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Id: 231867
Autor: Karaçam, Zekiye; Sarı, Ezgi; Yüksel, Rüveyda; Arslantaş, Hülya.
Título: The prevalence of suicidal behavior and ideation during pregnancy and postpartum period, its variation in the COVID-19 pandemic, and the related factors: A systematic review and meta-analysis of observational studies
Fuente: Eur. j. psychiatry;38(2):[100248], Apr.-Jun. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.100248.
Resumen: Bacground Pregnancy and postpartum are sensitive periods for mental health problems due to increased stressors and demands, and the prevalence of intentional self-harming behaviors such as suicidal behavior and ideation may increase. Changes in the provision of prenatal care services and utilization of health services and adverse living conditions during the COVID-19 epidemic may also trigger or exacerbate mental illnesses. Aims To investigate the prevalence of suicidal behavior and ideation encountered during pregnancy and postpartum period, its change in the COVID-19 pandemic, and the related factors. Methods A systematic review and meta-analysis of observational studies was conducted. A search was conducted in April 2021 and updated in April 2023 on Web of Science, PubMed, PsycINFO, EBSCO, Turk Medline, Turkish Clinics, and ULAKBIM databases. Two authors independently conducted the search, selection of articles, data extraction, and quality assessment procedures, and an experienced researcher controlled all these steps. Joanna Briggs Institute's Critical Appraisal Checklists were used to assess the quality of the studies. Results The meta-analysis included 38 studies and the total sample size of the studies was 9 044 991. In this meta-analysis, the prevalence of suicidal behavior in women during pregnancy and postpartum periods was 5.1 % (95 % CI, 0.01û1.53), suicidal ideation 7.2 % (95 % CI, 0.03û0.18), suicide attampt 1 % (95 % CI, 0.00û0.07) and suicidal plan 7.8 % (95 % CI, 0.06û0.11). Rate of suicidal behavior, ideation/thought increased and attempts in the pandemic process (2.5% vs 19.7 %; 6.3% vs 11.3 %; 3.6% vs 1.4 %, respectively). Prevalences of suicidal behavior, ideation, attempts, and plan in the postpartum period was higher than during pregnancy (1.1% vs 23.4 %; 6.1% vs 9.2 %; 0.5% vs 0.7 %; 7.5% vs 8.8 %, respectively). ... (AU)
Descriptores: ideación suicida
período posparto/psicología
/epidemiología
COVID-19/epidemiología
-pandemias
Límites: seres humanos
femenino
embarazo
Tipo de Publicación: estudio observacional
metaanálisis
revisión sistemática
Responsable: ES15.1 - BNCS


  2 / 447 IBECS  
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Id: 231866
Autor: Wang, Hong; Hu, Na; Chai, Jiabao; Huang, Wenqian; Yang, Hanxue; Zhou, Xuanzi; Liu, Fuquan; Li, Ying.
Título: The efficacy of social skills training (SST) and social cognition and interaction training (SCIT) for negative symptoms: A meta-analysis
Fuente: Eur. j. psychiatry;38(2):[100246], Apr.-Jun. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.100246.
Resumen: Background and objectives The efficacy of antipsychotic drugs in improving negative symptoms of schizophrenia remains controversial. Psychological interventions, such as Social Skills Training (SST) and Social Cognition and Interaction Training (SCIT), have been developed and applied in clinical practice. The current meta-analysis was therefore conducted to evaluate the efficacy of controlled clinical trials using SST and SCIT on treating negative symptoms. Methods Systematical searches were carried out on PubMed, Web of Science, and PsycINFO databases. The standardized mean difference (SMD) with 95% confidence intervals (CI) was calculated to assess the effect size of SST/SCIT on negative symptoms. Subgroup and meta-regression analyses were conducted to explore sources of heterogeneity and identify potential factors that may influence their efficacy. Results A total of 23 studies including 1441 individuals with schizophrenia were included. The SST group included 8 studies with 635 individuals, and the SCIT group included 15 studies with 806 individuals. The effect size for the efficacy of SST on negative symptoms was -0.44 (95% CI: -0.60 to -0.28; p < 0.01), while SCIT was -0.16 (95% CI: -0.30 to -0.02; p < 0.01). Conclusions Our findings suggest that while both SST and SCIT can alleviate negative symptoms, the former appears to be more effective. Our results provide evidence-based guidance for the application of these interventions in both hospitalized and community individuals and can help inform the treatment and intervention of individuals with schizophrenia. (AU)
Descriptores: esquizofrenia/terapia
habilidades sociales
COGNICION SOCIAL
relaciones interpersonales
síntomas psíquicos
Límites: seres humanos
Tipo de Publicación: metaanálisis
Responsable: ES15.1 - BNCS


