Vertex (Buenos Aires, Argentina)最新文献_第2页

Experiencias de familiares ante la primera crisis de personas con problemáticas severas de salud mental. 有严重精神健康问题的人的家庭经历第一次危机。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-07-10 DOI: 10.53680/vertex.v36i168.829

Marina Ayelén Fernández

{"title":"Experiencias de familiares ante la primera crisis de personas con problemáticas severas de salud mental.","authors":"Marina Ayelén Fernández","doi":"10.53680/vertex.v36i168.829","DOIUrl":"https://doi.org/10.53680/vertex.v36i168.829","url":null,"abstract":"Introducción: Ante la primera crisis los familiares de personas con problemáticas severas de salud mental enfrentan una serie de situaciones que impactan negativamente sobre ellos.Objetivo: Describir y analizar las experiencias de los familiares de personas con problemáticas severas ante la primera crisis. Método: Se realizó un estudio descriptivo con una muestra seleccionada intencionalmente. Se realizaron 15 entrevistas basadas en un guion. El análisis fue cualitativo.Resultados: Las experiencias ante la primera crisis generan sufrimiento en todo el grupo familiar, siendo muchas veces la cuidadora primaria la más afectada. Al referirse a los trabajadores de salud mental, los entrevistados/as coincidieron en que cuando éstos las incluyen, en tanto familiares, favorecen cambios no sólo en la vida de las personas con problemáticas severas de salud mental sino en las de ellas mismas y de todo el grupo familiar, destacando sus intervenciones como oportunidades de mejorar la calidad de vida.Conclusiones: Desde hace algunos años se plantea que las familias son el punto ciego del campo de la Salud Mental, en la medida en que organizan y proveen cuidados, prestan apoyos durante y a partir de la primera crisis, sufren junto a las personas con problemáticas severas de salud mental, pero muchas veces son invisibles para los servicios y el sistema de salud mental, y se ven empujadas a pedir ayuda ante las situaciones que se les plantean por fuera de este último.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 168, abr.- jun.","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628040","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

Análisis de la información sobre internación en Hospitales Generales en la Argentina. 阿根廷综合医院住院信息分析。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-07-10 DOI: 10.53680/vertex.v36i168.831

Daniela Emilce Bonanno, Florencia Maite Badano, Silvina Virginia Bernasconi, Natalia Karina García, Sara Ardila-Gómez

{"title":"Análisis de la información sobre internación en Hospitales Generales en la Argentina.","authors":"Daniela Emilce Bonanno, Florencia Maite Badano, Silvina Virginia Bernasconi, Natalia Karina García, Sara Ardila-Gómez","doi":"10.53680/vertex.v36i168.831","DOIUrl":"https://doi.org/10.53680/vertex.v36i168.831","url":null,"abstract":"Los procesos de transformación del modelo de atención en salud mental requieren de sistemas de información sólidos que permitan tener discusiones fundamentadas sobre los avances, logros y problemas de las reformas implementadas. A nivel global, la Organización Mundial de la Salud ha desarrollado indicadores al respecto, en particular sobre la atención por salud mental en hospitales generales, y específicamente sobre internación en tales instituciones. Los datos sobre Argentina suelen estar ausentes en tales análisis globales. Con el objetivo de analizar las fuentes de información sobre servicios de salud mental en hospitales generales de Argentina, se realizó un estudio cualitativo. Se analizaron seis fuentes de información de relevamiento especial y periódico de alcance nacional, del periodo 2011-2023. Los resultados muestran algunos problemas serios para los sistemas de información en salud mental en el país, como la baja cobertura en la información cuando la metodología de recolección de datos es pasiva y la escasa disponibilidad pública de informes y bases de datos. A su vez, se discute acerca de los indicadores utilizados a nivel global para internación por salud mental en hospitales generales, proponiendo alternativas, dada la reducida aplicabilidad de los mismos a nivel local.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 168, abr.- jun.","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628037","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

Conflict of the psychiatrist in the role of psychotherapist: reflections on the pregnancy due to rape in an 11-year-old girl 精神科医生在心理治疗师角色中的冲突：对11岁女孩被强奸后怀孕的反思。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-04-10 DOI: 10.53680/vertex.v36i167.804

