Revista Colombiana de psiquiatria (English ed.)最新文献

Exploring Stigma Towards People with Schizophrenia in Mass Media and Their Private Discourses 探讨大众传媒对精神分裂症患者的污名及其私人话语。

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-10-01 DOI: 10.1016/j.rcpeng.2024.12.004

Emmanuel Méndez , Alicia Figueroa-Barra , Cristina Martínez , Eduardo Durán

Introduction

It has been shown that public stigma towards people with schizophrenia hinders their psychosocial integration. Public stigma expresses itself through lexical labels used in the print media and social networks, heightening the internalization of stigma in this population, a phenomenon known as internalised stigma or self-stigma. This paper analyses the diffusion in the mass media of two dimensions of stigma: public stigma and self-stigma.

Methods

For public stigma, we searched for the lexical labels “schizophrenia”, “schizophrenic”, “psychosis” and “psychotic” in Chilean newspapers from 2010 to 2020, and for self-stigma, we used semi-structured interviews with people with a diagnosis of schizophrenia who are users of mental health services in Santiago de Chile. The findings were organised into four categories per stigma dimension. Lexical frequencies and semantic relationships were then analysed using the UAM Corpus tool and AntConc software.

Results

The results showed frequent use of stigmatising labels in the written press, with harmful semantic associations such as violence, delinquency, unpredictability and danger.

Conclusions

Such labels tend to be accepted by those affected, evidence of their internalisation of the stigma towards the disease, and create a barrier to integration and inclusion.

导言：研究表明，公众对精神分裂症患者的成见阻碍了他们融入社会心理。公众成见通过印刷媒体和社交网络中使用的词汇标签表现出来，加剧了该人群成见的内化，这种现象被称为内化成见或自我成见。本文分析了成见在大众媒体中的两个方面的传播：公众成见和自我成见：在公众污名方面，我们搜索了 2010 年至 2020 年智利报纸上的 "精神分裂症"、"精神分裂症患者"、"精神病 "和 "精神病患者 "等词条；在自我污名方面，我们对智利圣地亚哥精神卫生服务机构的精神分裂症患者进行了半结构式访谈。调查结果按成见维度分为四个类别。然后使用 UAM 语料库工具和 AntConc 软件对词频和语义关系进行分析：结果：研究结果表明，在书面报刊中经常使用污名化标签，这些标签与暴力、犯罪、不可预测性和危险等有害语义相关联：结论：这些标签往往被患者所接受，证明了他们对疾病的成见已经内化，并对融入和包容造成了障碍。

{"title":"Exploring Stigma Towards People with Schizophrenia in Mass Media and Their Private Discourses","authors":"Emmanuel Méndez , Alicia Figueroa-Barra , Cristina Martínez , Eduardo Durán","doi":"10.1016/j.rcpeng.2024.12.004","DOIUrl":"10.1016/j.rcpeng.2024.12.004","url":null,"abstract":"<div><h3>Introduction</h3><div>It has been shown that public stigma towards people with schizophrenia hinders their psychosocial integration. Public stigma expresses itself through lexical labels used in the print media and social networks, heightening the internalization of stigma in this population, a phenomenon known as internalised stigma or self-stigma. This paper analyses the diffusion in the mass media of two dimensions of stigma: public stigma and self-stigma.</div></div><div><h3>Methods</h3><div>For public stigma, we searched for the lexical labels “schizophrenia”, “schizophrenic”, “psychosis” and “psychotic” in Chilean newspapers from 2010 to 2020, and for self-stigma, we used semi-structured interviews with people with a diagnosis of schizophrenia who are users of mental health services in Santiago de Chile. The findings were organised into four categories per stigma dimension. Lexical frequencies and semantic relationships were then analysed using the UAM Corpus tool and AntConc software.</div></div><div><h3>Results</h3><div>The results showed frequent use of stigmatising labels in the written press, with harmful semantic associations such as violence, delinquency, unpredictability and danger.</div></div><div><h3>Conclusions</h3><div>Such labels tend to be accepted by those affected, evidence of their internalisation of the stigma towards the disease, and create a barrier to integration and inclusion.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 471-479"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866691","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

Creation and Validation of an Educational Booklet on Autism Spectrum Disorder 自闭症谱系障碍教育小册子的制作与验证。

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-10-01 DOI: 10.1016/j.rcpeng.2022.09.001

Marciana Fernandes Moll , Carla Aparecida Arena Ventura , Aldo Matos , Ana Beatriz Rizzo Zanardo , Mary Carla Velasco Melo , Ronadia dos Santos Silva

Objectives

To develop and validate an educational booklet that contributes to alleviating the difficulties experienced by family members of children diagnosed as being on the Autism Spectrum.

Methods

A descriptive exploratory study with a quali-quantitative approach. Ten families of children on the autism spectrum and twelve judges participated in the validation. Data collection took place through open interviews and data was analysed according to the procedures recommended by Bardin.

Results

Difficulties identified included problems in children's verbal and non-verbal communication, daily care, school inclusion, late diagnosis due to the lack of specialists, and lack of psychological support for the family and for handling the child during an episode of crisis. Informational needs included early diagnosis, evolution and management of crises, children's ability to learn daily life activities, and information about their right to inclusion in formal education. Based on these difficulties and needs, the booklet was created and validated by eight experts and four family members. Comparing the average of positive reviews in each section, which were obtained in the first and second evaluations, there was a general improvement in the quality of the booklet.

Conclusions

The validation of educational materials on this topic can be essential to improve the quality of life of children, families, and educators.

