Revista Colombiana de Psiquiatria最新文献_第2页

¿Se Podrá Recomendar el Tratamiento con Litio Para el Deterioro Cognitivo Leve y la Demencia por Enfermedad de Alzheimer? Falta Evidencia Sobre su Eficacia y su Seguridad: Revisión Sistemática y Metanálisis 锂是否可以推荐用于轻度认知障碍和阿尔茨海默氏症痴呆症？缺乏关于其有效性和安全性的证据：系统回顾和荟萃分析

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.04.006

Introduction

Alzheimer's disease is the most prevalent neurodegenerative disease worldwide. Currently available treatments are scarce and have modest effects. Lithium has been shown to decrease cognitive impairment in people with bipolar affective disorder. However, studies evaluating lithium for cognitive impairment in Alzheimer's disease remain controversial.

Methods

We conducted a systematic search of the literature using PubMed, EMBASE, the Cochrane Library, LILACS, and Google Scholar between 30 April and 10 May 2021. Randomised controlled clinical trials (RCTs) conducted to evaluate the efficacy and safety of lithium as a treatment for cognitive impairment in people with dementia and mild cognitive impairment due to Alzheimer's disease were included. The primary outcome was the difference in cognitive functioning at the end of the study. Two authors selected the studies and extracted the data. We calculated the standardised mean differences (SMD) for continuous variables and the relative risk (RR) for dichotomous variables. Review Manager 5.4 software was used for data processing.

Results

2,078 reports were identified and 3 studies with data from 248 participants were included. A fourth report was included for safety analysis. Compared to placebo, no significant difference was found in the cognitive performance of patients with mild cognitive impairment or dementia due to Alzheimer's disease receiving lithium treatment (SMD = –0.39; 95%CI, –0.82 to 0.04; I² = 53%; n = 195). Also, significant differences were not found in the rate of discontinuation for any cause (RR = 0.90; 95%CI, 0.46-1.78; I² = 0%), and the rate of adverse effects between lithium and placebo (RR = 1.29; 95%CI, 0.83-2.03; I² = 0%).

Conclusions

The current evidence is insufficient to assume any effect of lithium as a treatment for cognitive impairment in Alzheimer's disease dementia. It is necessary to continue building better quality studies to justify the use of lithium in this population in clinical practice. Given the toxicity of lithium, adequate pre-selection of patients and close monitoring should be ensured.

导言阿尔茨海默病是全球最普遍的神经退行性疾病。目前可用的治疗方法很少，而且效果一般。锂已被证明可减少双相情感障碍患者的认知障碍。方法我们在 2021 年 4 月 30 日至 5 月 10 日期间使用 PubMed、EMBASE、Cochrane Library、LILACS 和 Google Scholar 对文献进行了系统检索。纳入的随机对照临床试验（RCT）旨在评估锂作为阿尔茨海默氏症引起的痴呆和轻度认知障碍患者认知障碍治疗方法的有效性和安全性。主要结果是研究结束时认知功能的差异。两位作者选择了研究并提取了数据。我们计算了连续变量的标准化平均差 (SMD) 和二分变量的相对风险 (RR)。数据处理使用了 Review Manager 5.4 软件。第四份报告被纳入进行安全性分析。与安慰剂相比，接受锂治疗的轻度认知障碍或阿尔茨海默氏症所致痴呆患者的认知表现没有发现明显差异（SMD = -0.39；95%CI，-0.82 至 0.04；I2 = 53%；n = 195）。此外，锂剂与安慰剂在因任何原因停药率（RR = 0.90；95%CI，0.46-1.78；I2 = 0%）和不良反应率（RR = 1.29；95%CI，0.83-2.03；I2 = 0%）方面也未发现明显差异。有必要继续开展质量更高的研究，以证明在临床实践中对这一人群使用锂的合理性。鉴于锂的毒性，应确保对患者进行充分的预选和密切监测。

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引用次数: 0

Prevalencia y factores asociados al síndrome de burnout y engagement en estudiantes de ciencias de la salud en una universidad pública (2019) 公立大学健康科学学生职业倦怠和参与综合征的患病率和相关因素(2019年)

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.10.002

Objective

To estimate the prevalence and factors associated with burnout syndrome and engagement in health sciences students at a public university in the different semesters of their career.

