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

{"title":"Medical conditions, symptoms of anxiety, and depression during the COVID-19 pandemic in a population sample of Lima, Peru","authors":"Hever Krüger-Malpartida ,&nbsp;Martin Arevalo-Flores ,&nbsp;Victor Anculle-Arauco ,&nbsp;Mauricio Dancuart-Mendoza ,&nbsp;Bruno Pedraz-Petrozzi","doi":"10.1016/j.rcpeng.2022.04.004","DOIUrl":"10.1016/j.rcpeng.2022.04.004","url":null,"abstract":"<div><h3>Introduction</h3><p>This study aims to determine differences between the number of underlying medical conditions, depression, and anxiety, when controlling for the covariates of age, sex, and completed education.</p></div><div><h3>Methods</h3><p>Participants (n = 484) indicated the number of medical conditions present during the survey, also including the PHQ-9 and GAD-7, to assess depression and anxiety, respectively.</p></div><div><h3>Results</h3><p>Differences were found between groups of medical conditions and the combined values of PHQ-9 and GAD-7 after controlling for the covariates mentioned above (F_4,954 = 5.78; Wilks’ Λ = 0.95; <em>P</em> &lt; 0.0005). The univariate tests showed differences for PHQ-9 (F_2,478 = 8.70; <em>P</em> &lt; 0.0005) and GAD-7 (F_2,478 = 11.16; <em>P</em> &lt; 0.0005) between the 3 groups. Finally, post-hoc analysis showed differences between participants with one medical condition and with no medical condition (PHQ-9: M_D = 1.82; 95%CI, 0.25–3.40; GAD-7: M_D = 1.73; 95%CI, 0.55–2.91), and between participants with more than one medical condition and participants with no medical condition (PHQ-9: M_D = 3.10; 95%CI, 1.11–5.10; GAD-7: M_D = 2.46; 95%CI, 0.97–3.95).</p></div><div><h3>Conclusions</h3><p>Our results suggest that people who had a medical condition during the COVID-19 pandemic were more prone to developing severe symptoms of anxiety and depression.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 175-183"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918287","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":"The structure of depressive symptoms using CES-D and ZDS in outpatients in a general hospital in Lima, Peru","authors":"Jair R. Jara-Fernández,&nbsp;Nieves Gutiérrez-Kolotvina,&nbsp;Jhoselyn Milagros Flores-Egocheaga,&nbsp;Paulo Ruíz-Grosso,&nbsp;Johann M. Vega-Dienstmaier","doi":"10.1016/j.rcpeng.2022.02.004","DOIUrl":"10.1016/j.rcpeng.2022.02.004","url":null,"abstract":"<div><h3>Background</h3><p>Depression represents one of the leading causes of disability due to illness worldwide. Previous studies have demonstrated the significant heterogeneity of the diagnosis of depression, making it necessary to develop new diagnostic approaches. Network analysis is a perspective that considers symptoms as constituents of the psychiatric disorder itself. The objective was to determine the structure of depressive symptoms using the CES-D and ZDS depression scales.</p></div><div><h3>Methods</h3><p>Cross-sectional study of secondary analysis of 194 patients using the CES-D and ZDS scales. Correlation matrices and regularised partial correlation networks were constructed from the database. Centrality measures were estimated, and a network stability analysis was performed.</p></div><div><h3>Results</h3><p>On the CES-D scale, the most central item was “Sad”; while on the ZDS scale, the most central items were “Sad” and “Live”. On the CES-D scale, the connection between “Enjoy” and “Happy” was the strongest. On the ZDS scale, the strongest connection was between the items “Live” with “Useful”. The item “Morning” was the least connected on the ZDS.</p></div><div><h3>Conclusions</h3><p>The most central symptom from the CES-D scale was sadness, while from the ZDS scale, was sadness and anhedonia.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 117-125"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914777","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":"Psychopharmacology of Intellectual Disability—Defamed, Debased or Debated?","authors":"Ahmed Naguy","doi":"10.1016/j.rcpeng.2024.07.003","DOIUrl":"10.1016/j.rcpeng.2024.07.003","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 115-116"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076032","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":"Description of a telehealth mental health programme in the framework of the COVID-19 pandemic in Colombia","authors":"Juan Pablo Zapata-Ospina ,&nbsp;Karla Gil-Luján ,&nbsp;Alejandro López-Puerta ,&nbsp;Laura Carolina Ospina ,&nbsp;Paola Andrea Gutiérrez-Londoño ,&nbsp;Alexandra Aristizábal ,&nbsp;Mauricio Gómez ,&nbsp;Jenny García","doi":"10.1016/j.rcpeng.2022.04.003","DOIUrl":"10.1016/j.rcpeng.2022.04.003","url":null,"abstract":"<div><h3>Background</h3><p>A telehealth mental health programme was designed at the LivingLab of the Faculty of Medicine of the Universidad de Antioquia [University of Antioquia].