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García-León MÁ, Fuentes-Claramonte P, Soler-Vidal J, Ramiro-Sousa N, Salgado-Pineda P, Salavert J, Torres L, Guerrero-Pedraza A, Tristany J, Karuk A, Barbosa L, Del Olmo-Encabo P, Canut-Altemir P, Munuera J, Sarró S, Salvador R, McKenna PJ, Pomarol-Clotet E. Cortical volume abnormalities in schizophrenia: Correlations with symptoms and cognitive impairment. Schizophr Res 2024; 266:50-57. [PMID: 38368705 DOI: 10.1016/j.schres.2024.01.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Revised: 01/10/2024] [Accepted: 01/22/2024] [Indexed: 02/20/2024]
Abstract
BACKGROUND Schizophrenic symptoms are known to segregate into reality distortion, negative and disorganization syndromes, but the correlates of these syndromes with regional brain structural change are not well established. Cognitive impairment is a further clinical feature of schizophrenia, whose brain structural correlates are the subject of conflicting findings. METHODS 165 patients with schizophrenia were rated for symptoms using the PANSS, and cognitive impairment was indexed by estimated premorbid-current IQ discrepancy. Cortical volume was measured using surface-based morphometry in the patients and in 50 healthy controls. Correlations between clinical and cognitive measures and cortical volume were examined using whole-brain FreeSurfer tools. RESULTS No clusters of volume reduction were seen associated with reality distortion or disorganization. Negative symptom scores showed a significant inverse correlation with volume in a small cluster in the left medial orbitofrontal gyrus. Larger estimated premorbid-current IQ discrepancies were associated with clusters of reduced cortical volume in the left precentral gyrus and the left temporal lobe. The cluster of association with negative symptoms disappeared when estimated premorbid-current IQ discrepancy was controlled for. CONCLUSIONS This study does not provide support for an association between brain structural abnormality and reality distortion or disorganization syndromes in schizophrenia. The cluster of volume reduction found in the left medial orbitofrontal cortex correlated with negative symptoms may have reflected the association between this class of symptoms and cognitive impairment. The study adds to existing findings of an association between cognitive impairment and brain structural changes in the disorder.
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Affiliation(s)
- María Ángeles García-León
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM, ISCIII, Barcelona, Spain.
| | - Paola Fuentes-Claramonte
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM, ISCIII, Barcelona, Spain
| | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM, ISCIII, Barcelona, Spain; Benito Menni CASM, Sant Boi de Llobregat, Barcelona, Spain
| | | | - Pilar Salgado-Pineda
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM, ISCIII, Barcelona, Spain
| | | | | | | | | | - Andriana Karuk
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
| | - Lucila Barbosa
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
| | | | | | - Josep Munuera
- Diagnostic Imaging Department, Hospital Sant Joan de Déu, Barcelona, Spain
| | - Salvador Sarró
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM, ISCIII, Barcelona, Spain
| | - Raymond Salvador
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM, ISCIII, Barcelona, Spain
| | - Peter J McKenna
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM, ISCIII, Barcelona, Spain.
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM, ISCIII, Barcelona, Spain
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Salazar de Pablo G, Guinart D, Armendariz A, Aymerich C, Catalan A, Alameda L, Rogdaki M, Martinez Baringo E, Soler-Vidal J, Oliver D, Rubio JM, Arango C, Kane JM, Fusar-Poli P, Correll CU. Duration of Untreated Psychosis and Outcomes in First-Episode Psychosis: Systematic Review and Meta-analysis of Early Detection and Intervention Strategies. Schizophr Bull 2024:sbae017. [PMID: 38491933 DOI: 10.1093/schbul/sbae017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/18/2024]
Abstract
BACKGROUND The role of duration of untreated psychosis (DUP) as an early detection and intervention target to improve outcomes for individuals with first-episode psychosis is unknown. STUDY DESIGN PRISMA/MOOSE-compliant systematic review to identify studies until February 1, 2023, with an intervention and a control group, reporting DUP in both groups. Random effects meta-analysis to evaluate (1) differences in DUP in early detection/intervention services vs the control group, (2) the efficacy of early detection strategies regarding eight real-world outcomes at baseline (service entry), and (3) the efficacy of early intervention strategies on ten real-world outcomes at follow-up. We conducted quality assessment, heterogeneity, publication bias, and meta-regression analyses (PROSPERO: CRD42020163640). STUDY RESULTS From 6229 citations, 33 intervention studies were retrieved. The intervention group achieved a small DUP reduction (Hedges' g = 0.168, 95% CI = 0.055-0.283) vs the control group. The early detection group had better functioning levels (g = 0.281, 95% CI = 0.073-0.488) at baseline. Both groups did not differ regarding total psychopathology, admission rates, quality of life, positive/negative/depressive symptoms, and employment rates (P > .05). Early interventions improved quality of life (g = 0.600, 95% CI = 0.408-0.791), employment rates (g = 0.427, 95% CI = 0.135-0.718), negative symptoms (g = 0.417, 95% CI = 0.153-0.682), relapse rates (g = 0.364, 95% CI = 0.117-0.612), admissions rates (g = 0.335, 95% CI = 0.198-0.468), total psychopathology (g = 0.298, 95% CI = 0.014-0.582), depressive symptoms (g = 0.268, 95% CI = 0.008-0.528), and functioning (g = 0.180, 95% CI = 0.065-0.295) at follow-up but not positive symptoms or remission (P > .05). CONCLUSIONS Comparing interventions targeting DUP and control groups, the impact of early detection strategies on DUP and other correlates is limited. However, the impact of early intervention was significant regarding relevant outcomes, underscoring the importance of supporting early intervention services worldwide.
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Affiliation(s)
- Gonzalo Salazar de Pablo
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Department of Psychosis Studies, Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Child and Adolescent Mental Health Services, South London and Maudsley NHS Foundation Trust, London, UK
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain
| | - Daniel Guinart
- Institut de Salut Mental, Hospital del Mar, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
- Department of Psychiatry, Hospital del Mar Medical Research Institute, Barcelona, Spain
- Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA
- Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
| | - Alvaro Armendariz
- Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
- Etiopatogenia i Tractament Dels Trastorns Mental Severs (MERITT), Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain
| | - Claudia Aymerich
- Psychiatry Department, Basurto University Hospital, Biocruces Bizkaia Health Research Institute, OSI Bilbao-Basurto, Barakaldo, Bizkaia, Spain
| | - Ana Catalan
- Department of Psychosis Studies, Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Psychiatry Department, Basurto University Hospital, Biocruces Bizkaia Health Research Institute, OSI Bilbao-Basurto, Barakaldo, Bizkaia, Spain
| | - Luis Alameda
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- TiPP Program Department of Psychiatry, Service of General Psychiatry, Lausanne University Hospital, Lausanne, Switzerland
- Department of Psychiatry, Centro Investigación Biomedica en Red de Salud Mental (CIBERSAM), Instituto de Biomedicina de Sevilla (IBIS), Hospital Universitario Virgen del Rocío, University of Sevilla, Sevilla, Spain
| | - Maria Rogdaki
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Estrella Martinez Baringo
- Department of Child and Adolescent Psychiatry, Hospital Sant Joan de Déu de Barcelona, Esplugues de Llobregat, Spain
| | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, Barcelona, Spain
- Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain
| | - Dominic Oliver
- Department of Psychosis Studies, Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Department of Psychiatry, University of Oxford, Oxford, UK
- NIHR Oxford Health Biomedical Research Centre, Oxford, UK
- OPEN Early Detection Service, Oxford Health NHS Foundation Trust, Oxford, UK
| | - Jose M Rubio
- Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA
- Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Center for Psychiatric Neuroscience, The Feinstein Institutes for Medical Research, Manhasset, NY, USA
| | - Celso Arango
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain
| | - John M Kane
- Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA
- Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Center for Psychiatric Neuroscience, The Feinstein Institutes for Medical Research, Manhasset, NY, USA
| | - Paolo Fusar-Poli
- Department of Psychosis Studies, Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
- OASIS Service, South London and Maudsley NHS Foundation Trust, London, UK
- Maudsley Biomedical Research Centre, National Institute for Health Research, South London and Maudsley NHS Foundation Trust, London, UK
| | - Christoph U Correll
- Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA
- Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, USA
- Center for Psychiatric Neuroscience, The Feinstein Institutes for Medical Research, Manhasset, NY, USA
- Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany
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3
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Salazar de Pablo G, Aymerich C, Guinart D, Catalan A, Alameda L, Trotta G, Armendariz A, Martinez Baringo E, Soler-Vidal J, Rubio JM, Garrido-Torres N, Gómez-Vallejo S, Kane JM, Howes O, Fusar-Poli P, Correll CU. What is the duration of untreated psychosis worldwide? - A meta-analysis of pooled mean and median time and regional trends and other correlates across 369 studies. Psychol Med 2024; 54:652-662. [PMID: 38087871 DOI: 10.1017/s0033291723003458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/05/2024]
Abstract
Duration of untreated psychosis (DUP) has been associated with poor mental health outcomes. We aimed to meta-analytically estimate the mean and median DUP worldwide, evaluating also the influence of several moderating factors. This PRISMA/MOOSE-compliant meta-analysis searched for non-overlapping individual studies from inception until 9/12/2022, reporting mean ± s.d. or median DUP in patients with first episode psychosis (FEP), without language restrictions. We conducted random-effect meta-analyses, stratified analyses, heterogeneity analyses, meta-regression analyses, and quality assessment (PROSPERO:CRD42020163640). From 12 461 citations, 369 studies were included. The mean DUP was 42.6 weeks (95% confidence interval (CI) 40.6-44.6, k = 283, n = 41 320), varying significantly across continents (p < 0.001). DUP was (in descending order) 70.0 weeks (95% CI 51.6-88.4, k = 11, n = 1508) in Africa; 48.8 weeks (95% CI 43.8-53.9, k = 73, n = 12 223) in Asia; 48.7 weeks (95% CI 43.0-54.4, k = 36, n = 5838) in North America; 38.6 weeks (95% CI 36.0-41.3, k = 145, n = 19 389) in Europe; 34.9 weeks (95% CI 23.0-46.9, k = 11, n = 1159) in South America and 28.0 weeks (95% CI 20.9-35.0, k = 6, n = 1203) in Australasia. There were differences depending on the income of countries: DUP was 48.4 weeks (95% CI 43.0-48.4, k = 58, n = 5635) in middle-low income countries and 41.2 weeks (95% CI 39.0-43.4, k = 222, n = 35 685) in high income countries. Longer DUP was significantly associated with older age (β = 0.836, p < 0.001), older publication year (β = 0.404, p = 0.038) and higher proportion of non-White FEP patients (β = 0.232, p < 0.001). Median DUP was 14 weeks (Interquartile range = 8.8-28.0, k = 206, n = 37 215). In conclusion, DUP is high throughout the world, with marked variation. Efforts to identify and intervene sooner in patients with FEP, and to promote global mental health and access to early intervention services (EIS) are critical, especially in developing countries.
