Vertex (Buenos Aires, Argentina)最新文献

{"title":"Fernando Gorriti, psiquiatra, psicoanalista, impulsor de la Higiene Mental en la Argentina.","authors":"Comité de Redacción","doi":"10.53680/vertex.v36i167.805","DOIUrl":"10.53680/vertex.v36i167.805","url":null,"abstract":"<p><p>Incluye: Higiene mental en la Argentina (1928), por Fernando Gorriti. Publicado en: La Semana Médica, No 35, págs. 1375 a 1382.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"121-126"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026316","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":"First Argentine Consensus on the management of Attention Deficit Hyperactivity Disorder in adulthood. Second part: ADHD clinics in adulthood, diagnostic assessment, comorbidities and differential diagnoses","authors":"Andrea Abadi, Marcelo Cetkovich-Bakmas, Hernán Klijnjan, Norma Echavarria, Alicia Lischinsky, Pablo López, Claudio Michanie, Tomás Maresca, Carolina Remedi, Osvaldo Rovere, Fernando Torrente, Marcela Waisman Campos, Gerardo Maraval, Teresa Torralva, Diego Canseco, Amalia Dellamea, Andrea López Mato, Gustavo Vázquez, Alejo Corrales","doi":"10.53680/vertex.v36i167.802","DOIUrl":"10.53680/vertex.v36i167.802","url":null,"abstract":"<p><p>This document constitutes the second section of the First Argentine Consensus on the management of Attention Deficit Hyperactivity Disorder (ADHD) in adulthood. The focus of this section is the synthesis of updated evidence on comprehensive therapeutic approaches to the condition in adult patients. The methodology described in the first part of the Consensus was followed, with the panel of experts carrying out an exhaustive review of the literature. This was followed by a subsequent debate on the available information, which resulted in the generation of this second section of the document, covering clinical and diagnostic aspects. During the debate and discussion stage of the formulation of these guidelines, it was decided to incorporate some points that are believed to be of great utility for the interdisciplinary team responsible for the management of ADHD patients in adulthood. In this sense, the second part of this document will address the clinical aspects of ADHD in adulthood, diagnostic assessment, neuropsychological profile, comorbidities and differential diagnoses.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"67-105"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026317","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":"Prevalence of academic stress in medical students at the University of Buenos Aires","authors":"Juan Manuel Duarte, Marcelo Fabián Garro, María Eugenia Basile, Latara Luiza Smolinski Eifler, Lanaísa Damiani Collaziol, Francisco José Appiani","doi":"10.53680/vertex.v36i167.798","DOIUrl":"10.53680/vertex.v36i167.798","url":null,"abstract":"<p><strong>Introduction: </strong>This study addresses the pervasive issue of academic stress among medical students at the University of Buenos Aires (UBA), shedding light on a critical aspect of student well-being</p><p><strong>Materials and methods: </strong>Employing a prospective, cross-sectional methodology, a diverse cohort of 617 medical students participates, representing various courses. The research aimed to determine the prevalence of academic stress and investigate potential sociodemographic influences.</p><p><strong>Results: </strong>Results revealed an alarming prevalence of academic stress, with 98.4 % of participants experiencing varying degrees. Specifically, 7.2 % exhibited mild stress, 73.1 % reporters moderate stress, and 19.6 % indicated profound levels of stress. The study identified significant associations between academic stress and sociodemographic factors, highlighting the influence of gender and place of origin. Notably, female students exhibited a high susceptibility to both moderate and profound academic stress, with odd ratio of 5.97 and 8.34, respectively. Additionally, foreign students, particularly those from non-Spanish-speaking countries, demonstrated a notably heightened risk of experiencing profound stress (OR=13).</p><p><strong>Conclusion: </strong>This research underscores the critical need for targeting interventions and support mechanisms to address the persuasive issue of academic stress in medical education. Implementing strategies tailored to specific demographic groups, particularly female and foreign students, is paramount in fostering a conducive learning environment.