Pub Date : 2025-10-01DOI: 10.1016/j.rcp.2025.09.001
Daniela Ramirez-Meneses , Mauricio Toyama , Ana L. Vilela-Estrada , Sumiko Flores , Adriana Carbonel , Camila Gianella , Lina Arenas Romero , Stefan Priebe , Francisco Diez-Canseco
Objective
Co-produce recommendations with professionals and users to improve mental health services for young people and adolescents in Lima, Peru.
Methods
We conducted 4 co-production workshops with 30 users and health professionals from 2 primary health care centres and 3 Community Mental Health Centres located in Lima, Peru. Their recommendations were organised into four categories: centres’ resources, health personnel, challenges in care access and continuity, guidelines and health service packages. A final list was compiled by identifying commonalities between suggestions.
Results
The recommendations included guaranteeing users’ privacy during sessions, training the staff to deliver efficient and empathetic care, promoting and disseminating mental health services options, and prioritising treatment adherence. While professionals suggested changes related to the administrative aspects of health facilities, users recommended improvements in the interpersonal treatment received during care.
Conclusion
Engaging both users and professionals allows for the identification of valuable recommendations to improve access to and the quality of mental health services for young people. Future efforts should focus on developing sustainable strategies to address the needs of key stakeholders.
{"title":"Co-producción de recomendaciones para mejorar los servicios de salud mental para jóvenes en Perú: análisis de talleres con profesionales y usuarios","authors":"Daniela Ramirez-Meneses , Mauricio Toyama , Ana L. Vilela-Estrada , Sumiko Flores , Adriana Carbonel , Camila Gianella , Lina Arenas Romero , Stefan Priebe , Francisco Diez-Canseco","doi":"10.1016/j.rcp.2025.09.001","DOIUrl":"10.1016/j.rcp.2025.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>Co-produce recommendations with professionals and users to improve mental health services for young people and adolescents in Lima, Peru.</div></div><div><h3>Methods</h3><div>We conducted 4 co-production workshops with 30 users and health professionals from 2 primary health care centres and 3 Community Mental Health Centres located in Lima, Peru. Their recommendations were organised into four categories: centres’ resources, health personnel, challenges in care access and continuity, guidelines and health service packages. A final list was compiled by identifying commonalities between suggestions.</div></div><div><h3>Results</h3><div>The recommendations included guaranteeing users’ privacy during sessions, training the staff to deliver efficient and empathetic care, promoting and disseminating mental health services options, and prioritising treatment adherence. While professionals suggested changes related to the administrative aspects of health facilities, users recommended improvements in the interpersonal treatment received during care.</div></div><div><h3>Conclusion</h3><div>Engaging both users and professionals allows for the identification of valuable recommendations to improve access to and the quality of mental health services for young people. Future efforts should focus on developing sustainable strategies to address the needs of key stakeholders.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 90-99"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529517","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 : 2025-10-01DOI: 10.1016/j.rcp.2023.11.001
Adalberto Campo-Arias , Carmen Cecilia Caballero-Domínguez , Jorge Mario Ortega-Iglesias
{"title":"Reducción del estigma/discriminación hacia los trastornos mentales en estudiantes universitarios: estudio piloto","authors":"Adalberto Campo-Arias , Carmen Cecilia Caballero-Domínguez , Jorge Mario Ortega-Iglesias","doi":"10.1016/j.rcp.2023.11.001","DOIUrl":"10.1016/j.rcp.2023.11.001","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 712-714"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139016219","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}
Mental fatigue may be an unintended result of restrictions to minimize contagion during the COVID-19 pandemic. Even so, valid and reliable instruments to study the phenomenon are not available in Latin America.
Objective
To analyze the psychometric properties of the new FaCov19 scale that assesses pandemic fatigue in a non-clinical sample.
Methods
Exploratory study with cross-sectional design. The 10-item FaCov19 questionnaire was designed and applied online to 369 Colombian participants. Psychometric analyses were performed to identify the reliability and validity of the instrument.
