed using the UAM Corpus tool and AntConc software.</div></div><div><h3>Results</h3><div>The results showed frequent use of stigmatising labels in the written press, with harmful semantic associations such as violence, delinquency, unpredictability and danger.</div></div><div><h3>Conclusions</h3><div>Such labels tend to be accepted by those affected, evidence of their internalisation of the stigma towards the disease, and create a barrier to integration and inclusion.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 471-479"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866691","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":"Creation and Validation of an Educational Booklet on Autism Spectrum Disorder","authors":"Marciana Fernandes Moll ,&nbsp;Carla Aparecida Arena Ventura ,&nbsp;Aldo Matos ,&nbsp;Ana Beatriz Rizzo Zanardo ,&nbsp;Mary Carla Velasco Melo ,&nbsp;Ronadia dos Santos Silva","doi":"10.1016/j.rcpeng.2022.09.001","DOIUrl":"10.1016/j.rcpeng.2022.09.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To develop and validate an educational booklet that contributes to alleviating the difficulties experienced by family members of children diagnosed as being on the Autism Spectrum.</div></div><div><h3>Methods</h3><div>A descriptive exploratory study with a quali-quantitative approach. Ten families of children on the autism spectrum and twelve judges participated in the validation. Data collection took place through open interviews and data was analysed according to the procedures recommended by Bardin.</div></div><div><h3>Results</h3><div>Difficulties identified included problems in children's verbal and non-verbal communication, daily care, school inclusion, late diagnosis due to the lack of specialists, and lack of psychological support for the family and for handling the child during an episode of crisis. Informational needs included early diagnosis, evolution and management of crises, children's ability to learn daily life activities, and information about their right to inclusion in formal education. Based on these difficulties and needs, the booklet was created and validated by eight experts and four family members. Comparing the average of positive reviews in each section, which were obtained in the first and second evaluations, there was a general improvement in the quality of the booklet.</div></div><div><h3>Conclusions</h3><div>The validation of educational materials on this topic can be essential to improve the quality of life of children, families, and educators.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 496-504"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866675","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":"Relationship Between Chronic Obstructive Pulmonary Disease Exacerbations and Depression","authors":"Pablo Salomón Montes-Arcón ,&nbsp;Adalberto Campo-Arias ,&nbsp;John Carlos Pedrozo-Pupo","doi":"10.1016/j.rcpeng.2024.12.002","DOIUrl":"10.1016/j.rcpeng.2024.12.002","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Depressive episodes are frequent in chronic obstructive pulmonary disease (COPD) patients. These episodes are related to a vast number of clinical and psychosocial variables. Nevertheless, the relationship between the number of COPD exacerbations and depression has not been extensively studied in the Colombian Caribbean. The objective was to determine the relationship between COPD exacerbations and depression in a sample of outpatients in Santa Marta, Colombia.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was designed in which COPD adult patients participated. The number of COPD exacerbations (none versus one or more) and the risk of depression were documented. The crude and adjusted association was established by calculating the odds ratios (OR) and 95% confidence interval (95%CI).</div></div><div><h3>Results</h3><div>The study included 408 patients aged between 40 and 102 years (mean 72.9<!--> <!-->±<!--> <!-->10.2), and 58.8% were male. 105 patients (25.9%) reported one or more exacerbations in COPD, and 114 patients (27.9%) were at risk for depression. The crude relationship between exacerbations and depression was statistically significant (OR<!--> <!-->=<!--> <!-->1.80; 95%CI, 1.12-2.89) and after adjusting for sex (OR<!--> <!-->=<!--> <!-->1.99; 95%CI, 1.23-3.23).</div></div><div><h3>Conclusions</h3><div>The number of COPD exacerbations among outpatients in Santa Marta, Colombia is related to depression. Longitudinal studies are needed in Colombia.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 443-447"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866694","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":"Structural Study of Anxiety and Mood-related Symptomatology in Psychiatric Outpatients","authors":"Johann M. Vega-Dienstmaier ,&nbsp;Frine Samalvides ,&nbsp;Renato D. Alarcón","doi":"10.1016/j.rcpeng.2024.12.005","DOIUrl":"10.1016/j.rcpeng.2024.12.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Knowledge of the symptomatological structure of mental disorders is relevant for their understanding and classification. In the absence of previous Latin American research on the simultaneous structural exploration of various types of psychiatric symptomatologies, the objective of this study is to examine the structure of anxious and mood-related symptoms, resulting syndromes, and their correlations.