Pub Date : 2025-10-01Epub Date: 2025-09-13DOI: 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}
Pub Date : 2025-10-01Epub Date: 2025-09-16DOI: 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 : 2025-10-01Epub Date: 2025-09-20DOI: 10.1016/j.rcp.2025.08.004
Sofía Madero , Luis Ignacio Brusco , Francisco Diez-Canseco , Carlos Gomez-Restrepo , Natividad Olivar , Pablo Ezequiel Flores-Kanter , Karen Ariza-Salazar , José Miguel Uribe-Restrepo , Sumiko Flores , Ana L. Vilela-Estrada , Diliniya Stanislaus Sureshkumar , Catherine Fung , Stefan Priebe
Objectives
The aim of this study is to explore the association between participation in sports activities over a two-year follow-up period and recovery in young people from disadvantaged urban areas of Bogotá, Lima, and Buenos Aires who present symptoms of anxiety or depression.
Methods
A longitudinal study was conducted, including adolescents (15-16 years old) and young adults (20-24 years old) with symptoms of anxiety and/or depression at baseline. Symptoms were assessed using the Patient Health Questionnaire-8 (PHQ-8) and the Generalised Anxiety Disorder-7 (GAD-7) scale, while participation in sports activities during the past month was recorded through a questionnaire. Descriptive and correlational analyses were conducted to evaluate the association between engaging in sports activities and changes in anxiety and/or depression scores at 12- and 24-month follow-ups
Results
A total of 1,434 participants answered all questions regarding symptoms and sports activities. Sports participation was significantly, but weakly associated with lower depression scores, but not anxiety scores. When participants who initially did not do any sports took up such activities, this was not associated with clinically relevant benefits in symptom reduction.
Conclusions
The study shows a limited potential of sports as a tool to reduce depression in both genders. However, it does not provide evidence for a clinically relevant benefit of taking up sports in young people with anxiety and/or depression.
{"title":"Asociación entre práctica deportiva y síntomas de ansiedad y depresión en jóvenes: estudio longitudinal en áreas urbanas desfavorecidas de América Latina","authors":"Sofía Madero , Luis Ignacio Brusco , Francisco Diez-Canseco , Carlos Gomez-Restrepo , Natividad Olivar , Pablo Ezequiel Flores-Kanter , Karen Ariza-Salazar , José Miguel Uribe-Restrepo , Sumiko Flores , Ana L. Vilela-Estrada , Diliniya Stanislaus Sureshkumar , Catherine Fung , Stefan Priebe","doi":"10.1016/j.rcp.2025.08.004","DOIUrl":"10.1016/j.rcp.2025.08.004","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study is to explore the association between participation in sports activities over a two-year follow-up period and recovery in young people from disadvantaged urban areas of Bogotá, Lima, and Buenos Aires who present symptoms of anxiety or depression.</div></div><div><h3>Methods</h3><div>A longitudinal study was conducted, including adolescents (15-16 years old) and young adults (20-24 years old) with symptoms of anxiety and/or depression at baseline. Symptoms were assessed using the Patient Health Questionnaire-8 (PHQ-8) and the Generalised Anxiety Disorder-7 (GAD-7) scale, while participation in sports activities during the past month was recorded through a questionnaire. Descriptive and correlational analyses were conducted to evaluate the association between engaging in sports activities and changes in anxiety and/or depression scores at 12- and 24-month follow-ups</div></div><div><h3>Results</h3><div>A total of 1,434 participants answered all questions regarding symptoms and sports activities. Sports participation was significantly, but weakly associated with lower depression scores, but not anxiety scores. When participants who initially did not do any sports took up such activities, this was not associated with clinically relevant benefits in symptom reduction.</div></div><div><h3>Conclusions</h3><div>The study shows a limited potential of sports as a tool to reduce depression in both genders. However, it does not provide evidence for a clinically relevant benefit of taking up sports in young people with anxiety and/or depression.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 ","pages":"Pages 82-89"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145529519","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 : 2025-10-01Epub Date: 2024-09-06DOI: 10.1016/j.rcp.2024.08.002
Mercè Salvador-Robert , Enrique Baca-García
Introduction and objective
People with mental disorders are at higher risk of developing organic pathologies than the general population. It is estimated that 25% of the adult population suffers from a mental disorder and 68% of them suffer from a comorbid disease. The aim of this work is to estimate the relationship between severe somatic comorbidity and mental disorders.
