Pub Date : 2023-09-26DOI: 10.1016/j.rpsm.2021.09.005
Lorena de la Fuente-Tomás, Belén Arranz, Pilar Sierra, Mónica Sánchez-Autet, Ana García-Blanco, Luis Gutiérrez-Rojas, Vicent Balanzá-Martínez, Sonia Vidal-Rubio, Eduard Vieta, Esther Jiménez, Carla Hernández, Manuel Arrojo, Jesús Gómez-Trigo, Yolanda Zapico-Merayo, Jose María Pelayo-Terán, Victor Pérez-Solà, Estanislao Mur, Narcís Cardoner, Ana González-Pinto, Iñaki Zorrilla, Miguel Ruiz-Veguilla, Ruben Catalán-Barragán, Gemma Safont, Clara Martínez-Cao, Pilar Sáiz, Julio Bobes, Maria Paz García-Portilla
Introduction: Bipolar disorder (BD) has been reconceptualised as a progressive disorder that develops from mild to severe presentations. An empirical staging model - the Empirically Developed Clinical Staging Model for BD (EmDe-5) - was developed in a previous study. This study aims to further validate that model using a larger and more representative Spanish sample.
Material and methods: 183 BD outpatients were recruited at 11 sites in Spain. Assessment included clinical characteristics of the BD (number of hospitalisations, number of suicide attempts, comorbid personality disorders), physical health (BMI, metabolic syndrome, number of physical illnesses), cognition (SCIP), functioning (permanently disabled due to BD, FAST), and quality of life (SF-36). The CGI-S, VAS-S, and psychopharmacological treatment pattern were used as external validators.
Results: Ten patients (51.5%) were classified as stage 1, 33 (18%) as stage 2, 93 (508%) as stage 3, 37 (202%) as stage 4, and 10 (55%) as stage 5. All profilers, other than number of suicide attempts (p=0.311) and comorbid personality disorder (p=0.061), exhibited worse scores from stage 1 to 5. As expected, VAS-S and CGI-S scores were worse in the later stages. Regarding treatment, early stages (1-2) were associated with the use of one to three drugs while late stages (4-5) were associated with four or more drugs (p=0.002).
Conclusions: We confirm the EmDe-5 staging model's construct validity. The ease of obtaining the profilers, together with the operational criteria provided to quantify them, will facilitate the use of the EmDe-5 staging model in daily clinical practice.
{"title":"Spanish validation of the Empirically Developed Clinical Staging Model (EmDe-5) for patients with bipolar disorder.","authors":"Lorena de la Fuente-Tomás, Belén Arranz, Pilar Sierra, Mónica Sánchez-Autet, Ana García-Blanco, Luis Gutiérrez-Rojas, Vicent Balanzá-Martínez, Sonia Vidal-Rubio, Eduard Vieta, Esther Jiménez, Carla Hernández, Manuel Arrojo, Jesús Gómez-Trigo, Yolanda Zapico-Merayo, Jose María Pelayo-Terán, Victor Pérez-Solà, Estanislao Mur, Narcís Cardoner, Ana González-Pinto, Iñaki Zorrilla, Miguel Ruiz-Veguilla, Ruben Catalán-Barragán, Gemma Safont, Clara Martínez-Cao, Pilar Sáiz, Julio Bobes, Maria Paz García-Portilla","doi":"10.1016/j.rpsm.2021.09.005","DOIUrl":"10.1016/j.rpsm.2021.09.005","url":null,"abstract":"<p><strong>Introduction: </strong>Bipolar disorder (BD) has been reconceptualised as a progressive disorder that develops from mild to severe presentations. An empirical staging model - the Empirically Developed Clinical Staging Model for BD (EmDe-5) - was developed in a previous study. This study aims to further validate that model using a larger and more representative Spanish sample.</p><p><strong>Material and methods: </strong>183 BD outpatients were recruited at 11 sites in Spain. Assessment included clinical characteristics of the BD (number of hospitalisations, number of suicide attempts, comorbid personality disorders), physical health (BMI, metabolic syndrome, number of physical illnesses), cognition (SCIP), functioning (permanently disabled due to BD, FAST), and quality of life (SF-36). The CGI-S, VAS-S, and psychopharmacological treatment pattern were used as external validators.