Methods

A cross-sectional study was carried out and included university students of health sciences. A stratified random sampling with proportional allocation was carried out. A descriptive analysis was carried out calculating frequencies, proportions and percentages, as well as measures of central tendency. The proportions of burnout and engagement were estimated with their corresponding 95% Confidence Interval (95% CI). For the bivariate analysis, the Chi² test was performed and a p value < 0.05 was considered statistically significant.

Results

314 students were included (220 undergraduate and 94 graduate) with a mean age of 25 ± 5 years (18-48 years), 112 were men (35.7%) and 202 women (64.3%). The presence of burnout was detected in 26 students (8.3%, 95% CI 5.2-11.4%). 73.9% presented high levels of exhaustion. A lower percentage of classification between high, medium-high and very high was found in those with a job (p = 0.02); and greater evidence of exhaustion (high and very high) in the medicine and postgraduate programs (p = 0.01). There were no significant differences for the cynicism subscale. In the engagement evaluation, 29.4% presented high levels in the three subscales, 56.2% medium levels and 14.4% low levels. In the vigor subscale, there was a lower percentage of classification between low and very low in graduate students (p = 0.01), along with similar values in high and very high. In the absorption subscale, there was a lower percentage of classification between high and very high in graduate students (p = 0.04).

Conclusions

There was a low prevalence of burnout and a high prevalence of engagement in our population (total, undergraduate and graduate). However, a large proportion of students are at risk due to high levels of exhaustion. It is necessary to employ measures to reduce the levels of burnout and exhaustion, and to promote engagement, as well as to increase the investigation of the syndrome in university students.

目的对某公立大学健康科学专业学生在不同学期的职业倦怠综合征和参与度的发生率和相关因素进行估计。方法开展了一项横断面研究，研究对象包括健康科学专业的大学生。研究采用比例分配的分层随机抽样方法。研究进行了描述性分析，计算了频率、比例、百分比以及中心倾向测量。对职业倦怠和敬业度的比例进行了估计，并得出了相应的 95% 置信区间 (95% CI)。结果 314 名学生（220 名本科生和 94 名研究生）的平均年龄为 25±5 岁（18-48 岁），其中 112 人为男性（35.7%），202 人为女性（64.3%）。有 26 名学生（8.3%，95% CI 5.2-11.4%）存在职业倦怠。73.9%的学生表现出高度疲惫。有工作的学生在 "高"、"中高 "和 "很高 "之间的分类比例较低（P = 0.02）；医学专业和研究生专业的学生则有更多的倦怠感（"高 "和 "很高"）（P = 0.01）。犬儒主义分量表没有明显差异。在参与度评估中，29.4%的学生在三个分量表中都达到了较高水平，56.2%的学生达到了中等水平，14.4%的学生达到了较低水平。在 "活力 "分量表中，研究生在 "低 "和 "很低 "之间的分类比例较低（p = 0.01），在 "高 "和 "很高 "之间的分类比例相近。在吸收力分量表中，研究生中介于高和非常高之间的百分比较低（p = 0.04）。然而，很大一部分学生由于过度疲惫而处于危险之中。有必要采取措施降低职业倦怠和精疲力竭的程度，促进参与，并加强对大学生综合症的调查。

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引用次数: 0

Encefalitis autoinmune contra receptores NMDA con manifestaciones neuropsiquiátricas en el adulto. Reporte de caso y revisión de la literatura 成人神经精神表现的NMDA受体自身免疫性脑炎。病例报告和文献回顾

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.11.005

Background

Anti-NMDA encephalitis is an autoimmune disease characterized by autoantibodies against NMDA receptors, confused with a primary psychiatric condition. There is a broad spectrum of neuropsychiatric symptoms, including refractory psychosis, impaired consciousness, and catatonia. Signs of autonomic instability, abnormal movements, seizures, and coma have also been associated. Patients may improve with immunotherapy and, if necessary, tumor removal.