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Affiliation(s)
- Gonzalo Salazar de Pablo
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Child and Adolescent Mental Health Services, South London and Maudsley NHS Foundation Trust, London, UK
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, Madrid, Spain
| | - Claudia Aymerich
- Psychiatry Department, Basurto University Hospital, Biocruces Bizkaia Health Research Institute, OSI Bilbao-Basurto, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Barakaldo, Bizkaia, Spain
| | - Daniel Guinart
- Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA
- Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/ Northwell, Hempstead, NY, USA
- Institute of Behavioral Science, The Feinstein Institutes for Medical Research, Manhasset, NY, USA
- Institut de Salut Mental, Hospital del Mar Research Institute (CIBERSAM), Barcelona, Spain
| | - Ana Catalan
- Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Psychiatry Department, Basurto University Hospital, Biocruces Bizkaia Health Research Institute, OSI Bilbao-Basurto, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM) Barakaldo, Bizkaia, Spain
| | - Luis Alameda
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- TiPP Program Department of Psychiatry, Service of General Psychiatry, Lausanne University Hospital, Lausanne, Switzerland
- University Hospital Virgen del Rocio-IBIS Sevilla, CIBERSAM, ISCIII Spanish Network for Research in Mental Health, Sevilla, Spain
| | - Giulia Trotta
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Alvaro Armendariz
- Unidad Terapéutica Centre Educatiu Els Til·lers, Parc Sanitari Sant Joan de Déu, Barcelona
- Grup MERITT: Etiopatogènia i tractament dels trastorns mentals greus
| | - Estrella Martinez Baringo
- Department of Psychiatry and Psychology, Hospital Sant Joan de Déu de Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Joan Soler-Vidal
- FIDMAG Germanas Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain
- Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain
| | - Jose M Rubio
- Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA
- Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/ Northwell, Hempstead, NY, USA
- Institute of Behavioral Science, The Feinstein Institutes for Medical Research, Manhasset, NY, USA
| | - Nathalia Garrido-Torres
- University Hospital Virgen del Rocio-IBIS Sevilla, CIBERSAM, ISCIII Spanish Network for Research in Mental Health, Sevilla, Spain
| | - Sandra Gómez-Vallejo
- Child and Adolescent Psychiatry and Psychology Department, Institute of Neurosciences, Hospital Clínic, Barcelona, Spain
| | - John M Kane
- Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA
- Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/ Northwell, Hempstead, NY, USA
- Institute of Behavioral Science, The Feinstein Institutes for Medical Research, Manhasset, NY, USA
| | - Oliver Howes
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
- Faculty of Medicine, Institute of Clinical Sciences, Imperial College London, London, UK
| | - Paolo Fusar-Poli
- Department of Psychosis Studies, King's College London, UK
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
- Outreach and Support in South-London (OASIS) service, South London and Maudsley (SLaM) NHS Foundation Trust, London, UK
- Department of Psychiatry and Psychotherapy, Ludwig-Maximilian-University Munich, Berlin, Germany
| | - Christoph U Correll
- Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA
- Department of Psychiatry and Molecular Medicine, Zucker School of Medicine at Hofstra/ Northwell, Hempstead, NY, USA
- Institute of Behavioral Science, The Feinstein Institutes for Medical Research, Manhasset, NY, USA
- Department of Psychiatry and Psychotherapy, Ludwig-Maximilian-University Munich, Berlin, Germany
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Őri D, Szocsics P, Molnár T, Motlova LB, Kazakova O, Mörkl S, Wallies M, Abdulhakim M, Boivin S, Bruna K, Cabaços C, Carbone EA, Dashi E, Grech G, Greguras S, Ivanovic I, Guevara K, Kakar S, Kotsis K, Ingeholm Klinkby IM, Maslak J, Matheiken S, Mirkovic A, Nechepurenko N, Panayi A, Pereira AT, Pomarol-Clotet E, Raaj S, Prelog PR, Soler-Vidal J, Strumila R, Schuster F, Kisand H, Reim A, Ahmadova G, Vircik M, Kafali HY, Grinko N, Győrffy Z, Rózsa S. Attitudes of psychiatrists towards people with mental illness: a cross-sectional, multicentre study of stigma in 32 European countries. EClinicalMedicine 2023; 66:102342. [PMID: 38149261 PMCID: PMC10749877 DOI: 10.1016/j.eclinm.2023.102342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 11/09/2023] [Accepted: 11/15/2023] [Indexed: 12/28/2023] Open
Abstract
Background Mental health-related stigma occurs among the public and professionals alike. The lived experience of mental illness has been linked to less stigmatising attitudes. However, data on psychiatrists and the relationship between stigmatising attitudes and psychotherapeutic activity or case discussion groups remains scarce. Methods A cross-sectional multicentre study was performed in 32 European countries to investigate the lived experiences and attitudes of psychiatrists toward patients with mental illness as well as the relationship between stigma, psychosocial and professional factors. The self-reported, anonymous, internet-based Opening Minds Stigma Scale for Health Care Providers was used to measure the stigmatising attitudes. The survey was translated into the local language of each participating country. All participants were practising specialists and trainees in general adult or child and adolescent psychiatry. The study took place between 2nd October, 2019 and 9th July, 2021 and was preregistered at ClinicalTrial.gov (NCT04644978). Findings A total of 4245 psychiatrists completed the survey. The majority, 2797 (66%), had completed training in psychiatry, and 3320 (78%) worked in adult psychiatry. The final regression model showed that across European countries more favourable attitudes toward people with mental illness were statistically significantly associated with the lived experience of participants (including seeking help for their own mental health conditions (d = -0.92, 95% confidence interval (CI) = -1.68 to -0.15, p = 0.019), receiving medical treatment for a mental illness (d = -0.88, 95% CI = -1.71 to -0.04, p = 0.040), as well as having a friend or a family member similarly affected (d = -0.68, 95% CI = -1.14 to -0.22, p = 0.004)), being surrounded by colleagues who are less stigmatising (d = -0.98, 95% CI = -1.26 to -0.70, p < 0.001), providing psychotherapy to patients (d = -1.14, 95% CI = -1.63 to -0.65 p < 0.001), and being open to (d = -1.69, 95% CI = -2.53 to -0.85, p < 0.001) and actively participating in (d = -0.94, 95% CI = -1.45 to -0.42, p < 0.001) case discussion, supervision, or Balint groups. Interpretation Our study highlights the importance of psychotherapy training, supervision, case discussions and Balint groups in reducing the stigmatising attitudes of psychiatrists toward patients. As the findings represent cross-national predictors, Europe-wide policy interventions, national psychiatric education systems and the management of psychiatric institutions should take these findings into consideration. Funding National Youth Talent Award (Ministry of Human Resources, Hungary, (NTP-NFTÖ-20-B-0134). All authors received no funding for their contribution.
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Affiliation(s)
- Dorottya Őri
- Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary
- Department of Mental Health, Heim Pál National Pediatric Institute, Budapest, Hungary
| | - Péter Szocsics
- Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
| | - Tamás Molnár
- Department of Psychiatry, Aladar Petz County Teaching Hospital, Győr, Hungary
| | - Lucie Bankovska Motlova
- Division of Medical Psychology, 3rd Faculty of Medicine, Charles University, Prague, The Czech Republic
| | - Olga Kazakova
- Inpatient Psychiatric Department #2, Psychiatric Clinic of Minsk City, Minsk, Belarus
| | - Sabrina Mörkl
- Division of Medical Psychology, Psychosomatics and Psychotherapeutic Medicine, Medical University of Graz, Graz, Austria
| | | | | | - Sylvie Boivin
- Department of Child and Adolescent Psychiatry, EPSM du Finistère Sud, Quimper, France
| | - Krista Bruna
- Admission Ward, State Psychiatric Hospital Gintermuiza, Jelgava, Latvia
| | - Carolina Cabaços
- Psychiatry Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
- Institute of Psychological Medicine, Faculty of Medicine, Coimbra University, Coimbra, Portugal
- Coimbra Institute for Biomedical Imaging and Translational Research, Coimbra, Portugal
| | - Elvira Anna Carbone
- Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Catanzaro, Italy
| | - Elona Dashi
- Department of Neuroscience, University Hospital Center “Mother Theresa”, Tirane, Albania
| | - Giovanni Grech
- Mental Health Services, Mount Carmel Hospital, Attard, Malta
| | - Stjepan Greguras
- Division of Child and Adolescent Psychiatry and Psychotherapy, Department of Psychiatry and Psychological Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Iva Ivanovic
- Department for Child Psychiatry, Institute for Children's Diseases, Clinical Centre of Montenegro, Podgorica, Montenegro
| | - Kaloyan Guevara
- Acute Detoxification Ward, State Psychiatric Hospital for Treatment of Drug Addiction and Alcoholism, Sofia, Bulgaria
| | - Selay Kakar
- Department of Psychiatry, Erasmus University Medical Center, Rotterdam, the Netherlands
| | | | | | | | | | - Ana Mirkovic
- Child Psychiatry Unit, University Children's Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | - Nikita Nechepurenko
- The Serbsky State Scientific Center for Social and Forensic Psychiatry, Moscow, Russian Federation
| | | | - Ana Telma Pereira
- Institute of Psychological Medicine, Faculty of Medicine, Coimbra University, Coimbra, Portugal
- Coimbra Institute for Biomedical Imaging and Translational Research, Coimbra, Portugal
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigacion Biomedica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
| | - Shaeraine Raaj
- Department of General Adult Psychiatry, South Meath Mental Health Service, Co.Meath, Ireland
| | - Polona Rus Prelog
- Centre for Clinical Psychiatry, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia
| | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigacion Biomedica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
- Hospital Benito Menni, Complex Assistencial Salut Mental, Sant Boi de Llobregat, Spain
| | - Robertas Strumila
- Department of Urgent and Post Urgent Psychiatry, CHU Montpellier, Montpellier, France
- Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier, France
- Psychiatric Clinic, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
| | - Florian Schuster
- Klinikum Rechts der Isar der Technischen Universität München: Klinik und Poliklinik für Psychiatrie und Psychotherapie, Technische Universität München, Munich, Germany
| | | | - Ann Reim
- University of Tartu, Tartu, Estonia
| | - Gumru Ahmadova
- Department of Psychiatry, United City Hospital N15, Baku, Azerbaijan
| | - Matus Vircik
- Acute Psychiatric Department 1, Psychiatric Hospital Michalovce, Michalovce, Slovak Republic
| | - Helin Yilmaz Kafali
- Department of Psychology, Fevziye School Fundatitions, Işık University, Istanbul, Turkey
| | - Natalia Grinko
- Department of Clinical Psychology, Ukrainian Catholic University, Lviv, Ukraine
| | - Zsuzsa Győrffy
- Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary
| | - Sándor Rózsa
- Department of Personality and Health Psychology, Károli Gáspár University of the Reformed Church, Budapest, Hungary
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Fuentes-Claramonte P, Garcia-Leon MA, Salgado-Pineda P, Ramiro N, Soler-Vidal J, Torres ML, Cano R, Argila-Plaza I, Panicali F, Sarri C, Jaurrieta N, Sánchez M, Boix-Quintana E, Albacete A, Maristany T, Sarró S, Raduà J, McKenna PJ, Salvador R, Pomarol-Clotet E. Do the negative symptoms of schizophrenia reflect reduced responsiveness to reward? Examination using a reward prediction error (RPE) task. Psychol Med 2023; 53:7106-7115. [PMID: 36987680 PMCID: PMC10719670 DOI: 10.1017/s0033291723000521] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 02/08/2023] [Accepted: 02/10/2023] [Indexed: 03/30/2023]
Abstract
BACKGROUND A leading theory of the negative symptoms of schizophrenia is that they reflect reduced responsiveness to rewarding stimuli. This proposal has been linked to abnormal (reduced) dopamine function in the disorder, because phasic release of dopamine is known to code for reward prediction error (RPE). Nevertheless, few functional imaging studies have examined if patients with negative symptoms show reduced RPE-associated activations. METHODS Matched groups of DSM-5 schizophrenia patients with high negative symptom scores (HNS, N = 27) or absent negative symptoms (ANS, N = 27) and healthy controls (HC, N = 30) underwent fMRI scanning while they performed a probabilistic monetary reward task designed to generate a measure of RPE. RESULTS In the HC, whole-brain analysis revealed that RPE was positively associated with activation in the ventral striatum, the putamen, and areas of the lateral prefrontal cortex and orbitofrontal cortex, among other regions. Group comparison revealed no activation differences between the healthy controls and the ANS patients. However, compared to the ANS patients, the HNS patients showed regions of significantly reduced activation in the left ventrolateral and dorsolateral prefrontal cortex, and in the right lingual and fusiform gyrus. HNS and ANS patients showed no activation differences in ventral striatal or midbrain regions-of-interest (ROIs), but the HNS patients showed reduced activation in a left orbitofrontal cortex ROI. CONCLUSIONS The findings do not suggest that a generalized reduction of RPE signalling underlies negative symptoms. Instead, they point to a more circumscribed dysfunction in the lateral frontal and possibly the orbitofrontal cortex.
