Revista Colombiana de Psiquiatria最新文献

英文中文

Validación de la escala Wong–Law para inteligencia emocional en estudiantes cubanos de Estomatología 在古巴口腔医学学生中验证黄-劳情商量表。

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2024.01.001

Emmanuel Zayas Fundora

引用次数: 0

Exploring Depressive and Anxiety Symptoms Among Employees from a General Hospital in Need of Mental Health Treatment: A Cross-sectional Study 综合医院需要心理健康治疗的员工抑郁和焦虑症状的横断面研究

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.05.003

Nilson Siva , Anderson Sousa Martins-da-Silva , Lucas Pequeno Galvão , Júlio Torales , Antonio Ventriglio , João Mauricio Castaldelli-Maia , Sergio Baldassin

Objective

This study aimed to investigate the association between occupation and depressive/anxiety symptoms, and education levels, among professionals from a Brazilian General Hospital in need of mental health treatment.

Design and setting

This is a cross-sectional study, involving professionals from a teaching hospital in São Paulo.

Methods

Socio-demographic data were collected as well as two standardized scales for depression and anxiety symptoms.

Results

Data from 506 employees seeking mental health assistance have been described: mean age was 34.6 years, 46.2% of them worked in the administrative sector, 35.0% were nursing assistants, 7.5% were nursing technicians, 6.7% were nurses, and 4.5% reported other occupations. According to the International Classification of Diseases-10th edition (ICD-10) criteria, the rates of diagnosis of depressive disorders and anxiety disorders were 60.9% and 37%, respectively. Nursing technicians and nursing assistants reported higher somatic cluster Beck Depression Inventory (BDI) scores (P = 0.012) than other professionals of technical staff, but they were less inclined to receive a psychiatric diagnosis.

Conclusions

Our study demonstrated prevalence rates higher than similar studies in university hospitals, fact that associated with difficulties of the studied population as seeing themselves as sick, and the social discrimination suffered by people with mental disorders can make this problem even worse.

目的本研究旨在调查巴西一家综合医院需要心理健康治疗的专业人员的职业与抑郁/焦虑症状和教育水平之间的关系。设计和环境：这是一项横断面研究，涉及来自圣保罗一家教学医院的专业人员。方法收集社会人口学资料及抑郁、焦虑两种标准化量表。结果对506名寻求心理健康援助的员工的数据进行了描述：平均年龄为34.6岁，46.2%的人在行政部门工作，35.0%为护理助理，7.5%为护理技术员，6.7%为护士，4.5%为其他职业。根据国际疾病分类第十版（ICD-10）标准，抑郁症和焦虑症的诊断率分别为60.9%和37%。护理技术人员和护理助理的躯体群集贝克抑郁量表（BDI）得分高于其他专业技术人员（P = 0.012），但他们接受精神病学诊断的倾向较低。结论我们的研究表明患病率高于大学医院的类似研究，事实上，与被研究人群难以将自己视为有病相关的事实，以及精神障碍患者所遭受的社会歧视可能使这一问题更加严重。

{"title":"Exploring Depressive and Anxiety Symptoms Among Employees from a General Hospital in Need of Mental Health Treatment: A Cross-sectional Study","authors":"Nilson Siva , Anderson Sousa Martins-da-Silva , Lucas Pequeno Galvão , Júlio Torales , Antonio Ventriglio , João Mauricio Castaldelli-Maia , Sergio Baldassin","doi":"10.1016/j.rcp.2023.05.003","DOIUrl":"10.1016/j.rcp.2023.05.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the association between occupation and depressive/anxiety symptoms, and education levels, among professionals from a Brazilian General Hospital in need of mental health treatment.</div></div><div><h3>Design and setting</h3><div>This is a cross-sectional study, involving professionals from a teaching hospital in São Paulo.</div></div><div><h3>Methods</h3><div>Socio-demographic data were collected as well as two standardized scales for depression and anxiety symptoms.</div></div><div><h3>Results</h3><div>Data from 506 employees seeking mental health assistance have been described: mean age was 34.6 years, 46.2% of them worked in the administrative sector, 35.0% were nursing assistants, 7.5% were nursing technicians, 6.7% were nurses, and 4.5% reported other occupations. According to the International Classification of Diseases-10th edition (ICD-10) criteria, the rates of diagnosis of depressive disorders and anxiety disorders were 60.9% and 37%, respectively. Nursing technicians and nursing assistants reported higher somatic cluster Beck Depression Inventory (BDI) scores (<em>P</em>  <!-->0.012) than other professionals of technical staff, but they were less inclined to receive a psychiatric diagnosis.</div></div><div><h3>Conclusions</h3><div>Our study demonstrated prevalence rates higher than similar studies in university hospitals, fact that associated with difficulties of the studied population as seeing themselves as sick, and the social discrimination suffered by people with mental disorders can make this problem even worse.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 196-204"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46592023","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

