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

{"title":"Implications of ethnicity/race on public mental health","authors":"Adalberto Campo-Arias , Robin Andrés Grubert , Edwin Herazo","doi":"10.1016/j.rcpeng.2022.04.002","DOIUrl":"10.1016/j.rcpeng.2022.04.002","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872620","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":"Critical appraisal of the Colombian clinical practice guide for the prevention, diagnosis and treatment of suicidal ideation and/or behaviour (adoption)","authors":"Diana Restrepo,&nbsp;Ana M. Zapata-Barco,&nbsp;Juan A. Escobar,&nbsp;David Mejía-Rodríguez,&nbsp;Daniela Parra-Dunoyer,&nbsp;Oscar Vargas,&nbsp;Luis Miguel Vélez,&nbsp;Iris T. Buriticá,&nbsp;Isabel Vélez,&nbsp;Sebastián Estrada,&nbsp;Diego Rojas-Gualdrón","doi":"10.1016/j.rcpeng.2021.11.007","DOIUrl":"10.1016/j.rcpeng.2021.11.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Suicide is a complex, global public health problem. The Colombian clinical practice guideline provides relevant input for its prevention, diagnosis and treatment. The objective was to evaluate the methodological quality, credibility and applicability of the Colombian clinical practice guideline for suicidal behaviour.</p></div><div><h3>Methods</h3><p>An academic group of 12 evaluators was established to assess the guide and its recommendations in a standardised way, using the AGREE-II and AGREE-REX instruments. The evaluations were given in the range of 0.0–1.0 with 0.7 as a cut-off point for appropriate quality.</p></div><div><h3>Results</h3><p>The global assessment of the AGREE-II was greater than 0.7 in the dimensions: \"scope and objective\" (0.86), \"clarity of presentation\" (0.89), \"applicability\" (0.73) and \"editorial independence\" (0.89). The lowest scores were for “participation of those involved” (0.67) and “rigour in preparation” (0.69). With the AGREE-REX, the results in all dimensions were below 0.70, which indicates lower quality and suitability for use.</p></div><div><h3>Conclusions</h3><p>The adoption process of the Colombian guideline for suicidal behaviour was a rigorous methodological process, while the practice recommendations were valued as of low applicability due to low support in local evidence. It is necessary to strengthen the generation and synthesis of evidence at the national level to give greater support and applicability to the practice recommendations.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140796191","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":"Mood and Sleep Quality in Peruvian Medical Students During COVID-19 Pandemic","authors":"Mely Olarte-Durand ,&nbsp;Jossiel B. Roque-Aycachi ,&nbsp;Ricardo Rojas-Humpire ,&nbsp;Josue F. Canaza-Apaza ,&nbsp;Stefani Laureano ,&nbsp;Andrea Rojas-Humpire ,&nbsp;Salomón Huancahuire-Vega","doi":"10.1016/j.rcpeng.2021.11.005","DOIUrl":"https://doi.org/10.1016/j.rcpeng.2021.11.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The prolongation and consequences of the COVID-19 pandemic have led to an uncertain and devastating panorama in many populations, and the evidence shows a high prevalence of mental health problems in medical students. The objective was to evaluate the association between mood disorders and sleep quality (SQ) in Peruvian medical students during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted on 310 medical students from a private university in Peru. The SQ was measured using the Pittsburgh Sleep Quality Index (PSQI), while mood disorders were evaluated using the Depression Anxiety and Stress Scale-21 (DASS-21). All information was collected by online surveys and then analysed in the R programming language.</p></div><div><h3>Results</h3><p>The SQ results measured by PSQI were poor in 83.9% of the medical students. In the Poison regression analysis, the results of the bivariate analysis in men show that all mood disorders found the prevalence of poor SQ. However, in the multivariate analysis only stress (PRa<!--> <!-->=<!--> <!-->1.30; 95% CI, 1.08-1.57; <em>P</em> <!-->&lt;<!--> <!-->0.01) and anxiety (PRa<!--> <!-->=<!--> <!-->1.34; 95% CI, 1.09-1.56; <em>P</em> &lt;<!--> <!-->0.01) increased the prevalence of poor SQ. Women had a similar pattern in bivariate analysis, whereas in multivariate analysis, only severe stress (PRa<!--> <!-->=<!--> <!-->1.15; 95% CI, 1.01-1.29; <em>P</em> &lt;<!--> <!-->0.05) increased the prevalence of poor SQ.