</p><p><strong>Results: </strong>Ten patients (51.5%) were classified as stage 1, 33 (18%) as stage 2, 93 (508%) as stage 3, 37 (202%) as stage 4, and 10 (55%) as stage 5. All profilers, other than number of suicide attempts (p=0.311) and comorbid personality disorder (p=0.061), exhibited worse scores from stage 1 to 5. As expected, VAS-S and CGI-S scores were worse in the later stages. Regarding treatment, early stages (1-2) were associated with the use of one to three drugs while late stages (4-5) were associated with four or more drugs (p=0.002).</p><p><strong>Conclusions: </strong>We confirm the EmDe-5 staging model's construct validity. The ease of obtaining the profilers, together with the operational criteria provided to quantify them, will facilitate the use of the EmDe-5 staging model in daily clinical practice.</p>","PeriodicalId":21406,"journal":{"name":"Revista de Psiquiatría y Salud Mental","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79934665","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}
Pub Date : 2022-05-01DOI: 10.1016/j.rpsm.2022.04.003
Imke Dachs, Marcia Irazábal, H. García-Mieres, N. D. Cacho, J. Usall, A. Barajas, M. Dolz, B. Sánchez, I. Baños, E. Huerta-Ramos, Silvia Marcó-García, J. Carlson, M. Coromina, S. Ochoa
{"title":"Patient’s Determinants of Subjective and Objective Burden in Caregivers of People with First Episode Psychosis","authors":"Imke Dachs, Marcia Irazábal, H. García-Mieres, N. D. Cacho, J. Usall, A. Barajas, M. Dolz, B. Sánchez, I. Baños, E. Huerta-Ramos, Silvia Marcó-García, J. Carlson, M. Coromina, S. Ochoa","doi":"10.1016/j.rpsm.2022.04.003","DOIUrl":"https://doi.org/10.1016/j.rpsm.2022.04.003","url":null,"abstract":"","PeriodicalId":21406,"journal":{"name":"Revista de Psiquiatría y Salud Mental","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72947179","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}
Pub Date : 2022-05-01DOI: 10.1016/j.rpsm.2022.03.002
G. Safont, M. Garriga, S. Amoretti, M. Cuesta, M. Parellada, A. González-Pinto, D. Bergé, R. Rodríguez-Jiménez, Alexandra Roldán Bejarano, S. Sarró, Á. Ibáñez, J. Usall, M. Gutiérrez, E. Vieta, B. Arranz, E. Berrocoso, N. Verdolini, M. Bernardo
{"title":"Sex and substance use in first episode psychosis: impact on clinical symptoms, psychosocial functioning and cognitive performance","authors":"G. Safont, M. Garriga, S. Amoretti, M. Cuesta, M. Parellada, A. González-Pinto, D. Bergé, R. Rodríguez-Jiménez, Alexandra Roldán Bejarano, S. Sarró, Á. Ibáñez, J. Usall, M. Gutiérrez, E. Vieta, B. Arranz, E. Berrocoso, N. Verdolini, M. Bernardo","doi":"10.1016/j.rpsm.2022.03.002","DOIUrl":"https://doi.org/10.1016/j.rpsm.2022.03.002","url":null,"abstract":"","PeriodicalId":21406,"journal":{"name":"Revista de Psiquiatría y Salud Mental","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85104668","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}
Pub Date : 2022-02-01DOI: 10.1016/j.rpsm.2022.01.004
L. Montejo, E. Jiménez, C. Torrent, C. Bonnín, B. Solé, A. Martínez-Àran, E. Vieta, José Sánchez Moreno
{"title":"Functional Remediation for Older Adults with Bipolar Disorder (FROA-BD): study protocol for a randomized controlled trial","authors":"L. Montejo, E. Jiménez, C. Torrent, C. Bonnín, B. Solé, A. Martínez-Àran, E. Vieta, José Sánchez Moreno","doi":"10.1016/j.rpsm.2022.01.004","DOIUrl":"https://doi.org/10.1016/j.rpsm.2022.01.004","url":null,"abstract":"","PeriodicalId":21406,"journal":{"name":"Revista de Psiquiatría y Salud Mental","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91349231","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}
