Revista Colombiana de psiquiatria (English ed.)最新文献_第10页

Repercussions of COVID-19 on psychiatric inpatient care in Latin America and the Caribbean COVID-19对拉丁美洲和加勒比地区精神科住院治疗的影响

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2021.05.005

Sara Ardila-Gómez , Marina Fernández , Andrés Matkovich , Melina Rosales , Rocío Alonso , Martín Agrest , Julia Paternina , Alberto Velzi Díaz

{"title":"Repercussions of COVID-19 on psychiatric inpatient care in Latin America and the Caribbean","authors":"Sara Ardila-Gómez , Marina Fernández , Andrés Matkovich , Melina Rosales , Rocío Alonso , Martín Agrest , Julia Paternina , Alberto Velzi Díaz","doi":"10.1016/j.rcpeng.2021.05.005","DOIUrl":"10.1016/j.rcpeng.2021.05.005","url":null,"abstract":"<div><h3>Objetive</h3><p>To characterise the impact of the COVID-19 pandemic on psychiatric hospitalisations in the Latin American and Caribbean (LAC) region.</p></div><div><h3>Methods</h3><p>Descriptive study. 85 semi-structured interviews were conducted with health workers involved with psychiatric hospitalisations in general hospitals (GHs) and specialised psychiatric hospitals (SHs) from 18 LAC countries. The interviews were done between 8 May and 30 June 2020. The data were analysed quantitatively and qualitatively.</p></div><div><h3>Results</h3><p>An initial decrease in the demand for hospitalisation is reported, attributed to the population’s fear of approaching health services as well as restrictions on mobility. Stricter criteria for hospitalisation were reported with a double focus on the acute within the acute. The length of hospitalisations were mixed, with both increases and decreases in GHs and SHs. The therapeutic offer was drastically reduced, and interaction between hospitalised people and their support networks was restricted.</p></div><div><h3>Conclusions</h3><p>In the COVID-19 context, hospitalisation seems to be not the last but the only alternative for psychiatric treatment. The decrease in the number of beds in SHs could be a positive aspect for the reform of psychiatric care, but it is questioned since this reduction also occurs in GHs.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 1","pages":"Pages 58-64"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9337425","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}

引用次数: 1

Prevalence and clinical characteristics of depression and symptoms of anxiety in staff at a health institution in Medellin during the COVID-19 pandemic 2019冠状病毒病大流行期间麦德林一家卫生机构工作人员抑郁和焦虑症状的患病率和临床特征

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2021.02.005

Miguel Restrepo-Martínez , Marcela Escobar , Luz Aida Marín , Diana Restrepo

{"title":"Prevalence and clinical characteristics of depression and symptoms of anxiety in staff at a health institution in Medellin during the COVID-19 pandemic","authors":"Miguel Restrepo-Martínez , Marcela Escobar , Luz Aida Marín , Diana Restrepo","doi":"10.1016/j.rcpeng.2021.02.005","DOIUrl":"10.1016/j.rcpeng.2021.02.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic has represented an extraordinary challenge for health workers as they care for others while exposing themselves to contagion. Doctors, nurses, therapists and other non-care staff in clinics and hospitals are asked to be prepared to work in particularly complex and stressful situations, which makes them vulnerable to mental health problems.</p></div><div><h3>Objective</h3><p>To determine the prevalence and clinical characteristics of anxiety and depression symptoms in staff working at a health institution in Medellin, Colombia.</p></div><div><h3>Methods</h3><p>Observational, descriptive and cross-sectional study, based on a survey designed for the investigation, which included two scales to screen depression and anxiety symptoms, as well as sociodemographic variables.</p></div><div><h3>Results</h3><p>A total of 1,247 workers from the health institution were included. Of these, 14.6% reported symptoms of depression and 18.5% of clinically significant anxiety. A higher proportion of moderate to severe depression and anxiety symptoms was found in those working face to face.</p></div><div><h3>Conclusions</h3><p>Anxiety and depression symptoms are highly prevalent among staff at a health institution in Medellin, Colombia, during the COVID-19 pandemic. Given the vital role of the health sector in times of pandemic, the development of mental health programmes that address the problems of this population should be considered a priority.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 1","pages":"Pages 51-57"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9343682","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}

