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

{"title":"“Learning to learn” in the Extended Inverted Classroom: An evaluation of the effects of interactive teaching on knowledge and cognitive regulation in medical students","authors":"Luis Carlos Domínguez ,&nbsp;Claudia Marcela Mora ,&nbsp;Jorge Alberto Restrepo","doi":"10.1016/j.rcpeng.2021.07.008","DOIUrl":"10.1016/j.rcpeng.2021.07.008","url":null,"abstract":"<div><h3>Introduction</h3><p>The evidence regarding the effects of the Inverted Classroom on students' metacognitive skills is limited. This study evaluates these effects on student perceptions about knowledge and cognitive regulation during a surgical course.</p></div><div><h3>Methods</h3><p><span>We measured student perceptions before and after a conventional Inverted Classroom in surgery using the Metacognitive Awareness Inventory. We evaluated the mean differences between the scores of the two measurements using Student’s </span><em>t</em>-test (<em>p</em> &lt; 0.05), and the size of the effect on knowledge and cognitive regulation using Cohen’s <em>d</em> test (95%CI).</p></div><div><h3>Results</h3><p>A total of 158 students (pre-intervention) and 155 students (post-intervention) were included in the analysis. Significant differences were found (<em>p</em> &lt; 0.05) in, as well as positive effects on, the students’ abilities to know their own learning (declarative knowledge) (<em>d</em> = 0.24; 95%CI, 0.02−0.47), to use learning strategies (procedural knowledge) (<em>d</em> = 0.19; 95%CI, –0.02 to 0.41) and to understand when and why to use these strategies (conditional knowledge) (<em>d</em> = 0.20; 95%CI, –0.01 to 0.42), in addition to the abilities to plan (<em>d</em> = 0.31; 95%CI, 0.09−0.53) and to evaluate their learning (<em>d</em> = 0.31; 95%CI, 0.08−0.53).</p></div><div><h3>Conclusions</h3><p>The Inverted Classroom has positive effects on metacognitive skills according to students’ perceptions. Further studies are required that compare these effects with other methodologies for teaching in the classroom and the workplace.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 314-319"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441795","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":"Concern about COVID-19 infection and workload as predictors of psychological distress during the health emergency in Peruvian healthcare personnel","authors":"Renzo Felipe Carranza Esteban ,&nbsp;Oscar Javier Mamani-Benito ,&nbsp;Dámaris Quinteros-Zúñiga ,&nbsp;Rosa Farfán-Solís","doi":"10.1016/j.rcpeng.2021.06.015","DOIUrl":"10.1016/j.rcpeng.2021.06.015","url":null,"abstract":"<div><h3>Introduction</h3><p>During the health emergency, there is concern about the mental health repercussions that Peruvian health workers, who represent the front line of care for COVID-19, may be experiencing.</p></div><div><h3>Objective</h3><p>To determine whether concern about COVID-19 and workloads predict psychological distress in healthcare workers.</p></div><div><h3>Methods</h3><p>Predictive study in which 367 workers (nurses, doctors, nursing assistants, obstetricians, dentists, psychologists, nutritionists, among others) from 12 health networks in the Puno region participated, selected through intentional non-probabilistic sampling. The data were collected via the Kessler Psychological Distress Scale, the COVID-19 Scale of Concern and the Workload Scale.</p></div><div><h3>Results</h3><p>It was found that there are no significant differences between men and women in psychological discomfort and concern about COVID-19 infection and workload. Furthermore, highly significant correlations were found between the study variables (<em>P</em> &lt; .01). Multiple regression analysis showed an adequate adjustment for the model (F = 94.834; <em>P</em> &lt; .001), where concern about COVID-19 (β = –0.436; <em>P</em> &lt; .01) and workload (β = 0.239; <em>P</em> &lt; .01) are variables that significantly predict psychological discomfort (adjusted R² = 0.33).</p></div><div><h3>Conclusions</h3><p>Concern about COVID-19 and work overload predict psychological distress in health personnel in the Puno region.