</p></div><div><h3>Conclusions</h3><p>This study allows us to observe the consequences that the COVID-19 pandemic is having on medical students in Peru. It also revealed a population group vulnerable to poor quality of sleep and bad mood, which in the future will impact on health. It is suggested to educate medical students about the importance of proper sleep hygiene and the consequences of poor sleep hygiene practices.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140880227","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":"Haematological adverse effects associated with olanzapine in adolescents with anorexia nervosa: Three case reports","authors":"Elard Bottoni-Tito,&nbsp;Wendy Messa-Aguilar","doi":"10.1016/j.rcpeng.2021.10.005","DOIUrl":"10.1016/j.rcpeng.2021.10.005","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe haematological adverse effects in adolescents with anorexia nervosa who are taking olanzapine.</p></div><div><h3>Methods</h3><p>Case series report.</p></div><div><h3>Case report</h3><p>The reported cases (two female patients and one male) were found to have blood test abnormalities after starting olanzapine and to rapidly recover their platelet and neutrophil values after the drug was discontinued. Low haemoglobin values persisted longer than observed in other series. These abnormalities became more noticeable when the dose of olanzapine was increased to 5 mg/day (initial dose 2.5 mg/day). It should be noted that two of the patients already had values indicative of mild neutropenia before they started the antipsychotic drug, and that these worsened as they continued taking the drug. In one of the patients there was only a decrease in neutrophil values, as well as mild anaemia.</p></div><div><h3>Conclusions</h3><p>This first case series of haematological abnormalities in adolescents with anorexia nervosa who are taking olanzapine found values corresponding to pancytopenia in two of the three cases reported. It would be worthwhile to consider heightening haematological surveillance in this population when starting treatment with olanzapine and rethinking our knowledge regarding the frequency of these side effects.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759713","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":"Electrophysiological biomarkers in dual pathology","authors":"Luz Angela Rojas Bernal ,&nbsp;Hernando Santamaría García ,&nbsp;Guillermo Alonso Castaño Pérez","doi":"10.1016/j.rcpeng.2024.04.003","DOIUrl":"10.1016/j.rcpeng.2024.04.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The co-occurrence of substance use disorder with at least one other mental disorder is called dual pathology, which in turn is characterised by heterogeneous symptoms that are difficult to diagnose and have a poor response to treatment. For this reason, the identification and validation of biomarkers is necessary. Within this group, possible electroencephalographic biomarkers have been reported to be useful in diagnosis, treatment and follow-up, both in neuropsychiatric conditions and in substance use disorders. This article aims to review the existing literature on electroencephalographic biomarkers in dual pathology.</p></div><div><h3>Methods</h3><p>A narrative review of the literature. A bibliographic search was performed on the PubMed, Science Direct, OVID, BIREME and Scielo databases, with the keywords: electrophysiological biomarker and substance use disorder, electrophysiological biomarker and mental disorders, biomarker and dual pathology, biomarker and substance use disorder, electroencephalography, and substance use disorder or comorbid mental disorder.</p></div><div><h3>Results</h3><p>Given the greater amount of literature found in relation to electroencephalography as a biomarker of mental illness and substance use disorders, and the few articles found on dual pathology, the evidence is organised as a biomarker in psychiatry for the diagnosis and prediction of risk and as a biomarker for dual pathology.</p></div><div><h3>Conclusions</h3><p>Although the evidence is not conclusive, it suggests the existence of a subset of sites and mechanisms where the effects of psychoactive substances and the neurobiology of some mental disorders could overlap or interact.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869435","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":"Adolescent patient with post traumatic stress disorder due atypical stressor: Case report","authors":"Jhonny Alejandro Muñoz Valencia ,&nbsp;Jose Ricardo MuñoZuñiga ,&nbsp;Juan Carlos Rivas Nieto","doi":"10.1016/j.rcpeng.2021.11.002","DOIUrl":"10.1016/j.rcpeng.2021.