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Affiliation(s)
- Paola Fuentes-Claramonte
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
| | - Maria Angeles Garcia-Leon
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
| | - Pilar Salgado-Pineda
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
| | | | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
- Benito Menni CASM, Sant Boi de Llobregat, Barcelona, Spain
- Universitat de Barcelona, Barcelona, Spain
| | | | - Ramon Cano
- Hospital Mare de Déu de la Mercè, Barcelona, Spain
| | | | | | - Carmen Sarri
- Benito Menni CASM, Sant Boi de Llobregat, Barcelona, Spain
| | | | - Manel Sánchez
- Hospital Sagrat Cor, Martorell, Barcelona, Spain
- Universitat Autònoma de Barcelona, Barcelona, Spain
| | | | - Auria Albacete
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
| | - Teresa Maristany
- Diagnostic Imaging Department, Hospital Sant Joan de Déu, Barcelona, Spain
| | - Salvador Sarró
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
| | - Joaquim Raduà
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
- Department of Clinical Neuroscience, Centre for Psychiatric Research and Education, Karolinska Institute, Stockholm, Sweden
- Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Peter J. McKenna
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
| | - Raymond Salvador
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Instituto de Salud Carlos III, Barcelona, Spain
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Fuentes-Claramonte P, Salgado-Pineda P, Argila-Plaza I, García-León MÁ, Ramiro N, Soler-Vidal J, Albacete A, Delgado N, Tavares P, Torres ML, Guerrero-Pedraza A, Portillo F, Boix E, Munuera J, Arévalo A, Sarró S, Salvador R, McKenna PJ, Pomarol-Clotet E. Neural correlates of referential/persecutory delusions in schizophrenia: examination using fMRI and a virtual reality underground travel paradigm. Psychol Med 2023; 53:4780-4787. [PMID: 35730237 DOI: 10.1017/s0033291722001751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
BACKGROUND The brain functional correlates of delusions have been relatively little studied. However, a virtual reality paradigm simulating travel on the London Underground has been found to evoke referential ideation in both healthy subjects and patients with schizophrenia, making brain activations in response to such experiences potentially identifiable. METHOD Ninety patients with schizophrenia/schizoaffective disorder and 28 healthy controls underwent functional magnetic resonance imaging while they viewed virtual reality versions of full and empty Barcelona Metro carriages. RESULTS Compared to the empty condition, viewing the full carriage was associated with activations in the visual cortex, the cuneus and precuneus/posterior cingulate cortex, the inferior parietal cortex, the angular gyrus and parts of the middle and superior temporal cortex including the temporoparietal junction bilaterally. There were no significant differences in activation between groups. Nor were there activations associated with referentiality or presence of delusions generally in the patient group. However, patients with persecutory delusions showed a cluster of reduced activation compared to those without delusions in a region in the right temporal/occipital cortex. CONCLUSIONS Performance of the metro task is associated with a widespread pattern of activations, which does not distinguish schizophrenic patients and controls, or show an association with referentiality or delusions in general. However, the finding of a cluster of reduced activation close to the right temporoparietal junction in patients with persecutory delusions specifically is of potential interest, as this region is believed to play a role in social cognition.
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Affiliation(s)
- Paola Fuentes-Claramonte
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Pilar Salgado-Pineda
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | | | - María Ángeles García-León
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Núria Ramiro
- Psychiatry Department, Hospital Sant Rafael, Barcelona, Spain
| | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
- Benito Menni Centre Assistencial en Salut Mental, Sant Boi de Llobregat, Barcelona, Spain
| | - Auria Albacete
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | | | | | | | | | - Francisco Portillo
- Benito Menni Centre Assistencial en Salut Mental, Sant Boi de Llobregat, Barcelona, Spain
| | - Ester Boix
- Mental Health Department, Hospital de Mataró, Mataró, Spain
| | - Josep Munuera
- Diagnostic Imaging Department, Hospital Sant Joan de Déu, Barcelona, Spain
| | | | - Salvador Sarró
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Raymond Salvador
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Peter J McKenna
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
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7
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Őri D, Szocsics P, Molnár T, Bankovska Motlova L, Kazakova O, Mörkl S, Wallies M, Abdulhakim M, Boivin S, Bruna K, Cabacos C, Carbone EA, Dashi E, Grech G, Greguras S, Ivanovic I, Guevara K, Kakar S, Kotsis K, Klinkby IMI, Maslak J, Matheiken S, Mirkovic A, Nechepurenko N, Panayi A, Pereira AT, Pomarol-Clotet E, Raaj S, Rus Prelog P, Soler-Vidal J, Strumila R, Schuster F, Kisand H, Hargi A, Ahmadova G, Vircik M, Yilmaz Kafali H, Grinko N, Győrffy Z, Rózsa S. Psychometric properties of the Opening Minds Stigma Scale for Health Care Providers in 32 European countries - A bifactor ESEM representation. Front Public Health 2023; 11:1168929. [PMID: 37361150 PMCID: PMC10285467 DOI: 10.3389/fpubh.2023.1168929] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Accepted: 03/17/2023] [Indexed: 06/28/2023] Open
Abstract
Aims To measure the stigma of healthcare providers toward people suffering from mental illness, the Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a commonly applied instrument. However, this scale has not been thoroughly validated in many European countries, its psychometric properties are still unknown and data on practicing psychiatrists is lacking. Therefore, this multicenter study aimed to assess the psychometric characteristics of the 15-item OMS-HC in trainees and specialists in adult and child psychiatry in 32 countries across Europe. Materials and methods The OMS-HC was conducted as an anonymous online survey and sent via Email to European adult and child psychiatrists. Parallel analysis was used to estimate the number of OMS-HC dimensions. Separate for each country, the bifactor ESEM, a bifactor exploratory structural equation modeling approach, was applied to investigate the factor structure of the scale. Cross-cultural validation was done based on multigroup confirmatory factor analyses and reliability measures. Results A total of 4,245 practitioners were included, 2,826 (67%) female, 1,389 (33%) male. The majority (66%) of participants were specialists, with 78% working in adult psychiatry. When country data were analyzed separately, the bifactor model (higher-order factor solution with a general factor and three specific factors) showed the best model fit (for the total sample χ2/df = 9.760, RMSEA = 0.045 (0.042-0.049), CFI = 0.981; TLI = 0.960, WRMR = 1.200). The average proportion of variance explained by the general factor was high (ECV = 0.682). This suggests that the aspects of 'attitude,' 'disclosure and help-seeking,' and 'social distance' could be treated as a single dimension of stigma. Among the specific factors, the 'disclosure and help-seeking' factor explained a considerable unique proportion of variance in the observed scores. Conclusion This international study has led to cross-cultural analysis of the OMS-HC on a large sample of practicing psychiatrists. The bifactor structure displayed the best overall model fit in each country. Rather than using the subscales, we recommend the total score to quantify the overall stigmatizing attitudes. Further studies are required to strengthen our findings in countries where the proposed model was found to be weak.