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 273-279"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441798","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":"Factors associated with the intensity of anxiety and depression symptoms in health workers of two centres of reference for COVID 19 patient care in Antioquia, Colombia – A latent class analysis","authors":"Jesús David Bedoya Giraldo ,&nbsp;Juliana Pulido Ángel ,&nbsp;Jenny García Valencia ,&nbsp;Daniel Camilo Aguirre Acevedo ,&nbsp;Carlos Alberto Cardeño Castro","doi":"10.1016/j.rcpeng.2021.09.002","DOIUrl":"10.1016/j.rcpeng.2021.09.002","url":null,"abstract":"<div><h3>Objective</h3><p>To classify the staff of two reference institutions for COVID-19 care in Antioquia according to the intensity of anxiety and depression symptoms, and to determine the factors associated with these classes.</p></div><div><h3>Methods</h3><p>Cross-sectional study in which the GAD-7, PHQ-9, fear of COVID-19, and the Copenhagen <em>Burnout</em><span> scale were used. Latent class analysis<span> was performed to identify the classes, and the factors associated with these were determined using multinomial logistic regression.</span></span></p></div><div><h3>Results</h3><p>486 people participated. The three-class model had the best fit: class I with low scores on the scales; class II with mild degrees of anxiety and depression, and intermediate levels of fear of COVID-19 and perceived stress; and class III with moderate and severe degrees of anxiety, depression, and perceived stress. The factors associated with belonging to class III were age (OR = 0.94; 95%CI, 0.91−0.96), change of residence to avoid exposing relatives (OR = 4.01; 95%CI, 1.99–8.09), and a history of depressive disorder (OR = 3.10; 95%CI, 1.27–7.56), and anxiety (OR = 5.5; 95%CI, 2.36–12.90). Factors associated with class II were age (OR = 0.97; 95%CI, 0.95−0.99), history of depressive disorder (OR = 3.41; 95%CI, 1.60−7.25), living with someone at risk of death from COVID-19 (OR = 1.86; 95%CI, 1.19−2.91), family member being healthcare staff (OR = 1.58; 95%CI, 1.01−2.47), and change of residence to avoid exposing relatives (OR = 1.99; 95%CI, 1.11−3.59).</p></div><div><h3>Conclusions</h3><p>Three classes of participants were obtained, two of them with anxiety and depression symptoms. Younger age and a history of mental disorder were factors associated with the two classes of symptomatic patients; other factors may be causes or consequences of the symptoms.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 352-361"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441800","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":"Passive trauma","authors":"José Antonio Garciandía Imaz ,&nbsp;Jeannette Samper Alum","doi":"10.1016/j.rcpeng.2021.09.003","DOIUrl":"10.1016/j.rcpeng.2021.09.003","url":null,"abstract":"<div><h3>Introduction</h3><p>Wives of military personnel in action living on bases located in areas of armed conflict in Colombia before the peace negotiations with the Revolutionary Armed Forces of Colombia (FARC), were first-hand observers of the war, their husbands' participation in the war and the consequences and effects of the combat in which others participated.</p></div><div><h3>Objective</h3><p>To offer a hypothesis regarding these women's experience of direct trauma and characterise the dimensions of their experience as observers of the suffering of others.</p></div><div><h3>Methods</h3><p>Qualitative study and secondary discourse analysis in intentional snowball sampling of wives of military personnel (officers and chiefs) with whom semi-structured interviews were conducted.</p></div><div><h3>Conclusions</h3><p>Direct trauma is not the sole cause of psychosomatic and psychopathological consequences; the experience of constantly observing the suffering and deaths of others also generates a cumulative effect that can affect physical and mental health. This experience is called passive trauma.