Pub Date : 2022-12-01DOI: 10.4067/s0717-92272022000400394
Elías Aguirre-Siancas, Libertad Alzamora-Gonzales, Erasmo H. Colona‐Vallejos, Ricardo Arone-Farfán, Eliberto Ruiz-Ramírez, Oscar Sigifredo Portilla-Flores, M. Becerra-Bravo, Daniel Jhonatan Tinoco-Valerio, Rosa Maria Condori-Macuri, Lucero Alarcón-Velásquez, N. Lam-Figueroa
{"title":"Efecto del estrés crónico y de la masticación sobre los niveles séricos de interleuquina-6 e interferón-gama.","authors":"Elías Aguirre-Siancas, Libertad Alzamora-Gonzales, Erasmo H. Colona‐Vallejos, Ricardo Arone-Farfán, Eliberto Ruiz-Ramírez, Oscar Sigifredo Portilla-Flores, M. Becerra-Bravo, Daniel Jhonatan Tinoco-Valerio, Rosa Maria Condori-Macuri, Lucero Alarcón-Velásquez, N. Lam-Figueroa","doi":"10.4067/s0717-92272022000400394","DOIUrl":"https://doi.org/10.4067/s0717-92272022000400394","url":null,"abstract":"","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70495182","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 : 2022-12-01DOI: 10.4067/s0717-92272022000400403
N. Schade Y., Fernando Medina J., Raúl Ramírez-Vielma, Antonio Sánchez-Cabaco, Lizbeth De La Torre L.
The COVID-19 pandemic has had a great impact in the world, more so in the lives of elderly people. The objective of this study was to explore an online screening protocol to detect early Mild Cognitive Impairment. The method was both quantitative and qualitative, the sample included 22 elderly people from the Coronel y Lota, Bio-bio region. The protocol was integrated with a sociodemographic questionnaire, the Clock Drawing Test (Cacho Version), MOCA (validated in Chile version), Yesavage Depression Scale (Reduced version) and the Word Accentuation Test. The evaluation involved applying the protocol online in a tele neuropsychological assessment. The results showed that most of the elder people evaluated did not present cognitive impairment but did have depression. The application of an online diagnostic protocol in older people and the indicators of depression that could be given by the current pandemic situation are discussed.
2019冠状病毒病大流行对世界产生了巨大影响，对老年人的生活影响更大。本研究的目的是探索一种在线筛查方案，以发现早期轻度认知障碍。方法采用定量和定性相结合的方法，样本包括来自Bio-bio地区Coronel y Lota的22名老年人。该方案与社会人口调查问卷、时钟绘制测试(Cacho版本)、MOCA(智利版本)、Yesavage抑郁量表(简化版本)和单词重音测试相结合。评估包括在远程神经心理学评估中在线应用该协议。结果显示，大多数接受评估的老年人没有出现认知障碍，但确实有抑郁症。讨论了在线诊断方案在老年人中的应用以及当前大流行情况可能给出的抑郁指标。
{"title":"Detección temprana de Deterioro Cognitivo Leve en personas mayores durante la pandemia: protocolo cribado online.","authors":"N. Schade Y., Fernando Medina J., Raúl Ramírez-Vielma, Antonio Sánchez-Cabaco, Lizbeth De La Torre L.","doi":"10.4067/s0717-92272022000400403","DOIUrl":"https://doi.org/10.4067/s0717-92272022000400403","url":null,"abstract":"The COVID-19 pandemic has had a great impact in the world, more so in the lives of elderly people. The objective of this study was to explore an online screening protocol to detect early Mild Cognitive Impairment. The method was both quantitative and qualitative, the sample included 22 elderly people from the Coronel y Lota, Bio-bio region. The protocol was integrated with a sociodemographic questionnaire, the Clock Drawing Test (Cacho Version), MOCA (validated in Chile version), Yesavage Depression Scale (Reduced version) and the Word Accentuation Test. The evaluation involved applying the protocol online in a tele neuropsychological assessment. The results showed that most of the elder people evaluated did not present cognitive impairment but did have depression. The application of an online diagnostic protocol in older people and the indicators of depression that could be given by the current pandemic situation are discussed.","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44525209","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 : 2022-12-01DOI: 10.4067/s0717-92272022000400384
Renzo Rivera, W. L. Arias-Gallegos, Jenny A. Geldres-García, María E. Rojas-Zegarra, Marlene A. Starke-Moscoso, Evert N. Apaza-Bejarano
Introduction: in this research, we analyze the validity, reliability and invariance of the Reactive/Proactive Aggression Questionnaire. Method: t he study was an instrumental sort of. We assessed 2803 adolescents, 48.9% female and 51.1% male from Arequipa City. The Reactive/Proactive Aggression Questionnaire (RPQ) was applied. Results: the test obtained adequate levels of goodness of fit and the bifactorial structure was confirmed by a confirmatory factor analysis. The test presented scalar and strict invariance based on the sex of the evaluated students, so men showed greater reactive and proactive aggressiveness than women. Reliability measures were satisfactory. Conclusion: the RPQ is valid with a two-factor structure; it is also invariant depending on the sex of those evaluated.