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Affiliation(s)
- Dorottya Őri
- Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary
- Department of Mental Health, Heim Pál National Pediatric Institute, Budapest, Hungary
- Department of Psychology, Illinois Institute of Technology, Chicago, IL, United States
| | - Péter Szocsics
- Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary
| | - Tamás Molnár
- Department of Psychiatry, Aladar Petz County Teaching Hospital, Győr, Hungary
| | - Lucie Bankovska Motlova
- Division of Medical Psychology, 3rd Faculty of Medicine, Charles University, Prague, Czechia
| | - Olga Kazakova
- Inpatient Psychiatric Department #2, Psychiatric Clinic of Minsk City, Minsk, Belarus
| | - Sabrina Mörkl
- Division of Medical Psychology, Psychosomatics and Psychotherapy, Medical University of Graz, Graz, Austria
| | | | | | - Sylvie Boivin
- Department of Child and Adolescent Psychiatry, EPSM du Finistère Sud, Quimper, France
| | - Krista Bruna
- Admission Ward, State Psychiatric Hospital Gintermuiza, Jelgava, Latvia
| | - Carolina Cabacos
- Psychiatry Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Elvira Anna Carbone
- Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Catanzaro, Italy
| | - Elona Dashi
- Department of Neuroscience, University Hospital Center “Mother Theresa”, Tirana, Albania
| | - Giovanni Grech
- Mental Health Services, Mount Carmel Hospital, Attard, Malta
| | - Stjepan Greguras
- Department of Psychiatry and Psychological Medicine, Division of Child and Adolescent Psychiatry and Psychotherapy, University Hospital Centre Zagreb, Zagreb, Croatia
| | - Iva Ivanovic
- Department for Child Psychiatry, Clinical Centre of Montenegro, Institute for Children’s Diseases, Podgorica, Montenegro
| | - Kaloyan Guevara
- Acute Detoxification Ward, State Psychiatric Hospital for Treatment of Drug Addiction and Alcoholism, Sofia, Bulgaria
| | - Selay Kakar
- Department of Psychiatry, Erasmus University Medical Center, Rotterdam, Netherlands
| | | | | | | | | | - Ana Mirkovic
- Child Psychiatry Unit, University Children's Hospital, University Medical Centre Ljubljana, Ljubljana, Slovenia
| | - Nikita Nechepurenko
- The Serbsky State Scientific Center for Social and Forensic Psychiatry, Moscow, Russia
| | | | - Ana Telma Pereira
- Institute of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Coimbra Institute for Biomedical Imaging and Translational Research, Coimbra, Portugal
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigacion Biomedica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
| | - Shaeraine Raaj
- Department of General Adult Psychiatry, South Meath Mental Health Service, Meath, Ireland
| | - Polona Rus Prelog
- Centre for Clinical Psychiatry, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia
| | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigacion Biomedica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
- Hospital Benito Menni, Complex Assistencial Salut Mental, Sant Boi de Llobregat, Spain
| | - Robertas Strumila
- Department of Urgent and Post Urgent Psychiatry, CHU Montpellier, Montpellier, France
- Institute of Functional Genomics, University of Montpellier, CNRS, INSERM, Montpellier, France
- Psychiatric Clinic, Faculty of Medicine, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
| | - Florian Schuster
- Klinikum rechts der Isar der Technischen Universität München: Klinik und Poliklinik für Psychiatrie und Psychotherapie, Technische Universität München, Munich, Germany
| | | | | | - Gumru Ahmadova
- Department of Psychiatry, United City Hospital N15, Baku, Azerbaijan
| | - Matus Vircik
- Acute Psychiatric Department 1, Psychiatric Hospital Michalovce, Michalovce, Slovakia
| | - Helin Yilmaz Kafali
- Child and Adolescent Psychiatry, Sultanbeyli State Hospital, Istanbul, Türkiye
| | - Natalia Grinko
- Department of Clinical Psychology, Ukrainian Catholic University, Lviv, Ukraine
| | - Zsuzsa Győrffy
- Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary
| | - Sandor Rózsa
- Department of Personality and Health Psychology, Károli Gáspár University of the Reformed Church, Budapest, Hungary
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Soler-Vidal J, Fuentes-Claramonte P, Salgado-Pineda P, Ramiro N, García-León MÁ, Torres ML, Arévalo A, Guerrero-Pedraza A, Munuera J, Sarró S, Salvador R, Hinzen W, McKenna P, Pomarol-Clotet E. Brain correlates of speech perception in schizophrenia patients with and without auditory hallucinations. PLoS One 2022; 17:e0276975. [PMID: 36525414 PMCID: PMC9757556 DOI: 10.1371/journal.pone.0276975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 10/18/2022] [Indexed: 12/23/2022] Open
Abstract
The experience of auditory verbal hallucinations (AVH, "hearing voices") in schizophrenia has been found to be associated with reduced auditory cortex activation during perception of real auditory stimuli like tones and speech. We re-examined this finding using 46 patients with schizophrenia (23 with frequent AVH and 23 hallucination-free), who underwent fMRI scanning while they heard words, sentences and reversed speech. Twenty-five matched healthy controls were also examined. Perception of words, sentences and reversed speech all elicited activation of the bilateral superior temporal cortex, the inferior and lateral prefrontal cortex, the inferior parietal cortex and the supplementary motor area in the patients and the healthy controls. During the sentence and reversed speech conditions, the schizophrenia patients as a group showed reduced activation in the left primary auditory cortex (Heschl's gyrus) relative to the healthy controls. No differences were found between the patients with and without hallucinations in any condition. This study therefore fails to support previous findings that experience of AVH attenuates speech-perception-related brain activations in the auditory cortex. At the same time, it suggests that schizophrenia patients, regardless of presence of AVH, show reduced activation in the primary auditory cortex during speech perception, a finding which could reflect an early information processing deficit in the disorder.
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Affiliation(s)
- Joan Soler-Vidal
- FIDMAG Hermanas Hospitalarias Research Foundation, Sant Boi de Llobregat, Spain
- CIBERSAM (G15), Barcelona, Spain
- Universitat de Barcelona, Barcelona, Spain
- Benito Menni Complex Asistencial en Salut Mental, Sant Boi de Llobregat, Spain
| | - Paola Fuentes-Claramonte
- FIDMAG Hermanas Hospitalarias Research Foundation, Sant Boi de Llobregat, Spain
- CIBERSAM (G15), Barcelona, Spain
| | - Pilar Salgado-Pineda
- FIDMAG Hermanas Hospitalarias Research Foundation, Sant Boi de Llobregat, Spain
- CIBERSAM (G15), Barcelona, Spain
| | | | - María Ángeles García-León
- FIDMAG Hermanas Hospitalarias Research Foundation, Sant Boi de Llobregat, Spain
- CIBERSAM (G15), Barcelona, Spain
| | | | | | | | - Josep Munuera
- Diagnostic Imaging and Image Guided Therapy, Institut de Recerca Sant Joan de Déu, Santa Rosa 39–57, Esplugues de Llobregat, Spain
- Diagnostic Imaging Department, Hospital Sant Joan de Déu, Passeig Sant Joan de Déu 2, Barcelona, Spain
- Hospital de Sant Joan de Déu, Barcelona, Spain
| | - Salvador Sarró
- FIDMAG Hermanas Hospitalarias Research Foundation, Sant Boi de Llobregat, Spain
- CIBERSAM (G15), Barcelona, Spain
| | - Raymond Salvador
- FIDMAG Hermanas Hospitalarias Research Foundation, Sant Boi de Llobregat, Spain
- CIBERSAM (G15), Barcelona, Spain
| | - Wolfram Hinzen
- Universitat Pompeu Fabra, Barcelona, Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
| | - Peter McKenna
- FIDMAG Hermanas Hospitalarias Research Foundation, Sant Boi de Llobregat, Spain
- CIBERSAM (G15), Barcelona, Spain
- * E-mail:
| | - Edith Pomarol-Clotet
- FIDMAG Hermanas Hospitalarias Research Foundation, Sant Boi de Llobregat, Spain
- CIBERSAM (G15), Barcelona, Spain
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9
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Ori D, Szocsics P, Molnar T, Rozsa S, Wallies M, Kazakova O, Bankovska-Motlova L, Boivin S, Raaj S, Overgaard Ingeholm Klinkby I, Cabacos C, Pereira A, Matheiken S, Kakar S, Greguras S, Maslak J, Nechepurenko N, Kotsis K, Yilmaz Kafali H, Mirkovic A, Rus Prelog P, Bruna K, Guevara K, Strumila R, Mörkl S, Abdulhakim M, Carbone E, Panayi A, Ivanović I, Dashi E, Grech G, Vircik M, Schuster F, Soler-Vidal J, Pomarol-Clotet E, Ahmadova G, Hargi A, Kisand H, Grinko N, Gyorffy Z. Cross-cultural analysis of the stigmatising attitudes of psychiatrists across Europe and measurement invariance of the Opening Minds Stigma Scale for healthcare providers. Eur Psychiatry 2022. [PMCID: PMC9565287 DOI: 10.1192/j.eurpsy.2022.539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Since the literature investigating the stigmatising attitudes of psychiatrists is scarce, this is the first study which examines the phenomena across Europe. The Opening Minds Stigma Scale for Health Care Providers (OMS-HC) is a widely used questionnaire to measure stigma in healthcare providers towards people with mental illness, although it has not been validated in many European countries. Objectives A cross-sectional, observational, multi-centre study was conducted in 32 European countries to investigate the attitudes towards patients among specialists and trainees in general adult and child psychiatry. In order to be able to compare stigma scores across cultures, we aimed to calculate measurement invariance. Methods An internet-based, anonymous survey was distributed in the participating countries, which was completed by n=4245 psychiatrists. The factor structure of the scale was investigated by using separate confirmatory factor analyses for each country. The cross-cultural validation was based on multigroup confirmatory factor analyses. Results When country data were analysed separately, the three dimensions of the OMS-HC were confirmed, and the bifactor model showed the best model fit. However, in some countries, a few items were found to be weak. The attitudes towards patients seemed favourable since stigma scores were less than half of the reachable maximum. Results allowed comparison to be made between stigma scores in different countries and subgroups. Conclusions This international cooperation has led to the cross-cultural validation of the OMS-HC on a large sample of practicing psychiatrists. The results will be useful in the evaluation of future anti-stigma interventions and will contribute to the knowledge of stigma. Disclosure No significant relationships.
