Revista Colombiana de Psiquiatria最新文献_第7页

Construct Validity of the COVID-19 Peritraumatic Distress Index (CPDI) in a Peruvian Sample During COVID-19 Lockdown and its Relationship With Anxiety and Depression Using Structural Equation Modeling 使用结构方程模型分析 COVID-19 封锁期间秘鲁样本中 COVID-19 心理创伤压力指数 (CPDI) 的结构有效性及其与焦虑和抑郁的关系

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.12.004

Bruno Pedraz-Petrozzi , Fabian Böttcher , Martín Arevalo-Flores , Víctor Anculle-Arauco , Hever Krüger-Malpartida

Background

The main aims of this study were to adapt the COVID-19 peritraumatic distress index (CPDI) to the Peruvian population and to establish a model explaining depression using CPDI values and anxiety symptoms during the COVID-19 lockdown. Finally, we sought predictive values of the obtained CPDI factors for depression and anxiety as a secondary aim.

Materials and methods

An exploratory factor analysis (n = 300) was performed, followed by confirmatory factor analysis in a second phase (n = 1135). To explain depression scores during the COVID-19 lockdown, we performed structural equation modeling (SEM). Finally, we performed a hierarchical regression model (HRM) to evaluate the amount of explained variance of the CPDI factors above depression, anxiety, and socio-demographic variables.

Results

A 2-factor solution (rumination and stress) for the CPDI (p < 0.001; CFI = 0.99) was found. Concerning the SEM, our model was able to explain 81% of the depression scores (p < 0.001; CFI = 0.98). Finally, in the HRM, rumination could explain 17% additional variance in depression (p < 0.001) and 28% in anxiety (p < 0.001). However, stress showed collinearity with depression and anxiety, not continuing for further HRM analysis.

Conclusions

Our results showed a 2-factor solution for the CPDI. Moreover, our SEM model showed that female sex, younger age, and incomplete education (with high COVID-related stress and anxiety) lead to more depression symptoms during the COVID-19 lockdown. Finally, our HRM showed that people who frequently ruminate during the COVID-19 lockdown are more afraid and negatively affected.

本研究的主要目的是使COVID-19创伤后痛苦指数（CPDI）适用于秘鲁人口，并建立一个模型，利用CPDI值和COVID-19封锁期间的焦虑症状来解释抑郁症。最后，我们寻求获得的CPDI因素对抑郁和焦虑的预测价值作为次要目的。材料与方法进行探索性因素分析（n = 300），第二阶段进行验证性因素分析（n = 1135）。为了解释COVID-19封锁期间的抑郁评分，我们进行了结构方程模型（SEM）。最后，我们使用层次回归模型（HRM）来评估CPDI因素在抑郁、焦虑和社会人口变量之上的解释方差量。结果发现反刍和应激两因素对CPDI的影响（p < 0.001; CFI = 0.99）。关于扫描电镜，我们的模型能够解释81%的抑郁得分（p < 0.001; CFI = 0.98）。最后，在人力资源管理中，反刍可以解释17%的抑郁额外方差（p < 0.001）和28%的焦虑（p < 0.001）。然而，压力与抑郁和焦虑呈共线性，进一步的人力资源管理分析没有继续。结论sour结果显示CPDI为双因子解。此外，我们的扫描电镜模型显示，在COVID-19封锁期间，女性、年龄较小和教育不完整（与COVID-19相关的高度压力和焦虑）导致更多的抑郁症状。最后，我们的人力资源管理显示，在COVID-19封锁期间经常沉思的人更害怕，更容易受到负面影响。

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引用次数: 0

Diferencias del consumo de alcohol entre los agresores urbanos y rurales en los casos de violencia contra la mujer 城市和农村施暴者在暴力侵害妇女案件中饮酒的差异

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.02.006

Victor Roman-Lazarte , Luz Angela Roman , Maryorie Katteryne Galeas-Torre

Introduction

Violence against women is considered a public health problem with a high prevalence in Peru. In the same way, alcohol consumption has been evaluated as a possible risk factor for the violent act to occur. The objective of this work is to evaluate the differences in alcohol consumption between urban and rural areas in cases of violence against women.