</div></div><div><h3>Method</h3><div>Several instruments for the evaluation of anxious, depressive, and manic symptoms were administered to 305 psychiatric outpatients. Using factor analysis and network graphs based on polychoric correlations between the symptoms, their clustering patterns (syndromes) were explored. Further, correlations between the scores of each resulting syndrome were performed.</div></div><div><h3>Results</h3><div>The symptom grouping process led to a total of fifteen generally overlapping syndromes: fear of evaluation, fear of people, agoraphobia, general anxiety, somatization, anergy, depressive core, lack of positive mood, cognitive difficulties, mania, post-traumatic stress/obsessions, fear of madness/loss of control, acrophobia, irritability, and sleep disturbances. General anxiety was at the center of the structure. Morning/matinal pole, hypersomnia, and increased appetite were relatively isolated symptoms.</div></div><div><h3>Conclusion</h3><div>Overlapping and/or highly correlated psychiatric syndromes were prominent findings, underlining the pertinence of a dimensional approach as a substantial strategy toward a more inclusive understanding of mental disorders.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 505-516"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866700","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":"Subcultural Representations of Perpetrators and Victims of Crime and Violence Associated with Mental Disorders","authors":"Fabian Pavez ,&nbsp;Erika Saura ,&nbsp;Pedro Marset","doi":"10.1016/j.rcpeng.2024.12.003","DOIUrl":"10.1016/j.rcpeng.2024.12.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The beliefs and opinions of the general population are based substantially on mass media, which often equates mental disorders with violence and criminality. These stigmatising depictions contribute to the development and persistence of negative attitudes towards people with psychiatric conditions. The objective was to examine, through popular music, the subcultural representations of crime and violence in the context of mental disorders, focusing on depictions of victims and offenders.</div></div><div><h3>Methods</h3><div>Strategy of analysis: Content analysis of Spanish punk lyrics (1981-2010) with references to violent and criminal behaviour associated with mental disorders.</div></div><div><h3>Results</h3><div>257 Spanish punk bands were identified. The discographies included 7,777 songs, of which 190 were related to aggression, violence, or crime. A predilection for violent crimes and descriptions of the perpetrator as “mentally disturbed” was observed. Although they were present, psychotic symptoms were not the main psychiatric symptoms associated with violent crime, but instead it was substance use, antisocial personality traits and paraphilic behaviour. There was less attention paid to victims than to perpetrators.</div></div><div><h3>Conclusions</h3><div>The relationships between mental disorders and criminality/violence are overemphasised in the analysed subculture. A positive connotation of social deviance and violent content (particularly serial murder) in service to the provocative nature of this type of music was observed.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 458-470"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866708","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":"Cultural Beliefs About the Etiology of Schizophrenia and Expressed Emotion in Mexican Families","authors":"Ricardo Ignacio Audiffred-Jaramillo ,&nbsp;Javier Eduardo García De Alba-García","doi":"10.1016/j.rcpeng.2024.12.001","DOIUrl":"10.1016/j.rcpeng.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Schizophrenia is a severe and persistent mental disorder that affects around 21 million people worldwide. The etiology of schizophrenia is currently understood as heterogeneous and multifactorial. Genetic and environmental factors are the most common explanations for the onset of schizophrenia, but along with these, hybridized cultural ideas coexist between medical, superstitious, and religious paradigms. The objective was to identify the relationship between cultural beliefs about schizophrenia, etiology and expressed emotion.</div></div><div><h3>Methods</h3><div>The present study used a mixed-method design, with an analytical approach for ethnographic research. The sample consisted of 40 people, relatives of patients diagnosed with schizophrenia, selected using simple random probabilistic sampling.</div></div><div><h3>Results</h3><div>A valid cultural consensus was found with statistical significance (p≤.05). Emotional trauma in childhood was identified as the leading cause of schizophrenia, followed by hereditary factors, emotional problems, head trauma, mistreatment, and divine will. The better-informed relatives expressed less emotion than those with less cultural competence (Mann-Whitney's U<!--> <!-->=<!--> <!-->1.000; p<!--> <!-->&lt;<!--> <!-->.001).