Revista Colombiana de psiquiatria (English ed.)最新文献_第8页

Clinical experience of electroconvulsive therapy with anaesthetic and muscle relaxant at the Clínica Universidad de La Sabana: 2009–2017 2009-2017年在Clínica萨巴纳大学进行麻醉和肌肉松弛剂电痉挛治疗的临床经验

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-04-01 DOI: 10.1016/j.rcpeng.2021.01.004

Ángela Rocío Acero González , Yahira Rossini Guzmán Sabogal , Hollman Salamanca Dimas , Verónica Páez Avendaño , Erika Pineda Carrascal , Juliana Izquierdo Polanco , Alejandra Ayala Escudero

{"title":"Clinical experience of electroconvulsive therapy with anaesthetic and muscle relaxant at the Clínica Universidad de La Sabana: 2009–2017","authors":"Ángela Rocío Acero González , Yahira Rossini Guzmán Sabogal , Hollman Salamanca Dimas , Verónica Páez Avendaño , Erika Pineda Carrascal , Juliana Izquierdo Polanco , Alejandra Ayala Escudero","doi":"10.1016/j.rcpeng.2021.01.004","DOIUrl":"10.1016/j.rcpeng.2021.01.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Electroconvulsive therapy<span> is an effective and safe procedure, which is indicated mainly in patients<span> with both unipolar and bipolar depressive episodes, mania and schizophrenia, when they do not respond to other treatments.</span></span></p></div><div><h3>Objective</h3><p>To describe the demographic, social and clinical properties of a group of patients treated with electroconvulsive therapy (ECT) with anaesthetic and muscular relaxant at the Universidad de La Sabana Clinic for a period of 8 years.</p></div><div><h3>Methods</h3><p>The databases and records of the procedures were reviewed from 1 January 2009 to 31 December 2017. An analysis was performed with descriptive statistics.</p></div><div><h3>Results</h3><p>In this period, 1322 procedures were performed on 143 patients (54.5% women) with an associated diagnosis of major depression in 57%. The number of treatments per person was 9.2 and complications occurred in 3.8%, without any of them requiring invasive management.</p></div><div><h3>Conclusions</h3><p>Electroconvulsive therapy is performed safely in patients and with different parameters in terms of age, gender and diagnosis, in comparison to other countries in Latin America and the world. It is important to join efforts in research that allow a more complete overview of the characteristics of its application in the country.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9881971","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: 1

Hepatoxicity induced by clozapine: Case report and brief review 氯氮平致肝毒性:病例报告及简要回顾

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-04-01 DOI: 10.1016/j.rcpeng.2021.04.005

Joshep Revilla-Zúñiga , Joise Cornejo-Del Carpio , Lizardo Cruzado

{"title":"Hepatoxicity induced by clozapine: Case report and brief review","authors":"Joshep Revilla-Zúñiga , Joise Cornejo-Del Carpio , Lizardo Cruzado","doi":"10.1016/j.rcpeng.2021.04.005","DOIUrl":"10.1016/j.rcpeng.2021.04.005","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Antipsychotics are </span>drugs<span><span> that can produce transient elevations of hepatic enzymes<span>. Clozapine is an atypical antipsychotic used in treatment-resistant schizophrenia and there is evidence that it can produce elevations of hepatic </span></span>transaminases, expression of liver damage in a hepatocellular pattern.</span></p></div><div><h3>Methods</h3><p>Case report and non-systematic review of the relevant literature.</p></div><div><h3>Case presentation</h3><p><span>A 39-year-old woman with a diagnosis of paranoid schizophrenia attended the </span>emergency department of a general hospital for nausea, vomiting and jaundice that appeared after the initiation of clozapine. There was no clinical improvement during hospitalisation, and death occurred after 44 days.</p></div><div><h3>Literature review</h3><p>Clozapine can increase the liver enzyme levels transiently and asymptomatically; however, there are clinical criteria that recommend the withdrawal of the antipsychotic.</p></div><div><h3>Conclusions</h3><p>This is the third case reported in the literature of a fatal outcome of clozapine-induced hepatotoxicity.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10239987","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