Materials and methods

A study was carried out based on the data provided by the statistical portal of the National AURORA Program between the years 2018 and 2021, based on this information a selection of all cases of violence against women was made and subsequently analyzed univariate, bivariate and multivariate according to four adjustment models using Poisson regression (prevalence ratios were calculated) to see the differences between alcohol consumption between rural and urban areas.

Results

About 385,747 reports of violence were included. The sociodemographic characteristics of both the victim and the aggressor differ significantly between rural and urban areas. A greater consumption of alcohol was reported in the rural area, mainly in psychological violence (PR = 1.25, 95% CI: 1.22-1.28), while there was a greater consumption of alcohol in the urban area in the cases of sexual violence (RPa = 0.89; 95% CI: 0.83-0.97).

Conclusion

The cases of violence do not tend to decrease over the years, alcohol consumption is related to a different extent with respect to the type of violence. Attention should be paid to the characteristics in the rural area since they present significant differences with respect to the urban area.

在秘鲁，对妇女的暴力行为被认为是一个普遍存在的公共卫生问题。同样，酒精消费也被评估为暴力行为发生的一个可能的风险因素。这项工作的目的是评估城市和农村地区在暴力侵害妇女案件中酒精消费的差异。材料和方法根据2018年至2021年国家极光计划统计门户网站提供的数据进行了一项研究，根据这些信息，选择了所有针对妇女的暴力案件，随后使用泊松回归（计算患病率）根据四种调整模型对单变量、双变量和多变量进行了分析，以了解农村和城市地区酒精消费量之间的差异。结果共纳入385,747例暴力事件报告。在农村和城市地区，受害者和施暴者的社会人口学特征都存在显著差异。据报告，农村地区的酒精消费量较大，主要是心理暴力案件（相对危险度= 1.25,95%可信区间：1.22-1.28），而城市地区在性暴力案件中的酒精消费量较大（相对危险度= 0.89；95%可信区间：0.83-0.97）。结论多年来暴力案件没有减少的趋势，酒精消费与暴力类型有不同程度的关系。应注意农村地区的特征，因为它们与城市地区存在显著差异。

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引用次数: 0

Eficacia de las intervenciones no farmacológicas para la prevención del delirium en personas ancianas hospitalizadas: una revisión sistemática 非药物干预预防住院老年人谵妄的有效性:一项系统综述

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.03.002

Josep Deví-Bastida , Irene Checa-Guillamón , Edith García-Lidón , Susanna Jofre-Font , Pilar Mercadal-Fañanas , Enric Arroyo-Cardona

Introduction

Confusional syndrome or delirium is a neurocognitive disorder, whose prevalence increases proportionally with age. The objective of this work was to analyze the efficacy of non-pharmacological interventions used for the prevention of delirium in hospitalized elderly population.

Developing

A systematic review was carried out using the Medline, Embase, Web of Science, Cochrane, PsycInfo and Psicodoc databases. The articles included are controlled and randomized studies, published between 2010 and 2021, in English or Spanish and with a population >65 years hospitalized. Fourteen publications of the 2261 found in the initial search were selected. Nine studies found significant differences in the incidence of delirium, of improvement in the experimental group, while five publications did not.

Conclusions

It is observed that although the data are somewhat heterogeneous, it seems that these interventions are effective in reducing delirium and improving cognitive function, especially if they are multicomponent protocols.

精神错乱综合征或谵妄是一种神经认知障碍，其患病率随着年龄的增长而成比例增加。本研究的目的是分析非药物干预预防住院老年人谵妄的疗效。使用Medline、Embase、Web of Science、Cochrane、PsycInfo和Psicodoc数据库进行系统评价。纳入的文章是对照和随机研究，发表于2010年至2021年之间，以英语或西班牙语发表，住院患者年龄为65岁。在最初的搜索中发现的2261份出版物中有14份被选中。九项研究发现实验组的谵妄发生率有显著差异，而五项研究没有发现。结论我们观察到，虽然数据有些不同，但这些干预措施似乎在减少谵妄和改善认知功能方面是有效的，特别是如果它们是多组分方案。

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引用次数: 0

Emotion Regulation Mediates the Association Between Child Abuse and Adult Suicidal Ideation: An Exploratory Study 情绪调节对虐待儿童与成人自杀意念之间关系的中介作用：一项探索性研究

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2024.01.003

Pablo D. Valencia, Anabel De la Rosa-Gómez

Emotion regulation (ER) problems have been shown to mediate the relationship between childhood maltreatment and suicidality. However, evidence is sparse regarding specific types of maltreatment and ER strategies involved.

