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Witteveen AB, Young SY, Cuijpers P, Ayuso-Mateos JL, Barbui C, Bertolini F, Cabello M, Cadorin C, Downes N, Franzoi D, Gasior M, Gray B, Melchior M, van Ommeren M, Palantza C, Purgato M, van der Waerden J, Wang S, Sijbrandij M. COVID-19 and common mental health symptoms in the early phase of the pandemic: An umbrella review of the evidence. PLoS Med 2023; 20:e1004206. [PMID: 37098048 PMCID: PMC10129001 DOI: 10.1371/journal.pmed.1004206] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 02/21/2023] [Indexed: 04/26/2023] Open
Abstract
BACKGROUND There remains uncertainty about the impact of the Coronavirus Disease 2019 (COVID-19) pandemic on mental health. This umbrella review provides a comprehensive overview of the association between the pandemic and common mental disorders. We qualitatively summarized evidence from reviews with meta-analyses of individual study-data in the general population, healthcare workers, and specific at-risk populations. METHODS AND FINDINGS A systematic search was carried out in 5 databases for peer-reviewed systematic reviews with meta-analyses of prevalence of depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms during the pandemic published between December 31, 2019 until August 12, 2022. We identified 123 reviews of which 7 provided standardized mean differences (SMDs) either from longitudinal pre- to during pandemic study-data or from cross-sectional study-data compared to matched pre-pandemic data. Methodological quality rated with the Assessment of Multiple Systematic Reviews checklist scores (AMSTAR 2) instrument was generally low to moderate. Small but significant increases of depression, anxiety, and/or general mental health symptoms were reported in the general population, in people with preexisting physical health conditions, and in children (3 reviews; SMDs ranged from 0.11 to 0.28). Mental health and depression symptoms significantly increased during periods of social restrictions (1 review; SMDs of 0.41 and 0.83, respectively) but anxiety symptoms did not (SMD: 0.26). Increases of depression symptoms were generally larger and longer-lasting during the pandemic (3 reviews; SMDs depression ranged from 0.16 to 0.23) than those of anxiety (2 reviews: SMDs 0.12 and 0.18). Females showed a significantly larger increase in anxiety symptoms than males (1 review: SMD 0.15). In healthcare workers, people with preexisting mental disorders, any patient group, children and adolescents, and in students, no significant differences from pre- to during pandemic were found (2 reviews; SMD's ranging from -0.16 to 0.48). In 116 reviews pooled cross-sectional prevalence rates of depression, anxiety, and PTSD symptoms ranged from 9% to 48% across populations. Although heterogeneity between studies was high and largely unexplained, assessment tools and cut-offs used, age, sex or gender, and COVID-19 exposure factors were found to be moderators in some reviews. The major limitations are the inability to quantify and explain the high heterogeneity across reviews included and the shortage of within-person data from multiple longitudinal studies. CONCLUSIONS A small but consistent deterioration of mental health and particularly depression during early pandemic and during social restrictions has been found in the general population and in people with chronic somatic disorders. Also, associations between mental health and the pandemic were stronger in females and younger age groups than in others. Explanatory individual-level, COVID-19 exposure, and time-course factors were scarce and showed inconsistencies across reviews. For policy and research, repeated assessments of mental health in population panels including vulnerable individuals are recommended to respond to current and future health crises.
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Affiliation(s)
- Anke B. Witteveen
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and World Health Organization Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands
| | - Susanne Y. Young
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and World Health Organization Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands
- South African PTSD Research Programme of Excellence, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | - Pim Cuijpers
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and World Health Organization Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands
| | - José Luis Ayuso-Mateos
- Department of Psychiatry, Universidad Autonoma de Madrid, WHO Collaborating Center for Research and Training in Mental Health Services at the Universidad Autónoma de Madrid, Madrid, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain
| | - Corrado Barbui
- WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Federico Bertolini
- WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Maria Cabello
- Department of Psychiatry, Universidad Autonoma de Madrid, WHO Collaborating Center for Research and Training in Mental Health Services at the Universidad Autónoma de Madrid, Madrid, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain
| | - Camilla Cadorin
- WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Naomi Downes
- Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Equipe de Recherche en Epidémiologie Sociale, Paris, France
| | - Daniele Franzoi
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and World Health Organization Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands
| | - Michael Gasior
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and World Health Organization Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands
| | - Brandon Gray
- World Health Organization, Department of Mental Health and Substance Use, Geneva, Switzerland
| | - Maria Melchior
- Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Equipe de Recherche en Epidémiologie Sociale, Paris, France
| | - Mark van Ommeren
- World Health Organization, Department of Mental Health and Substance Use, Geneva, Switzerland
| | - Christina Palantza
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and World Health Organization Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands
| | - Marianna Purgato
- WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Judith van der Waerden
- Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Equipe de Recherche en Epidémiologie Sociale, Paris, France
| | - Siyuan Wang
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and World Health Organization Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands
| | - Marit Sijbrandij
- Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Institute and World Health Organization Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, the Netherlands
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Witteveen A, Young S, Cuijpers P, Ayuso-Mateos J, Barbui C, Bertolini F, Cabello M, Cadorin C, Downes N, Franzoi D, Gasior M, John A, Melchior M, McDaid D, Palantza C, Purgato M, Van der Waerden J, Wang S, Sijbrandij M. Remote mental health care interventions during the COVID-19 pandemic: An umbrella review. Behav Res Ther 2022; 159:104226. [PMID: 36410111 PMCID: PMC9661449 DOI: 10.1016/j.brat.2022.104226] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [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: 12/20/2021] [Revised: 10/13/2022] [Accepted: 11/07/2022] [Indexed: 11/13/2022]
Abstract
Mitigating the COVID-19 related disruptions in mental health care services is crucial in a time of increased mental health disorders. Numerous reviews have been conducted on the process of implementing technology-based mental health care during the pandemic. The research question of this umbrella review was to examine what the impact of COVID-19 was on access and delivery of mental health services and how mental health services have changed during the pandemic. A systematic search for systematic reviews and meta-analyses was conducted up to August 12, 2022, and 38 systematic reviews were identified. Main disruptions during COVID-19 were reduced access to outpatient mental health care and reduced admissions and earlier discharge from inpatient care. In response, synchronous telemental health tools such as videoconferencing were used to provide remote care similar to pre-COVID care, and to a lesser extent asynchronous virtual mental health tools such as apps. Implementation of synchronous tools were facilitated by time-efficiency and flexibility during the pandemic but there was a lack of accessibility for specific vulnerable populations. Main barriers among practitioners and patients to use digital mental health tools were poor technological literacy, particularly when preexisting inequalities existed, and beliefs about reduced therapeutic alliance particularly in case of severe mental disorders. Absence of organizational support for technological implementation of digital mental health interventions due to inadequate IT infrastructure, lack of funding, as well as lack of privacy and safety, challenged implementation during COVID-19. Reviews were of low to moderate quality, covered heterogeneously designed primary studies and lacked findings of implementation in low- and middle-income countries. These gaps in the evidence were particularly prevalent in studies conducted early in the pandemic. This umbrella review shows that during the COVID-19 pandemic, practitioners and mental health care institutions mainly used synchronous telemental health tools, and to a lesser degree asynchronous tools to enable continued access to mental health care for patients. Numerous barriers to these tools were identified, and call for further improvements. In addition, more high quality research into comparative effectiveness and working mechanisms may improve scalability of mental health care in general and in future infectious disease outbreaks.
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Affiliation(s)
- A.B. Witteveen
- Clinical, Neuro and Developmental Psychology, and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands,Corresponding author
| | - S. Young
- Clinical, Neuro and Developmental Psychology, and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands
| | - P. Cuijpers
- Clinical, Neuro and Developmental Psychology, and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands
| | - J.L. Ayuso-Mateos
- Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain,Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain,Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain
| | - C. Barbui
- WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - F. Bertolini
- WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - M. Cabello
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain,Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain
| | - C. Cadorin
- WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - N. Downes
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Faculté de Médecine St Antoine, Paris, France
| | - D. Franzoi
- Clinical, Neuro and Developmental Psychology, and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands
| | - M. Gasior
- Clinical, Neuro and Developmental Psychology, and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands
| | - A. John
- Health Data Science, Swansea University Medical School, Swansea, UK
| | - M. Melchior
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Faculté de Médecine St Antoine, Paris, France
| | - D. McDaid
- Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London, UK
| | - C. Palantza
- Clinical, Neuro and Developmental Psychology, and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands
| | - M. Purgato
- WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Verona, Italy
| | - J. Van der Waerden
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Faculté de Médecine St Antoine, Paris, France
| | - S. Wang
- Clinical, Neuro and Developmental Psychology, and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands
| | - M. Sijbrandij
- Clinical, Neuro and Developmental Psychology, and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Institute, VU University, Amsterdam, the Netherlands
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Rugulies R, Sørensen K, Di Tecco C, Bonafede M, Rondinone BM, Ahn S, Ando E, Ayuso-Mateos JL, Cabello M, Descatha A, Dragano N, Durand-Moreau Q, Eguchi H, Gao J, Godderis L, Kim J, Li J, Madsen IEH, Pachito DV, Sembajwe G, Siegrist J, Tsuno K, Ujita Y, Wang J, Zadow A, Iavicoli S, Pega F. The effect of exposure to long working hours on depression: A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Environ Int 2021; 155:106629. [PMID: 34144478 DOI: 10.1016/j.envint.2021.106629] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 03/07/2021] [Accepted: 05/05/2021] [Indexed: 05/21/2023]
Abstract
BACKGROUND The World Health Organization (WHO) and the International Labour Organization (ILO) are developing the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury (WHO/ILO Joint Estimates), supported by a large number of individual experts. Evidence from previous reviews suggests that exposure to long working hours may cause depression. In this article, we present a systematic review and meta-analysis of parameters for estimating (if feasible) the number of deaths and disability-adjusted life years from depression that are attributable to exposure to long working hours, for the development of the WHO/ILO Joint Estimates. OBJECTIVES We aimed to systematically review and meta-analyse estimates of the effect of exposure to long working hours (three categories: 41-48, 49-54 and ≥55 h/week), compared with exposure to standard working hours (35-40 h/week), on depression (three outcomes: prevalence, incidence and mortality). DATA SOURCES We developed and published a protocol, applying the Navigation Guide as an organizing systematic review framework where feasible. We searched electronic academic databases for potentially relevant records from published and unpublished studies, including the WHO International Clinical Trial Registers Platform, Medline, PubMed, EMBASE, Web of Science, CISDOC and PsycInfo. We also searched grey literature databases, Internet search engines and organizational websites; hand-searched reference lists of previous systematic reviews; and consulted additional experts. STUDY ELIGIBILITY AND CRITERIA We included working-age (≥15 years) workers in the formal and informal economy in any WHO and/or ILO Member State but excluded children (aged <15 years) and unpaid domestic workers. We included randomized controlled trials, cohort studies, case-control studies and other non-randomized intervention studies with an estimate of the effect of exposure to long working hours (41-48, 49-54 and ≥55 h/week), compared with exposure to standard working hours (35-40 h/week), on depression (prevalence, incidence and/or mortality). STUDY APPRAISAL AND SYNTHESIS METHODS At least two review authors independently screened titles and abstracts against the eligibility criteria at a first stage and full texts of potentially eligible records at a second stage, followed by extraction of data from qualifying studies. Missing data were requested from principal study authors. We combined odds ratios using random-effects meta-analysis. Two or more review authors assessed the risk of bias, quality of evidence and strength of evidence, using Navigation Guide and GRADE tools and approaches adapted to this project. RESULTS Twenty-two studies (all cohort studies) met the inclusion criteria, comprising a total of 109,906 participants (51,324 females) in 32 countries (as one study included multiple countries) in three WHO regions (Americas, Europe and Western Pacific). The exposure was measured using self-reports in all studies, and the outcome was assessed with a clinical diagnostic interview (four studies), interview questions about diagnosis and treatment of depression (three studies) or a validated self-administered rating scale (15 studies). The outcome was defined as incident depression in all 22 studies, with first time incident depression in 21 studies and recurrence of depression in one study. We did not identify any study on prevalence of depression or on mortality from depression. For the body of evidence for the outcome incident depression, we had serious concerns for risk of bias due to selection because of incomplete outcome data (most studies assessed depression only twice, at baseline and at a later follow-up measurement, and likely have missed cases of depression that occurred after baseline but were in remission at the time of the follow-up measurement) and due to missing information on life-time prevalence of depression before baseline measurement. Compared with working 35-40 h/week, we are uncertain about the effect on acquiring (or incidence of) depression of working 41-48 h/week (pooled odds ratio (OR) 1.05, 95% confidence interval (CI) 0.86 to 1.29, 8 studies, 49,392 participants, I2 46%, low quality of evidence); 49-54 h/week (OR 1.06, 95% CI 0.93 to 1.21, 8 studies, 49,392 participants, I2 40%, low quality of evidence); and ≥ 55 h/week (OR 1.08, 95% CI 0.94 to 1.24, 17 studies, 91,142 participants, I2 46%, low quality of evidence). Subgroup analyses found no evidence for statistically significant (P < 0.05) differences by WHO region, sex, age group and socioeconomic status. Sensitivity analyses found no statistically significant differences by outcome measurement (clinical diagnostic interview [gold standard] versus other measures) and risk of bias ("high"/"probably high" ratings in any domain versus "low"/"probably low" in all domains). CONCLUSIONS We judged the existing bodies of evidence from human data as "inadequate evidence for harmfulness" for all three exposure categories, 41-48, 48-54 and ≥55 h/week, for depression prevalence, incidence and mortality; the available evidence is insufficient to assess effects of the exposure. Producing estimates of the burden of depression attributable to exposure to long working appears not evidence-based at this point. Instead, studies examining the association between long working hours and risk of depression are needed that address the limitations of the current evidence.