目的：开发和验证一个教育小册子，有助于减轻诊断为自闭症谱系儿童的家庭成员所经历的困难。方法：采用定性定量方法进行描述性探索性研究。10个自闭症儿童家庭和12位评委参与了验证。通过公开访谈收集数据，并根据Bardin建议的程序对数据进行分析。结果：发现的困难包括儿童的语言和非语言交流、日常护理、学校融入、由于缺乏专家而延迟诊断、缺乏对家庭的心理支持和在危机事件中处理儿童的支持。信息需求包括早期诊断、危机演变和管理、儿童学习日常生活活动的能力，以及关于儿童接受正规教育的权利的信息。基于这些困难和需求，这本小册子是由8位专家和4位家庭成员创建并验证的。比较在第一次和第二次评价中获得的每一节的平均好评，小册子的质量普遍有所改善。结论：对这一主题的教育材料的验证对于改善儿童、家庭和教育者的生活质量至关重要。

{"title":"Creation and Validation of an Educational Booklet on Autism Spectrum Disorder","authors":"Marciana Fernandes Moll , Carla Aparecida Arena Ventura , Aldo Matos , Ana Beatriz Rizzo Zanardo , Mary Carla Velasco Melo , Ronadia dos Santos Silva","doi":"10.1016/j.rcpeng.2022.09.001","DOIUrl":"10.1016/j.rcpeng.2022.09.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To develop and validate an educational booklet that contributes to alleviating the difficulties experienced by family members of children diagnosed as being on the Autism Spectrum.</div></div><div><h3>Methods</h3><div>A descriptive exploratory study with a quali-quantitative approach. Ten families of children on the autism spectrum and twelve judges participated in the validation. Data collection took place through open interviews and data was analysed according to the procedures recommended by Bardin.</div></div><div><h3>Results</h3><div>Difficulties identified included problems in children's verbal and non-verbal communication, daily care, school inclusion, late diagnosis due to the lack of specialists, and lack of psychological support for the family and for handling the child during an episode of crisis. Informational needs included early diagnosis, evolution and management of crises, children's ability to learn daily life activities, and information about their right to inclusion in formal education. Based on these difficulties and needs, the booklet was created and validated by eight experts and four family members. Comparing the average of positive reviews in each section, which were obtained in the first and second evaluations, there was a general improvement in the quality of the booklet.</div></div><div><h3>Conclusions</h3><div>The validation of educational materials on this topic can be essential to improve the quality of life of children, families, and educators.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 496-504"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866675","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

Relationship Between Chronic Obstructive Pulmonary Disease Exacerbations and Depression 慢性阻塞性肺疾病加重与抑郁的关系

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-10-01 DOI: 10.1016/j.rcpeng.2024.12.002

Pablo Salomón Montes-Arcón , Adalberto Campo-Arias , John Carlos Pedrozo-Pupo

Background and objectives

Depressive episodes are frequent in chronic obstructive pulmonary disease (COPD) patients. These episodes are related to a vast number of clinical and psychosocial variables. Nevertheless, the relationship between the number of COPD exacerbations and depression has not been extensively studied in the Colombian Caribbean. The objective was to determine the relationship between COPD exacerbations and depression in a sample of outpatients in Santa Marta, Colombia.

Methods

A cross-sectional analytical study was designed in which COPD adult patients participated. The number of COPD exacerbations (none versus one or more) and the risk of depression were documented. The crude and adjusted association was established by calculating the odds ratios (OR) and 95% confidence interval (95%CI).

Results

The study included 408 patients aged between 40 and 102 years (mean 72.9 ± 10.2), and 58.8% were male. 105 patients (25.9%) reported one or more exacerbations in COPD, and 114 patients (27.9%) were at risk for depression. The crude relationship between exacerbations and depression was statistically significant (OR = 1.80; 95%CI, 1.12-2.89) and after adjusting for sex (OR = 1.99; 95%CI, 1.23-3.23).

Conclusions

The number of COPD exacerbations among outpatients in Santa Marta, Colombia is related to depression. Longitudinal studies are needed in Colombia.

背景与目的：抑郁发作在慢性阻塞性肺疾病（COPD）患者中很常见。这些发作与大量临床和社会心理变量有关。然而，在哥伦比亚加勒比地区，COPD恶化与抑郁症之间的关系尚未得到广泛研究。目的是在哥伦比亚圣玛尔塔的门诊病人样本中确定COPD恶化和抑郁之间的关系。方法：设计一项COPD成人患者参与的横断面分析研究。记录了COPD加重的次数（无加重对一次或多次加重）和抑郁的风险。通过计算比值比（OR）和95%置信区间（95% ci）建立粗相关性和校正相关性。结果：纳入408例患者，年龄40 ~ 102岁，平均72.9±10.2岁，其中58.8%为男性。105名患者（25.9%）报告了一次或多次COPD加重，114名患者（27.9%）有抑郁风险。加重与抑郁之间的粗略关系有统计学意义(OR=1.80；95%CI, 1.12-2.89)和调整性别后(OR=1.99；95%可信区间,1.23 - -3.23)。结论：哥伦比亚圣玛尔塔门诊患者COPD加重次数与抑郁症有关。哥伦比亚需要进行纵向研究。

{"title":"Relationship Between Chronic Obstructive Pulmonary Disease Exacerbations and Depression","authors":"Pablo Salomón Montes-Arcón , Adalberto Campo-Arias , John Carlos Pedrozo-Pupo","doi":"10.1016/j.rcpeng.2024.12.002","DOIUrl":"10.1016/j.rcpeng.2024.12.002","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Depressive episodes are frequent in chronic obstructive pulmonary disease (COPD) patients. These episodes are related to a vast number of clinical and psychosocial variables. Nevertheless, the relationship between the number of COPD exacerbations and depression has not been extensively studied in the Colombian Caribbean. The objective was to determine the relationship between COPD exacerbations and depression in a sample of outpatients in Santa Marta, Colombia.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was designed in which COPD adult patients participated. The number of COPD exacerbations (none versus one or more) and the risk of depression were documented. The crude and adjusted association was established by calculating the odds ratios (OR) and 95% confidence interval (95%CI).</div></div><div><h3>Results</h3><div>The study included 408 patients aged between 40 and 102 years (mean 72.9±10.2), and 58.8% were male. 105 patients (25.9%) reported one or more exacerbations in COPD, and 114 patients (27.9%) were at risk for depression. The crude relationship between exacerbations and depression was statistically significant (OR=1.80; 95%CI, 1.12-2.89) and after adjusting for sex (OR=1.99; 95%CI, 1.23-3.23).</div></div><div><h3>Conclusions</h3><div>The number of COPD exacerbations among outpatients in Santa Marta, Colombia is related to depression. Longitudinal studies are needed in Colombia.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 443-447"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866694","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

