Revista Colombiana de Psiquiatria最新文献

Relaciones Fisiopatológicas Entre el Déficit Cognitivo en el Trastorno Afectivo Bipolar y el Síndrome Metabólico 双相情感障碍认知障碍与代谢综合征的病理生理关系

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.07.009

Introduction and objectives

Bipolar disorder (BD) has been related to various cognitive dysfunctions as well as to a high prevalence of metabolic syndrome (MS), which seems to influence the cognitive performance of patients with BD. Therefore, different hypotheses have been generated to try to explain the pathophysiological relationship between cognitive deficit in BD and MS. The objective was to review the current literature regarding the possible pathophysiological explanation of the relationship between BD and MS and its effect on cognitive performance of patients with BD.

Methods

A bibliographic search was carried out using MEDLINE, ClinicalKey, EMBASE, Literatura Latino-Americana y del Caribe en Ciencias de la Salud [Latin American and Caribbean Literature in Health Sciences] (LILACS), APA PsycNet, Scopus and Scielo databases, and the Pan-American Medical Electronic Library; using the following search terms: “bipolar disorder”[MeSH Terms] OR “bipolar disorder”[All Fields] OR “mood disorders”[All Fields] AND “cognitive deficit”[MeSH Terms] OR “cognitive deficit”[All Fields] OR “cognitive dysfunction”[All Fields] OR “cognitive impairment”[All Fields] OR “cognitive decline”[All Fields] AND “metabolic syndrome” [MeSH Terms] OR “metabolic abnormalities”[All Fields] OR “metabolic effects”[All Fields] OR “obesity” [All Fields] OR “abdominal obesity” [All Fields] OR “overweight” [All Fields] OR “diabetes” [All Fields] OR “hypertension” [All Fields] AND “antipsychotics” [MeSH Terms] OR “antipsychotics”[All Fields] AND “antidepressants” [MeSH Terms] OR “antidepressants”[All Fields] AND “mood stabilizers” [MeSH Terms] OR “mood stabilizers”[All Fields]. Filters: Free full text, Full text, from 2001-2022. A total of 80 articles in Spanish and English, of any type of design, were selected. Selection and reading were carried out by all the authors.

Results and conclusions

The various pathophysiological hypotheses proposed, inflammatory, endocrine, drug, environmental and social, suggest that a series of changes at the macro and microcellular level are correlated in patients with BD and MS with a negative effect on cognition of patients both globally and in specific domains, mainly executive function, memory, attention, and perceptual motor skills. Research processes should be continued to explore the various hypotheses that support the relationship between BD, MS and cognition.

引言和目的躁郁症（BD）与各种认知功能障碍以及代谢综合征（MS）的高发病率有关，而代谢综合征似乎会影响躁郁症患者的认知表现。因此，人们提出了不同的假设，试图解释 BD 认知缺陷与 MS 之间的病理生理学关系。本研究的目的是综述有关 BD 和 MS 之间关系的可能病理生理学解释及其对 BD 患者认知能力影响的现有文献。方法使用 MEDLINE、ClinicalKey、EMBASE、Literatura Latino-Americana y del Caribe en Ciencias de la Salud [拉丁美洲和加勒比健康科学文献] (LILACS)、APA PsycNet、Scopus 和 Scielo 数据库以及泛美医学电子图书馆进行文献检索；使用的检索词如下："双相情感障碍"[MeSH 术语] 或 "双相情感障碍"[所有字段] 或 "情绪障碍"[所有字段] 和 "认知缺陷"[MeSH 术语] 或 "认知缺陷"[所有字段] 或 "认知功能障碍"[所有字段] 或 "认知损害"[所有字段] 或 "认知衰退"[所有字段] 和 "代谢综合征"[MeSH 术语] 或 "代谢异常"[所有字段] 或 "代谢影响"[所有字段] 或 "肥胖"[所有字段] 或 "腹型肥胖"[所有字段] 或 "超重"[所有字段] 或 "糖尿病"[所有字段] 或 "高血压"[所有字段] 和 "抗精神病药"[MeSH 术语] 或 "抗精神病药"[所有字段] 和 "抗抑郁药"[MeSH 术语] 或 "抗抑郁药"[所有字段] 和 "情绪稳定剂"[MeSH 术语] 或 "情绪稳定剂"[所有字段]。过滤器：免费全文, 全文, 从 2001 年到 2022 年。共选取了 80 篇西班牙文和英文文章，设计类型不限。结果与结论提出的各种病理生理学假说（炎症、内分泌、药物、环境和社会）表明，BD 和多发性硬化症患者在宏观和微观细胞水平上发生的一系列变化，对患者的整体认知和特定领域（主要是执行功能、记忆、注意力和感知运动技能）的认知产生了负面影响。应继续开展研究，探索支持 BD、多发性硬化症和认知之间关系的各种假设。