</div></div><div><h3>Conclusions</h3><div>Mexican families in this study had a high degree of scientific knowledge about the etiology of schizophrenia, but religious ideas and compassionate explanations were part of this hybridized model.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 435-442"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866679","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":"Effectiveness of Paliperidone Palmitate on Treatment Adherence and Relapse in the Adult Schizophrenia Population: A One-Year Mirror-Image Study in a Colombian Mental Health Care Facility","authors":"Oscar Ribero ,&nbsp;Anne-Marie Castilloux ,&nbsp;Lina Maria Agudelo ,&nbsp;Gerardo Machnicki ,&nbsp;Vanesa Morales ,&nbsp;Sergio Perocco ,&nbsp;Genaro Castillon ,&nbsp;Yola Moride","doi":"10.1016/j.rcpeng.2022.06.006","DOIUrl":"10.1016/j.rcpeng.2022.06.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The benefits of long-acting injectable antipsychotics have been documented in several observational studies, but data remain scarce in Latin America. This study aimed at evaluating the effectiveness of paliperidone palmitate once monthly (PP1M) on treatment adherence and relapse in the schizophrenia population followed in a government-funded mental health care facility in Colombia.</div></div><div><h3>Methods</h3><div>A mirror-image study was conducted. Adult schizophrenia patients treated with oral antipsychotics who subsequently received ≥2 PP1M injections between Jan. 1^st, 2015 and Oct. 31^st, 2018 were included. The study consisted of two retrospective phases: 12 months before and after the first PP1M injection. Outcomes were treatment adherence (proportion of days covered ≥80%), hospitalized relapse, hospital length of stay, and non-hospitalised relapse. Effect of PP1M on outcomes was assessed through multivariable conditional Poisson regression.</div></div><div><h3>Results</h3><div>123 patients were eligible (mean age, 30.3 years; 79.7% males). Adherence was 23.6% in the pre-phase and 89.4% in the post-phase (RR<!--> <!-->=<!--> <!-->3.77; 95%CI, 2.75-5.17). The proportion of patients with hospitalised relapse decreased from 46.3% to 35.0% (RR<!--> <!-->=<!--> <!-->0.76; 95%CI, 0.59-0.99). In the 75 (61.0%) patients who continued PP1M throughout post-phase, beneficial effect on hospitalised relapse was stronger (RR<!--> <!-->=<!--> <!-->0.64; 95%CI, 0.42-0.98). The proportion of patients with non-hospitalised relapse symptoms increased from 6.5% to 18.7% (RR<!--> <!-->=<!--> <!-->2.27; 95%CI, 1.11-4.64).</div></div><div><h3>Conclusions</h3><div>PP1M initiation led to a dramatic improvement in treatment adherence and a decrease in hospitalised relapse. Observed increase in non-hospitalised relapse may be explained by a decrease in severity. Limitations are absence of a parallel comparison group and a generalisability limited to the population treated at this facility. Study provides data for the Latin America region and strength is the assessment of non-hospitalised relapse symptoms.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 426-434"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866688","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":"Exploring risk factors for depression: a network analysis","authors":"Jonatan Baños-Chaparro","doi":"10.1016/j.rcpeng.2024.10.006","DOIUrl":"10.1016/j.rcpeng.2024.10.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Depression is a frequent psychological problem in the general population. There are no single conclusive causes for its development; on the contrary, it arises from the interaction of other emotional disorders. Determining risk factors is a primary objective to identify vulnerable individuals and optimize prevention.</div></div><div><h3>Objective</h3><div>To analyze risk factors of the depression through network analysis in Peruvian adults from the general population.</div></div><div><h3>Methods</h3><div>Cross-sectional study with a quantitative approach. A total of 567 Peruvian adults who answered several instruments assessing depressive symptoms, insomnia, suicidal ideation and anxiety participated. An undirected network model with all psychological variables and a predictive path diagram was estimated to identify risk factors for depression. Measures of centrality, precision and stability were also analyzed. Results: The network structure showed that depression, insomnia, suicidal ideation, and anxiety were mutually associated. In terms of expected influence and predictability, depression obtained the highest value, followed by anxiety. In the prediction plot, all psychological variables were directly connected with depression, with anxiety having the highest connection. The tests of accuracy and stability (CS = 0,75), were robust.</div></div><div><h3>Conclusions</h3><div>The results of the study suggest that problems with insomnia, suicidal ideation, and anxiety, are considerable risk factors for depression. Identifying and intervening early on those risk factors in adults in the general population could help to prevent the development of depressive symptoms.