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Description of a telehealth mental health programme in the framework of the COVID-19 pandemic in Colombia 介绍哥伦比亚 COVID-19 大流行病框架下的远程保健心理健康计划。
Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.04.003
Juan Pablo Zapata-Ospina , Karla Gil-Luján , Alejandro López-Puerta , Laura Carolina Ospina , Paola Andrea Gutiérrez-Londoño , Alexandra Aristizábal , Mauricio Gómez , Jenny García

Background

A telehealth mental health programme was designed at the LivingLab of the Faculty of Medicine of the Universidad de Antioquia [University of Antioquia].

Objectives

To describe the development and operation of the programme and evaluate the satisfaction of the patients treated during the COVID-19 pandemic in 2020 and 2021.

Methods

Descriptive study that details the development of the programme. Data were extracted from medical records to describe the patients who were treated. A satisfaction scale was applied to a random sample and the data were summarised with descriptive statistics.

Results

In March 2020 and August 2021, 10,229 patients were treated, with 20,276 treated by telepsychology and 4,164 by psychiatry, 1,808 by telepsychiatry and 2,356 by tele-expertise, with a total of 6,312 visits. The most frequent diagnoses were depressive (36.8%), anxiety (12.0%), and psychotic (10.7%) disorders. Respondents were satisfied to the point that more than 93% would recommend it to another person.

Conclusions

The LivingLab telehealth mental health programme allowed for the care of patients with mental health problems and disorders in Antioquia during the first two years of the COVID-19 pandemic, and there was a high degree of satisfaction among the beneficiaries. Therefore it could be adopted in mental health care.

背景:在安蒂奥基亚大学(Universidad de Antioquia)医学系的生活实验室(LivingLab)设计了一项远程心理健康计划:描述该计划的发展和运行情况,评估 2020 年和 2021 年 COVID-19 大流行期间接受治疗的患者的满意度:描述性研究,详细描述该计划的发展情况。从医疗记录中提取数据,对接受治疗的患者进行描述。对随机样本采用满意度量表,并通过描述性统计对数据进行总结:2020 年 3 月至 2021 年 8 月,10229 名患者接受了治疗,其中 20276 人接受了远程心理治疗,4164 人接受了精神科治疗,1808 人接受了远程精神病学治疗,2356 人接受了远程专家治疗,共计 6312 人次。最常见的诊断是抑郁症(36.8%)、焦虑症(12.0%)和精神病(10.7%)。93%以上的受访者表示满意,并愿意向他人推荐:结论:在 COVID-19 大流行的头两年,LivingLab 远程医疗精神健康计划为安蒂奥基亚的精神健康问题和失调患者提供了医疗服务,受益者的满意度很高。因此,该方案可用于精神保健。
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引用次数: 0
Case Report of Retarded Catatonia: Always Consider Catatonia as a Differential Diagnosis of Altered Mental Status 迟发性紧张症病例报告:始终将卡他状态视为精神状态改变的鉴别诊断
Pub Date : 2024-04-01 DOI: 10.1016/j.rcpeng.2022.02.006
Irma Munoz Verdugo , Jose Lopez , Sandra Cordova

Background

Catatonia is a rare neuropsychiatric condition; it is estimated that around 10% of patients with mood disorders present signs and symptoms of catatonia. A catatonic syndrome is characterised by mutism, negativism, rigidity, and stupor.

Case report

We report the case of a 59-year-old patient with a medical history of bipolar disorder who was admitted to the internal medicine service due to a seizure episode. During hospitalisation, the patient presented significant worsening of her clinical condition, showing marked symptoms of stupor and catatonia. Once the neurological and metabolic etiologies of altered mental status had been ruled out, pharmacological treatment with high doses of lorazepam was started. The patient had a complete clinical remission, and her evolution was favourable without any complications. Electroconvulsive therapy was recommended as a definitive treatment.

Conclusions

The diagnosis of catatonia is a challenge for both hospitalists and psychiatrists due to the clinical presentation of catatonia. In reporting this clinical case, we want to emphasise the importance of taking into account the catatonic syndrome in our differential diagnoses in patients with altered mental status.