Ana María Alle

{"title":"Conflict of the psychiatrist in the role of psychotherapist: reflections on the pregnancy due to rape in an 11-year-old girl","authors":"Ana María Alle","doi":"10.53680/vertex.v36i167.804","DOIUrl":"10.53680/vertex.v36i167.804","url":null,"abstract":"Introduction: The psychotherapeutic work of the psychiatrist in the child and adolescent population requires intervention with responsible adults and often, professionals from the judicial area. The importance of the psychotherapeutic role and its characteristics in some extremely serious situations are discussed. Different contributions are described\u0000and the importance of the holistic comprehensive approach, as well as the long period of neoteny, characteristics of the evolutionary period and particular vulnerability to traumatic experiences such as pregnancy due to violation in an 11-year-old girl. The concept of Double Bind described in family interaction is analyzed, and the possibility of applying it in the therapist's relationship, subject to demands of the judicial field that complicate and aggravate conflicts, versus the psychic reality of the patient.Conclusion: It concludes that there is a risk of implementing protocols that do not contemplate, perhaps because it is not tangible, the extremely delicate fragility of the psychological structure and the irreparability of its damage.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"116-120"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045734","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

Depressive symptoms of the PHQ-9 questionnaire associated with suicidal ideation using machine learning algorithms in the peruvian population PHQ-9问卷的抑郁症状与秘鲁人口使用机器学习算法的自杀想法有关。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-04-10 DOI: 10.53680/vertex.v36i167.797

Alberto Guevara Tirado

{"title":"Depressive symptoms of the PHQ-9 questionnaire associated with suicidal ideation using machine learning algorithms in the peruvian population","authors":"Alberto Guevara Tirado","doi":"10.53680/vertex.v36i167.797","DOIUrl":"10.53680/vertex.v36i167.797","url":null,"abstract":"Introduction: Suicidal ideation is the thought of self-elimination that is not always reported by patients tested for depression.Objective: The objective was to identify and analyze depressive symptoms from the Patient Health Questionnaire-9 associated with suicidal ideation in the Peruvian population.Material and methods: Observational, analytical and cross-sectional study based on data from 32,062 participants of the national family health survey using the patient health questionnaire-9. The Chi-square test, Poisson regression with robust variance, multilayer perceptron and decision tree were used.Results: In women, the decision tree algorithm correctly classified 91.10 % of cases of suicidal ideation. In men, it was 94.70 %. Using multilayer perceptron, in women, the percentage of incorrect predictions was 8.90 %. The variables being included: feeling bad, feeling depressed, speaking or moving slowly, problems concentrating and sleeping problems. In men it was 8.12 %, including the variables: feeling bad, feeling depressed, speaking or moving slowly, sleep problems and little or a lot of appetite.Conclusions: Supervised learning algorithms are viable and efficient to identify depressive symptoms from the Health Questionnaire-9 associated with suicidal ideation in the Peruvian population, with somatic symptoms predominating in women and affective-cognitive symptoms in men. The use of supervised learning\u0000algorithms can be a complement for mental health professionals.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"17-27"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031194","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

Antidepressant prescription by general practitioners in the city of Olavarría, Argentina. Qualitative-quantitative analysis 阿根廷Olavarria市全科医生开的抗抑郁药处方。离婚案中。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-04-10 DOI: 10.53680/vertex.v36i167.799

Gonzalo Emmanuel Barbosa Eyler

{"title":"Antidepressant prescription by general practitioners in the city of Olavarría, Argentina. Qualitative-quantitative analysis","authors":"Gonzalo Emmanuel Barbosa Eyler","doi":"10.53680/vertex.v36i167.799","DOIUrl":"10.53680/vertex.v36i167.799","url":null,"abstract":"Introduction: Depression is the most common mental health pathology. General practitioners are the most consulted health professionals by depressed patients. The inequitable distribution and shortage of psychiatrists in cities in the interior of the country mean that the coverage of the increased demand for mental health services is insufficient, and that it is up to first-level care doctors to assist patients with depressive disorders. Stigma towards psychiatry and the shortage of psychiatrists, among other factors, are common in the interior of our country. At the same time, many psychiatrists work only in the private health system.Aim: To analyze the approach to depression by primary care physicians or first contact, whether they prescribe antidepressants and the factors which determine that prescription.Method: A non-experimental, descriptive, cross-sectional, quantitative and qualitative study was carried out. A semi-structured questionnaire was used as a measurement instrument. The questionnaire was applied to 51 doctors, 22 clinical doctors and 29 generalists from the city of Olavarría, Argentina. In relation to the qualitative analysis, an unstructured interview was carried out.Results and conclusions: 90.9 % of the clinical doctors and 76.6 % of the general practitioners surveyed in Olavarría treat patients experiencing a depressive episode. Many family doctors agree that the difficulty in accessing psychiatrists who do not serve through the social work system or the public system has an impact on them having to care for depressed patients in their office.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059466","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

Uso de infusiones de ketamina intravenosa en el tratamiento de la depresión mayor. 静脉注射氯胺酮治疗重度抑郁症。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-04-10

Gustavo H Vázquez

引用次数: 0

Índice.