Pub Date : 2021-12-01DOI: 10.1016/j.rpsm.2021.12.002
Filippo Corponi, Yana Zorkina, Daniel Stahl, A. Murru, E. Vieta, Alessandro Serretti, Аnna Morozova, Alexander Reznik, Georgiy Kostyuk, Vladimir Pavlovich Chekhonin
{"title":"Disfunción de los lóbulos frontales en grupos clínicos de esquizofrenia aguda","authors":"Filippo Corponi, Yana Zorkina, Daniel Stahl, A. Murru, E. Vieta, Alessandro Serretti, Аnna Morozova, Alexander Reznik, Georgiy Kostyuk, Vladimir Pavlovich Chekhonin","doi":"10.1016/j.rpsm.2021.12.002","DOIUrl":"https://doi.org/10.1016/j.rpsm.2021.12.002","url":null,"abstract":"","PeriodicalId":21406,"journal":{"name":"Revista de Psiquiatría y Salud Mental","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83170867","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}
Pub Date : 2021-11-01DOI: 10.1016/j.rpsm.2021.11.006
N. Benítez Brito, B. Pinto Robayna, Y. Ramallo Fariña, F. Moreno Redondo, B. León Salas, C. D. Díaz Romero
{"title":"Validación transcultural de la escala “Yale Food Addiction Scale for Children (YFAS-C)” al idioma español para evaluar la adicción a la comida en población pediátrica (S-YFAS-C)","authors":"N. Benítez Brito, B. Pinto Robayna, Y. Ramallo Fariña, F. Moreno Redondo, B. León Salas, C. D. Díaz Romero","doi":"10.1016/j.rpsm.2021.11.006","DOIUrl":"https://doi.org/10.1016/j.rpsm.2021.11.006","url":null,"abstract":"","PeriodicalId":21406,"journal":{"name":"Revista de Psiquiatría y Salud Mental","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81629784","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}
Pub Date : 2021-11-01DOI: 10.1016/j.rpsm.2021.10.002
Pablo Martino, Matías M. Pulopulos, Celia Del Canto, María L. Dupanlou, Stella M. Rubio, J. L. Bonet
{"title":"Altos niveles de TNF-α se asocian a síntomas de depresión en profesionales de la salud de un hospital","authors":"Pablo Martino, Matías M. Pulopulos, Celia Del Canto, María L. Dupanlou, Stella M. Rubio, J. L. Bonet","doi":"10.1016/j.rpsm.2021.10.002","DOIUrl":"https://doi.org/10.1016/j.rpsm.2021.10.002","url":null,"abstract":"","PeriodicalId":21406,"journal":{"name":"Revista de Psiquiatría y Salud Mental","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74959091","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}
Pub Date : 2021-10-01DOI: 10.1016/j.rpsm.2021.10.001
Clara Cocho, Ignacio Vera, B. Bardón, Mª Dolores Gómez, R. Duque, Patricia Fadón, Margarita Blanco, Silvia García, Á. Martínez, A. Molina, Encarnación Mollejo, P. Nava, M. Salvador, Eva Mª Enríquez Sánchez, Belén Sanz-Aranguez, A. Vives, Mª. Rosario Martínez, F. Sanz
{"title":"Satisfacción percibida con los ingresos en unidades de hospitalización breve psiquiátricas: diseño y validación del cuestionario PSYQUEST","authors":"Clara Cocho, Ignacio Vera, B. Bardón, Mª Dolores Gómez, R. Duque, Patricia Fadón, Margarita Blanco, Silvia García, Á. Martínez, A. Molina, Encarnación Mollejo, P. Nava, M. Salvador, Eva Mª Enríquez Sánchez, Belén Sanz-Aranguez, A. Vives, Mª. Rosario Martínez, F. Sanz","doi":"10.1016/j.rpsm.2021.10.001","DOIUrl":"https://doi.org/10.1016/j.rpsm.2021.10.001","url":null,"abstract":"","PeriodicalId":21406,"journal":{"name":"Revista de Psiquiatría y Salud Mental","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82929052","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}
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