Methods
Between 2012 and 2018 we studied the somatic comorbidity of patients admitted to the Hospital [University Hospital of Mostoles] with a diagnosis of mental disorder ICD-10 using the Charlson-Quan index.
Results
5073 patients had a diagnosis of mental disorder. Of these, 1490 (29.4%) had a somatic disease of known impact and prognostic significance (Charlson-Quan index equal to or greater than 1), different among the groups of mental disorders (organic mental disorder 78.3%, substance use disorder 38.9%, schizophrenia spectrum disorders “non-schizophrenia psychosis” 21.9%, common mental disorder “anxiety-depression” 19.7% and schizophrenia 19.0%). The distribution by sex and age of psychiatric diagnoses was not homogeneous. In schizophrenia, the majority were male (64.5%), while in the rest of the diagnostic categories, women predominated. Organic mental disorders had a higher proportion of people over 65 years of age (77.9%), compared to the rest of the categories, which were mostly between 35 and 65 years of age. The most frequent somatic diseases in the sample are: chronic lung disease (14%), diabetes with chronic complications (11.3%), hemiplejía/paraplejía (11.3%), any malignancy (7.5%) and mild liver disease (5.7%).
The occurrence of somatic comorbidity throughout the life cycle is different in the mental disorder groups, with 4 patterns observed. Substance use disorders have the earliest onset of severe somatic comorbidity. Schizophrenia and schizophrenia spectrum disorders “non-schizophrenia psychosis” have an intermediate onset and a very sharp increase in morbidity rate. Common mental disorders initiate severe comorbidity later and more progressively. Organic mental disorders are those with the latest onset of morbidity, above 60 years of age, and rapidly become more complicated.
Conclusions
This study provides an estimate of the prevalence and characteristics of somatic illness in hospitalized patients with mental illness in a general hospital. Mental illness is associated with a substantial burden of physical comorbidities that appear at different evolutionary moments according to the diagnostic group of mental illness.
{"title":"Carga de comorbilidad en pacientes adultos con trastorno psiquiátrico ingresados en un hospital general 2012-2018","authors":"Mercè Salvador-Robert , Enrique Baca-García","doi":"10.1016/j.rcp.2024.08.002","DOIUrl":"10.1016/j.rcp.2024.08.002","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>People with mental disorders are at higher risk of developing organic pathologies than the general population. It is estimated that 25% of the adult population suffers from a mental disorder and 68% of them suffer from a comorbid disease. The aim of this work is to estimate the relationship between severe somatic comorbidity and mental disorders.</div></div><div><h3>Methods</h3><div>Between 2012 and 2018 we studied the somatic comorbidity of patients admitted to the Hospital [University Hospital of Mostoles] with a diagnosis of mental disorder ICD-10 using the Charlson-Quan index.</div></div><div><h3>Results</h3><div>5073 patients had a diagnosis of mental disorder. Of these, 1490 (29.4%) had a somatic disease of known impact and prognostic significance (Charlson-Quan index equal to or greater than 1), different among the groups of mental disorders (organic mental disorder 78.3%, substance use disorder 38.9%, schizophrenia spectrum disorders “non-schizophrenia psychosis” 21.9%, common mental disorder “anxiety-depression” 19.7% and schizophrenia 19.0%). The distribution by sex and age of psychiatric diagnoses was not homogeneous. In schizophrenia, the majority were male (64.5%), while in the rest of the diagnostic categories, women predominated. Organic mental disorders had a higher proportion of people over 65 years of age (77.9%), compared to the rest of the categories, which were mostly between 35 and 65 years of age. The most frequent somatic diseases in the sample are: chronic lung disease (14%), diabetes with chronic complications (11.3%), hemiplejía/paraplejía (11.3%), any malignancy (7.5%) and mild liver disease (5.7%).</div><div>The occurrence of somatic comorbidity throughout the life cycle is different in the mental disorder groups, with 4 patterns observed. Substance use disorders have the earliest onset of severe somatic comorbidity. Schizophrenia and schizophrenia spectrum disorders “non-schizophrenia psychosis” have an intermediate onset and a very sharp increase in morbidity rate. Common mental disorders initiate severe comorbidity later and more progressively. Organic mental disorders are those with the latest onset of morbidity, above 60 years of age, and rapidly become more complicated.</div></div><div><h3>Conclusions</h3><div>This study provides an estimate of the prevalence and characteristics of somatic illness in hospitalized patients with mental illness in a general hospital. Mental illness is associated with a substantial burden of physical comorbidities that appear at different evolutionary moments according to the diagnostic group of mental illness.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 655-664"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665524","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 : 2025-10-01Epub Date: 2024-05-29DOI: 10.1016/j.rcp.2024.04.013
Sandra Brigitte Amado Garzón , Andrés Mauricio Martínez Suárez , María Susana Redondo García , Natalia Caicedo Sarria , Andrea Vanessa Plaza Pérez , Paola Andrea García Martínez
Case Description
A 68-year-old man with subacute symptoms of irritability, abulia, anhedonia, apathy, anorexia, and weight loss.