Objective

To explore cognitive reappraisal and expressive suppression as potential mediators of the association between three types of child abuse (sexual, physical, and emotional) and suicidal ideation.

Methods

A cross-sectional design was used. A total of 375 Mexican young adults (77.1% female) responded to an online survey. Measures of child abuse, ER, and suicidal ideation were administered. Three mediation models were tested (one for each type of abuse), each with two mediators (the two ER strategies). The presence of mediation was formally tested through bootstrapping applied to the indirect effects.

Results

Expressive suppression significantly mediated the relationship between two types of abuse (physical and emotional) and suicidal ideation. Also, lower use of cognitive reappraisal mediated the association between sexual abuse and suicidal ideation.

Conclusions

Studying different types of abuse and ER strategies separately provides a more complete understanding of how suicidal thoughts develop. This could also affect how interventions are tailored for different groups. The present results can be used as a starting point for further, more detailed research.

情绪调节（ER）问题已被证明是儿童虐待与自杀之间的中介关系。然而，关于具体类型的虐待和所涉及的急诊室策略的证据很少。目的探讨认知重评价和表达抑制在三种类型的儿童虐待（性、身体和情感）与自杀意念之间的潜在中介作用。方法采用横断面设计。共有375名墨西哥年轻人（77.1%为女性）参与了一项在线调查。对儿童虐待、急诊室和自杀意念进行测量。测试了三个中介模型（每种类型的滥用一个），每个模型都有两个中介（两种ER策略）。通过应用于间接效应的自举，正式测试了中介的存在。结果压抑在躯体虐待和精神虐待两种虐待类型与自杀意念之间具有显著中介作用。此外，较低的认知重评使用介导了性虐待和自杀意念之间的关联。结论：分别研究不同类型的虐待和急诊室策略可以更全面地了解自杀念头是如何产生的。这也可能影响针对不同群体的干预措施。目前的结果可以作为一个起点，为进一步，更详细的研究。

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引用次数: 0

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.05.004

Fabian Pavez

Introduction

Previous research suggests the relevance of examining the representations of our profession in art, arguing that their impact lies in the development and maintenance of misperceptions about psychiatric treatments and even influencing the choice of specialty by medical students.

Methods

In order to synthesize findings in the field and enable future comparisons with less explored artistic representations, this article provides a narrative review of the study of the depictions of the psychiatrist and psychiatric treatments in different products of popular culture (film, literature, cartoon, comics, and other media).

Results and conclusion

The findings suggest that negative representations prevail, although there is hope for a more positive trend in recent years through more realistic and balanced portrayals of the psychiatric profession and psychopharmacological treatment in movies and television series.

先前的研究表明，审视我们的职业在艺术中的表现是有意义的，认为它们的影响在于对精神病治疗的误解的发展和维持，甚至影响医学生对专业的选择。方法为了综合该领域的研究结果，并使将来能够与较少探索的艺术表现进行比较，本文对不同流行文化产品（电影、文学、漫画、漫画和其他媒体）中对精神病医生和精神病治疗的描述进行了叙述性回顾。结果与结论研究结果表明，尽管近年来通过电影和电视剧中对精神科专业和精神药物治疗的更现实和平衡的描述，有希望出现更积极的趋势，但负面的表征仍占主导地位。

引用次数: 0

Epidemiology and Burden of Treatment-Resistant Depression in Colombia: Analysis of the TRAL Study 哥伦比亚难治性抑郁症的流行病学和负担:TRAL研究的分析

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.04.009

Rodrigo Cordoba-Rojas , Eugenio Ferro , Lina Maria Agudelo Baena , Gabriela Kanevsky , Patricia Cabrera

Objectives

To estimate the prevalence of treatment-resistant depression (TRD) in Colombia, and characterize hospitalized major depressive disorder (MDD) patients for disability, health-related quality of life (HRQoL) and work-impairment.