Results
The reliability of the instrument from McDonald's Omega was ω = 0.83. In the exploratory factor analysis the Kaiser-Meyer-Olkin coefficient (KMO) was 0.84 and Bartlett's test of sphericity χ2 of 1074.57; P = .00. In confirmatory factor analysis, the proposed FaCov19 test model was tested (χ2/gl = 2.79; CFI = 0.94; GFI = 0.95; TLI = 0.92; NFI = 0.91; IFI = 0.94 and RMSEA = 0.07).
Conclusions
The FaCov19 questionnaire presents a three-dimensional structure, good internal consistency and acceptable validity. The study provides empirical and methodological evidence of a new questionnaire to assess mental fatigue due to the FaCov19 pandemic. It is an instrument adaptable to future pandemics, since the phenomenon of mental fatigue is prevalent in these circumstances and could possibly explain the cause of the reduction in self-care measures.
{"title":"Escala de fatiga mental por la pandemia debida a la COVID-19: desarrollo y validación inicial","authors":"Diana Ximena Puerta-Cortés , Bianda Jeni González-Santos","doi":"10.1016/j.rcp.2024.04.005","DOIUrl":"10.1016/j.rcp.2024.04.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Mental fatigue may be an unintended result of restrictions to minimize contagion during the COVID-19 pandemic. Even so, valid and reliable instruments to study the phenomenon are not available in Latin America.</div></div><div><h3>Objective</h3><div>To analyze the psychometric properties of the new FaCov19 scale that assesses pandemic fatigue in a non-clinical sample.</div></div><div><h3>Methods</h3><div>Exploratory study with cross-sectional design. The 10-item FaCov19 questionnaire was designed and applied online to 369 Colombian participants. Psychometric analyses were performed to identify the reliability and validity of the instrument.</div></div><div><h3>Results</h3><div>The reliability of the instrument from McDonald's Omega was ω<!--> <!-->=<!--> <!-->0.83. In the exploratory factor analysis the Kaiser-Meyer-Olkin coefficient (KMO) was 0.84 and Bartlett's test of sphericity χ<sup>2</sup> of 1074.57; <em>P</em> <!-->=<!--> <!-->.00. In confirmatory factor analysis, the proposed FaCov19 test model was tested (χ<sup>2</sup>/gl<!--> <!-->=<!--> <!-->2.79; CFI<!--> <!-->=<!--> <!-->0.94; GFI<!--> <!-->=<!--> <!-->0.95; TLI<!--> <!-->=<!--> <!-->0.92; NFI<!--> <!-->=<!--> <!-->0.91; IFI<!--> <!-->=<!--> <!-->0.94 and RMSEA<!--> <!-->=<!--> <!-->0.07).</div></div><div><h3>Conclusions</h3><div>The FaCov19 questionnaire presents a three-dimensional structure, good internal consistency and acceptable validity. The study provides empirical and methodological evidence of a new questionnaire to assess mental fatigue due to the FaCov19 pandemic. It is an instrument adaptable to future pandemics, since the phenomenon of mental fatigue is prevalent in these circumstances and could possibly explain the cause of the reduction in self-care measures.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 647-654"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665459","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 : 2025-10-01DOI: 10.1016/j.rcp.2025.11.001
{"title":"Old Man in Warnemünde (1907) Edvard Munch","authors":"","doi":"10.1016/j.rcp.2025.11.001","DOIUrl":"10.1016/j.rcp.2025.11.001","url":null,"abstract":"","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Page 533"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665412","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 : 2025-10-01DOI: 10.1016/j.rcp.2023.11.005
Valentina Murrieta-Ruiz , Martin E. Reátegui-Garcia , Abraham De-Los-Rios-Pinto , Jefferson Reategui-Garcia , Raysa M. Benito-Vargas , Brenda Caira-Chuquineyra , Daniel Fernandez-Guzman , Alberto Salazar Granara
Objective
The objective was to evaluate the association between sleep quality and mental health in students at a jungle university in Peru.
