Vertex (Buenos Aires, Argentina)最新文献

This document constitutes the second section B of the Third Argentine Consensus on the Management of Bipolar Disorders, focused on synthesizing the most updated evidence on therapeutic approaches for adult patients. The scope of this section is to provide therapeutic recommendations for managing bipolar disorders in adults, (i) acute mania (ii) bipolar depression (iii) mixed stated (iv) suicidality and (vi) psychological interventions. In addition, the current manuscript outlines the assessment and management of side effects of pharmacotherapeutic treatments.

Objectives: The study was aimed at measuring the impact of training on forensic case formulation in mental health and to provide more evidence on the reliability of the TEC-F.

Method: Nine psychiatrists and six psychologists from various Latin American countries participated in a quasi-pedagogical experiment. The quality of formulations was independently and blindly measured pre- and post-intervention with the TEC-F and the assignment of two standard vignettes was also randomly manipulated. Quality mean differences and instrument reliability indicators were calculated.

Results: The values of intraclass correlation coefficients were 0.92; 0.94; 0.83; 0.93 and 0.95 and the values of Cronbach's alpha coefficient were 0.83; 0.94; 0.63; 0.77 and 0.93, for the dimensions transparency, specificity, communication, reasoning and for the total TEC-F respectively. The results of the 19-day test-retest were excellent. The mean TEC-F total quality pre-course was 31.4 and the mean post-course, 38.4 (p = 0.003 and p = 0.001 for group test and paired test respectively).

Conclusions: The pedagogical intervention produced a significant improvement in the quality of the expert’s formulations. The study added evidence supporting the TEC-F reliability.

Introduction: Pandemics throughout human history have caused global crises. Given their multifactorial impact, they generate changes in the functioning of the health pole, in the adaptation of the health system, the economy of nations, in political decision-making, and lifestyles. At the individual level, changes in behavior, emotions, thoughts, and quality of life in its many aspects (physical, psychological, social, and environmental) are glimpsed.

Materials and method: With a quantitative approach of cross-sectional ex post facto design, and exploratory scope, the psychosocial and sociodemographic aspects related to adherence to health policies and the search for support were investigated in the adult population of the city of Córdoba (20 to 60 years). 704 people were surveyed, to whom the perceived stress questionnaire (pss-10), a sociodemographic questionnaire, and a questionnaire carried out with an ad hoc modality were applied.

Results and conclusions: Age, sex, schooling, health history, psychiatric/psychological history, and having relatives/partners belonging to a risk group; they presented an association with respect to adherence to health policy regulations; fear of getting infected; help/support seeking; and perceived stress. This research aims to be a starting point to promote local studies that investigate adherence to health policy regulations necessary to cope with the spread of a disease worldwide with the fewest possible adverse reactions.

Introduction: Work is central to the social inclusion of people who have had long-term psychiatric hospitalizations. In the context of the mental health care reform in Argentina, it is important to produce local knowledge about workinclusion of people discharged from psychiatric hospitals. The objective of this study was to describe the meanings and practices of women who had long-term psychiatric hospitalizations at the José A. Estéves Hospital in the Province of Buenos Aires, Argentina, regarding their inclusion in the labor market, once they return to live in the community.

Methods and materials: Descriptive mixed-methods study. The case of the Assisted Discharge and Rehabilitation Program of José A. Estéves Hospital, which accompanied 69 women in the year 2018, was analyzed. For quantitative analysis the data of the 69 women was analyzed, and for qualitative analysis a sample of nine women were interviewed.

Results: 74% of women did some work after their discharge, although at the moment of the study only 33% were working. The jobs they carried out corresponded to elementary and low-competence occupational levels, mostly in a supported work program. After the psychiatric hospitalization, jobs obtained were less qualified, more informal and less exposed to the public than those held before the hospitalization.

Discussion and conclusionss: Prolonged psychiatric hospitalization is a significant break in people’s work trajectories. Despite the value of work experiences after having a psychiatric hospitalization, those experiences mainly correspond to the informal sector of the economy.