Structural Study of Anxiety and Mood-related Symptomatology in Psychiatric Outpatients 精神病门诊患者焦虑和情绪相关症状的结构研究。

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-10-01 DOI: 10.1016/j.rcpeng.2024.12.005

Johann M. Vega-Dienstmaier , Frine Samalvides , Renato D. Alarcón

Introduction

Knowledge of the symptomatological structure of mental disorders is relevant for their understanding and classification. In the absence of previous Latin American research on the simultaneous structural exploration of various types of psychiatric symptomatologies, the objective of this study is to examine the structure of anxious and mood-related symptoms, resulting syndromes, and their correlations.

Method

Several instruments for the evaluation of anxious, depressive, and manic symptoms were administered to 305 psychiatric outpatients. Using factor analysis and network graphs based on polychoric correlations between the symptoms, their clustering patterns (syndromes) were explored. Further, correlations between the scores of each resulting syndrome were performed.

Results

The symptom grouping process led to a total of fifteen generally overlapping syndromes: fear of evaluation, fear of people, agoraphobia, general anxiety, somatization, anergy, depressive core, lack of positive mood, cognitive difficulties, mania, post-traumatic stress/obsessions, fear of madness/loss of control, acrophobia, irritability, and sleep disturbances. General anxiety was at the center of the structure. Morning/matinal pole, hypersomnia, and increased appetite were relatively isolated symptoms.

Conclusion

Overlapping and/or highly correlated psychiatric syndromes were prominent findings, underlining the pertinence of a dimensional approach as a substantial strategy toward a more inclusive understanding of mental disorders.

前言：了解精神障碍的症状学结构有助于对其进行理解和分类。由于缺乏以往拉丁美洲对各种类型精神症状的同时结构探索的研究，本研究的目的是检查焦虑和情绪相关症状的结构，由此产生的综合征，以及它们之间的相关性。方法：对305例精神科门诊患者进行焦虑、抑郁和躁狂症状评估。利用因子分析和基于症状之间多重相关性的网络图，探索其聚类模式（证候）。此外，还进行了每种综合征评分之间的相关性分析。结果：症状分组过程共产生15个大致重叠的症状：害怕评价、害怕人、广场恐怖、一般焦虑、躯体化、能量、抑郁核心、缺乏积极情绪、认知困难、躁狂、创伤后应激/困扰、害怕疯狂/失去控制、恐高、易怒、睡眠障碍。普遍的焦虑是这个结构的中心。早/午极、嗜睡和食欲增加是相对孤立的症状。结论：重叠和/或高度相关的精神综合征是突出的发现，强调了维度方法作为对精神障碍更具包容性理解的实质性策略的相关性。

{"title":"Structural Study of Anxiety and Mood-related Symptomatology in Psychiatric Outpatients","authors":"Johann M. Vega-Dienstmaier , Frine Samalvides , Renato D. Alarcón","doi":"10.1016/j.rcpeng.2024.12.005","DOIUrl":"10.1016/j.rcpeng.2024.12.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Knowledge of the symptomatological structure of mental disorders is relevant for their understanding and classification. In the absence of previous Latin American research on the simultaneous structural exploration of various types of psychiatric symptomatologies, the objective of this study is to examine the structure of anxious and mood-related symptoms, resulting syndromes, and their correlations.</div></div><div><h3>Method</h3><div>Several instruments for the evaluation of anxious, depressive, and manic symptoms were administered to 305 psychiatric outpatients. Using factor analysis and network graphs based on polychoric correlations between the symptoms, their clustering patterns (syndromes) were explored. Further, correlations between the scores of each resulting syndrome were performed.</div></div><div><h3>Results</h3><div>The symptom grouping process led to a total of fifteen generally overlapping syndromes: fear of evaluation, fear of people, agoraphobia, general anxiety, somatization, anergy, depressive core, lack of positive mood, cognitive difficulties, mania, post-traumatic stress/obsessions, fear of madness/loss of control, acrophobia, irritability, and sleep disturbances. General anxiety was at the center of the structure. Morning/matinal pole, hypersomnia, and increased appetite were relatively isolated symptoms.</div></div><div><h3>Conclusion</h3><div>Overlapping and/or highly correlated psychiatric syndromes were prominent findings, underlining the pertinence of a dimensional approach as a substantial strategy toward a more inclusive understanding of mental disorders.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 505-516"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866700","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

Subcultural Representations of Perpetrators and Victims of Crime and Violence Associated with Mental Disorders 与精神障碍相关的犯罪和暴力的肇事者和受害者的亚文化表征。

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-10-01 DOI: 10.1016/j.rcpeng.2024.12.003

Fabian Pavez , Erika Saura , Pedro Marset

Introduction and objectives

The beliefs and opinions of the general population are based substantially on mass media, which often equates mental disorders with violence and criminality. These stigmatising depictions contribute to the development and persistence of negative attitudes towards people with psychiatric conditions. The objective was to examine, through popular music, the subcultural representations of crime and violence in the context of mental disorders, focusing on depictions of victims and offenders.

Methods

Strategy of analysis: Content analysis of Spanish punk lyrics (1981-2010) with references to violent and criminal behaviour associated with mental disorders.

Results

257 Spanish punk bands were identified. The discographies included 7,777 songs, of which 190 were related to aggression, violence, or crime. A predilection for violent crimes and descriptions of the perpetrator as “mentally disturbed” was observed. Although they were present, psychotic symptoms were not the main psychiatric symptoms associated with violent crime, but instead it was substance use, antisocial personality traits and paraphilic behaviour. There was less attention paid to victims than to perpetrators.