背景紧张症是一种罕见的神经精神疾病;据估计,约有 10% 的情绪障碍患者会出现紧张症的症状和体征。病例报告我们报告了一例 59 岁患者的病例,该患者有躁郁症病史,因癫痫发作被内科收治。住院期间,患者的临床状况明显恶化,出现了明显的昏迷和紧张症症状。在排除了导致精神状态改变的神经和代谢病因后,医生开始使用大剂量劳拉西泮进行药物治疗。患者的临床症状完全缓解,病情发展良好,未出现任何并发症。结论由于紧张症的临床表现,紧张症的诊断对医院医生和精神科医生来说都是一个挑战。通过报告这一临床病例,我们希望强调在对精神状态改变的患者进行鉴别诊断时考虑紧张症的重要性。
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引用次数: 0
Contemporary psychiatry and the possibility of a new neuropsychiatry 当代精神病学和新神经精神病学的可能性。
Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2024.04.001
Hernando Santamaría-García
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引用次数: 0
Relationship between psychoactive substance, alcohol and cigarette use in nursing students. A cross-sectional study 护理专业学生使用精神活性物质、酒精和香烟之间的关系。横断面研究
Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2021.11.006
Jenny Paola Garzón Ruiz, Fabián Cortés Muñoz, Mónica Alexandra Ferrer Buenaño, Anggie Lizeth García Hernández, John Jalber Lombana Cortés, José Luis Quimbay Mondragón, Mateo Alejandro Gil Cabezas, Angie Paola Parada Fresneda, Johan Stiven Buitrago Arcila, Luis Fernando Agudelo Cruz, Laura Daniela Fonseca Granados, Jennifer Tatiana Ruiz Barrera

Background

The increase in the use of psychoactive substances, alcohol and cigarettes in young people has become a public health problem. The identification of factors that increase or reduce the risk of exposure to these substances and the possible relationship between them is essential for planning strategies with a risk approach; hence the reason for this study. The objective was to establish the profile of use of psychoactive substances, alcohol and cigarettes and the factors associated with such use in nursing students of a higher education institution.

Methods

Quantitative, observational, analytical cross-sectional study.

Results

We included 310 students from 1 st to 9th semester of a Nursing programme from a private higher education institution in Bogotá. The prevalence of psychoactive substance use in the last year was 2.96% (95%CI, 1.36−5.54), with marijuana being the substance most used (55.55%). The prevalence of alcohol and cigarette use during the last 12 months was estimated at 86.64% (95%CI, 83.24−91.0) and 12.16% (95%CI, 8.43–15.88) respectively. A statistically significant association was found between the use of these substances: alcohol use was associated with cigarette use (OR = 3.22; P = 0.006) and smoking was associated with psychoactive substance use (OR = 15.4; P < 0.001).

Conclusions

Alcohol use increases the likelihood of smoking cigarettes, and this in turn increases the likelihood of psychoactive substance use, in this university population.

背景青少年使用精神活性物质、酒精和香烟的增加已成为一个公共卫生问题。确定增加或减少接触这些物质风险的因素以及这些因素之间可能存在的关系,对于规划风险策略至关重要;因此,本研究应运而生。研究目的是确定一所高等院校护理专业学生使用精神活性物质、酒精和香烟的情况,以及与使用这些物质相关的因素。结果我们纳入了波哥大一所私立高等院校护理专业第一至第九学期的 310 名学生。去年使用精神活性物质的比例为 2.96%(95%CI,1.36-5.54),其中使用最多的是大麻(55.55%)。据估计,过去 12 个月中饮酒和吸烟的比例分别为 86.64%(95%CI,83.24-91.0)和 12.16%(95%CI,8.43-15.88)。这些物质的使用在统计学上有重大关联:饮酒与吸烟相关(OR = 3.22; P = 0.006),吸烟与精神活性物质的使用相关(OR = 15.4; P < 0.001)。
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引用次数: 0
Social determinants, symptoms and mental problems in adults internally displaced by armed conflict. Soacha, Colombia, 2019 武装冲突导致的境内流离失所成年人的社会决定因素、症状和精神问题。哥伦比亚索阿查,2019年。
Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2022.08.011
Sandra Elizabeth Piñeros-Ortíz, Zulma Consuelo Urrego-Mendoza, Nathaly Garzón-Orjuela, Javier Eslava-Schmalbach

Objective

To characterise social determinants of health, mental health problems and potentially problematic symptoms in the adult population displaced by internal armed conflict in Colombia.

