Base de datos : IBECS
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  1 / 1222 IBECS  
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Id: 231260
Autor: Royuela Rico, Ángel.
Título: First Description of Delirium Tremens was Made by Diego de Torres Villarroel in 1737
Fuente: Actas esp. psiquiatr;52(1):70-71, Feb. 2024.
Idioma: en.
Descriptores: delirio confusional por abstinencia alcohólica/diagnóstico
delirio confusional por abstinencia alcohólica/historia
Límites: seres humanos
Tipo de Publicación: artículo histórico
carta
Responsable: ES15.1 - BNCS


  2 / 1222 IBECS  
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Id: 231259
Autor: di Michele, Flavia; Rinaldi, Fiamma.
Título: The Symbolism in a Case of Hysterical Psychosis
Fuente: Actas esp. psiquiatr;52(1):66-69, Feb. 2024.
Idioma: en.
Resumen: The authors take inspiration from a case of hysterical psychosis to illustrate a typical condition of this evocative disease: the symbolic language of hysteria, conjurer of archetypical images. The authors encourage the clinician not to decode such aspects in rational analytical terms, rather to have a more wide-open approach that promotes the emergence of the individual unconscious, reconnecting with the collective imagination. This approach could help psychiatrists better understand a subject's inner experiences and interpersonal behavior. (AU)
Descriptores: simbolismo
trastornos psicóticos/terapia
psiquiatría
-INCONSCIENTE EN PSICOLOGIA
Límites: seres humanos
femenino
adulto joven
Tipo de Publicación: informes de casos
Responsable: ES15.1 - BNCS


  3 / 1222 IBECS  
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Id: 231258
Autor: Nascimento, Henrique; Almeida, Bárbara.
Título: Psychotic Disorder after Left Posterior Cerebral Artery Stroke-An Atypical Event
Fuente: Actas esp. psiquiatr;52(1):60-65, Feb. 2024.
Idioma: en.
Resumen: Introduction: Stroke survivors usually present physical and neuropsychiatric complications. Post-stroke psychosis (PSPsy) is a particularly neglected sequel despite its disruptive nature. Objectives: To present a case of early emerging neuropsychiatric symptoms following a left posterior cerebral artery (PCA) stroke. To review and discuss PSPsy clinical manifestations, pathophysiology, and clinical outcomes. Clinical Case: A previously autonomous 68-year-old woman with vascular risk factors and depressive disorder presented to the emergency department with a 5-day history of disorientation, motor aphasia, and right hypoesthesia. Computer tomography revealed a left PCA stroke. She was started on acetylsalicylic acid and rosuvastatin and discharged the next day. Afterward, the patient developed a depressive mood, emotional lability, periods of confusion, delusions of persecution, guilt and unworthiness, auditory hallucinations, and suicide ideation. She was admitted to a psychiatric hospital and started on risperidone with a good response, being discharged after 15 days with the resolution of psychiatric symptoms. Conclusions: PSPsy is more common after right hemisphere lesions and usually develops after some months. Nevertheless, our patient presented PSPsy following an ischemic event of the left PCA, with neuropsychiatric symptomatology dominating the clinic since the beginning. The involvement of the retrosplenial cortex or its connections was likely important for this atypical presentation. Due to the lack of guidelines on approaching PSPsy, most patients are treated with the same strategies used for non-stroke patients. A better comprehension of the anatomical basis underlining the symptomatology in these patients could deepen the understanding of psychosis and psychotic disorders. (AU)
Descriptores: trastornos psicóticos/diagnóstico
trastornos psicóticos/fisiopatología
accidente cerebrovascular
arteria cerebral posterior
-correlación de datos
Límites: seres humanos
femenino
anciano
Tipo de Publicación: informes de casos
Responsable: ES15.1 - BNCS


