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

{"title":"“¿De dónde venimos? ¿Qué somos? ¿A dónde vamos?”","authors":"","doi":"10.1016/j.rcpeng.2024.07.005","DOIUrl":"10.1016/j.rcpeng.2024.07.005","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Page 113"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142076030","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":"Assessing skills in psychiatry. Experience and implementation of OSCE for medical students","authors":"Ángela Rocío Acero González ,&nbsp;Álvaro Enrique Romero Tapia ,&nbsp;Yahira Rossini Guzmán Sabogal ,&nbsp;Sandra Milena Toro Herrera ,&nbsp;Lina María Ruiz Moreno ,&nbsp;Raúl Andrés Araujo Tabares","doi":"10.1016/j.rcpeng.2024.07.001","DOIUrl":"10.1016/j.rcpeng.2024.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Medical education has been changing, and the evaluation strategies that make it possible to address not only theoretical knowledge but also clinical skills. In Mental Health, these skills play a central role. The Objective Structured Clinical Examination (OSCE) is one of the evaluations that could assess clinical skills. This article describes the implementation and performance for the evaluation of undergraduate students since the OSCE’s introduction in 2015.</p></div><div><h3>Methods</h3><p>An explanation of the implementation is made, and a description of the OSCEs carried out to undergraduate medical students in the second semester of mental health, using the databases of the final practical examinations during those years. The perception of mental health teachers is also described.</p></div><div><h3>Results</h3><p>The mental health OSCE implemented in 2015-2, is developed in the Simulated Hospital of the University and has five stations (interview, mental examination, diagnosis, treatment and information to the family and ethics). Between 2016-2 and 2019-2, 486 students performed OSCE with an average score of 3.85 (scale 0–5). It was observed that the grade obtained when evaluating anxiety disorders was below average, that of affective disorders above average, while that of psychotic disorders was within the average. The professors highlight the versatility, the comprehensive objective evaluation of the practical and theoretical aspects, and the possibility of comparison between the different groups.</p></div><div><h3>Conclusions</h3><p>The OSCE is an examination that provides the possibility to evaluate the competences in psychiatry of medical students and allows the identification of the aspects to be improved in the teaching learning process.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 126-133"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914773","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":"Telerehabilitation of subjects with neurodevelopmental disorders during confinement due to COVID-19","authors":"Esteban Vaucheret Paz,&nbsp;Mariana Giacchino,&nbsp;Mariana Leist,&nbsp;Claudia Chirila,&nbsp;Luciana Petracca,&nbsp;Guillermos Agosta","doi":"10.1016/j.rcpeng.2022.03.002","DOIUrl":"10.1016/j.rcpeng.2022.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Social distancing measures due to the COVID-19 pandemic prevented many children with neurodevelopmental disorders from accessing face-to-face treatments. Telerehabilitation grew at this time as an alternative therapeutic tool. In this study we analysed remote cognitive rehabilitation in neurodevelopmental disorders.</p></div><div><h3>Methods</h3><p>This was a prospective, quasi-experimental (before-after) study that included 22 patients (mean age 9.41 years) with neurodevelopmental disorders who had telerehabilitation for over six months.</p></div><div><h3>Results</h3><p>After six months of telerehabilitation, a statistically significant improvement was found with a large effect size in these areas: attention (sustained, selective and divided), executive functions (verbal and visual working memory, categorisation, processing speed), visuospatial skills (spatial orientation, perceptual integration, perception, simultanagnosia) and language (comprehensive and expressive). On the Weiss Functional Impairment Scale, all areas (family, learning and school, self-concept, activities of daily living, risk activities) improved with statistical significance. We found a positive correlation between the number of sessions and the improvement observed in executive functions (visual working memory, processing speed), attention (sustained attention, divided attention) and visuospatial skills (spatial orientation, perceptual integration, perception, simultanagnosia). We did not find statistical significance between the family structure and the number of sessions carried out. A high degree of perception of improvement and satisfaction was observed in the parents.</p></div><div><h3>Conclusions</h3><p>Telerehabilitation is a safe alternative tool which, although it does not replace face-to-face therapy, can achieve significant cognitive and functional improvements in children with neurodevelopmental disorders.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 149-157"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914776","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":"Problematic Internet Use and Personality Traits: Results in Working Age Adults","authors":"Sofia A. Cárdenas Garza ,&nbsp;Reinhard Janssen Aguilar ,&nbsp;Ángel Alberto Ruíz Chow","doi":"10.1016/j.rcpeng.2024.08.001","DOIUrl":"10.1016/j.rcpeng.2024.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Problematic Internet use has become a growing problem worldwide; several factors, including personality, play an essential role in understanding this disorder. The Big Five personality traits and their association with problematic Internet use were examined in a large and diverse population.</p></div><div><h3>Methods</h3><p>A survey was applied to a total of 1,109 adults of working age. Each answered the Big Five Inventory and the Internet Addiction Test.</p></div><div><h3>Results</h3><p>Problematic Internet use was found in 10.6% of them (n<!--> <!-->=<!--> <!-->112). The personality traits extraversion and openness to experience were significantly associated with those with the disorder. With adjustment models, a positive association was found between these traits and being single and higher education.</p></div><div><h3>Conclusions</h3><p>This study represents the largest of its kind in the Spanish-speaking population, highlighting the importance of recognising the factors involved in problematic Internet use.