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Fuentes-Claramonte P, Soler-Vidal J, Salgado-Pineda P, Ramiro N, Garcia-Leon MA, Cano R, Arévalo A, Munuera J, Portillo F, Panicali F, Sarró S, Pomarol-Clotet E, McKenna P, Hinzen W. Processing of linguistic deixis in people with schizophrenia, with and without auditory verbal hallucinations. Neuroimage Clin 2022; 34:103007. [PMID: 35468569 PMCID: PMC9059152 DOI: 10.1016/j.nicl.2022.103007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 03/24/2022] [Accepted: 04/11/2022] [Indexed: 11/19/2022]
Abstract
Auditory verbal hallucinations (AVH) are a key symptom of schizophrenia (SZ) defined by anomalous perception of speech. Anomalies of processing external speech stimuli have also been reported in people with AVH, but it is unexplored which specific dimensions of language are processed differently. Using a speech perception task (passive listening), we here targeted the processing of deixis, a key dimension of language governing the contextual anchoring of speech in interpersonal context. We designed naturalistic speech stimuli that were either non-personal and fact-reporting (‘low-deixis’ condition), or else involved rich deictic devices such as the grammatical first and second persons, direct questions, and vocatives (‘high-deixis’). We asked whether neural correlates of deixis obtained with fMRI would distinguish patients with and without frequent hallucinations (AVH + vs AVH−) from controls and each other. Results showed that high-deixis relative to low-deixis was associated with clusters of increased activation in the bilateral middle temporal gyri extending into the temporal poles and the inferior parietal cortex, in all groups. The AVH + and AVH− groups did not differ. When unifying them, the SZ group as a whole showed altered activity in the precuneus, midline regions and inferior parietal cortex. These results fail to confirm deictic processing anomalies specific to patients with AVH, but reveal such anomalies across SZ. Hypoactivation of this network may relate to a cognitive mechanism for attributing and anchoring thought and referential speech content in context.
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Affiliation(s)
- Paola Fuentes-Claramonte
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Universitat de Barcelona, Barcelona, Spain; Benito Menni Complex Assistencial en Salut Mental, Germanes Hospitalàries, Sant Boi de Llobregat, Spain
| | - Pilar Salgado-Pineda
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Nuria Ramiro
- Hospital Sant Rafael, Germanes Hospitalàries, Barcelona, Spain
| | - Maria Angeles Garcia-Leon
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Ramon Cano
- Hospital Mare de Déu de la Mercè, Germanes Hospitalàries, Barcelona, Spain
| | - Antonio Arévalo
- Hospital Sagrat Cor, Germanes Hospitalàries, Martorell, Spain
| | - Josep Munuera
- Hospital Sant Joan de Déu, Esplugues de Llobregat, Spain
| | - Francisco Portillo
- Benito Menni Complex Assistencial en Salut Mental, Germanes Hospitalàries, Sant Boi de Llobregat, Spain
| | - Francesco Panicali
- Benito Menni Complex Assistencial en Salut Mental, Germanes Hospitalàries, Sant Boi de Llobregat, Spain
| | - Salvador Sarró
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Peter McKenna
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
| | - Wolfram Hinzen
- Universitat Pompeu Fabra, Barcelona, Spain; Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain.
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11
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Salvador R, Fuentes-Claramonte P, García-León MÁ, Ramiro N, Soler-Vidal J, Torres ML, Salgado-Pineda P, Munuera J, Voineskos A, Pomarol-Clotet E. Regularized Functional Connectivity in Schizophrenia. Front Hum Neurosci 2022; 16:878028. [PMID: 35634207 PMCID: PMC9132756 DOI: 10.3389/fnhum.2022.878028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 04/04/2022] [Indexed: 11/17/2022] Open
Abstract
Regularization may be used as an alternative to dimensionality reduction when the number of variables in a model is much larger than the number of available observations. In a recent study from our group regularized regression was employed to quantify brain functional connectivity in a sample of healthy controls using a brain parcellation and resting state fMRI images. Here regularization is applied to evaluate resting state connectivity abnormalities at the voxel level in a sample of patients with schizophrenia. Specifically, ridge regression is implemented with different degrees of regularization. Results are compared to those delivered by the weighted global brain connectivity method (GBC), which is based on averaged bivariate correlations and from the non-redundant connectivity method (NRC), a dimensionality reduction approach that applies supervised principal component regressions. Ridge regression is able to detect a larger set of abnormally connected regions than both GBC and NRC methods, including schizophrenia related connectivity reductions in fronto-medial, somatosensory and occipital structures. Due to its multivariate nature, the proposed method is much more sensitive to group abnormalities than the GBC, but it also outperforms the NRC, which is multivariate too. Voxel based regularized regression is a simple and sensitive alternative for quantifying brain functional connectivity.
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Affiliation(s)
- Raymond Salvador
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
- *Correspondence: Raymond Salvador,
| | - Paola Fuentes-Claramonte
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
| | - María Ángeles García-León
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
| | - Núria Ramiro
- Department of Psychiatry, Hospital Sant Rafael, Barcelona, Spain
| | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
- Benito Menni Centre Assistencial en Salut Mental, Sant Boi de Llobregat, Barcelona, Spain
| | | | - Pilar Salgado-Pineda
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
| | - Josep Munuera
- Department of Diagnostic Imaging, Hospital Sant Joan de Déu, Barcelona, Spain
| | - Aristotle Voineskos
- Campbell Family Mental Health Research Institute, Toronto, ON, Canada
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Barcelona, Spain
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12
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Fuentes-Claramonte P, Ramiro N, Torres L, Argila-Plaza I, Salgado-Pineda P, Soler-Vidal J, García-León MÁ, Albacete A, Bosque C, Panicalli F, Boix E, Munuera J, Tristany J, Sarró S, Bernardo M, Salvador R, McKenna PJ, Pomarol-Clotet E. Negative schizophrenic symptoms as prefrontal cortex dysfunction: Examination using a task measuring goal neglect. NeuroImage: Clinical 2022; 35:103119. [PMID: 35870381 PMCID: PMC9421442 DOI: 10.1016/j.nicl.2022.103119] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Revised: 06/10/2022] [Accepted: 07/12/2022] [Indexed: 11/29/2022] Open
Abstract
Negative schizophrenic symptoms have been considered to reflect prefrontal cortex dysfunction. Functional imaging support for this theory is however weak, perhaps due to the tasks used. We examined negative symptom patients using a novel executive task measuring volitional behaviour. Comparison to patients without negative symptoms revealed prefrontal hypoactivation.
Background The negative symptoms of schizophrenia have been proposed to reflect prefrontal cortex dysfunction. However, this proposal has not been consistently supported in functional imaging studies, which have also used executive tasks that may not capture key aspects of negative symptoms such as lack of volition. Method Twenty-four DSM-5 schizophrenic patients with high negative symptoms (HNS), 25 with absent negative symptoms (ANS) and 30 healthy controls underwent fMRI during performance of the Computerized Multiple Elements Test (CMET), a task designed to measure poor organization of goal directed behaviour or ‘goal neglect’. Negative symptoms were rated using the PANSS and the Clinical Assessment Interview for Negative Symptoms (CAINS). Results On whole brain analysis, the ANS patients showed no significant clusters of reduced activation compared to the healthy controls. In contrast, the HNS patients showed hypoactivation compared to the healthy controls in the left anterior frontal cortex, the right dorsolateral prefrontal cortex (DLPFC), the anterior insula bilaterally and the bilateral inferior parietal cortex. When compared to the ANS patients, the HNS patients showed reduced activation in the left anterior frontal cortex, the left DLPFC and the left inferior parietal cortex. After controlling for disorganization scores, differences remained in clusters in the left anterior frontal cortex and the bilateral inferior parietal cortex. Conclusions This study provides evidence that reduced prefrontal activation, perhaps especially in the left anterior frontal cortex, is a brain functional correlate of negative symptoms in schizophrenia. The simultaneous finding of reduced inferior parietal cortex activation was unexpected, but could reflect this region’s involvement in cognitive control, particularly the ‘regulative’ component of this.
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Affiliation(s)
- Paola Fuentes-Claramonte
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Núria Ramiro
- Psychiatry department, Hospital Sant Rafael, Barcelona, Spain
| | - Llanos Torres
- Hospital Mare de Dèu de la Mercé, Unitat Polivalent, Barcelona, Spain
| | | | - Pilar Salgado-Pineda
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Joan Soler-Vidal
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Benito Menni Complex Assistencial en Salut Mental, Sant Boi de Llobregat, Barcelona, Spain
| | - María Ángeles García-León
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Auria Albacete
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Clara Bosque
- Benito Menni Complex Assistencial en Salut Mental, Sant Boi de Llobregat, Barcelona, Spain
| | - Francesco Panicalli
- Benito Menni Complex Assistencial en Salut Mental, Sant Boi de Llobregat, Barcelona, Spain
| | - Ester Boix
- Mental Health Department, Hospital de Mataró, Mataró, Spain
| | - Josep Munuera
- Diagnostic Imaging Department, Hospital Sant Joan de Déu, Barcelona, Spain
| | | | - Salvador Sarró
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Miquel Bernardo
- CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain; Barcelona Clínic Schizophrenia Unit, Hospital Clínic of Barcelona, Institute of Neuroscience, Barcelona, Spain; Universitat de Barcelona, Barcelona, Spain; Institut d'investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
| | - Raymond Salvador
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
| | - Peter J McKenna
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain.
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, Barcelona, Spain; CIBERSAM (Centro de Investigación Biomédica en Red de Salud Mental), Barcelona, Spain
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13
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de Filippis R, Soler-Vidal J, Pereira-Sanchez V, Ojeahere MI, Morimoto K, Chang A, Schuh Teixeira AL, Spadini AV. Coronavirus outbreak from early career psychiatrists' viewpoint: What we have learned so far. Perspect Psychiatr Care 2022; 58:159-163. [PMID: 34061999 PMCID: PMC8242818 DOI: 10.1111/ppc.12870] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 05/04/2021] [Accepted: 05/14/2021] [Indexed: 11/27/2022] Open
Abstract
PURPOSE Since the World Health Organization declared the coronavirus outbreak a global pandemic several million cases and more than three million deaths have been already confirmed worldwide due to COVID-19. DESIGN AND METHODS Early Career Psychiatrists from all over the world present an overview of what happened in their own countries and what they have learned so far by this experience in everyday clinical practice. PRACTICE IMPLICATION We tried to take a real time picture of this unexpected situation, drawing useful hints for now and the future.