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Affiliation(s)
- Reiner Rugulies
- National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
| | - Kathrine Sørensen
- National Research Centre for the Working Environment, Copenhagen, Denmark.
| | - Cristina Di Tecco
- Inail, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Monte Porzio Catone (Rome), Italy.
| | - Michela Bonafede
- Inail, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Monte Porzio Catone (Rome), Italy.
| | - Bruna M Rondinone
- Inail, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Monte Porzio Catone (Rome), Italy.
| | - Seoyeon Ahn
- National Pension Research Institute, Jeonju-si, Republic of Korea.
| | | | - Jose Luis Ayuso-Mateos
- Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain; Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain.
| | - Maria Cabello
- Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Spain.
| | - Alexis Descatha
- Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-49000 Angers, France; AP-HP (Paris Hospital), Occupational Health Unit, Poincaré University Hospital, Garches, France; Inserm Versailles St-Quentin Univ - Paris Saclay Univ (UVSQ), UMS 011, UMR-S 1168, Villejuif, France.
| | - Nico Dragano
- Institute of Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.
| | - Quentin Durand-Moreau
- Division of Preventive Medicine, Department of Medicine, University of Alberta, Edmonton, Canada.
| | - Hisashi Eguchi
- Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Kitakyushu, Japan; Department of Public Health, Kitasato University School of Medicine, Sagamihara, Knagawa, Japan.
| | - Junling Gao
- School of Public Health, Fudan University, Shanghai, People's Republic of China.
| | - Lode Godderis
- Centre for Environment and Health, KU Leuven, Leuven, Belgium; KIR Department (Knowledge, Information & Research), IDEWE, External Service for Prevention and Protection at Work, Leuven, Belgium.
| | - Jaeyoung Kim
- Department of Preventive Medicine, College of Medicine, Keimyung University, Daegu, Republic of Korea.
| | - Jian Li
- Department of Environmental Health Sciences, Fielding School of Public Health, School of Nursing, University of California, Los Angeles, United States.
| | - Ida E H Madsen
- National Research Centre for the Working Environment, Copenhagen, Denmark.
| | | | - Grace Sembajwe
- Department of Occupational Medicine Epidemiology and Prevention, Zucker School of Medicine at Hofstra University, Feinstein Institutes for Medical Research, Northwell Health, New York, United States; Department of Environmental Occupational and Geospatial Sciences, CUNY Institute for Implementation Science in Public Health, CUNY Graduate School of Public Health and Health Policy, New York, United States.
| | | | - Kanami Tsuno
- School of Health Innovation, Kanagawa University of Human Services, Japan.
| | - Yuka Ujita
- Labour Administration, Labour Inspection and Occupational Safety and Health Branch, International Labour Organization, Geneva, Switzerland.
| | - JianLi Wang
- Institute of Mental Health Research, University of Ottawa, Canada.
| | - Amy Zadow
- University of South Australia, Adelaide, Australia.
| | - Sergio Iavicoli
- Inail, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Monte Porzio Catone (Rome), Italy.
| | - Frank Pega
- Department of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland.
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de la Torre-Luque A, Cabello M, Lara E, de la Fuente J, Miret M, Sanchez-Niubo A, Haro JM, Ayuso-Mateos JL. Functioning profiles in a nationally representative cohort of Spanish older adults: A latent class study. Health Soc Care Community 2020; 28:2190-2198. [PMID: 32501615 DOI: 10.1111/hsc.13031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 04/20/2020] [Accepted: 04/29/2020] [Indexed: 06/11/2023]
Abstract
Ageing well involves individuals continuing participating in personal, social and civic affairs even in older age. From this standpoint, limitations in individual's functioning (beyond the mere absence of disease) may drastically impact on how well people becoming older. This study aimed to identify functional status profiles in a nationally representative sample of older adults, using latent class analysis methods. Moreover, it intended to study the how identified classes would be related to health-related outcomes later in life, as a way to provide some evidence on predictive validity. Data from a nationally representative sample of Spanish older adults (N = 2,118; 56.18% women; M = 71.50 years, SD = 7.76), were used. Profiles were identified according to a large set of functioning indicators from multiple domains using latent class analysis. Outcomes were studied over a 3-year follow-up, considering both the individual (quality of life, well-being and mortality) and institutional level (health service utilisation). As a result, seven profiles were identified: normative profile (showed by most participants), limited cognitive functioning class, limited global functioning class, limited mental and mobility functioning class, poor self-reported health class, limited sensory functioning class and limited objective functioning class. All the profiles with limitations across domains showed poor outcomes. Multidimensional limitations were related to the worst outcomes, especially when psychosomatic complaints and high feelings of loneliness were reported. To sum up, latent class analysis constitutes a suitable alternative to study population heterogeneity, providing relevant evidence to help making decision in public and community health.
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Affiliation(s)
- Alejandro de la Torre-Luque
- Centre for Biomedical Research in Mental Health (CIBERSAM), Spain
- Department of Legal Medicine, Psychiatry and Pathology, Universidad Complutense de Madrid, Madrid, Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Maria Cabello
- Centre for Biomedical Research in Mental Health (CIBERSAM), Spain
- Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Elvira Lara
- Centre for Biomedical Research in Mental Health (CIBERSAM), Spain
- Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Javier de la Fuente
- Centre for Biomedical Research in Mental Health (CIBERSAM), Spain
- Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Marta Miret
- Centre for Biomedical Research in Mental Health (CIBERSAM), Spain
- Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Albert Sanchez-Niubo
- Centre for Biomedical Research in Mental Health (CIBERSAM), Spain
- Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain
| | - Josep Maria Haro
- Centre for Biomedical Research in Mental Health (CIBERSAM), Spain
- Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain
| | - Jose Luis Ayuso-Mateos
- Centre for Biomedical Research in Mental Health (CIBERSAM), Spain
- Department of Psychiatry, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
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Lindert J, Jakubauskiene M, Natan M, Wehrwein A, Bain P, Schmahl C, Kamenov K, Carta M, Cabello M. Psychosocial interventions for violence exposed youth - A systematic review. Child Abuse Negl 2020; 108:104530. [PMID: 32805619 DOI: 10.1016/j.chiabu.2020.104530] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 03/18/2020] [Accepted: 05/04/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Violence exposure (direct, indirect, individual, structural) affects youth mental health. OBJECTIVE We aimed to evaluate the effectiveness of psychosocial interventions in addressing the sequelae of violence exposure on youth (15-24 years old) and evaluate whether moderating factors impact intervention effectiveness. METHODS We systematically searched eight databases and reference lists to retrieve any studies of psychosocial interventions addressing mental health among youth aged 15-25 exposed to violence. We assessed study risk of bias using an adapted version of the Downs and Black's Risk of Bias Scale. RESULTS We identified n = 3077 studies. Sixteen articles representing 14 studies met were included. The studies assessed direct and indirect individual violence exposure at least once. We pooled the data from the 14 studies and evaluated the effects. We estimated an average effect of r+ = 0.57 (RCTs: 95 % CI 0.02-1.13; observational studies: 95 % CI 0.27-86) with some heterogeneity (RCTs: I2 = 78.03, longitudinal studies: I2 = 82.93). The most effective interventions are Cognitive Behavioral Therapy, and Exposure Therapy with an exposure focus. However, due to the small number of studies we are uncertain about benefits of interventions. CONCLUSIONS No study assessed structural violence. Therefore, studies are needed to evaluate the effects of psychosocial interventions for youth exposed to direct, indirect, individual and structural violence.
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Affiliation(s)
- Jutta Lindert
- University of Applied Sciences Emden/Leer, Emden, Germany; WRSC, Brandeis University, Waltham, United States.
| | | | - Marta Natan
- University of Applied Sciences Emden/Leer, Emden, Germany
| | | | - Paul Bain
- Countway Library, Harvard School of Public Health, Boston, United States
| | - Christian Schmahl
- Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany; Department of Psychiatry, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada
| | - Kaloyan Kamenov
- Instituto de salud Carlos III, Centro de investigación biomédica en salud mental (CIBERSAM), Departamento de psiquiatría, Universidad Autónoma de Madrid
| | - Mauro Carta
- Liaison Psychiatry Unit, University Hospital, Department of Medical Sciences and Public Health, University of Cagliari, Italy
| | - Maria Cabello
- Countway Library, Harvard School of Public Health, Boston, United States
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Cabello M, Miret M, Ayuso-Mateos JL, Caballero FF, Chatterji S, Tobiasz-Adamczyk B, Haro JM, Koskinen S, Leonardi M, Borges G. Cross-national prevalence and factors associated with suicide ideation and attempts in older and young-and-middle age people. Aging Ment Health 2020; 24:1533-1542. [PMID: 30990056 DOI: 10.1080/13607863.2019.1603284] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [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: 10/27/2022]
Abstract
Objectives: To report prevalence estimates of 12-month suicide ideation and attempts in young-and-middle age adults and older people, as well as their respective associated factors.Methods: A total of 52,150 community-dwelling adults who completed the adapted version of the Composite International Diagnostic Interview-Depression Module were included from SAGE and COURAGE in Europe studies. The presence of 12-month suicide ideation and attempts was measured among the participants who screened positively in the Depression Module. Global and national prevalence estimates of 12-month suicide ideation and attempts were calculated according to the total sample. Logistic regression analyses were conducted to separately determine factors associated with suicidal ideation and with suicide attempts in young-and-middle age adults and older adults.Results: Higher estimates of 12-month suicidal ideation were found for high-income countries and people aged 65 years and older. Higher negative affect, higher disability, and presence of food insecurity were associated with 12-month suicidal ideation and suicide attempts for young-and-middle-adults and older adults. Higher isolation, being female, and greater number of chronic health conditions were also related to 12-month suicidal ideation in both age groups. Younger age was associated with 12-month suicidal ideation for older people, and with suicide attempts in the young-and-middle age group. Finally, higher income was related to lower rates of 12-month suicidal ideation for the young-and-middle age group.Conclusions: Older people are at increased risk of suicidal ideation globally and of suicide attempts in some countries. There were common and different factors related to suicide in adults and older adults.
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Affiliation(s)
- Maria Cabello
- Department of Psychiatry, Universidad Autonoma de Madrid, Arzobispo Morcillo, Madrid, Spain.,Instituto de Salud Carlos III, CIBER of Mental Health (CIBERSAM), Monforte de Lemos, Madrid, Spain
| | - Marta Miret
- Department of Psychiatry, Universidad Autonoma de Madrid, Arzobispo Morcillo, Madrid, Spain.,Instituto de Salud Carlos III, CIBER of Mental Health (CIBERSAM), Monforte de Lemos, Madrid, Spain
| | - José Luis Ayuso-Mateos
- Department of Psychiatry, Universidad Autonoma de Madrid, Arzobispo Morcillo, Madrid, Spain.,Instituto de Salud Carlos III, CIBER of Mental Health (CIBERSAM), Monforte de Lemos, Madrid, Spain
| | - Felix Feliz Caballero
- Department of Preventive Medicine, Public Health and Microbiology, Universidad Autonoma de Madrid, Arzobispo Morcillo, Madrid, Spain.,Instituto de Salud Carlos III, CIBER of Epidemiology and Public, Health (CIBERESP), Monforte de Lemos, Madrid, Spain
| | - Somnath Chatterji
- Information, Evidence and Research Unit, World Health Organization, Geneva, Switzerland
| | - Beata Tobiasz-Adamczyk
- Department of Medical Sociology, Jagiellonian University Medical College, Krakow, Poland
| | - Josep Maria Haro
- Instituto de Salud Carlos III, CIBER of Mental Health (CIBERSAM), Monforte de Lemos, Madrid, Spain.,Research Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Dr. Antoni Pujadas, Barcelona, Spain
| | - Seppo Koskinen
- Ageing, Disability and Functioning Unit, National Institute for Health and Welfare, Helsinki, Finland
| | - Matilde Leonardi
- Neurology, Public Health and Disability Unit, Neurological Institute C. Besta IRCCS Foundation, Milan, Italy
| | - Guilherme Borges
- National Institute of Psychiatry Ramon de la Fuente, Mexico City, Mexico
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Rubio S, Medina A, Cabello M, Lavela P, Alcántara R, Vicente CP, Ortiz GF, Tirado JL. Inorganic solids for dual magnesium and sodium battery electrodes. J Solid State Electrochem 2020. [DOI: 10.1007/s10008-020-04620-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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8
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Piłat A, Galaś A, Wilga M, Cabello M, Koskinen S, Haro JM, Leonardi M, Tobiasz-Adamczyk B. Gender perspective in the analysis of the relationship between health and work cessation, and how to deal with it. Int J Occup Med Environ Health 2020; 33:365-384. [PMID: 32329474 DOI: 10.13075/ijomeh.1896.01351] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
OBJECTIVES The main objective of this study is to examine the relationship between health and an early exit from paid employment in the Finnish, Polish, and Spanish populations. The authors have addressed the following 3 issues: who chooses not to work according to gender patterns, whether the health status is a determinant of being non-employed, and what diseases are associated with being non-employed. MATERIAL AND METHODS The studied material consists of data from the Collaborative Research on Ageing in Europe (COURAGE in Europe) project. The analysis was based on a sample of 5868 individuals, including 1214 from Finland, 2152 from Poland and 2532 from Spain. In the paper, these data were complemented with the results of the PArticipation To Healthy Workplaces And inclusive Strategies in the Work Sector (PATHWAYS) project. RESULTS The results of the study revealed that self-rated health was a strong predictor of being non-employed for different reasons. Chronic diseases, such as arthritis, angina, diabetes, chronic obstructive pulmonary disease, depression and hypertension, were typically associated with an increased risk of being non-employed due to health problems and early retirement. Women more frequently reported arthritis and depression, while a higher proportion of men suffered from angina and diabetes. CONCLUSIONS The results obtained by the authors highlight the importance of evaluating gender patterns in work cessation and, at the same time, the importance of gender-focused actions in terms of preventing withdrawal from the labor market. In principle, all chronic diseases have some impact on participation in the labor market. It is worth noting, however, that each of them affects workforce participation in a different manner, depending on the specific disease, country and gender. For this reason, tailored support to every individual's needs is highly recommended. Int J Occup Med Environ Health. 2020;33(3):365-84.