Materials and methods
An analytical cross-sectional study was conducted on university students ≥18 years old during September and November 2020. Mental health status was measured with General Health Questionnaire (GHQ-12), and sleep quality with the Pittsburgh Sleep Quality Index (PSQI). The association was assessed using linear regression models, and crude (βc) and adjusted (βa) beta regression coefficients with their respective 95% confidence intervals (95%CI) were estimated.
Results
Two hundred and seventy-nine students were evaluated, 35.1% were 20–21 years old and 56.6% were male. The mean PSQI was 7.9 ± 3.2, and 75.3% presented sleep problems. The mean GHQ-12 was 14.0 ± 6.6, and 57.7% showed suspected psychopathology. The total sleep quality score (βa = 0.36; 95% CI: 0.11–0.61; p = 0.005), as well as, higher component scores, subjective sleep quality (βa = 1.57; 95% CI: 0.28–2.87; p = 0.018), sleep duration (βa = 1.25; 95% CI: 0.35–2.16; p = 0.007), hypnotic medication use (βa = 1.79; 95% CI: 0.43–3.15; p = 0.010), and daytime dysfunction (βa = 1.15; 95% CI: 0.10–2.19; p = 0.032), were associated with worse mental health status score.
Conclusion
After 6 months of initiation of COVID-19 confinement, the frequency of sleep disturbance and mental health were elevated. Sleep quality disturbance was associated with worse mental health status.
目的评估秘鲁一所丛林大学学生的睡眠质量与心理健康之间的关系。材料与方法对2020年9月至11月年龄≥18岁的大学生进行分析性横断面研究。采用一般健康问卷（GHQ-12）测量心理健康状况，采用匹兹堡睡眠质量指数（PSQI）测量睡眠质量。使用线性回归模型评估相关性，并估计粗（βc）和调整(βa) β回归系数及其各自的95%置信区间（95% ci）。结果共评估学生279人，其中20 ~ 21岁占35.1%，男性占56.6%。平均PSQI为7.9±3.2,75.3%存在睡眠问题。GHQ-12平均值（14.0±6.6），疑似精神病理57.7%。总睡眠质量评分（βa = 0.36; 95% CI: 0.11-0.61; p = 0.005），以及较高的成分评分，主观睡眠质量（βa = 1.57; 95% CI: 0.28-2.87; p = 0.018），睡眠持续时间（βa = 1.25; 95% CI: 0.35-2.16; p = 0.007），催眠药物使用（βa = 1.79; 95% CI: 0.43-3.15; p = 0.010），和白天功能障碍（βa = 1.15; 95% CI: 0.10-2.19; p = 0.032），与较差的心理健康状况评分相关。结论新冠肺炎禁闭开始6个月后，睡眠障碍频次和心理健康状况均有所升高。睡眠质量障碍与较差的心理健康状况有关。
{"title":"Sleep Quality and Mental Health in Students at a Jungle University in Peru: A Cross-sectional Study During COVID-19 Pandemic Confinement","authors":"Valentina Murrieta-Ruiz , Martin E. Reátegui-Garcia , Abraham De-Los-Rios-Pinto , Jefferson Reategui-Garcia , Raysa M. Benito-Vargas , Brenda Caira-Chuquineyra , Daniel Fernandez-Guzman , Alberto Salazar Granara","doi":"10.1016/j.rcp.2023.11.005","DOIUrl":"10.1016/j.rcp.2023.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>The objective was to evaluate the association between sleep quality and mental health in students at a jungle university in Peru.</div></div><div><h3>Materials and methods</h3><div><span><span>An analytical cross-sectional study was conducted on university students ≥18 years old during September and November 2020. Mental health status was measured with General Health Questionnaire (GHQ-12), and sleep quality with the </span>Pittsburgh Sleep Quality Index (PSQI). The association was assessed using linear regression models, and crude (</span><em>β</em><sub>c</sub>) and adjusted (<em>β</em><sub>a</sub>) beta regression coefficients with their respective 95% confidence intervals (95%CI) were estimated.