引用次数: 0

Network relationships of the stigma-discrimination complex and fear of COVID-19 during the second pandemic wave in Peruvian adults 第二波大流行期间秘鲁成年人的污名歧视情结和对COVID-19的恐惧的网络关系

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.03.005

Cristian Ramos-Vera

引用次数: 0

The right to die with dignity through euthanasia, six years on 六年后，通过安乐死有尊严地死去的权利

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.03.003

Clara Cossio-Uribe, Julieta Moreno-Molina

引用次数: 0

Antisocial traits and neuroticism as predictors of suicidal behaviour in borderline personality disorder: A retrospective study 反社会特征和神经质作为边缘型人格障碍自杀行为的预测因素:一项回顾性研究

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.03.002

Íñigo Alberdi-Páramo , Marina Díaz-Marsá , María Dolores Saiz González , José Luis Carrasco Perera

{"title":"Antisocial traits and neuroticism as predictors of suicidal behaviour in borderline personality disorder: A retrospective study","authors":"Íñigo Alberdi-Páramo , Marina Díaz-Marsá , María Dolores Saiz González , José Luis Carrasco Perera","doi":"10.1016/j.rcpeng.2023.03.002","DOIUrl":"10.1016/j.rcpeng.2023.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The spectrum of suicidal behaviour (SB) is nuclear in the clinic and management of borderline personality disorder (BPD). The pathological personality traits of BPD intervene as risk factors for SB in confluence with other clinical and sociodemographic variables associated with BPD. The objective of this work is to evaluate the specific personality traits of BPD that are related to SB.</p></div><div><h3>Methods</h3><p>A cross-sectional, observational and retrospective study was carried out on a sample of 134 patients diagnosed with BPD according to DSM-5 criteria. The Millon-II, Zuckerman–Kuhlman and Barrat questionnaires were used to assess different personality parameters. Variable comparisons were made using the χ<sup>2</sup><span> test and the Student’s t-test. The association between variables was analysed using multivariate logistic regression.</span></p></div><div><h3>Results</h3><p>Statistically significant differences were observed between SB and related factors and the neuroticism-anxiety dimension in the Zuckerman–Kuhlman test. It is also significantly related to the phobic and antisocial subscale of the Millon-II. Impulsivity measured with the Zuckerman–Kuhlman and Barrat tests does not appear to be related to SB.</p></div><div><h3>Conclusions</h3><p>The results presented raise the role of phobic, antisocial and neuroticism traits as possible personality traits of BPD related to SB, suggesting an even greater importance within the relationship between BPD and SB than that of impulsivity. Looking to the future, longitudinal studies would increase the scientific evidence for the specified findings.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 1","pages":"Pages 11-19"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9713324","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}

引用次数: 1

A journal for the regional challenges of psychiatry but with a global voice 一本关于精神病学区域性挑战的杂志，但具有全球性的声音

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.04.001

Hernando Santamaría-García

引用次数: 0

Educational environment and mental wellbeing of medical and surgical postgraduate residents in Medellin, Colombia 哥伦比亚麦德林医疗和外科研究生住院医师的教育环境和心理健康

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2021.02.006

María Adelaida Posada Uribe , Verónica Vargas González , Clara Orrego Morales , Carolina Cataño , Elsa María Vásquez , Diana Restrepo