  3 / 447 IBECS  
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Id: 231865
Autor: Chiu, Chih-Hsiang; Chou, Frank Huang-Chih; Wu, Hung-Chi; Ko, Chih-Hung; Tsai, Meng-Chang; Tsai, Jui-Kang; Hsu, Chih-Yao; Chung, Kuan-Shang; Lu, Yu-Shi; Li, Dian-Jeng.
Título: Factors associated with neurofeedback and mindfulness-based combination therapy for patients with substance use disorder: A multicenter study
Fuente: Eur. j. psychiatry;38(2):[100245], Apr.-Jun. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.100245.
Resumen: Background and objectives Substance use disorder (SUD) has become a major concern in public health globally, and there is an urgent need to develop an integrated psychosocial intervention. The aims of the current study are to test the efficacy of the integrated treatment with neurofeedback and mindfulness-based therapy for SUD and identify the predictors of the efficacy. Methods This study included 110 participants with SUD into the analysis. Outcome of measures includes demographic characteristics, severity of dependence, quality of life, symptoms of depression, and anxiety. Independent t test is used to estimate the change of scores at baseline and three months follow-up. Generalized estimating equations are applied to analyze the effect of predictors on the scores of dependence severity over time by controlling for the effects of demographic characteristics. Results A total of 22 (20 %) participants were comorbid with major mental disorder (MMD). The decrement of the severity in dependence, anxiety, and depression after treatment are identified. Improved scores of qualities of life in generic, psychological, social, and environmental domains are also noticed. After controlling for the effects of demographic characteristics, the predictors of poorer outcome are comorbid with MMD, lower quality of life, and higher level of depression and anxiety. Conclusion The present study implicates the efficacy of integrated therapy. Early identification of predictors is beneficial for healthcare workers to improve the treatment efficacy. (AU)
Descriptores: trastornos relacionados con sustancias/terapia
atención plena/métodos
-resultado del tratamiento
predicción
Límites: seres humanos
Tipo de Publicación: estudio multicéntrico
Responsable: ES15.1 - BNCS


  4 / 447 IBECS  
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Id: 231864
Autor: Wang, X; Wang, L; Xue, Y; Li, Y.
Título: Effects of antipsychotics on amino acid levels in patients with first-episode schizophrenia: A prospective study
Fuente: Eur. j. psychiatry;38(2):[100229], Apr.-Jun. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.100229.
Resumen: Background and objectives Alterations in the molecular mechanisms of specific amino acids (AAs) may be implicated in the pathophysiology of schizophrenia (SZ). However, little is known about antipsychotic drugs influence on levels of AAs. This study aimed to further explore antipsychotics' effects on AAs and serum lipid levels in first-episode SZ. Methods Eighty subjects with the International Classification of Diseases, Tenth Edition (ICD-10) criteria-defined SZ were enrolled. The levels of 31 AAs were measured in plasma samples using ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). Results Ten AAs (i.e., citrulline, sarcosine, tyrosine, leucine, proline, hydroxyproline, kynurenine, tryptophan, valine and isoleucine) were observed to be higher and three AAs (i.e., GABA, aminobutyric acid and asparaginic acid) were lower in 80 patients with first-episode SZ after various antipsychotics treatment. In addition, there were 1 out of 31 AAs altered after olanzapine treatment and there were only 2 out of 31 AAs altered after risperidone treatment. Furthermore, serum triglyceride (TG) was markedly upregulated after olanzapine treatment, while Apolipoprotein A1 (ApoA1) was generally upregulated after risperidone treatment in patients with first-episode SZ. Conclusions Taken together, antipsychotic treatment can affect the plasma levels of AAs in patients with first-episode SZ, and olanzapine and risperidone have differential effects on the levels of AAs. (AU)
Descriptores: antipsicóticos/uso terapéutico
aminoácidos
esquizofrenia/farmacoterapia
-estudios prospectivos
Límites: seres humanos
masculino
femenino
adolescente
adulto joven
adulto
persona de mediana edad
anciano
Tipo de Publicación: informes de casos
Responsable: ES15.1 - BNCS