  4 / 1222 IBECS  
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Id: 231257
Autor: Carrasco, Juan Pablo; Aguilar, Eduardo Jesús.
Título: Antibiomania: A Case Report of a Manic Episode Potentially Induced by the Interaction of Clarithromycin and Amoxicillin during H. Pylori Eradication Therapy
Fuente: Actas esp. psiquiatr;52(1):57-59, Feb. 2024.
Idioma: en.
Resumen: Antibiomanic episodes, or as the DSM-5 refers to them, drug-induced manic episodes, pose a clinical challenge that is still poorly understood. There is insufficient information on the most common clinical presentation, patient profile, or underlying aetiopathogenic mechanisms. We present the clinical case of a 67-year-old woman who, after starting treatment (clarithromycin and amoxicillin) for the eradication of Helicobacter pylori, bacteria presented with a brief manic episode, which resolved after withdrawal of both drugs and with antipsychotic treatment. The possible interaction of both drugs, as GABA antagonists, in the generation of such episodes is discussed, and the clinical importance of such episodes in psychiatric emergency departments and liaison and interconsultation psychiatry, is highlighted. (AU)
Descriptores: trastorno bipolar/complicaciones
trastorno bipolar/farmacoterapia
claritromicina/efectos adversos
amoxicilina/efectos adversos
interacciones farmacológicas
-Helicobacter pylori
psiquiatría
Límites: seres humanos
femenino
anciano
Tipo de Publicación: informes de casos
Responsable: ES15.1 - BNCS


  5 / 1222 IBECS  
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Id: 231256
Autor: San, Luis; Arranz, Belén.
Título: The Night and Day Challenge of Sleep Disorders and Insomnia: A Narrative Review
Fuente: Actas esp. psiquiatr;52(1):45-56, Feb. 2024. tab.
Idioma: en.
Resumen: This is a narrative review of sleep disorders, especially chronic insomnia, as a primary diagnosis or as a comorbid diagnosis associated with different psychiatric and organic diseases. The epidemiological evidence is reviewed, the diagnostic criteria most frequently used in clinical practice are examined, and a series of therapeutic recommendations for the correct treatment of this pathology is presented. Sleep disorders are very prevalent in the general population (one-third experiences difficulty with sleep initiation/maintenance at least once a week, and about 6û15% meet the criteria for insomnia disorders), but remain relatively poorly understood and frequently overlooked by healthcare professionals. Prevalence estimates of insomnia disorder vary between 5% and 20%. Sleep disorders co-exist with psychiatric and medical conditions with an interactive and bidirectional relationship. About 70û80% of psychiatric patients show some sleep disturbance and there is a correlation between the severity of the sleep disturbance and the severity of the psychopathology. Untreated sleep disorders increase the risk of cardiovascular events, cognitive impairment, motor vehicle accidents, obesity, diabetes, and efficiency and safety at work, leading to increased all-cause healthcare utilization and being a strong predictor of sick leave or disability pension and poor quality of life. Sleep disorders can cause drowsiness or excessive daytime sleepiness, which can lead to functional impairment in 15% of the general adult population. Sleep quality should be a routine target in the evaluation of patients with psychiatric and non-psychiatric diseases to ensure sleep health based on early diagnosis and adequate therapeutic approaches. (AU)
Descriptores: trastorno de la conducta en el sueño REM/epidemiología
trastornos de la iniciación y mantenimiento del sueño/epidemiología
trastornos de somnolencia excesiva
disfunción cognitiva
trastornos mentales
-sueño
privación del sueño
trastornos del sueño-vigilia
especialidad de medicina del sueño
calidad de vida
Límites: seres humanos
Tipo de Publicación: revisión
Responsable: ES15.1 - BNCS


