Pub Date : 2025-10-01DOI: 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 : 2025-10-01DOI: 10.1016/j.rcp.2024.03.003
Susana Arroyave Bustamante , Valentina López Gómez , Sara Montoya González , Melissa Sierra Restrepo , Valentina Solarte Góngora , Isabella Trujillo Duque , Daniel Vásquez Botero , Gloria María Sierra Hincapié , Diana Restrepo , Finalmente, queremos agradecer a la población de estudio por su colaboración
Introduction
Comorbidity between bipolar disorder (BD) and substance use disorder is relevant in the context of dual pathology due to its high prevalence and clinical and social implications. The objective of the study was to determine the prevalence of comorbid bipolar affective disorder with substance use disorder and associated sociodemographic and clinical factors in the general population.
Methodology
Analytical cross-sectional study, with a secondary source of information from a population study with 2,072 participants from 15 to 65 years of age interviewed with CIDI 3.0 (Composite International Diagnosis Interview); 23 mental disorders were diagnosed according to DSM-IV criteria. Sociodemographic and psychiatric clinical variables were included.
Results
Lifetime prevalence of BD and alcohol comorbidity (abuse 7.4%, dependence 9.7%); BD and drugs (abuse 6.5%, dependence 18.8%) and substance use disorder (including alcohol and drugs) 12.2%. After adjusting for clinical and sociodemographic variables in the multivariate model, alcohol abuse [RPa 6.60, 95%CI (1.54-28.26)], drug dependence [RPa 6.16, CI95% (1.38 -27.45)], oppositional defiant disorder [RPa 7.39, 95% CI (2.40-22.72)], and physical abuse [RPa 2.58 (1.01-6.58)].
Discussion
In the subgroup of people with BD, after controlling for confounding factors such as mental disorders and sociodemographic variables, a strong association with drug dependence and alcohol abuse was observed. Two additional risk factors emerge, childhood physical abuse and oppositional defiant disorder, which have previously been associated with poor mental health outcomes.
Conclusions
Detection of specific cohorts at risk of mental disorder is challenging. This study found that people diagnosed with BD throughout life are more vulnerable than others to having a substance use disorder.
{"title":"Trastorno afectivo bipolar y trastorno por uso de sustancias. Prevalencia y factores asociados a la patología dual en población general de Colombia","authors":"Susana Arroyave Bustamante , Valentina López Gómez , Sara Montoya González , Melissa Sierra Restrepo , Valentina Solarte Góngora , Isabella Trujillo Duque , Daniel Vásquez Botero , Gloria María Sierra Hincapié , Diana Restrepo , Finalmente, queremos agradecer a la población de estudio por su colaboración","doi":"10.1016/j.rcp.2024.03.003","DOIUrl":"10.1016/j.rcp.2024.03.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Comorbidity between bipolar disorder (BD) and substance use disorder is relevant in the context of dual pathology due to its high prevalence and clinical and social implications. The objective of the study was to determine the prevalence of comorbid bipolar affective disorder with substance use disorder and associated sociodemographic and clinical factors in the general population.</div></div><div><h3>Methodology</h3><div>Analytical cross-sectional study, with a secondary source of information from a population study with 2,072 participants from 15 to 65 years of age interviewed with CIDI 3.0 (Composite International Diagnosis Interview); 23 mental disorders were diagnosed according to DSM-IV criteria. Sociodemographic and psychiatric clinical variables were included.</div></div><div><h3>Results</h3><div>Lifetime prevalence of BD and alcohol comorbidity (abuse 7.4%, dependence 9.7%); BD and drugs (abuse 6.5%, dependence 18.8%) and substance use disorder (including alcohol and drugs) 12.2%. After adjusting for clinical and sociodemographic variables in the multivariate model, alcohol abuse [RPa 6.60, 95%CI (1.54-28.26)], drug dependence [RPa 6.16, CI95% (1.38 -27.45)], oppositional defiant disorder [RPa 7.39, 95% CI (2.40-22.72)], and physical abuse [RPa 2.58 (1.01-6.58)].</div></div><div><h3>Discussion</h3><div>In the subgroup of people with BD, after controlling for confounding factors such as mental disorders and sociodemographic variables, a strong association with drug dependence and alcohol abuse was observed. Two additional risk factors emerge, childhood physical abuse and oppositional defiant disorder, which have previously been associated with poor mental health outcomes.</div></div><div><h3>Conclusions</h3><div>Detection of specific cohorts at risk of mental disorder is challenging. This study found that people diagnosed with BD throughout life are more vulnerable than others to having a substance use disorder.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 4","pages":"Pages 616-623"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140786064","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.2023.12.006
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 : 2025-10-01DOI: 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 : 2025-10-01DOI: 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 : 2025-10-01DOI: 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 : 2025-07-01DOI: 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}
To analyze factors associated with more severe outcomes of suicide attempt due to toxicological events in adolescents.