Conclusions

The relationships between mental disorders and criminality/violence are overemphasised in the analysed subculture. A positive connotation of social deviance and violent content (particularly serial murder) in service to the provocative nature of this type of music was observed.

引言和目标：一般民众的信仰和意见主要基于大众传媒，而大众传媒往往将精神障碍与暴力和犯罪等同起来。这些污名化的描述助长了对精神疾病患者的消极态度的发展和持续。目的是通过流行音乐，审查在精神障碍背景下犯罪和暴力的亚文化表现形式，重点是对受害者和罪犯的描绘。方法：分析策略：西班牙朋克歌词（1981-2010）的内容分析，参考与精神障碍相关的暴力和犯罪行为。结果：共识别出257支西班牙朋克乐队。这些唱片包括7777首歌曲，其中190首与侵略、暴力或犯罪有关。我们观察到人们对暴力犯罪的偏爱，并将犯罪者描述为“精神失常”。虽然存在精神病症状，但它们并不是与暴力犯罪相关的主要精神病症状，而是药物使用、反社会人格特征和性反常行为。对受害者的关注少于对肇事者的关注。结论：在分析的亚文化中，精神障碍与犯罪/暴力之间的关系被过分强调。社会偏差和暴力内容（特别是连环谋杀）的积极内涵服务于这种类型的音乐的挑衅性被观察到。

{"title":"Subcultural Representations of Perpetrators and Victims of Crime and Violence Associated with Mental Disorders","authors":"Fabian Pavez , Erika Saura , Pedro Marset","doi":"10.1016/j.rcpeng.2024.12.003","DOIUrl":"10.1016/j.rcpeng.2024.12.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The beliefs and opinions of the general population are based substantially on mass media, which often equates mental disorders with violence and criminality. These stigmatising depictions contribute to the development and persistence of negative attitudes towards people with psychiatric conditions. The objective was to examine, through popular music, the subcultural representations of crime and violence in the context of mental disorders, focusing on depictions of victims and offenders.</div></div><div><h3>Methods</h3><div>Strategy of analysis: Content analysis of Spanish punk lyrics (1981-2010) with references to violent and criminal behaviour associated with mental disorders.</div></div><div><h3>Results</h3><div>257 Spanish punk bands were identified. The discographies included 7,777 songs, of which 190 were related to aggression, violence, or crime. A predilection for violent crimes and descriptions of the perpetrator as “mentally disturbed” was observed. Although they were present, psychotic symptoms were not the main psychiatric symptoms associated with violent crime, but instead it was substance use, antisocial personality traits and paraphilic behaviour. There was less attention paid to victims than to perpetrators.</div></div><div><h3>Conclusions</h3><div>The relationships between mental disorders and criminality/violence are overemphasised in the analysed subculture. A positive connotation of social deviance and violent content (particularly serial murder) in service to the provocative nature of this type of music was observed.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 458-470"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866708","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

Cultural Beliefs About the Etiology of Schizophrenia and Expressed Emotion in Mexican Families 墨西哥家庭精神分裂症病因与情绪表达的文化信仰。

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-10-01 DOI: 10.1016/j.rcpeng.2024.12.001

Ricardo Ignacio Audiffred-Jaramillo , Javier Eduardo García De Alba-García

Introduction

Schizophrenia is a severe and persistent mental disorder that affects around 21 million people worldwide. The etiology of schizophrenia is currently understood as heterogeneous and multifactorial. Genetic and environmental factors are the most common explanations for the onset of schizophrenia, but along with these, hybridized cultural ideas coexist between medical, superstitious, and religious paradigms. The objective was to identify the relationship between cultural beliefs about schizophrenia, etiology and expressed emotion.

Methods

The present study used a mixed-method design, with an analytical approach for ethnographic research. The sample consisted of 40 people, relatives of patients diagnosed with schizophrenia, selected using simple random probabilistic sampling.

Results

A valid cultural consensus was found with statistical significance (p≤.05). Emotional trauma in childhood was identified as the leading cause of schizophrenia, followed by hereditary factors, emotional problems, head trauma, mistreatment, and divine will. The better-informed relatives expressed less emotion than those with less cultural competence (Mann-Whitney's U = 1.000; p < .001).

Conclusions

Mexican families in this study had a high degree of scientific knowledge about the etiology of schizophrenia, but religious ideas and compassionate explanations were part of this hybridized model.

导言精神分裂症是一种严重而顽固的精神障碍，全球约有 2 100 万人患有此病。精神分裂症的病因目前被认为是多种多样的。遗传和环境因素是精神分裂症发病的最常见解释，但与此同时，医学、迷信和宗教范式之间也存在着杂交的文化观念。本研究旨在确定精神分裂症的文化信仰、病因和情感表达之间的关系：本研究采用了混合方法设计，并采用了人种学研究的分析方法。样本由 40 人组成，他们都是被诊断为精神分裂症患者的亲属，采用简单随机概率抽样法选出：结果：发现了一种有效的文化共识，且具有统计学意义（p≤.05）。童年时期的情感创伤被认为是导致精神分裂症的主要原因，其次是遗传因素、情感问题、头部创伤、虐待和神意。与文化素养较低的亲属相比，文化素养较高的亲属表达的情感较少（Mann-Whitney's U=1.000; p结论：本研究中的墨西哥家庭对精神分裂症的病因有较多的科学知识，但宗教观念和同情的解释也是这种混合模式的一部分。