Clinical Findings
He had erythematous-violaceous plaques on the face, trunk and arms; poikiloderma in lower limbs, livedo reticularis, clubbing and melanomichia. On mental examination he presented apathetic and indifferent with a flat affect.
Pancytopenia and intrahepatic cholestasis were documented. Infectious, nutritional and infiltrative causes were ruled out, as well as malignancy or structural alterations in the liver or central nervous system that could explain the symptoms.
Treatment and Outcome
Autoimmunity studies together with skin biopsy led to the diagnosis of systemic lupus erythematosus (SLE). Given the initial suspicion of confusional syndrome versus depression with psychotic symptoms, he received sequential management with multiple antipsychotics; the start of the systemic steroid led to resolution of symptoms.
Clinical Relevance
SLE mainly affects young women; in older adults it is uncommon and underlying malignancy must always be ruled out. Neuropsychiatric manifestations are atypical in this group, with cognitive impairment and behavioral disorders observed in 1-5% of cases. (1) It is important to consider it as a differential diagnosis in patients with symptoms refractory to conventional management, giving that there may be improvement with immunomodulatory treatment.
{"title":"Síntomas neuropsiquiátricos como primera manifestación de lupus eritematoso sistémico en un adulto mayor: reporte de caso","authors":"Sandra Brigitte Amado Garzón , Andrés Mauricio Martínez Suárez , María Susana Redondo García , Natalia Caicedo Sarria , Andrea Vanessa Plaza Pérez , Paola Andrea García Martínez","doi":"10.1016/j.rcp.2024.04.013","DOIUrl":"10.1016/j.rcp.2024.04.013","url":null,"abstract":"<div><h3>Case Description</h3><div>A 68-year-old man with subacute symptoms of irritability, abulia, anhedonia, apathy, anorexia, and weight loss.</div></div><div><h3>Clinical Findings</h3><div>He had erythematous-violaceous plaques on the face, trunk and arms; poikiloderma in lower limbs, livedo reticularis, clubbing and melanomichia. On mental examination he presented apathetic and indifferent with a flat affect.</div><div>Pancytopenia and intrahepatic cholestasis were documented. Infectious, nutritional and infiltrative causes were ruled out, as well as malignancy or structural alterations in the liver or central nervous system that could explain the symptoms.</div></div><div><h3>Treatment and Outcome</h3><div>Autoimmunity studies together with skin biopsy led to the diagnosis of systemic lupus erythematosus (SLE). Given the initial suspicion of confusional syndrome versus depression with psychotic symptoms, he received sequential management with multiple antipsychotics; the start of the systemic steroid led to resolution of symptoms.</div></div><div><h3>Clinical Relevance</h3><div>SLE mainly affects young women; in older adults it is uncommon and underlying malignancy must always be ruled out. Neuropsychiatric manifestations are atypical in this group, with cognitive impairment and behavioral disorders observed in 1-5% of cases. (1) It is important to consider it as a differential diagnosis in patients with symptoms refractory to conventional management, giving that there may be improvement with immunomodulatory treatment.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 700-704"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665526","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 : 2025-10-01Epub Date: 2023-12-22DOI: 10.1016/j.rcp.2023.11.007
Edwin Herazo , John Carlos Pedrozo-Pupo , Adalberto Campo-Arias
Background
Symptoms of post-traumatic stress are common in people who have experienced a life experience that significantly threatened their physical or psychological integrity. Nevertheless, little information about post-traumatic stress disorder risk (PSTD-R) in Colombian COVID-19 survivors is available.
