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Moscarelli M, Min JY, Kopelowicz A, Torous J, Chavez O, Gómez-de-Regil L, Salvador-Carulla L, Ochoa S, Gamez MM, Vila-Badia R, Romero-Lopez-Alberca C, Ahmed AO. The scale for the assessment of the passively received experiences (PRE) in schizophrenia and digital mental health. Schizophr Res 2023; 251:91-93. [PMID: 36608602 DOI: 10.1016/j.schres.2022.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 11/03/2022] [Accepted: 12/10/2022] [Indexed: 01/06/2023]
Affiliation(s)
| | - Jung-Yun Min
- Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.
| | - Alex Kopelowicz
- Professor of Psychiatry, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
| | - John Torous
- Department of Psychiatry and Division of Clinical Informatics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
| | | | | | - Luis Salvador-Carulla
- Health Research Institute, Faculty of Health, University of Canberra, ACT, Australia.
| | - Susana Ochoa
- Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat (Barcelona), Fundació Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Spain; Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain.
| | | | - Regina Vila-Badia
- Etiopatogènia i Tractament dels Trastorns Mentals Greus (MERITT), Institut de Recerca Sant Joan de Déu, Parc Sanitari Sant Joan de Déu, CIBERSAM, Barcelona, Spain.
| | - Cristina Romero-Lopez-Alberca
- Department of Psychology, University of Cadiz, Cadiz, Spain; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain.
| | - Anthony O Ahmed
- Psychology in Clinical Psychiatry, Department of Psychiatry, Weill Cornell Medicine, NewYork-Presbyterian/Westchester, White Plains, NY, USA.
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Gómez-de-Regil L, Estrella-Castillo DF, Cicero-Ancona M. Anxiety/Depression Predominance in Liaison-Psychiatry Users of a South-East Mexico Tertiary Hospital. Healthcare (Basel) 2022; 10:healthcare10071162. [PMID: 35885689 PMCID: PMC9322849 DOI: 10.3390/healthcare10071162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 05/12/2022] [Revised: 05/30/2022] [Accepted: 06/02/2022] [Indexed: 11/16/2022] Open
Abstract
Patients at tertiary hospitals may find themselves in need of mental health support due to the distress associated with the illness that may or not lead to a psychiatric condition. Here is an overview of the clinical cases treated by the liaison psychiatry service of a public tertiary hospital from Southeast Mexico during its first years of operation (2008–2018), with the purpose of gathering information about the status and needs of this population. A sample of 304 clinical records of patients treated for the first time by the psychiatry service was reviewed, and the distribution by demographic characteristics, diagnosis of mental illness and medical area of reference was analyzed. Anxiety and depression symptoms were the most frequent. Most patients were women, lived in Merida and returned after the first appointment. The neurology service referred most patients, yet most attended directly. General tertiary hospitals should prioritize integrating ad hoc mental and physical health care. Adult women with a profile of anxiety and/or depression would be the first target group. Some areas of opportunity for further research and improvement of mental health services are: preventive services for anxiety and depression, follow-up of patients, attention to relatives of patients at intensive care units, implementation of telehealth alternatives, training on mental health screening and inter- and intra-institutional collaboration.
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Affiliation(s)
- Lizzette Gómez-de-Regil
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida 97130, Mexico;
- Correspondence:
| | | | - Miguel Cicero-Ancona
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida 97130, Mexico;
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Moscarelli M, Min JY, Kopelowicz A, Chavez O, Gómez-de-Regil L, Salvador-Carulla L, Gamez MM, Vila-Badía R, Romero-Lopez-Alberca C, Ahmed AO. The "PRE" scale: The assessment of the elementary passively received experiences of schizophrenia. Schizophr Res 2022; 241:218-220. [PMID: 35151963 DOI: 10.1016/j.schres.2022.01.050] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 01/07/2022] [Accepted: 01/22/2022] [Indexed: 12/01/2022]
Affiliation(s)
| | - Jung-Yun Min
- Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA.
| | - Alex Kopelowicz
- David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
| | | | | | - Luis Salvador-Carulla
- Health Research Institute, Faculty of Health, University of Canberra, ACT, Australia.
| | | | - Regina Vila-Badía
- Research Unit of Parc Sanitari Sant Joan de Déu-SSM (Research Unit) CIBER-SAM, Sant Boi de Llobregat, Barcelona, Spain.
| | | | - Anthony O Ahmed
- Clinical Psychiatry, Departmet of Psychiatry, Weill Cornell Medicine, NewYork-Presbyterian/Westchester, White Plains, NY, USA.