Materials and methods

Adult MDD patients (n = 162) from 4 centers in Colombia, with a clinical diagnosis of MDD based on DSM-5 and MINI, were consecutively included. Patients with psychosis, schizophrenia, bipolar disorder, schizoaffective disorder, dementia, with severe chemical dependence or currently participating in another clinical trial were excluded. Patient reported outcomes and clinical assessment scales were used as outcomes with WPAI:D (work impairment), EQ-5D (QoL) and Sheehan Disability Scale, as well as healthcare resource utilization.

Results

Prevalence of TRD in Colombia among patients treated at psychiatric reference sites was 32.1% [24.9%; 39.3%], higher in private institutions. Most patients were females and single. 55% reported having moderate to severe problems with usual activities at the beginning of the study. Mean percent of working time missed due to depression was around 53%, and work impairment was roughly 67%. A mean of 2.85 days in the last seven were marked by lost school/work, with higher losses in TRD patients compared to non-TRD. Overall results for HRQoL were lower in TRD patients, but disability and work impairment were higher in non-TRD.

Conclusions

There is a high prevalence of mental disorders in Colombia, including TRD, impacting significantly HRQoL. The burden associated with them may be reduced by a most comprehensive and customized usage of therapies, including the innovations, and implementation of national mental health programs.

目的评估哥伦比亚难治性抑郁症（TRD）的患病率，并对住院重度抑郁症（MDD）患者的残疾、健康相关生活质量（HRQoL）和工作障碍进行特征描述。材料与方法来自哥伦比亚4个中心的成年MDD患者（n = 162），均根据DSM-5和MINI进行临床诊断。排除患有精神病、精神分裂症、双相情感障碍、分裂情感障碍、痴呆、严重化学依赖或目前正在参加其他临床试验的患者。以患者报告的结局和临床评估量表作为结局，以WPAI:D（工作障碍）、EQ-5D（生活质量）和Sheehan残疾量表以及医疗资源利用为结局。结果哥伦比亚精神科参考点治疗的患者中TRD患病率为32.1% [24.9%；39.3%]，私立学校更高。患者多为单身女性。55%的人报告在研究开始时在日常活动中有中度到严重的问题。因抑郁而错过工作时间的平均比例约为53%，工作障碍约为67%。在过去的7天中，平均有2.85天旷课/旷工，与非TRD患者相比，TRD患者的旷课率更高。TRD患者的HRQoL总体结果较低，但非TRD患者的残疾和工作障碍较高。结论哥伦比亚包括TRD在内的精神障碍患病率较高，对HRQoL有显著影响。通过最全面和定制的治疗方法，包括创新和实施国家心理健康计划，可以减轻与之相关的负担。

{"title":"Epidemiology and Burden of Treatment-Resistant Depression in Colombia: Analysis of the TRAL Study","authors":"Rodrigo Cordoba-Rojas , Eugenio Ferro , Lina Maria Agudelo Baena , Gabriela Kanevsky , Patricia Cabrera","doi":"10.1016/j.rcp.2023.04.009","DOIUrl":"10.1016/j.rcp.2023.04.009","url":null,"abstract":"<div><h3>Objectives</h3><div>To estimate the prevalence of treatment-resistant depression (TRD) in Colombia, and characterize hospitalized major depressive disorder (MDD) patients for disability, health-related quality of life (HRQoL) and work-impairment.</div></div><div><h3>Materials and methods</h3><div>Adult MDD patients (<em>n</em>  <!-->162) from 4 centers in Colombia, with a clinical diagnosis of MDD based on DSM-5 and MINI, were consecutively included. Patients with psychosis, schizophrenia, bipolar disorder, schizoaffective disorder, dementia, with severe chemical dependence or currently participating in another clinical trial were excluded. Patient reported outcomes and clinical assessment scales were used as outcomes with WPAI:D (work impairment), EQ-5D (QoL) and Sheehan Disability Scale, as well as healthcare resource utilization.</div></div><div><h3>Results</h3><div>Prevalence of TRD<span> in Colombia among patients treated at psychiatric reference sites was 32.1% [24.9%; 39.3%], higher in private institutions. Most patients were females and single. 55% reported having moderate to severe problems with usual activities at the beginning of the study. Mean percent of working time missed due to depression was around 53%, and work impairment was roughly 67%. A mean of 2.85 days in the last seven were marked by lost school/work, with higher losses in TRD<span> patients compared to non-TRD. Overall results for HRQoL were lower in TRD patients, but disability and work impairment were higher in non-TRD.</span></span></div></div><div><h3>Conclusions</h3><div>There is a high prevalence of mental disorders in Colombia, including TRD, impacting significantly HRQoL. The burden associated with them may be reduced by a most comprehensive and customized usage of therapies, including the innovations, and implementation of national mental health programs.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 287-296"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42422841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Consumption of Alcohol Upon Admission to the Emergency Department in Patients With Trauma 创伤患者入院时的饮酒情况