Objective
To establish the prevalence and variables associated with PTSD-R in a sample of COVID-19 survivors in Santa Marta, Colombia.
Method
A cross-sectional study was designed with a non-probabilistic sample of adult COVID-19 survivors. Participants were demographically characterized and completed scales for depression risk, insomnia risk, and PTSD-R.
Results
Three hundred and thirty COVID-19 survivors between 18 and 89 years participated; 61.5% were women. The frequency of depression risk was 49.7%; insomnia risk, 60.6%; and PTSD-R, 13.3%. Depression risk (OR = 41.4, 95% CI 5.5–311.6), insomnia risk (OR = 5.3, 95% CI 1.8–18.7), low income (OR = 3.5, 95% CI 1.4–8.7) and being married or free union (OR = 2.7, 95% CI 1.1–6.2) were associated with PTSD-R.
Conclusions
Two out of every fifteen COVID-19 survivors are in PTSD-R. Depression and insomnia risk are strongly associated with PTSD-R among Colombian COVID-19 survivors. Studies that follow COVID-19 survivors long-term are needed.
背景：创伤后应激症状在经历过严重威胁其身体或心理完整性的生活经历的人群中很常见。然而，关于哥伦比亚COVID-19幸存者的创伤后应激障碍风险（PSTD-R）的信息很少。目的了解哥伦比亚圣玛尔塔市新冠肺炎幸存者PTSD-R患病率及相关变量。方法采用成年COVID-19幸存者的非概率样本设计横断面研究。参与者进行了人口学特征分析，并完成了抑郁风险、失眠风险和PTSD-R的量表。结果共有330名年龄在18 - 89岁的COVID-19幸存者参与研究；61.5%是女性。出现抑郁风险的频率为49.7%；失眠风险，60.6%；PTSD-R占13.3%。抑郁风险（OR = 41.4, 95% CI 5.5-311.6）、失眠风险（OR = 5.3, 95% CI 1.8-18.7）、低收入风险（OR = 3.5, 95% CI 1.4-8.7）、已婚或自由结合（OR = 2.7, 95% CI 1.1-6.2）与PTSD-R相关。结论每15名COVID-19幸存者中就有2名患有PTSD-R。在哥伦比亚COVID-19幸存者中，抑郁和失眠风险与创伤后应激障碍密切相关。需要对COVID-19幸存者进行长期跟踪研究。
{"title":"Post-Traumatic Stress Risk Among COVID-19 Survivors in Colombia","authors":"Edwin Herazo , John Carlos Pedrozo-Pupo , Adalberto Campo-Arias","doi":"10.1016/j.rcp.2023.11.007","DOIUrl":"10.1016/j.rcp.2023.11.007","url":null,"abstract":"<div><h3>Background</h3><div>Symptoms of post-traumatic stress are common in people who have experienced a life experience that significantly threatened their physical or psychological integrity. Nevertheless, little information about post-traumatic stress disorder risk (PSTD-R) in Colombian COVID-19 survivors is available.</div></div><div><h3>Objective</h3><div>To establish the prevalence and variables associated with PTSD-R in a sample of COVID-19 survivors in Santa Marta, Colombia.</div></div><div><h3>Method</h3><div>A cross-sectional study was designed with a non-probabilistic sample of adult COVID-19 survivors. Participants were demographically characterized and completed scales for depression risk, insomnia risk, and PTSD-R.</div></div><div><h3>Results</h3><div>Three hundred and thirty COVID-19 survivors between 18 and 89 years participated; 61.5% were women. The frequency of depression risk was 49.7%; insomnia risk, 60.6%; and PTSD-R, 13.3%. Depression risk (OR<!--> <!-->=<!--> <!-->41.4, 95% CI 5.5–311.6), insomnia risk (OR<!--> <!-->=<!--> <!-->5.3, 95% CI 1.8–18.7), low income (OR<!--> <!-->=<!--> <!-->3.5, 95% CI 1.4–8.7) and being married or free union (OR<!--> <!-->=<!--> <!-->2.7, 95% CI 1.1–6.2) were associated with PTSD-R.</div></div><div><h3>Conclusions</h3><div>Two out of every fifteen COVID-19 survivors are in PTSD-R. Depression and insomnia risk are strongly associated with PTSD-R among Colombian COVID-19 survivors. Studies that follow COVID-19 survivors long-term are needed.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 640-646"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665458","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 : 2025-10-01Epub Date: 2024-02-27DOI: 10.1016/j.rcp.2023.12.006
Daniela Assis Fierro , Laura Restrepo-Escudero , María José Correa-Méndez , Mariana Vásquez-Ponce , Giancarlo Zuliani-Escalante , Lina María González Ballesteros
Introduction
Boyacá was chosen for the pilot implementation of the National Mental Health Policy (NMHP). The aim of this study was to reconstruct the process of territorial enlistment for the adoption and adaptation of the NMHP during the 2019-2020 period in Boyacá and to describe its current situation, evidencing the challenges and results obtained in the short term.