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Datta Banik S, Pacheco-Pantoja E, Lugo R, Gómez-de-Regil L, Chim Aké R, Méndez González RM, Gutiérrez Solis AL. Evaluation of Anthropometric Indices and Lipid Parameters to Predict Metabolic Syndrome Among Adults in Mexico. Diabetes Metab Syndr Obes 2021; 14:691-701. [PMID: 33623404 PMCID: PMC7896767 DOI: 10.2147/dmso.s281894] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 11/20/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Metabolic syndrome (MetS) is a cluster of conditions that increases the risk of cardiovascular disease (CVD) and is related to genetic background, dietary habits, and lifestyle. Anthropometric indices and lipid parameters have been shown to be simple and useful tools in clinical practice for predicting MetS. The aim of the present study was to evaluate the differential magnitudes of anthropometric characteristics (waist circumference and body mass index [BMI]) and lipid parameters, namely, lipid accumulation product (LAP), cardiometabolic index (CMI), and Castelli Risk Index (CRI-I), to estimate MetS, usingappropriate cut-off values, among adults from a public hospital in Yucatan, Mexico. METHODS A cross-sectional study among 250 adults (77 men, 173 women) was carried out in the Regional High Speciality Hospital of the Yucatan Peninsula (HRAEPY) in Merida, Yucatan. MetS was diagnosed using standard criteria (central obesity, arterial hypertension, hyperglycemia, and dyslipidemia), and derived parameters (LAP, CMI, and CRI-I) were calculated. Binary logistic regression analysis-based receiver operating characteristics (ROC) curves were used to predict MetS. RESULTS Of the 250 participants, 48% had MetS. High prevalences of overweight (35.2%) and obesity (48.8%) were found in the sample. The CMI and LAP were found to be the best parameters in the prediction of MetS in men and women. The optimal cut-off values of the parameters were higher in men and decreased with advancing age. CONCLUSION The CMI and LAP were shown to be the most effective indicators to diagnose MetS among adults from Yucatan, Mexico.
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Affiliation(s)
- Sudip Datta Banik
- Center for Research and Advanced Studies (Cinvestav-IPN), Merida, Yucatan, Mexico
| | - Elda Pacheco-Pantoja
- School of Medicine, Health Sciences Division, Universidad Anáhuac Mayab, Merida, Yucatan, Mexico
| | - Roberto Lugo
- Regional High Speciality Hospital of the Yucatan Peninsula (HRAEPY), Merida, Yucatan, Mexico
| | - Lizzette Gómez-de-Regil
- Regional High Speciality Hospital of the Yucatan Peninsula (HRAEPY), Merida, Yucatan, Mexico
| | - Rodolfo Chim Aké
- Regional High Speciality Hospital of the Yucatan Peninsula (HRAEPY), Merida, Yucatan, Mexico
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Medina-Vera I, Gómez-de-Regil L, Gutiérrez-Solis AL, Lugo R, Guevara-Cruz M, Pedraza-Chaverri J, Avila-Nava A. Dietary Strategies by Foods with Antioxidant Effect on Nutritional Management of Dyslipidemias: A Systematic Review. Antioxidants (Basel) 2021; 10:225. [PMID: 33546158 PMCID: PMC7913156 DOI: 10.3390/antiox10020225] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [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: 11/05/2020] [Revised: 12/14/2020] [Accepted: 12/17/2020] [Indexed: 12/29/2022] Open
Abstract
Nutrition plays a fundamental role in the prevention and treatment of dyslipidemias and its oxidative-related complications. Currently, there is evidence about the beneficial effects of isolated antioxidants or foods enriched or added with antioxidant compounds. However, the application of the natural foods is more integrated than the analysis of a single nutrient. Our aim is compiling scientific literature regarding the nutritional strategies by foods with antioxidant effect in blood lipids, enzymatic and non-enzymatic antioxidants, and oxidative and inflammatory markers of subjects with dyslipidemia. We searched in MEDLINE/PubMed, Scopus, and Web of Science. From a total of 263 studies screened, 16 were included. Dietary strategies included walnuts, olive oil, raw almonds, G. paraguayase, white sesame, mate tea, Brazil nut flour, red wine, granulated Brazil nuts, grapes, wolfberry fruit, fermented beverage, coffee, orange, and blackberry juices showed significant differences in blood lipids, antioxidant activity, antioxidant enzymes, and oxidative and inflammatory markers. This systematic review compiling scientific studies about dietary strategies using foods with antioxidant effect to improve the antioxidant status in dyslipidemias.