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Affiliation(s)
- Aleksandra Piłat
- Jagiellonian University Medical College, Kraków, Poland (Department of Medical Sociology)
| | - Aleksander Galaś
- Jagiellonian University Medical College, Kraków, Poland (Chair of Epidemiology and Preventive Medicine)
| | - Michał Wilga
- Jagiellonian University Medical College, Kraków, Poland (Department of Medical Sociology)
| | - Maria Cabello
- Autonomous University of Madrid, Madrid, Spain (Department of Psychiatry)
| | - Seppo Koskinen
- National Institute for Health and Welfare, Helsinki, Finland
| | - Josep Maria Haro
- Saint John of God Health Park in Barcelona, Barcelona, Spain (Biomedical Research Networking Center for Mental Health Network (CIBERSAM))
| | - Matilde Leonardi
- Foundation IRCCS Neurological Institute Carlo Besta, Milan, Italy
| | - Beata Tobiasz-Adamczyk
- Jagiellonian University Medical College, Kraków, Poland (Department of Medical Sociology)
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Ávila C, Cieza A, Chatterji S, Cabello M, Vieta E, Ayuso-Mateos J. Identification of Relevant Problems of Individuals with Bipolar Disorder: A Worldwide Expert Survey. Eur Psychiatry 2020. [DOI: 10.1016/s0924-9338(09)70797-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Aims:We aimed to explore the expert perspective on relevant issues of individuals with bipolar disorder. The specific aims are to identify problems in functioning important to individuals with BD and to quantify these using the ICF.Method:An online survey on functioning in BD was conduced. For each ICF domain one question was presented. Recruited participants were psychiatrists, general physicians, psychologists, nurses and social workers worldwide. Answers were linked to the ICF according to predefined rules (Cieza, 2001). Data analyses include frequencies of ICF categories named by experts.Results:Health professionals from all WHO-world regions and from different professional backgrounds accepted our invitation to participate. The Americas was the highest represented region (36%) and a significant part of the professionals involved were psychiatrists. From all the concepts contained in the answers, body functions categories with highest frequency of appearance were emotional functions (3,5%), mentioned by 62% of the experts and sleep functions (2,4%) mentioned by 58%. The body structure brain corresponds to 2% of the total categories obtained and was included by 56% of the experts. Maintaining one's health was the most mentioned activity and participation (2,8%), referred by 36% of the participants and important environmental factors include health services (4,8%) and immediate family(3,8%), which appeared in 82% of the questionnaires.Conclusion:The present study is an important step in applying of the ICF to BD. It also shows an important level of agreement between experts around the world regarding central issues of the disorder.Funded by MURINET-MRTN-CT-2006-035794
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Cabello M, Borges G, Lara E, Olaya B, Martín-Maria N, Moreno-Agostino D, Miret M, Caballero FF, Haro JM, Ayuso-Mateos JL. The relationship between all-cause mortality and depression in different gender and age groups of the Spanish population. J Affect Disord 2020; 266:424-428. [PMID: 32056909 DOI: 10.1016/j.jad.2020.01.162] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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] [Received: 10/31/2019] [Revised: 12/10/2019] [Accepted: 01/28/2020] [Indexed: 10/25/2022]
Abstract
BACKGROUND Literature has shown that the effect of depression on all-cause mortality is stronger in men. However, it is less clear whether depression affects older and younger people equally. The present study is aimed to analyze whether depression is associated to all-cause mortality in different age and gender groups. METHODS We analyzed a nationally representative sample of the Spanish adult population that was followed-up on for a period of 6 years (n = 4583). Unadjusted and adjusted cox proportional hazard regression models were conducted to test whether baseline depression was associated to all-cause mortality in the total sample and in the different gender and age specific groups, separately. RESULTS Unadjusted analyses revealed that depression was associated with higher likelihood of having a shorter survival and dying, in the total sample and in both groups of men (18-64 and 65+ years). However, adjusted analyses stratified by age groups and gender revealed that depression was only a significant factor for all-cause mortality in 18-64 aged men (HR: 6.11; 95%CI= 2.16,17.23). LIMITATIONS Cause-specific mortality was not examined. Young adults and middle-aged participants were not analyzed separately. CONCLUSIONS The depression and all-cause mortality relationship was only found among young and middle-aged men. Further studies should consider whether the significant association between depression and all-cause mortality in young and middle-aged men is due to a behavior of seeking help less, the way depression is shaped in adult men, or to other clinical or health-system related factors.
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Affiliation(s)
- Maria Cabello
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain.
| | - Guilherme Borges
- Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, Mexico.
| | - Elvira Lara
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain; Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain.
| | - Beatriz Olaya
- Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain; Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.
| | - Natalia Martín-Maria
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain; Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain.
| | - Dario Moreno-Agostino
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain.
| | - Marta Miret
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain; Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain.
| | - Francisco Félix Caballero
- Department of Preventive Medicine, Public Health, and Microbiology, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública, CIBERESP, Instituto de Salud Carlos III, Madrid, Spain.
| | - Josep Maria Haro
- Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain; Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.
| | - José Luis Ayuso-Mateos
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain; Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain; Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain.
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Robles R, Lopez-Garcia P, Miret M, Cabello M, Cisneros E, Rizo A, Ayuso-Mateos JL, Medina-Mora ME. WHO-mhGAP Training in Mexico: Increasing Knowledge and Readiness for the Identification and Management of Depression and Suicide Risk in Primary Care. Arch Med Res 2020; 50:558-566. [PMID: 32062428 DOI: 10.1016/j.arcmed.2019.12.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 12/05/2019] [Accepted: 12/12/2019] [Indexed: 11/25/2022]
Abstract
BACKGOUND In order to reduce the treatment gap of mental disorders, the World Health Organization (WHO) has proposed the mhGAP guidelines to be implemented globally. AIM OF THE STUDY To examine the effectivity of a training course based on the WHO-mhGAP guidelines to increase knowledge and readiness for identification and management of depression and suicide risk in primary care (PC) in Mexico. METHODS PC clinicians were invited to participate in a traning course; before and after it, all completed an evaluation of knowledge of mhGAP and depression (0-10 points), and self-efficacy in suicide risk management (0-40 points), and were classified according to Prochaska and Diclemente transtheorical model in their particular stage of readiness for identification and management of these conditions. RESULTS The sample included 60 health professionals. Before training, clinicians had adequate knowledge of depression and its treatment (8.1 ± 1.66), but not on the mhGAP model and/or suicide risk management, which increased by the end of training (mhGAPpre:7.91 ± 2.19 vs. mhGAPpost:8.77 ± 1.34, p = 0.01; SuicidePRE:29.16 ± 9.35 vs. SuicidePOST:39.24 ± 6.83, p = 0.0001). Before training, most clinicians were at the contemplation stage (42.6% vs. 37.7% at the action and 19.7% at the precontemplation stage). By the end of the training, a decrease in the number of clinicians at both the contemplation and precontemplation stages (to 36.1% and to zero, respectively) and a significant increase of clinicians at the action stage (to 63.9%) was observed. CONCLUSIONS A training course based on the WHO-mhGAP could be an effective tool for increasing PC clinicians' willingness to implement mental health services.
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Affiliation(s)
- Rebeca Robles
- Centro de Investigación en Salud Mental Global, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, México.
| | - Pilar Lopez-Garcia
- Departamento de Psiquiatría, Universidad Autónoma de Madrid, España; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, España
| | - Marta Miret
- Departamento de Psiquiatría, Universidad Autónoma de Madrid, España; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, España
| | - Maria Cabello
- Departamento de Psiquiatría, Universidad Autónoma de Madrid, España; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, España
| | | | - Alfredo Rizo
- Hospital Civil de Guadalajara Fray Antonio Alcalde, Jalisco, México
| | - Jose Luis Ayuso-Mateos
- Departamento de Psiquiatría, Universidad Autónoma de Madrid, España; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, España
| | - María Elena Medina-Mora
- Centro de Investigación en Salud Mental Global, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México, México
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Parés-Casanova PM, Cabello M. Patterns of mandibular asymmetries in two types of companion rabbits. Anat Histol Embryol 2019; 49:227-232. [PMID: 31737936 DOI: 10.1111/ahe.12517] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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: 10/01/2019] [Revised: 10/27/2019] [Accepted: 10/30/2019] [Indexed: 01/09/2023]
Abstract
Developmental instability hypothesis suggests that asymmetric variation can partially reflect the body's inability to buffer environmental and/or genetic perturbations. Fluctuating asymmetry (FA), that is random differences between the left and right sides of body features that are symmetric at the population level, can assess this approach. Another kind of asymmetry is directional asymmetry (DA) which appears when the left and right sides differ consistently from each other. Extreme selection for morphological traits, as appear in some companion rabbits selected for a paedomorphic (dwarf rabbits) or gerontomorphic (belier rabbits) appearance, may cause abnormal functional conditions, which in turn could be expressed as significative degrees of asymmetries. To study these phenomena, we analysed 62 mandibles of companion rabbits (20 beliers and 42 dwarfs) by means of geometric morphometric methods and quantified their size and shape asymmetric variation (both FA and DA) using 18 landmarks on the lateral side. FA was present in both types but in different degrees, being higher among dwarfs. It is considered that this type is subject to deeper changes than among beliers, and therefore, there is higher pressure on the phenotype. This observation could be assumed to be an adaptive response, coming out as FA. The presence of DA was significative and similar for two types. This likely indicates common masticatory lateralization, a pattern that has been detected in other domestic mammals. The methodological framework presented in this study can be valuable for future works focused on genetically and/or environmentally related form study in pets.
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Affiliation(s)
| | - Maria Cabello
- Department of Animal Science, ETSEA, University of Lleida, Lleida, Spain
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Cabello M, de la Fuente J, Ayuso Mateos JL, Pitkänen T. Longitudinal properties of the PARADISE24fin questionnaire in treatment of substance use disorders. Addict Behav 2019; 95:125-128. [PMID: 30904776 DOI: 10.1016/j.addbeh.2019.03.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 02/17/2019] [Accepted: 03/17/2019] [Indexed: 12/16/2022]
Abstract
AIM Improvement of overall functioning is an important goal in the treatment of substance use disorders, and thus tools for monitoring change are needed. The current study aimed to evaluate the longitudinal metric invariance and sensitivity to change for the PARADISE24fin questionnaire. METHODS A total of 1153 patients with substance use disorders completed the PARADISE24fin in two measurement occasions along their treatment. Patients were categorized into three groups according to their treatment status at the second occasion (end of the treatment, on-treatment follow-up, and re-start treatment). The latent structure of the PARADISE24fin questionnaire was analyzed in the two measurement occasions with confirmatory factor analyses. Evidence of the PARADISE24fin sensitivity to change was studied comparing mean change scores for the three treatment status groups. RESULTS The PARADISE24fin showed a strong longitudinal metric invariance across the two occasions in the three treatment status groups. The PARADISE24fin scores decreased during treatment, especially among the group of patients that had completed their treatment. CONCLUSIONS The PARADISE24fin is a reliable questionnaire to measure changes in psychosocial difficulties in substance use disorders overtime.
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Rugulies R, Ando E, Ayuso-Mateos JL, Bonafede M, Cabello M, Di Tecco C, Dragano N, Durand-Moreau Q, Eguchi H, Gao J, Garde AH, Iavicoli S, Ivanov ID, Leppink N, Madsen IEH, Pega F, Prüss-Üstün AM, Rondinone BM, Sørensen K, Tsuno K, Ujita Y, Zadow A. WHO/ILO work-related burden of disease and injury: Protocol for systematic reviews of exposure to long working hours and of the effect of exposure to long working hours on depression. Environ Int 2019; 125:515-528. [PMID: 30737040 DOI: 10.1016/j.envint.2018.11.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Revised: 11/01/2018] [Accepted: 11/05/2018] [Indexed: 05/12/2023]
Abstract
BACKGROUND The World Health Organization (WHO) and the International Labour Organization (ILO) are developing a joint methodology for estimating the national and global work-related burden of disease and injury (WHO/ILO joint methodology), with contributions from a large network of experts. In this paper, we present the protocol for two systematic reviews of parameters for estimating the number of deaths and disability-adjusted life years from depression attributable to exposure to long working hours, to inform the development of the WHO/ILO joint methodology. OBJECTIVES We aim to systematically review studies on occupational exposure to long working hours (Systematic Review 1) and systematically review and meta-analyse estimates of the effect of long working hours on depression (Systematic Review 2), applying the Navigation Guide systematic review methodology as an organizing framework, conducting both systematic reviews in tandem and in a harmonized way. DATA SOURCES Separately for Systematic Reviews 1 and 2, we will search electronic academic databases for potentially relevant records from published and unpublished studies, including Medline, EMBASE, Web of Science, CISDOC and PsycINFO. We will also search electronic grey literature databases, Internet search engines and organizational websites; hand search reference list of previous systematic reviews and included study records; and consult additional experts. STUDY ELIGIBILITY AND CRITERIA We will include working-age (≥15 years) participants in the formal and informal economy in any WHO and/or ILO Member State, but exclude child workers (<15 years) and unpaid domestic workers. For Systematic Review 1, we will include quantitative prevalence studies of relevant levels of occupational exposure to long working hours (i.e. 35-40, 41-48, 49-54 and ≥55 h/week) stratified by country, sex, age and industrial sector or occupation, in the years 2005-2018. For Systematic Review 2, we will include randomized controlled trials, cohort studies, case-control studies and other non-randomized intervention studies with an estimate of the relative effect of relevant level(s) of long working hours on the incidence of or mortality due to depression, compared with the theoretical minimum risk exposure level (i.e. 35-40 h/week). STUDY APPRAISAL AND SYNTHESIS METHODS At least two review authors will independently screen titles and abstracts against the eligibility criteria at a first stage and full texts of potentially eligible records at a second stage, followed by extraction of data from qualifying studies. At least two review authors will assess risk of bias and the quality of evidence, using the most suited tools currently available. For Systematic Review 2, if feasible, we will combine relative risks using meta-analysis. We will report results using the guidelines for accurate and transparent health estimates reporting (GATHER) for Systematic Review 1 and the preferred reporting items for systematic reviews and meta-analyses guidelines (PRISMA) for Systematic Review 2. PROSPERO REGISTRATION NUMBER CRD42018085729.