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 362-371"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441802","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":"Personality and Alzheimer's","authors":"Loida Camargo Camargo ,&nbsp;María Cecilia Díaz Rodríguez ,&nbsp;Norman Darío López Velásquez","doi":"10.1016/j.rcpeng.2021.06.017","DOIUrl":"10.1016/j.rcpeng.2021.06.017","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 270-272"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441803","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 need for complexity models in psychiatry: enactive approaches are knocking on the door of traditional psychiatry","authors":"Hernando Santamaría-García","doi":"10.1016/j.rcpeng.2023.11.005","DOIUrl":"https://doi.org/10.1016/j.rcpeng.2023.11.005","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Page 269"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138550023","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":"Comparison of the neurocognitive profile of the children of parents with bipolar disorder and controls: A transnational cross-sectional study","authors":"Sara Fernanda Restrepo-Mejía ,&nbsp;Johanna Valencia-Echeverry ,&nbsp;Juan Pablo Zapata-Ospina ,&nbsp;Daniel Camilo Aguirre-Acevedo ,&nbsp;Carlos Lopez-Jaramillo ,&nbsp;Juan David Palacio-Ortiz","doi":"10.1016/j.rcpeng.2021.07.005","DOIUrl":"10.1016/j.rcpeng.2021.07.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Studies that have compared the cognitive alterations of the children of parents with bipolar disorder<span> (CPBD) versus the children of control parents (CCP), present heterogeneous results due to the studies’ methodological differences, the age of the population studied, and the lack of standardisation of the measures used for the different neurocognitive domains. The objective was to compare the neurocognitive profile of CPBD versus CCP to observe if there are differences that could be proposed as possible endophenotypes of BD.</span></p></div><div><h3>Results</h3><p>A total of 107 individuals (51 CPBD, and 56 CCP) with ages between 6 and 16 (mean, 12.2<!--> <!-->±<!--> <!-->2.80) years of age were evaluated. Seventy-four point five percent of the CPBD group had some disorder compared to 67.9% of the CCP group. Tests such as letter-F phonemic verbal fluency, letter-S phonemic verbal fluency, overall F-A-S phonemic verbal fluency, story recall and retrieval, and Wisconsin perseverative errors showed a difference with a small effect size, but with a high degree of uncertainty.</p></div><div><h3>Conclusions</h3><p>The CPBD did not have differences in their neurocognitive profile in comparison with CCP. Both groups have a high prevalence of psychopathology, which is a factor that could explain the lack of differences in neurocognitive performance.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 320-327"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048979","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":"Sleep quality and perinatal depression in pregnant women treated in a primary care centre in Lima, Peru","authors":"Luis Choquez-Millan ,&nbsp;Alonso Soto","doi":"10.1016/j.rcpeng.2021.07.006","DOIUrl":"10.1016/j.rcpeng.2021.07.006","url":null,"abstract":"<div><h3>Objective</h3><p>The aim is to evaluate the association between sleep quality and perinatal depression<span> in pregnant women between the 12th week of gestation and the 36th week of gestation in a maternity and child centre in Lima.</span></p></div><div><h3>Methods</h3><p><span>Analytical cross-sectional study in pregnant women cared for in a primary care<span> centre between August and December 2019. The data were collected through a self-administered survey. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality. The evaluation of perinatal depression was performed with the </span></span>Edinburgh Postnatal Depression Scale<span> (EPDS). For the multivariate analysis, Poisson regression with robust variances was used to calculate the crude and adjusted prevalence ratios and their respective confidence intervals.</span></p></div><div><h3>Results</h3><p>The sample was composed of 200 participants. The median [IQR] age was 26 [22–32] years, and 111 (55.5%) pregnancies were unplanned. 52% presented a poor quality of sleep and the risk of perinatal depression was 31.5%. Poor quality of sleep was associated with a significantly higher frequency of perinatal depression (aPR = 4.8 for those with poor quality of sleep warranting medical attention, and aPR = 6.6 for those with poor quality of sleep warranting medical attention and treatment).</p></div><div><h3>Conclusions</h3><p>There is a possible association between poor sleep quality and perinatal depression in pregnant women between weeks 12 and 36 of gestation. Operational research should be promoted to assess whether interventions to improve sleep quality could have a positive impact on reducing perinatal depression.