Methods

Cross-sectional descriptive study with a random sample of 98 adults forcefully displaced to Soacha, Colombia, due to internal armed conflict. The Self Report Questionnaire to detect potentially problematic mental health problems and symptoms, and a structured questionnaire on social determinants of health were applied.

Results

The median age was 38 [interquartile range, 28–46] years, and women predominated (69.39%). The median time since displacement was 36 [16–48] months, and time since settlement in Soacha, 48 [5–48] months. 86.32% survived on less than the minimum wage per month and 93.87% did not have an employment contract. 42.86% and 7.14% reported being owners of their homes before and after displacement, respectively. Upon arriving in Soacha, 79.60% went to primary support networks and 3% to institutions. Before displacement, 16.33% lacked health insurance and 27.55% afterwards. Regarding mental health problems; there were possible depressive or anxious disorders in 57.29%; possible psychosis in 36.73%; and potentially problematic symptoms in 91.66%, being more prevalent and serious in women (p = 0.0025).

Conclusions

A deterioration in living conditions and a higher prevalence of potentially problematic mental health problems and symptoms was reported in displaced adult populations settled in Soacha compared to other regions of the country. Analyses with complementary perspectives are required to evaluate these differences.

目的了解哥伦比亚因国内武装冲突而流离失所的成年人健康的社会决定因素、心理健康问题和潜在的问题症状:横断面描述性研究:随机抽取因国内武装冲突而被迫流落到哥伦比亚索阿查的 98 名成年人。研究采用了用于检测潜在心理健康问题和症状的 "自我报告问卷 "以及关于健康的社会决定因素的结构化问卷:中位年龄为 38 岁[四分位数间距为 28-46 岁],女性占多数(69.39%)。流离失所后的时间中位数为 36 [16-48] 个月,定居索阿查后的时间中位数为 48 [5-48] 个月。86.32% 的人每月靠低于最低工资的收入生存,93.87% 的人没有就业合同。分别有 42.86% 和 7.14% 的人表示,在流离失所之前和之后,他们都是房屋的主人。抵达索阿查后,79.60% 的人求助于初级支持网络,3% 的人求助于机构。流离失所前,16.33%的人没有医疗保险,流离失所后,27.55%的人没有医疗保险。在心理健康问题方面,57.29%的人可能患有抑郁症或焦虑症;36.73%的人可能患有精神病;91.66%的人可能出现问题症状,其中女性的发病率更高,情况更严重(p = 0.0025):结论:据报道,与该国其他地区相比,定居在索阿查的流离失所成年人的生活条件恶化,潜在的精神健康问题和症状的发生率更高。需要从互补的角度进行分析,以评估这些差异。
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引用次数: 0
Violence Exposure and Disability in Colombian Female Survivors of Intimate Partner Violence: the Mediating Role of Depressive Symptoms 哥伦比亚亲密伴侣暴力女性幸存者的暴力暴露与残疾:抑郁症状的中介作用
Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2021.11.004
Lina Marcela Sandoval , Elvis Siprian Castro , Andrés Fandiño-Losada , Sara Gabriela Pacichana-Quinayaz , Shirley Evelyn Lennon , María Isabel Gutiérrez-Martínez

Background

Violence is an important public health problem and one of the main causes of deaths worldwide. The mental health consequences of surviving intimate partner violence (IPV) include depression, anxiety and post-traumatic stress disorder. Previous studies have identified that there is a relationship between depression and level of disability in female survivors of IPV. Estimating the direct, indirect or total effect of an exposure on an outcome makes it possible to identify mediating effects between a group of variables. Detecting mediation effects is useful for identifying casual pathways that generate a final outcome and provides a rationale for designing interventions to target the mediator, which in turn positively affects the outcome. The objective was to identify the mediating role of depressive symptoms on the relationship between IPV and disability.

Methods

This was a cross-sectional study of 94 women over the age of 18 who were survivors of IPV by men. They were recruited from two public hospitals in Cali and Tuluá in southwest Colombia. An analysis of casual relationships was performed using structural equation modelling that was made up of: four exogenous observed variables (age, current relationship status [in a relationship or single], level of schooling, and history of an impairment), intermediate endogenous variables (violence and depressive symptoms), and the main endogenous variable (disability). The analyses were carried out in Stata14.2.

Results

The direct effect of IPV severity on the level of disability was not statistically significant (β = 0.09; P = 0.63). However, the indirect effect of IPV severity on disability mediated by depressive symptoms was (β = 0.39; P < 0.01). The total effect of IPV severity on the level of disability was even greater (β = 0.48; P = 0.01).