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Affiliation(s)
- Reiner Rugulies
- National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
| | | | - Jose Luis Ayuso-Mateos
- Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain; Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain.
| | - Michela Bonafede
- Department of Environmental and Occupational Medicine, Epidemiology and Hygiene, INAIL, Monte Porzio Catone, Rome, Italy.
| | - Maria Cabello
- Department of Psychiatry, Universidad Autonoma de Madrid, Madrid, Spain; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain.
| | - Cristina Di Tecco
- Department of Environmental and Occupational Medicine, Epidemiology and Hygiene, INAIL, Monte Porzio Catone, Rome, Italy.
| | - Nico Dragano
- Universitätsklinikum Düsseldorf, Düsseldorf, Germany.
| | - Quentin Durand-Moreau
- Occupational Diseases Center, University Hospital of Brest, Brest, France; LABERS EA 3149, University of Brest, Brest, France.
| | - Hisashi Eguchi
- Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
| | - Junling Gao
- School of Public Health, Fudan University, Shanghai, China.
| | - Anne H Garde
- National Research Centre for the Working Environment, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
| | - Sergio Iavicoli
- Department of Environmental and Occupational Medicine, Epidemiology and Hygiene, INAIL, Monte Porzio Catone, Rome, Italy.
| | - Ivan D Ivanov
- Department of Public Health, Environmental and Social Determinants of Health, World Health Organization, Geneva, Switzerland.
| | - Nancy Leppink
- Labour Administration, Labour Inspection and Occupational Safety and Health Branch, International Labour Organization, Geneva, Switzerland.
| | - Ida E H Madsen
- National Research Centre for the Working Environment, Copenhagen, Denmark.
| | - Frank Pega
- Department of Public Health, Environmental and Social Determinants of Health, World Health Organization, Geneva, Switzerland.
| | - Annette M Prüss-Üstün
- Department of Public Health, Environmental and Social Determinants of Health, World Health Organization, Geneva, Switzerland.
| | - Bruna M Rondinone
- Department of Environmental and Occupational Medicine, Epidemiology and Hygiene, INAIL, Monte Porzio Catone, Rome, Italy.
| | - Kathrine Sørensen
- National Research Centre for the Working Environment, Copenhagen, Denmark.
| | - Kanami Tsuno
- Wakayama Medical University, Wakayama-shi, Wakayama, Japan.
| | - Yuka Ujita
- Labour Administration, Labour Inspection and Occupational Safety and Health Branch, International Labour Organization, Geneva, Switzerland.
| | - Amy Zadow
- University of South Australia, Adelaide, Australia.
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Bennardi M, Caballero FF, Miret M, Ayuso-Mateos JL, Haro JM, Lara E, Arensman E, Cabello M. Longitudinal Relationships Between Positive Affect, Loneliness, and Suicide Ideation: Age-Specific Factors in a General Population. Suicide Life Threat Behav 2019; 49:90-103. [PMID: 29210215 DOI: 10.1111/sltb.12424] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [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: 01/17/2017] [Accepted: 08/14/2017] [Indexed: 12/01/2022]
Abstract
The aims of this study were to analyze whether positive and negative affect, social support, and loneliness are factors longitudinally related to suicide ideation in the general population in different age groups. A total of 2,392 individuals from a nationally representative sample of the Spanish general population were evaluated in 2011-2012 and in 2014-2015. After including relevant control variables in the analyses, lower positive affect was prospectively related to ideation in 18- to 59-year-old individuals, whereas feelings of loneliness were related to ideation in 60-year-and-older individuals. Social support was not associated with suicide ideation in any age group. These results are in line with the need for age-tailored suicide prevention programs. The present findings might also suggest that health care professionals should consider feelings of loneliness rather than social support to assess the presence of suicide ideation in older people.
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Affiliation(s)
- Marco Bennardi
- National Suicide Research Foundation, University College Cork, Cork, Ireland
| | - Francisco Félix Caballero
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Madrid.,Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Madrid.,Centro de Investigation Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
| | - Marta Miret
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Madrid.,Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Madrid.,Centro de Investigation Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
| | - Jose Luis Ayuso-Mateos
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Madrid.,Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Madrid.,Centro de Investigation Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
| | - Josep Maria Haro
- Centro de Investigation Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain.,Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain
| | - Elvira Lara
- Centro de Investigation Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain.,Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain
| | - Ella Arensman
- National Suicide Research Foundation, University College Cork, Cork, Ireland.,Department of Epidemiology and Public Health, University College Cork, Cork, Ireland
| | - Maria Cabello
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Madrid.,Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Madrid.,Centro de Investigation Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
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Ávila CC, Ayuso-Mateos JL, Muñoz-Murillo A, Scaratti C, Coenen M, Vlachou A, Fheodoroff K, Pilat A, Tabaj A, Svestkova O, Kadyrbaeva A, Cabello M. Identifying the Employment Needs of People With Chronic Health Conditions in Europe. J Occup Environ Med 2018; 60:e618-e624. [DOI: 10.1097/jom.0000000000001425] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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17
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Pitkänen T, Levola JM, de la Fuente J, Cabello M. Identifying psychosocial difficulties of inpatients with substance use disorders: evaluation of the usefulness of the PARADISE24 for clinical practise. Disabil Rehabil 2018; 42:130-136. [PMID: 30183423 DOI: 10.1080/09638288.2018.1493543] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Purpose: Improvements in overall functioning and well-being are important goals in the treatment of substance use disorders. The aim of the current study was to evaluate the usefulness of the PARADISE24 instrument for studying the scope and severity of psychosocial difficulties by comparing the results with other measures in the context of substance use disorders.Materials and methods: This cross-sectional study included two independent inpatient samples. The first sample consisted of 80 interviews including the PARADISE24 and 10 other measures. The second sample consisted of the responses of 1082 inpatients to a self-administered PARADISE24 questionnaire.Results: Inpatients with substance use disorders had experienced a wide range of psychosocial difficulties and the two samples produced similar results. Highest scores were observed for emotional difficulties. The PARADISE24 showed convergent validity with measures of disability and depressive symptoms and discriminant validity with personality traits and environmental factors (i.e., social support and caretaker's empathy). Psychosocial difficulties were inversely associated with quality of life and self-assessed health.Conclusion: The PARADISE24 provides a wide range of useful information on psychosocial difficulties for clinical work and it can be used as a self-administered questionnaire in the evaluation and treatment of substance use disorders.Implications for rehabilitationIndividuals undergoing inpatient treatment for substance use disorders experience various and severe psychosocial difficulties.The PARADISE24 is an evidence-based instrument for assessing the scope and severity of 24 common psychosocial difficulties among neurological and psychiatric disorders.The PARADISE24 also offers a time-efficient method which can be used as a self-administered questionnaire in the context of substance use disorders.Comparison between the PARADISE24 and 10 commonly used measures showed that the PARADISE24 covered a wide variety of clinically relevant issues in one questionnaire.
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Affiliation(s)
| | - Jonna M Levola
- Department of Psychiatry, Hyvinkää Hospital Area, Hospital District of Helsinki and Uusimaa, Finland
| | - Javier de la Fuente
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Spain
| | - Maria Cabello
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Spain.,National Institute of Health Carlos III, CIBER of Mental Health (CIBERSAM), Madrid, Spain
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18
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de la Fuente J, Cabello M, Levola J, Caballero FF, Ayuso-Mateos JL, Pitkänen T. Validity of the PARADISE24 questionnaire in people with substance use disorders: A measure to assess psychosocial difficulties. Drug Alcohol Depend 2018; 187:66-71. [PMID: 29627408 DOI: 10.1016/j.drugalcdep.2018.02.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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] [Received: 11/21/2017] [Revised: 02/07/2018] [Accepted: 02/08/2018] [Indexed: 01/22/2023]
Abstract
OBJECTIVES Psychosocial difficulties (PSDs) are common in people with substance use disorders (SUDs). The PARADISE24 has been shown to be an adequate tool for measuring PSDs in inpatients with SUDs. The aim of this study is to evaluate the psychometric properties of the PARADISE24 in a sample of patients with SUDs. METHODS 2637 participants with SUDs completed the PARADISE24 questionnaire during their treatment. The latent structure of the PARADISE24 questionnaire was analyzed in the outpatient sample by means of exploratory and confirmatory factor analysis (EFA and CFA). Metric invariance was then assessed in relation to the inpatient sample using multiple group CFA. Finally, evidences of known-groups validity were checked to test the ability of the questionnaire to differentiate between socio-demographic and clinical groups. RESULTS The one-factor model presented an adequate fit in both the EFA (CFI = 0.98; TLI = 0.98; RMSEA = 0.07) and the CFA (CFI = 0.98; TLI = 0.98; RMSEA = 0.07) solutions. The reliability of the scale was found to be high (α = 0.93). Strict metric invariance between inpatients and outpatients was achieved (RMSEA = 0.063; TLI = 0.983; CFI = 0.981). The PARADISE24 was able to discriminate between the inpatients and outpatients at both latent (d = 0.98) and observed levels (d = 0.86). CONCLUSIONS The PARADISE24 is a unidimensional tool that is reliable for assessing and comparing PSDs in both outpatients and inpatients with SUDs. Further research is required for evaluating the ability of the PARADISE24 to quantify longitudinal changes in PSDs.
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Affiliation(s)
- Javier de la Fuente
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Ciudad Universitaria de Cantoblanco, 28049, Madrid, Spain
| | - Maria Cabello
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Ciudad Universitaria de Cantoblanco, 28049, Madrid, Spain; Centro de Investigation Biomédica en Red de Salud Mental, Cibersam, C/Diego de León, 62, 28006, Madrid, Spain; Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), C/Diego de León, 62, 28006, Madrid, Spain.
| | - Jonna Levola
- Department of Psychiatry, Hyvinkää Hospital Area, Hospital District of Helsinki and Uusimaa, Sairaalankatu 1, 05850, Hyvinkää, Finland
| | - Francisco Félix Caballero
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Ciudad Universitaria de Cantoblanco, 28049, Madrid, Spain; Centro de Investigation Biomédica en Red de Salud Mental, Cibersam, C/Diego de León, 62, 28006, Madrid, Spain; Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), C/Diego de León, 62, 28006, Madrid, Spain
| | - José Luis Ayuso-Mateos
- Department of Psychiatry, School of Medicine, Universidad Autónoma de Madrid, Ciudad Universitaria de Cantoblanco, 28049, Madrid, Spain; Centro de Investigation Biomédica en Red de Salud Mental, Cibersam, C/Diego de León, 62, 28006, Madrid, Spain; Department of Psychiatry, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), C/Diego de León, 62, 28006, Madrid, Spain
| | - Tuuli Pitkänen
- A-Clinic Foundation, Ratamestarinkatu 7 A, 00520, Helsinki, Finland
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Leonardi M, Guido D, Quintas R, Silvaggi F, Guastafierro E, Martinuzzi A, Chatterji S, Koskinen S, Tobiasz-Adamczyk B, Haro JM, Cabello M, Raggi A. Factors Related to Unemployment in Europe. A Cross-Sectional Study from the COURAGE Survey in Finland, Poland and Spain. Int J Environ Res Public Health 2018; 15:ijerph15040722. [PMID: 29641485 PMCID: PMC5923764 DOI: 10.3390/ijerph15040722] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 04/05/2018] [Accepted: 04/08/2018] [Indexed: 01/08/2023]
Abstract
Background: Research addressing the impact of a large number of factors on unemployment is scarce. We aimed to comprehensively identify factors related to unemployment in a sample of persons aged 18-64 from Finland, Poland and Spain. Methods: In this cross-sectional study, factors from different areas were considered: socio-demographic indicators, health habits, chronic conditions, health state markers, vision and hearing indicators, and social networks and built environment scores. Results: Complete data were available for 5003 participants, mean age 48.1 (SD 11.5), 45.4% males. The most important factors connected to unemployment were health status indicators such as physical disability (OR = 2.944), self-rated health (OR = 2.629), inpatient care (OR = 1.980), and difficulties with getting to the toilet (OR = 2.040), while the most relevant factor related to employment were moderate alcohol consumption (OR = 0.732 for non-heavy drinkers; OR = 0.573 for infrequent heavy drinkers), and being married (OR = 0.734), or having been married (OR = 0.584). Other factors that played a significant role included presence of depression (OR = 1.384) and difficulties with near vision (OR = 1.584) and conversation hearing (OR = 1.597). Conclusions: Our results highlight the importance of selected factors related to unemployment, and suggest public health indications that could support concrete actions on modifiable factors, such as those aimed to promote physical activity and healthy behaviors, tackling depression or promoting education, in particular for the younger.
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Affiliation(s)
- Matilde Leonardi
- Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, 20133 Milan, Italy.
| | - Davide Guido
- Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, 20133 Milan, Italy.
| | - Rui Quintas
- Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, 20133 Milan, Italy.
- Neurological Institute C. Besta IRCCS Foundation, Clinical and Experimental Epileptology Unit, 20133 Milan, Italy.
| | - Fabiola Silvaggi
- Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, 20133 Milan, Italy.
| | - Erika Guastafierro
- Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, 20133 Milan, Italy.
| | - Andrea Martinuzzi
- E. Medea Scientific Institute, Conegliano-Pieve di Soligo Research Centre, 31015 Conegliano Veneto, Italy.
| | - Somnath Chatterji
- Information, Evidence and Research Unit, World Health Organization, 1211 Geneva, Switzerland.
| | - Seppo Koskinen
- Ageing, Disability and Functioning Unit, National Institute for Health and Welfare, 00271 Helsinki, Finland.
| | - Beata Tobiasz-Adamczyk
- Department of Medical Sociology, Jagiellonian University Medical College, 31-034 Krakow, Poland.
| | - Josep Maria Haro
- Parc Sanitari Sant Joan de Déu, University of Barcelona, CIBERSAM, 08830 Barcelona, Spain.
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, 28029 Madrid, Spain.
| | - Maria Cabello
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, 28029 Madrid, Spain.
- Department of Psychiatry, Universidad Autonoma de Madrid, 28029 Madrid, Spain.
| | - Alberto Raggi
- Neurological Institute C. Besta IRCCS Foundation, Neurology, Public Health and Disability Unit, 20133 Milan, Italy.