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 142-148"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142077495","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":"Adherence to psychopharmacological treatment in patients with severe and persistent mental disorders: A systematic review","authors":"María José Alvear Velásquez,&nbsp;Iván Patricio Sandoval Carrión","doi":"10.1016/j.rcpeng.2022.01.004","DOIUrl":"10.1016/j.rcpeng.2022.01.004","url":null,"abstract":"<div><h3>Introduction</h3><p>It is known that non-adherence to psychiatric medications has harmful consequences for both patients and society.</p></div><div><h3>Objective</h3><p>To collect information on the incidence of non-adherence, and the factors and causes affecting adherence to psychopharmacological treatment in patients with severe and persistent mental disorders.</p></div><div><h3>Methods</h3><p>A systematic review of scientific articles on adult patients (&gt;17 years) published in the last five years (2015–2020) on specialised databases such as PubMed, Scopus, Scielo and BioMed. Original articles from indexed journals with an impact factor &gt;0.5, in English or Spanish, with an analytical, prospective, retrospective, cross-sectional and randomised design were included. Once the articles were identified, they were analysed, extracting the information necessary to answer the research questions.</p></div><div><h3>Results</h3><p>Fifteen articles were included. Of these, 40% (n = 6) were published in 2020, 20% (n = 3) were produced in China and 53.3% (n = 8) had an observational design. A total of 5,837 patients were included, of which 50.6% were men (n = 2,955), with moderate adherence (n = 10; 66.7%) reported in 10 investigations. Non-adherence varies from 7.7% to 60.6%. The factors that affect adherence are specific to the patient (age and sex), their family support network, and related to the disease or the treatment. The main cause of non-adherence is lack of insight.</p></div><div><h3>Conclusions</h3><p>Adherence to treatment with psychotropic drugs is multifactorial. Access to mental health services should be improved, with an emphasis placed on patient education and providing greater knowledge of mental illness. Interventions to promote education and interaction with the psychiatrist could be beneficial.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 192-205"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914772","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":"Association between cognitive impairment and socioeconomic and sociodemographic factors in Colombian older adults","authors":"Andrés Felipe Sarmiento Buitrago ,&nbsp;Daniela Cerón Perdomo ,&nbsp;Mayra Alejandra Mayorga Bogota","doi":"10.1016/j.rcpeng.2022.02.005","DOIUrl":"10.1016/j.rcpeng.2022.02.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Worldwide, because of the demographic transition, the proportion of older adults has increased, which has been reflected in an increase in the prevalence of major neurocognitive disorder (MND). This phenomenon is especially important in low- and middle-income countries such as Colombia, given the high economic and social costs it entails. The objective was to analyse the association between socioeconomic variables with the presence of cognitive impairment in Colombian older adults.</p></div><div><h3>Methods</h3><p>The records of 23,694 adults over 60 years-of-age surveyed for SABE Colombia 2015, that took a stratified sample by conglomerates and were representative of the adult population over 60 years-of-age. This instrument assessed cognitive impairment using the abbreviated version of the Minimental (AMMSE) and collected information on multiple socioeconomic variables.</p></div><div><h3>Results</h3><p>19.7% of the older adults included in the survey were reviewed with cognitive impairment by presenting a score &lt;13 in the AMMSE. There was a higher prevalence of cognitive impairment in women (21.5%) than in men (17.5%). The socioeconomic variables were shown to impact the prevalence of deterioration, especially being currently working (OR = 2.74; 95%CI, 2.43−3.09) as a risk factor and having attended primary school as a protective factor (OR = 0.30; 95%CI, 0.28−0.32), differentially according to gender.</p></div><div><h3>Conclusions</h3><p>An association between socioeconomic and sociodemographic factors with cognitive impairment in Colombian older adults was evidenced. Despite the above, a differential impact dependent on sex is suggested.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 134-141"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914774","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":"Successful treatment for serious depression with suicidal risk in a heart transplant patient","authors":"María del Mar Arango-Posada,&nbsp;Ana Isabel Prada-Escobar,&nbsp;Carolina Marín-Hernández,&nbsp;Veronica Monsalve-Franco,&nbsp;Diana Restrepo-Bernal","doi":"10.1016/j.rcpeng.2022.03.001","DOIUrl":"10.1016/j.rcpeng.2022.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Major depressive disorder is related to unfavourable outcomes in patients with severe comorbidities. In transplant patients, major depression is associated with worse clinical outcomes.</p></div><div><h3>Case report</h3><p>We present the case of a 55-year-old man with a heart transplant due to heart failure of ischaemic origin. Six months after the transplant he developed depressed mood, anhedonia and suicidal ideation with a score of 20/27 on the PHQ-9 depression screening scale. After receiving mirtazapine 30 mg/night for a week and persisting with a high suicide risk, it was decided to administer ketamine infusion for 24 h, with which a significant improvement in mood was observed, and the disappearance of suicidal ideation 24 h after the infusion.</p></div><div><h3>Discussion</h3><p>Depression in transplant patients is a factor associated with graft loss and post-transplant mortality, in addition to favouring other negative outcomes such as deep vein thrombosis.</p></div><div><h3>Conclusions</h3><p>Ketamine infusion was shown to be an effective and safe option to treat major depression with suicidal risk in a heart transplant patient.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 2","pages":"Pages 210-216"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914775","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":"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}