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引用次数: 0

El Cuidado de Pacientes con Síntomas Psiquiátricos en Unidades de Hospitalización General: un Estudio Fenomenológico 普通住院病房精神病症状患者的护理:现象学研究

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.04.007

Introduction

The objective of this study was to explore the approach to patients with psychiatric symptoms by nursing professionals in general hospitalisation units in the city of Medellín, Colombia.

Methods

A qualitative study with the method of interpretive phenomenology. 11 nursing professionals from general hospitalisation units in the city of Medellín, Colombia participated. The information analysis was processed according to the Phenomenological Interpretive Analysis method and with the support of the NVIVO Plus 12 software.

Results

The nurses’ experience is described through three themes: representations of the patient with psychiatric symptoms, the patient as aggressive, violent and unpredictable; feeling fearful while providing care, caring for others in the midst of prevention, fear and stress, and being in a chaotic situation, a circumstance that gets out of control and alters the dynamics of the hospitalisation unit.

Conclusions

Caring for patients with psychiatric symptoms is stressful, especially when nursing professionals perceive a lack of support from other colleagues and from the hospital administration. The above favours the development of alterations in the professional's physical and mental health.

导言：本研究旨在探讨哥伦比亚麦德林市综合住院部的护理专业人员如何对待有精神症状的患者。方法：采用解释现象学方法进行定性研究。来自哥伦比亚麦德林市综合住院部的 11 名专业护理人员参与了研究。结果通过三个主题描述了护士的经历：对有精神症状的病人的描述，病人具有攻击性、暴力性和不可预测性；在提供护理时感到恐惧，在预防、恐惧和压力中照顾他人，以及处于混乱状态，一种失控的情况，改变了住院部的动态。结论护理有精神症状的病人压力很大，尤其是当护理专业人员认为缺乏来自其他同事和医院管理部门的支持时。上述情况会导致专业人员的身心健康发生变化。

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引用次数: 0

Analysis of Factors Influencing Depressive Mood: A Focus on Medical Students in Targeted Employment 影响抑郁情绪的因素分析——以定向就业医学生为例

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.05.005

Objective

To study depression and its influencing factors in medical students with directed employment in medical schools.

Methods

In this study, 586 students enrolled in Wenzhou Medical University were studied, and the Patient Health Questionnaire Depression Scale (PHQ-9) was used to distinguish depressed mood from depressive symptoms and to establish a multivariate logistic regression model.

Results

Up to 60.9% of the survey respondents experienced depressive mood within two weeks, and 21.6% experienced mild or higher depressive symptoms. The majority of the students showed only depressive mood (64.5%), and depressive symptoms accounted for a small percentage (35.5%). The detection rate of depressive mood within 2 weeks was higher in female students (70.4%) than in male students. Medical specialty, whether or not students were directed medical students, whether or not students performed directed employment, being an only child, monthly living expenses, financial status, health status, personality, and self-perceived academic stress were significant factors (P< 0.05) associated with depressed mood among university students. In this study, non-medical students were more likely to experience depression (P< 0.001). Depression was higher among non-directed medical students (P< 0.001). Among medical students with directed employment, those with non-compliance intention had a greater risk of depression (P< 0.01). Medical students with depressed mood tended to self-regulate (82.1%) and had a less significant tendency to choose medication (25.3%).

Conclusions

With a high detection rate of depressive mood and symptoms and most students presenting only with depressive mood, early detection and interventions for depressive mood are essential to prevent deterioration of the target students’ condition.