  6 / 1222 IBECS  
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Id: 231255
Autor: Cui, Jiajia; Pu, Quanjun.
Título: Study on the Therapeutic Value of Shexiang Tongxin Dropping Pills in Patients with Stable Angina Pectoris of Coronary Heart Disease Complicated with Cognitive Impairment
Fuente: Actas esp. psiquiatr;52(1):37-44, Feb. 2024. tab.
Idioma: en.
Resumen: Background: There is a pressing need to identify pharmaceuticals that are both safe and efficacious, with lower toxicity, for the treatment of stable angina pectoris in individuals suffering from coronary heart disease. The aim of this paper is to explore the therapeutic value of Shexiang Tongxin Dropping Pills in patients with stable angina pectoris of coronary heart disease complicated with cognitive impairment. Methods: 200 patients with stable angina pectoris combined with cognitive dysfunction and coronary heart disease admitted to our hospital from January 2022 to June 2023 were retrospectively selected as the study objects. According to the treatment method, the subjects were divided into a control group and a study group, with 100 cases in each group. The control group received conventional oral Western medicine, and the study group underwent treatment with Shexiang Tongxin Dropping Pills in addition to traditional Western medicine. The course of treatment was eight weeks. The enhancement in angina pectoris, cognitive function level, self-care ability, and clinical efficacy of both groups were assessed by comparing the conditions before and after the treatment. Results: After treatment, the frequency and duration of angina pectoris attacks in both groups were significantly lower than before, and the study group was lower than the control group (p < 0.05). The Montreal Cognitive Assessment (MoCA) score of both groups was higher than before, and the score of the study group was significantly higher than that of the control group (p < 0.05). Neuropsychiatric Inventory (NPI) scores in both groups were significantly lower than before, and the scores of the study group were significantly lower than those of the control group (p < 0.05). Traditional Chinese Medicine (TCM) syndrome scores in both groups were significantly lower than before, and the scores of the study group were significantly lower than those of the control group (p < 0.05). ... (AU)
Descriptores: angina microvascular/farmacoterapia
angina microvascular/terapia
disfunción cognitiva/farmacoterapia
-resultado del tratamiento
China
trastornos mentales
Límites: seres humanos
masculino
femenino
adulto
persona de mediana edad
Tipo de Publicación: informes de casos
Responsable: ES15.1 - BNCS


  7 / 1222 IBECS  
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Id: 231254
Autor: Liu, Jun; Guan, Juan; Xiong, Jie; Wang, Fang.
Título: Effects of Transcranial Magnetic Stimulation Combined with Sertraline on Cognitive Level, Inflammatory Response and Neurological Function in Depressive Disorder Patients with Non-suicidal Self-injury Behavior
Fuente: Actas esp. psiquiatr;52(1):28-36, Feb. 2024. tab.
Idioma: en.
Resumen: Background: Depressive disorder is a chronic mental illness characterized by persistent low mood as its primary clinical symptom. Currently, psychotherapy and drug therapy stand as the primary treatment modalities in clinical practice, offering a certain degree of relief from negative emotions for patients. Nevertheless, sole reliance on drug therapy exhibits a delayed impact on neurotransmitters, and long-term usage often results in adverse side effects such as nausea, drowsiness, and constipation, significantly impeding medication adherence. This study aims to investigate the impact of combining transcranial magnetic stimulation with sertraline on the cognitive level, inflammatory response, and neurological function in patients with depressive disorder who engage in non-suicidal self-injury (NSSI) behavior. Methods: A total of 130 depressive patients NSSI behavior, who were admitted to our hospital from December 2020 to February 2023, were selected as the subjects for this research. The single-group (65 cases) received treatment with oral sertraline hydrochloride tablets, while the combination group (65 cases) underwent repetitive transcranial magnetic stimulation (rTMS) in conjunction with sertraline. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) was utilized to assess the depression status and cognitive function levels of both groups. Additionally, the enzyme-linked immunosorbent assay (ELISA) was employed to measure serum levels of inflammatory factors, including tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), and interleukin-6 (IL-6). Furthermore, serum levels of neurotransmitters (norepinephrine (NE), dopamine (DA), 5-hydroxytryptamine (5-HT)) and neuro-cytokines (brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), glial fibrillary acidic protein (GFAP)) were assessed. The clinical effects of the interventions on both groups were then evaluated. Results: ... (AU)
Descriptores: estimulación magnética transcraneal
sertralina/uso terapéutico
conducta autolesiva/farmacoterapia
trastorno depresivo/farmacoterapia
-enfermedades del sistema nervioso/farmacoterapia
Límites: seres humanos
masculino
femenino
adolescente
Tipo de Publicación: informes de casos
Responsable: ES15.1 - BNCS