</p></div><div><h3>Objectives</h3><p>To describe the development and operation of the programme and evaluate the satisfaction of the patients treated during the COVID-19 pandemic in 2020 and 2021.</p></div><div><h3>Methods</h3><p>Descriptive study that details the development of the programme. Data were extracted from medical records to describe the patients who were treated. A satisfaction scale was applied to a random sample and the data were summarised with descriptive statistics.</p></div><div><h3>Results</h3><p>In March 2020 and August 2021, 10,229 patients were treated, with 20,276 treated by telepsychology and 4,164 by psychiatry, 1,808 by telepsychiatry and 2,356 by tele-expertise, with a total of 6,312 visits. The most frequent diagnoses were depressive (36.8%), anxiety (12.0%), and psychotic (10.7%) disorders. Respondents were satisfied to the point that more than 93% would recommend it to another person.</p></div><div><h3>Conclusions</h3><p>The LivingLab telehealth mental health programme allowed for the care of patients with mental health problems and disorders in Antioquia during the first two years of the COVID-19 pandemic, and there was a high degree of satisfaction among the beneficiaries. Therefore it could be adopted in mental health care.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 165-174"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918286","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":"Case Report of Retarded Catatonia: Always Consider Catatonia as a Differential Diagnosis of Altered Mental Status","authors":"Irma Munoz Verdugo ,&nbsp;Jose Lopez ,&nbsp;Sandra Cordova","doi":"10.1016/j.rcpeng.2022.02.006","DOIUrl":"10.1016/j.rcpeng.2022.02.006","url":null,"abstract":"<div><h3>Background</h3><p>Catatonia is a rare neuropsychiatric condition; it is estimated that around 10% of patients with mood disorders present signs and symptoms of catatonia. A catatonic syndrome is characterised by mutism, negativism, rigidity, and stupor.</p></div><div><h3>Case report</h3><p>We report the case of a 59-year-old patient with a medical history of bipolar disorder who was admitted to the internal medicine service due to a seizure episode. During hospitalisation, the patient presented significant worsening of her clinical condition, showing marked symptoms of stupor and catatonia. Once the neurological and metabolic etiologies of altered mental status had been ruled out, pharmacological treatment with high doses of lorazepam was started. The patient had a complete clinical remission, and her evolution was favourable without any complications. Electroconvulsive therapy was recommended as a definitive treatment.</p></div><div><h3>Conclusions</h3><p>The diagnosis of catatonia is a challenge for both hospitalists and psychiatrists due to the clinical presentation of catatonia. In reporting this clinical case, we want to emphasise the importance of taking into account the catatonic syndrome in our differential diagnoses in patients with altered mental status.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 206-209"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142077386","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":"Contemporary psychiatry and the possibility of a new neuropsychiatry","authors":"Hernando Santamaría-García","doi":"10.1016/j.rcpeng.2024.04.001","DOIUrl":"10.1016/j.rcpeng.2024.04.001","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767818","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 psychoactive substance, alcohol and cigarette use in nursing students. A cross-sectional study","authors":"Jenny Paola Garzón Ruiz,&nbsp;Fabián Cortés Muñoz,&nbsp;Mónica Alexandra Ferrer Buenaño,&nbsp;Anggie Lizeth García Hernández,&nbsp;John Jalber Lombana Cortés,&nbsp;José Luis Quimbay Mondragón,&nbsp;Mateo Alejandro Gil Cabezas,&nbsp;Angie Paola Parada Fresneda,&nbsp;Johan Stiven Buitrago Arcila,&nbsp;Luis Fernando Agudelo Cruz,&nbsp;Laura Daniela Fonseca Granados,&nbsp;Jennifer Tatiana Ruiz Barrera","doi":"10.1016/j.rcpeng.2021.11.006","DOIUrl":"10.1016/j.rcpeng.2021.11.006","url":null,"abstract":"<div><h3>Background</h3><p>The increase in the use of psychoactive substances, alcohol and cigarettes in young people has become a public health problem. The identification of factors that increase or reduce the risk of exposure to these substances and the possible relationship between them is essential for planning strategies with a risk approach; hence the reason for this study. The objective was to establish the profile of use of psychoactive substances, alcohol and cigarettes and the factors associated with such use in nursing students of a higher education institution.