</div></div><div><h3>Results</h3><div>Two hundred and seventy-nine students were evaluated, 35.1% were 20–21 years old and 56.6% were male. The mean PSQI was 7.9<!--> <!-->±<!--> <!-->3.2, and 75.3% presented sleep problems. The mean GHQ-12 was 14.0<!--> <!-->±<!--> <!-->6.6, and 57.7% showed suspected psychopathology. The total sleep quality score (<em>β</em><sub>a</sub> <!-->=<!--> <!-->0.36; 95% CI: 0.11–0.61; <em>p</em> <!-->=<!--> <!-->0.005), as well as, higher component scores, subjective sleep quality (<em>β</em><sub>a</sub> <!-->=<!--> <!-->1.57; 95% CI: 0.28–2.87; <em>p</em> <!-->=<!--> <!-->0.018), sleep duration (<em>β</em><sub>a</sub> <!-->=<!--> <!-->1.25; 95% CI: 0.35–2.16; <em>p</em> <!-->=<!--> <!-->0.007), hypnotic medication use (<em>β</em><sub>a</sub> <!-->=<!--> <!-->1.79; 95% CI: 0.43–3.15; <em>p</em> <!-->=<!--> <!-->0.010), and daytime dysfunction (<em>β</em><sub>a</sub> <!-->=<!--> <!-->1.15; 95% CI: 0.10–2.19; <em>p</em> <!-->=<!--> <!-->0.032), were associated with worse mental health status score.</div></div><div><h3>Conclusion</h3><div>After 6 months of initiation of COVID-19 confinement, the frequency of sleep disturbance and mental health were elevated. Sleep quality disturbance was associated with worse mental health status.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 581-590"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139021789","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 : 2025-10-01DOI: 10.1016/j.rcp.2024.04.003
Angélica María Restrepo , Clara Elisa Reyes , Camilo José Yanza , Alejandro Castillo
Introduction
Raising a child with a diverse gender identity implies a challenge for their parents. This research seeks to document beliefs, emotions and attitudes of parentś of children with a diverse gender identity, who have received psychological and/or endocrinological care at the Fundación Valle de Lili clinic, located in the city of Cali, Colombia, with the intention to develop strategies that could be implemented in the therapeutic field.
Methods
Based on semi-structured interviews and a phenomenological analysis of them, the authors identify variables that affect the ways in which parents approach the diverse identity of their children at three levels: microsystemic, mesosystemic, and macrosystemic. Likewise, the text describes the emotional response that is typically given by the parents when facing the diverse identity of their child, as well as the resources and obstacles experienced.
Results
The results show the attitudes described by the parents in this research and their variation according to individual experiences. Emotional responses ranged from sadness, anger, and guilt to emotions of gratification and improved emotional bonding with their child. Regarding behaviours, a shift toward more openness in interacting with transgender and gender diverse people was evident in participants’ descriptions.
Conclusions
The emotional responses of parents are influenced by contextual variables, from which it seeks to provide clinical guidelines to accompany the process of children with diverse identities and their families, in order to prevent or reduce individual and family suffering. discrimination and gender-based violence.