{"title":"Cultural Beliefs About the Etiology of Schizophrenia and Expressed Emotion in Mexican Families","authors":"Ricardo Ignacio Audiffred-Jaramillo , Javier Eduardo García De Alba-García","doi":"10.1016/j.rcpeng.2024.12.001","DOIUrl":"10.1016/j.rcpeng.2024.12.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Schizophrenia is a severe and persistent mental disorder that affects around 21 million people worldwide. The etiology of schizophrenia is currently understood as heterogeneous and multifactorial. Genetic and environmental factors are the most common explanations for the onset of schizophrenia, but along with these, hybridized cultural ideas coexist between medical, superstitious, and religious paradigms. The objective was to identify the relationship between cultural beliefs about schizophrenia, etiology and expressed emotion.</div></div><div><h3>Methods</h3><div>The present study used a mixed-method design, with an analytical approach for ethnographic research. The sample consisted of 40 people, relatives of patients diagnosed with schizophrenia, selected using simple random probabilistic sampling.</div></div><div><h3>Results</h3><div>A valid cultural consensus was found with statistical significance (p≤.05). Emotional trauma in childhood was identified as the leading cause of schizophrenia, followed by hereditary factors, emotional problems, head trauma, mistreatment, and divine will. The better-informed relatives expressed less emotion than those with less cultural competence (Mann-Whitney's U=1.000; p<.001).</div></div><div><h3>Conclusions</h3><div>Mexican families in this study had a high degree of scientific knowledge about the etiology of schizophrenia, but religious ideas and compassionate explanations were part of this hybridized model.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 435-442"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866679","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

Effectiveness of Paliperidone Palmitate on Treatment Adherence and Relapse in the Adult Schizophrenia Population: A One-Year Mirror-Image Study in a Colombian Mental Health Care Facility 棕榈酸帕利哌酮对成年精神分裂症患者治疗依从性和复发的影响：哥伦比亚精神卫生保健机构为期一年的镜像研究

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-10-01 DOI: 10.1016/j.rcpeng.2022.06.006

Oscar Ribero , Anne-Marie Castilloux , Lina Maria Agudelo , Gerardo Machnicki , Vanesa Morales , Sergio Perocco , Genaro Castillon , Yola Moride

Introduction

The benefits of long-acting injectable antipsychotics have been documented in several observational studies, but data remain scarce in Latin America. This study aimed at evaluating the effectiveness of paliperidone palmitate once monthly (PP1M) on treatment adherence and relapse in the schizophrenia population followed in a government-funded mental health care facility in Colombia.

Methods

A mirror-image study was conducted. Adult schizophrenia patients treated with oral antipsychotics who subsequently received ≥2 PP1M injections between Jan. 1^st, 2015 and Oct. 31^st, 2018 were included. The study consisted of two retrospective phases: 12 months before and after the first PP1M injection. Outcomes were treatment adherence (proportion of days covered ≥80%), hospitalized relapse, hospital length of stay, and non-hospitalised relapse. Effect of PP1M on outcomes was assessed through multivariable conditional Poisson regression.

Results

123 patients were eligible (mean age, 30.3 years; 79.7% males). Adherence was 23.6% in the pre-phase and 89.4% in the post-phase (RR = 3.77; 95%CI, 2.75-5.17). The proportion of patients with hospitalised relapse decreased from 46.3% to 35.0% (RR = 0.76; 95%CI, 0.59-0.99). In the 75 (61.0%) patients who continued PP1M throughout post-phase, beneficial effect on hospitalised relapse was stronger (RR = 0.64; 95%CI, 0.42-0.98). The proportion of patients with non-hospitalised relapse symptoms increased from 6.5% to 18.7% (RR = 2.27; 95%CI, 1.11-4.64).

Conclusions

PP1M initiation led to a dramatic improvement in treatment adherence and a decrease in hospitalised relapse. Observed increase in non-hospitalised relapse may be explained by a decrease in severity. Limitations are absence of a parallel comparison group and a generalisability limited to the population treated at this facility. Study provides data for the Latin America region and strength is the assessment of non-hospitalised relapse symptoms.

几项观察性研究证实了长效注射抗精神病药物的益处，但拉丁美洲的数据仍然很少。本研究旨在评估每月一次棕榈酸帕利哌酮（PP1M）对在哥伦比亚政府资助的精神卫生保健机构随访的精神分裂症患者治疗依从性和复发的有效性。方法：采用镜像研究。纳入2015年1月1日至2018年10月31日期间接受口服抗精神病药物治疗并随后接受≥2次PP1M注射的成人精神分裂症患者。该研究包括两个回顾性阶段：第一次PP1M注射前后12个月。结果为治疗依从性（覆盖天数比例≥80%）、住院复发、住院时间和非住院复发。通过多变量条件泊松回归评估PP1M对预后的影响。结果：123例患者符合条件(平均年龄30.3岁；79.7%的男性)。依从性在前期为23.6%，在后期为89.4% (RR=3.77；95%可信区间,2.75 - -5.17)。住院复发患者比例由46.3%降至35.0% (RR=0.76；95%可信区间,0.59 - -0.99)。在75例（61.0%）患者在整个后期持续PP1M中，对住院复发的有益作用更强(RR=0.64；95%可信区间,0.42 - -0.98)。出现未住院复发症状的患者比例从6.5%上升至18.7% (RR=2.27；95%可信区间,1.11 - -4.64)。结论：PP1M起始治疗显著改善了治疗依从性，降低了住院复发率。观察到的非住院复发的增加可以用严重程度的降低来解释。限制是缺乏平行的比较组和仅限于在该设施治疗的人群的普遍性。该研究为拉丁美洲地区提供了数据，其优势在于对非住院复发症状的评估。

