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

Autonomy of people with psychological suffering from the perspective of work: Perceptions of users and their families 从工作角度看心理疾病患者的自主性:使用者及其家庭的看法

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2022.11.001

Cleber Tiago Cirineu , Regina Célia Fiorati , Carmen Muñoz Muñoz

{"title":"Autonomy of people with psychological suffering from the perspective of work: Perceptions of users and their families","authors":"Cleber Tiago Cirineu , Regina Célia Fiorati , Carmen Muñoz Muñoz","doi":"10.1016/j.rcpeng.2022.11.001","DOIUrl":"10.1016/j.rcpeng.2022.11.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>To present the results of a study with a psychosocial approach that aimed to examine the autonomy of people with mental suffering cared for at psychosocial care<span> centres from the perspective of work, based on the perceptions of the users and their families, and using the psychosocial rehabilitation framework and Agnes Heller’s theory of </span></span>everyday life.</p></div><div><h3>Methods</h3><p>Four psychosocial care centres were selected, and 40 people collaborated with the research through semi-structured interviews analysed with the Collective Subject Discourse technique.</p></div><div><h3>Results</h3><p>Although the users wanted to have a job, they showed no initiative, as there are impediments to carrying out work activities due to the side effects of the medication and the obstacles posed by third parties concerned about the loss of social benefits. Prejudice was seen as a mechanism that negatively interferes with social relations and empowerment for autonomy. Expectations of resuming studies and participation in voluntary activities, especially religious ones, were frequent in the users’ discourse.</p></div><div><h3>Conclusions</h3><p>There is an urgent need to expand territorial spaces so that the users of mental health services can be protagonists of their own autonomy and carry out their occupations in the area of productivity with greater ownership.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10719910","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

Clinical differences between bipolar disorder and borderline personality disorder: a case report 双相情感障碍与边缘型人格障碍临床差异1例报告

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2020.12.007

Alfredo de Jesús Garza Guerra, Gabriela Hilian Adame Rocha, Francisco Javier Rodríguez Lara

引用次数: 0

Colombian research in psychiatry in the Latin American context 拉丁美洲背景下哥伦比亚精神病学研究

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2022.08.010

Diego Rosselli

引用次数: 0

Competence and Involuntary Commitment of Patients with Anorexia Nervosa: A Qualitative study on the Perceptions and Performance of Psychiatrists and Clinical Psychologists 神经性厌食症患者的能力和非自愿承诺:精神科医生和临床心理学家的认知和表现的定性研究

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2020.11.010

José-Luis Fernández-Hernández , Pablo Herranz-Hernández , Laura Segovia-Torres

{"title":"Competence and Involuntary Commitment of Patients with Anorexia Nervosa: A Qualitative study on the Perceptions and Performance of Psychiatrists and Clinical Psychologists","authors":"José-Luis Fernández-Hernández , Pablo Herranz-Hernández , Laura Segovia-Torres","doi":"10.1016/j.rcpeng.2020.11.010","DOIUrl":"10.1016/j.rcpeng.2020.11.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Anorexia nervosa poses an important bioethical dilemma, since patients often refuse treatment<span> despite the danger that this poses to their health, and it is not clear that their decision is autonomous. The aim of this study was to investigate the perceptions/performance of psychiatrists and clinical psychologists regarding the capacity and involuntary hospitalisation of patients with anorexia nervosa.</span></p></div><div><h3>Methods</h3><p>Seven psychiatrists, four clinical psychologists, and one third-year resident psychologist were interviewed. A qualitative research approach based on grounded theory was used.</p></div><div><h3>Results</h3><p>The data analysis showed that these professionals articulate patient care around one main category - hospitalisation as a last resort and the search for voluntariness, which implies a change in the usual healthcare dynamics. Around this central category, some important concepts emerge: role stress, informal coercion<span>, weight, family and chronicity.</span></p></div><div><h3>Conclusions</h3><p>It is concluded that the difficulty of reconciling professional demands can undermine the quality of care and job satisfaction itself, which highlights the need for reflection and research into the foundations of the responsibilities assumed.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10351958","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

Working and non-working conditions related to the presence of depressive symptoms in women workers with subsistence jobs in the centre of Medellín, 2015–2019 2015-2019年Medellín中心开展的与从事生计工作的女工抑郁症状相关的工作和非工作条件

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2020.11.012

María Osley Garzón-Duque , Paula Andrea Uribe-Cárdenas , Fabio León Rodríguez-Ospina , Doris Cardona-Arango , Angela María Segura-Cardona , Sara Marulanda-Henao