«La soledad de los dos» (The Lonely Ones, ca. 1899-1902) 《孤独者》（The Lonely Ones，约1899-1902年）

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2025.10.002

引用次数: 0

Hacia una psiquiatría que estudie de forma más minuciosa y sistemática lo «mental» en la comprensión de la salud y la enfermedad 走向更深入、更系统地研究“心理”的精神病学，理解健康和疾病

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2025.10.001

Hernando Santamaría-García

引用次数: 0

Análisis con Google Trends y Our World in Data sobre la salud mental mundial en el contexto de la pandemia por covid-19 [利用 "谷歌趋势 "和 "我们的世界 "数据，分析在科维德-19 大流行病背景下的全球精神健康状况]。

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.04.001

Iván Andía-Rodríguez , Valeria Ayala-Laurel , Jimmy Díaz-Carrillo , Marjorie Llange-Sayan , Samanta Picón , Eder Reyes-Reyes , José Armada , Christian R. Mejía

Introduction

During the covid-19 pandemic, mental health services were unable to cope with the high demand from the population, so many people chose to search the Internet for information that could help them cope with the psychological process they were experiencing at the time. The aim of this study was to characterize the global search trend for the term «psychiatry» in the context of covid-19 using Google Trends and Our World in Data.

Methods

Descriptive-cross-sectional study on global search trends for Psychiatry in the context of covid-19 under the terms «psychiatry», «depression», «anxiety», «stress», «insomnia» and «suicide» in the category of health, this was conducted over the period 2020-2021 and time graphs were generated.

Results

The term «psychiatry» remained at a consistently high relative search volume (between 60 and 90), with a significant and gradual search in the month of April. The relative search volume for «depression», «anxiety» and «stress» remained constant with some non-significant fluctuations over the period 2020-2021. The term «insomnia» was predominant between January and June 2020, gradually declining in April and remaining constant until October 2021. Finally, the term «suicide» had a fluctuating RBV between 60 and 100 during this period.

Conclusions

During the study period, the topics related to mental health and the speciality of psychiatry remained constant, with some fluctuating, but not outstanding variations.

导言：在covid-19大流行期间，心理健康服务无法满足人们的大量需求，因此许多人选择在互联网上搜索信息，以帮助他们应对当时所经历的心理过程。本研究旨在利用谷歌趋势（Google Trends）和 "数据中的我们的世界"（Our World in Data）来描述在 covid-19 背景下 "精神病学 "一词的全球搜索趋势：方法：在2020-2021年期间，对covid-19背景下 "精神病学 "的全球搜索趋势进行描述性横截面研究，在健康类别中搜索 "精神病学"、"抑郁症"、"焦虑"、"压力"、"失眠 "和 "自杀"，并生成时间图表：精神病学 "一词的相对搜索量始终保持在较高水平（在 60 至 90 之间），4 月份的搜索量较大，且呈逐渐上升趋势。在 2020-2021 年期间，"抑郁"、"焦虑 "和 "压力 "的相对搜索量保持不变，但有一些不明显的波动。失眠 "一词在 2020 年 1 月至 6 月期间占主导地位，4 月份逐渐下降，直到 2021 年 10 月保持不变。最后，"自杀 "一词在此期间的 RBV 在 60 到 100 之间波动：在研究期间，与精神健康和精神病学专业相关的话题保持稳定，虽有一些波动，但变化并不突出。