抚养一个具有不同性别认同的孩子对他们的父母来说是一个挑战。本研究旨在记录在哥伦比亚卡利市Fundación Valle de Lili诊所接受心理和/或内分泌治疗的具有不同性别认同的儿童的父母的信念、情感和态度，目的是制定可在治疗领域实施的战略。方法基于半结构化访谈和现象学分析，作者从微观系统、中观系统和宏观系统三个层面确定了影响父母对待孩子多样化身份的变量。同样，本文描述了父母在面对孩子的不同身份时通常给出的情绪反应，以及所经历的资源和障碍。结果调查结果显示了本研究中家长所描述的态度及其随个人经历的变化。情绪反应从悲伤、愤怒、内疚到满足和改善与孩子的情感联系。在行为方面，在参与者的描述中，他们在与跨性别者和性别多样化者的互动中明显向更开放的方向转变。结论父母的情绪反应受到情境变量的影响，旨在为具有不同身份的儿童及其家庭提供临床指导，以防止或减少个人和家庭的痛苦。歧视和性别暴力。
{"title":"Actitudes y respuestas emocionales de los padres frente a la identidad de género diversa de sus Hijxs: Recursos y barreras en su abordaje","authors":"Angélica María Restrepo , Clara Elisa Reyes , Camilo José Yanza , Alejandro Castillo","doi":"10.1016/j.rcp.2024.04.003","DOIUrl":"10.1016/j.rcp.2024.04.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Raising a child with a diverse gender identity implies a challenge for their parents. This research seeks to document beliefs, emotions and attitudes of parentś of children with a diverse gender identity, who have received psychological and/or endocrinological care at the Fundación Valle de Lili clinic, located in the city of Cali, Colombia, with the intention to develop strategies that could be implemented in the therapeutic field.</div></div><div><h3>Methods</h3><div>Based on semi-structured interviews and a phenomenological analysis of them, the authors identify variables that affect the ways in which parents approach the diverse identity of their children at three levels: microsystemic, mesosystemic, and macrosystemic. Likewise, the text describes the emotional response that is typically given by the parents when facing the diverse identity of their child, as well as the resources and obstacles experienced.</div></div><div><h3>Results</h3><div>The results show the attitudes described by the parents in this research and their variation according to individual experiences. Emotional responses ranged from sadness, anger, and guilt to emotions of gratification and improved emotional bonding with their child. Regarding behaviours, a shift toward more openness in interacting with transgender and gender diverse people was evident in participants’ descriptions.</div></div><div><h3>Conclusions</h3><div>The emotional responses of parents are influenced by contextual variables, from which it seeks to provide clinical guidelines to accompany the process of children with diverse identities and their families, in order to prevent or reduce individual and family suffering. discrimination and gender-based violence.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 591-599"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140766","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}
This manuscript reports on the clinical outcomes (response, remission and relapse) in TRD patients in Colombia under Standard-of-Care (SOC), and patient reported outcomes (PROs) – QoL, disability, depression severity – over a 1-year follow-up.
Materials and methods
From a sample of 162 MDD patients from 4 centres in Colombia, 52 had a formal diagnosis of TRD and were included in the 1-year follow-up. Exclusion criteria were patients with psychosis, schizophrenia, bipolar disorder, schizoaffective disorder, dementia, with severe chemical dependence or currently participating in another clinical trial. Clinical outcomes were measured with MADRS and PHQ-9, while PROs included EQ-5D (QoL) and Sheehan Disability Scale (SDS – disability).
Results
Patients’ mean age was 41.88 years, 80.8% of which were female, 37.3% were married or on consensual union and 42.3% had at least 13 years of formal education. Half of the sample achieved clinical response after 1-year of follow-up, while remission was not achieved by 57.9% of the participants (MADRS). Over 60% of the patients had mild to severe depression at the end of study (PHQ-9), while 57.9% reported feeling anxious/depressed (EQ-5D). Over three-quarters of the sample reported disruption in work/school, social life/leisure and family/home responsibilities (SDS).
Conclusions
Present results for Colombia underline the burden of TRD in most aspects of daily living. Current SOC fails to deliver the necessary clinical outcomes and patient centric approach, which suggests the need to improve treatment protocols, while increasing access to specialists, foster earlier diagnosis and the implementation on a nationwide programme for mental health.