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048201","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":"Controversies of mixed states in bipolar disorder: From Wilhelm Weygandt's contributions to DSM 5 classifications","authors":"Daniel Sotelo, Verónica Grasso, Micaela Dines, Bárbara E Hofmann, Gustavo Vázquez, Marcelo Cetkovich-Bakmas","doi":"10.53680/vertex.v36i167.801","DOIUrl":"10.53680/vertex.v36i167.801","url":null,"abstract":"<p><p>The concept of mood disorders with mixed features, where both manic and depressive symptoms coexist, has been central to the development of the concept of bipolar disorder. This notion, which makes it possible to understand the simultaneity of apparently opposite states, was explored by Wilhelm Weygandt in his seminal work Über die Mischzustände des manisch-depressiven Irreseins (1899). Weygandt, who worked alongside Emil Kraepelin at the Heidelberg Psychiatric Clinic, published this monograph in the same year that Kraepelin consolidated his theory of manic-depressive insanity, marking a significant advance in the understanding of mixed disease states. Weygandt introduced the idea of a polarity shift as the foundation of mixed states, describing how affectivity, psychomotor activity and thought interact in a complex way, with no clear hierarchy between them. This approach, which remains highly relevant, challenges modern classifications, such as the DSM 5, by proposing a comprehensive view of mood disorders that considers the dynamic interactions of all affected areas. Although less recognized than Kraepelin's, Weygandt's work played a crucial role in crystallizing the theory of mixed states, the impact of which endures in contemporary psychiatry.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"56-66"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059464","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 meaning of practices","authors":"Thierry Tremine","doi":"10.53680/vertex.v36i167.803","DOIUrl":"10.53680/vertex.v36i167.803","url":null,"abstract":"<p><p>This article critically describes the main events and vicissitudes of psychiatry in France, starting from the notion and application of the principles of Mental Hygiene and the changes that took place after the Second World War, which led, under the inspiration of the experiences of institutional psychotherapy, to the establishment of the so-called health policy of the Sector and the principle of therapeutic continuity, and analyses the consequences that the application of neoliberal political and economic principles has had on the field of psychiatry and mental health.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"106-115"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030955","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":"Apuestas online. La tormenta perfecta. Crianza digital y adicciones emergentes. Implicancias clínicas y lineamientos prácticos.","authors":"Juan Carlos Stagnaro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reseña de la obra: Apuestas online. La tormenta perfecta. Crianza digital y adicciones emergentes. Implicancias clínicas y lineamientos prácticos, por Federico Pavlovsky (Coordinador). Buenos Aires : Noveduc, 2024.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"36 167, ene.-mar.","pages":"129-131"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009019","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":"Índice.","authors":"Comité de Redacción","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"35 166, oct.-dic.","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018021","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":"Frontal Systems Behavior Scale: normative data for adults from Buenos Aires, Argentina","authors":"Natalia Camilotto, Paula Caamaño, Samanta Leiva","doi":"10.53680/vertex.v35i166.723","DOIUrl":"10.53680/vertex.v35i166.723","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Introducción y objetivo: La Frontal Systems Behavior Scale (FrSBe) es una escala autoadministrable que evalúa cambios comportamentales (apatía, desinhibición y disfunción ejecutiva) luego de una lesión cerebral. El objetivo del trabajo fue obtener indicadores de rendimiento del puntaje total y las sub-escalas de la FrSBe para adultos de habla hispana de la Provincia de Buenos Aires, Argentina, analizar el efecto de variables demográficas y obtener datos normativos del instrumento. Materiales y métodos: se incluyeron 169 participantes y 83 familiares de esos participantes de Buenos Aires que completaron una encuesta para datos demográficos y la versión en español de la FrSBe. Se calcularon estadísticos descriptivos y se aplicaron modelos de regresión lineal múltiple para analizar el efecto de la edad, la escolaridad y el género sobre las puntuaciones. Resultados: Las variables que mostraron efecto sobre el puntaje total de la FrSBe versión de auto-reporte fueron la edad y la escolaridad. No hubo efecto del género y el modelo no fue significativo para la versión del familiar. Se obtuvieron las medias de rendimiento de los participantes en la escala y se presentan los datos normativos agrupados en tres grupos etarios y cada uno de ellos en dos grupos de escolaridad, del mismo modo que en la versión  original del instrumento. Conclusión: Este estudio presenta los primeros datos normativos  para adultos de Buenos Aires en la FrSBe. Esto representa un aporte crucial para la utilización de este instrumento en esta región.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction and objective: &lt;/strong&gt;The Frontal Systems Behavior Scale (FrSBe) is a self-administered scale that evaluates behavioral changes (apathy, disinhibition and executive dysfunction) following a brain injury. The aim of this study was to obtain performance indicators of the total score and the subscales of the FrSBe for Spanish-speaking adults in the\u0000Province of Buenos Aires, Argentina, analyze the effect of demographic variables and obtain normative data for the instrument.