{"title":"Análisis con Google Trends y Our World in Data sobre la salud mental mundial en el contexto de la pandemia por covid-19","authors":"Iván Andía-Rodríguez , Valeria Ayala-Laurel , Jimmy Díaz-Carrillo , Marjorie Llange-Sayan , Samanta Picón , Eder Reyes-Reyes , José Armada , Christian R. Mejía","doi":"10.1016/j.rcp.2023.04.001","DOIUrl":"10.1016/j.rcp.2023.04.001","url":null,"abstract":"<div><h3>Introduction</h3><div>During the covid-19 pandemic, mental health services were unable to cope with the high demand from the population, so many people chose to search the Internet for information that could help them cope with the psychological process they were experiencing at the time. The aim of this study was to characterize the global search trend for the term «psychiatry» in the context of covid-19 using Google Trends and Our World in Data.</div></div><div><h3>Methods</h3><div>Descriptive-cross-sectional study on global search trends for Psychiatry in the context of covid-19 under the terms «psychiatry», «depression», «anxiety», «stress», «insomnia» and «suicide» in the category of health, this was conducted over the period 2020-2021 and time graphs were generated.</div></div><div><h3>Results</h3><div>The term «psychiatry» remained at a consistently high relative search volume (between 60 and 90), with a significant and gradual search in the month of April. The relative search volume for «depression», «anxiety» and «stress» remained constant with some non-significant fluctuations over the period 2020-2021. The term «insomnia» was predominant between January and June 2020, gradually declining in April and remaining constant until October 2021. Finally, the term «suicide» had a fluctuating RBV between 60 and 100 during this period.</div></div><div><h3>Conclusions</h3><div>During the study period, the topics related to mental health and the speciality of psychiatry remained constant, with some fluctuating, but not outstanding variations.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 272-278"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706603","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

Depresión en la población gestante peruana y sus factores asociados: análisis de la Encuesta Demográfica y de Salud Familiar 2018-2019 秘鲁孕妇的抑郁症及其相关因素:2018-2019年人口和家庭健康调查分析

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.06.004

Rosa María Márquez-Tello, Hanul Zúñiga-Kwon, Germán F. Alvarado

Objective

To determine the factors associated with the presence of depressive symptoms in the Peruvian pregnant population using the Demographic and Family Health Survey ENDES 2018–2019.

Material and methods

A secondary base analysis of the ENDES 2018 and 2019 was carried out. The PHQ-9 instrument was used to evaluate depressive symptoms. Standardized questions were used to measure the history of violence. In the multi-variable model, Poisson regression was used, the crude PR was calculated and adjusted with 95% CI, the variables entered the model according to statistical criteria.

Results

The prevalence of depressive symptoms in pregnant women was 6.8%. There was 19.7% of pregnant women who expressed having had a history of general violence. An association was found with said antecedent (PRa 3.8, 95% CI = 1.6; 8.8, p = 0.002), the presence of some type of disability (PRa = 9.4, 95% CI = 1.8; 50.1, p = 0.01) and the number of children (PRa = 1.5, 95% CI = 1.0; 2.2, p = 0.03). Respondents who wanted to wait longer to get pregnant were 5.1 times the prevalence of depressive symptoms compared to those who wanted to get pregnant at that time (p < 0.001). There was no significant association between the rest of the variables and the outcome.

Conclusion

The present study showed that a history of general violence, the presence of some type of disability, the number of children and the waiting time to get pregnant are associated with depressive symptoms in pregnant women. More studies are required, especially of a longitudinal type.

目的利用人口与家庭健康调查ENDES（2018-2019）确定秘鲁孕妇抑郁症状的相关因素。材料与方法对ENDES 2018和2019进行二级碱基分析。采用PHQ-9量表评估抑郁症状。标准化的问题被用来衡量暴力的历史。在多变量模型中，采用泊松回归，计算粗PR并以95% CI进行校正，各变量按统计标准进入模型。结果孕妇抑郁症状患病率为6.8%。19.7%的孕妇表示有一般暴力史。研究发现，上述因素（PRa = 3.8, 95% CI = 1.6; 8.8, p = 0.002）、某种残疾的存在（PRa = 9.4, 95% CI = 1.8; 50.1, p = 0.01）和子女数量（PRa = 1.5, 95% CI = 1.0; 2.2, p = 0.03）与上述因素有关。与当时想要怀孕的受访者相比，想要等待更长时间怀孕的受访者抑郁症状的患病率为5.1倍（p < 0.001）。其他变量与结果之间没有显著的关联。结论一般暴力史、某种残疾的存在、生育子女的数量和等待怀孕的时间与孕妇的抑郁症状有关。需要更多的研究，特别是纵向研究。