Objective

To present the case of a 24-year-old woman with a diagnosis of anti-NMDA encephalitis without evidence of a tumor and with predominant psychiatric symptoms.

Methods

Case report and literature review.

Results

A brief review of the disorder is made with some data on its epidemiology, pathophysiology, therapeutic implications, and complex clinical expressions from the neuropsychiatric perspective, such as catatonic syndrome.

Conclusion

This case report exemplifies a clinical situation increasingly recognized in primary psychiatric practice and the general hospital; atypical psychiatric progression and catatonic symptoms indicated the possible presence of anti-NMDA encephalitis. Maintaining clinical suspicion of anti-NMDA encephalitis is considered essential, even when there is no evidence of tumor. Psychiatrists must be familiar with this entity to promote timely diagnosis and treatment.

背景抗 NMDA 脑炎是一种自身免疫性疾病，其特征是针对 NMDA 受体的自身抗体与原发性精神疾病相混淆。该病具有广泛的神经精神症状，包括难治性精神病、意识障碍和紧张症。此外，还伴有自主神经不稳定、异常运动、癫痫发作和昏迷等症状。患者可通过免疫治疗改善病情，必要时还可进行肿瘤切除。目的介绍一例 24 岁女性抗 NMDA 脑炎病例，诊断为抗 NMDA 脑炎，无肿瘤证据，以精神症状为主。结果简要回顾了该疾病的流行病学、病理生理学、治疗意义以及神经精神病学角度的复杂临床表现（如紧张综合征）。即使在没有肿瘤证据的情况下，临床怀疑抗 NMDA 脑炎也是至关重要的。精神科医生必须熟悉这种疾病，以促进及时诊断和治疗。

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引用次数: 0

Language Disorders Among Non-Disabled Children After Perinatal Asphyxia: A Cross Sectional Descriptive Study Using Neurolinguistic Approach 围产期窒息后非残疾儿童的语言障碍:一项使用神经语言学方法的横断面描述性研究

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2023.01.003

Neonatal hypoxic-ischemic encephalopathy after perinatal asphyxia causes neurolinguistic disturbances in children without disabilities. Poor academic performance appears as a long-term result. Language intervention is sought to reduce harmful effects on children. The aim of this study is showing the relationship between clinical conditions of hypoxic-ischemic-encephalopathy (HIE) and language disorders in children without disabilities. This cross-sectional study with a neurolinguistic approach was carried out in patients with perinatal asphyxia during childbirth, at the ZH Sikder Women's Medical College Hospital, Bangladesh. Respondents between 4 and 12 years, 76% underwent cranial computed tomography (CT); 82% underwent magnetic resonance imaging (MRI); and 70% underwent electroencephalogram (EEG). Among them were found positive results for neonatal hypoxia ischemic encephalopathy (EHI). These results are related to the following language disorders: reception/perception disorder (64%), sociolinguistic disorders (84%); metalinguistic competence disorder (66%); 86% of children had poor peer relationships and 72% had reading and writing disorders. Concluding, school-age children after perinatal asphyxia who developed Hypoxic-Ischemic Encephalopathy (HIE) had language disorders and poor school performance. There are still challenges to be overcome, as this is the first neurolinguistic approach in Bangladesh. More large-scale studies are needed.