Conclusions

This study found a complete mediating role of depressive symptoms on the relationship between the severity of IPV and the level of disability for the female participants in this study. The results of this research contribute to defining strategies to prevent and address intimate partner violence, depressive symptoms and disability in this population.

背景暴力是一个重要的公共卫生问题,也是全球死亡的主要原因之一。亲密伴侣暴力(IPV)幸存者的心理健康后果包括抑郁、焦虑和创伤后应激障碍。以往的研究发现,女性亲密伴侣暴力幸存者的抑郁和残疾程度之间存在一定的关系。估算暴露对结果的直接、间接或总体影响,可以确定一组变量之间的中介效应。检测中介效应有助于确定产生最终结果的偶然途径,并为设计针对中介因素的干预措施提供依据,而中介因素反过来又会对结果产生积极影响。本研究旨在确定抑郁症状对 IPV 与残疾之间关系的中介作用。方法这是一项横断面研究,研究对象为 94 名 18 岁以上的女性,她们都是男性 IPV 的幸存者。她们分别来自哥伦比亚西南部卡利和图卢阿的两家公立医院。研究使用结构方程模型对偶然关系进行了分析,该模型由四个外生观察变量(年龄、当前关系状态[恋爱中或单身]、受教育程度和残疾史)、中间内生变量(暴力和抑郁症状)和主要内生变量(残疾)组成。结果IPV严重程度对残疾程度的直接影响无统计学意义(β = 0.09; P = 0.63)。然而,抑郁症状介导的 IPV 严重程度对残疾程度的间接影响是(β = 0.39; P < 0.01)。本研究发现,抑郁症状对 IPV 严重程度与本研究中女性参与者的残疾程度之间的关系具有完全的中介作用。研究结果有助于确定预防和解决亲密伴侣暴力、抑郁症状和残疾问题的策略。
{"title":"Violence Exposure and Disability in Colombian Female Survivors of Intimate Partner Violence: the Mediating Role of Depressive Symptoms","authors":"Lina Marcela Sandoval ,&nbsp;Elvis Siprian Castro ,&nbsp;Andrés Fandiño-Losada ,&nbsp;Sara Gabriela Pacichana-Quinayaz ,&nbsp;Shirley Evelyn Lennon ,&nbsp;María Isabel Gutiérrez-Martínez","doi":"10.1016/j.rcpeng.2021.11.004","DOIUrl":"https://doi.org/10.1016/j.rcpeng.2021.11.004","url":null,"abstract":"<div><h3>Background</h3><p>Violence is an important public health problem and one of the main causes of deaths worldwide. The mental health consequences of surviving intimate partner violence (IPV) include depression, anxiety and post-traumatic stress disorder. Previous studies have identified that there is a relationship between depression and level of disability in female survivors of IPV. Estimating the direct, indirect or total effect of an exposure on an outcome makes it possible to identify mediating effects between a group of variables. Detecting mediation effects is useful for identifying casual pathways that generate a final outcome and provides a rationale for designing interventions to target the mediator, which in turn positively affects the outcome. The objective was to identify the mediating role of depressive symptoms on the relationship between IPV and disability.</p></div><div><h3>Methods</h3><p>This was a cross-sectional study of 94 women over the age of 18 who were survivors of IPV by men. They were recruited from two public hospitals in Cali and Tuluá in southwest Colombia. An analysis of casual relationships was performed using structural equation modelling that was made up of: four exogenous observed variables (age, current relationship status [in a relationship or single], level of schooling, and history of an impairment), intermediate endogenous variables (violence and depressive symptoms), and the main endogenous variable (disability). The analyses were carried out in Stata14.2.</p></div><div><h3>Results</h3><p>The direct effect of IPV severity on the level of disability was not statistically significant (β<!--> <!-->=<!--> <!-->0.09; <em>P</em> <!-->=<!--> <!-->0.63). However, the indirect effect of IPV severity on disability mediated by depressive symptoms was (β<!--> <!-->=<!--> <!-->0.39; <em>P</em> <!-->&lt;<!--> <!-->0.01). The total effect of IPV severity on the level of disability was even greater (β<!--> <!-->=<!--> <!-->0.48; <em>P</em> <!-->=<!--> <!-->0.01).</p></div><div><h3>Conclusions</h3><p>This study found a complete mediating role of depressive symptoms on the relationship between the severity of IPV and the level of disability for the female participants in this study. The results of this research contribute to defining strategies to prevent and address intimate partner violence, depressive symptoms and disability in this population.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 55-62"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140880228","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
Psychometric Properties of the Personality Inventory for DSM-5 faceted Brief Form in a Brazilian Community Sample DSM-5 人格量表简表在巴西社区样本中的心理计量特性
Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2022.01.001
André Pereira Gonçalves , Gabriel Carvalho Franco , Guilherme Miquelino Francisco