Imposter syndrome and its associated factors in medical students in six Peruvian faculties 秘鲁六个学院医学院学生的冒名顶替综合症及其相关因素

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-04-01 DOI: 10.1016/j.rcpeng.2021.04.006

Jennifer Vilchez-Cornejo , Luccio Romani , Saraí Chávez-Bustamante , César Copaja-Corzo , Juan C. Sánchez-Vicente , Ronald David Viera-Morón , Benggi Ocampo-Portocarrero

{"title":"Imposter syndrome and its associated factors in medical students in six Peruvian faculties","authors":"Jennifer Vilchez-Cornejo , Luccio Romani , Saraí Chávez-Bustamante , César Copaja-Corzo , Juan C. Sánchez-Vicente , Ronald David Viera-Morón , Benggi Ocampo-Portocarrero","doi":"10.1016/j.rcpeng.2021.04.006","DOIUrl":"10.1016/j.rcpeng.2021.04.006","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the factors associated with impostor syndrome in medical students from six regions of Peru.</p></div><div><h3>Material and methods</h3><p>A multicentre, cross-sectional study was conduced on students from first to the sixth year in six Peruvian regions. Sociodemographic, academic, and psychological characteristics were included through the Depression, Anxiety, and Stress Scale-21, the Rosenberg Self-Esteem Scale and the Clance Imposter Phenomenon Scale. Generalised linear models were performed using crude and adjusted estimated prevalence ratios.</p></div><div><h3>Results</h3><p>Of 2,231 medical students, 54.3% were female and 30.6% had the impostor phenomenon. An association was found between the PI and those who suffered from depression (aPR=1.51; 95%CI, 1.27–1.79), anxiety (aPR=2.25; 95%CI, 1.75–2.90), stress (aPR=1.37; 95%CI, 1.19–1.57), and being female (aPR=1.12; 95%CI, 1.01–1.26).</p></div><div><h3>Conclusions</h3><p>Three out of 10 medical students suffer from PI; having some level of depression, anxiety, stress, being a woman, and/or attending the fourth academic year were predisposing factors for their development.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9884038","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

Repercussions of COVID-19 on psychiatric inpatient care in Latin America and the Caribbean COVID-19对拉丁美洲和加勒比地区精神科住院治疗的影响

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2021.05.005

Sara Ardila-Gómez , Marina Fernández , Andrés Matkovich , Melina Rosales , Rocío Alonso , Martín Agrest , Julia Paternina , Alberto Velzi Díaz

{"title":"Repercussions of COVID-19 on psychiatric inpatient care in Latin America and the Caribbean","authors":"Sara Ardila-Gómez , Marina Fernández , Andrés Matkovich , Melina Rosales , Rocío Alonso , Martín Agrest , Julia Paternina , Alberto Velzi Díaz","doi":"10.1016/j.rcpeng.2021.05.005","DOIUrl":"10.1016/j.rcpeng.2021.05.005","url":null,"abstract":"<div><h3>Objetive</h3><p>To characterise the impact of the COVID-19 pandemic on psychiatric hospitalisations in the Latin American and Caribbean (LAC) region.</p></div><div><h3>Methods</h3><p>Descriptive study. 85 semi-structured interviews were conducted with health workers involved with psychiatric hospitalisations in general hospitals (GHs) and specialised psychiatric hospitals (SHs) from 18 LAC countries. The interviews were done between 8 May and 30 June 2020. The data were analysed quantitatively and qualitatively.</p></div><div><h3>Results</h3><p>An initial decrease in the demand for hospitalisation is reported, attributed to the population’s fear of approaching health services as well as restrictions on mobility. Stricter criteria for hospitalisation were reported with a double focus on the acute within the acute. The length of hospitalisations were mixed, with both increases and decreases in GHs and SHs. The therapeutic offer was drastically reduced, and interaction between hospitalised people and their support networks was restricted.</p></div><div><h3>Conclusions</h3><p>In the COVID-19 context, hospitalisation seems to be not the last but the only alternative for psychiatric treatment. The decrease in the number of beds in SHs could be a positive aspect for the reform of psychiatric care, but it is questioned since this reduction also occurs in GHs.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9337425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Prevalence and clinical characteristics of depression and symptoms of anxiety in staff at a health institution in Medellin during the COVID-19 pandemic 2019冠状病毒病大流行期间麦德林一家卫生机构工作人员抑郁和焦虑症状的患病率和临床特征