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Caballero A, Palma E, Ruiz-Esteban P, Vazquez T, Sola E, Torio A, Cabello M, Lopez V, Jironda C, Duarte A, Alonso-Titos J, Hernández D. CXCR3 + Monocytes Increase Significantly in Graft Blood Compared to Peripheral Blood in Patients With Stable Kidney Graft Function. Transplant Proc 2018; 50:555-559. [PMID: 29579851 DOI: 10.1016/j.transproceed.2017.11.055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2017] [Revised: 10/20/2017] [Accepted: 11/11/2017] [Indexed: 12/29/2022]
Abstract
INTRODUCTION We have recently reported that some lymphocyte populations do not maintain the same proportion in kidney graft blood as in peripheral blood, despite a stable function of the transplanted kidney. These results suggest that a comparative study between leukocyte cells from graft blood and those obtained from peripheral blood could provide information about the inflammatory state of the transplanted organ. In this work we selected the population of CD4+ lymphocytes and monocytes expressing CXCR3 to test this hypothesis. MATERIAL AND METHODS The study was performed by flow cytometry during month 3, 6, and 12 after transplantation in 58 patients who received an isolated kidney transplant and the same immunosuppressive regimen. The peripheral blood sample was obtained by venipuncture and the graft blood by fine needle aspiration. RESULTS We found a significant percentage decrease in CXCR3+ monocytes throughout the first year of transplantation in peripheral blood (15.9 ± 20.7 vs. 12.6 ± 12.4 vs. 6.3 ± 9.0, at 3, 6, and 12 months, respectively; P = .001), whereas the percentage of CXCR3+ monocytes in graft blood did not change over this period. This situation resulted in a significant percentage difference between the CXCR3+ monocytes from the graft blood and those from the peripheral blood at the sixth (15.8 ± 8.1 vs. 12.6 ± 12.4, respectively; P = .008) and 12th months (12.9 ± 8.1 vs. 6.3 ± 9.0, respectively; P < .001). CONCLUSIONS Therefore, we can conclude that the significant percentage increase of CXCR3+ monocytes in graft blood with respect to peripheral blood suggests the presence of inflammatory activity despite renal function being stable during the second half of the first year post-transplantation.
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Affiliation(s)
- A Caballero
- Immunology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - E Palma
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - P Ruiz-Esteban
- Immunology Department, Complejo Hospitalario General Universitario de Albacete, Albacete, Spain
| | - T Vazquez
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - E Sola
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - A Torio
- Immunology Department, Complejo Hospitalario General Universitario de Albacete, Albacete, Spain
| | - M Cabello
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - V Lopez
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - C Jironda
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - A Duarte
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - J Alonso-Titos
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain
| | - D Hernández
- Nephrology Department, Regional University Hospital of Malaga and University of Malaga, IBIMA, REDINREN (RD16/0009/0006), Malaga, Spain.
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21
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Foitzek N, Ávila CC, Ivandic I, Bitenc Č, Cabello M, Gruber S, Leonardi M, Muñoz-Murillo A, Scaratti C, Tobiasz-Adamczyk B, Vlachou A, Esteban E, Sabariego C, Coenen M. What Persons with Chronic Health Conditions Need to Maintain or Return to Work-Results of an Online-Survey in Seven European Countries. Int J Environ Res Public Health 2018; 15:ijerph15040595. [PMID: 29587433 PMCID: PMC5923637 DOI: 10.3390/ijerph15040595] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/11/2018] [Revised: 03/19/2018] [Accepted: 03/22/2018] [Indexed: 11/16/2022]
Abstract
Chronic health conditions represent the major share of the disease burden in Europe and have a significant impact on work. This study aims to: (1) identify factors that have a negative or positive impact on the work lives of persons with chronic health conditions; (2) explore the needs of these persons to maintain a job or return to work and (3) compare these results with respect to these persons' occupational status. An online survey was performed in seven European countries. Open-ended survey questions were analyzed using qualitative methods. In total, 487 participants with six chronic health conditions participated. The majority of participants named work-related aspects (such as career development, stress at the workplace, work structure and schedule as well as workload), support of others and attitudes of others as being the factors positively and negatively impact their work lives the most. Our study shed light on the importance of changing the attitudes of supervisors and co-workers to counteract stigmatization of persons with chronic health conditions in the workplace. In conclusion, this study provides a basis for developing new strategies of integration and reintegration at work for persons with chronic health conditions in European countries.
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Affiliation(s)
- Nicole Foitzek
- Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany.
| | - Carolina C Ávila
- Department of Psychiatry, Universidad Autónoma de Madrid and Institute of Health Carlos III, CIBER of Mental Health (CIBERSAM), 28038 Madrid, Spain.
| | - Ivana Ivandic
- Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany.
| | - Črtomir Bitenc
- Development Center for Vocational Rehabilitation, University Rehabilitation Institute Republic of Slovenia, 1000 Ljubljana, Slovenia.
| | - Maria Cabello
- Department of Psychiatry, Universidad Autónoma de Madrid and Institute of Health Carlos III, CIBER of Mental Health (CIBERSAM), 28038 Madrid, Spain.
| | - Sonja Gruber
- Disability and Diversity Studies, Carinthia University of Applied Science (CUAS), 9020 Klagenfurt, Austria.
| | - Matilde Leonardi
- Neurology, Public Health and Disability Unit; Neurological Institute Carlo Besta IRCCS Foundation, 20133 Milan, Italy.
| | - Amalia Muñoz-Murillo
- Research Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, 08830 Sant Boi de Llobregat, Barcelona, Spain.
| | - Chiara Scaratti
- Neurology, Public Health and Disability Unit; Neurological Institute Carlo Besta IRCCS Foundation, 20133 Milan, Italy.
| | - Beata Tobiasz-Adamczyk
- Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, 31-034 Krakow, Poland.
| | - Anastasia Vlachou
- Department of Special Education, University of Thessaly, 38221 Volos, Greece.
| | - Eva Esteban
- Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany.
| | - Carla Sabariego
- Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany.
| | - Michaela Coenen
- Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Department of Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany.
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Dueñas C, Gordo E, Liger E, Cabello M, Cañete S, Pérez M, Torre-Luque PDL. 7Be, 210Pb and 40K depositions over 11 years in Málaga. J Environ Radioact 2017; 178-179:325-334. [PMID: 28965023 DOI: 10.1016/j.jenvrad.2017.09.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Revised: 09/15/2017] [Accepted: 09/15/2017] [Indexed: 06/07/2023]
Abstract
The monthly bulk depositional fluxes of three natural radionuclides (7Be, 210Pb and 40K) were measured at a Mediterranean coastal station (Málaga) over an 11-year period from 2005 to 2015. The mean annual depositional fluxes of 7Be, 210Pb and 40K were 1215, 144 and 67 Bq m-2 year-1 respectively, showing a clear seasonal trend with minimum values recorded during summer and maximum values in winter. The rainfall regime with dry summers allows estimating the dry deposition. Assuming constant dry deposition through each year, 7Be, 210Pb and 40K would account for 12.5, 26.5 and 33% of the bulk fallout respectively which indicates that deposition for 210Pb and 40K are significantly higher than 7Be. The precipitation-normalized enrichment factor alpha used to explain seasonal variations in the depositional fluxes of radionuclides with respect the rainfall, indicates higher depositional fluxes during spring and summer than expected from the amount of rainfall. Despite their different origin, 210Pb and 7Be monthly depositional fluxes have strong correlation. The atmospheric deposition fluxes of 7Be, 210Pb and 40K were controlled mainly by the amount of rainfall (r = 0.89, 0.91 and 0.66 respectively). Moreover, principal component analysis was applied to the datasets and deposition of radionuclides and rainfall in the same component highlighting the importance of the washout mechanism. The mean depositional velocity of aerosols evaluated using 7Be and 210Pb are similar and are compared to other published values.
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Affiliation(s)
- C Dueñas
- Department of Applied Physics I, Faculty of Sciences, University of Málaga, Málaga, Spain.
| | - E Gordo
- Department of Applied Physics I, Faculty of Sciences, University of Málaga, Málaga, Spain
| | - E Liger
- Department of Applied Physics II, Technical College Informatic Engineering, University of Málaga, Málaga, Spain
| | - M Cabello
- Department of Applied Physics I, Faculty of Sciences, University of Málaga, Málaga, Spain
| | - S Cañete
- Department of Applied Physics I, Faculty of Sciences, University of Málaga, Málaga, Spain
| | - M Pérez
- Department of Radiology and Health Physics, Ophthalmology and OTI, Faculty of Medicine, University of Málaga, Málaga, Spain
| | - P de la Torre-Luque
- Department of Applied Physics I, Faculty of Sciences, University of Málaga, Málaga, Spain
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Kamenov K, Twomey C, Cabello M, Prina AM, Ayuso-Mateos JL. The efficacy of psychotherapy, pharmacotherapy and their combination on functioning and quality of life in depression: a meta-analysis. Psychol Med 2017; 47:1337. [PMID: 28007047 DOI: 10.1017/s003329171600341x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Cabello M, Miret M, Caballero FF, Chatterji S, Naidoo N, Kowal P, D'Este C, Ayuso-Mateos JL. The role of unhealthy lifestyles in the incidence and persistence of depression: a longitudinal general population study in four emerging countries. Global Health 2017; 13:18. [PMID: 28320427 PMCID: PMC5358047 DOI: 10.1186/s12992-017-0237-5] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2016] [Accepted: 02/15/2017] [Indexed: 01/10/2023] Open
Abstract
Background Unhealthy lifestyles and depression are highly interrelated: depression might elicit and exacerbate unhealthy lifestyles and people with unhealthy lifestyles are more likely to become depressed over time. However, few longitudinal evidence of these relationships has been collected in emerging countries. The present study aims i) to analyse whether people with unhealthy lifestyles are more likely to develop depression, and ii) to examine whether depressed people with unhealthy lifestyles are more likely to remain depressed. A total of 7908 participants from Ghana, India, Mexico and Russia were firstly evaluated in the World Health Organization’s Study on Global AGEing and Adult Health (SAGE) Wave 0 (2002–2004) and re-evaluated in 2007–2010 (Wave 1). Data on tobacco use, alcohol drinking and physical activity, were collected. Logistic regressions models were employed to assess whether baseline unhealthy lifestyles were related to depression in Wave 1, among people without 12-month depression in Wave 0 and any previous lifetime diagnosis of depression, and to 12-month depression at both study waves (persistent depression). Results Baseline daily and non-daily smoking was associated with depression in Wave 1. Low physical activity and heavy alcohol drinking were associated with persistent depression. Conclusions Unhealthy lifestyles and depression are also positively related in emerging countries. Smoking on a daily and non-daily basis was longitudinally related to depression. Depressed people with low physical activity and with heavy drinking patterns were more likely to become depressed over time. Several interpretations of these results are given. Further studies should check whether a reduction of these unhealthy lifestyles leads to lower depression rates and/or to a better clinical prognosis of depressed people.
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Affiliation(s)
- Maria Cabello
- Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain
| | - Marta Miret
- Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain.,Department of psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Francisco Felix Caballero
- Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain.,Department of psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Somnath Chatterji
- Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland
| | - Nirmala Naidoo
- Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland
| | - Paul Kowal
- Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland.,Research Centre for Generational Health and Ageing, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia
| | - Catherine D'Este
- National Centre for Epidemiology and Population Health (NCEPH), Australian National University, Canberra, ACT, Australia
| | - Jose Luis Ayuso-Mateos
- Centro de Investigación Biomédica en Red de Salud Mental. CIBERSAM, Instituto de Salud Carlos III, Madrid, Spain. .,Department of psychiatry, Universidad Autónoma de Madrid, Madrid, Spain. .,Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS Princesa), Diego de Leon, 62, Madrid, 28006, España.
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Kamenov K, Twomey C, Cabello M, Prina AM, Ayuso-Mateos JL. The efficacy of psychotherapy, pharmacotherapy and their combination on functioning and quality of life in depression: a meta-analysis. Psychol Med 2017; 47:414-425. [PMID: 27780478 PMCID: PMC5244449 DOI: 10.1017/s0033291716002774] [Citation(s) in RCA: 77] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2015] [Revised: 09/30/2016] [Accepted: 10/04/2016] [Indexed: 11/06/2022]
Abstract
BACKGROUND There is growing recognition of the importance of both functioning and quality of life (QoL) outcomes in the treatment of depressive disorders, but the meta-analytic evidence is scarce. The objective of this meta-analysis of randomized controlled trials (RCTs) was to determine the absolute and relative effects of psychotherapy, pharmacotherapy and their combination on functioning and QoL in patients with depression. METHOD One hundred and fifty-three outcome trials involving 29 879 participants with depressive disorders were identified through database searches in Pubmed, PsycINFO and the Cochrane Central Register of Controlled Trials. RESULTS Compared to control conditions, psychotherapy and pharmacotherapy yielded small to moderate effect sizes for functioning and QoL, ranging from g = 0.31 to g = 0.43. When compared directly, initial analysis yielded no evidence that one of them was superior. After adjusting for publication bias, psychotherapy was more efficacious than pharmacotherapy (g = 0.21) for QoL. The combination of psychotherapy and medication performed significantly better for both outcomes compared to each treatment alone yielding small effect sizes (g = 0.32 to g = 0.39). Both interventions improved depression symptom severity more than functioning and QoL. CONCLUSION Despite the small number of comparative trials for some of the analyses, this study reveals that combined treatment is superior, but psychotherapy and pharmacotherapy alone are also efficacious for improving functioning and QoL. The overall relatively modest effects suggest that future tailoring of therapies could be warranted to better meet the needs of individuals with functioning and QoL problems.
