Substance abuse and gender differences in first episode psychosis: Impact on hospital readmissions
ConclusionsThere are gender differences in FEP. Men have an earlier onset of symptoms and have worse functional outcomes. Drug abuse in men is higher and represents a major cause of hospital readmission. Therapeutic interventions to prevent the effects of drug abuse are necessary from the early stages of the illness.ResumenIntroducciónEl estudio de diferencias de género en primeros episodios psicóticos (PEPs) ha aportado resultados controvertidos en los últimos años. El consumo de sustancias es la principal comorbilidad en PEPs, y se ha relacionado con un peor pronóstico y con una mayor gravedad sintomática.Objetivo...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Cardiovascular and metabolic monitoring of children and adolescents on antipsychotic treatment: A cross-sectional descriptive study
ConclusionsThis study shows that the recording of cardiovascular parameters and metabolic studies needs to be improved in children and adolescents on treatment with antipsychotics.ResumenAntecedentesEl control cardiovascular y metabólico en pacientes que toman antipsicóticos es fundamental y adquiere una especial relevancia en la edad pediátrica, por ser pacientes más vulnerables y porque cada vez se prescriben fármacos de este tipo en más ocasiones.ObjetivoDescribir el grado de cumplimiento de las recomendaciones de control de parámetros cardiovasculares y metabólicos en un grupo de niños y jóvenes en tratamient...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Suicide in Castellon, 2009–2015: Do sociodemographic and psychiatric factors help understand urban–rural differences?
ConclusionsStudy implications for suicide prevention strategies in Spain are discussed.ResumenIntroducciónEl nivel de la ruralidad ha demostrado ser un factor importante en el suicidio. Las diferencias en suicidio según ruralidad parecen explicarse por factores sociodemográficos y psiquiátricos y su importancia depende del sexo y la edad. Hasta ahora, se han explorado pocos factores sociodemográficos y psiquiátricos a la vez, siendo aún más infrecuentes los análisis separando por sexo y edad. Además, en España, las diferencias en suicidio según ruralidad han sido poco investigadas. Este trabajo explora las dife...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Current challenges in research on suicide
Publication date: January–March 2018Source: Revista de Psiquiatría y Salud Mental (English Edition), Volume 11, Issue 1Author(s): Maria Luisa Barrigón, Enrique Baca-García (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Validation of the Beck Hopelessness Scale in patients with suicide risk
ConclusionThe Beck Hopelessness Scale in Colombian patients with suicidality shows results similar to the original version, with adequate reliability and moderate concurrent and predictive validity.ResumenIntroducciónPocas escalas se han validado en castellano para el riesgo suicida y en ninguna de ellas se ha hallado la validez predictiva.ObjetivoDeterminar la validez y confiabilidad de la Escala de Desesperanza de Beck en pacientes con suicidabilidad que acuden a consulta especializada.MétodosSe aplicaron la Escala de Desesperanza de Beck, el Inventario de Razones para Vivir y el Cuestionario de Comportamiento Suicida ...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Increase in white cell and neutrophil counts during the first eighteen weeks of treatment with clozapine in patients admitted to a long-term psychiatric care inpatient unit
Publication date: April–June 2018Source: Revista de Psiquiatría y Salud Mental (English Edition), Volume 11, Issue 2Author(s): Adrián Capllonch, Silvia de Pablo, Alberto de la Torre, Ignacio MoralesAbstractIntroductionClozapine is an antipsychotic drug that has shown to be more effective than other antipsychotics in the treatment of schizophrenia, but its use is limited due to its side effects, particularly by the risk of causing agranulocytosis. A study was made on the variations in white cell and neutrophil counts in patients treated with Clozapine in a Long-term Psychiatric Unit.MethodsA retrospective observational ...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Psychoneuroimmunology of mental disorders
This study aims to conduct a narrative review of the scientific literature on the role of psychoneuroimmunology in mental disorders, with special focus on diagnostic, prognostic and therapeutic issues. The development of this body of knowledge may bring in the future important advances in the vulnerability, aetiopathogenic mechanisms, diagnosis and treatment of some mental disorders.ResumenEl sistema inmunitario es una pieza fundamental en la defensa del organismo y participa en el mantenimiento de la homeostasis. Existe un interés creciente en las implicaciones etiopatogénicas y pronósticas del sistema inmunitario en l...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Is it necessary a scale to evaluate the posttraumatic psychiatric sequelae?
Publication date: April–June 2018Source: Revista de Psiquiatría y Salud Mental (English Edition), Volume 11, Issue 2Author(s): Julio A. Guija, Lucas Giner, Antonio Medina, José Giner (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