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2021.02.005

Miguel Restrepo-Martínez , Marcela Escobar , Luz Aida Marín , Diana Restrepo

{"title":"Prevalence and clinical characteristics of depression and symptoms of anxiety in staff at a health institution in Medellin during the COVID-19 pandemic","authors":"Miguel Restrepo-Martínez , Marcela Escobar , Luz Aida Marín , Diana Restrepo","doi":"10.1016/j.rcpeng.2021.02.005","DOIUrl":"10.1016/j.rcpeng.2021.02.005","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic has represented an extraordinary challenge for health workers as they care for others while exposing themselves to contagion. Doctors, nurses, therapists and other non-care staff in clinics and hospitals are asked to be prepared to work in particularly complex and stressful situations, which makes them vulnerable to mental health problems.</p></div><div><h3>Objective</h3><p>To determine the prevalence and clinical characteristics of anxiety and depression symptoms in staff working at a health institution in Medellin, Colombia.</p></div><div><h3>Methods</h3><p>Observational, descriptive and cross-sectional study, based on a survey designed for the investigation, which included two scales to screen depression and anxiety symptoms, as well as sociodemographic variables.</p></div><div><h3>Results</h3><p>A total of 1,247 workers from the health institution were included. Of these, 14.6% reported symptoms of depression and 18.5% of clinically significant anxiety. A higher proportion of moderate to severe depression and anxiety symptoms was found in those working face to face.</p></div><div><h3>Conclusions</h3><p>Anxiety and depression symptoms are highly prevalent among staff at a health institution in Medellin, Colombia, during the COVID-19 pandemic. Given the vital role of the health sector in times of pandemic, the development of mental health programmes that address the problems of this population should be considered a priority.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9343682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Network relationships of the stigma-discrimination complex and fear of COVID-19 during the second pandemic wave in Peruvian adults 第二波大流行期间秘鲁成年人的污名歧视情结和对COVID-19的恐惧的网络关系

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.03.005

Cristian Ramos-Vera

引用次数: 0

The right to die with dignity through euthanasia, six years on 六年后，通过安乐死有尊严地死去的权利

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.03.003

Clara Cossio-Uribe, Julieta Moreno-Molina

引用次数: 0

Antisocial traits and neuroticism as predictors of suicidal behaviour in borderline personality disorder: A retrospective study 反社会特征和神经质作为边缘型人格障碍自杀行为的预测因素:一项回顾性研究

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.03.002

Íñigo Alberdi-Páramo , Marina Díaz-Marsá , María Dolores Saiz González , José Luis Carrasco Perera