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Affiliation(s)
- Renato de Filippis
- Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Joan Soler-Vidal
- Research unit, FIDMAG Hermanas Hospitalarias, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.,Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, New York, USA
| | | | - Kana Morimoto
- Department of Psychiatry, General Psychiatry Trainee, Osaka Psychiatric Medical Center, Osaka, Japan
| | - Alice Chang
- Section of Early Career Psychiatrist, Royal Australia and New Zealand College of Psychiatrists, Melbourne, Victoria, Australia
| | - Andre Luiz Schuh Teixeira
- Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Alex Vicente Spadini
- Education and Research Department, São Pedro Psychiatric Hospital, Porto Alegre, Brazil
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14
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Ransing RS, Pinto da Costa M, Pereira-Sanchez V, Adiukwu F, Orsolini L, Gonzalez-Diaz JM, Larnaout A, Grandinetti P, Bytyçi DG, Soler-Vidal J, Syarif Z, Kundadak GK, Shalbafan M, Nofal M, Ramalho R. Peer Learning, Research, and Support in Times of the COVID-19 Pandemic: a Case Study of the Early Career Psychiatrists Model. Acad Psychiatry 2021; 45:613-618. [PMID: 33978955 PMCID: PMC8114976 DOI: 10.1007/s40596-021-01464-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Accepted: 04/20/2021] [Indexed: 05/21/2023]
Affiliation(s)
- Ramdas S Ransing
- BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India.
| | | | | | - Frances Adiukwu
- University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | | | | | | | | | | | | | | | | | | | - Marwa Nofal
- Helwan Mental Health Hospital, Helwan, Cairo, Egypt
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15
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Fuentes-Claramonte P, Soler-Vidal J, Salgado-Pineda P, García-León MÁ, Ramiro N, Santo-Angles A, Llanos Torres M, Tristany J, Guerrero-Pedraza A, Munuera J, Sarró S, Salvador R, Hinzen W, McKenna PJ, Pomarol-Clotet E. Auditory hallucinations activate language and verbal short-term memory, but not auditory, brain regions. Sci Rep 2021; 11:18890. [PMID: 34556714 PMCID: PMC8460641 DOI: 10.1038/s41598-021-98269-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 08/31/2021] [Indexed: 11/12/2022] Open
Abstract
Auditory verbal hallucinations (AVH, ‘hearing voices’) are an important symptom of schizophrenia but their biological basis is not well understood. One longstanding approach proposes that they are perceptual in nature, specifically that they reflect spontaneous abnormal neuronal activity in the auditory cortex, perhaps with additional ‘top down’ cognitive influences. Functional imaging studies employing the symptom capture technique—where activity when patients experience AVH is compared to times when they do not—have had mixed findings as to whether the auditory cortex is activated. Here, using a novel variant of the symptom capture technique, we show that the experience of AVH does not induce auditory cortex activation, even while real speech does, something that effectively rules out all theories that propose a perceptual component to AVH. Instead, we find that the experience of AVH activates language regions and/or regions that are engaged during verbal short-term memory.
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Affiliation(s)
- Paola Fuentes-Claramonte
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain.,CIBERSAM, Madrid, Spain
| | - Joan Soler-Vidal
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain.,CIBERSAM, Madrid, Spain.,Universitat de Barcelona, Barcelona, Spain.,Benito Menni Complex Asistencial en Salut Mental, Sant Boi de Llobregat, Spain
| | - Pilar Salgado-Pineda
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain.,CIBERSAM, Madrid, Spain
| | - María Ángeles García-León
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain.,CIBERSAM, Madrid, Spain
| | | | - Aniol Santo-Angles
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain
| | | | | | | | | | - Salvador Sarró
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain.,CIBERSAM, Madrid, Spain
| | - Raymond Salvador
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain.,CIBERSAM, Madrid, Spain
| | - Wolfram Hinzen
- ICREA (Institució Catalana de Recerca i Estudis Avançats), Barcelona, Spain.,Universitat Pompeu Fabra, Barcelona, Spain
| | - Peter J McKenna
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain. .,CIBERSAM, Madrid, Spain.
| | - Edith Pomarol-Clotet
- FIDMAG Hermanas Hospitalarias Research Foundation, C/. Dr. Antoni Pujadas 38, 08830, Sant Boi de Llobregat, Barcelona, Spain.,CIBERSAM, Madrid, Spain
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16
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Ransing R, Dashi E, Rehman S, Mehta V, Chepure A, Kilic O, Hayatudeen N, Orsolini L, Vahdani B, Adiukwu F, Gonzalez-Diaz JM, Larnaout A, Pinto da Costa M, Grandinetti P, Soler-Vidal J, Bytyçi DG, Shalbafan M, Nofal M, Pereira-Sanchez V, Ramalho R. COVID-19 related mental health issues: a narrative review of psychometric properties of scales and methodological concerns in scale development. Australas Psychiatry 2021; 29:326-332. [PMID: 33626303 DOI: 10.1177/1039856221992645] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
OBJECTIVES The global crisis of COVID-19 and its consequential strict public health measures placed around the world have impacted mental health. New scales and tools have been developed to measure these mental health effects. This narrative review assesses the psychometric properties of these scales and tools and methodological aspects of their development. METHODS PubMed, PubMed Central, and Google Scholar were searched for articles published from 15 May 2020 to 15 August 2020. This search used three groups of terms ("tool" OR "scale" AND "mental" OR "psychological"; AND "COVID-19" OR "coronavirus"). The identified scales were further evaluated for their psychometric properties and methodological aspects of their development. RESULTS Though the studies developing these scales (n = 12) have demonstrated their robust psychometric properties, some methodological concerns are noteworthy. Most of the scales were validated using internet-based surveys, and detailed descriptions of the mode of administration, sampling process, response rates, and augmentation strategies were missing. CONCLUSIONS The heterogeneous and inadequate reporting of methods adopted to evaluate the psychometric properties of the identified scales can limit their utility in clinical and research settings. We suggest developing guidelines and checklists to improve the design and testing, and result in reporting of online-administered scales to assess the mental health effects of the COVID-19 pandemic.
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Affiliation(s)
- Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, MH, India
| | - Elona Dashi
- Department of Neuroscience, University Hospital Center "Mother Theresa," Tirana, Albania
| | - Sajjadur Rehman
- Department of Psychiatry, Lady Hardinge Medical College, New Delhi, DL, India
| | - Varun Mehta
- Department of Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi, JH, India
| | - Ashish Chepure
- Department of Psychiatry, Vilasrao Deshmukh Government Institute of Medical Sciences, Latur, Maharashtra, India
| | - Ozge Kilic
- Department of Psychiatry, Bezmialem Vakif University Medical Faculty, Istanbul, Turkey.,Department of Psychiatry, Koç University Hospital, Topkapi, Istanbul, Turkey
| | | | - Laura Orsolini
- Department of Clinical Neurosciences/DIMSC, School of Medicine, Section of Psychiatry, Polytechnic University of Marche, Ancona, Italy.,Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Herts, UK
| | - Bita Vahdani
- Ministry of Health and Education, Tehran, Iran; Clinical research development unit, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers state, Nigeria
| | - Jairo M Gonzalez-Diaz
- CERSAME School of Medicine and Health Sciences, Universidad del Rosario -Clínica Nuestra Señora de la Paz, Bogota, Colombia
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, UK.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.,Hospital de Magalhães Lemos, Porto, Portugal
| | - Paolo Grandinetti
- Addictions Service, Department of Territorial Services, Teramo, Italy
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain.,Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Barcelona, Spain.,Medicine and Traslational Research Doctorate Programme, University of Barcelona, Barcelona, Spain
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Community Based Mental Health Center and House for Integration, Prizren, Kosovo
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Department of Psychiatry, Iran University of Medical Sciences, Tehran, Iran
| | - Marwa Nofal
- Helwan Mental Health Hospital, Helwan, Cairo, Egypt
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
| | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand
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17
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Adiukwu F, Bytyçi DG, Hayek SE, Gonzalez-Diaz JM, Larnaout A, Grandinetti P, Nofal M, Pereira-Sanchez V, Ransing R, Shalbafan M, Soler-Vidal J, Syarif Z, Teixeira ALS, da Costa MP, Ramalho R, Orsolini L. Global Perspective and Ways to Combat Stigma Associated with COVID-19. Indian J Psychol Med 2020; 42:569-574. [PMID: 33354085 PMCID: PMC7735248 DOI: 10.1177/0253717620964932] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/20/2020] [Indexed: 12/12/2022] Open
Affiliation(s)
- Frances Adiukwu
- Dept. Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria
| | - Drita Gashi Bytyçi
- Mental Health Center Prizren, Hospital and University Clinical Service of Kosovo, Prizren, Kosovo
| | - Samer El Hayek
- Dept. Psychiatry, American University of Beirut, Riad El Solh, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- CERSAME, School of Medicine and Health Sciences, Universidad del Rosario - Clinica Neustra Senora de la Paz, Bogota, Colombia
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Manouba, Tunis, Tunisia
| | - Paolo Grandinetti
- Addictions Service, Dept. Territorial Services, ASL Teramo, Teramo, Italy
| | - Marwa Nofal
- Helwan Mental Health Hospital, Helwan, Cairo, Egypt
| | - Victor Pereira-Sanchez
- Dept. Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York City, New York, USA
| | - Ramdas Ransing
- Dept. Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Dept. of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain
- Hospital Benito Menni, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain
| | - Zulvia Syarif
- Dept. Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | - Andre Luiz Schuh Teixeira
- CERSAME, School of Medicine and Health Sciences, Universidad del Rosario - Clinica Neustra Senora de la Paz, Bogota, Colombia
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, UK
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Portugal
- Hospital de Magalhães Lemos, Porto, Portugal
| | - Rodrigo Ramalho
- Hospital de Magalhães Lemos, Porto, Portugal
- School of Population Health, University of Auckland, Auckland, New Zealand
| | - Laura Orsolini
- Unit of Clinical Psychiatry, Dept. of Neurosciences/DIMSC School of Medicine, Polytechnic University Marche, Ancona, Italy
- Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
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18
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Ransing R, Pinto da Costa M, Adiukwu F, Grandinetti P, Schuh Teixeira AL, Kilic O, Soler-Vidal J, Ramalho R. Yoga for COVID-19 and natural disaster related mental health issues: Challenges and perspectives. Asian J Psychiatr 2020; 53:102386. [PMID: 32919152 PMCID: PMC7451212 DOI: 10.1016/j.ajp.2020.102386] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Accepted: 08/24/2020] [Indexed: 10/25/2022]
Affiliation(s)
- Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, 415606, Maharashtra, India.
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, E138SP, UK; Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal; Hospital de Magalhães Lemos, Porto, Portugal.
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital. East-West Road, Alakahia, PMB 6173, Port Harcourt, Nigeria.
| | - Paolo Grandinetti
- Addictions Services (SerD), Department of Territorial Assistance, ASL Teramo, Teramo, Italy.
| | - Andre Luiz Schuh Teixeira
- Department of Childhood and Adolescent Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre 2350, Brazil.
| | - Ozge Kilic
- Department of Psychiatry, Koç University Hospital, Davutpasa Cad. No:4, 34010, Topkapi, Istanbul, Turkey.
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, 08830, Spain; Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Barcelona, 08035, Spain; Medicine and Translational Research Doctorate Programme, University of Barcelona, Barcelona, Spain.
| | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand.
