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

{"title":"Zolpidem dependence and withdrawal. A case report of generalized seizures","authors":"Gonzalo Emmanuel Barbosa Eyler ,&nbsp;Jhoan Vidal Utria Castro","doi":"10.1016/j.rcpeng.2021.06.013","DOIUrl":"10.1016/j.rcpeng.2021.06.013","url":null,"abstract":"<div><p><span><span>Zolpidem is a non-benzodiazepine hypnotic agent used most frequently in the </span>treatment of insomnia, indicated for short-term use. It is not indicated for the chronic treatment of sleep disorders, despite which there is evidence in clinical practice that a large number of patients receive it for years. Although it has been described that it presents a better profile of adverse effects than </span>benzodiazepines and that it generates a lower risk of dependence and withdrawal than these, there are significant reports of cases of dependence and withdrawal from zolpidem. A report of a case of generalized tonic-clonic seizures due to withdrawal at a dose of 300 mg per day of zolpidem is presented and a brief review of the literature is carried out.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 265-267"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686035","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":"Risk factors associated with suicide attempt as predictors of suicide, Colombia, 2016–2017","authors":"Luz Stella Castro Moreno ,&nbsp;Luis Fernando Fuertes Valencia ,&nbsp;Oscar Eduardo Pacheco García ,&nbsp;Claudia Marcela Muñoz Lozada","doi":"10.1016/j.rcpeng.2021.03.005","DOIUrl":"10.1016/j.rcpeng.2021.03.005","url":null,"abstract":"<div><h3>Background</h3><p>Suicidal behaviour is the cause of half of all violent deaths. It is considered to be a public health problem with one million victims a year. Suicide attempt is the most important risk factor. In Colombia, in 2017 the suicide attempt rate was 51.8/100,000 inhabitants, and the fatality rate reached 10.0/100,000. The objective is to identify suicide attempt factors associated with death and determine survival after the attempt for 2 years.</p></div><div><h3>Material and methods</h3><p><span>Retrospective cohort study and survival analysis. A total of 42,594 records of the suicide attempt surveillance system databases and 325 records of death by suicide in 2016 and 2017 were analysed. The risk factors were examined and a χ</span>²<span><span><span>-test and multivariate analysis and </span>logistic regression were performed. Cumulative survival probability was calculated using the Kaplan-Meier method. A </span>Cox regression model was applied to determine the proportional relationship of the suicide attempt variables that are related to suicide.</span></p></div><div><h3>Results</h3><p>Men die by suicide 4.5 times more often than women. One in four suicide victims had made at least one prior suicide attempt. The attempt factors related with death by suicide were: male gender (HR = 2.99; 95% CI, 2.27−3.92), adulthood (over 29 years, HR = 2.38; 95% CI, 1.90−2.99), living in a rural area (HR = 2.56; 95% CI, 2.04−3.20), chronic disease history (HR = 2.43; 95% CI, 1.66−3.57) and depression disorder (HR = 1.94; 95% CI, 1.55−2.41). Some 50% of suicide deaths occur up to 560 days after the suicide attempt.</p></div><div><h3>Conclusions</h3><p>The risk of suicide is highest in male patients, with a history of depression, chronic illness and exposure to heavy workloads.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 176-184"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686032","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":"Study of sociobiological interactions to understand regional mental health disparities","authors":"Hernando Santamaría-García","doi":"10.1016/j.rcpeng.2023.10.002","DOIUrl":"10.1016/j.rcpeng.2023.10.002","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 171-172"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686033","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":"Efficacy of cognitive behavioural therapy for bipolar disorder: A systematic review","authors":"Glauco Valdivieso-Jiménez","doi":"10.1016/j.rcpeng.2021.05.009","DOIUrl":"10.1016/j.rcpeng.2021.05.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Bipolar disorder (BD) is a serious mental illness with a chronic course and significant morbidity and mortality. BD has a lifetime prevalence rate of 1%–1.5% and is characterised by recurrent episodes of mania and depression, or a mixture of both phases. Although it has harmacological and psychotherapeutic treatment, cognitive behavioural therapy (CBT) has shown beneficial effects, but there is not enough clinical information in the current literature.</p></div><div><h3>Methods</h3><p>The main aim was to determine the efficacy of CBT alone or as an adjunct to pharmacological treatment for BD. A systematic review of 17 articles was carried out. The inclusion criteria were: quantitative or qualitative research aimed at examining the efficacy of CBT in BD patients with/without medication; publications in English language; and) being 18–65 years of age. The exclusion criteria were: review and meta-analysis articles; articles that included patients with other diagnoses in addition to BD and that did not separate the results based on such diagnoses; and studies with patients who did not meet the DSM or ICD criteria for BD. The PubMed, PsycINFO and Web of Science databases were searched up to 5 January 2020. The search strategy was: “Bipolar Disorder” AND “Cognitive Behavioral Therapy”.</p></div><div><h3>Results</h3><p>A total of 1531 patients both sexes were included. The weighted mean age was 40.703 years. The number of sessions ranged from 8 to 30, with a total duration of 45–120 min. All the studies show variable results in improving the level of depression and the severity of mania, improving functionality, reducing relapses and recurrences, and reducing anxiety levels and the severity of insomnia.