{"title":"Invarianza factorial según sexo del Cuestionario de Agresión Proactiva y Reactiva en adolescentes peruanos.","authors":"Renzo Rivera, W. L. Arias-Gallegos, Jenny A. Geldres-García, María E. Rojas-Zegarra, Marlene A. Starke-Moscoso, Evert N. Apaza-Bejarano","doi":"10.4067/s0717-92272022000400384","DOIUrl":"https://doi.org/10.4067/s0717-92272022000400384","url":null,"abstract":"Introduction: in this research, we analyze the validity, reliability and invariance of the Reactive/Proactive Aggression Questionnaire. Method: t he study was an instrumental sort of. We assessed 2803 adolescents, 48.9% female and 51.1% male from Arequipa City. The Reactive/Proactive Aggression Questionnaire (RPQ) was applied. Results: the test obtained adequate levels of goodness of fit and the bifactorial structure was confirmed by a confirmatory factor analysis. The test presented scalar and strict invariance based on the sex of the evaluated students, so men showed greater reactive and proactive aggressiveness than women. Reliability measures were satisfactory. Conclusion: the RPQ is valid with a two-factor structure; it is also invariant depending on the sex of those evaluated.","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44686066","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 : 2022-12-01DOI: 10.4067/s0717-92272022000400422
Carlos E. Rodríguez-Angarita, Nandy Rodríguez V., Julián Mateo Benítez M., Lina Gómez R., Rafael Muñoz H., Viviana Peñaranda L.
{"title":"Seguimiento por Whatsapp durante un año a pacientes con intento suicida atendidos en el Servicio de Urgencias de un hospital universitario privado.","authors":"Carlos E. Rodríguez-Angarita, Nandy Rodríguez V., Julián Mateo Benítez M., Lina Gómez R., Rafael Muñoz H., Viviana Peñaranda L.","doi":"10.4067/s0717-92272022000400422","DOIUrl":"https://doi.org/10.4067/s0717-92272022000400422","url":null,"abstract":"","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46612269","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 : 2022-09-01DOI: 10.4067/s0717-92272022000300313
Susana Lozano-Tovar, Nancy Monroy-Jaramillo, Y. Rodríguez-Agudelo
{"title":"Las orexinas como biomarcadores para demencia tipo Alzheimer y relación con síntomas neuropsiquiátricos","authors":"Susana Lozano-Tovar, Nancy Monroy-Jaramillo, Y. Rodríguez-Agudelo","doi":"10.4067/s0717-92272022000300313","DOIUrl":"https://doi.org/10.4067/s0717-92272022000300313","url":null,"abstract":"","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45544594","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 : 2022-09-01DOI: 10.4067/s0717-92272022000300355
Nicole Commentz A., Raul Jara L.
Factitious disorder consists of falsifying, inducing or aggravating illnesses in order to receive medical attention, regardless of whether they are ill or not. The impact of this pathology ranges from high health costs associated with polyconsultation, hospitalizations and unnecessary treatments, the functionality and quality of life of these patients, up to the cost of human lives. This disorder continues to be a challenge for clinicians, since there is insufficient evidence on the epidemiology, etiology, clinic and management given its complexity. In this article, a clinical case will be presented, emphasizing the evolution of the disease, initial and subsequent management during hospitalization, together with an update based on the literature, on the treatment of this pathology, in order to propose preventive interventions or protocols that allow avoiding hospitalizations and unnecessary treatments. Then it ends with the resolution of the case, prognosis of this disease and a conclusion.