围产期窒息后新生儿缺氧缺血性脑病会导致无残疾儿童出现神经语言障碍。学习成绩差是长期的结果。人们试图通过语言干预来减少对儿童的有害影响。本研究旨在显示缺氧缺血性脑病（HIE）的临床症状与非残疾儿童语言障碍之间的关系。这项采用神经语言学方法的横断面研究是在孟加拉国 ZH Sikder 女子医学院附属医院对围产期窒息患者进行的。4 至 12 岁的受访者中，76% 接受了头颅计算机断层扫描（CT）；82% 接受了磁共振成像（MRI）；70% 接受了脑电图（EEG）。其中，新生儿缺氧缺血性脑病（EHI）检查结果呈阳性。这些结果与以下语言障碍有关：接收/感知障碍（64%）、社会语言障碍（84%）、金属语言能力障碍（66%）；86%的儿童同伴关系不良，72%的儿童有阅读和写作障碍。总之，围产期窒息后发生缺氧缺血性脑病（HIE）的学龄儿童存在语言障碍，学习成绩较差。由于这是孟加拉国首次采用神经语言学方法，因此仍有许多挑战需要克服。需要进行更大规模的研究。

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引用次数: 0

Issues Faced by General Practitioners in Managing Mental Health Disorders in Basic Health Units: a Cross-Sectional Study 基层卫生单位全科医生在管理心理健康障碍方面面临的问题：一项横断面研究

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.04.009

Objectives

This study aimed to investigate the main issues faced by general practitioners when managing mental health disorders in the primary care setting and evaluate their interest in continued medical training on mental health.

Methods

We carried out a cross-sectional survey which included general practitioners (n=94) working in primary care in São Bernardo do Campo, SP, Brazil.

Results

Participants reported challenging issues to be as follows: psychiatric emergency (44.7%), alcohol and drug use disorders (35.1%), psychopharmacology (29.9%), and suicide risk assessment (27.6%). About a third of the sample reported a lack of knowledge on criteria regarding referral to psychiatric services. Almost the entire sample reported the need for better interaction between general practitioners and psychiatrists and interest in continued medical training.

Conclusions

Our findings support the evidence that a network between general practitioners and psychiatrists is needed as well as the improvement of continued medical training on mental health.

本研究旨在调查全科医生在基层医疗机构处理精神疾病时面临的主要问题，并评估他们对精神健康继续医学培训的兴趣。方法我们进行了一项横断面调查，调查对象包括在巴西南太平洋圣贝尔纳多-杜坎波（São Bernardo do Campo）基层医疗机构工作的全科医生（n=94）。结果参与调查者报告的具有挑战性的问题如下：精神科急诊（44.7%）、酒精和药物使用障碍（35.1%）、精神药理学（29.9%）和自杀风险评估（27.6%）。约有三分之一的样本表示对精神科服务的转介标准缺乏了解。几乎所有样本都表示需要加强全科医生与精神科医生之间的互动，并对继续医学培训感兴趣。

{"title":"Issues Faced by General Practitioners in Managing Mental Health Disorders in Basic Health Units: a Cross-Sectional Study","authors":"","doi":"10.1016/j.rcp.2022.04.009","DOIUrl":"10.1016/j.rcp.2022.04.009","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the main issues faced by general practitioners when managing mental health disorders in the primary care setting and evaluate their interest in continued medical training on mental health.</div></div><div><h3>Methods</h3><div>We carried out a cross-sectional survey which included general practitioners (n=94) working in primary care in São Bernardo do Campo, SP, Brazil.</div></div><div><h3>Results</h3><div>Participants reported challenging issues to be as follows: psychiatric emergency (44.7%), alcohol and drug use disorders (35.1%), psychopharmacology (29.9%), and suicide risk assessment (27.6%). About a third of the sample reported a lack of knowledge on criteria regarding referral to psychiatric services. Almost the entire sample reported the need for better interaction between general practitioners and psychiatrists and interest in continued medical training.</div></div><div><h3>Conclusions</h3><div>Our findings support the evidence that a network between general practitioners and psychiatrists is needed as well as the improvement of continued medical training on mental health.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"53 3","pages":"Pages 278-283"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45750889","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

SPECT Cerebral en Pacientes con Síndrome de Cotard: a Propósito de dos Casos 科塔尔综合征患者的脑SPECT:两例综述

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.06.004

Introduction

Cotard's syndrome is a rare finding in psychiatry in which the denial of body parts, corporality and even existence, are the main features. In spite of the large number of reports and case series trying to elucidate the neurobiology of Cotard's syndrome, to date there are few studies with detailed descriptions of a possible neurobiological correlate.