</p></div><div><h3>Conclusions</h3><p>The use of CBT alone or adjunctive therapy in BD patients is considered to show promising results after treatment and during follow-up. Benefits include reduced levels of depression and mania, fewer relapses and recurrences, and higher levels of psychosocial functioning. More studies are needed.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 213-224"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694869","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":"Analysis of perceptions and emotional repercussions in Twitter users in Colombia during the COVID-19 pandemic","authors":"Felipe Botero-Rodríguez ,&nbsp;Melizza Mosquera-Quiñónez ,&nbsp;Liz Mariana Martínez Torres ,&nbsp;Santiago Bolívar-Moná ,&nbsp;Gabriela Jovel T. ,&nbsp;Laura Vargas C. ,&nbsp;Oscar H. Franco ,&nbsp;Carlos Gómez-Restrepo","doi":"10.1016/j.rcpeng.2021.05.008","DOIUrl":"10.1016/j.rcpeng.2021.05.008","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic has negatively impacted mental health. Up to a quarter of the population has reported mental health disorders. This has been studied mainly from a nosological perspective, according to diagnostic criteria. Nevertheless, we did not find studies that have explored the daily expressions of the population. Our objective was to evaluate the perceptions of the COVID-19 pandemic and its repercussions on the emotional well-being of the Colombian population.</p></div><div><h3>Methods</h3><p>We performed a Twitter metrics and trend analysis. Initially, in the trend analysis, we calculated the average duration in hours of the 20 most popular trending topics of the day in Colombia and we grouped them into trends related to COVID-19 and unrelated trends. Subsequently, we identified dates of events associated with the pandemic relevant to the country, and they were related to the behaviour of the trends studied. Additionally, we did an exploratory analysis of these, selected the tweets with the greatest reach and categorised them in an inductive way to analyse them qualitatively.</p></div><div><h3>Results</h3><p>Issues not related to COVID-19 were more far-reaching than those related to coronavirus. However, a rise in these issues was seen on some dates consistent with important events in Colombia. We found expressions of approval and disapproval, solidarity and accusation. Inductively, we identified categories of informative tweets, humour, fear, stigma and discrimination, politics and entities, citizen complaints, and self-care and optimism.</p></div><div><h3>Conclusions</h3><p>The impact of the COVID-19 pandemic generates different reactions in the population, which increasingly have more tools to express themselves and know the opinions of others. Social networks play a fundamental role in the communication of the population, so this content could serve as a public health surveillance tool and a useful and accessible means of communication in the management of health crises.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 206-212"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694857","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":"PHQ-9 in screening of major depressive episode among COVID-19 survivors","authors":"Adalberto Campo-Arias ,&nbsp;John Carlos Pedrozo-Pupo ,&nbsp;Zuleima Cogollo-Milanés","doi":"10.1016/j.rcpeng.2021.06.012","DOIUrl":"10.1016/j.rcpeng.2021.06.012","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 173-175"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686031","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":"Psychopathological Risk in Siblings of Subjects with Attention-Deficit/Hyperactivity Disorder: A cross-Sectional Study","authors":"Alejandra María Gómez-Álzate ,&nbsp;Catalina Hidalgo-López ,&nbsp;Jenny García-Valencia ,&nbsp;Marta Martínez-Zamora ,&nbsp;Daniel Camilo Aguirre-Acevedo ,&nbsp;Mauricio Cuartas-Arias ,&nbsp;Mauricio Arcos-Burgos ,&nbsp;Johanna Valencia-Evhecerry ,&nbsp;Carlos Lopez-Jaramillo ,&nbsp;Juan David Palacio-Ortiz","doi":"10.1016/j.rcpeng.2021.03.006","DOIUrl":"10.1016/j.rcpeng.2021.03.006","url":null,"abstract":"<div><h3>Objective</h3><p>We aim to determine the prevalence of mental disorders in siblings of children with attention deficit hyperactivity disorder (ADHD), and to determine how psychosocial adversity factors relate to this psychopathology, in a low-middle income country (Colombia).</p></div><div><h3>Methods</h3><p>We evaluated subjects with ADHD diagnosed according to the DSM-5 criteria, one of their parents and one of their siblings (ages 8-19). We used the ADHD rating scale and a set of instruments to assess the presence of mental disorders as well as psychosocial adversity.</p></div><div><h3>Results</h3><p>We evaluated 74 trios formed by the index case with ADHD, one sibling and one of the parents. We found that 24.3% of the participating siblings also met the criteria for ADHD and another 24.3% for other psychiatric disorders. The risk of these siblings having ADHD increased further when one of the parents reported a history of ADHD. We also found that 28.3% of the families faced high levels of psychosocial adversity as per their scores in the Rutter Adversity Index.</p></div><div><h3>Conclusions</h3><p>Siblings of subjects with ADHD showed a significant risk for ADHD and other mental disorders. That risk increased if a parent reported a history of ADHD and also when two or more psychosocial adversity factors were present. This study supports the importance of early detection in efforts to decrease the risk for other siblings.