{"title":"Treatment-Resistant Depression in Colombia: Results From a Longitudinal Analysis of the TRAL Study","authors":"Lina Maria Agudelo Baena , Rodrigo Cordoba-Rojas , Eugenio Ferro , Gabriela Kanevsky , Sergio Perocco","doi":"10.1016/j.rcp.2023.11.006","DOIUrl":"10.1016/j.rcp.2023.11.006","url":null,"abstract":"<div><h3>Objectives</h3><div>This manuscript reports on the clinical outcomes (response, remission and relapse) in TRD patients in Colombia under Standard-of-Care (SOC), and patient reported outcomes (PROs) – QoL, disability, depression severity – over a 1-year follow-up.</div></div><div><h3>Materials and methods</h3><div>From a sample of 162 MDD patients from 4 centres in Colombia, 52 had a formal diagnosis of TRD and were included in the 1-year follow-up. Exclusion criteria were patients with psychosis, schizophrenia, bipolar disorder, schizoaffective disorder, dementia, with severe chemical dependence or currently participating in another clinical trial. Clinical outcomes were measured with MADRS and PHQ-9, while PROs included EQ-5D (QoL) and Sheehan Disability Scale (SDS – disability).</div></div><div><h3>Results</h3><div>Patients’ mean age was 41.88 years, 80.8% of which were female, 37.3% were married or on consensual union and 42.3% had at least 13 years of formal education. Half of the sample achieved clinical response after 1-year of follow-up, while remission was not achieved by 57.9% of the participants (MADRS). Over 60% of the patients had mild to severe depression at the end of study (PHQ-9), while 57.9% reported feeling anxious/depressed (EQ-5D). Over three-quarters of the sample reported disruption in work/school, social life/leisure and family/home responsibilities (SDS).</div></div><div><h3>Conclusions</h3><div>Present results for Colombia underline the burden of TRD in most aspects of daily living. Current SOC fails to deliver the necessary clinical outcomes and patient centric approach, which suggests the need to improve treatment protocols, while increasing access to specialists, foster earlier diagnosis and the implementation on a nationwide programme for mental health.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 600-609"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139026083","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 : 2025-10-01DOI: 10.1016/j.rcp.2024.05.003
Marco Fierro , Rafael Arias-Duarte , Efrain Noguera , Soraya Aparicio , Ana Hernandez , Jorge Holgin , Esteban Perez
Introduction
In the neurological and psychiatric literature in English, the terms consciousness and awareness are often used. When translating them into Spanish, two different words are not used but one: conciencia. Such linguistic practice has given rise to ambiguities in the description and denomination of some diagnostic criteria.
Method
From conceptualizing consciousness as a set of general capacities of growing complexity to dynamically interact with the environment and with oneself, one of those capacities is described: the basic connection with the environment.
Results
When the basic connection with the environment is altered, the subject has significant difficulties to understand the elementary general context of what is happening in the immediate environment, which manifests itself in all observable behavior. This alteration is one of the main signs/symptoms of the delirium and serves to establish differences between focal onset seizures.
Conclusions
The disturbance in basic connection with the environment is clinically characterized and it is proposed to adopt the name alteración de la conexión básica con el entorno (ACOBE) in Spanish for the sign/symptom that in English is called impaired awareness, disturbance in awareness, alteration of awareness or reduced awareness of the environment.
在英语神经病学和精神病学文献中，经常使用“意识”和“意识”这两个术语。当把它们翻译成西班牙语时，用的不是两个不同的词，而是一个词：conciencia。这种语言实践造成了对某些诊断标准的描述和命名上的歧义。方法从将意识定义为一组日益复杂的与环境和自身动态互动的一般能力的概念出发，描述了其中一种能力：与环境的基本联系。结果：当与环境的基本联系被改变时，受试者很难理解在直接环境中发生的事情的基本一般背景，这体现在所有可观察到的行为中。这种改变是谵妄的主要体征/症状之一，可用于确定局灶性发作与癫痫发作的区别。结论与环境有基本联系的障碍具有临床特征，建议将英语中称为意识受损、意识障碍、意识改变或环境意识降低的体征/症状用西班牙语命名为alteración de la conexión básica con el entorno （ACOBE）。
{"title":"Problemas conceptuales y de traducción en psiquiatría y neurología con el uso de las palabras «consciousness» y «awareness» en español","authors":"Marco Fierro , Rafael Arias-Duarte , Efrain Noguera , Soraya Aparicio , Ana Hernandez , Jorge Holgin , Esteban Perez","doi":"10.1016/j.rcp.2024.05.003","DOIUrl":"10.1016/j.rcp.2024.05.003","url":null,"abstract":"<div><h3>Introduction</h3><div>In the neurological and psychiatric literature in English, the terms <em>consciousness</em> and <em>awareness</em> are often used. When translating them into Spanish, two different words are not used but one: <em>conciencia</em>. Such linguistic practice has given rise to ambiguities in the description and denomination of some diagnostic criteria.</div></div><div><h3>Method</h3><div>From conceptualizing consciousness as a set of general capacities of growing complexity to dynamically interact with the environment and with oneself, one of those capacities is described: the basic connection with the environment.