方法以温州医科大学 586 名定向就业医学生为研究对象，采用患者健康问卷抑郁量表（PHQ-9）区分抑郁情绪和抑郁症状，并建立多变量逻辑回归模型。大部分学生仅表现出抑郁情绪（64.5%），抑郁症状仅占一小部分（35.5%）。女生在两周内出现抑郁情绪的检出率（70.4%）高于男生。医学专业、是否定向医学生、是否定向就业、是否独生子女、每月生活费、经济状况、健康状况、性格、自我感觉学业压力是大学生抑郁情绪的显著相关因素（P< 0.05）。在本研究中，非医学生更容易出现抑郁情绪（P< 0.001）。非定向医学生的抑郁程度更高（P< 0.001）。在定向就业的医学生中，有不服从意向的医学生患抑郁症的风险更高（P< 0.01）。有抑郁情绪的医学生倾向于自我调节（82.1%），选择药物治疗的倾向不明显（25.3%）。结论由于抑郁情绪和症状的检出率较高，且大多数学生仅表现为抑郁情绪，因此早期发现和干预抑郁情绪对防止目标学生病情恶化至关重要。

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引用次数: 0

Salud psicosocial de la población de gais, bisexuales y otros hombres que tienen sexo con hombres (HSH) en Colombia 哥伦比亚男同性恋、双性恋和其他男男性行为者 (MSM) 的心理社会健康状况

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.04.010

Jair Eduardo Restrepo Pineda

Introduction

Psychosocial health is fundamental to the well-being of the human being. In the case of the gay, bisexual and other men who have sex with men (MSM) population, it is affected by discrimination, homophobia, marginalisation and social exclusion.

Methods

A quantitative investigation was designed, which used a virtual survey. Kruskal Wallis tests were performed for the difference in medians between the internalised Index of Homphobia (IH) and various variables; this same test was used for the comorbidity between anxiety and depression.

Results

A sample of 8,208 individuals was obtained, with ages between 18 and 75 years. Between the IH indices and the educational level variable, statistically significant differences are observed in the medians of the different categories. On the other hand, 8.0% of the population presents with moderate levels of comorbidity between anxiety and depression and 4.0%, a severe level.

Discussion

IH decreases as the subjects prepare academically, while the severity of anxiety and depression is greater in those who report complicated affective relationships. People with a diagnosis of HIV present with a greater severity of depressive symptoms.

Conclusions

IH, depression, and anxiety are linked to intersectional discrimination, leading to greater individual and social vulnerability for people who are gay, people who are bisexual, and other men who have sex with men that directly affects their psychosocial health.

引言社会心理健康是人类福祉的基础。就男同性恋、双性恋和其他男男性行为者（MSM）群体而言，他们的心理健康受到歧视、仇视同性恋、边缘化和社会排斥的影响。对内部化恐同指数（IH）和各种变量之间的中位数差异进行了 Kruskal Wallis 检验；对焦虑和抑郁之间的合并症也进行了同样的检验。在 IH 指数和教育水平变量之间，不同类别的中位数存在显著的统计学差异。另一方面，有 8.0% 的人焦虑和抑郁并发程度为中度，4.0% 的人为重度。随着受试者在学业上有所准备，讨论的焦虑和抑郁程度会降低，而那些报告情感关系复杂的人焦虑和抑郁的严重程度更高。结论HIV、抑郁和焦虑与交叉歧视有关，导致同性恋者、双性恋者和其他男男性行为者的个人和社会脆弱性增加，直接影响到他们的社会心理健康。

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引用次数: 0

Depresión, Ansiedad y Estrés en Estudiantes Universitarios Antes y Durante Los Primeros Tres Meses de Cuarentena por COVID-19 [COVID-19 封锁前三个月和封锁期间大学生的抑郁、焦虑和压力]。

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.04.008

Introduction

Different psychological symptoms of distress as well as drinking motives have been associated with alcohol use in college students. The COVID-19 lockdown [aislamiento social, preventivo y obligatorio (ASPO)] reduced movement to a minimum, impacting college students’ mental health and generating changes in several behaviours, including alcohol use.