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 193-200"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489796","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 semiology of migration","authors":"José Antonio Garciandía Imaz ,&nbsp;Isabella Garciandía Rozo","doi":"10.1016/j.rcpeng.2021.05.010","DOIUrl":"10.1016/j.rcpeng.2021.05.010","url":null,"abstract":"<div><h3>Introduction</h3><p>The phenomenon of migration generates a series of experiences in the human being that are translated into emotions, feelings, adaptation processes, grief and psychopathological processes, and even pathological expressions, represented by clinical pictures of different kinds.</p></div><div><h3>Objective</h3><p>The purpose of this article is to carry out a conceptual and clinical reflection on the semiology around the concept and experience of migration, in order to illustrate the complexity that it entails as a human phenomenon.</p></div><div><h3>Methods</h3><p>A reduced narrative review, circumscribed and restricted to the semiological, psychopathological and clinical aspects of migration.</p></div><div><h3>Discussion</h3><p>The separation, ruptures and losses that derive from migration do not go unnoticed by the individual. They are inscribed in his/her corporality as physiological injuries that affect his/her life and as symbolic injuries that affect his/her existence.</p></div><div><h3>Conclusions</h3><p>Migration supposes a rupture of the totality of being. The context, the perception of others and relationships are cut off from the total unity that is the individual, as if he/she lost half of him/herself.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 251-264"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49686034","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":"Evolution and differences of suicide rates in Peru by gender and department, 2017–2019","authors":"Víctor Roman-Lazarte ,&nbsp;Enrique Moncada-Mapelli ,&nbsp;Jeff Huarcaya-Victoria","doi":"10.1016/j.rcpeng.2023.10.001","DOIUrl":"10.1016/j.rcpeng.2023.10.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Annual suicide rates are increasingly notably worldwide due to various accompanying risk factors. The objective of this study is to know the suicide mortality rates and their distribution between the years 2017 and 2019.</p></div><div><h3>Methods</h3><p>The national death registries of the Ministry of Health of Peru were analysed, calculating the regional death rates from suicides adjusted for age and gender using the standardisation recommended by the World Health Organization.</p></div><div><h3>Results</h3><p>A total of 1666 cases of suicide were identified (69.3% males); the age group with the highest frequency was that of 20–29 years (27.8%); the mean age at suicide was higher in males (37.49<!--> <!-->±<!--> <!-->18.96 vs. 27.86<!--> <!-->±<!--> <!-->15.42; <em>P</em> <!-->&lt;<!--> <!-->.001). Hanging was the most common suicide method among both males (58.87%) and females (48.14%). For males, hanging was followed by poisoning (22.6%) and firearms (4.59%); for females, by poisoning (38.75%) and firearms (0.59%). The suicide rate increased from 2017 (1.44/100,000 inhabitants) to 2019 (1.95). The highest rates were identified in the departments of Arequipa, Moquegua and Tacna.</p></div><div><h3>Conclusions</h3><p>In recent years, there has been an increase in the number of suicide cases and the rates by department, with the highest number of cases reported in males. Males tend to use more violent suicide methods. The risk factors in the vulnerable populations that were identified in this study need to be known.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 185-192"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694870","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 mental health in Peruvian medical students during the COVID-19 pandemic: a multicentre quantitative study","authors":"Jeff Huarcaya-Victoria ,&nbsp;Claudia Elera-Fitzcarrald ,&nbsp;Diego Crisol-Deza ,&nbsp;Luis Villanueva-Zúñiga ,&nbsp;Andrés Pacherres ,&nbsp;Allison Torres ,&nbsp;Grace Huertas ,&nbsp;Delahnie Calderón ,&nbsp;Carlos Noriega-Baella ,&nbsp;Erik Astonitas ,&nbsp;José Salvador-Carrillo","doi":"10.1016/j.rcpeng.2021.06.014","DOIUrl":"10.1016/j.rcpeng.2021.06.014","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the mental health status and associated factors of Peruvian medical students during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>Descriptive, multicentre, correlational study that used the “Patient Health Questionnaire-9 (PHQ-9)”, the “Generalized Anxiety Disorder-7 (GAD-7)” and the “Impact of Event Scale-Revised (IES-R)” questionnaires to evaluate mental health problems.</p></div><div><h3>Results</h3><p>A total of 1,238 students from 8 Peruvian medical schools participated in the study. Of these, 68.5% were women, and the mean age was 21.4 years. Depressive symptoms were found in 74% of the participants, anxiety symptoms in 57% and distress symptoms in 65%. The variables associated with the development of symptoms of moderate-severe depression, anxiety and distress were: not having family economic stability, being in the first years of medical training, being female, and fearing that their medical training would be delayed and impaired.</p></div><div><h3>Conclusions</h3><p>In a sample of medical students surveyed during the COVID-19 pandemic, mental health problems were common. The factors associated with mental health reported in this study could be useful in identifying vulnerable medical students who require timely psychosocial support and/or psychiatric care.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"52 3","pages":"Pages 236-244"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489795","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}