Methods
A qualitative, interpretative, observational, and non-participant methodology was used. An open survey was conducted on 116 key actors of the process and then a semi-structured interview to 14 people chosen with a purposive sampling based on the type of interaction they had in the implementation of the NMHP, with a thematic categorical qualitative analysis.
Results
The main problems were psychoactive substances (PAS) and alcohol use, and domestic violence. The participants considered that the policy was well designed and was fitting for the territory, and highlighted as a strength the political will. They indicated as weaknesses the shortage of resources, institutional capacity and human capital, and the lack of a territorial approach by not considering its conditions of rurality.
Conclusion
Even though some of the main concerns mentioned still persist and the impact of the NMHP has not been evidenced in indicators, its results are notable in terms of the direction and budget allocation in favor of mental health in the region.
{"title":"Sistematización y resultados cuatro años después del proceso de alistamiento territorial para la implementación de la Política Nacional de Salud Mental en el Departamento de Boyacá 2023","authors":"Daniela Assis Fierro , Laura Restrepo-Escudero , María José Correa-Méndez , Mariana Vásquez-Ponce , Giancarlo Zuliani-Escalante , Lina María González Ballesteros","doi":"10.1016/j.rcp.2023.12.006","DOIUrl":"10.1016/j.rcp.2023.12.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Boyacá was chosen for the pilot implementation of the National Mental Health Policy (NMHP). The aim of this study was to reconstruct the process of territorial enlistment for the adoption and adaptation of the NMHP during the 2019-2020 period in Boyacá and to describe its current situation, evidencing the challenges and results obtained in the short term.</div></div><div><h3>Methods</h3><div>A qualitative, interpretative, observational, and non-participant methodology was used. An open survey was conducted on 116 key actors of the process and then a semi-structured interview to 14 people chosen with a purposive sampling based on the type of interaction they had in the implementation of the NMHP, with a thematic categorical qualitative analysis.</div></div><div><h3>Results</h3><div>The main problems were psychoactive substances (PAS) and alcohol use, and domestic violence. The participants considered that the policy was well designed and was fitting for the territory, and highlighted as a strength the political will. They indicated as weaknesses the shortage of resources, institutional capacity and human capital, and the lack of a territorial approach by not considering its conditions of rurality.</div></div><div><h3>Conclusion</h3><div>Even though some of the main concerns mentioned still persist and the impact of the NMHP has not been evidenced in indicators, its results are notable in terms of the direction and budget allocation in favor of mental health in the region.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 542-550"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140464294","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 : 2025-07-01Epub Date: 2023-07-31DOI: 10.1016/j.rcp.2023.07.001
Carlos Arturo Cassiani-Miranda , Leonardo Fernandes Martins , Telmo Mota Ronzani , Orlando Scoppetta , Yinneth Andrea Arismendy-López , Andrés Felipe Tirado-Otálvaro
Introduction
The COVID-19 Fear Scale (FCV-19S) is the most widely used instrument to assess fear of coronaviruses. Although preliminary analyses of the Brazilian–Portuguese version showed promising data for the 7-item version, several studies in Latin America suggest that the 5- and 6-item versions present better psychometric indicators.
Objective
To replicate and compare the Brazilian–Portuguese version of the (FCV-5S), studying its homogeneity and dimensionality.
Methods
A total of 1003 adults between 18 and 78 voluntarily participated. The data were analyzed through exploratory factorial analysis and structural equations modeling. A Multiple Indicators and Multiples Causes model (MIMIC) was used to check the differential functioning of each item regressed on age. Likewise, Cronbach's alpha and McDonald's omega were calculated for FCV-5S. Finally, as a test of nomological validity, the mean scores and standard deviation between men and women were compared after testing similarity invariance.