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Post-traumatic stress disorder (PTSD) is characterised by intrusive, anxious, and avoidant symptoms that are triggered after a stressful experience and affect the mood. The definition of a stressor that generates PTSD has been debated in recent years, as a clinical picture compatible with the disorder can occur after exposure to stressors that do not meet the criteria A1 of the DSM V; these stressors have been defined in the literature as \"of low magnitude, uncommon, unusual or atypical\".</p></div><div><h3>Clinical case</h3><p>We present the clinical case of a paediatric patient who developed PTSD after being exposed to an atypical stressor.</p></div><div><h3>Conclusions</h3><p>The literature shows these stressors to be more frequently documented in the paediatric population. We therefore suggest that cases should be analysed as a complex interweaving of variables, where one of the most important is each patient's interpretation of the event according to their life history and social context, and not because of an inherent characteristic of the stressor itself.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140796006","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":"Experience with the use of the DIALOG+ intervention in patients with severe mental illness in outpatient services in Colombia","authors":"Sandra Milena Ramírez ,&nbsp;Camilo Cabarique ,&nbsp;Natalia Ortiz ,&nbsp;José Miguel Uribe-Restrepo ,&nbsp;Victoria Bird ,&nbsp;Stefan Priebe ,&nbsp;Carlos Gómez-Restrepo","doi":"10.1016/j.rcpeng.2022.01.003","DOIUrl":"10.1016/j.rcpeng.2022.01.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Severe mental disorders can cause significant and lasting distress for patients and their families and generate high costs through the need for care and loss of productivity. This study tests DIALOG+, an app-based intervention to make routine patient-clinician meetings therapeutically effective. It combines a structured evaluation of patient satisfaction with a solution-focused approach.</p></div><div><h3>Methods</h3><p>We conducted a qualitative study, based on a controlled clinical trial, in which 9 psychiatrists and 18 patients used DIALOG+ monthly over a six-month period. Semi-structured interviews were used to explore the experiences of participants and analysed in an inductive thematic analysis focusing on the feasibility and effects of the intervention in the Colombian context.</p></div><div><h3>Results</h3><p>Experiences were grouped into five overall themes: <em>a)</em> impact of the intervention on the consultation and the doctor-patient relationship; <em>b)</em> impact on patients and in promoting change; <em>c)</em> use of the supporting app, and <em>d)</em> adaptability of the intervention to the Colombian healthcare system.</p></div><div><h3>Conclusions</h3><p>DIALOG+ was positively valued by most of the participants. Participants felt that it was beneficial to the routine consultation, improved communication and empowered patients to take a leading role in their care. More work is required to identify the patient groups that most benefit from DIALOG+, and to adjust it, particularly to fit brief consultation times, so that it can be rolled out successfully in the Colombian healthcare system.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792813","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":"Prevalence and factors associated with depression in healthcare personnel during the SARS-CoV-2 pandemic in the Department of Piura, Peru","authors":"Gonzalo Espinoza-Ascurra ,&nbsp;Iván Gonzales-Graus ,&nbsp;Mónica Meléndez-Marón ,&nbsp;Rufino Cabrera","doi":"10.1016/j.rcpeng.2021.11.003","DOIUrl":"10.1016/j.rcpeng.2021.11.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic has increased the magnitude of mental illnesses such as depression, not only in the general population, but also in healthcare personnel. However, in Peru the prevalence, and the associated factors for developing depression in healthcare personnel, are not known. The objective was to determine the prevalence and identify the factors associated with depression in healthcare personnel, in the context of the SARS-CoV-2 pandemic.