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.03.001

Nelcy Rodriguez-Malagón , Atilio Moreno-Carrillo , Miguel L. León-Méndez , Daniel García Vargas , María Fernanda Otálora Ribero , Felipe Botero-Rodríguez , Laura C. Herrera-Daza , Gustavo A. Flórez-Gonzalez , Carlos Gómez-Restrepo

Aim

For 2016, around 32.5% of the population consumed alcoholic beverages. This is related to 1.6% of the disability-adjusted life years. Also, an association is described between trauma severity and a positive alcohol test on admission to the emergency room. In Colombia, the prevalence of alcohol consumption during the last year is 17.8–42.5%. However, the prevalence of alcohol consumption upon admission to emergency services is unknown. We aim to estimate the prevalence of alcohol consumption in cases admitted to an emergency room.

Methods

This was a cross-sectional study. Data were collected during four months in an emergency room located in a fourth-level hospital. Researchers interviewed participants to complete a questionnaire, additionally, a qualitative alcohol test was carried out with an alcohol-sensor FST, and the AUDIT-C scale was used to screen for alcohol abuse.

Results

In 2524 patients, there was a prevalence of alcohol consumption on admission to the emergency room of 2.34%, and a median result of the quantitative test of 1.22 mg/ml. We found that as ethanol levels increased, there was a greater potential for discrimination among the patients who identified themselves with potential risky consumption based on the scale score.

Conclusions

Alcohol consumption is associated with high morbidity in patients admitted to the emergency room. This can increase the burden of disease and affect the quality of life. It is pertinent to recognize alcohol consumption as a possible focus to mitigate the impact of this condition on the well-being of patients and resources allocation.

2016年，约32.5%的人口饮用酒精饮料。这与1.6%的残疾调整生命年有关。此外，创伤严重程度与进入急诊室时酒精测试呈阳性之间存在关联。在哥伦比亚，去年酒精消费的流行率为17.8% - 42.5%。然而，入院时酒精消费的普遍程度尚不清楚。我们的目的是估计在急诊室入院的病例中酒精消费的流行程度。方法采用横断面研究。数据是在一家四级医院的急诊室收集的，为期四个月。研究人员对参与者进行了问卷调查，并使用酒精传感器FST进行了定性酒精测试，并使用AUDIT-C量表筛查酒精滥用情况。结果2524例患者入院时饮酒率为2.34%，定量检验中位数为1.22 mg/ml。我们发现，随着乙醇含量的增加，根据量表得分确定自己有潜在风险消费的患者之间存在更大的歧视可能性。结论酒精摄入与急诊患者的高发病率有关。这可能增加疾病负担并影响生活质量。认识到酒精消费可能是减轻这种情况对患者福祉和资源分配影响的一个重点，这是相关的。