</div></div><div><h3>Results</h3><div>When the basic connection with the environment is altered, the subject has significant difficulties to understand the elementary general context of what is happening in the immediate environment, which manifests itself in all observable behavior. This alteration is one of the main signs/symptoms of the <em>delirium</em> and serves to establish differences between focal onset seizures.</div></div><div><h3>Conclusions</h3><div>The disturbance in basic connection with the environment is clinically characterized and it is proposed to adopt the name <em>alteración de la conexión básica con el entorno</em> (ACOBE) in Spanish for the sign/symptom that in English is called impaired awareness, disturbance in awareness, alteration of awareness or reduced awareness of the environment.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 705-711"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665527","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 : 2025-10-01DOI: 10.1016/j.rcp.2025.08.003
Fernando Esnal , Luis Ignacio Brusco , Natividad Olivar , Francisco Diez-Canseco , Mauricio Toyama , Ana L. Vilela-Estrada , Carlos Gómez-Restrepo , José Miguel Uribe Restrepo , Natalia Godoy-Casasbuenas , Catherine Fung , Diliniya Stanislaus Sureshkumar , Stefan Priebe
Background
The mental health of youth living in disadvantaged areas poses a public health challenge. Previous studies have focused on cross-sectional associations between coping strategies and symptoms of anxiety and depression, with limited exploration of longitudinal relationships.
Objective
To examine the association between changes in coping strategies and variations in anxiety and depression symptoms over time in adolescents and young adults residing in urban neighborhoods of South American cities, exploring whether an increase in coping strategies is associated with symptom reduction.
Methodology
Participants included 1,437 youth aged 15-16 and 20-24 years from Bogotá, Buenos Aires, and Lima, exhibiting symptoms of anxiety and/or depression. They were followed up at 12 and 24 months. Longitudinal covariance analysis was conducted to examine whether changes in coping strategies were associated with changes in symptoms.
Results
Increased use of strategies such as cognitive restructuring, problem-focused coping, and seeking support was associated with greater reduction in symptoms of anxiety and depression.
Conclusion
The findings underscore the importance of promoting coping strategies to reduce symptoms over time despite changes in the strategies utilized.
{"title":"Estrategias de afrontamiento y síntomas de depresión y ansiedad entre jóvenes de áreas urbanas desfavorecidas en Sudamérica: un estudio longitudinal en Bogotá, Buenos Aires y Lima","authors":"Fernando Esnal , Luis Ignacio Brusco , Natividad Olivar , Francisco Diez-Canseco , Mauricio Toyama , Ana L. Vilela-Estrada , Carlos Gómez-Restrepo , José Miguel Uribe Restrepo , Natalia Godoy-Casasbuenas , Catherine Fung , Diliniya Stanislaus Sureshkumar , Stefan Priebe","doi":"10.1016/j.rcp.2025.08.003","DOIUrl":"10.1016/j.rcp.2025.08.003","url":null,"abstract":"<div><h3>Background</h3><div>The mental health of youth living in disadvantaged areas poses a public health challenge. Previous studies have focused on cross-sectional associations between coping strategies and symptoms of anxiety and depression, with limited exploration of longitudinal relationships.</div></div><div><h3>Objective</h3><div>To examine the association between changes in coping strategies and variations in anxiety and depression symptoms over time in adolescents and young adults residing in urban neighborhoods of South American cities, exploring whether an increase in coping strategies is associated with symptom reduction.</div></div><div><h3>Methodology</h3><div>Participants included 1,437 youth aged 15-16 and 20-24 years from Bogotá, Buenos Aires, and Lima, exhibiting symptoms of anxiety and/or depression. They were followed up at 12 and 24 months. Longitudinal covariance analysis was conducted to examine whether changes in coping strategies were associated with changes in symptoms.</div></div><div><h3>Results</h3><div>Increased use of strategies such as cognitive restructuring, problem-focused coping, and seeking support was associated with greater reduction in symptoms of anxiety and depression.</div></div><div><h3>Conclusion</h3><div>The findings underscore the importance of promoting coping strategies to reduce symptoms over time despite changes in the strategies utilized.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 25-32"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529450","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 : 2025-10-01DOI: 10.1016/j.rcp.2025.06.001
Ángela Flórez-Varela , Carlos Gomez-Restrepo , Luis Ignacio Brusco , Francisco Diez-Canseco , Nicola Holt , Karen Ariza-Salazar , Natividad Olivar , Mauricio Toyama , Catherine Fung , Fernando Luis Carbonetti , Ana L. Vilela-Estrada , Stefan Priebe
Objective
To identify the association between household chores and the mood of adolescents and young adults in three Latin American cities.