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Affiliation(s)
- K. Kamenov
- Instituto de Salud Carlos III, Centro de
Investigación Biomédica en Red, CIBERSAM, Madrid,
Spain
- Department of Psychiatry,
UniversityAutónoma de Madrid, Madrid,
Spain
| | - C. Twomey
- Faculty of Social and Human Sciences,
University of Southampton, Southampton,
UK
| | - M. Cabello
- Instituto de Salud Carlos III, Centro de
Investigación Biomédica en Red, CIBERSAM, Madrid,
Spain
- Department of Psychiatry,
UniversityAutónoma de Madrid, Madrid,
Spain
| | - A. M. Prina
- Health Service and Population Research
Department, Centre for Global Mental Health, Institute of
Psychiatry, Psychology and Neuroscience, King's College London,
London, UK
| | - J. L. Ayuso-Mateos
- Instituto de Salud Carlos III, Centro de
Investigación Biomédica en Red, CIBERSAM, Madrid,
Spain
- Department of Psychiatry,
UniversityAutónoma de Madrid, Madrid,
Spain
- Instituto de investigación de la Princesa,
(IIS-IP), Hospital Universitario de la Princesa,
Madrid, Spain
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Schalamuk S, Velazquez S, Chidichimo H, Cabello M. Fungal spore diversity of arbuscular mycorrhizal fungi associated with spring wheat: effects of tillage. Mycologia 2017. [DOI: 10.1080/15572536.2006.11832708] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
| | | | | | - M. Cabello
- Instituto de Botánica Spegazzini, Avenida 53 Nu. 477, 1900 La Plata, Argentina
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Kamenov K, Caballero FF, Miret M, Leonardi M, Sainio P, Tobiasz-Adamczyk B, Haro JM, Chatterji S, Ayuso-Mateos JL, Cabello M. Which Are the Most Burdensome Functioning Areas in Depression? A Cross-National Study. Front Psychol 2016; 7:1342. [PMID: 27630609 PMCID: PMC5005959 DOI: 10.3389/fpsyg.2016.01342] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [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] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Accepted: 08/22/2016] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The study aimed to identify the most burdensome functioning domains in depression and their differential impact on the quality of life (QoL) of individuals from nine countries in Asia, Africa, Europe, and Latin America. MATERIALS AND METHODS Data from two multi-country projects-the World Health Organization's Study on Global Ageing and Adult Health (SAGE) and the Collaborative Research on Ageing in Europe (COURAGE)-were analyzed. Eight functioning domains (pain, mobility, self-care, cognition, interpersonal activities, domestic life, and work, sleep and energy, and affect) and QoL were assessed in 4051 individuals with depression. RESULTS The analyses of the pooled sample showed that affect (ß = -0.21, p < 0.001), domestic life and work (ß = -0.16, p < 0.001) and interpersonal activities (ß = -0.15, p < 0.001) were the most affected functioning domains. When the analysis was stratified by gender, women showed similar patterns to the total sample, whereas mobility, self-care, cognition and pain were not significant amongst men. The cross-national analysis revealed that difficulties in affect and interpersonal activities were common across countries, whereas the rest of the domains showed country variability. In addition, being a woman (ß = -0.05), being older (ß = 0.07), being married (ß = 0.05), not having a comorbid condition (ß = -0.03) and having a higher education (ß = 0.04) were all factors associated with higher levels of QoL. CONCLUSION There was a variation in the level of decrements in different functioning domains across countries. This is in line with the growing evidence that reporting functioning sum-scores obscures potential differences among people. Functioning tools should capture the distinctiveness among individuals in order to provide tailored responses.
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Affiliation(s)
- Kaloyan Kamenov
- Centro Investigación Biomédica en Red, Instituto de Salud Carlos IIIMadrid, Spain
- Department of Psychiatry, Universidad Autónoma de MadridMadrid, Spain
| | - Francisco Felix Caballero
- Centro Investigación Biomédica en Red, Instituto de Salud Carlos IIIMadrid, Spain
- Department of Psychiatry, Universidad Autónoma de MadridMadrid, Spain
- Instituto de Investigación Sanitaria del Hospital de La Princesa, Hospital Universitario de la PrincesaMadrid, Spain
| | - Marta Miret
- Centro Investigación Biomédica en Red, Instituto de Salud Carlos IIIMadrid, Spain
- Department of Psychiatry, Universidad Autónoma de MadridMadrid, Spain
| | - Matilde Leonardi
- Neurology, Public Health and Disability Unit, Neurological Institute “C. Besta” IRCCS FoundationMilan, Italy
| | - Päivi Sainio
- National Institute for Health and WelfareHelsinki, Finland
| | | | - Josep Maria Haro
- Centro de Investigación Biomédica en Red de Salud Mental, Parc Sanitari Sant Joan de DéuBarcelona, Spain
| | - Somnath Chatterji
- Department of Health Statistics and Information Systems, World Health OrganizationGeneva, Switzerland
| | - José Luis Ayuso-Mateos
- Centro Investigación Biomédica en Red, Instituto de Salud Carlos IIIMadrid, Spain
- Department of Psychiatry, Universidad Autónoma de MadridMadrid, Spain
- Instituto de Investigación Sanitaria del Hospital de La Princesa, Hospital Universitario de la PrincesaMadrid, Spain
| | - Maria Cabello
- Centro Investigación Biomédica en Red, Instituto de Salud Carlos IIIMadrid, Spain
- Department of Psychiatry, Universidad Autónoma de MadridMadrid, Spain
- Instituto de Investigación Sanitaria del Hospital de La Princesa, Hospital Universitario de la PrincesaMadrid, Spain
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Kamenov K, Cabello M, Caballero FF, Cieza A, Sabariego C, Raggi A, Anczewska M, Pitkänen T, Ayuso-Mateos JL. Factors Related to Social Support in Neurological and Mental Disorders. PLoS One 2016; 11:e0149356. [PMID: 26900847 PMCID: PMC4764676 DOI: 10.1371/journal.pone.0149356] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [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: 07/16/2015] [Accepted: 01/29/2016] [Indexed: 02/08/2023] Open
Abstract
Despite the huge body of research on social support, literature has been primarily focused on its beneficial role for both physical and mental health. It is still unclear why people with mental and neurological disorders experience low levels of social support. The main objective of this study was to explore what are the strongest factors related to social support and how do they interact with each other in neuropsychiatric disorders. The study used cross-sectional data from 722 persons suffering from dementia, depression, epilepsy, migraine, multiple sclerosis, Parkinson's disease, schizophrenia, stroke, and substance use disorders. Multiple linear regressions showed that disability was the strongest factor for social support. Extraversion and agreeableness were significant personality variables, but when the interaction terms between personality traits and disability were included, disability remained the only significant variable. Moreover, level of disability mediated the relationship between personality (extraversion and agreeableness) and level of social support. Moderation analysis revealed that people that had mental disorders experienced lower levels of support when being highly disabled compared to people with neurological disorders. Unlike previous literature, focused on increasing social support as the origin of improving disability, this study suggested that interventions improving day-to-day functioning or maladaptive personality styles might also have an effect on the way people perceive social support. Future longitudinal research, however, is warranted to explore causality.
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Affiliation(s)
- Kaloyan Kamenov
- Instituto de Salud Carlos III, Centro Investigación Biomédica en Red, CIBER, Madrid, Spain
| | - Maria Cabello
- Instituto de Salud Carlos III, Centro Investigación Biomédica en Red, CIBER, Madrid, Spain
| | | | - Alarcos Cieza
- Faculty of Social and Human Sciences, School of Psychology, University of Southampton, Southampton, United Kingdom
- Department of Medical Informatics, Biometry and Epidemiology-IBE, Chair for Public Health and Health Services, Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU), Munich, Germany
- Swiss Paraplegic Research, Nottwil, Switzerland
| | - Carla Sabariego
- Department of Medical Informatics, Biometry and Epidemiology-IBE, Chair for Public Health and Health Services, Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Alberto Raggi
- Neurological Institute "C. Besta" IRCCS Foundation, Neurology, Public Health and Disability Unit, Milan, Italy
| | - Marta Anczewska
- Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland
| | | | - Jose Luis Ayuso-Mateos
- Instituto de Salud Carlos III, Centro Investigación Biomédica en Red, CIBER, Madrid, Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
- Instituto de investigación de la Princesa, (IIS-IP), Hospital Universitario de la Princesa, Madrid, Spain
- * E-mail:
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González JR, Nacimiento F, Cabello M, Alcántara R, Lavela P, Tirado JL. Reversible intercalation of aluminium into vanadium pentoxide xerogel for aqueous rechargeable batteries. RSC Adv 2016. [DOI: 10.1039/c6ra11030d] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Rechargeable batteries based on the intercalation of aluminium ions may be competitive against lithium-ion batteries, but their development and comprehension are full of difficulties.
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Affiliation(s)
- J. R. González
- Laboratorio de Química Inorgánica
- Universidad de Córdoba
- 14014 Córdoba
- Spain
| | - F. Nacimiento
- Laboratorio de Química Inorgánica
- Universidad de Córdoba
- 14014 Córdoba
- Spain
| | - M. Cabello
- Laboratorio de Química Inorgánica
- Universidad de Córdoba
- 14014 Córdoba
- Spain
| | - R. Alcántara
- Laboratorio de Química Inorgánica
- Universidad de Córdoba
- 14014 Córdoba
- Spain
| | - P. Lavela
- Laboratorio de Química Inorgánica
- Universidad de Córdoba
- 14014 Córdoba
- Spain
| | - J. L. Tirado
- Laboratorio de Química Inorgánica
- Universidad de Córdoba
- 14014 Córdoba
- Spain
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López V, Cabello M, Ruíz-Esteban P, Sola E, Gutiérrez C, Jironda C, Burgos D, González-Molina M, Hernández D. Impact of Early Low-Grade Proteinuria and Allograft Dysfunction on Survival in Expanded Criteria Donor Kidney Transplant Recipients. Transplant Proc 2015; 47:2611-4. [PMID: 26680050 DOI: 10.1016/j.transproceed.2015.08.045] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Accepted: 08/18/2015] [Indexed: 10/22/2022]
Abstract
INTRODUCTION Recent studies have demonstrated a relationship between low-grade proteinuria and worse graft survival, but this has not been fully studied in expanded criteria donor (ECD) kidney transplant recipients. AIM The aim of this study was to assess whether the combination of early low-grade proteinuria (<1 g/d) and allograft dysfunction at the third month post-transplantation predicts outcomes in terms of survival in ECD kidney transplant recipients. MATERIAL AND METHODS We studied a cohort of 269 ECD kidney transplant recipients subdivided into 4 groups according to clinically relevant proteinuria (300 mg/d) and median creatinine (Cr; 1.7 mg/dL; interquartile range, 1.4-2.1 mg/dL) at the third month post-transplantation: Group A (Cr <1.7 mg/dL and proteinuria <300 mg/24 h; n = 97), Group B (Cr <1.7 mg/dL and proteinuria ≥300 mg/24 h; n = 38), Group C (Cr ≥1.7 mg/dL and proteinuria <300 mg/24 h; n = 79), and Group D (Cr ≥1.7 mg/dL and proteinuria ≥300 mg/24 h; n = 55). RESULTS Death-censored graft survival was significantly lower in Group D compared with the rest (P < .007). Multivariate Cox regression analysis using fixed covariates showed that the combination of low-grade proteinuria and a lower estimated glomerular filtration rate (eGFR) as associated with graft failure (hazard rate [HR] 2.5, 95% confidence interval [CI], 1.09-5.97; P = .03). CONCLUSIONS The early association of low-grade proteinuria and allograft dysfunction represents an important risk factor for graft loss in ECD kidney transplant recipients. Strategies to optimize renal function could improve the outcome in this specific population.
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Affiliation(s)
- V López
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain.
| | - M Cabello
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain
| | - P Ruíz-Esteban
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain
| | - E Sola
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain
| | - C Gutiérrez
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain
| | - C Jironda
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain
| | - D Burgos
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain
| | - M González-Molina
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain
| | - D Hernández
- Nephrology Department, Regional University Hospital of Malaga, Malaga Institute of Biomedical Research (IBIMA), University of Malaga, Malaga, Spain
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Sabariego C, Coenen M, Ballert C, Cabello M, Leonardi M, Anczewska M, Pitkänen T, Raggi A, Mellor B, Covelli V, Świtaj P, Levola J, Schiavolin S, Chrostek A, Bickenbach J, Chatterji S, Cieza A. Determinants of Psychosocial Difficulties Experienced by Persons with Brain Disorders: Towards a 'Horizontal Epidemiology' Approach. PLoS One 2015; 10:e0141322. [PMID: 26675663 PMCID: PMC4682947 DOI: 10.1371/journal.pone.0141322] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Accepted: 10/07/2015] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Persons with brain disorders experience significant psychosocial difficulties (PSD) in daily life, e.g. problems with managing daily routine or emotional lability, and the level of the PSD depends on social, physical and political environments, and psychologic-personal determinants. Our objective is to determine a brief set of environmental and psychologic-personal factors that are shared determinants of PSD among persons with different brain disorders. METHODS Cross-sectional study, convenience sample of persons with either dementia, stroke, multiple sclerosis, epilepsy, migraine, depression, schizophrenia, substance dependence or Parkinson's disease. Random forest regression and classical linear regression were used in the analyses. RESULTS 722 subjects were interviewed in four European countries. The brief set of determinants encompasses presence of comorbidities, health status appraisal, stressful life events, personality changes, adaptation, self-esteem, self-worth, built environment, weather, and health problems in the family. CONCLUSIONS The identified brief set of common determinants of PSD can be used to support the implementation of cross-cutting interventions, social actions and policy tools to lower PSD experienced by persons with brain disorders. This set complements a recently proposed reliable and valid direct metric of PSD for brain disorders called PARADISE24.