Results
73.3% were younger adults (18–44 years old), 71.3% were women, and 59.7% had a university education. The 5-item version (FCV-5S) of the COVID-19 Fear Scale has better goodness-of-fit indicators than the 6-item version for a one-factor structure. FCV-5S accomplish with invariance by gender and partial invariance by age in the general population of Brazil.
Conclusions
The FCV-5S has a dimensional structure with partial invariance by gender and age and can be used to assess COVID-19 fear in the general population in Brazil.
{"title":"Dimensionality and Measurement Invariance of the 5-Item Coronavirus Fear Scale in Brazilian General Population","authors":"Carlos Arturo Cassiani-Miranda , Leonardo Fernandes Martins , Telmo Mota Ronzani , Orlando Scoppetta , Yinneth Andrea Arismendy-López , Andrés Felipe Tirado-Otálvaro","doi":"10.1016/j.rcp.2023.07.001","DOIUrl":"10.1016/j.rcp.2023.07.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The COVID-19 Fear Scale (FCV-19S) is the most widely used instrument to assess fear of coronaviruses. Although preliminary analyses of the Brazilian–Portuguese version showed promising data for the 7-item version, several studies in Latin America suggest that the 5- and 6-item versions present better psychometric indicators.</div></div><div><h3>Objective</h3><div>To replicate and compare the Brazilian–Portuguese version of the (FCV-5S), studying its homogeneity and dimensionality.</div></div><div><h3>Methods</h3><div>A total of 1003 adults between 18 and 78 voluntarily participated. The data were analyzed through exploratory factorial analysis and structural equations modeling. A Multiple Indicators and Multiples Causes model (MIMIC) was used to check the differential functioning of each item regressed on age. Likewise, Cronbach's alpha and McDonald's omega were calculated for FCV-5S. Finally, as a test of nomological validity, the mean scores and standard deviation between men and women were compared after testing similarity invariance.</div></div><div><h3>Results</h3><div>73.3% were younger adults (18–44 years old), 71.3% were women, and 59.7% had a university education. The 5-item version (FCV-5S) of the COVID-19 Fear Scale has better goodness-of-fit indicators than the 6-item version for a one-factor structure. FCV-5S accomplish with invariance by gender and partial invariance by age in the general population of Brazil.</div></div><div><h3>Conclusions</h3><div>The FCV-5S has a dimensional structure with partial invariance by gender and age and can be used to assess COVID-19 fear in the general population in Brazil.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 454-460"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45244929","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 : 2025-07-01Epub Date: 2024-05-22DOI: 10.1016/j.rcp.2024.04.002
Lina María González Ballesteros , Carlos Gómez Restrepo , Viviana Alejandra Rodríguez , Sebastián Fernández de Castro , Mariana Vásquez Ponce
This article reflects on the importance of designing and applying mixed-method research in mental health to understand the studied phenomena better. Using different means at the research stages, quantitative and qualitative approaches can enrich data collection and analysis and their interpretation. However, some studies presented as mixed have characteristics of multi-method research. Therefore, this article highlights some methodological elements of mixed research, tools for evaluating the quality of research, and reports developed with mixed methodologies so that researchers can have more precise direction in their research efforts.