Vertex (Buenos Aires, Argentina) Pub Date : 2025-04-10

Comité Editorial

引用次数: 0

Prescription patterns of psychotropic drugs in inpatient and in community outpatient care at the neuropsychiatric hospital “Dr. Alejandro Korn”, La Plata, Argentina. Cross-sectional study 阿根廷拉普拉塔“亚历杭德罗·科恩医生”神经精神病院住院病人和社区门诊病人的精神药物处方模式。横切研究。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-04-10 DOI: 10.53680/vertex.v36i167.796

Pedro Damián Gargoloff, Martín A Urtasun, Raúl Riveros, Verónica Ruiz, Martín Cañás

{"title":"Prescription patterns of psychotropic drugs in inpatient and in community outpatient care at the neuropsychiatric hospital “Dr. Alejandro Korn”, La Plata, Argentina. Cross-sectional study","authors":"Pedro Damián Gargoloff, Martín A Urtasun, Raúl Riveros, Verónica Ruiz, Martín Cañás","doi":"10.53680/vertex.v36i167.796","DOIUrl":"10.53680/vertex.v36i167.796","url":null,"abstract":"Objective: to identify psychopharmacological prescription patterns in users over 18 years of age at the “Dr. Alejandro\u0000Korn” hospital from La Plata, Argentina. Methodology: observational, descriptive, cross-sectional study. Psychotropic drug prescriptions of inpatients and outpatients were surveyed.Results: Of 425 users (71 % male), 218 were outpatients in community mental health centers or wards; 207 hospitalized in long-stay (n=86), medium-stay (n=34) and short-stay wards (n=87), with a median (range) of hospitalization of 9.5 (1-53.3) years. The most prevalent diagnoses were schizophrenia and other psychoses (71.1 %) and mental retardation (16.7 %). Up to 94.6 % received antipsychotics (AP), with 43.1 % first generation (FGA) and 77.2 % second generation; 74.6 % sedatives/hypnotics, mainly benzodiazepines; 42.6 % anticonvulsants and 13.4 % antidepressants. Antipsychotic polypharmacy (≥2 AP) was 42.3 %, reaching 69.9 % in FGA users. The AP dose was ≥600 mg chlorpromazine equivalents (eqCPZ) in 62.9 % and ≥1200 mg eqCPZ in 25.9 %. Up to 22.4 % of AP users received biperiden.Conclusions: There is a high frequency of AP polypharmacy, high doses of AP and use of FGA. Also, high frequency of benzodiazepines prescription. It is necessary to prioritize dose reduction and deprescription of the different pharmacological groups.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"6-16"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044558","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

Editorial. 社论。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-04-10

Juan Carlos Stagnaro

引用次数: 0

Protocol for the Assessment of Mental Illness Malingering in the Workplace (PES-L): Development of the First Specific Instrument for Detecting Mental Illness Malingering in the Workplace Setting 职业精神疾病模拟评估协议PES-L：开发第一个检测工作场所精神疾病模拟的专用仪器。

Vertex (Buenos Aires, Argentina) Pub Date : 2025-04-10 DOI: 10.53680/vertex.v36i167.800

Matías Salvador Bertone, Alejandro Elman, Gabriela Kardos, Joaquín López Reguiera, Ulises Loskin, Miguel Vallejos, Cintia Spitzer, Jorge Mauricio Cuartas Arías

{"title":"Protocol for the Assessment of Mental Illness Malingering in the Workplace (PES-L): Development of the First Specific Instrument for Detecting Mental Illness Malingering in the Workplace Setting","authors":"Matías Salvador Bertone, Alejandro Elman, Gabriela Kardos, Joaquín López Reguiera, Ulises Loskin, Miguel Vallejos, Cintia Spitzer, Jorge Mauricio Cuartas Arías","doi":"10.53680/vertex.v36i167.800","DOIUrl":"10.53680/vertex.v36i167.800","url":null,"abstract":"Objective: This study aimed to develop the first psychometric instrument for assessing mental illness malingering in\u0000the workplace.Method: Pearson's bivariate correlations were calculated between the dimensions of the PES-L and the SIMS and SCL-90-R tests. Sensitivity, specificity, and potential cutoff scores were determined using independent samples t-test and Cohen's d to determine effect size. ROC curve analysis was conducted to differentiate between two groups based on the total scale score.Results: Results revealed an area under the curve of 0.81 (p = 0.000, 95 % CI: 0.73 - 0.89). A cutoff score of 14 correctly classified 72.16 % of potential simulator individuals.Conclusion: The PES-L has shown potential as a psychometric instrument for detecting malingering in cases of mental health-related work absences.","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"43-55"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994084","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