{"title":"Educational environment and mental wellbeing of medical and surgical postgraduate residents in Medellin, Colombia","authors":"María Adelaida Posada Uribe , Verónica Vargas González , Clara Orrego Morales , Carolina Cataño , Elsa María Vásquez , Diana Restrepo","doi":"10.1016/j.rcpeng.2021.02.006","DOIUrl":"10.1016/j.rcpeng.2021.02.006","url":null,"abstract":"<div><h3>Introduction</h3><p>One of the most important moments in a doctor’s life occurs when they do a medical residency. This period imposes stress and academic demands, which, together with the educational environment, allows for greater or lesser mental wellbeing. The objective of this study was to determine how the educational environment and mental wellbeing of medical residents are related.</p></div><div><h3>Methods</h3><p>Analytical cross-sectional study, in residents of clinical-surgical specialties. The educational environment was assessed using the Postgraduate Hospital Educational Environment Measure (PHEEM), and mental wellbeing was assessed with the Warwick–Edinburgh Mental Wellbeing Scale (WEMWBS). Pearson’s linear correlation was determined. Informed consent and approval by the university ethics committee were obtained.</p></div><div><h3>Results</h3><p>The study population comprised 131 students, 43.8% male, with a median age of 28 years (interquartile range 4). In total, 87.9% of residents answered the survey. Of these, 65.9% were doing medical residencies and 34.1% surgical residencies. The mean PHEEM score was 107.96 ± 18.88, the positive emotions subscale was 29.32 ± 5.18 and positive functioning 23.61 ± 3.57, with a mean total mental wellbeing of 52.96 ± 8.44. A positive and moderate correlation was found between the total PHEEM score and each of the two mental wellbeing subscales (p < 0.001).</p></div><div><h3>Conclusions</h3><p>A positive correlation was found between a better perception of the educational environment and mental wellbeing by residents of clinical and surgical specialties with greater mental wellbeing.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 1","pages":"Pages 20-28"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9337426","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}

引用次数: 1

The role of psychosocial adversity in the aetiology and course of attention deficit hyperactivity disorder 社会心理逆境在注意缺陷多动障碍病因和病程中的作用

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2021.02.007

Sujey Gómez-Cano , Juan Pablo Zapata-Ospina , Mauricio Arcos-Burgos , Juan David Palacio-Ortiz

{"title":"The role of psychosocial adversity in the aetiology and course of attention deficit hyperactivity disorder","authors":"Sujey Gómez-Cano , Juan Pablo Zapata-Ospina , Mauricio Arcos-Burgos , Juan David Palacio-Ortiz","doi":"10.1016/j.rcpeng.2021.02.007","DOIUrl":"10.1016/j.rcpeng.2021.02.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Attention deficit/hyperactivity disorder (ADHD) has genetic and environmental aetiological factors. There are few publications on the environmental factors. The objective of this review is to present the role of psychosocial adversity in the aetiology and course of ADHD.</p></div><div><h3>Methods</h3><p>A search was carried out in the following databases: PubMed, ScienceDirect, SciELO, ClinicalKey, EMBASE, Lilacs, OVID, APA and PsycNET. English and Spanish were selected without being limited by type of study or year of publication. Finally, a qualitative synthesis was conducted.</p></div><div><h3>Results</h3><p>ADHD development could be related to exposure to adverse factors in the family, school or social environment. It has been proposed as an explanatory mechanism that adversity interacts with genetic variants and leads to neurobiological changes. There may also be a gene-environment correlation whereby individual hereditary characteristics increase the risk of exposure to adversity, and indirectly increase the probability of developing ADHD. Research on psychosocial adversity represents a big challenge, not only due to the complexity of its construct, but also to the effect of subjective perception of a given event.</p></div><div><h3>Conclusions</h3><p>ADHD aetiology is complex and involves the interaction of both genetic and environmental factors, in which these factors correlate and cause the disorder. The study of the role of psychosocial adversity in ADHD is fundamental, but it remains a task that entails great difficulties.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 1","pages":"Pages 65-72"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9791049","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}