25 years of Eye Movement Desensitization and Reprocessing (EMDR): The EMDR therapy protocol, hypotheses of its mechanism of action and a systematic review of its efficacy in the treatment of post-traumatic stress disorder
Publication date: April–June 2018Source: Revista de Psiquiatría y Salud Mental (English Edition), Volume 11, Issue 2Author(s): Patricia Novo Navarro, Ramón Landin-Romero, Rocio Guardiola-Wanden-Berghe, Ana Moreno-Alcázar, Alicia Valiente-Gómez, Walter Lupo, Francisca García, Isabel Fernández, Víctor Pérez, Benedikt L. AmannAbstractEye movement desensitization and reprocessing (EMDR) is a relatively new psychotherapy that has gradually gained popularity for the treatment of post-traumatic stress disorder. In the present work, the standardised EMDR protocol is introduced, along with current hypotheses of its mechan...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Quality indicators in the treatment of patients with depression, bipolar disorder or schizophrenia. Consensus study
ConclusionsThis set of indicators allows quality monitoring in the treatment of patients with schizophrenia, depression or bipolar disorder. Mental health care authorities and professionals can use this proposal for developing a balanced scorecard adjusted to their priorities and welfare objectives.ResumenObjetivoIdentificar, para el conjunto de la red asistencial en salud mental en España, un conjunto de indicadores para monitorizar la calidad asistencial en esquizofrenia, depresión mayor y trastorno bipolar.Material y métodoEstudio basado en el consenso de especialistas en psiquiatría (6 en comité de dirección y un...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Suicidal ideation in a community-derived sample of Spanish adolescents
ConclusionsSuicidal ideation is present during adolescence and is associated with poor subjective well-being and increased emotional and behavioural problems. PSS seems to show adequate psychometric behaviour to assess suicidal ideation in adolescents. These findings have clear implications, both in health and education systems, to improve the promotion of emotional well-being and prevention of psychological and psychiatric problems in this sector of the population.ResumenIntroducciónEl suicidio es un problema sociosanitario de primer orden. El propósito de este estudio fue analizar la ideación suicida en una muestra re...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Psychometric study of the Required Care Levels for People with Severe Mental Disorder Assessment Scale (ENAR-TMG)
ConclusionsThe satisfactory psychometric behaviour of the ENAR-TMG makes the scale a promising tool to assess global functioning in people with a severe mental disorder.ResumenIntroducciónLas personas con trastorno mental grave (TMG) presentan importantes dificultades en la vida cotidiana que conllevan la necesidad de una ayuda continuada. Estas necesidades no son fácilmente evaluables con los instrumentos actuales. Por ello se propone una escala multidimensional que evalúa los diferentes niveles de necesidad de atención, y se estudia el comportamiento psicométrico de dicho instrumento.MétodoCiento treinta y nueve pa...
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Doppelgänger research? Considerations on self-citations
Publication date: Available online 19 June 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Anthony Copez-Lonzoy, Angel Paz-Jesús (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

The process of preparing the chapter on mental and behavioural disorders of the ICD 11
Publication date: Available online 19 June 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): José Luis Ayuso Mateos (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research

Deprescription of benzodiazepines and Z drugs: A shared responsibility
Publication date: Available online 19 June 2018Source: Revista de Psiquiatría y Salud Mental (English Edition)Author(s): Omar Walid Muquebil Ali Al Shaban Rodríguez, Celia Rodríguez Turiel, Sergio Ocio León, Mario Javier Hernández González, Manuel Gómez Simón, María Aida Fernández Menéndez (Source: Revista de Psiquiatria y Salud Mental)
Source: Revista de Psiquiatria y Salud Mental - July 10, 2018 Category: Psychiatry Source Type: research