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Affiliation(s)
- Carla Sabariego
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany
- * E-mail:
| | - Michaela Coenen
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany
| | | | - Maria Cabello
- Department of Psychiatry, Universidad Autónoma de Madrid, Psychiatry Service, Instituto de Investigación del Hospital Universitario de La Princesa (IIS-IP), Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Matilde Leonardi
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta (IRCCS) Foundation, Milan, Italy
| | - Marta Anczewska
- Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland
| | | | - Alberto Raggi
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta (IRCCS) Foundation, Milan, Italy
| | - Blanca Mellor
- Department of Psychiatry, Universidad Autónoma de Madrid, Psychiatry Service, Instituto de Investigación del Hospital Universitario de La Princesa (IIS-IP), Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Venusia Covelli
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta (IRCCS) Foundation, Milan, Italy
| | - Piotr Świtaj
- Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland
| | - Jonna Levola
- A-Clinic Foundation, Helsinki, Finland
- Department of Mental Health and Substance Abuse Services, National Institute for Health and Welfare, Helsinki, Finland
| | - Silvia Schiavolin
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta (IRCCS) Foundation, Milan, Italy
- Division of Neurosurgery II, Neurological Institute Carlos Besta (IRCCS) Foundation, Milan, Italy
| | - Anna Chrostek
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta (IRCCS) Foundation, Milan, Italy
| | | | - Somnath Chatterji
- Department of Measurement and Health Information Systems, Multi-Country Studies, World Health Organization, Geneva, Switzerland
| | - Alarcos Cieza
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany
- Swiss Paraplegic Research, Nottwil, Switzerland
- Faculty of Social and Human Sciences, School of Psychology, University of Southampton, Southampton, United Kingdom
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Coenen M, Cabello M, Umlauf S, Ayuso-Mateos JL, Anczewska M, Tourunen J, Leonardi M, Cieza A. Psychosocial difficulties from the perspective of persons with neuropsychiatric disorders. Disabil Rehabil 2015; 38:1134-45. [PMID: 26289372 DOI: 10.3109/09638288.2015.1074729] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE The objective of this study is to determine whether persons with neuropsychiatric disorders experience a common set of psychosocial difficulties using qualitative data from focus groups and individual interviews. METHOD The study was performed in five European countries (Finland, Italy, Germany, Poland and Spain) using the focus groups and individual interviews with persons with nine neuropsychiatric disorders (dementia, depression, epilepsy, migraine, multiple sclerosis, Parkinson's disease, schizophrenia, stroke and substance dependence). Digitally recorded sessions were analysed using a step-by-step qualitative and quantitative methodology resulting in the compilation of a common set of psychosocial difficulties using the International Classification of Functioning, Disability and Health (ICF) as a framework. RESULTS Sixty-seven persons participated in the study. Most persons with neuropsychiatric disorders experience difficulties in emotional functions, sleeping, carrying out daily routine, working and interpersonal relationships in common. Sixteen out of 33 psychosocial difficulties made up the common set. This set includes mental functions, pain and issues addressing activities and participation and provides first evidence for the hypothesis of horizontal epidemiology of psychosocial difficulties in neuropsychiatric disorders. CONCLUSIONS This study provides information about psychosocial difficulties that should be covered in the treatment and rehabilitation of persons with neuropsychiatric disorders regardless of clinical diagnoses. IMPLICATIONS FOR REHABILITATION Emotional problems, work and sleep problems should be addressed in all the treatments of neuropsychiatric disorders regardless of their specific diagnosis, etiology and severity. Personality issues should be targeted in the treatment for neurological disorders, whereas communication skill training may also be useful for mental disorders. The effects of medication and social environment on patient's daily life should be considered in all the neuropsychiatric conditions.
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Affiliation(s)
- Michaela Coenen
- a Department of Medical Informatics, Biometry and Epidemiology - IBE, Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität (LMU), Munich , Germany
| | - Maria Cabello
- b Department of Psychiatry, Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Universidad Autónoma de Madrid, Instituto de Investigación del Hospital Universitario de La Princesa (IIS-IP) , Madrid , Spain
| | | | - José Luis Ayuso-Mateos
- b Department of Psychiatry, Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Universidad Autónoma de Madrid, Instituto de Investigación del Hospital Universitario de La Princesa (IIS-IP) , Madrid , Spain
| | - Marta Anczewska
- d Department of Psychiatry, Institute of Psychiatry and Neurology , Warsaw , Poland
| | | | - Matilde Leonardi
- f Neurology, Public Health and Disability Unit, Neurological Institute Carlo Besta Foundation (IRCCS) , Milan , Italy
| | - Alarcos Cieza
- a Department of Medical Informatics, Biometry and Epidemiology - IBE, Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität (LMU), Munich , Germany .,g Faculty of Social and Human Sciences, School of Psychology, University of Southampton , UK , and.,h Swiss Paraplegic Research , Nottwil , Switzerland
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Barrero MA, Orza JAG, Cabello M, Cantón L. Categorisation of air quality monitoring stations by evaluation of PM(10) variability. Sci Total Environ 2015; 524-525:225-36. [PMID: 25897730 DOI: 10.1016/j.scitotenv.2015.03.138] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2015] [Revised: 03/27/2015] [Accepted: 03/30/2015] [Indexed: 05/13/2023]
Abstract
Air Quality Monitoring Networks (AQMNs) are composed by a number of stations, which are typically classified as urban, suburban or rural, and background, industrial or traffic, depending on the location and the influence of the immediate surroundings. These categories are not necessarily homogeneous and distinct from one another, regarding the levels of the monitored pollutants. A classification providing groups with these features is of interest for air quality management and research purposes, and therefore, other classification criteria should be explored. In this work, the variations of PM10 concentrations in 43 stations in the AQMN of the Basque Country in the period 2005-2012 have been studied to group them according to common characteristics. The characteristic variations in time are synthesised by the autocorrelation function (ACF), with both daily and hourly data, and by the average diurnal evolution pattern of the normalised concentrations on a seasonal basis (Evol-P). A methodology based on k-means clustering of these features is proposed. Each classification gives a different piece of information that has been phenomenologically related with specific dispersion and emission dynamics. The classification based on Evol-Ps is found to be the most influential one when comparing PM10 levels between groups. A combination of these categorisations provides 5 groups with significantly different levels of PM10, improving the discrimination of the conventional classification. Our results indicate that the time series of the pollutant concentrations contain enough information to provide an objective classification of the monitoring stations in an AQMN.
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Affiliation(s)
- M A Barrero
- Department of Applied Chemistry, Faculty of Chemistry, University of the Basque Country, P. Manuel de Lardizabal, 3, 20018 San Sebastián, Spain.
| | - J A G Orza
- SCOLAb, Department of Physics, Universidad Miguel Hernández, Av. de la Universidad, s/n, edificio Alcudia, 03202 Elche, Spain.
| | - M Cabello
- SCOLAb, Department of Physics, Universidad Miguel Hernández, Av. de la Universidad, s/n, edificio Alcudia, 03202 Elche, Spain.
| | - L Cantón
- Department of Applied Chemistry, Faculty of Chemistry, University of the Basque Country, P. Manuel de Lardizabal, 3, 20018 San Sebastián, Spain.
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Cieza A, Sabariego C, Anczewska M, Ballert C, Bickenbach J, Cabello M, Giovannetti A, Kaskela T, Mellor B, Pitkänen T, Quintas R, Raggi A, Świtaj P, Chatterji S. PARADISE 24: A Measure to Assess the Impact of Brain Disorders on People's Lives. PLoS One 2015; 10:e0132410. [PMID: 26147343 PMCID: PMC4492620 DOI: 10.1371/journal.pone.0132410] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 06/14/2015] [Indexed: 11/19/2022] Open
Abstract
Objective To construct a metric of the impact of brain disorders on people’s lives, based on the psychosocial difficulties (PSDs) that are experienced in common across brain disorders. Study Design Psychometric study using data from a cross-sectional study with a convenience sample of 722 persons with 9 different brain disorders interviewed in four European countries: Italy, Poland, Spain and Finland. Questions addressing 64 PSDs were first reduced based on statistical considerations, patient’s perspective and clinical expertise. Rasch analyses for polytomous data were also applied. Setting In and outpatient settings. Results A valid and reliable metric with 24 items was created. The infit of all questions ranged between 0.7 and 1.3. There were no disordered thresholds. The targeting between item thresholds and persons’ abilities was good and the person-separation index was 0.92. Persons’ abilities were linearly transformed into a more intuitive scale ranging from zero (no PSDs) to 100 (extreme PSDs). Conclusion The metric, called PARADISE 24, is based on the hypothesis of horizontal epidemiology, which affirms that people with brain disorders commonly experience PSDs. This metric is a useful tool to carry out cardinal comparisons over time of the magnitude of the psychosocial impact of brain disorders and between persons and groups in clinical practice and research.
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Affiliation(s)
- Alarcos Cieza
- Faculty of Social and Human Sciences, School of Psychology, University of Southampton, Southampton, United Kingdom
- Department of Medical Informatics, Biometry and Epidemiology (IBE), Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU), Munich, Germany
- Swiss Paraplegic Research, Nottwil, Switzerland
- * E-mail:
| | - Carla Sabariego
- Department of Medical Informatics, Biometry and Epidemiology (IBE), Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Marta Anczewska
- Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland
| | | | | | - Maria Cabello
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Department of Psychiatry, Universidad Autónoma de Madrid, Psychiatry Service, Instituto de Investigación del Hospital Universitario de La Princesa (IIS-IP), Madrid, Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | - Ambra Giovannetti
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta IRCCS Foundation, Milan, Italy
| | | | - Blanca Mellor
- Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Department of Psychiatry, Universidad Autónoma de Madrid, Psychiatry Service, Instituto de Investigación del Hospital Universitario de La Princesa (IIS-IP), Madrid, Spain
- Department of Psychiatry, Universidad Autónoma de Madrid, Madrid, Spain
| | | | - Rui Quintas
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta IRCCS Foundation, Milan, Italy
| | - Alberto Raggi
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta IRCCS Foundation, Milan, Italy
| | - Piotr Świtaj
- Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland
| | - Somnath Chatterji
- Multi-Country Studies, Department of Measurement and Health Information Systems, World Health Organization, Geneva, Switzerland
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Kamenov K, Cabello M, Ayuso-Mateos J, Cieza A, Hegerl U, Coenen M. Expert Perspective On Interventions for Improving Psychosocial Difficulties in Depressive Disorders. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)32017-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Cabello M, Alcántara R, Nacimiento F, Ortiz G, Lavela P, Tirado JL. Electrochemical and chemical insertion/deinsertion of magnesium in spinel-type MgMn2O4 and lambda-MnO2 for both aqueous and non-aqueous magnesium-ion batteries. CrystEngComm 2015. [DOI: 10.1039/c5ce01436k] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
A veritable magnesium-ion battery is described. Magnesium-ion can be reversibly extracted from MgMn2O4 and reversibly inserted into lambda-MnO2.
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Affiliation(s)
- M. Cabello
- Department of Inorganic Chemistry
- University of Cordoba
- 14071 Córdoba, Spain
| | - R. Alcántara
- Department of Inorganic Chemistry
- University of Cordoba
- 14071 Córdoba, Spain
| | - F. Nacimiento
- Department of Inorganic Chemistry
- University of Cordoba
- 14071 Córdoba, Spain
| | - G. Ortiz
- Department of Inorganic Chemistry
- University of Cordoba
- 14071 Córdoba, Spain
| | - P. Lavela
- Department of Inorganic Chemistry
- University of Cordoba
- 14071 Córdoba, Spain
| | - J. L. Tirado
- Department of Inorganic Chemistry
- University of Cordoba
- 14071 Córdoba, Spain
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Dueñas C, Fernández MC, Cabello M, Gordo E, Liger E, Cañete S, Pérez M. Study of the cosmogenic factors influence on temporal variation of 7Be air concentration during the 23rd solar cycle in Málaga (South Spain). J Radioanal Nucl Chem 2014. [DOI: 10.1007/s10967-014-3737-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Hartley S, McArthur M, Coenen M, Cabello M, Covelli V, Roszczynska-Michta J, Pitkänen T, Bickenbach J, Cieza A. Narratives reflecting the lived experiences of people with brain disorders: common psychosocial difficulties and determinants. PLoS One 2014; 9:e96890. [PMID: 24805128 PMCID: PMC4013080 DOI: 10.1371/journal.pone.0096890] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Accepted: 04/13/2014] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND People with brain disorders - defined as both, mental disorders and neurological disorders experience a wide range of psychosocial difficulties (PSDs) (e.g., concentrating, maintaining energy levels, and maintaining relationships). Research evidence is required to show that these PSDs are common across brain disorders. OBJECTIVES To explore and gain deeper understanding of the experiences of people with seven brain disorders (alcohol dependency, depression, epilepsy, multiple sclerosis, Parkinson's disease, schizophrenia, stroke). It examines the common PSDs and their influencing factors. METHODS Seventy seven qualitative studies identified in a systematic literature review and qualitative data derived from six focus groups are used to generate first-person narratives representing seven brain disorders. A theory-driven thematic analysis of these narratives identifies the PSDs and their influencing factors for comparison between the seven disorders. RESULTS First-person narratives illustrate realities for people with brain disorders facilitating a deeper understanding of their every-day life experiences. Thematic analysis serves to highlight the commonalities, both of PSDs, such as loneliness, anger, uncertainty about the future and problems with work activities, and their determinants, such as work opportunities, trusting relationships and access to self-help groups. CONCLUSIONS The strength of the methodology and the narratives is that they provide the opportunity for the reader to empathise with people with brain disorders and facilitate deeper levels of understanding of the complexity of the relationship of PSDs, determinants and facilitators. The latter reflect positive aspects of the lives of people with brain disorders. The result that many PSDs and their influencing factors are common to people with different brain disorders opens up the door to the possibility of using cross-cutting interventions involving different sectors. This strengthens the message that 'a great deal can be done' to improve the lived experience of persons with brain disorders when medical interventions are exhausted.