{"title":"Working and non-working conditions related to the presence of depressive symptoms in women workers with subsistence jobs in the centre of Medellín, 2015–2019","authors":"María Osley Garzón-Duque , Paula Andrea Uribe-Cárdenas , Fabio León Rodríguez-Ospina , Doris Cardona-Arango , Angela María Segura-Cardona , Sara Marulanda-Henao","doi":"10.1016/j.rcpeng.2020.11.012","DOIUrl":"10.1016/j.rcpeng.2020.11.012","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the working and non-working conditions related to depressive symptoms in informal workers in the centre of Medellín in 2015–2019.</p></div><div><h3>Methods</h3><p>Cross-sectional study with analytical intention and primary sources of information. Data collection with assisted survey in one of its union headquarters in 2016, after a pilot test and standardisation of pollsters. A total of 291 women workers were taken as a census, and their working and non-working conditions were explored.</p></div><div><h3>Results</h3><p>The women had an average age of 45 years, ≤5 years of schooling, low and middle-income housing, and income below the 2016 minimum wage. About 60% suffered moderate-severe food insecurity, and received no state benefits. They were mainly the head of the family, with 1 or 2 dependents, and were responsible for the work at home. They worked at least 8 h a day, 6 or 7 days a week, with parents or relatives selling in the street, and at least 20 years in their work. About 60% had a partner, 21.6% with family dysfunction, and 15.4% moderate-severe depressive symptoms. Living in one room or a slum, with a low socioeconomic status and moderate-severe family dysfunction were associated with, and contributed to the explanation of, moderate-severe depressive symptoms.</p></div><div><h3>Conclusions</h3><p>The non-working conditions that are associated with and explain the moderate-severe depressive symptoms of female workers can be modified with actions that impact on the social determinants of health.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10352188","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

The Internal Dynamics of the Coronavirus Anxiety Scale through Network Analysis 基于网络分析的冠状病毒焦虑量表内部动态

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2020.12.003

Cristian Antony Ramos-Vera

引用次数: 1

Efficacy of Metacognitive Training in a Chilean Sample of People with Schizophrenia 元认知训练对智利精神分裂症患者的疗效

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2020.12.002

Vanessa Acuña , Ariel Otto , Alvaro Cavieres , Humberto Villalobos

{"title":"Efficacy of Metacognitive Training in a Chilean Sample of People with Schizophrenia","authors":"Vanessa Acuña , Ariel Otto , Alvaro Cavieres , Humberto Villalobos","doi":"10.1016/j.rcpeng.2020.12.002","DOIUrl":"10.1016/j.rcpeng.2020.12.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Moritz et al.’s metacognitive training (MCT), a new development of cognitive therapy, is a manualised group training programme, designed to correct cognitive biases involved in the formation and maintenance of psychotic symptoms, especially delusions. We report on the efficacy of MCT in a Chilean sample of people with schizophrenia.</p></div><div><h3>Methods</h3><p><span>50 outpatients from the Hospital Del Salvador in Valparaíso, Chile, were randomly assigned to the intervention group that received MCT or the control group that only received treatment as usual (TAU). Subjects were assessed at the beginning and end of the study with the </span>Positive and Negative Syndrome Scale (PANSS), Cognitive Biases Questionnaire for Psychosis (CBQ-P) and Beck Cognitive Insight Scale (BCIS).</p></div><div><h3>Results</h3><p>Greater statistically significant improvements were recorded in the MCT group, both in symptoms and cognitive biases and in cognitive insight, than in the control group. When comparing both groups, significant results in favor of MCT were only observed in positive symptoms.</p></div><div><h3>Conclusions</h3><p>The results of this study suggest MCT is superior to TAU in treating positive symptoms. It was not possible to demonstrate its superiority in improving cognitive biases and cognitive insight.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10351647","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: 2

Toward Developing Clinical cut-off for the Grandiosity Scale of the Dimensional Clinical Personality Inventory 2 多维临床人格量表中夸大度量表的临床截点研究2