{"title":"Effectiveness of Paliperidone Palmitate on Treatment Adherence and Relapse in the Adult Schizophrenia Population: A One-Year Mirror-Image Study in a Colombian Mental Health Care Facility","authors":"Oscar Ribero , Anne-Marie Castilloux , Lina Maria Agudelo , Gerardo Machnicki , Vanesa Morales , Sergio Perocco , Genaro Castillon , Yola Moride","doi":"10.1016/j.rcpeng.2022.06.006","DOIUrl":"10.1016/j.rcpeng.2022.06.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The benefits of long-acting injectable antipsychotics have been documented in several observational studies, but data remain scarce in Latin America. This study aimed at evaluating the effectiveness of paliperidone palmitate once monthly (PP1M) on treatment adherence and relapse in the schizophrenia population followed in a government-funded mental health care facility in Colombia.</div></div><div><h3>Methods</h3><div>A mirror-image study was conducted. Adult schizophrenia patients treated with oral antipsychotics who subsequently received ≥2 PP1M injections between Jan. 1<sup>st</sup>, 2015 and Oct. 31<sup>st</sup>, 2018 were included. The study consisted of two retrospective phases: 12 months before and after the first PP1M injection. Outcomes were treatment adherence (proportion of days covered ≥80%), hospitalized relapse, hospital length of stay, and non-hospitalised relapse. Effect of PP1M on outcomes was assessed through multivariable conditional Poisson regression.</div></div><div><h3>Results</h3><div>123 patients were eligible (mean age, 30.3 years; 79.7% males). Adherence was 23.6% in the pre-phase and 89.4% in the post-phase (RR=3.77; 95%CI, 2.75-5.17). The proportion of patients with hospitalised relapse decreased from 46.3% to 35.0% (RR=0.76; 95%CI, 0.59-0.99). In the 75 (61.0%) patients who continued PP1M throughout post-phase, beneficial effect on hospitalised relapse was stronger (RR=0.64; 95%CI, 0.42-0.98). The proportion of patients with non-hospitalised relapse symptoms increased from 6.5% to 18.7% (RR=2.27; 95%CI, 1.11-4.64).</div></div><div><h3>Conclusions</h3><div>PP1M initiation led to a dramatic improvement in treatment adherence and a decrease in hospitalised relapse. Observed increase in non-hospitalised relapse may be explained by a decrease in severity. Limitations are absence of a parallel comparison group and a generalisability limited to the population treated at this facility. Study provides data for the Latin America region and strength is the assessment of non-hospitalised relapse symptoms.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 4","pages":"Pages 426-434"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866688","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

Exploring risk factors for depression: a network analysis 探索抑郁症的风险因素：网络分析。

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-07-01 DOI: 10.1016/j.rcpeng.2024.10.006

Jonatan Baños-Chaparro

Introduction

Depression is a frequent psychological problem in the general population. There are no single conclusive causes for its development; on the contrary, it arises from the interaction of other emotional disorders. Determining risk factors is a primary objective to identify vulnerable individuals and optimize prevention.

Objective

To analyze risk factors of the depression through network analysis in Peruvian adults from the general population.

Methods

Cross-sectional study with a quantitative approach. A total of 567 Peruvian adults who answered several instruments assessing depressive symptoms, insomnia, suicidal ideation and anxiety participated. An undirected network model with all psychological variables and a predictive path diagram was estimated to identify risk factors for depression. Measures of centrality, precision and stability were also analyzed. Results: The network structure showed that depression, insomnia, suicidal ideation, and anxiety were mutually associated. In terms of expected influence and predictability, depression obtained the highest value, followed by anxiety. In the prediction plot, all psychological variables were directly connected with depression, with anxiety having the highest connection. The tests of accuracy and stability (CS = 0,75), were robust.

Conclusions

The results of the study suggest that problems with insomnia, suicidal ideation, and anxiety, are considerable risk factors for depression. Identifying and intervening early on those risk factors in adults in the general population could help to prevent the development of depressive symptoms.

简介抑郁症是常见的大众心理问题。抑郁症的发病原因并不单一，相反，它是由其他情绪障碍相互作用引起的。确定风险因素是识别易感人群和优化预防措施的首要目标：通过网络分析，分析秘鲁成年人抑郁症的风险因素：方法：采用定量方法进行横断面研究。共有 567 名秘鲁成年人参与了这项研究，他们回答了几种评估抑郁症状、失眠、自杀意念和焦虑的工具。研究人员估算了一个包含所有心理变量和预测路径图的无定向网络模型，以确定抑郁症的风险因素。此外，还对中心性、精确性和稳定性进行了分析：网络结构显示，抑郁、失眠、自杀意念和焦虑相互关联。在预期影响力和可预测性方面，抑郁症的数值最高，其次是焦虑症。在预测图中，所有心理变量都与抑郁直接相关，其中焦虑的关联度最高。准确性和稳定性测试（CS = 0.75）结果良好：研究结果表明，失眠问题、自杀倾向和焦虑是抑郁症的重要危险因素。及早发现并干预普通人群中成年人的这些风险因素，有助于预防抑郁症状的出现。

{"title":"Exploring risk factors for depression: a network analysis","authors":"Jonatan Baños-Chaparro","doi":"10.1016/j.rcpeng.2024.10.006","DOIUrl":"10.1016/j.rcpeng.2024.10.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Depression is a frequent psychological problem in the general population. There are no single conclusive causes for its development; on the contrary, it arises from the interaction of other emotional disorders. Determining risk factors is a primary objective to identify vulnerable individuals and optimize prevention.</div></div><div><h3>Objective</h3><div>To analyze risk factors of the depression through network analysis in Peruvian adults from the general population.</div></div><div><h3>Methods</h3><div>Cross-sectional study with a quantitative approach. A total of 567 Peruvian adults who answered several instruments assessing depressive symptoms, insomnia, suicidal ideation and anxiety participated. An undirected network model with all psychological variables and a predictive path diagram was estimated to identify risk factors for depression. Measures of centrality, precision and stability were also analyzed. Results: The network structure showed that depression, insomnia, suicidal ideation, and anxiety were mutually associated. In terms of expected influence and predictability, depression obtained the highest value, followed by anxiety. In the prediction plot, all psychological variables were directly connected with depression, with anxiety having the highest connection. The tests of accuracy and stability (CS = 0,75), were robust.</div></div><div><h3>Conclusions</h3><div>The results of the study suggest that problems with insomnia, suicidal ideation, and anxiety, are considerable risk factors for depression. Identifying and intervening early on those risk factors in adults in the general population could help to prevent the development of depressive symptoms.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 3","pages":"Pages 347-354"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549340","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

Pathophysiological relationships between cognitive deficit in bipolar affective disorder and metabolic syndrome 双相情感障碍认知缺陷与代谢综合征之间的病理生理学关系。

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-07-01 DOI: 10.1016/j.rcpeng.2024.10.002

Natalia Piedrahíta Palacio , Jenny García Valencia , Cristian David Vargas Upegüi , Carlos López Jaramillo

Introduction and objectives

Bipolar disorder (BD) has been related to various cognitive dysfunctions as well as to a high prevalence of metabolic syndrome (MS), which seems to influence the cognitive performance of patients with BD. Therefore, different hypotheses have been generated to try to explain the pathophysiological relationship between cognitive deficit in BD and MS. The objective was to review the current literature regarding the possible pathophysiological explanation of the relationship between BD and MS and its effect on cognitive performance of patients with BD.