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Affiliation(s)
- Isabel Medina-Vera
- Departamento de Metodología de la Investigación, Instituto Nacional de Pediatría, Ciudad de Mexico 04530, Mexico;
| | - Lizzette Gómez-de-Regil
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida 97130, Yucatán, Mexico; (L.G.-d.-R.); (A.L.G.-S.); (R.L.)
| | - Ana Ligia Gutiérrez-Solis
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida 97130, Yucatán, Mexico; (L.G.-d.-R.); (A.L.G.-S.); (R.L.)
| | - Roberto Lugo
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida 97130, Yucatán, Mexico; (L.G.-d.-R.); (A.L.G.-S.); (R.L.)
| | - Martha Guevara-Cruz
- Departamento de Fisiología de la Nutrición, Instituto Nacional de Nutrición y Ciencias Médicas Salvador Zubirán, Ciudad de Mexico 14080, Mexico;
| | - José Pedraza-Chaverri
- Departamento de Biología, Facultad de Química, Universidad Nacional Autónoma de Mexico, Ciudad de Mexico 04510, Mexico;
| | - Azalia Avila-Nava
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida 97130, Yucatán, Mexico; (L.G.-d.-R.); (A.L.G.-S.); (R.L.)
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Romero-Acosta K, Gómez-de-Regil L, Lowe GA, Lipps GE, Gibson RC. Parenting Styles, Anxiety and Depressive Symptoms in Child/Adolescent. Int J Psychol Res (Medellin) 2021; 14:12-32. [PMID: 34306576 PMCID: PMC8297574 DOI: 10.21500/20112084.4704] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 08/31/2020] [Accepted: 02/10/2021] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE To analyse the possible direct and interactive associations of sex, age and parenting styles with symptoms of depression and anxiety. METHODS In this cross-sectional study, 710 students ranging from 8 to 13 years (mean age 10.8 years [ 0.75]), the most of them males (n = 422, 59.4%), completed three screening instruments: a parenting practices scale and two self-reports for evaluating anxiety and depressive symptoms. Two hierarchical multiple regression analyses were performed. RESULTS Authoritative (38.6%) and neglectful (38%) parenting styles were predominant. Symptoms of depression -F (3, 706) = 3.12, p = .03- and anxiety -F (3, 706) = 2.83, p = .4- differed by parenting styles. Students with a neglectful parenting style reported significant lower generalized anxiety symptoms than those whose parents used authoritative parenting. CLINICAL IMPLICATIONS Children ages 8 to 13 years-old with authoritative parenting style should be evaluated for possible presence of generalized anxiety symptoms.
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Affiliation(s)
- Kelly Romero-Acosta
- Grupo de investigación Dimensiones Humanas. Departamento de investigación psicológica, Facultad de humanidades y educación. Corporación Universitaria del Caribe CECAR. Sincelejo, Colombia.Corporación Universitaria del CaribeCorporación Universitaria del Caribe CECARSincelejoColombia
| | - Lizzette Gómez-de-Regil
- Hospital Regional de Alta Especialidad de la Península de Yucatán. Fraccionamiento Altabrisa. Mérida, Yucatán, México.MéridaYucatánMéxico
| | - Gillian A. Lowe
- Department of Community Health and Psychiatry. The University of the West Indies Mona. Kingston, Jamaica.The University of the West Indies MonaKingstonJamaica
| | - Garth E. Lipps
- Department of Sociology, Psychology and Social Work. The University of the West Indies Mona. Kingston, Jamaica.The University of the West Indies MonaKingstonJamaica
| | - Roger C. Gibson
- Department of Community Health and Psychiatry. The University of the West Indies Mona. Kingston, Jamaica.The University of the West Indies MonaKingstonJamaica