Objective

The aim of the present study was to verify the psychometric qualities of the PID-5-FBF in a community sample of Brazilian adults. The internal consistency of the facets and the internal structure of the dimensions were checked. In addition, we verified the correlations between the PID-5-FBF facets and domains with a five-factor model measure.

Methods

The sample of this study consists of the 774 Brazilian adults aged 18 to 73 years (mean 28.9 ± 11.58) who answered the PID-5-FBF and BFI-2S.

Results

The alpha values were adequate. The internal structure was similar to the PID-5 original form. All the factors and dimensions of the PID-5-FBF have a negative association with agreeableness, while, on the other hand, all correlations with neuroticism were positive. Neuroticism was the factor with the highest correlation with the PID-5-FBF, and openness was the one with the lowest number of correlations.

Conclusions

This research contributes to adding evidence of validity to the PID-5-FBF in the Brazilian community sample. Our results are important because it is the first study with the PID-FBF in a Brazilian sample.

本研究的目的是在巴西成年人社区样本中验证 PID-5-FBF 的心理测量质量。我们检验了各方面的内部一致性和各维度的内部结构。此外,我们还验证了 PID-5-FBF 面和域与五因素模型测量之间的相关性。方法本研究的样本包括 774 名年龄在 18 至 73 岁之间的巴西成年人(平均 28.9 ± 11.58),他们回答了 PID-5-FBF 和 BFI-2S。内部结构与 PID-5 原表相似。PID-5-FBF 的所有因子和维度都与宜人性呈负相关,而与神经质呈正相关。神经质是与 PID-5-FBF 相关性最高的因子,而开放性是相关性最低的因子。我们的研究结果非常重要,因为这是第一项在巴西样本中使用 PID-FBF 的研究。
{"title":"Psychometric Properties of the Personality Inventory for DSM-5 faceted Brief Form in a Brazilian Community Sample","authors":"André Pereira Gonçalves ,&nbsp;Gabriel Carvalho Franco ,&nbsp;Guilherme Miquelino Francisco","doi":"10.1016/j.rcpeng.2022.01.001","DOIUrl":"https://doi.org/10.1016/j.rcpeng.2022.01.001","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of the present study was to verify the psychometric qualities of the PID-5-FBF in a community sample of Brazilian adults. The internal consistency of the facets and the internal structure of the dimensions were checked. In addition, we verified the correlations between the PID-5-FBF facets and domains with a five-factor model measure.</p></div><div><h3>Methods</h3><p>The sample of this study consists of the 774 Brazilian adults aged 18 to 73 years (mean 28.9<!--> <!-->±<!--> <!-->11.58) who answered the PID-5-FBF and BFI-2S.</p></div><div><h3>Results</h3><p>The alpha values were adequate. The internal structure was similar to the PID-5 original form. All the factors and dimensions of the PID-5-FBF have a negative association with agreeableness, while, on the other hand, all correlations with neuroticism were positive. Neuroticism was the factor with the highest correlation with the PID-5-FBF, and openness was the one with the lowest number of correlations.</p></div><div><h3>Conclusions</h3><p>This research contributes to adding evidence of validity to the PID-5-FBF in the Brazilian community sample. Our results are important because it is the first study with the PID-FBF in a Brazilian sample.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 26-31"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140880098","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
Implications of ethnicity/race on public mental health 民族/种族对公众心理健康的影响。
Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2022.04.002
Adalberto Campo-Arias , Robin Andrés Grubert , Edwin Herazo
{"title":"Implications of ethnicity/race on public mental health","authors":"Adalberto Campo-Arias ,&nbsp;Robin Andrés Grubert ,&nbsp;Edwin Herazo","doi":"10.1016/j.rcpeng.2022.04.002","DOIUrl":"10.1016/j.rcpeng.2022.04.002","url":null,"abstract":"","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 3-4"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872620","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
Critical appraisal of the Colombian clinical practice guide for the prevention, diagnosis and treatment of suicidal ideation and/or behaviour (adoption) 对哥伦比亚预防、诊断和治疗自杀意念和/或行为的临床实践指南的批判性评估(通过)
Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2021.11.007
Diana Restrepo, Ana M. Zapata-Barco, Juan A. Escobar, David Mejía-Rodríguez, Daniela Parra-Dunoyer, Oscar Vargas, Luis Miguel Vélez, Iris T. Buriticá, Isabel Vélez, Sebastián Estrada, Diego Rojas-Gualdrón