{"title":"Trastorno Facticio en adultos: a propósito de un caso y revisión de literatura","authors":"Nicole Commentz A., Raul Jara L.","doi":"10.4067/s0717-92272022000300355","DOIUrl":"https://doi.org/10.4067/s0717-92272022000300355","url":null,"abstract":"Factitious disorder consists of falsifying, inducing or aggravating illnesses in order to receive medical attention, regardless of whether they are ill or not. The impact of this pathology ranges from high health costs associated with polyconsultation, hospitalizations and unnecessary treatments, the functionality and quality of life of these patients, up to the cost of human lives. This disorder continues to be a challenge for clinicians, since there is insufficient evidence on the epidemiology, etiology, clinic and management given its complexity. In this article, a clinical case will be presented, emphasizing the evolution of the disease, initial and subsequent management during hospitalization, together with an update based on the literature, on the treatment of this pathology, in order to propose preventive interventions or protocols that allow avoiding hospitalizations and unnecessary treatments. Then it ends with the resolution of the case, prognosis of this disease and a conclusion.","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48520060","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 : 2022-09-01DOI: 10.4067/s0717-92272022000300337
R. Philippi, R. Correa
Introduction: achieving functional recovery as quickly as possible in the treatment of unipolar depression is a challenge that clinical practice must try to meet nowadays, since any delay in accomplishing remission of the symptoms is predictive of a larger number of recurrences and higher morbidity and mortality rates. In this topical review we aim to guide clinicians in their choice to augment with atypical antipsychotics or to combine the baseline drug with a second antidepressant, after the dose of the antidepressant initially selected has been optimized and/or the antidepressant has been changed, not achieving remission, or resulting only in a partial response after sufficient time at an appropriate dose. These decisions arise frequently in everyday clinical practice. Methodology: a systematic search in PubMed was performed under several key combinations of words, resulting in 230 reports. After applying inclusion criteria and based in title and abstract, the final number of reports selected for full revision were 113. Two main questions were answered based on these studies: 1) Is there evidence to clearly recommend combination of antidepressants vs. augmentation with antipsychotics (and the correct moment to do it) in non-responsive unipolar depression, once optimization or switching strategies have failed to obtain remission? and 2) Is it possible to identify some clinical features to guide the decision of combination of antidepressants vs. augmentation with antipsychotic agents? Results: According to our analysis, there is no data available to select one strategy from another in a clear-cut manner. Nevertheless, we suggest favoring a combination or augmentation strategy, based in a “treating to target” approach to profile the patient, considering one or two predominant clinical features that remain active as part of a major depression with partial response. Proper analysis of the symptomatic domains present, a critical view of current clinical guidelines and preferred options, considering hidden bipolarity as one of the main differential diagnoses and adopting an energetic but lucid attitude at this stage of treatment are, in our view, fundamental for achieving ad integrum patient recovery.