Methods

Report of two cases and non-systematic review of the relevant literature.

Case presentation

The first case, a 24-year-old female patient with symptoms of Cotard's and Capgras syndrome, stated that she was dead, rotting inside her and that her family was supplanted by clones. The second case was a 50-year-old woman who mentioned being dead, not having arteries and veins. In functional neuroimaging studies, hypoperfusion was found in the frontal, parietal-temporal and basal ganglia regions.

Literature review

There is little literature regarding the relationship between Cotard's syndrome and functional neuroimaging studies. As reported in the literature, in our patients we found a decrease in cerebral perfusion at the frontal, parietal and temporal levels.

Conclusions

We found frontal, parieto-temporal and basal ganglia hypoperfusion in our patients with Cotard's syndrome.

导言科塔德综合征是精神病学中的一种罕见病，其主要特征是否认身体部位、肉体甚至存在。尽管有大量报告和系列病例试图阐明科塔德综合征的神经生物学，但迄今为止，很少有研究详细描述其可能的神经生物学相关性。第一个病例是一名 24 岁的女性患者，具有科塔德综合征和卡普拉斯综合征的症状，她说自己死了，在体内腐烂，她的家人被克隆人取代了。第二个病例是一名 50 岁的妇女，她说自己死了，没有动脉和静脉。在功能神经影像学研究中，发现额叶、顶颞叶和基底神经节区域灌注不足。结论我们发现科塔德综合征患者的额叶、顶颞叶和基底节区灌注不足。

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引用次数: 0

Validez y confiabilidad de la Wong-Law Emotional Intelligence Scale (WLEIS) en estudiantes cubanos de Estomatología en tiempos de COVID-19 [COVID-19时代古巴牙科学生黄氏情商量表（WLEIS）的有效性和可靠性]。

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.10.001

Introduction

The pandemic produced by SARS-CoV-2 impacted on educative systems, which justifies the necessity of research about the emotional capacities of the university students to face the challenges that COVID-19 imposes.

Objective

To analyze the evidences of validity and reliability of the Wong-Law Emotional Intelligence Scale (WLEIS) in Cuban dental students.

Materials and methods

Cross-sectional study with instrumental design. The scale was administered through a virtual questionnaire and later distributed by means of social networks to 307 students (81 male and 226 female). A confirmatory factorial analysis was performed and the intern consistency and the relation between the scale and other variables were evaluated.

Results

Through the confirmatory factorial analysis, the model of four correlationated factors was evaluated and an adequate adjust was found, χ²(98) = 303.1, P < .001, CFI = 0.948, TLI = 0.937, RMSEA = 0.083 and SRMR = 0.064. The results of the Omega intern consistency are ω_SEA = 0.84, ω_OEA = 0.77, ω_UOE = 0.83 and ω_UROE = 0.91. With respect to the relation of WLEIS with other variables, we had correlations ranging from 0.22 and 0.51 with general well-being, and inverse correlations ranging from −1 and −0.29 of three of its dimensions with depression, showing evidences of convergent and discriminant validity.

Conclusion

The WLEIS in Cuban dental students in COVID-19 times resulted be valid and reliable.