{"title":"Depresión en la población gestante peruana y sus factores asociados: análisis de la Encuesta Demográfica y de Salud Familiar 2018-2019","authors":"Rosa María Márquez-Tello, Hanul Zúñiga-Kwon, Germán F. Alvarado","doi":"10.1016/j.rcp.2023.06.004","DOIUrl":"10.1016/j.rcp.2023.06.004","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the factors associated with the presence of depressive symptoms in the Peruvian pregnant population using the Demographic and Family Health Survey ENDES 2018–2019.</div></div><div><h3>Material and methods</h3><div>A secondary base analysis of the ENDES 2018 and 2019 was carried out. The PHQ-9 instrument was used to evaluate depressive symptoms. Standardized questions were used to measure the history of violence. In the multi-variable model, Poisson regression was used, the crude PR was calculated and adjusted with 95% <span>C</span>I, the variables entered the model according to statistical criteria.</div></div><div><h3>Results</h3><div>The prevalence of depressive symptoms in pregnant women was 6.8%. There was 19.7% of pregnant women who expressed having had a history of general violence. An association was found with said antecedent (PRa 3.8, 95% CI=1.6; 8.8, <em>p</em>      =0.01) and the number of children (PRa=1.5, 95% CI=1.0; 2.2, <em>p</em>  <0.001). There was no significant association between the rest of the variables and the outcome.</div></div><div><h3>Conclusion</h3><div>The present study showed that a history of general violence, the presence of some type of disability, the number of children and the waiting time to get pregnant are associated with depressive symptoms in pregnant women. More studies are required, especially of a longitudinal type.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 222-233"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44380673","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

Juego activo y síntomas afectivos y comportamentales en niños, niñas y adolescentes [Juego y Salud Mental] 儿童和青少年的积极游戏、情感和行为症状[游戏和心理健康]

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.04.004

Felipe Agudelo Hernández , Marcela Guapacha Montoya

Introduction

Pediatric mental problems have been increasing, especially after COVID-19, which led to reduced active play. In childhood and adolescence, active play has been recognized as a protective factor against psychopathology.

Objective

To determine the association between gambling and internalizing or externalizing symptoms in children and adolescents.

Material and methods

Cross-sectional analytical observational study, with a sample of 1533 children and adolescents, between six and 18 years of age in the city of Manizales, during the second semester of 2021. The Child Behavior Checklist 6-18 (CBCL/6-18) and inquired about hobbies and active play, where bivariate analyzes were performed.

Results

69.4% of those surveyed are fond of art and 12.0% of sports. 46.37% presented significant symptoms in the CBCL. Statistically significant negative correlations were found between active gaming and the presence of symptoms in all CBCL domains, as well as a positive correlation between alterations in mental health and the use of video games.

Conclusions

Active play is a behavior related to child and adolescent mental health, which is why it should be investigated and promoted from the first levels of health care.

儿童心理问题一直在增加，特别是在COVID-19之后，这导致活跃游戏减少。在儿童和青少年时期，积极玩耍被认为是防止精神病理的保护因素。目的探讨儿童青少年赌博与内化或外化症状的关系。材料和方法横断面分析观察研究，样本为2021年第二学期马尼萨莱斯市1533名6至18岁的儿童和青少年。采用儿童行为检查表6-18 （CBCL/6-18）进行问卷调查，询问儿童的兴趣爱好和积极玩耍情况，并进行双变量分析。结果69.4%的儿童喜欢艺术，12.0%的儿童喜欢体育。46.37%的患者表现出明显的CBCL症状。在所有CBCL领域中，活跃的游戏与症状之间存在统计学上显著的负相关，而心理健康的改变与视频游戏的使用之间存在正相关。结论积极游戏是一种与儿童和青少年心理健康相关的行为，应从卫生保健的第一级对其进行调查和促进。