Objectives

To examine the association between symptoms of anxiety, depression and stress, drinking motives and alcohol use in two groups of Argentinian college students, before and during the first three months of lockdown. In addition, it was examined whether drinking motives mediate the relationship between psychological distress and alcohol use.

Methods

Two samples of college students, one before the lockdown (n=125; mean age, 23.87 ± 3.27 years; 73.6% women) and another during the lockdown (n=174; 24.32 ± 3.64 years; 78.2% women) completed an online survey.

Results

Alcohol use, as well as social and enhancement motives, decreased in college students during lockdown. The associations between psychological distress and drinking motives with alcohol use were more consistent in the group during lockdown compared with the group after lockdown. At a multivariate level, coping motives explained an increased frequency of alcohol consumption in college students during lockdown.

Conclusions

It is necessary to pay special attention to the mental health of college students who have experienced changes in their routines as a result of the restrictions implemented during the pandemic.

导言：不同的心理症状和饮酒动机都与大学生饮酒有关。COVID-19 封锁（Aislamiento social, preventivo y obligatorio (ASPO)）将活动减少到最低限度，影响了大学生的心理健康，并导致包括饮酒在内的多种行为发生变化：研究两组阿根廷大学生在封锁前三个月和封锁期间的焦虑、抑郁和压力症状与饮酒动机和饮酒量之间的关系。此外，还研究了饮酒动机是否能调节心理困扰与饮酒之间的关系：两个大学生样本分别在封锁前（样本数：125；平均年龄为 23.87 ± 3.27 岁；73.6% 为女性）和封锁期间（样本数：174；平均年龄为 24.32 ± 3.64 岁；78.2% 为女性）完成了一项在线调查：结果：在封锁期间，大学生的饮酒量、社交动机和提高饮酒量的动机都有所下降。与关禁闭后相比，关禁闭期间大学生的心理压力和饮酒动机与饮酒量之间的关系更为一致。在多变量水平上，应对动机解释了在封锁期间大学生饮酒频率增加的原因：有必要特别关注因大流行病期间实施的限制措施而改变生活习惯的大学生的心理健康。

{"title":"Depresión, Ansiedad y Estrés en Estudiantes Universitarios Antes y Durante Los Primeros Tres Meses de Cuarentena por COVID-19","authors":"","doi":"10.1016/j.rcp.2022.04.008","DOIUrl":"10.1016/j.rcp.2022.04.008","url":null,"abstract":"<div><h3>Introduction</h3><div>Different psychological symptoms of distress as well as drinking motives have been associated with alcohol use in college students. The COVID-19 lockdown [aislamiento social, preventivo y obligatorio (ASPO)] reduced movement to a minimum, impacting college students’ mental health and generating changes in several behaviours, including alcohol use.</div></div><div><h3>Objectives</h3><div>To examine the association between symptoms of anxiety, depression and stress, drinking motives and alcohol use in two groups of Argentinian college students, before and during the first three months of lockdown. In addition, it was examined whether drinking motives mediate the relationship between psychological distress and alcohol use.</div></div><div><h3>Methods</h3><div>Two samples of college students, one before the lockdown (n=125; mean age, 23.87 ± 3.27 years; 73.6% women) and another during the lockdown (n=174; 24.32 ± 3.64 years; 78.2% women) completed an online survey.</div></div><div><h3>Results</h3><div>Alcohol use, as well as social and enhancement motives, decreased in college students during lockdown. The associations between psychological distress and drinking motives with alcohol use were more consistent in the group during lockdown compared with the group after lockdown. At a multivariate level, coping motives explained an increased frequency of alcohol consumption in college students during lockdown.</div></div><div><h3>Conclusions</h3><div>It is necessary to pay special attention to the mental health of college students who have experienced changes in their routines as a result of the restrictions implemented during the pandemic.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 3","pages":"Pages 284-294"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78293441","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

Assessment of Cognitive Performance in Bipolar Disorder Type I Patients and Their Unaffected Offspring 双相情感障碍I型患者及其未受影响后代的认知表现评估

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.05.004

Patients with bipolar disorder type I (BP-I) often present with impairments in cognitive function. Offspring unaffected by the disorder can also present with cognitive dysfunction. The objective of this study was to compare the cognitive function of BP-I patients, their unaffected offspring (UO) and healthy control subjects (HC).