{"title":"Investigación mixta: ¿qué es y qué no?","authors":"Lina María González Ballesteros , Carlos Gómez Restrepo , Viviana Alejandra Rodríguez , Sebastián Fernández de Castro , Mariana Vásquez Ponce","doi":"10.1016/j.rcp.2024.04.002","DOIUrl":"10.1016/j.rcp.2024.04.002","url":null,"abstract":"<div><div>This article reflects on the importance of designing and applying mixed-method research in mental health to understand the studied phenomena better. Using different means at the research stages, quantitative and qualitative approaches can enrich data collection and analysis and their interpretation. However, some studies presented as mixed have characteristics of multi-method research. Therefore, this article highlights some methodological elements of mixed research, tools for evaluating the quality of research, and reports developed with mixed methodologies so that researchers can have more precise direction in their research efforts.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 518-523"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141130939","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 : 2025-07-01Epub Date: 2023-08-04DOI: 10.1016/j.rcp.2023.07.003
Santiago Mora Martínez, Jorge Eliécer Gaitán Sánchez, Nathaly Berrío García, Mauricio Mora Ladino, Marta Cecilia Ceballos Giraldo, Daniela Katherin Rodríguez Chacón, Eilyn Dahiana Herrera Franco, Juan Sebastian Restrepo Marroquín, Sergio Daniel Hurtado Rivera, Susana Cadena Correa, Mariana García Peláez, Lizeth Páez Hernández, Valentina Villanueva Escobar, María José Álvarez Arbeláez, John Alexander Arango Enrriquez, Laura Alejandra González Montoya, Luis David Saldarriaga Agamez, Valentina Galeano Medina
Introduction
Pregnancy is associated with multiple physiological changes. Anxiety, depression, suicide, and consumption of psychoactive substances during gestation have been phenomena rarely studied by Colombian academia. These disorders are among the principal causes of maternal morbidity–mortality; however, the presence of barriers to care constitutes a public health problem that must be studied.
Method
A prospective longitudinal observational descriptive study was conducted, during one year, with 166 pregnant women. The prevalence of these diseases was evaluated and the most significant supply and demand barriers were identified, for which a battery of mental health measurement instruments was applied to identify the risk of consuming psychoactive substances, depression, and anxiety.
Results
The most-frequent mental pathology was gestational depression, occurring in 57.22% of the sample; the second most-frequent pathology was gestational anxiety, diagnosed in 46.98% of the patients. The disorder due to consumption of most-frequent substances was smoking; followed by cannabis and alcohol. Access barriers, both in supply and demand, were present in most of the population; 53.01% of the pregnant women were not evaluated by psychology. The principal supply barrier was not assigning appointments or, failing that, these were assigned for a very distant date.
Conclusions
A clear relationship exists among depression and anxiety, number of children and age, and supply barriers and access to specialized mental health care. Our findings suggest a high frequency of access barriers in the gestating population with mental pathology.
{"title":"Barriers to Access to Mental Health Services in Pregnant Women With Mental Pathology Residing in Colombia","authors":"Santiago Mora Martínez, Jorge Eliécer Gaitán Sánchez, Nathaly Berrío García, Mauricio Mora Ladino, Marta Cecilia Ceballos Giraldo, Daniela Katherin Rodríguez Chacón, Eilyn Dahiana Herrera Franco, Juan Sebastian Restrepo Marroquín, Sergio Daniel Hurtado Rivera, Susana Cadena Correa, Mariana García Peláez, Lizeth Páez Hernández, Valentina Villanueva Escobar, María José Álvarez Arbeláez, John Alexander Arango Enrriquez, Laura Alejandra González Montoya, Luis David Saldarriaga Agamez, Valentina Galeano Medina","doi":"10.1016/j.rcp.2023.07.003","DOIUrl":"10.1016/j.rcp.2023.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Pregnancy is associated with multiple physiological changes. Anxiety, depression, suicide, and consumption of psychoactive substances during gestation have been phenomena rarely studied by Colombian academia. These disorders are among the principal causes of maternal morbidity–mortality; however, the presence of barriers to care constitutes a public health problem that must be studied.</div></div><div><h3>Method</h3><div>A prospective longitudinal observational descriptive study was conducted, during one year, with 166 pregnant women. The prevalence of these diseases was evaluated and the most significant supply and demand barriers were identified, for which a battery of mental health measurement instruments was applied to identify the risk of consuming psychoactive substances, depression, and anxiety.</div></div><div><h3>Results</h3><div>The most-frequent mental pathology was gestational depression, occurring in 57.22% of the sample; the second most-frequent pathology was gestational anxiety, diagnosed in 46.98% of the patients. The disorder due to consumption of most-frequent substances was smoking; followed by cannabis and alcohol. Access barriers, both in supply and demand, were present in most of the population; 53.01% of the pregnant women were not evaluated by psychology. The principal supply barrier was not assigning appointments or, failing that, these were assigned for a very distant date.</div></div><div><h3>Conclusions</h3><div>A clear relationship exists among depression and anxiety, number of children and age, and supply barriers and access to specialized mental health care. Our findings suggest a high frequency of access barriers in the gestating population with mental pathology.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 398-404"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46178053","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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