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;169 participants and 83 family members of these participants from Buenos Aires were included. They completed a survey for demographic data and the Spanish version of the FrSBe. Descriptive statistics were calculated and multiple linear regression models were applied to analyze the effect of age, education, and gender on the scores.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The variables that showed an effect on the total score of the FrSBe Self-Rating Form were age and education. There was no effect of gender and the model was not significant for the Family Rating Form. Performance means for participants on the scale were obtained, and the normative data are presented grouped into three age groups, each of them into two education groups, similiar to the original version of the instrument.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study provides the first normative data for adults from Buenos Aires in t","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"35 166, oct.-dic.","pages":"38-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018001","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":"Prospective study of neuropsychiatric and cognitive symptoms post-stroke","authors":"Waleska Berrios, Florencia Deschle, Verónica Marroquín, Gabriela Ziegler, Sofía Fariña, María Sol Pacha, Cecilia Verónica Cervino, María Laura Saglio, José Ignacio Albornoz, Guillermo Povedano","doi":"10.53680/vertex.v35i166.720","DOIUrl":"10.53680/vertex.v35i166.720","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is a risk factor for neurocognitive disorder. Studies report that post-stroke neurocognitive disorder is present in 20 % to 80 % of cases. Neuropsychiatric symptoms are also reported, with depression being the most common. This study aims to establish the prevalence of neurocognitive disorder, depression, and other neuropsychiatric symptoms in individuals with a first ischemic stroke.</p><p><strong>Methods: </strong>Adult patients with a first ischemic stroke were evaluated at 3- and 12-months post-event using standard neuropsychological assessment, Beck Depression Inventory-II, and Cummings Neuropsychiatric Inventory. Patients were classified as having normal cognitive performance and minor or major neurocognitive disorder according to DSM-5 criteria.</p><p><strong>Results: </strong>A total of 36 patients with a mean age of 60.97 ± 16.98 years were included. Neurocognitive disorder (major and minor) was recorded in 63.8 % of cases at three months and 66.6 % at one year. Behavioral symptoms, according to the Neuropsychiatric Inventory, were observed in 69.4 % of cases at three months and 50 % at one year, while depressive symptoms, according to the Beck Depression Inventory-II, were present in 16.6 % of cases at three months and 22.2 % at one year. Arterial hypertension was the most common modifiable risk factor in this population and correlated with the presence of neurocognitive disorder.</p><p><strong>Discussion: </strong>Detecting neurocognitive disorders and neuropsychiatric symptoms after a stroke is necessary based on their high prevalence reported, thereby allowing for proper management and comprehensive rehabilitation.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"35 166, oct.-dic.","pages":"13-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017983","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":"Issuance of a Disability ID due to Autism in Buenos Aires: longitudinal analysis","authors":"Agustina Aragón-Daud, Giselle Vetere, Marina Argañaraz, Francisco Martín Musich","doi":"10.53680/vertex.v35i166.724","DOIUrl":"10.53680/vertex.v35i166.724","url":null,"abstract":"<p><strong>Objective: </strong>Effective access to essential services is critical for some individuals with autism. In Argentina, the Unique Disability ID ensures essential rights and benefits for people with autism. Analyzing the demand for autism-related Disability IDs can offer valuable insights into the needs of this population.</p><p><strong>Method: </strong>This study examined official data on Unique Disability IDs for Autism Spectrum Disorder in Buenos Aires from 2016 to 2021.</p><p><strong>Results: </strong>Results showed most Disability IDs were issued to males and for Pervasive Developmental Disorders. Notably, almost half of the Disability IDs were granted to individuals over 8 years old, being these consistent trends over the years. We observed a significant drop in Disability ID issuance in 2020.</p><p><strong>Conclusions: </strong>Our findings highlight challenges regarding delayed and non-specific diagnosis, leading to delayed access to rights and less-targeted treatments. These patterns on spontaneous assistance requests for state services\u0000related to autism can shape well-informed public policies and optimize resource allocation.</p>","PeriodicalId":75297,"journal":{"name":"Vertex (Buenos Aires, Argentina)","volume":"35 166, oct.-dic.","pages":"6-12"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017876","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}