</p></div><div><h3>Methods</h3><p>Quantitative, observational, analytical cross-sectional study.</p></div><div><h3>Results</h3><p>We included 310 students from 1 st to 9th semester of a Nursing programme from a private higher education institution in Bogotá. The prevalence of psychoactive substance use in the last year was 2.96% (95%CI, 1.36−5.54), with marijuana being the substance most used (55.55%). The prevalence of alcohol and cigarette use during the last 12 months was estimated at 86.64% (95%CI, 83.24−91.0) and 12.16% (95%CI, 8.43–15.88) respectively. A statistically significant association was found between the use of these substances: alcohol use was associated with cigarette use (OR = 3.22; P = 0.006) and smoking was associated with psychoactive substance use (OR = 15.4; P &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>Alcohol use increases the likelihood of smoking cigarettes, and this in turn increases the likelihood of psychoactive substance use, in this university population.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 73-84"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140762466","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":"Social determinants, symptoms and mental problems in adults internally displaced by armed conflict. Soacha, Colombia, 2019","authors":"Sandra Elizabeth Piñeros-Ortíz,&nbsp;Zulma Consuelo Urrego-Mendoza,&nbsp;Nathaly Garzón-Orjuela,&nbsp;Javier Eslava-Schmalbach","doi":"10.1016/j.rcpeng.2022.08.011","DOIUrl":"10.1016/j.rcpeng.2022.08.011","url":null,"abstract":"<div><h3>Objective</h3><p>To characterise social determinants of health, mental health problems and potentially problematic symptoms in the adult population displaced by internal armed conflict in Colombia.</p></div><div><h3>Methods</h3><p>Cross-sectional descriptive study with a random sample of 98 adults forcefully displaced to Soacha, Colombia, due to internal armed conflict. The Self Report Questionnaire to detect potentially problematic mental health problems and symptoms, and a structured questionnaire on social determinants of health were applied.</p></div><div><h3>Results</h3><p>The median age was 38 [interquartile range, 28–46] years, and women predominated (69.39%). The median time since displacement was 36 [16–48] months, and time since settlement in Soacha, 48 [5–48] months. 86.32% survived on less than the minimum wage per month and 93.87% did not have an employment contract. 42.86% and 7.14% reported being owners of their homes before and after displacement, respectively. Upon arriving in Soacha, 79.60% went to primary support networks and 3% to institutions. Before displacement, 16.33% lacked health insurance and 27.55% afterwards. Regarding mental health problems; there were possible depressive or anxious disorders in 57.29%; possible psychosis in 36.73%; and potentially problematic symptoms in 91.66%, being more prevalent and serious in women (<em>p</em> = 0.0025).</p></div><div><h3>Conclusions</h3><p>A deterioration in living conditions and a higher prevalence of potentially problematic mental health problems and symptoms was reported in displaced adult populations settled in Soacha compared to other regions of the country. Analyses with complementary perspectives are required to evaluate these differences.