</p></div><div><h3>Methods</h3><p>An analytical cross-sectional study was carried out from May to September in healthcare establishments. A sample of 136 health workers were included and a survey was applied to collect the data. Depression as a dependent variable was measured using the Zung self-report scale. To identify the associated factors, the bivariate and multivariate analysis was performed by logistic regression with STATA v 14.</p></div><div><h3>Results</h3><p>The prevalence of depression was 8.8% (95%CI, 4.64–14.90). Having a family member or friend who had died from COVID-19 was associated with depression (OR = 6.78; 95%CI, 1.39–32.90; p = 0.017). Whereas the use of personal protective equipment was found to be a protective factor against developing depression (OR = 0.03; 95%CI, 0.004−0.32; p = 0.003).</p></div><div><h3>Conclusions</h3><p>Approximately 1 in 10 healthcare professionals and technicians developed depression during the COVID-19 pandemic in this study. In addition, having relatives or friends who had died from COVID-19 was negatively associated with depression and use of personal protective equipment was identified as a protective factor.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789201","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":"Gender incongruence or dysphoria: More of the same in ICD-11 and DSM-5-TR","authors":"Adalberto Campo-Arias,&nbsp;Mónica Reyes-Rojas","doi":"10.1016/j.rcpeng.2022.04.001","DOIUrl":"10.1016/j.rcpeng.2022.04.001","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875074","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":"Incidence of confusional syndrome (delirium) in a Latin American university hospital","authors":"Gabriel Fernando Oviedo Lugo ,&nbsp;Paola Andrea García Martínez ,&nbsp;Andrés Duarte Osorio ,&nbsp;Carlos Javier Rincón ,&nbsp;Alejandra López ,&nbsp;Roberto Chavarría ,&nbsp;Catalina Pineda Betancur ,&nbsp;Natalia García Gil ,&nbsp;María Natalia Duarte Ariza ,&nbsp;Juan Agustín Patiño Trejos ,&nbsp;Juan Sebastián Insignares ,&nbsp;Carlos Gómez-Restrepo","doi":"10.1016/j.rcpeng.2022.01.002","DOIUrl":"10.1016/j.rcpeng.2022.01.002","url":null,"abstract":"<div><h3>Background</h3><p>Little is known about the incidence of delirium and its subtypes in patients admitted to different departments of university hospitals in Latin America.</p></div><div><h3>Objective</h3><p>To determine the incidence of delirium and the frequency of its subtypes, as well as its associated factors, in patients admitted to different departments of a university hospital in Bogotá, Colombia.</p></div><div><h3>Methods</h3><p>A cohort of patients over 18 years of age admitted to the internal medicine (IM), geriatrics (GU), general surgery (GSU), orthopaedics (OU) and intensive care unit (ICU) services of a university hospital was followed up between January and June 2018. To detect the presence of delirium, we used the CAM (Confusion Assessment Method) and the CAM-ICU if the patient had decreased communication skills. The delirium subtype was characterised using the RASS (Richmond Agitation and Sedation Scale). Patients were assessed on their admission date and then every two days until discharged from the hospital. Those in whom delirium was identified were referred for specialised intra-institutional interdisciplinary management.</p></div><div><h3>Results</h3><p>A total of 531 patients admitted during the period were assessed. The overall incidence of delirium was 12% (95% CI, 0.3–14.8). They represented 31.8% of patients in the GU, 15.6% in the ICU, 8.7% in IM, 5.1% in the OU, and 3.9% in the GSU. The most frequent clinical display was the mixed subtype, at 60.9%, followed by the normoactive subtype (34.4%) and the hypoactive subtype (4.7%). The factors most associated with delirium were age (adjusted RR = 1.07; 95% CI, 1.05−1.09), the presence of four or more comorbidities (adjusted RR = 2.04; 95% CI, 1.31−3.20), and being a patient in the ICU (adjusted RR = 2.02; 95% CI, 1.22−3.35).</p></div><div><h3>Conclusions</h3><p>The incidence of delirium is heterogeneous in the different departments of the university hospital. The highest incidence occurred in patients that were admitted to the GU. The mixed subtype was the most frequent one, and the main associated factors were age, the presence of four or more comorbidities, and being an ICU patient.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795307","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}