引言SARS-CoV-2造成的大流行对教育系统产生了影响，因此有必要对大学生的情绪能力进行研究，以应对COVID-19带来的挑战：分析王洛情商量表（WLEIS）在古巴牙科学生中的有效性和可靠性证据：横断面研究，工具设计。该量表通过虚拟问卷调查的方式进行，随后通过社交网络分发给 307 名学生（81 名男生和 226 名女生）。研究进行了确证因子分析，并评估了量表的内部一致性以及量表与其他变量之间的关系：通过确证阶乘分析，对四个相关因子的模型进行了评估，并发现了适当的调整，χ2(98) = 303.1，P SEA = 0.84，ωOEA = 0.77，ωUOE = 0.83，ωUROE = 0.91。关于WLEIS与其他变量的关系，我们发现它与一般幸福感之间存在0.22到0.51的相关性，而它的三个维度与抑郁之间存在-1到-0.29的反相关性，这表明它具有收敛性和鉴别性：COVID-19时代古巴牙科学生的WLEIS结果是有效和可靠的。

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引用次数: 0

Relación entre el consumo de alcohol y el deterioro cognitivo en población adulta mayor de 60 años: una revisión sistemática 60岁以上成年人饮酒与认知障碍的关系：系统回顾

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.08.004

Introduction

Alcohol is the most consumed substance in Western culture and its use is a causal factor in more than 200 diseases and disorders. Our objective was to determine the relationship between alcohol consumption and cognitive impairment in people aged ≥60, and identify which cognitive functions are most affected by prolonged alcohol consumption.

Methods

Search in MEDLINE, PsycInfo, Psicodoc, Cochrane and Web of Science databases. The search was limited to articles published from 2010 to 2020. A total of 8,716 articles were obtained. Those repeated and unrelated to the topic were eliminated, leaving a total of seven articles: five longitudinal studies, covering the relationship between alcohol and cognitive impairment; and two cross-sectional studies, which helped identify which cognitive functions are more affected. This systematic review was carried out in accordance with the criteria of the PRISMA statement.

Results

Most of the studies found conclude that no or excessive alcohol consumption is associated with a higher risk of cognitive impairment, compared to moderate consumption. In addition, excessive and prolonged alcohol consumption can evolve into secondary alcoholic dementia such as Marchiafava-Bignami disease, Wernicke-Korsakoff syndrome or pellagra. In people with alcohol use disorder, the cognitive functions that are most affected are executive functions, visuospatial skills, attention and memory.

导言酒精是西方文化中消费量最大的物质，酒精的使用是 200 多种疾病和失调的致病因素。我们的目的是确定≥60 岁人群饮酒与认知障碍之间的关系，并确定哪些认知功能受长期饮酒的影响最大。搜索仅限于 2010 年至 2020 年发表的文章。共获得 8716 篇文章。其中五篇为纵向研究，涉及酒精与认知障碍之间的关系；两篇为横断面研究，有助于确定哪些认知功能受到的影响更大。本系统综述是根据 PRISMA 声明的标准进行的。结果所发现的大多数研究都得出结论，与适量饮酒相比，不饮酒或过量饮酒与认知障碍的高风险相关。此外，过量和长期饮酒可演变为继发性酒精性痴呆，如 Marchiafava-Bignami 病、Wernicke-Korsakoff 综合征或糙皮病。在酒精使用障碍患者中，受影响最大的认知功能是执行功能、视觉空间技能、注意力和记忆力。

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引用次数: 0

Estructura Interna y Validez del Reading the Mind in the Eyes Test Versión Niños en una Muestra Colombiana de Estudiantes de Secundaria 哥伦比亚中学生阅读《眼中的心》测试版儿童的内部结构和有效性

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.07.002

Introduction and objectives

Social cognition is a broad set of processes related to interpersonal interaction, social adjustment, and a whole array of complex social behaviours. Disturbances in these processes are a key feature of many psychiatric disorders, therefore the adaptation and validation of assessment tools to measure social cognition performance are critical for correct diagnosis and treatment. One popular assessment tool is the Reading the Mind in the Eyes Test (RMET), which is used to measure individual ability regarding social cognition skills. Despite its remarkable popularity, to date there is no record about its psychometric features in Spanish-speaking children. Therefore, the aim of this research was to assess the internal consistency, convergent validity, and factorial structure of the RMET in children.