{"title":"Consumption of Alcohol Upon Admission to the Emergency Department in Patients With Trauma","authors":"Nelcy Rodriguez-Malagón , Atilio Moreno-Carrillo , Miguel L. León-Méndez , Daniel García Vargas , María Fernanda Otálora Ribero , Felipe Botero-Rodríguez , Laura C. Herrera-Daza , Gustavo A. Flórez-Gonzalez , Carlos Gómez-Restrepo","doi":"10.1016/j.rcp.2023.03.001","DOIUrl":"10.1016/j.rcp.2023.03.001","url":null,"abstract":"<div><h3>Aim</h3><div>For 2016, around 32.5% of the population consumed alcoholic beverages. This is related to 1.6% of the disability-adjusted life years. Also, an association is described between trauma severity and a positive alcohol test on admission to the emergency room. In Colombia, the prevalence of alcohol consumption during the last year is 17.8–42.5%. However, the prevalence of alcohol consumption upon admission to emergency services is unknown. We aim to estimate the prevalence of alcohol consumption in cases admitted to an emergency room.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study. Data were collected during four months in an emergency room located in a fourth-level hospital. Researchers interviewed participants to complete a questionnaire, additionally, a qualitative alcohol test was carried out with an alcohol-sensor FST, and the AUDIT-C scale was used to screen for alcohol abuse.</div></div><div><h3>Results</h3><div>In 2524 patients, there was a prevalence of alcohol consumption on admission to the emergency room of 2.34%, and a median result of the quantitative test of 1.22mg/ml. We found that as ethanol levels increased, there was a greater potential for discrimination among the patients who identified themselves with potential risky consumption based on the scale score.</div></div><div><h3>Conclusions</h3><div>Alcohol consumption is associated with high morbidity in patients admitted to the emergency room. This can increase the burden of disease and affect the quality of life. It is pertinent to recognize alcohol consumption as a possible focus to mitigate the impact of this condition on the well-being of patients and resources allocation.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 243-249"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46660542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Autorregulación emocional y deseabilidad social como predictores de la dependencia emocional en mujeres denunciantes de violencia familiar 情绪自我调节和社会可取性作为家庭暴力告密者女性情绪依赖的预测因子

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.02.007

Angel Vidal Mamani-Chanine , Oscar Mamani-Benito

Objective

To determine whether emotional self-regulation and social desirability are predictors of emotional dependence in women who report cases of domestic violence.

Methods

A cross-sectional predictive study was carried out in a sample of 155 women aged 18–66 years. The psychometric instruments used were the Emotion Regulation Questionnaire (ERQ), the Marlowe–Crowne Social Desirability Scale (M-C SDS) and the Emotional Dependence Inventory (EDI).

Results

Significant correlations are evidenced between emotional regulation and emotional dependence (r = .305, p = .000), as well as between emotional dependence and social desirability (r = −.477, p = .000); likewise, through the application of structural equations, the effect of emotional regulation (β = .46, p = .000) and social desirability (β = −.45, p = .000) on emotional dependence is confirmed.

Conclusions

Emotional regulation and social desirability predict the occurrence of emotional dependence in the context of cases that reach family violence complaints, which allows understanding the desistance or retractions in the manifestations in the complaints, at the same time opening possibilities of prevention and treatment with respect to emotional dependence.

目的探讨情绪自我调节和社会期望是否能预测家庭暴力妇女的情绪依赖。方法对155名年龄在18-66岁的女性进行横断面预测研究。使用的心理测量工具有情绪调节问卷（ERQ）、马洛-克朗社会期望量表（M-C SDS）和情绪依赖量表（EDI）。结果情绪调节与情绪依赖之间存在显著相关（r = 0.305, p = 0.000），情绪依赖与社会期望之间存在显著相关(r = -。477, p = .000)；同样，通过结构方程的应用，情绪调节的影响（β = 0.46, p = 0.000）和社会期望(β = -。45, p = .000)。结论情绪调节和社会期望预测了家庭暴力投诉个案中情绪依赖的发生，使我们能够理解家庭暴力投诉中表现出的抗拒或退缩，同时也为情绪依赖的预防和治疗打开了可能性。

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引用次数: 0

¿Supone el trastorno bipolar un factor de riesgo predisponente para el desarrollo de un síndrome demencial? Una revisión sistemática 双相情感障碍是导致痴呆综合征的一个易感风险因素吗？系统回顾

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2024.03.001

Lidia López-Sánchez , Josep Deví-Bastida

Introduction

Bipolar disorder and dementia are clinical entities of great impact and depth within the international psychiatric community, dementia being one of the most disabling pathologies at a cognitive, functional, social and economic level, representing one of the main diseases that most concern. It affects the population over 60 years of age. The objective was to explore the possible existence of a correlation between bipolar disorder and dementia, in order to know if bipolar disorder is a predisposing risk factor for the later development of dementia in old age.