{"title":"Juego activo y síntomas afectivos y comportamentales en niños, niñas y adolescentes [Juego y Salud Mental]","authors":"Felipe Agudelo Hernández , Marcela Guapacha Montoya","doi":"10.1016/j.rcp.2023.04.004","DOIUrl":"10.1016/j.rcp.2023.04.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Pediatric mental problems have been increasing, especially after COVID-19, which led to reduced active play. In childhood and adolescence, active play has been recognized as a protective factor against psychopathology.</div></div><div><h3>Objective</h3><div>To determine the association between gambling and internalizing or externalizing symptoms in children and adolescents.</div></div><div><h3>Material and methods</h3><div>Cross-sectional analytical observational study, with a sample of 1533 children and adolescents, between six and 18years of age in the city of Manizales, during the second semester of 2021. The Child Behavior Checklist 6-18 (CBCL/6-18) and inquired about hobbies and active play, where bivariate analyzes were performed.</div></div><div><h3>Results</h3><div>69.4% of those surveyed are fond of art and 12.0% of sports. 46.37% presented significant symptoms in the CBCL. Statistically significant negative correlations were found between active gaming and the presence of symptoms in all CBCL domains, as well as a positive correlation between alterations in mental health and the use of video games.</div></div><div><h3>Conclusions</h3><div>Active play is a behavior related to child and adolescent mental health, which is why it should be investigated and promoted from the first levels of health care.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 214-221"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48086114","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

Uso de alcohol e impulsividad autoinformada y comportamental en adolescentes colombianos 哥伦比亚青少年的酒精使用与自我报告的冲动性和行为冲动性

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.12.003

Gonzalo Galván , Manuel Guerrero-Martelo , José Ramón Fernández Hermida , Francisco Javier Vásquez de la Hoz , Cristian Camilo Arias Castro , Glenis Bibiana Álvarez Quiróz , Laura Vannesa Salas Navarro , Mónica Esther Castillo Gómez

Background

The substances most used by adolescents are alcohol, tobacco and cannabis. In Colombia, the use of these substances begins at increasingly younger ages. This early onset could be due to multiple factors, including impulsivity.

Objective

Analyze the relationship between traits and levels of impulsivity, and alcohol consumption in 14-year-old adolescents attending school in the department of Córdoba, Colombia.

Method

Two hundred and fifty-four 14-year-old school-age teenagers from the city of Montería (Colombia) reported drug use and completed three evaluations on impulsivity, one for self-report (BIS-11-A) and two behavioral tasks (Stroop test and delay discounting).

Results

There is a significant relationship between different measures of impulsivity (levels and traits) and alcohol consumption in adolescents. In general, adolescents who consumed alcohol in the last year had higher scores on unplanned impulsivity than those who did not. Under these same conditions, it was found that women showed more cognitive impulsivity than men, and men showed more unplanned impulsivity than others of the same sex. No significant differences were found by sex in the prevalence of year of use or in the age of initiation of alcohol consumption (12 years).

Conclusions

Alcohol onset is of increasingly earlier onset regardless of gender. Different traits of impulsivity are related to adolescent alcohol consumption. Female alcohol users show higher levels of cognitive impulsivity and male alcohol users higher levels of unplanned impulsivity.

青少年使用最多的物质是酒精、烟草和大麻。在哥伦比亚，开始使用这些物质的年龄越来越小。这种早发可能是由多种因素造成的，包括冲动。目的分析哥伦比亚Córdoba部门14岁在校青少年冲动特征和水平与饮酒的关系。方法对来自哥伦比亚Montería市的254名14岁学龄青少年吸毒情况进行调查，并完成3项冲动性评估、1项自我报告（BIS-11-A）和2项行为测试（Stroop测试和延迟贴现）。结果青少年冲动性的不同测量值（水平和特征）与酒精消费有显著关系。总的来说，去年喝酒的青少年比没有喝酒的青少年在计划外冲动方面得分更高。在相同的条件下，研究人员发现女性比男性表现出更多的认知冲动，而男性比其他同性表现出更多的计划外冲动。在使用年份或开始饮酒年龄（12岁）的流行率方面，没有发现明显的性别差异。结论酒精的发病越来越早，与性别无关。冲动的不同特征与青少年饮酒有关。女性饮酒者表现出更高水平的认知冲动，而男性饮酒者表现出更高水平的计划外冲动。