Methods

Our sample consisted of school students (n = 509; 315 males, and 194 females) from sixth to ninth grade with ages ranging from 10 to 16 years old.

Results

The RMET has acceptable internal consistency, moderate convergent validity, and acceptable adjustment to a unidimensional factorial structure that could be improved by using a shortened version. No significant differences between sex and age groups were found, average performance scores of each test seem to be similar to those from akin cultural backgrounds (Spain or Argentina).

Conclusions

The RMET has acceptable reliability and validity and is therefore a suitable test for differentiating theory of mind skills in typically developing populations. Its psychometric properties should be investigated in clinical samples and other age groups.

引言和目标：社会认知是与人际交往、社会适应以及一系列复杂的社会行为相关的广泛过程。这些过程的紊乱是许多精神疾病的主要特征，因此，调整和验证用于测量社会认知表现的评估工具对于正确诊断和治疗至关重要。其中一种流行的评估工具是 "读心测试"（RMET），用于测量个人的社会认知能力。尽管它非常受欢迎，但迄今为止，还没有关于它在西班牙语儿童中的心理测量特征的记录。因此，本研究的目的是评估 RMET 在儿童中的内部一致性、收敛效度和因子结构。结果 RMET 具有可接受的内部一致性、适度的收敛效度和可接受的单维因子结构调整，可通过使用缩短版加以改进。结论RMET具有可接受的信度和效度，因此适合用于区分典型发育人群的心智理论技能。应在临床样本和其他年龄组中对其心理计量特性进行研究。

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引用次数: 0

Prevalencia y Factores Asociados con las Quejas Cognitivas Subjetivas del Personal Sanitario Latinoamericano Durante la Pandemia de COVID-19 [COVID-19大流行期间拉丁美洲卫生工作者主观认知抱怨的流行程度和相关因素]。

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2024-07-01 DOI: 10.1016/j.rcp.2022.07.008

Background and objectives

An increase in emotional disturbances and complaints about cognitive performance has been observed in Latin American healthcare workers during the SARS-CoV-2 pandemic, which can affect attention capacity and increase the levels of stress and burnout of these professionals. The objective was to analyse subjective cognitive complaints (SCC) and associated factors in health personnel during the COVID-19 pandemic in five Latin American countries.

Methods

Multicentre cross-sectional study, which included 3,738 professionals from Colombia, Chile, Argentina, Ecuador, Bolivia, and Peru. The Generalized Anxiety Disorder Scale (GAD-7) and the Patient Health Questionnaire (PHQ-9) was used to assess depression, and the Mini-Z to assess Burnout. For the SCC, an item on cognitive concerns in attention and memory was used.

Results

The prevalence of cognitive complaints was 69.2%. The factors associated with a higher risk of SCC were the scores in the GAD-7, PHQ and Mini-Z, in addition to being part of the Ecuadorian health personnel.

Conclusions

There is a high prevalence of SCC in health personnel, which is modulated by emotional states and stress.

背景和目的：据观察，在 SARS-CoV-2 大流行期间，拉丁美洲医护人员的情绪障碍和对认知能力的抱怨有所增加，这可能会影响这些专业人员的注意力，增加他们的压力和职业倦怠。研究目的是分析五个拉美国家在 COVID-19 大流行期间医务人员的主观认知抱怨（SCC）和相关因素：多中心横断面研究，包括来自哥伦比亚、智利、阿根廷、厄瓜多尔、玻利维亚和秘鲁的 3738 名专业人员。使用广泛焦虑症量表（GAD-7）和患者健康问卷（PHQ-9）评估抑郁，使用迷你 Z 评估职业倦怠。在 SCC 中，使用了一个关于注意力和记忆力认知问题的项目：结果：认知问题的发生率为 69.2%。患 SCC 风险较高的相关因素是 GAD-7、PHQ 和 Mini-Z 的得分，此外还有厄瓜多尔卫生人员的身份：结论：SCC在医务人员中的发病率很高，受情绪状态和压力的影响。

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引用次数: 0