Methods

A bibliographic search was carried out using MEDLINE, ClinicalKey, EMBASE, Literatura Latino-Americana y del Caribe en Ciencias de la Salud [Latin American and Caribbean Literature in Health Sciences] (LILACS), APA PsycNet, Scopus and Scielo databases, and the Pan-American Medical Electronic Library; using the following search terms: “bipolar disorder”[MeSH Terms] OR “bipolar disorder”[All Fields] OR “mood disorders”[All Fields] AND “cognitive deficit”[MeSH Terms] OR “cognitive deficit”[All Fields] OR “cognitive dysfunction”[All Fields] OR “cognitive impairment”[All Fields] OR “cognitive decline”[All Fields] AND “metabolic syndrome” [MeSH Terms] OR “metabolic abnormalities”[All Fields] OR “metabolic effects”[All Fields] OR “obesity” [All Fields] OR “abdominal obesity” [All Fields] OR “overweight” [All Fields] OR “diabetes” [All Fields] OR “hypertension” [All Fields] AND “antipsychotics” [MeSH Terms] OR “antipsychotics”[All Fields] AND “antidepressants” [MeSH Terms] OR “antidepressants”[All Fields] AND “mood stabilizers” [MeSH Terms] OR “mood stabilizers”[All Fields]. Filters: free full text, full text, from 2001 to 2022. A total of 80 articles in Spanish and English, of any type of design, were selected. Selection and reading were carried out by all the authors.

Results and conclusions

The various pathophysiological hypotheses proposed, inflammatory, endocrine, drug, environmental and social, suggest that a series of changes at the macro and microcellular level are correlated in patients with BD and MS with a negative effect on cognition of patients both globally and in specific domains, mainly executive function, memory, attention, and perceptual motor skills. Research processes should be continued to explore the various hypotheses that support the relationship between BD, MS and cognition.

引言和目的：躁郁症（BD）与各种认知功能障碍以及代谢综合征（MS）的高发病率有关，而代谢综合征似乎会影响躁郁症患者的认知表现。因此，人们提出了不同的假设，试图解释 BD 认知缺陷与 MS 之间的病理生理学关系。本研究的目的是综述有关 BD 与 MS 之间关系的可能病理生理学解释及其对 BD 患者认知能力影响的现有文献：使用 MEDLINE、ClinicalKey、EMBASE、Literatura Latino-Americana y del Caribe en Ciencias de la Salud [Latin American and Caribbean Literature in Health Sciences] (LILACS)、APA PsycNet、Scopus 和 Scielo 数据库以及泛美医学电子图书馆进行了文献检索，并使用了以下检索词："双相情感障碍"[MeSH 术语] 或 "双相情感障碍"[所有字段] 或 "情绪障碍"[所有字段] 和 "认知缺陷"[MeSH 术语] 或 "认知缺陷"[所有字段] 或 "认知功能障碍"[所有字段] 或 "认知损害"[所有字段] 或 "认知衰退"[所有字段] 和 "代谢综合征"[MeSH 术语] 或 "代谢异常"[所有字段] 或 "代谢影响"[所有字段] 或 "肥胖"[所有字段] 或 "腹型肥胖"[所有字段] 或 "超重"[所有字段] 或 "糖尿病"[所有字段] 或 "高血压"[所有字段] 和 "抗精神病药"[MeSH 术语] 或 "抗精神病药"[所有字段] 和 "抗抑郁药"[MeSH 术语] 或 "抗抑郁药"[所有字段] 和 "情绪稳定剂"[MeSH 术语] 或 "情绪稳定剂"[所有字段]。筛选条件：免费全文、全文、2001 年至 2022 年。共选取了 80 篇西班牙文和英文文章，设计类型不限。筛选和阅读工作由所有作者共同完成：提出的各种病理生理学假说（炎症、内分泌、药物、环境和社会）表明，BD 和多发性硬化症患者在宏观和微观细胞水平上的一系列变化与患者在整体和特定领域（主要是执行功能、记忆、注意力和感知运动技能）的认知能力受到负面影响有关。应继续开展研究，探索支持 BD、多发性硬化症和认知之间关系的各种假设。