Introduction

Suicide is a complex, global public health problem. The Colombian clinical practice guideline provides relevant input for its prevention, diagnosis and treatment. The objective was to evaluate the methodological quality, credibility and applicability of the Colombian clinical practice guideline for suicidal behaviour.

Methods

An academic group of 12 evaluators was established to assess the guide and its recommendations in a standardised way, using the AGREE-II and AGREE-REX instruments. The evaluations were given in the range of 0.0–1.0 with 0.7 as a cut-off point for appropriate quality.

Results

The global assessment of the AGREE-II was greater than 0.7 in the dimensions: "scope and objective" (0.86), "clarity of presentation" (0.89), "applicability" (0.73) and "editorial independence" (0.89). The lowest scores were for “participation of those involved” (0.67) and “rigour in preparation” (0.69). With the AGREE-REX, the results in all dimensions were below 0.70, which indicates lower quality and suitability for use.

Conclusions

The adoption process of the Colombian guideline for suicidal behaviour was a rigorous methodological process, while the practice recommendations were valued as of low applicability due to low support in local evidence. It is necessary to strengthen the generation and synthesis of evidence at the national level to give greater support and applicability to the practice recommendations.

导言自杀是一个复杂的全球性公共卫生问题。哥伦比亚临床实践指南为其预防、诊断和治疗提供了相关信息。该研究旨在评估哥伦比亚自杀行为临床实践指南的方法质量、可信度和适用性。方法:成立一个由 12 名评估员组成的学术小组,使用 AGREE-II 和 AGREE-REX 工具,以标准化的方式评估指南及其建议。评估范围为 0.0-1.0,以 0.7 作为适当质量的分界点。结果AGREE-II 在以下方面的总体评估结果均大于 0.7:"范围和目标"(0.86)、"表述清晰"(0.89)、"适用性"(0.73)和 "编辑独立性"(0.89)。得分最低的是 "相关人员的参与"(0.67)和 "编写的严谨性"(0.69)。在 AGREE-REX 中,所有维度的得分均低于 0.70,这表明该指南的质量和适用性较低。结论哥伦比亚自杀行为指南的采用过程是一个严格的方法论过程,但由于本地证据支持度较低,实践建议的适用性较低。有必要在国家层面加强证据的生成和综合,以便为实践建议提供更多支持和适用性。
{"title":"Critical appraisal of the Colombian clinical practice guide for the prevention, diagnosis and treatment of suicidal ideation and/or behaviour (adoption)","authors":"Diana Restrepo,&nbsp;Ana M. Zapata-Barco,&nbsp;Juan A. Escobar,&nbsp;David Mejía-Rodríguez,&nbsp;Daniela Parra-Dunoyer,&nbsp;Oscar Vargas,&nbsp;Luis Miguel Vélez,&nbsp;Iris T. Buriticá,&nbsp;Isabel Vélez,&nbsp;Sebastián Estrada,&nbsp;Diego Rojas-Gualdrón","doi":"10.1016/j.rcpeng.2021.11.007","DOIUrl":"10.1016/j.rcpeng.2021.11.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Suicide is a complex, global public health problem. The Colombian clinical practice guideline provides relevant input for its prevention, diagnosis and treatment. The objective was to evaluate the methodological quality, credibility and applicability of the Colombian clinical practice guideline for suicidal behaviour.</p></div><div><h3>Methods</h3><p>An academic group of 12 evaluators was established to assess the guide and its recommendations in a standardised way, using the AGREE-II and AGREE-REX instruments. The evaluations were given in the range of 0.0–1.0 with 0.7 as a cut-off point for appropriate quality.</p></div><div><h3>Results</h3><p>The global assessment of the AGREE-II was greater than 0.7 in the dimensions: \"scope and objective\" (0.86), \"clarity of presentation\" (0.89), \"applicability\" (0.73) and \"editorial independence\" (0.89). The lowest scores were for “participation of those involved” (0.67) and “rigour in preparation” (0.69). With the AGREE-REX, the results in all dimensions were below 0.70, which indicates lower quality and suitability for use.</p></div><div><h3>Conclusions</h3><p>The adoption process of the Colombian guideline for suicidal behaviour was a rigorous methodological process, while the practice recommendations were valued as of low applicability due to low support in local evidence. It is necessary to strengthen the generation and synthesis of evidence at the national level to give greater support and applicability to the practice recommendations.</p></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"53 1","pages":"Pages 85-92"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140796191","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
Mood and Sleep Quality in Peruvian Medical Students During COVID-19 Pandemic COVID-19 大流行期间秘鲁医科学生的情绪和睡眠质量
Pub Date : 2024-01-01 DOI: 10.1016/j.rcpeng.2021.11.005
Mely Olarte-Durand , Jossiel B. Roque-Aycachi , Ricardo Rojas-Humpire , Josue F. Canaza-Apaza , Stefani Laureano , Andrea Rojas-Humpire , Salomón Huancahuire-Vega