Methods
A cross-sectional study involving adolescents between 10 and 19 years of age treated due to attempted suicide from 2017 to 2020. The dependent variable was the final severity, divided into two categories: asymptomatic or mild and moderate, severe or fatal, and the independent variables were those related to patients, exposure, and clinical conditions. For association analyses, logistic regression was used, with the calculation of the odds ratio (OR) and 95% confidence interval (95% CI).
Results
A total of 1462 suicide attempts in adolescents were evaluated, and 21.1% (N = 306) were classified moderate, severe or fatal outcome. Suicide attempts due to toxicological events in adolescents showed a higher prevalence of the moderate, severe or fatal outcome in males (OR 1.52; 95% CI 1.11–2.07), in the summer months (OR 1.81; 95% CI 1.31–2.48) and in cases whose time until attendance was equal to or greater than 300 min (OR 1.72; 95% CI 1.29–2.29), with evidence of increasing severity of cases over the years (2019: OR 1.87; 95% CI 1.21–2.98; 2020: OR 2.80; 95% CI 1.31–2.48).
Conclusions
Since adolescents need a more rigorous psychosocial follow-up due to the adversities inherent to the age group, there is a clear need for better identification of striking prodromal signs of suicide attempts in order to develop therapeutic interventions and preventive strategies.
目的分析青少年毒理学事件导致自杀倾向加重的相关因素。方法一项横断面研究，涉及2017年至2020年因自杀未遂而接受治疗的10至19岁青少年。因变量是最终严重程度，分为两类：无症状或轻度和中度，严重或致命，自变量是与患者，暴露和临床条件相关的变量。关联分析采用logistic回归，计算优势比（OR）和95%置信区间（95% CI）。结果共评估青少年自杀企图1462例，其中21.1%（306例）为中度、重度或致命结局。青少年毒理学事件导致的自杀企图在男性（or 1.52; 95% CI 1.11-2.07）、夏季（or 1.81; 95% CI 1.31-2.48）和距离就诊时间等于或大于300分钟的病例（or 1.72; 95% CI 1.29-2.29）中显示出较高的中度、重度或致命性结果，并且有证据表明，随着时间的推移，病例的严重程度越来越高（2019年：or 1.87; 95% CI 1.21-2.98； 2020年：or 2.80; 95% CI 1.31-2.48）。结论：由于青少年这个年龄段固有的逆境，需要更严格的心理社会随访，因此显然需要更好地识别自杀未遂的显著前驱症状，以便制定治疗干预和预防策略。
{"title":"Factors Associated With the Severity of Suicide Attempts by Poisoning in Adolescents","authors":"Giovanna Cristina Spagnuolo Brunello , Daniela Frizon Alfieri , Camilo Molino Guidoni , Edmarlon Girotto","doi":"10.1016/j.rcp.2024.03.008","DOIUrl":"10.1016/j.rcp.2024.03.008","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze factors associated with more severe outcomes of suicide attempt due to toxicological events in adolescents.</div></div><div><h3>Methods</h3><div>A cross-sectional study involving adolescents between 10 and 19 years of age treated due to attempted suicide from 2017 to 2020. The dependent variable was the final severity, divided into two categories: asymptomatic or mild and moderate, severe or fatal, and the independent variables were those related to patients, exposure, and clinical conditions. For association analyses, logistic regression was used, with the calculation of the odds ratio (OR) and 95% confidence interval (95% CI).</div></div><div><h3>Results</h3><div>A total of 1462 suicide attempts in adolescents were evaluated, and 21.1% (<em>N</em> <!-->=<!--> <!-->306) were classified moderate, severe or fatal outcome. Suicide attempts due to toxicological events in adolescents showed a higher prevalence of the moderate, severe or fatal outcome in males (OR 1.52; 95% CI 1.11–2.07), in the summer months (OR 1.81; 95% CI 1.31–2.48) and in cases whose time until attendance was equal to or greater than 300<!--> <!-->min (OR 1.72; 95% CI 1.29–2.29), with evidence of increasing severity of cases over the years (2019: OR 1.87; 95% CI 1.21–2.98; 2020: OR 2.80; 95% CI 1.31–2.48).</div></div><div><h3>Conclusions</h3><div>Since adolescents need a more rigorous psychosocial follow-up due to the adversities inherent to the age group, there is a clear need for better identification of striking prodromal signs of suicide attempts in order to develop therapeutic interventions and preventive strategies.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 3","pages":"Pages 446-453"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794549","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 : 2025-07-01DOI: 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}
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