Can interleukin-2 and interleukin-1β be specific biomarkers of negative symptoms in schizophrenia?
ConclusionsOur findings suggested that IL-6 concentrations are elevated in stable patients with schizophrenia. Whereas IL-2 specifically marks severity of the motivation and pleasure domain of negative symptoms, IL-1β is not specific to this dimension as it also predicts severity of general and global symptomatology.ResumenIntroducciónHay evidencias que sugieren la existencia de alteraciones de algunas citocinas en pacientes con esquizofrenia, pero su asociación con la psicopatología aún no está clara. El objetivo de este estudio es determinar si los niveles de citocinas proinflamatorias (factor de necrosis tumoral-...
Source: Revista de Psiquiatria y Salud Mental - March 4, 2019 Category: Psychiatry Source Type: research

Trazodone utilization among the elderly in Spain. A population based study
ConclusionsTrazodone use is increasing in elderly patients, and a high proportion of use in non-approved indications was observed. Trazodone is not being used at high doses, but interacting medicines were frequent, and it may pose additional risks for elderly patients.ResumenIntroducciónLa trazodona se autorizó para el tratamiento de la depresión en los años 70, y se han propuesto otros usos por su mecanismo de acción heterogéneo. Este estudio tiene como objetivo caracterizar la utilización de trazodona en ancianos en España.MétodosSe llevó a cabo un análisis longitudinal en pacientes > 65 años con un...
Source: Revista de Psiquiatria y Salud Mental - November 25, 2018 Category: Psychiatry Source Type: research

Suicidal behaviour characteristics and factors associated with mortality in the hospital setting
ConclusionsHospitalised suicidal acts show a low mortality, mainly related to comorbidities and the severity of injuries.ResumenIntroducciónEl suicidio es un importante problema de salud pública mundial, de necesario abordaje por su alto potencial preventivo. Este trabajo estudia las principales características de las personas ingresadas en hospitales de la Comunidad de Madrid (España) con conducta suicida y los factores asociados a su mortalidad intrahospitalaria.Material y métodosSe estudian los códigos E950-E959 de suicidio y lesiones autoinfligidas de la Clasificación Internacional de Enfermedades, Novena Revisi...
Source: Revista de Psiquiatria y Salud Mental - November 17, 2018 Category: Psychiatry Source Type: research

The Andalusian Bipolar Family (ABiF) Study: Protocol and sample description
DiscussionWe discuss the value of this approach in terms of new technologies for the identification of high-penetrance genetic factors. These new technologies include exome and whole genome sequencing, and the use of induced pluripotent stem cells or model organisms to determine functional consequences.ResumenIntroducciónSe presenta la primera descripción del estudio denominado Andalusian Bipolar Family (ABiF). Se trata de una investigación longitudinal con familias procedentes de Andalucía (España), que comenzó en 1997, con el objetivo de dilucidar las causas geneticomoleculares del trastorno afectivo bipolar. Desde...
Source: Revista de Psiquiatria y Salud Mental - November 14, 2018 Category: Psychiatry Source Type: research

Does the environment affect suicide rates in Spain? A spatiotemporal analysis
ConclusionsMortality by suicide does not follow a homogenous geographical distribution in Spain. Mortality in men was higher than in women. Over the period of study, there has been a decrease in mortality by suicide in Spain in adults over the age of 64. The seasonal cycle of suicides and the inverse relationship with GDP per capita found in this study, provide information which may be used as a tool for developing prevention and intervention strategies.ResumenIntroducciónEl suicidio es un problema de salud pública, ya que representa una de las principales causas de muerte no natural. Hay múltiples factores que influyen...
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

Depression and associated variables in people over 50 years in Spain
ConclusionsThe most important variables associated with depression were poor perceived physical health, presence of difficulties in ADL, and female gender.ResumenIntroducciónLa depresión es un trastorno psiquiátrico incapacitante y frecuente en la edad adulta asociado a mayor mortalidad y discapacidad funcional.ObjetivosDeterminar la asociación de las variables clínicas y sociodemográficas con la depresión, en una muestra de personas mayores de 50 años residentes en España, y comparar la prevalencia de depresión con los demás países del estudio Survey of Health, Ageing and Retirement in Europe (SHARE).Material ...
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

