Revista Colombiana de psiquiatria (English ed.)最新文献_第4页

Problematic Internet Use and Personality Traits: Results in Working Age Adults 有问题的互联网使用与人格特质：工作年龄成年人的研究结果

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2024.08.001

Sofia A. Cárdenas Garza , Reinhard Janssen Aguilar , Ángel Alberto Ruíz Chow

引用次数: 0

Adherence to psychopharmacological treatment in patients with severe and persistent mental disorders: A systematic review 严重持续性精神障碍患者坚持精神药物治疗的情况：系统综述。

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.01.004

María José Alvear Velásquez, Iván Patricio Sandoval Carrión

{"title":"Adherence to psychopharmacological treatment in patients with severe and persistent mental disorders: A systematic review","authors":"María José Alvear Velásquez, 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 (>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 >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}

引用次数: 0

Association between cognitive impairment and socioeconomic and sociodemographic factors in Colombian older adults 哥伦比亚老年人认知障碍与社会经济和社会人口因素之间的关系。

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.02.005

Andrés Felipe Sarmiento Buitrago , Daniela Cerón Perdomo , Mayra Alejandra Mayorga Bogota

{"title":"Association between cognitive impairment and socioeconomic and sociodemographic factors in Colombian older adults","authors":"Andrés Felipe Sarmiento Buitrago , Daniela Cerón Perdomo , 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 <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}

引用次数: 0

Successful treatment for serious depression with suicidal risk in a heart transplant patient 成功治疗一名有自杀风险的心脏移植患者的严重抑郁症。

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.03.001

María del Mar Arango-Posada, Ana Isabel Prada-Escobar, Carolina Marín-Hernández, Veronica Monsalve-Franco, Diana Restrepo-Bernal

{"title":"Successful treatment for serious depression with suicidal risk in a heart transplant patient","authors":"María del Mar Arango-Posada, Ana Isabel Prada-Escobar, Carolina Marín-Hernández, Veronica Monsalve-Franco, 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}

引用次数: 0

Medical conditions, symptoms of anxiety, and depression during the COVID-19 pandemic in a population sample of Lima, Peru 在 COVID-19 大流行期间，秘鲁利马人口样本中的医疗状况、焦虑症状和抑郁症状。

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.04.004

Hever Krüger-Malpartida , Martin Arevalo-Flores , Victor Anculle-Arauco , Mauricio Dancuart-Mendoza , Bruno Pedraz-Petrozzi

{"title":"Medical conditions, symptoms of anxiety, and depression during the COVID-19 pandemic in a population sample of Lima, Peru","authors":"Hever Krüger-Malpartida , Martin Arevalo-Flores , Victor Anculle-Arauco , Mauricio Dancuart-Mendoza , 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<sub>4,954</sub> = 5.78; Wilks’ Λ = 0.95; <em>P</em> < 0.0005). The univariate tests showed differences for PHQ-9 (F<sub>2,478</sub> = 8.70; <em>P</em> < 0.0005) and GAD-7 (F<sub>2,478</sub> = 11.16; <em>P</em> < 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<sub>D</sub> = 1.82; 95%CI, 0.25–3.40; GAD-7: M<sub>D</sub> = 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<sub>D</sub> = 3.10; 95%CI, 1.11–5.10; GAD-7: M<sub>D</sub> = 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}

引用次数: 0

The structure of depressive symptoms using CES-D and ZDS in outpatients in a general hospital in Lima, Peru 使用 CES-D 和 ZDS 分析秘鲁利马一家综合医院门诊患者的抑郁症状结构。

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.02.004

Jair R. Jara-Fernández, Nieves Gutiérrez-Kolotvina, Jhoselyn Milagros Flores-Egocheaga, Paulo Ruíz-Grosso, Johann M. Vega-Dienstmaier

{"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, Nieves Gutiérrez-Kolotvina, Jhoselyn Milagros Flores-Egocheaga, Paulo Ruíz-Grosso, 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}

引用次数: 0

Psychopharmacology of Intellectual Disability—Defamed, Debased or Debated? 智障的精神药理学--诋毁、贬低还是辩论？

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2024.07.003

Ahmed Naguy

引用次数: 0

Description of a telehealth mental health programme in the framework of the COVID-19 pandemic in Colombia 介绍哥伦比亚 COVID-19 大流行病框架下的远程保健心理健康计划。

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.04.003

Juan Pablo Zapata-Ospina , Karla Gil-Luján , Alejandro López-Puerta , Laura Carolina Ospina , Paola Andrea Gutiérrez-Londoño , Alexandra Aristizábal , Mauricio Gómez , Jenny García

{"title":"Description of a telehealth mental health programme in the framework of the COVID-19 pandemic in Colombia","authors":"Juan Pablo Zapata-Ospina , Karla Gil-Luján , Alejandro López-Puerta , Laura Carolina Ospina , Paola Andrea Gutiérrez-Londoño , Alexandra Aristizábal , Mauricio Gómez , 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}

引用次数: 0

Case Report of Retarded Catatonia: Always Consider Catatonia as a Differential Diagnosis of Altered Mental Status 迟发性紧张症病例报告：始终将卡他状态视为精神状态改变的鉴别诊断

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.02.006

Irma Munoz Verdugo , Jose Lopez , Sandra Cordova

{"title":"Case Report of Retarded Catatonia: Always Consider Catatonia as a Differential Diagnosis of Altered Mental Status","authors":"Irma Munoz Verdugo , Jose Lopez , 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}

引用次数: 0

Contemporary psychiatry and the possibility of a new neuropsychiatry 当代精神病学和新神经精神病学的可能性。

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2024.04.001

Hernando Santamaría-García

引用次数: 0