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Estrella-Castillo DF, Gómez-de-Regil L. Comparison of body mass index range criteria and their association with cognition, functioning and depression: a cross-sectional study in Mexican older adults. BMC Geriatr 2019; 19:339. [PMID: 31795994 PMCID: PMC6889317 DOI: 10.1186/s12877-019-1363-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Accepted: 11/21/2019] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND World population is living longer, demanding adjustments in public health policies. Body mass index (BMI) is widely known and used as a parameter and predictor of health status although an adapted criterion for older adults is usually overlooked. BMI has been extensively analysed in relation to mortality but fewer studies address its association with cognition, functioning and depression in older adults. The present study aimed at 1) comparing BMI distribution according to the ranges proposed by the World Health Organization (WHO) and the United States National Research Council Committee on Diet and Health (CDH), 2) analysing their association with cognitive functioning, physical functioning and depression and 3) analysing a possible, interaction of BMI criteria with sex on the outcome measures. METHODS This cross-sectional study included 395 participants recruited by convenience sampling; 283 (71.6%) women and 112 (24.58%) men. Mean age was 74.68 (SD = 8.50, range: 60-98). Outcome measures included the Short Portable Mental State Questionnaire for cognitive status, the Barthel's Index of Activities of Daily Living for physical functioning, and the Geriatric Depression Scale. RESULTS WHO criterion classified most cases (65.3%) as overweight, followed by normal weight (32.2%) and underweight (2.5%) whereas CDH criterion considered most (48.1%) as normal weight, and followed by overweight (31.4%) and underweight (20.5%). Analysing cognitive status, independent physical functioning and depression mean scores, significant differences (p ≤ .001) were found when comparing the three weight groups (underweight, normal weight and overweight) using either the WHO- or the CDH criterion. Post-hoc tests revealed that in all comparisons the underweight group scored the lowest in all three outcome measures. According to the CDH criterion, overweight was favourable for females but unfavourable for males regarding cognitive status (interaction F(2,389) = 4.52, p ≤ .01) and independent functioning (interaction F(2,389) = 3.86, p ≤ .05). CONCLUSIONS BMI and its associations to relevant outcome measures in the older adults must rely on criteria that take into account the particular features of this population, such as the CDH criterion. Underweight was associated with decremented cognition, less independent physical functioning and more depression. Overweight seemed favourable for women but unfavourable for men.
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Affiliation(s)
- Damaris Francis Estrella-Castillo
- Universidad Autónoma de Yucatán. Facultad de Medicina. Licenciatura en Rehabilitación, Avenida Itzáes No. 498 x 59 y 59A. Colonia Centro. Mérida, 97000 Merida, Yucatán Mexico
| | - Lizzette Gómez-de-Regil
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Calle 7, No. 433 por 20 y 22, Fraccionamiento Altabrisa. Mérida, 97130 Merida, Yucatán Mexico
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Estrella-Castillo D, Rubio-Zapata H, Álvarez-Nemegyei J, Gómez-de-Regil L. Narratives of Patients with Osteoarthritis from Yucatan: A Focus Group Interview Study. Rev Biomed 2019. [DOI: 10.32776/revbiomed.v30i3.707] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Introduction: Narrative Medicine serves to accompanying the patient through the experience of illness, listening to his/her story in a simplified therapeutic role. The aim of this interview-based study was to explore in a group of patients with OA from Yucatan the content of their narratives regarding their illness. Methods: Eight patients with OA participated in five focus group interviews that were tape recorded and transcribed verbatim. Narrative analysis considered the number of mentions and theoretical saturation with three dimensions: pain, stiffness and functional capacity.Results: Pain was associated with quality of life, religiosity and social interactions. Regarding stiffness and functional capacity, participants expressed the appraisal of illness as an inevitable deterioration and a rather passive coping response.Conclusions: Narrative-based evidence on how patients with OA perceive and manage their illness underscore health as a concept where the physical and psychological dimensions are in an ongoing interaction; thus, calling for more sensitivity from the medical community and for a comprehensive interdisciplinary treatment.