引用次数: 3

The importance of organic screening, regarding a clinical case 关于一个临床病例，有机筛查的重要性

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2021.05.006

Guillermo Velarde-Pedraza, Agustín Sánchez-Gayango, Marta Núñez-Garces

{"title":"The importance of organic screening, regarding a clinical case","authors":"Guillermo Velarde-Pedraza, Agustín Sánchez-Gayango, Marta Núñez-Garces","doi":"10.1016/j.rcpeng.2021.05.006","DOIUrl":"10.1016/j.rcpeng.2021.05.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Before cataloguing a morbid process as a “mental disorder”, it is essential to bear in mind the importance of early diagnosis of causes of non-psychiatric origin for a possible clinical presentation. For this reason, we will try to reflect this fact, which it seems necessary to remember even though it is well known, since it can be overlooked in emergency situations in the hospital setting, with the consequences derived from an incomplete diagnosis and with the potential life-threatening risk for the patient.</p></div><div><h3>Case presentation</h3><p>A 13-year-old female adolescent, who presented an acute clinical picture suggestive of dissociative disorder. She required hospital admission for diagnostic-therapeutic clarification, and neuroimaging findings led to an initial diagnosis of a neoplastic lesion in the brain stem and, finally, as ischaemic lesion of vasculitic origin in said location.</p></div><div><h3>Discussion</h3><p>A differential diagnosis was proposed through the different psychic and non-psychic aetiologies of the clinical picture, but the intervention of the hospital’s paediatric service was necessary for orientation and definitive affiliation, given the suspicion of non-psychiatric illness after a torpid evolution in spite of psychotherapeutic and psychopharmacological interventions.</p></div><div><h3>Conclusions</h3><p>Through the presentation and review of a clinical case that happened in our hospital, we must insist on an adequate comprehensive approach to the patient, especially with the child-adolescent population, when faced with an acute clinical presentation and without previous studies at a relevant physical level.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 1","pages":"Pages 73-77"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9337427","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}

引用次数: 0

Design and implementation of the Professional Wellbeing Programme of the Medical Council of Uruguay 制定和执行乌拉圭医学委员会专业福利方案

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.03.001

Juan J. Dapueto , Eloísa Klasse , Néstor Campos , Blauco Rodríguez Andrada , Serafín Romero Agüit , María Dolores Braquehais , Gustavo Tolchinsky , María Teresa Pereira , Laura Sarubbo , Claudia Ceroni , Natalia Sánchez , Lida Blanc

{"title":"Design and implementation of the Professional Wellbeing Programme of the Medical Council of Uruguay","authors":"Juan J. Dapueto , Eloísa Klasse , Néstor Campos , Blauco Rodríguez Andrada , Serafín Romero Agüit , María Dolores Braquehais , Gustavo Tolchinsky , María Teresa Pereira , Laura Sarubbo , Claudia Ceroni , Natalia Sánchez , Lida Blanc","doi":"10.1016/j.rcpeng.2023.03.001","DOIUrl":"10.1016/j.rcpeng.2023.03.001","url":null,"abstract":"<div><p><span>Multiple studies have reported a high prevalence of mental health problems among male and female physicians. Although doctors are reluctant to seek professional help when suffering from a mental disorder, specialised services developed specifically to treat their mental health problems have reported promising results. The purpose of this article is to describe the design and implementation of the Professional Wellbeing Programme (</span><em>Programa de Bienestar Profesional</em>) of the Uruguayan Medical Council (<em>Colegio Médico del Uruguay</em>). The context, inputs, activities and some of the outputs are described according to a case study design. The main milestones in the implementation of the programme are also outlined, as well as the enabling elements, obstacles and main achievements. Emphasis will be placed on the importance of international collaboration to share experiences and models, how to design the care process to promote doctors’ access to psychiatric and psychological care, the need for them to be flexible and dynamic in adapting to new and changing circumstances, such as the COVID-19 pandemic, and to work in parallel with the medical regulatory bodies. It is hoped that the experience described in this work may be of use to other Latin American institutions interested in developing mental health programmes for doctors.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 1","pages":"Pages 45-50"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9348906","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}

引用次数: 0