  5 / 447 IBECS  
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Id: 231863
Autor: Yang, Pingyuan; Weng, Jiajun; Huang, Xiao.
Título: Sleep features in alcohol use disorder: A systematic review and meta-analysis of polysomnographic findings in case-control studies
Fuente: Eur. j. psychiatry;38(2):[100231], Apr.-Jun. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.100231.
Resumen: Background and objectives Alcohol use disorder (AUD) is often linked to sleep problems, but previous studies on sleep abnormalities in AUD have produced inconsistent results. This study aims to provide a comprehensive analysis of objectively measured sleep abnormalities in AUD and determine the impact of related and demographic factors on sleep disturbance. Methods We conducted a comprehensive search of several databases from 1968 to 2023 to identify relevant studies. A total of 12 studies, consisting of 13 datasets, were included in the analysis. We extracted information on sleep microarchitecture, as well as demographic and clinical features, from each study. The GRADE approach was used to assess the reliability and strength of the evidence. Results Patients with AUD exhibited several sleep abnormalities, including longer sleep onset latency, lower sleep efficiency, increased stage 1 sleep, decreased stage 2 sleep, reduced slow wave sleep, and elevated rapid eye movement (REM) sleep density and first REM minute. The sleep patterns in individuals with AUD were also influenced by factors such as ethnicity, age, gender, and abstinence period. Conclusions This study is the largest quantitative assessment of impaired sleep as a diagnostic marker in patients with AUD. Understanding the sleep patterns of individuals with AUD can assist clinicians in developing effective treatment plans for managing sleep-related symptoms associated with AUD. (AU)
Descriptores: alcoholismo/complicaciones
trastornos del sueño-vigilia
Límites: seres humanos
masculino
femenino
Tipo de Publicación: informes de casos
metaanálisis
revisión sistemática
Responsable: ES15.1 - BNCS


  6 / 447 IBECS  
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Id: 231862
Autor: López-Díaz, Álvaro; Fernández-González, José Luis; Lara, Ignacio; Crespo-Facorro, Benedicto; Ruiz-Veguilla, Miguel.
Título: Predictors of transition to schizophrenia and other long-lasting non-affective psychoses in first-episode patients with acute and transient psychotic disorders: A validation study
Fuente: Eur. j. psychiatry;38(2):[100234], Apr.-Jun. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.100234.
Resumen: Background and objectives Almost half of the individuals with a first-episode of psychosis who initially meet criteria for acute and transient psychotic disorder (ATPD) will have had a diagnostic revision during their follow-up, mostly toward schizophrenia. This study aimed to determine the proportion of diagnostic transitions to schizophrenia and other long-lasting non-affective psychoses in patients with first-episode ATPD, and to examine the validity of the existing predictors for diagnostic shift in this population. Methods We designed a prospective two-year follow-up study for subjects with first-episode ATPD. A multivariate logistic regression analysis was performed to identify independent variables associated with diagnostic transition to persistent non-affective psychoses. This prediction model was built by selecting variables on the basis of clinical knowledge. Results Sixty-eight patients with a first-episode ATPD completed the study and a diagnostic revision was necessary in 30 subjects at the end of follow-up, of whom 46.7% transited to long-lasting non-affective psychotic disorders. Poor premorbid adjustment and the presence of schizophreniform symptoms at onset of psychosis were the only variables independently significantly associated with diagnostic transition to persistent non-affective psychoses. Conclusion Our findings would enable early identification of those inidividuals with ATPD at most risk for developing long-lasting non-affective psychotic disorders, and who therefore should be targeted for intensive preventive interventions. (AU)
Descriptores: valor predictivo de las pruebas
predicción
esquizofrenia/prevención & control
trastornos psicóticos/prevención & control
-España
análisis multifactorial
modelos logísticos
Límites: adulto joven
adulto
persona de mediana edad
anciano
Tipo de Publicación: ESTUDIO DE VALIDACION
informes de casos
Responsable: ES15.1 - BNCS