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Romero-Acosta K, Gómez-de-Regil L. Psychometric properties of two adolescent depression scales in a colombian community sample: ADRS and RCADS -major depression. Psychol 2019. [DOI: 10.21500/19002386.3844] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
La depresión puede presentarse a cualquier edad; sin embargo, cuando ocurre en etapas tempranas de la vida el pronóstico es menos favorable. La identificación y el tratamiento tempranos necesitan herramientas válidas y confiables para evaluar la depresión en niños y adolescentes. El presente estudio analizó, en una muestra comunitaria colombiana, las propiedades psicométricas de dos escalas breves de depresión, utilizando métodos de la Teoría Clásica de los Test: Escala de Valoración de Depresión Adolescente (ADRS) versión de auto-reporte y la Escala de Ansiedad y Depresión Infantil Revisada (RCADS)– Subescala de Depresión Mayor. El análisis de las dos escalas mostró correlaciones ítem-ítem e ítemescala, moderadas y significativas. La consistencia interna fue significativa y adecuada para ambas escalas, ADRS (0.67) y RCADS-Depresión Mayor (0.71). Para ADRS, dos factores explicaron 37.39% de la varianza, mientras que la soluciónde un solo factor explicó 25.99% de la varianza. Para RCADS-Depresión Mayor, dos factores explicaron el 41.81% de varianza y un factor único explicó 29.14%. La validez de constructo fue satisfactoria, ambas escalas mostraron correlaciones moderadas y significativas con el criterio convergente (KADS-11) y el criterio discriminante (RCADS-Ansiedad Generalizada); aunque más fuertes en el primer caso. Los resultados evidencian que ADRS y RCADS-Depresión Mayor son herramientas efectivas para la valoración de síntomas depresivos en niños y adolescentes.
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Abstract
Objetivo: Proveer un resumen de la evidencia científica de accesos abierto sobre intervenciones con Terapia Cognitivo Conductual en pacientes con fibromialgia. Método: Se realizó una búsqueda bibliográfica en las bases en línea de Pubmed y PsycInfo, Latindex, Scielo y Redalyc. No aplicó criterio por año de publicación. Resultados: Las primeras 377 citas obtenidas se redujeron a una lista de 59 publicaciones relevantes, publicadas entre 1993 y 2016. La mayoría de los estudios se realizaron en muestras de pacientes adultos, en España o Estados Unidos, con un diseño cuantitativo de tipo pre – post. Únicamente 15 publicaciones fueron de acceso abierto. Conclusiones: La evidencia empírica es amplia; sin embargo, el acceso a la misma es generalmente restringido. El material de acceso abierto puede promover el interés en las intervenciones con Terapia Cognitivo Conductual y estimular su diseño, implementación y evaluación, todo esto en beneficio de los pacientes con fibromialgia, los sistemas de salud y la ciencia.
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Gómez-de-Regil L. Psychometric properties of the Seville quality of life questionnaire in Mexican patients with psychosis. BMC Psychiatry 2016; 16:160. [PMID: 27225464 PMCID: PMC4880981 DOI: 10.1186/s12888-016-0877-7] [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: 11/02/2015] [Accepted: 05/17/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Seville Quality of Life Questionnaire (CSCV) was designed to assess quality of life in patients with schizophrenia taking into account those facets particularly important in this disorder. The study aimed at applying the CSCV to a sample of Mexican patients with psychosis in an effort further substantiates the psychometric properties of the CSCV. METHODS This cross-sectional study included 61 patients (56 % female) with psychosis. Item-scale and item-factor correlations were analyzed, as well as scale-factor correlations. Cronbach's Alpha and principal component analysis with varimax rotation were used to assess internal consistency and construct validity, respectively. RESULTS Analyses of both, disfavorable and favorable dimensions, showed a stronger item-scale than item-factor correlation, in most cases significant, though. Internal consistency was significant and adequate; higher for scales than for factors. For the disfavorable and the favorable scales 11 and 2 factors were obtained, respectively; explained variance was low. CONCLUSIONS In this sample of Mexican patients it was replicated that the CSCV is a valid and reliable instrument to assess quality of life in people with psychosis; the use of scale scores is recommended.
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Affiliation(s)
- Lizzette Gómez-de-Regil
- Hospital Regional de Alta Especialidad de la Península de Yucatán (HRAEPY), Calle 7, No. 433 por 20 y 22, Fraccionamiento Altabrisa, Mérida, Yucatán, 97130, Mexico.