{"title":"Uso de alcohol e impulsividad autoinformada y comportamental en adolescentes colombianos","authors":"Gonzalo Galván , Manuel Guerrero-Martelo , José Ramón Fernández Hermida , Francisco Javier Vásquez de la Hoz , Cristian Camilo Arias Castro , Glenis Bibiana Álvarez Quiróz , Laura Vannesa Salas Navarro , Mónica Esther Castillo Gómez","doi":"10.1016/j.rcp.2023.12.003","DOIUrl":"10.1016/j.rcp.2023.12.003","url":null,"abstract":"<div><h3>Background</h3><div>The substances most used by adolescents are alcohol, tobacco and cannabis. In Colombia, the use of these substances begins at increasingly younger ages. This early onset could be due to multiple factors, including impulsivity.</div></div><div><h3>Objective</h3><div>Analyze the relationship between traits and levels of impulsivity, and alcohol consumption in 14-year-old adolescents attending school in the department of Córdoba, Colombia.</div></div><div><h3>Method</h3><div>Two hundred and fifty-four 14-year-old school-age teenagers from the city of Montería (Colombia) reported drug use and completed three evaluations on impulsivity, one for self-report (BIS-11-A) and two behavioral tasks (Stroop test and delay discounting).</div></div><div><h3>Results</h3><div>There is a significant relationship between different measures of impulsivity (levels and traits) and alcohol consumption in adolescents. In general, adolescents who consumed alcohol in the last year had higher scores on unplanned impulsivity than those who did not. Under these same conditions, it was found that women showed more cognitive impulsivity than men, and men showed more unplanned impulsivity than others of the same sex. No significant differences were found by sex in the prevalence of year of use or in the age of initiation of alcohol consumption (12years).</div></div><div><h3>Conclusions</h3><div>Alcohol onset is of increasingly earlier onset regardless of gender. Different traits of impulsivity are related to adolescent alcohol consumption. Female alcohol users show higher levels of cognitive impulsivity and male alcohol users higher levels of unplanned impulsivity.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 180-188"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139889543","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

Delirium: Cognitive, Functionality, and Quality of Life Outcomes in Critically Ill Patients 谵妄：危重患者的认知、功能和生活质量结果

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.05.005

Martha Liliana Sánchez-Lozano , Cristian Daniel Restrepo-Ramírez , Laura Sofía Serna-Echeverri , Juan Darío Franco-Ramírez , Julio César Gutiérrez-Segura , Andrés Mauricio García-Cuevas

Objective

There is scarce evidence of the impact of delirium on the post-ICU outcomes of critically ill patients. This study assessed the effect of delirium on cognitive function, functionality, and quality of life after three months from discharge in critically ill patients.

Methods

A nested case–control study was realized from April to September 2018. The prevalence of delirium and its association with mortality was assessed, and the alterations in cognition, functionality, and quality of life in survivors of critical illness three months after discharge from the ICU.

Results

81 patients were included and evaluated with the CAM-ICU; 43 were defined as cases. The prevalence of delirium was 26%, and the mortality of patients with and without delirium was 35.4% vs. 10%, respectively. In the follow-up, the delirium group showed lower scores in the MMSE (p < 0.01), with a specific decline in the subdomains of orientation, calculation, and language/praxis compared with the control group. The delirium group showed a decreased score in the SF-36, with a significant decline in social function, emotional role, and mental health (p < 0.05). There were no differences observed in functionality measured by the PGC-IADL.

Conclusions

Education strategies are required to increase delirium awareness in ICU teams. Support from a mental health interdisciplinary team is needed to guide the preventive and rehabilitation interventions for post-ICU patients.