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 3","pages":"Pages 347-354"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549340","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":"Pathophysiological relationships between cognitive deficit in bipolar affective disorder and metabolic syndrome","authors":"Natalia Piedrahíta Palacio ,&nbsp;Jenny García Valencia ,&nbsp;Cristian David Vargas Upegüi ,&nbsp;Carlos López Jaramillo","doi":"10.1016/j.rcpeng.2024.10.002","DOIUrl":"10.1016/j.rcpeng.2024.10.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Bipolar disorder (BD) has been related to various cognitive dysfunctions as well as to a high prevalence of metabolic syndrome (MS), which seems to influence the cognitive performance of patients with BD. Therefore, different hypotheses have been generated to try to explain the pathophysiological relationship between cognitive deficit in BD and MS. The objective was to review the current literature regarding the possible pathophysiological explanation of the relationship between BD and MS and its effect on cognitive performance of patients with BD.</div></div><div><h3>Methods</h3><div>A bibliographic search was carried out using MEDLINE, ClinicalKey, EMBASE, Literatura Latino-Americana y del Caribe en Ciencias de la Salud [Latin American and Caribbean Literature in Health Sciences] (LILACS), APA PsycNet, Scopus and Scielo databases, and the Pan-American Medical Electronic Library; using the following search terms: “bipolar disorder”[MeSH Terms] OR “bipolar disorder”[All Fields] OR “mood disorders”[All Fields] AND “cognitive deficit”[MeSH Terms] OR “cognitive deficit”[All Fields] OR “cognitive dysfunction”[All Fields] OR “cognitive impairment”[All Fields] OR “cognitive decline”[All Fields] AND “metabolic syndrome” [MeSH Terms] OR “metabolic abnormalities”[All Fields] OR “metabolic effects”[All Fields] OR “obesity” [All Fields] OR “abdominal obesity” [All Fields] OR “overweight” [All Fields] OR “diabetes” [All Fields] OR “hypertension” [All Fields] AND “antipsychotics” [MeSH Terms] OR “antipsychotics”[All Fields] AND “antidepressants” [MeSH Terms] OR “antidepressants”[All Fields] AND “mood stabilizers” [MeSH Terms] OR “mood stabilizers”[All Fields]. Filters: free full text, full text, from 2001 to 2022. A total of 80 articles in Spanish and English, of any type of design, were selected. Selection and reading were carried out by all the authors.</div></div><div><h3>Results and conclusions</h3><div>The various pathophysiological hypotheses proposed, inflammatory, endocrine, drug, environmental and social, suggest that a series of changes at the macro and microcellular level are correlated in patients with BD and MS with a negative effect on cognition of patients both globally and in specific domains, mainly executive function, memory, attention, and perceptual motor skills. Research processes should be continued to explore the various hypotheses that support the relationship between BD, MS and cognition.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 3","pages":"Pages 376-384"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549341","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":"Relationship between alcohol consumption and cognitive impairment in the adult population over 60 years of age: A systematic review","authors":"Josep Deví-Bastida ,&nbsp;Meritxell Xifré-Passols ,&nbsp;Lina María Oviedo-Penuela ,&nbsp;M. Teresa Abellán-Vidal ,&nbsp;M. Dolores López-Villegas","doi":"10.1016/j.rcpeng.2024.10.004","DOIUrl":"10.1016/j.rcpeng.2024.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Alcohol is the most consumed substance in Western culture and its use is a causal factor in more than 200 diseases and disorders. Our objective was to determine the relationship between alcohol consumption and cognitive impairment in people aged ≥60, and identify which cognitive functions are most affected by prolonged alcohol consumption.</div></div><div><h3>Methods</h3><div>Search in MEDLINE, PsycInfo, Psicodoc, Cochrane and Web of Science databases. The search was limited to articles published from 2010 to 2020. A total of 8716 articles were obtained. Those repeated and unrelated to the topic were eliminated, leaving a total of seven articles: five longitudinal studies, covering the relationship between alcohol and cognitive impairment; and two cross-sectional studies, which helped identify which cognitive functions are more affected. This systematic review was carried out in accordance with the criteria of the PRISMA statement.</div></div><div><h3>Results</h3><div>Most of the studies found conclude that no or excessive alcohol consumption is associated with a higher risk of cognitive impairment, compared to moderate consumption. In addition, excessive and prolonged alcohol consumption can evolve into secondary alcoholic dementia such as Marchiafava–Bignami disease, Wernicke–Korsakoff syndrome or pellagra. In people with alcohol use disorder, the cognitive functions that are most affected are executive functions, visuospatial skills, attention and memory.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 3","pages":"Pages 385-395"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549342","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}