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Estrella-Castillo DF, Gómez-de-Regil L. Quality of life in Mexican patients with primary neurological or musculoskeletal disabilities. Disabil Health J 2015; 9:127-33. [PMID: 26123857 DOI: 10.1016/j.dhjo.2015.05.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2014] [Revised: 05/15/2015] [Accepted: 05/20/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND As the population with a disability increases both in number and life expectancy, so does its demand for health services. Very little original research has been done in Mexican populations regarding the effect of disability on quality of life. OBJECTIVES 1) Assessing the subjective quality of life of patients with neuromusculoskeletal and movement-related function disabilities and, 2) Analyzing the possible effect of the medical condition (diseases of the nervous system vs. diseases of the musculoskeletal system and connective tissue) and its interaction with sex and age. METHODS In a cross-sectional design 330 participants were recruited from a public institution in Mexico providing specialized outpatient rehabilitation. After signing informed consent they responded a brief sociodemographic questionnaire and the WHOQOL-BREF scale. RESULTS In general quality of life levels were satisfactory. Female and elderly patients with diseases of the nervous system were particularly affected in the physical and psychological dimensions. Women with diseases of the nervous system also showed a negatively affected social quality of life. Elderly with diseases of the musculoskeletal system and connective tissue scored the lowest in general health perception. CONCLUSIONS Even though most patients were quite satisfied with their quality of life, not all aspects or cases have such positive perceptions; both the physical and psychological dimensions were particularly negative in female and elderly patients with nervous system diseases. Clinicians would do well to thoughtfully assess patients in these groups and adjust treatment to achieve the greatest possible rehabilitation.
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Affiliation(s)
- Damaris F Estrella-Castillo
- Universidad Autónoma de Yucatán, Facultad de Medicina, Avenida Itzáes No. 498 x 59 y 59A Colonia Centro, Mérida, Yucatán CP 97000, Mexico
| | - Lizzette Gómez-de-Regil
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Calle 7, No. 433 por 20 y 22, Fraccionamiento Altabrisa, Mérida, Yucatán 97130, Mexico.
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Gómez-de-Regil L. Insight and illness perception in Mexican patients with psychosis. Schizophr Res Cogn 2015; 2:33-38. [PMID: 29379759 PMCID: PMC5779292 DOI: 10.1016/j.scog.2015.01.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Revised: 01/21/2015] [Accepted: 01/26/2015] [Indexed: 11/19/2022]
Abstract
Background Insight and illness perception are two concepts of interest in the study of factors related to clinical outcome in patients with psychosis. Insight implies a risk of emotional distress for the patient. Illness perceptions, regardless of their accuracy, might be favorable or not to illness. Literature provides evidence of significant correlates of these factors with clinical outcome, but they are rarely included in a single study. Objectives 1) assessing insight and illness perception in a sample of Mexican patients who have experienced psychosis and, 2) analyzing how insight and illness perception relate to each other and how they relate to clinical status (i.e., positive, negative, and general psychopathology, depression, and anxiety). Methods Sixty-one participants (55.7% females) were recruited from a public psychiatric hospital; insight and illness perceptions were assessed with the SUMD and the Brief-IPQ, respectively. Clinical status was assessed with the PANSS, CDS and BAI scales. Results Participants showed good insight, favorable illness perceptions for the cognitive and comprehension dimensions, but unfavorable for the emotional dimension. Clinical status of sample was characterized by mild symptoms. Poor insight related to positive symptoms and general psychopathology. Cognitive and emotional perceptions of illness were significantly associated to most clinical status parameters, whereas comprehension showed no significant results. Conclusions The study not only replicates the significant association on insight and illness perception with clinical outcome, but shows how their patterns of interactions are different, reinforcing the idea that they are two distinct factors worthy of being habitually acknowledged in research and clinical practice.
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Affiliation(s)
- Lizzette Gómez-de-Regil
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Calle 7, No. 433 por 20 y 22, Fracc, Altabrisa, Mérida, Yucatán, México, 97130. Tel.: + 52 999 942 7600; fax: + 52 999 254 3535.
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Gómez-de-Regil L. Illness course and quality of life in Mexican patients with psychosis. Rev Psiquiatr Salud Ment 2014; 8:218-23. [PMID: 24631456 DOI: 10.1016/j.rpsm.2013.12.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2013] [Revised: 11/14/2013] [Accepted: 12/14/2013] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To analyze the differences in the quality of life of patients with psychosis according to the course of the illness. METHOD Clinical records and SCID-I interviews were used to establish the course of the illness and to categorize it according to 3 criteria: a) relapses, b) residual symptoms, and c) clinical diagnosis. Subjective quality of life was assessed with the Seville Questionnaire. RESULTS Sixty one patients (56% women) participated, reporting a mostly adequate quality of life. An illness course characterized by the presence of residual symptoms, rather than by the occurrence of any relapse or the progression of a first-episode psychosis into schizophrenia, showed a negative effect on the perceived quality of life of patients. CONCLUSIONS The clinical services provided to patients with psychosis should focus not only on symptoms remission and relapse prevention, but also achieving a recovery with a satisfactory quality of life. Having identified residual symptoms as a crucial factor negatively affecting quality of life, clinicians must carefully assess them and treat them, in order to achieve the best possible recovery.