Adaptation into Spanish of the Internalised Stigma of Mental Illness scale to assess personal stigma
ConclusionsEIEM is an appropriate measurement tool to assess personal stigma in a Spanish population with severe mental disorder, at least in those with a diagnosis of schizophrenia or schizoaffective disorder.ResumenIntroducciónEn ocasiones los pacientes con esquizofrenia asumen como propio el estigma social relacionado con la enfermedad y se origina el denominado estigma personal. El estigma personal implica el autoestigma (interiorización de estereotipos negativos), el estigma percibido (percepción de rechazo) y el estigma experimentado (experiencias de discriminación). El estigma personal se relaciona con peor adhe...
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

Improving suicide mortality statistics in Tarragona (Catalonia, Spain) between 2004–2012
ConclusionsAn exhaustive review of suicide deaths data from forensic sources has led to an improvement in the under-reported statistical information. It also improves the knowledge of the method of suicide and personal characteristics.ResumenIntroducciónLa vigilancia y prevención de la conducta suicida requiere, entre otros datos, conocer con precisión las muertes por suicidio (MPS). Frecuentemente existe una infradeclaración o mala clasificación de las MPS en las estadísticas oficiales de mortalidad. El objetivo del estudio es analizar la infradeclaración de la estadística de mortalidad por suicidio en Tarragona (...
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

How to improve the integrity of clinical trial articles
Publication date: Available online 10 November 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Rafael Dal-Ré (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

What most influent psychiatry journals do not show
Publication date: Available online 10 November 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Rafael Dal-Ré (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - November 11, 2018 Category: Psychiatry Source Type: research

Flexibilization in controlling the use of clozapine: A great opportunity
Publication date: Available online 7 November 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Enrique Álvarez de Morales Gómez-Moreno, Omar Walid Muquebil Ali Al Shaban Rodríguez, Jennifer Fernández Fernández, Carmen Fresno García (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - November 7, 2018 Category: Psychiatry Source Type: research

Benzodiazepine prescriptions and falls in older men and women
ConclusionsOver 40% of older adults presenting for emergency care after a fall had previously been prescribed BZD/Z drugs. Some important gender differences in the prescription of BZD/Z drugs were seen, especially prescription above the recommended dose and of drugs with a long-half life.ResumenObjetivoA pesar de las advertencias de numerosas asociaciones profesionales, las benzodiacepinas (BZD) y los hipnóticos Z (Z) son ampliamente prescritos a los ancianos ya que son especialmente susceptibles de padecer insomnio y ansiedad, pero a su vez resultan especialmente sensibles a la aparición de efectos secundarios a dichos ...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Further evidence for major repeaters as a subgroup of suicide attempters
Publication date: January–March 2018Source: Revista de Psiquiatría y Salud Mental (English Edition), Volume 11, Issue 1Author(s): Maria Irigoyen-Otiñano, Margarita Puigdevall-Ruestes, Nuria Prades-Salvador, Sara Salort-Seguí, Lidia Gayubo, Jose de Leon, Hilario Blasco-Fontecilla (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Vortioxetine: A new alternative for the treatment of major depressive disorder
Publication date: January–March 2018Source: Revista de Psiquiatría y Salud Mental (English Edition), Volume 11, Issue 1Author(s): Estela Salagre, Iria Grande, Brisa Solé, Jose Sanchez-Moreno, Eduard VietaAbstractMajor depressive disorder (MDD) is a serious psychiatric condition. Its treatment remains a challenge nowadays. Vortioxetine is a novel antidepressant with a unique profile, as it acts as a multimodal serotoninergic agent. Its efficacy in MDD has been established in many short- and long-term studies, with 7 positive, 4 negative and 1 failed randomized controlled trials. Moreover, its ability to modulate a wide ...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Stimulus characteristics in electroconvulsive therapy. A pragmatic review
Publication date: January–March 2018Source: Revista de Psiquiatría y Salud Mental (English Edition), Volume 11, Issue 1Author(s): Francisco Javier Sanz-FuentenebroAbstractThe process of normalization electroconvulsive therapy (ECT) requires, among other actions, disseminating the latest information on this technique. One of the most complex aspects is the electrical stimulus, whose knowledge should be spread and put into practice.In this paper, we review the available information about frequency and number of ECT sessions, and efficacy of each electrode placement. We also present two approaches to determine the ECT char...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research