{"title":"Combinación de antidepresivos vs. aumentación con antipsicóticos atípicos tras no lograr la remisión en la depresión unipolar","authors":"R. Philippi, R. Correa","doi":"10.4067/s0717-92272022000300337","DOIUrl":"https://doi.org/10.4067/s0717-92272022000300337","url":null,"abstract":"Introduction: achieving functional recovery as quickly as possible in the treatment of unipolar depression is a challenge that clinical practice must try to meet nowadays, since any delay in accomplishing remission of the symptoms is predictive of a larger number of recurrences and higher morbidity and mortality rates. In this topical review we aim to guide clinicians in their choice to augment with atypical antipsychotics or to combine the baseline drug with a second antidepressant, after the dose of the antidepressant initially selected has been optimized and/or the antidepressant has been changed, not achieving remission, or resulting only in a partial response after sufficient time at an appropriate dose. These decisions arise frequently in everyday clinical practice. Methodology: a systematic search in PubMed was performed under several key combinations of words, resulting in 230 reports. After applying inclusion criteria and based in title and abstract, the final number of reports selected for full revision were 113. Two main questions were answered based on these studies: 1) Is there evidence to clearly recommend combination of antidepressants vs. augmentation with antipsychotics (and the correct moment to do it) in non-responsive unipolar depression, once optimization or switching strategies have failed to obtain remission? and 2) Is it possible to identify some clinical features to guide the decision of combination of antidepressants vs. augmentation with antipsychotic agents? Results: According to our analysis, there is no data available to select one strategy from another in a clear-cut manner. Nevertheless, we suggest favoring a combination or augmentation strategy, based in a “treating to target” approach to profile the patient, considering one or two predominant clinical features that remain active as part of a major depression with partial response. Proper analysis of the symptomatic domains present, a critical view of current clinical guidelines and preferred options, considering hidden bipolarity as one of the main differential diagnoses and adopting an energetic but lucid attitude at this stage of treatment are, in our view, fundamental for achieving ad integrum patient recovery.","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47547297","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":"Validación de una versión en español abreviada de la batería EMOTICOM (VEA-EMOTICOM).","authors":"Á. Cavieres F., Patricio Limarí B., Natalia Zambrano G., Rocío Maldonado O., Rebecca Elliott, Amy Bland","doi":"10.4067/s0717-92272022000300251","DOIUrl":"https://doi.org/10.4067/s0717-92272022000300251","url":null,"abstract":"","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45576995","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 : 2022-09-01DOI: 10.4067/s0717-92272022000300281
Loida Camargo, Marcio Soto-Añari, Nicole Caldichoury-Obando, Miguel Ramos-Henderson, María F. Porto, Shelach Salomón, Carol Saldías-Solis, P. Gargiulo, Norman López
{"title":"Validez del cuestionario PHQ-2 para la detección de depresión en personal sanitario colombiano durante Covid-19","authors":"Loida Camargo, Marcio Soto-Añari, Nicole Caldichoury-Obando, Miguel Ramos-Henderson, María F. Porto, Shelach Salomón, Carol Saldías-Solis, P. Gargiulo, Norman López","doi":"10.4067/s0717-92272022000300281","DOIUrl":"https://doi.org/10.4067/s0717-92272022000300281","url":null,"abstract":"","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43645939","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 : 2022-09-01DOI: 10.4067/s0717-92272022000300243
Angela Acero-González, Sandra Milena Toro-Herrera, Lina María Ruiz-Moreno, Á. Romero-Tapia, N. H. Yaver-Suárez
Background: Mental health approaches require interprofessional actions. However, education on mental health is traditionally uniprofessional and is performed in specialized scenarios which reinforces the belief that mental health is only a concern for specialists. This is the reason why the first interprofessional mental health rotation in Colombia was designed and launched. The aim of this paper is to describe that process and the rotation itself. Material and method: This work describes the steps for the design and implementation of an interprofessional rotation on mental health. which involve medicine and psychology students. Results: The structure of the rotation is detailed. It contains both a clinical component and a simulated one, and diverse methodologies for learning and assessment. Conclusions: This interprofessional rotation is a useful strategy in the learning process of specific competences in mental health, and it facilitates acquisition of skills for teamwork.
{"title":"Formación Interprofesional en Salud Mental: un reto posible.","authors":"Angela Acero-González, Sandra Milena Toro-Herrera, Lina María Ruiz-Moreno, Á. Romero-Tapia, N. H. Yaver-Suárez","doi":"10.4067/s0717-92272022000300243","DOIUrl":"https://doi.org/10.4067/s0717-92272022000300243","url":null,"abstract":"Background: Mental health approaches require interprofessional actions. However, education on mental health is traditionally uniprofessional and is performed in specialized scenarios which reinforces the belief that mental health is only a concern for specialists. This is the reason why the first interprofessional mental health rotation in Colombia was designed and launched. The aim of this paper is to describe that process and the rotation itself. Material and method: This work describes the steps for the design and implementation of an interprofessional rotation on mental health. which involve medicine and psychology students. Results: The structure of the rotation is detailed. It contains both a clinical component and a simulated one, and diverse methodologies for learning and assessment. Conclusions: This interprofessional rotation is a useful strategy in the learning process of specific competences in mental health, and it facilitates acquisition of skills for teamwork.","PeriodicalId":39300,"journal":{"name":"Revista Chilena de Neuro-Psiquiatria","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45702388","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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