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 287-296"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441804","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":"Does the COVID-19 pandemic condition the delusional content of patients with psychosis? An observational study","authors":"Ana Pérez-Balaguer ,&nbsp;Belén Sanz-Aranguez-Ávila ,&nbsp;Elena Gil-Benito ,&nbsp;Luz María Solari-Heresmann ,&nbsp;Pablo del Sol-Calderón ,&nbsp;Lydia Gayubo-Moreo ,&nbsp;Rosario de Arce-Cordón","doi":"10.1016/j.rcpeng.2021.07.007","DOIUrl":"10.1016/j.rcpeng.2021.07.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The primary objective is to analyse the impact of the COVID-19 pandemic on the triggers of psychopathology and on the delusional content of patients with psychotic symptoms treated during the first three months of the pandemic in a tertiary hospital in Madrid.</p></div><div><h3>Methods</h3><p><span><span>We conducted a cross-sectional, observational and retrospective study of all patients attending the psychiatric emergency room (ER) between 11th March and 11th June 2020. Sociodemographic and clinical variables were included. The chi-squared test or </span>Fisher's exact test were performed to compare categorical variables. The level of statistical significance was set at </span><em>P</em> <!-->&lt;<!--> <!-->.05.</p></div><div><h3>Results</h3><p>In the first month of the pandemic, COVID-19 conditioned the delirious content of 38.5% of the admitted patients and acted as a direct trigger for 46.2% of consultations. In the second week it affected 100.0% of the patients in both cases. Subsequently, a progressive and significant decrease was observed, with COVID-19 being the triggering factor for 17.6% and 11.5% of consultations in the second and third months of the pandemic respectively. Similarly, it was the main determinant of the delusional content in 13.7% and 3.8% of cases respectively.</p></div><div><h3>Conclusions</h3><p>The current pandemic affects delirium’s pathoplasty. The delusional content of patients admitted with psychotic symptoms is quickly conditioned, which may be related to the radical change in their life, without transition or prior preparation. The patient’s environmental context and events have a huge impact on the dynamics and characteristics of mental disorders.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 297-304"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464889","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":"Feasibility and acceptability of comprehensive virtual treatment in eating disorders: perspectives from patients, parents and therapists during the COVID-19 pandemic","authors":"Maritza Rodríguez Guarin,&nbsp;Juanita Gempeler Rueda,&nbsp;Sergio Mario Castro,&nbsp;María Mercedes Ospina,&nbsp;Carolina Villanueva Betancourth,&nbsp;Juan Pablo Amórtegui,&nbsp;Laura Vázquez","doi":"10.1016/j.rcpeng.2023.11.003","DOIUrl":"10.1016/j.rcpeng.2023.11.003","url":null,"abstract":"<div><h3>Background</h3><p><span>Lockdowns and social distancing<span> as a result of the COVID-19 pandemic have brought about the need to continue treatment virtually </span></span>in patients with Eating Disorders (ED).</p></div><div><h3>Objective</h3><p>To evaluate feasibility, acceptability and adherence to virtual treatment in patients, families and therapists.</p></div><div><h3>Methods</h3><p>Fourteen patients, 10 family members and eight therapists from an intensive outpatient program for ED answered online surveys and a SWOT analysis was performed with the responses.</p></div><div><h3>Results</h3><p>Virtual treatment during lockdown was considered feasible and useful by all respondents. Fear of contagion and the presence of parents in the home were identified as strengths. Parents reported problems with nutritional plan compliance, especially in anorexia patients. Therapists highlighted the importance of methodological adaptations in sessions to improve participation. Adherence to sessions was 100% for family members and 90% for patients.</p></div><div><h3>Conclusions</h3><p>Adaptation to a virtual program is a valid and useful option during lockdowns. It improves family participation, but does not replace face-to-face treatment.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 4","pages":"Pages 337-344"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441801","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}