Methods

Verbal memory, working memory index, processing speed, attention, verbal and phonological fluency and executive function were evaluated through the application of a neuropsychological battery to three groups made up of BP-I patients that attended the Bipolar Disorder Outpatient Clinic of Clínica San Juan de Dios de Manizales [San Juan de Dios de Manizales Clinic] (n = 30), UO (n = 32) and control group (n = 31). The UO group and the control group were matched by gender, age and level of education.

Results

Major differences between the three groups were found in the measures of cognitive functions (except in semantic fluency). The HC group showed better cognitive performance in all the functions. Post-hoc analysis showed similar results in the cognitive performance between BP-I and UO except in verbal learning and executive function tasks where the results were better in UO. A better performance in the control group was found, compared to the UO group, in executive function, attention, working memory, and semantic fluency and phonological areas.

Conclusions

These results indicate that the offspring of patients with BP-I present with cognitive impairments without suffering from the disorder. This suggests that cognitive dysfunction presents without diagnosis and supports the hypothesis that it can correspond to a BP-I endophenotype.

躁郁症 I 型（BP-I）患者通常会出现认知功能障碍。未受躁狂症影响的后代也可能出现认知功能障碍。本研究旨在比较 I 型双相情感障碍患者及其未受影响的后代（UO）和健康对照组（HC）的认知功能。方法通过对三组躁郁症患者进行神经心理测试，评估他们的言语记忆、工作记忆指数、处理速度、注意力、言语和语音流畅性以及执行功能，这三组患者分别是在马尼萨莱斯圣胡安迪奥斯诊所（San Juan de Dios de Manizales Clinic）躁郁症门诊就诊的躁郁症患者（30 人）、躁郁症患者后代（32 人）和对照组（31 人）。UO 组和对照组的性别、年龄和受教育程度相匹配。结果发现，三组之间在认知功能（语义流畅性除外）的测量方面存在重大差异。HC 组在所有功能上的认知表现都更好。事后分析表明，BP-I 组和 UO 组的认知表现结果相似，但在言语学习和执行功能任务中，UO 组的结果更好。与 UO 组相比，对照组在执行功能、注意力、工作记忆、语义流畅性和语音方面的表现更好。这表明认知功能障碍是在没有确诊的情况下出现的，并支持了认知功能障碍可能与 BP-I 内表型相对应的假设。

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引用次数: 0

Revisión Sistemática del Tratamiento del Trastorno Bipolar con Características Mixtas 混合特征双相情感障碍治疗的系统评价

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.06.003

Introduction

The mixed states of bipolar disorder (BD) are typified as a subtype of mania or depression. Mixed episodes respond worse to monotherapy treatment, imply a higher risk of relapse, a chronicity of 15% at five years and an associated suicide risk similar to that of patients with depression.

Objective

To evaluate and compare the different therapeutic strategies for BD with mixed characteristics.

Methods

A systematic bibliographic review was carried out. Those studies carried out in patients with bipolar disorder with mixed characteristics and who were receiving treatment were selected.

Results

The initial search showed a total of 228 articles, of which 28 met the inclusion criteria. We included 19 randomised clinical trials (RCTs) comparing an antipsychotic with placebo.

Discussion

According to the data evaluated, antipsychotics —especially second-generation ones— represent a first-line tool for the treatment of manic symptoms with mixed characteristics. ECT should be considered as a secondary intervention strategy in the case of acute mania when an adequate response has not been obtained after the administration of first-line drugs.

Conclusions

The review found that the therapeutic recommendations for bipolar disorder with mixed characteristics are limited.