  8 / 1222 IBECS  
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Id: 231253
Autor: Fu, Yan; Jin, Zhu.
Título: Effects of Dexmedetomidine on Cognitive Function, Oxidative Stress and Brain Protection in Patients Undergoing Craniocerebral Surgery
Fuente: Actas esp. psiquiatr;52(1):19-27, Feb. 2024. tab.
Idioma: en.
Resumen: Background: The protective mechanism of dexmedetomidine on the brains of patients undergoing craniocerebral surgery remains unclear. The aim of this study was to examine the impact of dexmedetomidine on cognitive function, oxidative stress, and brain protection in such patients. Methods: Fifty-four patients who underwent craniocerebral surgery at our hospital from January 2020 to June 2023 were retrospectively selected as study subjects. They were divided into two groups: the control group (n = 27) and the study group (n = 27), based on different auxiliary anesthesia protocols. Patients in the study group received dexmedetomidine before anesthesia induction, using a midline intravenous pump to assist anesthesia, while the control group received an equivalent amount of normal saline. The remaining anesthesia induction and maintenance protocols were consistent for both groups. Cognitive function was assessed using the Mini Mental State Examination (MMSE) before and 1 day after surgery for both groups. Oxidative stress indicators, including malondialdehyde (MDA), glutathione peroxidase (GSH-Px), and superoxide dismutase (SOD) levels in the serum of both groups, were measured using enzyme-linked immunosorbent assay (ELISA). Additionally, changes in postoperative brain injury indicators, namely neuron-specific enolase (NSE) and central nervous system-specific protein (S100β), were detected and compared in the serum of both groups. Concurrently, postoperative adverse reactions were recorded for both groups. Results: The MMSE scale scores of both groups of patients 24 hours after surgery were significantly lower than those before surgery. However, the MMSE scale scores of the study group patients were notably higher than those in the control group, with a statistically significant difference (p < 0.05). One hour after surgery, the serum levels of MDA, GSH-Px, and SOD in both groups of patients were significantly elevated compared to pre-surgery levels. ... (AU)
Descriptores: dexmedetomidina/efectos adversos
dexmedetomidina/uso terapéutico
cognición/fisiología
estrés oxidativo/fisiología
traumatismos craneocerebrales/cirugía
Límites: seres humanos
masculino
femenino
adulto
persona de mediana edad
Responsable: ES15.1 - BNCS