目的谵妄对危重患者icu后预后的影响尚缺乏证据。本研究评估危重病人出院后三个月谵妄对认知功能、功能和生活质量的影响。方法于2018年4 - 9月进行巢式病例对照研究。评估谵妄的患病率及其与死亡率的关系，以及重症患者出院后3个月认知、功能和生活质量的改变。结果共纳入81例患者，采用CAM-ICU进行评估；43例被定义为病例。谵妄的患病率为26%，有谵妄和无谵妄的死亡率分别为35.4%和10%。在随访中，谵妄组的MMSE得分较低（p < 0.01），与对照组相比，定向、计算和语言/实践的子域明显下降。谵妄组SF-36得分下降，社会功能、情感角色、心理健康显著下降（p < 0.05）。PGC-IADL测量的功能没有观察到差异。结论提高ICU团队谵妄意识需要采取教育策略。需要心理健康跨学科团队的支持来指导icu后患者的预防和康复干预。

{"title":"Delirium: Cognitive, Functionality, and Quality of Life Outcomes in Critically Ill Patients","authors":"Martha Liliana Sánchez-Lozano , Cristian Daniel Restrepo-Ramírez , Laura Sofía Serna-Echeverri , Juan Darío Franco-Ramírez , Julio César Gutiérrez-Segura , Andrés Mauricio García-Cuevas","doi":"10.1016/j.rcp.2023.05.005","DOIUrl":"10.1016/j.rcp.2023.05.005","url":null,"abstract":"<div><h3>Objective</h3><div>There is scarce evidence of the impact of delirium on the post-ICU outcomes of critically ill patients. This study assessed the effect of delirium on cognitive function, functionality, and quality of life after three months from discharge in critically ill patients.</div></div><div><h3>Methods</h3><div>A nested case–control study was realized from April to September 2018. The prevalence of delirium and its association with mortality was assessed, and the alterations in cognition, functionality, and quality of life in survivors of critical illness three months after discharge from the ICU.</div></div><div><h3>Results</h3><div>81 patients were included and evaluated with the CAM-ICU; 43 were defined as cases. The prevalence of delirium was 26%, and the mortality of patients with and without delirium was 35.4% vs. 10%, respectively. In the follow-up, the delirium group showed lower scores in the MMSE (<em>p</em>  <em>0.01)</em>, with a specific decline in the subdomains of orientation, calculation, and language/praxis compared with the control group. The delirium group showed a decreased score in the SF-36, with a significant decline in social function, emotional role, and mental health (<em>p</em>  <em>0.05)</em>. There were no differences observed in functionality measured by the PGC-IADL.</div></div><div><h3>Conclusions</h3><div>Education strategies are required to increase delirium awareness in ICU teams. Support from a mental health interdisciplinary team is needed to guide the preventive and rehabilitation interventions for post-ICU patients.</div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 234-242"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48077468","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

Intoxication Associated with Ayahuasca Consumption, Characterization, and Comparative Analysis of the Beverage's Components: A Case Report 饮用阿亚瓦斯卡引起的中毒、饮料成分的表征和比较分析：一例报告

Q3 Medicine

Revista Colombiana de Psiquiatria

Pub Date : 2025-04-01 DOI: 10.1016/j.rcp.2023.02.002

Edgar A. Estrella-Parra , José G. Avila-Acevedo , Ana M. García-Bores , José C. Rivera-Cabrera , Edgar F. Alarcón-Villaseñor , Ivone Alejandre-García , Francisco J. Alarcón-Aguilar

Introduction

Ayahuasca is a psychotropic beverage from South America, derived from Banisteriopsis caapi and Psychotria viridis. The beverage contains alkaloids such as β-carbolines and dimethyltryptamine (DMT), which alter the psychoactive functions associated with perception and thought processes. Its consumption in the countries of origin, such as Brazil, Colombia, and Peru, is prevalent. Its use has been popularized worldwide, especially in the European Union and North America, where the ayahuasca samples are introduced from South America.

Objective

This article presents the case report of a Mexican ayahuasca user with clinical symptoms of poisoning.

Clinical case

A 24-year-old man, habitual consumer of ayahuasca, arrived at emergency room presenting cognitive decline and a fluctuating course of delirium, stupor, and disorientation. The patient's blood samples were compared using HPLC/ESI-MS/MS with the extract consumed, with other traditional Colombian ayahuasca samples, and with standard chemicals, aiming to determine whether the components of ayahuasca were present in the patient's blood. The same blood sample was subjected to a bioinformatics analysis (KNIME 4.4.2-version, based on OpenMS) to detect other drugs probably consumed by the patient.