Introduction

The prolongation and consequences of the COVID-19 pandemic have led to an uncertain and devastating panorama in many populations, and the evidence shows a high prevalence of mental health problems in medical students. The objective was to evaluate the association between mood disorders and sleep quality (SQ) in Peruvian medical students during the COVID-19 pandemic.

Methods

A cross-sectional study was conducted on 310 medical students from a private university in Peru. The SQ was measured using the Pittsburgh Sleep Quality Index (PSQI), while mood disorders were evaluated using the Depression Anxiety and Stress Scale-21 (DASS-21). All information was collected by online surveys and then analysed in the R programming language.

Results

The SQ results measured by PSQI were poor in 83.9% of the medical students. In the Poison regression analysis, the results of the bivariate analysis in men show that all mood disorders found the prevalence of poor SQ. However, in the multivariate analysis only stress (PRa = 1.30; 95% CI, 1.08-1.57; P < 0.01) and anxiety (PRa = 1.34; 95% CI, 1.09-1.56; P < 0.01) increased the prevalence of poor SQ. Women had a similar pattern in bivariate analysis, whereas in multivariate analysis, only severe stress (PRa = 1.15; 95% CI, 1.01-1.29; P < 0.05) increased the prevalence of poor SQ.

Conclusions

This study allows us to observe the consequences that the COVID-19 pandemic is having on medical students in Peru. It also revealed a population group vulnerable to poor quality of sleep and bad mood, which in the future will impact on health. It is suggested to educate medical students about the importance of proper sleep hygiene and the consequences of poor sleep hygiene practices.

引言 COVID-19 大流行病的持续时间和后果在许多人群中造成了不确定和破坏性的全景,有证据表明医学生中心理健康问题的发生率很高。本研究旨在评估 COVID-19 大流行期间秘鲁医科学生的情绪障碍与睡眠质量(SQ)之间的关系。SQ采用匹兹堡睡眠质量指数(PSQI)进行测量,而情绪障碍则采用抑郁、焦虑和压力量表-21(DASS-21)进行评估。所有信息均通过在线调查收集,然后用 R 编程语言进行分析。结果83.9% 的医学生通过 PSQI 测得的睡眠质量结果较差。在毒物回归分析中,男性的双变量分析结果显示,所有情绪障碍都会导致 SQ 差。然而,在多变量分析中,只有压力(PRa = 1.30; 95% CI, 1.08-1.57; P <0.01)和焦虑(PRa = 1.34; 95% CI, 1.09-1.56; P <0.01)增加了SQ差的患病率。在双变量分析中,女性的情况与男性相似,而在多变量分析中,只有严重压力(PRa = 1.15;95% CI,1.01-1.29;P <;0.05)会增加 SQ 差的发生率。它还揭示了一个易受睡眠质量差和不良情绪影响的人群,这将在未来影响健康。建议对医科学生进行教育,让他们了解正确睡眠卫生的重要性以及不良睡眠卫生习惯的后果。
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引用次数: 0
期刊
Revista Colombiana de psiquiatria (English ed.)
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