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19
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Ramalho R, Adiukwu F, Gashi Bytyçi D, El Hayek S, Gonzalez-Diaz JM, Larnaout A, Grandinetti P, Kundadak GK, Nofal M, Pereira-Sanchez V, Pinto da Costa M, Ransing R, Schuh Teixeira AL, Shalbafan M, Soler-Vidal J, Syarif Z, Orsolini L. Telepsychiatry and healthcare access inequities during the COVID-19 pandemic. Asian J Psychiatr 2020; 53:102234. [PMID: 32585636 PMCID: PMC7296313 DOI: 10.1016/j.ajp.2020.102234] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 06/12/2020] [Accepted: 06/13/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand.
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Community Based Mental Health Center and House for Integration, Prizren, Kosovo
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- CERSAME School of Medicine and Health Sciences, Universidad del Rosario - Clínica Nuestra Señora de la Paz, Bogota, Colombia
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Paolo Grandinetti
- Addictions Service, Department of Territorial Services, Italian National Health System, ASL Teramo, Italy
| | | | | | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, UK; Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal; Hospital de Magalhães Lemos, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walalwalkar Rural Medical College, Maharashtra, India
| | - Andre Luiz Schuh Teixeira
- Department of Childhood and Adolescent Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain; Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain; University of Barcelona, Barcelona, Spain
| | - Zulvia Syarif
- Department of Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | - Laura Orsolini
- Department of Clinical Neurosciences/DIMSC, School of Medicine, Unit of Clinical Psychiatry, Polytechnic University of Marche, Ancona, Italy
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Ransing R, Ramalho R, de Filippis R, Ojeahere MI, Karaliuniene R, Orsolini L, Pinto da Costa M, Ullah I, Grandinetti P, Gashi Bytyçi D, Grigo O, Mhamunkar A, El Hayek S, Essam L, Larnaout A, Shalbafan M, Nofal M, Soler-Vidal J, Pereira-Sanchez V, Adiukwu F. Infectious disease outbreak related stigma and discrimination during the COVID-19 pandemic: Drivers, facilitators, manifestations, and outcomes across the world. Brain Behav Immun 2020; 89:555-558. [PMID: 32731007 PMCID: PMC7384410 DOI: 10.1016/j.bbi.2020.07.033] [Citation(s) in RCA: 77] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 07/22/2020] [Accepted: 07/22/2020] [Indexed: 10/28/2022] Open
Affiliation(s)
- Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri 415606, Maharashtra, India.
| | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand
| | - Renato de Filippis
- Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro 88100, Italy
| | | | - Ruta Karaliuniene
- Faculty of Medicine, Carl Gustav Carus, Technical University Dresden, Dresden, Germany
| | - Laura Orsolini
- Department of Clinical Neurosciences/DIMSC, School of Medicine, Unit of Clinical Psychiatry, Polytechnic University of Marche, Ancona 60126, Italy,Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Herts AL109AB, UK
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London E138SP, UK,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal,Hospital de Magalhães Lemos, Porto, Portugal
| | - Irfan Ullah
- Kabir Medical College,Gandhara Univeristy, Peshawar, Pakistan
| | - Paolo Grandinetti
- Addictions Services (SerD), Department of Territorial Assistance, ASL Teramo, Teramo, Italy
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Community Based Mental Health Center and House for Integration, Prizren, Kosovo
| | - Omityah Grigo
- Department of Psychiatry, MMU Medical College, Kumarhatti, Solan 173229, Himachal Pradesh, India
| | - Aman Mhamunkar
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri 415606, Maharashtra, India
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Bliss Street, PO Box: 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon
| | - Lamiaà Essam
- EIDemerdash Teaching Hospital, Ain Shams University, Egypt
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis 1068, Tunisia
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Iran University of Medical Sciences, Tehran 1449614535, Iran
| | - Marwa Nofal
- Helwan Mental Health Hospital, Extension of Mansour St., behind Kbretaj Helwan Club, Helwan, 25562198 Cairo, Egypt
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona 08830, Spain,Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Barcelona 08035, Spain,Medicine and Traslational Research Doctorate Programme, University of Barcelona, Barcelona, Spain
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, One Park Avenue, New York, NY 10016, USA
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, East West Road, Alakahia, PMB 6173, Port Harcourt, Nigeria
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21
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Adiukwu F, Orsolini L, Gashi Bytyçi D, El Hayek S, Gonzalez-Diaz JM, Larnaout A, Grandinetti P, Nofal M, Pereira-Sanchez V, Pinto da Costa M, Ransing R, Schuh Teixeira AL, Shalbafan M, Soler-Vidal J, Syarif Z, Kudva Kundadak G, Ramalho RD. COVID-19 mental health care toolkit: an international collaborative effort by Early Career Psychiatrists section. Gen Psychiatr 2020; 33:e100270. [PMID: 33083691 PMCID: PMC7513668 DOI: 10.1136/gpsych-2020-100270] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 07/15/2020] [Accepted: 08/17/2020] [Indexed: 12/12/2022] Open
Abstract
The collaborative effort of an international research team from the Early Career Psychiatrists section of the World Psychiatry Association has brought about an easy-to-use, quick and stepwise mental health care toolkit for the identification and appropriate referral of those in need of mental health care during the pandemic. This simple guide can be applied in the general outpatient setting and is catered for all healthcare professionals, regardless of their expertise within the mental health field with minimal training. It is our hope that by incorporating this toolkit into our daily clinical care during the pandemic for high-risk patients and patients with non-specific complaints, we will be able to bridge the mental health gap present in our society.
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Affiliation(s)
- Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Choba, Rivers, Nigeria
| | - Laura Orsolini
- Department of Clinical Neurosciences/DIMSC, School of Medicine, Polytechnic University of Marche, Ancona, Marche, Italy
| | - Drita Gashi Bytyçi
- Mental Health Center Prizren, Hospital and University Clinical Service of Kosovo, Prizren, Kosovo
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- CERSAME, School of Medicine and Health Sciences, Universidad del Rosario-Clinica Nuestra Senora de la Paz, Bogota, Colombia
| | - Amine Larnaout
- Psychiatry Department D, Razi Hospital, faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Paolo Grandinetti
- Addictions Service (SerD), Department of Territorial Assistance, ASL Teramo, Teramo, Italy
| | | | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, New York, USA
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.,Hospital de Magalhaes Lemos, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Sawarde, Ratnagiri, India
| | - Andre Luiz Schuh Teixeira
- Department of Childhood and Adolescent Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran (the Islamic Republic of)
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain
| | - Zulvia Syarif
- Department of Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | | | - Rodrigo D Ramalho
- Department of Social and Community Health, School of Populatin Health, University of Auckland, Auckland, New Zealand
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22
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Schuh Teixeira AL, Spadini AV, Pereira-Sanchez V, Ojeahere MI, Morimoto K, Chang A, de Filippis R, Soler-Vidal J. The urge to implement and expand telepsychiatry during the COVID-19 crisis: Early career psychiatrists' perspective. Rev Psiquiatr Salud Ment 2020; 13:174-175. [PMID: 38620320 PMCID: PMC7290184 DOI: 10.1016/j.rpsm.2020.06.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 05/31/2020] [Accepted: 06/02/2020] [Indexed: 01/07/2023]
Affiliation(s)
- Andre Luiz Schuh Teixeira
- Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Alex Vicente Spadini
- Education and Research Department, São Pedro Psychiatric Hospital, Porto Alegre, Brazil
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
| | | | - Kana Morimoto
- General Psychiatry Trainee. Osaka Psychiatric Medical Center, Osaka, Japan
| | - Alice Chang
- Section of Early Career Psychiatrist, Royal Australia and New Zealand College of Psychiatrists, Australia
| | - Renato de Filippis
- Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, Italy
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain
- Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain
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23
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Ransing R, Adiukwu F, Pereira-Sanchez V, Ramalho R, Orsolini L, Teixeira ALS, Gonzalez-Diaz JM, Pinto da Costa M, Soler-Vidal J, Bytyçi DG, El Hayek S, Larnaout A, Shalbafan M, Syarif Z, Nofal M, Kundadak GK. Mental Health Interventions during the COVID-19 Pandemic: A Conceptual Framework by Early Career Psychiatrists. Asian J Psychiatr 2020; 51:102085. [PMID: 32413616 PMCID: PMC7195073 DOI: 10.1016/j.ajp.2020.102085] [Citation(s) in RCA: 90] [Impact Index Per Article: 22.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 04/05/2020] [Indexed: 12/25/2022]
Abstract
The emergence of mental health (MH) problems during a pandemic is extremely common, though difficult to address due to the complexities of pandemics and the scarcity of evidence about the epidemiology of pandemic-related MH problems and the potential interventions to tackle them. Little attention has been devoted so far to this topic from policymakers, stakeholders and researchers, resulting in a lack of replicable, scalable and applicable frameworks to help plan, develop and deliver MH care during pandemics. As a response, we have attempted to develop a conceptual framework (CF) that could guide the development, implementation, and evaluation of MH interventions during the ongoing COVID-19 pandemic. This CF was developed by early career psychiatrists from 16 countries that cover all the WHO regions. Their opinions were elicited via a semi-structured questionnaire. They were asked to provide their views about the current MH situation in their countries and to elaborate on existing 'myths' and misinformation. They were also asked to name the resources available and to propose solutions and approaches to provide accessible and affordable care. The CF was prepared based on the extant literature and the views discussed in this group; it illustrates the epidemiology of MH problems, preparedness plans, stage-specific plans or innovative solutions, opportunities to integrate those plans and possible outcomes at policy level. This CF can serve as a technical guide for future research regarding pandemics. It can be used to monitor trends and to optimize efforts, and to develop evidence based MH interventions. Still, further research focusing on the individual components of this framework is needed.
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Affiliation(s)
- Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri-415606, Maharashtra, India.
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital. East West Road, Alakahia, PMB 6173, Port Harcourt, Nigeria.
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, One Park Avenue, New York, NY 10016, USA.
| | - Rodrigo Ramalho
- School of Population Health, University of Auckland. Auckland-1142, New Zealand.
| | - Laura Orsolini
- Department of Clinical Neurosciences/DIMSC, School of Medicine, Section of Psychiatry, Polytechnic University of Marche, Ancona 60126, Italy; Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Herts AL109AB, UK.
| | - André Luiz Schuh Teixeira
- Department of Childhood and Adolescent Psychiatry, Universidade Federal do Rio Grande do Sul. Porto Alegre 2350, Brazil.
| | - Jairo M Gonzalez-Diaz
- CERSAME School of Medicine and Health Sciences, Universidad del Rosario - Clinica Nuestra Senora de la Paz. Calle 12C No. 6-25 - Bogotá D.C. Colombia.