Methods
This observational study is part of an Experience Sampling Study conducted under the research program «Promoting Resilience and the Development of Resources to Overcome Depression and Anxiety in Urban Youth in Latin America». The study was carried out in Buenos Aires, Bogotá, and Lima. Participants completed questionnaires that assessed their mood (calmness-nervousness and happiness-sadness) and the activities they engaged in at random times throughout the day for seven consecutive days, using a mobile application. A multilevel analysis was performed to determine whether mood differed by gender and age, both before, during, and after performing household chores.
Results
Participants reported feeling significantly calmer while engaged in household chores, and this effect appeared to persist over time. However, there was an increase in reported sadness during these chores compared to previous assessments. While mood varied based on age group and gender during household tasks, no significant differences were found.
Conclusions
The performance of household chores has an inverse impact on mood, affecting happiness-sadness and calmness-nervousness among adolescents and young adults in Latin American cities. Further research is needed to understand the medium- and long-term effects of these activities on mood.
{"title":"Asociación de las tareas domésticas con el estado de ánimo de adolescentes y adultos jóvenes de contextos urbanos de América Latina. Hallazgos de un estudio de muestreo de la experiencia","authors":"Ángela Flórez-Varela , Carlos Gomez-Restrepo , Luis Ignacio Brusco , Francisco Diez-Canseco , Nicola Holt , Karen Ariza-Salazar , Natividad Olivar , Mauricio Toyama , Catherine Fung , Fernando Luis Carbonetti , Ana L. Vilela-Estrada , Stefan Priebe","doi":"10.1016/j.rcp.2025.06.001","DOIUrl":"10.1016/j.rcp.2025.06.001","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the association between household chores and the mood of adolescents and young adults in three Latin American cities.</div></div><div><h3>Methods</h3><div>This observational study is part of an Experience Sampling Study conducted under the research program «Promoting Resilience and the Development of Resources to Overcome Depression and Anxiety in Urban Youth in Latin America». The study was carried out in Buenos Aires, Bogotá, and Lima. Participants completed questionnaires that assessed their mood (calmness-nervousness and happiness-sadness) and the activities they engaged in at random times throughout the day for seven consecutive days, using a mobile application. A multilevel analysis was performed to determine whether mood differed by gender and age, both before, during, and after performing household chores.</div></div><div><h3>Results</h3><div>Participants reported feeling significantly calmer while engaged in household chores, and this effect appeared to persist over time. However, there was an increase in reported sadness during these chores compared to previous assessments. While mood varied based on age group and gender during household tasks, no significant differences were found.</div></div><div><h3>Conclusions</h3><div>The performance of household chores has an inverse impact on mood, affecting happiness-sadness and calmness-nervousness among adolescents and young adults in Latin American cities. Further research is needed to understand the medium- and long-term effects of these activities on mood.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 62-69"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529461","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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