Conclusions

The principal components of ayahuasca in the blood sample were identified: DMT, harmaline, harmine, harmol, bufotenine, and tetrahydro harmine. In addition, other narcotic drugs, such as 11-nor-9-carboxy-Δ(9)-tetrahydrocannabinol, amphetamine, and norcocaine, were also detected. The poisoning can be associated with ayahuasca consumption and its interaction with other drugs.

死藤水是一种来自南美洲的精神类饮料，由Banisteriopsis caapi和psychotriia viridis衍生而来。这种饮料含有生物碱，如β-碳碱和二甲基色胺（DMT），它们会改变与感知和思维过程相关的精神活动功能。它的消费在原产国，如巴西、哥伦比亚和秘鲁，是普遍的。死藤水的使用已经在世界范围内普及，特别是在欧盟和北美，死藤水的样品是从南美引进的。目的报道一例墨西哥死藤水服用者出现中毒临床症状的病例报告。临床病例：一名24岁男性，死藤水的习惯性消费者，因认知能力下降和谵妄、昏迷和定向障碍的波动过程而被送往急诊室。使用HPLC/ESI-MS/MS将患者血液样本与所消耗的提取物、其他传统哥伦比亚死藤水样本以及标准化学品进行比较，以确定患者血液中是否存在死藤水的成分。对同一血样进行生物信息学分析（KNIME 4.4.2版本，基于OpenMS），以检测患者可能使用的其他药物。结论从血样品中鉴定出死藤水的主要成分：DMT、毒蜂碱、毒蜂碱、毒蜂碱、丁福藤碱和四氢毒蜂碱。此外，还检测到其他麻醉药物，如11-no -9-羧基-Δ(9)-四氢大麻酚、安非他明和去甲可卡因。中毒可能与死藤水的摄入及其与其他药物的相互作用有关。

{"title":"Intoxication Associated with Ayahuasca Consumption, Characterization, and Comparative Analysis of the Beverage's Components: A Case Report","authors":"Edgar A. Estrella-Parra , José G. Avila-Acevedo , Ana M. García-Bores , José C. Rivera-Cabrera , Edgar F. Alarcón-Villaseñor , Ivone Alejandre-García , Francisco J. Alarcón-Aguilar","doi":"10.1016/j.rcp.2023.02.002","DOIUrl":"10.1016/j.rcp.2023.02.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Ayahuasca is a psychotropic beverage from South America, derived from <span><em>Banisteriopsis caapi</em></span> and <span><em>Psychotria</em><em> viridis.</em></span> The beverage contains alkaloids such as β-carbolines and dimethyltryptamine (DMT), which alter the psychoactive functions associated with perception and thought processes. Its consumption in the countries of origin, such as Brazil, Colombia, and Peru, is prevalent. Its use has been popularized worldwide, especially in the European Union and North America, where the ayahuasca samples are introduced from South America.</div></div><div><h3>Objective</h3><div>This article presents the case report of a Mexican ayahuasca user with clinical symptoms of poisoning.</div></div><div><h3>Clinical case</h3><div>A 24-year-old man, habitual consumer of ayahuasca, arrived at emergency room presenting cognitive decline and a fluctuating course of delirium, stupor, and disorientation. The patient's blood samples were compared using HPLC/ESI-MS/MS with the extract consumed, with other traditional Colombian ayahuasca samples, and with standard chemicals, aiming to determine whether the components of ayahuasca were present in the patient's blood. The same blood sample was subjected to a bioinformatics analysis (KNIME 4.4.2-version, based on OpenMS) to detect other drugs probably consumed by the patient.</div></div><div><h3>Conclusions</h3><div>The principal components of ayahuasca in the blood sample were identified: DMT<span>, harmaline, harmine, harmol, bufotenine, and tetrahydro harmine. In addition, other narcotic drugs, such as 11-nor-9-carboxy-Δ(9)-tetrahydrocannabinol, amphetamine, and norcocaine, were also detected. The poisoning can be associated with ayahuasca consumption and its interaction with other drugs.</span></div></div>","PeriodicalId":52477,"journal":{"name":"Revista Colombiana de Psiquiatria","volume":"54 2","pages":"Pages 350-357"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47280512","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

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Revista Colombiana de Psiquiatria

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