{"title":"Pathophysiological relationships between cognitive deficit in bipolar affective disorder and metabolic syndrome","authors":"Natalia Piedrahíta Palacio , Jenny García Valencia , Cristian David Vargas Upegüi , Carlos López Jaramillo","doi":"10.1016/j.rcpeng.2024.10.002","DOIUrl":"10.1016/j.rcpeng.2024.10.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Bipolar disorder (BD) has been related to various cognitive dysfunctions as well as to a high prevalence of metabolic syndrome (MS), which seems to influence the cognitive performance of patients with BD. Therefore, different hypotheses have been generated to try to explain the pathophysiological relationship between cognitive deficit in BD and MS. The objective was to review the current literature regarding the possible pathophysiological explanation of the relationship between BD and MS and its effect on cognitive performance of patients with BD.</div></div><div><h3>Methods</h3><div>A bibliographic search was carried out using MEDLINE, ClinicalKey, EMBASE, Literatura Latino-Americana y del Caribe en Ciencias de la Salud [Latin American and Caribbean Literature in Health Sciences] (LILACS), APA PsycNet, Scopus and Scielo databases, and the Pan-American Medical Electronic Library; using the following search terms: “bipolar disorder”[MeSH Terms] OR “bipolar disorder”[All Fields] OR “mood disorders”[All Fields] AND “cognitive deficit”[MeSH Terms] OR “cognitive deficit”[All Fields] OR “cognitive dysfunction”[All Fields] OR “cognitive impairment”[All Fields] OR “cognitive decline”[All Fields] AND “metabolic syndrome” [MeSH Terms] OR “metabolic abnormalities”[All Fields] OR “metabolic effects”[All Fields] OR “obesity” [All Fields] OR “abdominal obesity” [All Fields] OR “overweight” [All Fields] OR “diabetes” [All Fields] OR “hypertension” [All Fields] AND “antipsychotics” [MeSH Terms] OR “antipsychotics”[All Fields] AND “antidepressants” [MeSH Terms] OR “antidepressants”[All Fields] AND “mood stabilizers” [MeSH Terms] OR “mood stabilizers”[All Fields]. Filters: free full text, full text, from 2001 to 2022. A total of 80 articles in Spanish and English, of any type of design, were selected. Selection and reading were carried out by all the authors.</div></div><div><h3>Results and conclusions</h3><div>The various pathophysiological hypotheses proposed, inflammatory, endocrine, drug, environmental and social, suggest that a series of changes at the macro and microcellular level are correlated in patients with BD and MS with a negative effect on cognition of patients both globally and in specific domains, mainly executive function, memory, attention, and perceptual motor skills. Research processes should be continued to explore the various hypotheses that support the relationship between BD, MS and cognition.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 3","pages":"Pages 376-384"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549341","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

Relationship between alcohol consumption and cognitive impairment in the adult population over 60 years of age: A systematic review 60 岁以上成年人饮酒与认知障碍之间的关系：系统综述。

Revista Colombiana de psiquiatria (English ed.)

Pub Date : 2024-07-01 DOI: 10.1016/j.rcpeng.2024.10.004

Josep Deví-Bastida , Meritxell Xifré-Passols , Lina María Oviedo-Penuela , M. Teresa Abellán-Vidal , M. Dolores López-Villegas

Introduction

Alcohol is the most consumed substance in Western culture and its use is a causal factor in more than 200 diseases and disorders. Our objective was to determine the relationship between alcohol consumption and cognitive impairment in people aged ≥60, and identify which cognitive functions are most affected by prolonged alcohol consumption.

Methods

Search in MEDLINE, PsycInfo, Psicodoc, Cochrane and Web of Science databases. The search was limited to articles published from 2010 to 2020. A total of 8716 articles were obtained. Those repeated and unrelated to the topic were eliminated, leaving a total of seven articles: five longitudinal studies, covering the relationship between alcohol and cognitive impairment; and two cross-sectional studies, which helped identify which cognitive functions are more affected. This systematic review was carried out in accordance with the criteria of the PRISMA statement.

Results

Most of the studies found conclude that no or excessive alcohol consumption is associated with a higher risk of cognitive impairment, compared to moderate consumption. In addition, excessive and prolonged alcohol consumption can evolve into secondary alcoholic dementia such as Marchiafava–Bignami disease, Wernicke–Korsakoff syndrome or pellagra. In people with alcohol use disorder, the cognitive functions that are most affected are executive functions, visuospatial skills, attention and memory.

导言：酒精是西方文化中消耗量最大的物质，酒精的使用是导致 200 多种疾病和失调的原因之一。我们的目的是确定≥60 岁人群饮酒与认知障碍之间的关系，并确定哪些认知功能受长期饮酒的影响最大：方法：检索 MEDLINE、PsycInfo、Psicodoc、Cochrane 和 Web of Science 数据库。搜索仅限于 2010 年至 2020 年发表的文章。共获得 8716 篇文章。其中五篇为纵向研究，涉及酒精与认知障碍之间的关系；两篇为横断面研究，有助于确定哪些认知功能受到的影响更大。本系统综述是根据 PRISMA 声明的标准进行的：结果：所发现的大多数研究都得出结论，与适量饮酒相比，不饮酒或过量饮酒与较高的认知障碍风险有关。此外，过量和长期饮酒可演变为继发性酒精性痴呆，如 Marchiafava-Bignami 病、Wernicke-Korsakoff 综合征或糙皮病。在酒精使用障碍患者中，受影响最大的认知功能是执行功能、视觉空间技能、注意力和记忆力。

{"title":"Relationship between alcohol consumption and cognitive impairment in the adult population over 60 years of age: A systematic review","authors":"Josep Deví-Bastida , Meritxell Xifré-Passols , Lina María Oviedo-Penuela , M. Teresa Abellán-Vidal , M. Dolores López-Villegas","doi":"10.1016/j.rcpeng.2024.10.004","DOIUrl":"10.1016/j.rcpeng.2024.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Alcohol is the most consumed substance in Western culture and its use is a causal factor in more than 200 diseases and disorders. Our objective was to determine the relationship between alcohol consumption and cognitive impairment in people aged ≥60, and identify which cognitive functions are most affected by prolonged alcohol consumption.</div></div><div><h3>Methods</h3><div>Search in MEDLINE, PsycInfo, Psicodoc, Cochrane and Web of Science databases. The search was limited to articles published from 2010 to 2020. A total of 8716 articles were obtained. Those repeated and unrelated to the topic were eliminated, leaving a total of seven articles: five longitudinal studies, covering the relationship between alcohol and cognitive impairment; and two cross-sectional studies, which helped identify which cognitive functions are more affected. This systematic review was carried out in accordance with the criteria of the PRISMA statement.</div></div><div><h3>Results</h3><div>Most of the studies found conclude that no or excessive alcohol consumption is associated with a higher risk of cognitive impairment, compared to moderate consumption. In addition, excessive and prolonged alcohol consumption can evolve into secondary alcoholic dementia such as Marchiafava–Bignami disease, Wernicke–Korsakoff syndrome or pellagra. In people with alcohol use disorder, the cognitive functions that are most affected are executive functions, visuospatial skills, attention and memory.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 3","pages":"Pages 385-395"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549342","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