  7 / 447 IBECS  
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Id: 231861
Autor: Yang, Jeong Min; Kim, Jae Hyun.
Título: Time-dependent association between the economic activity restriction due to health condition and mental illness: Finding from 15-year prospective cohort study
Fuente: Eur. j. psychiatry;38(2):[100235], Apr.-Jun. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.100235.
Resumen: Background and Objectives The Economic Activity Restriction (EAR) due to health conditions is being utilized as a foundational measure for the European indicator Healthy Life Years (HLY). The EAR group is experiencing limitations not only in economic activities but also in overall activities, and it is a population with a high likelihood of transitioning to mental illness due to health condition. However, few studies have investigated the relationship between EAR and mental illness. Therefore, the purpose of this study was to identify the association between EAR due to health conditions and mental illness for those aged 45 and older in South Korea. Methods We obtained data from the 2006û2020 Korean Longitudinal Study of Aging. EAR was assessed using self-reported questionnaires based on the Global Activity Limitation Indicator. mental illness was assessed based on the diagnosis data for participants who had been diagnosed. After excluding missing values, the data of 9,574 participants were analyzed using the chi-square test, log-rank tests, and time-dependent Cox proportional hazard model to evaluate the association between EAR and mental illness. Results Out of the 9,574 participants gathered at baseline, the mental illness rate was 4.8 %. The hazard ratio (HR) of mental illness in those in the ôvery probableö of EAR was 2.351 times higher (p-value <0.0001) compared with ônot at allö of EAR. In model 1 which includes under 64 years, HR of mental illness in ôvery probableö of EAR was 3.679 times higher (p-value: 0.000) and in ôprobableö of EAR was 2.535 time higher (p-value: 0.001) compared with ônot at allö of EAR. Conclusion If we provide opportunities to participate in community activities or provide the mental health promotion programs for middle-aged population who are experiencing EAR due to health condition... (AU)
Descriptores: personas con enfermedad mental/psicología
licencia por enfermedad
/psicología
ESTRES FINANCIERO/psicología
-estudios de cohortes
estudios prospectivos
estudios transversales
encuestas y cuestionarios
Límites: seres humanos
masculino
femenino
persona de mediana edad
anciano
ancianos de 80 o más años
Responsable: ES15.1 - BNCS


  8 / 447 IBECS  
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Id: 231860
Autor: Noguer, Isabel; Pérez, Victor; Sáiz, Jerónimo; Padrón, Alicia; González, Miguel Angel; Carrasco, Juan Pablo; Guija, Julio; Baca-Garcia, Enrique; Palao, Diego.
Título: A wake up call about suicide in old people
Fuente: Eur. j. psychiatry;38(2):[100251], Apr.-Jun. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2024.100251.
Descriptores: PREVENCION DEL SUICIDIO
suicidio/estadística & datos numéricos
-España/epidemiología
Límites: seres humanos
anciano
ancianos de 80 o más años
Tipo de Publicación: editorial
Responsable: ES15.1 - BNCS