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2020.11.011

Lucas de Francisco Carvalho, Catarina Possenti Sette, Ariela Raissa Lima Costa

{"title":"Toward Developing Clinical cut-off for the Grandiosity Scale of the Dimensional Clinical Personality Inventory 2","authors":"Lucas de Francisco Carvalho, Catarina Possenti Sette, Ariela Raissa Lima Costa","doi":"10.1016/j.rcpeng.2020.11.011","DOIUrl":"10.1016/j.rcpeng.2020.11.011","url":null,"abstract":"<div><h3>Objective</h3><p>The present study aims to establish a clinical cut-off for the Grandiosity dimension, using item-level evaluation procedures.</p></div><div><h3>Methods</h3><p>Participants were 5,387 adults, including outpatients diagnosed with narcissistic personality disorder (NPD), outpatients diagnosed with other personality disorders, and adults from the community. We administered the self-reported Grandiosity scale from the Dimensional Clinical Personality Inventory 2 (IDCP-2). The equating procedure was applied to generate theta scores for participants who did not answer all items.</p></div><div><h3>Results</h3><p>The Wright map revealed that outpatients scored high on the latent continuum of the Grandiosity scale. Group comparison showed large effect sizes for the mean difference between patients and non-patients. The ROC curve supports a cut off at a –0.45 score in theta standardisation, which yields a high sensitivity (91%) and moderate specificity (58%). Moreover, the PPP (71%) and NPP (79%) values suggest that the scale is able to identify NPD patients in 71% of cases, and people without NPD in 79% of cases.</p></div><div><h3>Conclusions</h3><p>The findings suggest the IDCP-2 Grandiosity scale is useful as an NPD screening tool. Possible clinical applications for the scale are described and the limitations of the study are discussed.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10345368","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

Incommensurability: an obstacle to the integration of psychotherapy and spirituality. the desert fathers as an overcoming epistemological paradigm 不可通约性:心理治疗与灵性结合的障碍。沙漠理论是一种具有克服性的认识论范式

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2020.12.005

María Teresa Gargiulo, Santiago Hernán Vázquez

{"title":"Incommensurability: an obstacle to the integration of psychotherapy and spirituality. the desert fathers as an overcoming epistemological paradigm","authors":"María Teresa Gargiulo, Santiago Hernán Vázquez","doi":"10.1016/j.rcpeng.2020.12.005","DOIUrl":"10.1016/j.rcpeng.2020.12.005","url":null,"abstract":"<div><p>In recent years, the body of literature that deals with trying different ways of integrating spirituality into psychotherapeutic practice has grown exponentially. Probably the interest in this topic has arisen with regard to the inclusion in the DSM-IV of the new category \"Religious or Spiritual Problem\" (Code V62.89). Until then, religious or spiritual issues had been viewed in the clinical practice as symptoms of some mental illnesses like, for example, the delusions with religious content typical of schizophrenics. But with the fourth edition of the aforementioned manual, there began to be an interest in the study of spirituality as it expresses a fundamental aspect of personality. In this vein, various models of integration of spirituality and psychotherapy have been formulated. Our intention is to study the problem of incommensurability as one of the epistemological and methodological problems that supposes a project of this type. We present the writings of the Desert Fathers as an explanatory model that guarantees an epistemologically legitimate integration of spiritual traditions with psychotherapeutic practice. And for that reason, we argue that their writings could constitute a way to overcome the relationship of mutual incommensurability that apparently exists between scientific rationality and spirituality.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10352185","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

PANS-PANDAS, case report pan - pandas，病例报告

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2022-10-01 DOI: 10.1016/j.rcpeng.2020.11.013

Francy Tatiana Villabona, Gisela Hernández, Víctor Manuel Mora-Bautista

{"title":"PANS-PANDAS, case report","authors":"Francy Tatiana Villabona, Gisela Hernández, Víctor Manuel Mora-Bautista","doi":"10.1016/j.rcpeng.2020.11.013","DOIUrl":"10.1016/j.rcpeng.2020.11.013","url":null,"abstract":"<div><h3>Introduction</h3><p>Since 1980, there have been known cases of childhood neuropsychiatric syndromes in the world and its concept has evolved with changes in the definitions in 1995 (PITANDs — paediatric infection-triggered autoimmune neuropsychiatric disorders), 1998 (PANDAS — paediatric autoimmune neuropsychiatric syndrome associated with streptococci infection), 2010 (PANS — paediatric acute-onset neuropsychiatric syndrome) and 2012 (CANS — childhood acute neuropsychiatric syndrome). Despite being known for more than 20 years, it is still an illness that often goes unnoticed by many health professionals.</p></div><div><h3>Objective</h3><p>To sensitise the medical community about the identification of the disease and reduce the morbidity associated with a late diagnosis.</p></div><div><h3>Clinical case</h3><p>A 6-year-old schoolgirl brought to the emergency department due to her refusal to eat. In the hospital treatment, a clinical history was identified with PANS-PANDAS diagnostic criteria. She exhibited a relapsing-remitting clinical course, as described in the literature, with poor response to first-line treatments.</p></div><div><h3>Conclusions</h3><p>In all school-age child presenting with obsessive compulsive disorder or eating disorders, with other symptoms or not, a possible link to PANS-CANS should be evaluated and ruled out.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10357232","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