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Affiliation(s)
- Lizzette Gómez-de-Regil
- Unidad de Investigación, Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida, Yucatán, México.
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Gómez-de-Regil L, Kwapil TR, Barrantes-Vidal N. Predictors of expressed emotion, burden and quality of life in relatives of Mexican patients with psychosis. J Psychiatr Ment Health Nurs 2014; 21:170-9. [PMID: 23551489 DOI: 10.1111/jpm.12071] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [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] [Accepted: 02/17/2013] [Indexed: 02/06/2023]
Abstract
Expressed emotion, burden and quality of life of relatives received attention because of the increasing interest in predicting and preventing relapse in psychotic patients; but they have subsequently acquired interest of their own as important aspects of families' psychological well-being. The study explores whether the psychological distress and illness perception of a sample of relatives of Mexican patients with psychosis can predict their levels of expressed emotion, burden and quality of life above patients' clinical and functional status. Sixty-five patient-relative dyads were interviewed. Relatives self-reported on expressed emotion, burden, quality of life, psychological distress and illness perception. Patients' clinical and functional status was rated by an interviewer. Pearson correlations and hierarchical multiple linear regressions were used for statistical analyses. Patients' functional status and relatives' psychological distress were significantly associated with expressed emotion, burden and quality of life. Patients' clinical status and relatives' illness perception were most strongly related to expressed emotion and burden. Relatives' psychological distress and illness perception dimensions predicted both burden and quality of life, over and above patients' clinical and functional status. Results underscore the relatives' need of support to overcome their own distress and concerns about the illness, for the psychological well-being of both patients and relatives.
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Affiliation(s)
- L Gómez-de-Regil
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida, Yucatán, México; Departament de Psicologia Clínica i de la Salut, Facultat de Psicologia, Universitat Autònoma de Barcelona
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Barrantes-Vidal N, Gómez-de-Regil L, Navarro B, Vicens-Vilanova J, Obiols J, Kwapil T. Psychotic-like symptoms and positive schizotypy are associated with mixed and ambiguous handedness in an adolescent community sample. Psychiatry Res 2013; 206:188-94. [PMID: 23318027 DOI: 10.1016/j.psychres.2012.12.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2011] [Revised: 11/30/2012] [Accepted: 12/11/2012] [Indexed: 10/27/2022]
Abstract
The objective of this study was to replicate the association between atypical handedness and psychosis-proneness in a representative sample of adolescents from the general population. It expands previous studies by (1) analyzing a variety of atypical handedness indexes (left, mixed, ambiguous, and inconsistent), (2) measuring comprehensively the multidimensionality of psychosis-proneness, and (3) analyzing the association of different patterns of atypical handedness with nonclinical dimensions of both trait (schizotypy) and sub-clinical symptom (psychotic-like experiences) levels. Seven hundred and twenty-eight adolescents were assessed for handedness by the 12-item self-report Annett Hand Preference Questionnaire and for psychosis-proneness by the Oxford-Liverpool Inventory of Feelings and Experiences and the Community Assessment of Psychic Experiences scales. Writing-hand alone did not detect associations between laterality and psychosis-proneness. Mixed- rather than left-handedness was related to psychosis-proneness, and this was more evident when analyzing subjects with ambiguous handedness exclusively. When analysis was restricted to subjects with non-ambiguous handedness, strong left-handedness was related to psychosis-proneness. The positive dimension showed a stronger association than the negative one with atypical handedness. Results partially support mixed-handedness as a marker of developmental disorders underlying both atypical lateralization and psychosis-proneness. Among various possible mixed-handedness patterns, inconsistent hand use across primary actions, and for the same action across time, seems particularly related to psychosis-proneness and thus requires further exploration.
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Affiliation(s)
- Neus Barrantes-Vidal
- Departament de Psicologia Clínica i de Salut, Facultat de Psicologia, Universitat Autònoma de Barcelona, Bellaterra, 08193 Barcelona, Spain.
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Gómez-de-Regil L, Kwapil TR, Blanqué JM, Vainer E, Montoro M, Barrantes-Vidal N. Predictors of outcome in the early course of first-episode psychosis. Eur J Psychiat 2010. [DOI: 10.4321/s0213-61632010000200004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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