  9 / 447 IBECS  
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Id: 229238
Autor: Ferra, Inês; Bragança, Miguel; Moreira, Ricardo.
Título: Exploring the clinical features of postpartum obsessive-compulsive disorder- a systematic review
Fuente: Eur. j. psychiatry;38(1):[100232], Jan.-Mar. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.100232.
Resumen: Background and objectives The postpartum period appears to be a vulnerable period for the development of obsessive-compulsive disorder in parents; yet it is often overlooked. This work aims to synthesize clinical data available on Postpartum Obsessive-Compulsive Disorder (PP-OCD) and to highlight its psychopathological significance and implications in clinical practice using a systematic approach. Methods We conducted a systematic research according to PRISMA guidelines in three databases û MEDLINE, Scopus and Web of Science. The references obtained were then screened and scanned for eligibility by two investigators. Risk of bias was assessed for each study with NIH tools. Results The found prevalence of postpartum OCD ranged from 2.43 %-9 % among women and 1,7 % among men. Other epidemiological and clinical data were reviewed including particular symptomatology, characterized by a swift onset of primarily aggressive and contamination obsessions, as well as situational avoidance. Conclusion It is a clinical entity frequently underdiagnosed, which perinatal health practitioners should be familiar with, as it can interfere with parent-infant bonding if left untreated. Mothers with an history of depression, anxiety, insomnia, obsessive compulsive, and avoidant personality disorder or presenting inappropriate interpretation of infant related intrusive thoughts are particularly at risk of developing OCD in the postpartum period. These mothers should be informed about the nature of their infant centered obsessions and could be a target of prevention programs. (AU)
Descriptores: trastorno obsesivo compulsivo/diagnóstico
período posparto/fisiología
período posparto/psicología
-asistencia perinatal
Límites: seres humanos
Tipo de Publicación: revisión sistemática
Responsable: ES15.1 - BNCS


  10 / 447 IBECS  
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Id: 229237
Autor: Roebroek, L. O; Bruins, J; Boonstra, A; Delespaul, P. A; Castelein, S.
Título: The effects of treatment as usual versus a computerized clinical decision aid on shared decision-making in the treatment of psychotic disorders
Fuente: Eur. j. psychiatry;38(1):[100216], Jan.-Mar. 2024.
Idioma: en.
doi: 10.1016/j.ejpsy.2023.06.002.
Resumen: Background and objectives People with psychotic disorders can experience a lack of active involvement in their decisional process. Clinical decision aids are shared decision-making tools which are currently rarely used in mental healthcare. We examined the effects of Treatment E-Assist (TREAT), a computerized clinical decision aid in psychosis care, on shared decision-making and satisfaction with consultations as assessed by patients. Methods A total of 187 patients with a psychotic disorder participated. They received either treatment as usual in the first phase (TAU1), TREAT in the second phase or treatment as usual in the third phase of the trial (TAU2). The Decisional Conflict Scale was used as primary outcome measure for shared decision-making and patient satisfaction as secondary outcome. Results A linear mixed model analysis found no significant effects between TAU 1 (β = −0.54, SE = 2.01, p = 0.80) and TAU 2 (β = −1.66, SE = 2.63, p = 0.53) compared to TREAT on shared decision-making. High patient rated satisfaction with the consultations was found with no significant differences between TAU 1 (β = 1.48, SE = 1.14, p = 0.20) and TAU 2 (β = 2.26, SE = 1.33, p = 0.09) compared to TREAT. Conclusion We expected TREAT to enhance shared decision-making without decreasing satisfaction with consultations. However, no significant differences on shared decision-making or satisfaction with consultations were found. Our findings suggest that TREAT is safe to implement in psychosis care, but more research is needed to fully understand its effects on the decisional process. (AU)
Descriptores: toma de decisiones asistida por ordenador
técnicas de apoyo en la toma de decisiones
trastornos psicóticos/diagnóstico
trastornos psicóticos/terapia
-toma de decisión
Límites: seres humanos
Tipo de Publicación: estudio comparativo
informes de casos
Responsable: ES15.1 - BNCS



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