导言双相情感障碍（BD）的混合状态是躁狂或抑郁的一种亚型。混合发作对单一疗法的反应较差，意味着复发的风险较高，五年内的慢性化率为 15%，相关的自杀风险与抑郁症患者相似。结果初步检索显示共有 228 篇文章，其中 28 篇符合纳入标准。讨论根据评估数据，抗精神病药物（尤其是第二代抗精神病药物）是治疗具有混合特征的躁狂症状的一线工具。结论综述发现，针对混合型双相情感障碍的治疗建议是有限的。

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引用次数: 0

La fenomenología en la psiquiatría contemporánea 当代精神病学中的现象学

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2024.09.002

Hernando Santamaría-García

引用次数: 0

Explorando los factores de riesgo de la depresión: un análisis de red 探索抑郁症的风险因素:网络分析

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2023.01.005

Introduction

Depression is a frequent psychological problem in the general population. There are no single conclusive causes for its development; on the contrary, it arises from the interaction of other emotional disorders. Determining risk factors is a primary objective to identify vulnerable individuals and optimize prevention.

Objective

To analyze risk factors of the depression through network analysis in Peruvian adults from the general population.

Methods

Cross-sectional study with a quantitative approach. A total of 567 Peruvian adults who answered several instruments assessing depressive symptoms, insomnia, suicidal ideation and anxiety participated. An undirected network model with all psychological variables and a predictive path diagram was estimated to identify risk factors for depression. Measures of centrality, precision and stability were also analyzed.

Results

The network structure showed that depression, insomnia, suicidal ideation, and anxiety were mutually associated. In terms of expected influence and predictability, depression obtained the highest value, followed by anxiety. In the prediction plot, all psychological variables were directly connected with depression, with anxiety having the highest connection. The tests of accuracy and stability (CS = 0.75), were robust.

Conclusions

The results of the study suggest that problems with insomnia, suicidal ideation, and anxiety, are considerable risk factors for depression. Identifying and intervening early on those risk factors in adults in the general population could help to prevent the development of depressive symptoms.

导言抑郁症是普通人群中经常出现的一种心理问题。抑郁症的发病原因并不单一，相反，它是由其他情绪障碍相互作用引起的。确定风险因素是识别易感人群和优化预防措施的首要目标。方法采用定量方法进行横断面研究。共有 567 名秘鲁成年人参加了研究，他们回答了几种评估抑郁症状、失眠、自杀意念和焦虑的工具。研究人员估算了一个包含所有心理变量和预测路径图的无定向网络模型，以确定抑郁症的风险因素。网络结构显示，抑郁、失眠、自杀意念和焦虑相互关联。在预期影响和可预测性方面，抑郁的影响值最高，其次是焦虑。在预测图中，所有心理变量都与抑郁直接相关，其中焦虑的关联度最高。研究结果表明，失眠问题、自杀意念和焦虑是抑郁症的重要危险因素。及早发现并干预普通人群中成年人的这些风险因素，有助于预防抑郁症状的出现。

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引用次数: 0

El cuidado obstétrico y neonatal crítico en tiempo de pandemia, desde la perspectiva de psiquiatría y psicología de enlace. Reporte de Caso 从精神病学和联络心理学的角度，在大流行时期提供关键的产科和新生儿护理。个案报告

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2023.06.001

Introduction

This case presents from the perspective of psychiatry and liaison psychology, the clinical problems and the emotional and psychological needs faced by a pregnant woman with COVID infection.

Case report

Thirty-six-year-old woman with severe SARS-CoV-2 pneumonia which requires ventilatory support, ECMO, emergent cesarean section for her 29-week-gestation daughter, and a complex rehabilitation process in intensive care.

Conclusion

The management of severe disease due to SARS-CoV-2 during pregnancy requires interdisciplinary management that includes the active participation of liaison psychology and psychiatry to respond appropriately to the complex emotional and psychosocial demands that they have the mother–daughter dyad and the family, seeking the best biopsychosocial outcomes.

导言本病例从精神病学和联络心理学的角度介绍了一名感染 COVID 的孕妇所面临的临床问题以及情感和心理需求。病例报告36 岁的孕妇患有严重的 SARS-CoV-2 肺炎，需要呼吸机支持、ECMO、为其妊娠 29 周的女儿进行紧急剖宫产以及在重症监护室进行复杂的康复治疗。结论：妊娠期 SARS-CoV-2 重症患者的治疗需要跨学科管理，包括联络心理学和精神病学的积极参与，以适当应对母女二人及家庭的复杂情感和心理需求，寻求最佳的生物-心理-社会结果。

引用次数: 0