{"title":"Antisocial traits and neuroticism as predictors of suicidal behaviour in borderline personality disorder: A retrospective study","authors":"Íñigo Alberdi-Páramo , Marina Díaz-Marsá , María Dolores Saiz González , José Luis Carrasco Perera","doi":"10.1016/j.rcpeng.2023.03.002","DOIUrl":"10.1016/j.rcpeng.2023.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The spectrum of suicidal behaviour (SB) is nuclear in the clinic and management of borderline personality disorder (BPD). The pathological personality traits of BPD intervene as risk factors for SB in confluence with other clinical and sociodemographic variables associated with BPD. The objective of this work is to evaluate the specific personality traits of BPD that are related to SB.</p></div><div><h3>Methods</h3><p>A cross-sectional, observational and retrospective study was carried out on a sample of 134 patients diagnosed with BPD according to DSM-5 criteria. The Millon-II, Zuckerman–Kuhlman and Barrat questionnaires were used to assess different personality parameters. Variable comparisons were made using the χ<sup>2</sup><span> test and the Student’s t-test. The association between variables was analysed using multivariate logistic regression.</span></p></div><div><h3>Results</h3><p>Statistically significant differences were observed between SB and related factors and the neuroticism-anxiety dimension in the Zuckerman–Kuhlman test. It is also significantly related to the phobic and antisocial subscale of the Millon-II. Impulsivity measured with the Zuckerman–Kuhlman and Barrat tests does not appear to be related to SB.</p></div><div><h3>Conclusions</h3><p>The results presented raise the role of phobic, antisocial and neuroticism traits as possible personality traits of BPD related to SB, suggesting an even greater importance within the relationship between BPD and SB than that of impulsivity. Looking to the future, longitudinal studies would increase the scientific evidence for the specified findings.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9713324","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: 1

A journal for the regional challenges of psychiatry but with a global voice 一本关于精神病学区域性挑战的杂志，但具有全球性的声音

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2023.04.001

Hernando Santamaría-García

引用次数: 0

Educational environment and mental wellbeing of medical and surgical postgraduate residents in Medellin, Colombia 哥伦比亚麦德林医疗和外科研究生住院医师的教育环境和心理健康

Revista Colombiana de psiquiatria (English ed.) Pub Date : 2023-01-01 DOI: 10.1016/j.rcpeng.2021.02.006

María Adelaida Posada Uribe , Verónica Vargas González , Clara Orrego Morales , Carolina Cataño , Elsa María Vásquez , Diana Restrepo

{"title":"Educational environment and mental wellbeing of medical and surgical postgraduate residents in Medellin, Colombia","authors":"María Adelaida Posada Uribe , Verónica Vargas González , Clara Orrego Morales , Carolina Cataño , Elsa María Vásquez , Diana Restrepo","doi":"10.1016/j.rcpeng.2021.02.006","DOIUrl":"10.1016/j.rcpeng.2021.02.006","url":null,"abstract":"<div><h3>Introduction</h3><p>One of the most important moments in a doctor’s life occurs when they do a medical residency. This period imposes stress and academic demands, which, together with the educational environment, allows for greater or lesser mental wellbeing. The objective of this study was to determine how the educational environment and mental wellbeing of medical residents are related.</p></div><div><h3>Methods</h3><p>Analytical cross-sectional study, in residents of clinical-surgical specialties. The educational environment was assessed using the Postgraduate Hospital Educational Environment Measure (PHEEM), and mental wellbeing was assessed with the Warwick–Edinburgh Mental Wellbeing Scale (WEMWBS). Pearson’s linear correlation was determined. Informed consent and approval by the university ethics committee were obtained.</p></div><div><h3>Results</h3><p>The study population comprised 131 students, 43.8% male, with a median age of 28 years (interquartile range 4). In total, 87.9% of residents answered the survey. Of these, 65.9% were doing medical residencies and 34.1% surgical residencies. The mean PHEEM score was 107.96 ± 18.88, the positive emotions subscale was 29.32 ± 5.18 and positive functioning 23.61 ± 3.57, with a mean total mental wellbeing of 52.96 ± 8.44. A positive and moderate correlation was found between the total PHEEM score and each of the two mental wellbeing subscales (p < 0.001).</p></div><div><h3>Conclusions</h3><p>A positive correlation was found between a better perception of the educational environment and mental wellbeing by residents of clinical and surgical specialties with greater mental wellbeing.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9337426","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: 1