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 8-16"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857425","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":"Violence Exposure and Disability in Colombian Female Survivors of Intimate Partner Violence: the Mediating Role of Depressive Symptoms","authors":"Lina Marcela Sandoval ,&nbsp;Elvis Siprian Castro ,&nbsp;Andrés Fandiño-Losada ,&nbsp;Sara Gabriela Pacichana-Quinayaz ,&nbsp;Shirley Evelyn Lennon ,&nbsp;María Isabel Gutiérrez-Martínez","doi":"10.1016/j.rcpeng.2021.11.004","DOIUrl":"https://doi.org/10.1016/j.rcpeng.2021.11.004","url":null,"abstract":"<div><h3>Background</h3><p>Violence is an important public health problem and one of the main causes of deaths worldwide. The mental health consequences of surviving intimate partner violence (IPV) include depression, anxiety and post-traumatic stress disorder. Previous studies have identified that there is a relationship between depression and level of disability in female survivors of IPV. Estimating the direct, indirect or total effect of an exposure on an outcome makes it possible to identify mediating effects between a group of variables. Detecting mediation effects is useful for identifying casual pathways that generate a final outcome and provides a rationale for designing interventions to target the mediator, which in turn positively affects the outcome. The objective was to identify the mediating role of depressive symptoms on the relationship between IPV and disability.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study of 94 women over the age of 18 who were survivors of IPV by men. They were recruited from two public hospitals in Cali and Tuluá in southwest Colombia. An analysis of casual relationships was performed using structural equation modelling that was made up of: four exogenous observed variables (age, current relationship status [in a relationship or single], level of schooling, and history of an impairment), intermediate endogenous variables (violence and depressive symptoms), and the main endogenous variable (disability). The analyses were carried out in Stata14.2.</p></div><div><h3>Results</h3><p>The direct effect of IPV severity on the level of disability was not statistically significant (β<!--> <!-->=<!--> <!-->0.09; <em>P</em> <!-->=<!--> <!-->0.63). However, the indirect effect of IPV severity on disability mediated by depressive symptoms was (β<!--> <!-->=<!--> <!-->0.39; <em>P</em> <!-->&lt;<!--> <!-->0.01). The total effect of IPV severity on the level of disability was even greater (β<!--> <!-->=<!--> <!-->0.48; <em>P</em> <!-->=<!--> <!-->0.01).</p></div><div><h3>Conclusions</h3><p>This study found a complete mediating role of depressive symptoms on the relationship between the severity of IPV and the level of disability for the female participants in this study. The results of this research contribute to defining strategies to prevent and address intimate partner violence, depressive symptoms and disability in this population.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 55-62"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140880228","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":"Psychometric Properties of the Personality Inventory for DSM-5 faceted Brief Form in a Brazilian Community Sample","authors":"André Pereira Gonçalves ,&nbsp;Gabriel Carvalho Franco ,&nbsp;Guilherme Miquelino Francisco","doi":"10.1016/j.rcpeng.2022.01.001","DOIUrl":"https://doi.org/10.1016/j.rcpeng.2022.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the present study was to verify the psychometric qualities of the PID-5-FBF in a community sample of Brazilian adults. The internal consistency of the facets and the internal structure of the dimensions were checked. In addition, we verified the correlations between the PID-5-FBF facets and domains with a five-factor model measure.</p></div><div><h3>Methods</h3><p>The sample of this study consists of the 774 Brazilian adults aged 18 to 73 years (mean 28.9<!--> <!-->±<!--> <!-->11.58) who answered the PID-5-FBF and BFI-2S.</p></div><div><h3>Results</h3><p>The alpha values were adequate. The internal structure was similar to the PID-5 original form. All the factors and dimensions of the PID-5-FBF have a negative association with agreeableness, while, on the other hand, all correlations with neuroticism were positive. Neuroticism was the factor with the highest correlation with the PID-5-FBF, and openness was the one with the lowest number of correlations.</p></div><div><h3>Conclusions</h3><p>This research contributes to adding evidence of validity to the PID-5-FBF in the Brazilian community sample. Our results are important because it is the first study with the PID-FBF in a Brazilian sample.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 26-31"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140880098","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}