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London E138SP, UK; Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal; Hospital de Magalhães Lemos, Porto, Portugal.
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, 08830, Spain; Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Barcelona, 08035, Spain; Medicine and Traslational Research Doctorate Programme, University of Barcelona, Barcelona, Spain.
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Community Based Mental Health Center and House for Integration, Prizren 20000, Kosovo.
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Bliss Street, PO Box: 11-0236. Riad El Solh, Beirut 1107 2020, Lebanon.
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis 2010, Tunisia.
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Iran University of Medical Sciences, Tehran1449614535, Iran.
| | - Zulvia Syarif
- Department of Psychiatry, Tarakan General Hospital, Jakarta, 10150, Indonesia.
| | - Marwa Nofal
- Helwan Mental Health Hospital, Extension of Mansour St., behind Kbretaj Helwan Club, Helwan, 25562198 Cairo, Egypt.
| | - Ganesh Kudva Kundadak
- Early Psychosis Intervention Programme, Institute of Mental Health, Singapore 539747, Singapore.
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24
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Pereira-Sanchez V, Adiukwu F, El Hayek S, Bytyçi DG, Gonzalez-Diaz JM, Kundadak GK, Larnaout A, Nofal M, Orsolini L, Ramalho R, Ransing R, Shalbafan M, Soler-Vidal J, Syarif Z, Teixeira ALS, Pinto da Costa M. COVID-19 effect on mental health: patients and workforce. Lancet Psychiatry 2020; 7:e29-e30. [PMID: 32445691 PMCID: PMC7239628 DOI: 10.1016/s2215-0366(20)30153-x] [Citation(s) in RCA: 94] [Impact Index Per Article: 23.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 04/02/2020] [Accepted: 04/03/2020] [Indexed: 01/01/2023]
Affiliation(s)
- Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, New York University Grossman School of Medicine, New York, NY 10016, USA.
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Community Based Mental Health Center and House for Integration, Prizren, Kosovo
| | - Jairo M Gonzalez-Diaz
- Centro Rosarista de Salud Mental School of Medicine and Health Sciences, Universidad del Rosario, Clínica Nuestra Señora de la Paz, Bogotá Distrito Capital, Colombia
| | - Ganesh Kudva Kundadak
- Early Psychosis Intervention Programme, Institute of Mental Health, Singapore, Singapore
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | | | - Laura Orsolini
- Department of Clinical Neurosciences and Department of Experimental and Clinical Medicine, School of Medicine, Section of Psychiatry, Polytechnic University of Marche, Ancona, Italy; Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Rodrigo Ramalho
- School of Population Health, University of Auckland, Auckland, New Zealand
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India
| | | | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain; Hospital Benito Menni Complejo Asistencial en Salud Mental, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain; Medicine and Translational Research Doctorate Programme, University of Barcelona, Barcelona, Spain
| | - Zulvia Syarif
- Department of Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | - Andre Luiz Schuh Teixeira
- Department of Childhood and Adolescent Psychiatry, Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, Newham Centre for Mental Health, London, UK; Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal; Hospital de Magalhães Lemos, Porto, Portugal
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25
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Ramalho R, Adiukwu F, Gashi Bytyçi D, El Hayek S, Gonzalez-Diaz JM, Larnaout A, Grandinetti P, Nofal M, Pereira-Sanchez V, Pinto da Costa M, Ransing R, Teixeira ALS, Shalbafan M, Soler-Vidal J, Syarif Z, Orsolini L. Telepsychiatry During the COVID-19 Pandemic: Development of a Protocol for Telemental Health Care. Front Psychiatry 2020; 11:552450. [PMID: 33173507 PMCID: PMC7538900 DOI: 10.3389/fpsyt.2020.552450] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 08/31/2020] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND The rapid spread of the Coronavirus disease 2019 (COVID-19) has forced most countries to take drastic public health measures, including the closure of most mental health outpatient services and some inpatient units. This has suddenly created the need to adapt and expand telepsychiatry care across the world. However, not all health care services might be ready to cope with this public health demand. The present study was set to create a practical and clinically useful protocol for telemental health care to be applied in the context of the current COVID-19 pandemic. METHODS A panel of psychiatrists from 15 different countries [covering all World Health Organization (WHO) regions] was convened. The panel used a combination of reactive Delphi technique and consensus development conference strategies to develop a protocol for the provision of telemental health care during the COVID-19 pandemic. RESULTS The proposed protocol describes a semi-structured initial assessment and a series of potential interventions matching mild, moderate, or high-intensity needs of target populations. CONCLUSIONS Telemedicine has become a pivotal tool in the task of ensuring the continuous provision of mental health care for the population, and the outlined protocol can assist with this task. The strength of this protocol lies in its practicality, clinical usefulness, and wide transferability, resulting from the diversity of the consensus group that developed it. Developed by psychiatrists from around the globe, the proposed protocol may prove helpful for many clinical and cultural contexts, assisting mental health care providers worldwide.
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Affiliation(s)
- Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Drita Gashi Bytyçi
- Mental Health Center Prizren, Hospital and University Clinical Service of Kosovo, Prizren, Kosovo
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- CERSAME, School of Medicine and Health Sciences, Universidad del Rosario-Clínica Nuestra Señora de la Paz, Bogotá, Colombia
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Paolo Grandinetti
- Addictions Services (SerD), Department of Territorial Assistance, ASL Teramo, Teramo, Italy
| | | | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, United States
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, United Kingdom.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.,Hospital de Magalhães Lemos, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walalwalkar Rural Medical College, Maharashtra, India
| | - Andre Luiz Schuh Teixeira
- Department of Childhood and Adolescent Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain
| | - Zulvia Syarif
- Department of Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | - Laura Orsolini
- Unit of Clinical Psychiatry, Department of Clinical Neurosciences/DIMSC, School of Medicine, Polytechnic University of Marche, Ancona, Italy
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26
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Tovar A, Fuentes-Claramonte P, Soler-Vidal J, Ramiro-Sousa N, Rodriguez-Martinez A, Sarri-Closa C, Sarró S, Larrubia J, Andrés-Bergareche H, Miguel-Cesma MC, Padilla PP, Salvador R, Pomarol-Clotet E, Hinzen W. The linguistic signature of hallucinated voice talk in schizophrenia. Schizophr Res 2019; 206:111-117. [PMID: 30573404 DOI: 10.1016/j.schres.2018.12.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 07/10/2018] [Accepted: 12/04/2018] [Indexed: 12/16/2022]
Abstract
Very few studies have investigated the formal linguistic aspects of auditory verbal hallucinations (AVHs), though speech is a defining aspect of AVHs. Hallucinated speech heard by 19 patients with schizophrenia and highly frequent voices was obtained online, as and when they spoke, and annotated for pre-selected linguistic variables. Results showed that, consistently across the sample, (i) the grammatical first Person was significantly less represented than both second and third person, and often absent altogether; (ii) overwhelmingly, isolated clauses with no grammatical connectivity (parataxis) were produced, as compared with subordinations, coordinations, and adjunctions; (iii) in all participants except one, virtually no noun phrases (NPs) were anaphoric ones, back-referring to previous NPs, illustrating again a lack of connectivity across utterances. (vi) Sentence-level content was largely personal rather than impersonal, and in impersonal utterances, it was generally vague. (v) Formal syntactic errors were consistently nearly absent, as were semantic level errors such as paraphasias. Voice talk was not generally stereotyped. These results indicate that, despite a certain amount of individual variation, there is a distinctive linguistic profile to voice speech, which constrains theories of AVHs and their neurocognitive basis.
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Affiliation(s)
- Antonia Tovar
- Department of Translation and Language Sciences, Universitat Pompeu Fabra, C/ Roc Boronat, 138, 08018 Barcelona, Spain
| | - Paola Fuentes-Claramonte
- FIDMAG Germanes Hospitalàries Research Foundation, C/ Dr. Antoni Pujadas, 38, 08830 Sant Boi de Llobregat, Barcelona, Spain; CIBERSAM, Centro de Investigación Biomédica en Red de Salud Mental, Spain
| | - Joan Soler-Vidal
- Benito Menni Complex Assistencial de Salut Mental, C/ Dr. Antoni Pujadas, 38, 08830 Sant Boi de Llobregat, Barcelona, Spain
| | - Nuria Ramiro-Sousa
- Hospital Sant Rafael, Passeig de la Vall d'Hebron, 107, 08035 Barcelona, Spain
| | | | - Carmen Sarri-Closa
- Benito Menni Complex Assistencial de Salut Mental, C/ Dr. Antoni Pujadas, 38, 08830 Sant Boi de Llobregat, Barcelona, Spain
| | - Salvador Sarró
- FIDMAG Germanes Hospitalàries Research Foundation, C/ Dr. Antoni Pujadas, 38, 08830 Sant Boi de Llobregat, Barcelona, Spain; CIBERSAM, Centro de Investigación Biomédica en Red de Salud Mental, Spain
| | - Jesús Larrubia
- Centro Neuropsiquiátrico N. S. del Carmen, Camino del Abejar, 100, 50190 Zaragoza, Spain
| | | | | | - Pedro Pablo Padilla
- Centro Neuropsiquiátrico N. S. del Carmen, Camino del Abejar, 100, 50190 Zaragoza, Spain
| | - Raymond Salvador
- FIDMAG Germanes Hospitalàries Research Foundation, C/ Dr. Antoni Pujadas, 38, 08830 Sant Boi de Llobregat, Barcelona, Spain; CIBERSAM, Centro de Investigación Biomédica en Red de Salud Mental, Spain
| | - Edith Pomarol-Clotet
- FIDMAG Germanes Hospitalàries Research Foundation, C/ Dr. Antoni Pujadas, 38, 08830 Sant Boi de Llobregat, Barcelona, Spain; CIBERSAM, Centro de Investigación Biomédica en Red de Salud Mental, Spain
| | - Wolfram Hinzen
- Department of Translation and Language Sciences, Universitat Pompeu Fabra, C/ Roc Boronat, 138, 08018 Barcelona, Spain; FIDMAG Germanes Hospitalàries Research Foundation, C/ Dr. Antoni Pujadas, 38, 08830 Sant Boi de Llobregat, Barcelona, Spain; Catalan Institute for Advanced Studies and Research, ICREA, Passeig de Lluís Companys, 23, 08010 Barcelona, Spain.
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