  9 / 1222 IBECS  
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Id: 231252
Autor: Zhu, Cheng; Huang, Yueqi; Zhu, Wenjing; Jiang, Xiaoying; Liang, Yan; Tang, Wenxin; Xu, Ziming.
Título: Comparison of Disease Severity, Anxiety and Depression in Obsessive-Compulsive Disorder Patients with Different Insight
Fuente: Actas esp. psiquiatr;52(1):10-18, Feb. 2024. tab, graf.
Idioma: en.
Resumen: Background: Significant individual differences exist in the insight of patients with obsessive-compulsive disorder (OCD), and the clinical characteristics of OCD patients with varying levels of insight are not entirely uniform. This study aims to investigate disparities in disease severity, anxiety, and depression status among OCD patients with differing levels of insight, with the goal of generating novel treatment strategies for OCD.Methods: A total of 114 patients diagnosed with OCD were recruited from the Department of Psychology at Affiliated Mental Health Center & Hangzhou Seventh People's Hospital to participate in this research. Based on their Total Insight and Treatment Attitude Questionnaire (ITAQ) scores, the patients were divided into two groups: Group OCD with high insight (referred to as Group OCD-HI, ITAQ score ≥20 points, n = 80) and Group OCD with low insight (referred to as Group OCD-LI, ITAQ score <20 points, n = 34). Subsequently, the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD) scores were compared between the two groups. All questionnaires for this study were completed by experienced psychiatrists. Results: The Y-BOCS scores for YB1, YB2, YB4, YB5, YB6, YB9, and the total Y-BOCS scores in Group OCD-HI were significantly higher than those in Group OCD-LI (p < 0.05). Conversely, Group OCD-HI exhibited significantly lower HAMA and HAMD scores compared to Group OCD-LI (p < 0.05). Furthermore, the total ITAQ score displayed a significant negative correlation with the total Y-BOCS, HAMA, and HAMD scores (p < 0.05). Conclusions: This study revealed that certain OCD patients exhibit incomplete insight, and this lack of insight is strongly associated with increased disease severity and heightened levels of anxiety and depression. ... (AU)
Descriptores: trastorno obsesivo compulsivo/psicología
ansiedad/psicología
depresión/psicología
-gestión del conocimiento
resultado del tratamiento
Límites: seres humanos
masculino
femenino
adulto joven
adulto
Tipo de Publicación: estudio comparativo
Responsable: ES15.1 - BNCS


  10 / 1222 IBECS  
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Id: 231251
Autor: Chen, Xiaomei; Shi, Shiping; Sun, Chao; Li, Shuang.
Título: A Study of the Relationship between Inflammatory Immune Function and Intestinal Flora in Adolescent Patients with First-Episode Depression
Fuente: Actas esp. psiquiatr;52(1), Feb. 2024. 1-9.
Idioma: en.
Resumen: Background: Depression has become one of the most common mood disorders in adolescents, with an increasing incidence each year. Abnormal activation of peripheral immunity causes an increase in pro-inflammatory factors, which in turn affects neuroendocrine dysfunction and alters neurobiochemistry, leading to depression. In this study, we aimed to explore the relationship between inflammatory immune function and intestinal flora in adolescents with first-episode depression. Methods: A total of 170 cases of adolescent patients with first-episode depression who attended our hospital from January 2020 to March 2023 were retrospectively selected as the observation group. Simultaneously, 170 individuals who underwent a healthy physical examination during the same period were chosen as the control group. The enzyme-linked immunosorbent assay (ELISA) was employed to quantify the levels of monoamine neurotransmitters 5-hydroxytryptamine (5-HT), substance P (SP), neuropeptide Y (NPY), serum tumor necrosis factor-α (TNF-α), interleukin (IL)-1β, and IL-6 in the patients. Flow cytometry was utilized to assess the levels of T-lymphocytes CD3+, CD4+, and CD8+ cells. The levels of 16S ribosomal RNA (16SrRNA) method were used to determine the intestinal flora of the subjects in both groups. Inflammatory factor levels, immune function, and intestinal flora expression were observed, and correlation analysis was performed. Results: The levels of 5-HT and NPY in the observation group were lower than those in the control group. The SP level was significantly higher in the observation group compared to the control group (p < 0.05). The observation group demonstrated significantly higher TNF-α, IL-1β, and IL-6 levels than the control group (p < 0.05). The values of CD3+, CD4+, CD4+/CD8+ in the observation group were lower than those in the control group (p < 0.05), whereas the CD8+ values were notably higher (p < 0.05). ... (AU)
Descriptores: enfermedades del sistema inmune
inflamación/inmunología
microbiota intestinal/inmunología
depresión/fisiopatología
depresión/psicología
Límites: seres humanos
femenino
adolescente
Tipo de Publicación: estudio observacional
informes de casos
Responsable: ES15.1 - BNCS



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