Development

A search was carried out in the PubMed, PsycInfo and Web of Science databases. The search was limited to articles published between the years 2000 and 2020. 1708 articles were obtained. Those repeated and unrelated to the topic were eliminated, leaving a total of 8 articles that met the selection criteria. This systematic review was carried out according to the criteria of the PRISMA statement.

Conclusions

Bipolar disorder was found to be associated with a higher probability of presenting dementia in the future, this result being consistent in all studies. In addition, it was found to be a risk factor for dementia regardless of whether the bipolar disorder is early or late onset, to carry a higher risk of dementia than depression, and to carry an increased risk of mortality.

双相情感障碍和痴呆症是国际精神病学领域具有重大影响和深度的临床实体，痴呆症是在认知、功能、社会和经济层面上最致残的病理之一，代表了最受关注的主要疾病之一。它影响60岁以上的人口。目的是探索双相情感障碍和痴呆之间可能存在的相关性，以了解双相情感障碍是否是老年痴呆后期发展的易感危险因素。在PubMed、PsycInfo和Web of Science数据库中进行了检索。搜索仅限于2000年至2020年之间发表的文章。共获得1708件物品。那些重复的和与主题无关的文章被删除，总共留下8篇符合选择标准的文章。这项系统审查是根据PRISMA声明的标准进行的。双相情感障碍被发现与未来出现痴呆的更高概率相关，这一结果在所有研究中都是一致的。此外，研究还发现，无论双相情感障碍是早发还是晚发，它都是痴呆症的一个危险因素，患痴呆症的风险高于抑郁症，死亡风险也更高。

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引用次数: 0

Explorando la importancia del factor genético en el trastorno bipolar: a propósito de un episodio simultáneo de manía en gemelas monocigóticas 探索遗传在双相情感障碍中的重要性：单卵双生子同时发作的躁狂症

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2024.04.001

Laura Vanessa Stefanell De la Hoz, Mercedes Carolina Bastidas Villota, Fredy Jesús Sánchez Pérez, Alexandra Borrero Henríquez

Background

Bipolar disorder is a psychiatric disease that causes mood instability, with episodes of depression, mania or hypomania depending on the type, causing dysfunction in the patient's daily life. In this pathology genetics plays a fundamental role with a high percentage of heritability.

Case

Two monozygotic twins with a manic episode with psychotic symptoms that started almost simultaneously, requiring institutional management due to the severity of their symptoms, with similarities in their clinical picture and poor therapeutic response to first line antipsychotics, and clinical improvement only after the administration of clozapine, despite being treated in different psychiatric institutions. This highlights the genetic influence on the disease and its treatment.

Discussion

Cases such as the one presented above help to focus our attention on the importance of the genetic factor in psychiatric pathologies, in which although progress has been made over time in the knowledge of this association, there is still much to investigate and perhaps this It is the key to finding a «specific» treatment for each patient in a more precise and affordable way, reducing the time of untreated psychosis and brain damage.

背景双相情感障碍是一种导致情绪不稳定的精神疾病，根据类型不同会出现抑郁、躁狂或轻躁狂的发作，导致患者日常生活功能障碍。在这种病理中，遗传学起着重要的作用，遗传率很高。病例：两个同卵双胞胎几乎同时出现躁狂发作并伴有精神病症状，由于其症状的严重程度需要机构管理，其临床表现相似，对一线抗精神病药物的治疗反应较差，尽管在不同的精神病院治疗，但仅在给予氯氮平后临床改善。这突出了遗传对疾病及其治疗的影响。上述案例有助于我们将注意力集中在精神疾病遗传因素的重要性上，尽管随着时间的推移，这种关联的知识已经取得了进展，但仍有许多需要调查的地方，也许这是找到“特定”治疗方法的关键，以更精确和负担得起的方式，减少治疗精神病和脑损伤的时间。

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引用次数: 0