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Affiliation(s)
- Sally Hartley
- Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, United Kingdom
- Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
- The London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Maggie McArthur
- Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, United Kingdom
| | - Michaela Coenen
- Department of Medical Informatics, Biometry and Epidemiology – IBE, Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU), Munich, Germany
| | - Maria Cabello
- Instituto de Salud Carlos lll CIBERSAM, Faculty of Medicine, Universidad Autonoma de Madrid, Instituto de investigacion de la Princesa (IIS-IP), Madrid, Spain
| | - Venusia Covelli
- Neurology, Public Health and Disability Unit, Scientific Directorate, Neurological Institute Carlo Besta IRCCS Foundation, Milan, Italy
| | | | - Tuuli Pitkänen
- A-Clinic Foundation (A-klinikkasäätiö), Helsinki, Finland
| | | | - Alarcos Cieza
- Department of Medical Informatics, Biometry and Epidemiology – IBE, Chair for Public Health and Health Services Research, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-University (LMU), Munich, Germany
- Swiss Paraplegic Research (SPR), Nottwil, Switzerland
- Faculty of Social and Human Sciences, University of Southampton, Southampton, United Kingdom
- * E-mail:
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Borrego J, Mazuecos A, Gentil M, Cabello M, Rodríguez A, Osuna A, Pérez M, Castro P, Alonso M. Proteinuria as a Predictive Factor in the Evolution of Kidney Transplantation. Transplant Proc 2013; 45:3627-9. [DOI: 10.1016/j.transproceed.2013.10.025] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Blanca L, Jiménez T, Cabello M, Sola E, Gutierrez C, Burgos D, Lopez V, Hernandez D. Cardiovascular risk in recipients with kidney transplants from expanded criteria donors. Transplant Proc 2013; 44:2579-81. [PMID: 23146460 DOI: 10.1016/j.transproceed.2012.09.086] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Posttransplant cardiovascular disease (CVD) is the leading cause of death in renal transplant (RT) recipients and is more evident in recipients with transplants from expanded criteria donors (ECD). OBJECTIVES We analyzed the evolution of cardiovascular risk factors and their association with patient mortality. MATERIALS AND METHODS We undertook a single-center, prospective study of RT patients (n = 360) between 1999 and 2006. These were 180 recipients with transplants from ECD and 180 controls. We analyzed the baseline characteristics and the cardiovascular risk factors: hypertension, diabetes, dyslipidemia, CVD, and anemia. Posttransplant analyses included the evolution of cardiovascular risk factors and causes of death. RESULTS The mean age of the ECD was 63.5 ± 5.4 versus 32.0 ± 13.2 years in the non-ECD (P < .001) and the recipient ages were 58.4 ± 8.7 versus 40.8 ± 13.3 years, respectively (P < .001). The median interquartile range [IQR] dialysis time was 25 months (15-39) versus 20 months (12-44; P = .017). The pretransplant body mass index was 26.89 ± 3.91 versus 25.43 ± 4.72 kg/m(2) (P = .002); the median (IQR) number of antihypertensive drugs was two (1-2) versus two (1-2.75; P = .015); dyslipidemia was present in 32.5% versus 21.6% (P = .024), diabetes in 10.6% versus 5.6% (P = .087), and CVD in 13.3% versus 7.8% (P = .086). Treatment with erythropoiesis-stimulating agents (ESA) was received by 84.9% versus 83.9% (P = .857). Concerning transplantation, the mean follow-up was 64.3 ± 33.7 months. Hypertension was present at 3 and 5 years in 85.6% versus 69.5% (P = .001) and 87.9% versus 72.8% (P = .009), respiratory. Treatment with angiotensin-converting enzyme inhibitors/angiotensin-II receptor blockers at 3 and 5 years was 79.8% versus 64.5% and 85.6% versus 65%. Dyslipidemia was present at 5 years in 63.1% versus 58.0% (P = .482). De novo diabetes occurred in 16.7% versus 11.1% (P = .128), and CVD in 13.5% versus 4.5% (P = .003). Univariate and multivariate Cox regression proportional hazards models were constructed to analyze the factors associated with patient death. CONCLUSIONS CVD is the most common cause of death in recipients of ECD, RT, 40% in the ECD group versus 28.6% in the control group. Tight control of cardiovascular risk factors and a good pretransplant patient selection contributed to the good results obtained.
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Affiliation(s)
- L Blanca
- Nephrology and Pathology Departments, H.U. Carlos Haya, Malaga, Spain.
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Marques IB, Silva RDM, Moraes CE, Azevedo LS, Nahas WC, David-Neto E, Furmanczyk-Zawiska A, Baczkowska T, Chmura A, Szmidt J, Durlik M, Joslin J, Blaker P, White B, Marinaki A, Sanderson J, Goldsmith DJ, Medani S, Traynor C, Mohan P, Little D, Conlon P, Molina M, Gonzalez E, Gutierrez E, Sevillano A, Polanco N, Morales E, Hernandez A, Praga M, Morales JM, Andres A, Park SJ, Kim TH, Kim YW, Kim YH, Kang SW, Kujawa-Szewieczek A, Szotowska M, Kuczera P, Chudek J, Wiecek A, Kolonko A, Mahrova A, Svagrova K, Bunc V, Stollova M, Teplan V, Hundt F, van Heteren P, Woitas R, Cavallo MC, Sepe V, Conte F, Albrizio P, Bottazzi A, Geraci PM, Alpay N, Gumber MR, Kute VB, Vanikar AV, Patel HV, Shah PR, Engineer DP, Trivedi HL, Golebiewska JE, Debska-Slizien A, Rutkowski B, Matias P, Martins AR, Raposo L, Jorge C, Weigert A, Birne R, Bruges M, Adragao T, Almeida M, Mendes M, Machado D, Masin-Spasovska J, Dohcev S, Stankov O, Stavridis S, Saidi S, Dejanova B, Rambabova-Busletic I, Dejanov P, Spasovski G, Nho KW, Kim YH, Han DJ, Park SK, Kim SB, Fenoglio R, Lazzarich EE, Cagna D, Cena T, Conti N, Quaglia M, Radin E, Izzo C, Stratta P, Oh IH, Park JS, Lee CH, Kang CM, Kim GH, Leone F, Lofaro D, Gigliotti P, Lupinacci S, Toteda P, Vizza D, Perri A, Papalia T, Bonofiglio R, di Loreto P, de Silvestro L, Montanaro D, Martino F, Sandrini S, Minetti E, Cabiddu G, Yildirim T, Yilmaz R, Turkmen E, Abudalal A, Altindal M, Ertoy-Baydar D, Erdem Y, Panuccio V, Tripepi R, Parlongo G, Versace MC, Politi R, Zoccali C, Mallamaci F, Porrini E, Silva I, Diaz J, Ibernon M, Moreso F, Benitez R, Delgado Mallen P, Osorio J, Lauzurica R, Torres A, Ersoy A, Koca N, Gullu Koca T, Kirhan E, Sarandol E, Ersoy C, Dirican M, Milne J, Suter V, Mikhail A, Akalin H, Dizdar O, Ersoy A, Pascual J, Torio A, Garcia C, Hernandez J, Perez-Saez MJ, Mir M, Anna F, Crespo M, Carta P, Zanazzi M, Antognoli G, Di Maria L, Caroti L, Minetti E, Dizdar O, Ersoy A, Akalin H, Ray DS, Mukherjee K, Bohidar NP, Pattanaik A, Das P, Thukral S, Kimura T, Yagisawa T, Ishikawa N, Sakuma Y, Fujiwara T, Nukui A, Gavela EE, Sancho AA, Kanter JJ, Avila AA, Beltran SS, Pallardo LL, Dawoud FG, Aithal V, Mikhail A, Majernikova M, Rosenberger J, Prihodova L, Nagyova I, Jarcuskova M, Roland R, Groothoff JW, van Dijk JP, van Agteren M, de Weerd A, van de Wetering J, IJzermans J, Betjes M, Weimar W, Popoola J, Reed A, Tavarro R, Chryssanthopoulou C, MacPhee I, Mayor M, Franco S, Jara P, Ayala R, Orue MG, Martinez A, Martinez M, Wasmouth N, Arik G, Yasar A, Turkmen E, Yildirim T, Altindal M, Abudalal A, Yilmaz S, Arici M, Bihari Bansal S, Pokhariyal S, Jain S, Sethi S, Ahlawat R, Kher V, Martins LS, Aguiar P, Dias L, Fonseca I, Henriques AC, Cabrita A, Davide J, Sparkes TM, Trofe-Clark J, Reese PP, Jakobowski D, Goral S, Doll SL, Abt PL, Sawinski D, MBloom RD, Knap B, Lukac J, Lukin M, Majcen I, Pavlovec F, Kandus A, Bren AF, Kong JM, Jeong JH, Ahn J, Lee DR, Son SH, Kim BC, Choi WY, Whang EJ, Czajka B, Malgorzewicz S, Debska-Slizien A, Rutkowski B, Panizo N, Rengel MA, Vega A, Abad S, Tana L, Arroyo D, Rodriguez-Ferrero M, Perez de Jose A, Lopez-Gomez JM, Koutroutsos K, Sackey J, Paolini L, Ramkhelawon R, Tavarro R, Chowrimootoo M, Whelan D, Popoola J, Szotowska M, Kuczera P, Chudek J, Wiecek A, Kolonko A, Slatinska J, Honsova E, Wohlfahrtova M, Slimackova E, Rajnochova SB, Viklicky O, Yankovoy A, Smith ISJ, Wylie E, Ruiz-Esteban P, Lopez V, Garcia-Frias P, Cabello M, Gonzalez-Molina M, Vozmediano C, Hernandez D, Pavlovic J, Radivojevic D, Lezaic V, Simic-Ogrizovic S, Lausevic M, Naumovic R, Ersoy A, Koca N, Kirhan E, Gullu Koca T, Ersoy C, Sarandol E, Dirican M, Sakhuja V, Gundlapalli S, Rathi M, Jha V, Kohli HS, Sharma A, Minz M, Nimgirova A, Esayan A, Kayukov I, Zuyeva E, Bilen Y, Cankaya E, Keles M, Gulcan E, Turkeli M, Albayrak B, Uyanik A, Yildirim R, Molitor N, Praktiknjo M, Woitas R, Abeygunaratne TN, Balasubramanian S, Baker R, Nicholson T, Toprak O, Sari Y, Keceli S, Kurt H, Rocha A, Malheiro J, Martins LS, Fonseca I, Dias L, Pedroso S, Almeida M, Henriques A, Nihei C, Bacelar Marques I, Seguro CA, David-Neto E, Mate G, Martin N, Colon L, Casellas L, Garangou D, de la Torre M, Torguet P, Garcia I, Calabia J, Valles M, Pruthi R, Calestani M, Leydon G, Ravanan R, Roderick P, Korkmaz S, Ersoy A, Gulten S, Koca N. Transplantation - clinical studies II. Nephrol Dial Transplant 2013. [DOI: 10.1093/ndt/gft155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Hruba P, Brabcova I, Krejcik Z, Stranecky V, Honsova E, Viklicky O, Rocchetti MT, Pontrelli P, Rascio F, Fiorentino M, Stallone G, Gesualdo L, Grandaliano G, Lemy A, Lionet A, Noel C, Couzi L, Taupin JL, Merville P, Hiesse C, Suberbielle-Boissel C, De Meyer M, Latinne D, Racape J, Wissing KM, Claas FHJ, Toungouz M, Abramowicz D, Caballero A, Ruiz-Esteban P, Leon M, Palma-Merida E, Burgos D, Cabello M, Gonzalez-Molina M, Torres A, Hernandez D, Janssen EHCC, Ledeganck KJ, Hoenderop JGJ, Verpooten GAL, De Winter BY. Transplantation - basic. Nephrol Dial Transplant 2013. [DOI: 10.1093/ndt/gft146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Frutos MA, Mansilla JJ, Cabello M, Soler J, Ruiz P, Lebrón M, Baena V, Hernández D. Optimization of expanded donors using dual kidney transplantation: case-control study. Transplant Proc 2013; 44:2060-2. [PMID: 22974909 DOI: 10.1016/j.transproceed.2012.07.076] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Cadaveric donation is now experiencing a trend toward the use of expanded criteria donors (ECD) who may not yield a suitable kidney for single organ transplantation which has occasionally led to their use as dual renal transplantations. MATERIAL AND METHODS We undertook a case-control study to analyze our experiences between May 2007 and March 2011 with 80 kidneys from ECD who were older than 65 years. Of these, 40 were used as single transplants (STX) and the other 40 as dual cases (DTX). Criteria to determine STX versus DTX were established by biopsy results and other donor factors. RESULTS The mean age of the ECD for STX was 68.7 ± 3.0 years and for DTX, 74.2 ± 4.3 years (P < .001), with more women among DTX (75%) versus STX (40%; P < .001). The DTX kidneys showed higher biopsy scores than the STX organs. DTX were older than STX recipients, but there were no differences in cold ischemia time, delayed graft function, hemorrhagic complications or reinterventions. DTX recipients achieved better CrCl at 1, 3, 6, and 12 months, although only significantly so at 6 months (53.4 ± 19.5 Ml/min versus 44.5 ± 15.6 mL/min; P < .05). Death-censored graft survival was 90% at 3 years for both groups. CONCLUSIONS DTX offered good results for graft survival and renal function, despite the more complicated surgery and worse quality of the allografts. DTX allowed the use of ECD kidneys that showed less satisfactory histologic and donor characteristics.
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Affiliation(s)
- M A Frutos
- Coordination Transplant Unit, Hospital Regional Universitario Carlos Haya de Málaga, Málaga, Spain.
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Cabello M, Mellor-Marsá B, Sabariego C, Cieza A, Bickenbach J, Ayuso-Mateos JL. Psychosocial features of depression: a systematic literature review. J Affect Disord 2012; 141:22-33. [PMID: 22209189 DOI: 10.1016/j.jad.2011.12.009] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [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: 07/28/2011] [Revised: 12/07/2011] [Accepted: 12/09/2011] [Indexed: 12/13/2022]
Abstract
BACKGROUND Despite the great burden of depression on sufferers and society, there is a lack of reliable information regarding the full range of psychosocial difficulties associated with depression and their related variables. This systematic review aimed to demonstrate the utility of the International Classification of Functioning, Disability and Health (ICF) in describing the psychosocial difficulties that shape the lived experience of persons with depression. METHODS An electronic search that included publications from 2005 to 2010 in the MEDLINE and PsycHINFO databases was conducted to collect psychosocial outcomes. Quality of studies was also considered. RESULTS 103 studies were included. 477 outcomes referring psychosocial difficulties were extracted and grouped into 32 ICF related categories. Emotional functions (19% of studies), followed by energy and drive (17% of studies), were the most frequent psychosocial outcomes. The onset, course, determinants, and related variables of the most important psychosocial difficulties, reported in at least 10% of studies, were described. Medication played a dual role as determinant of onset and change in some psychosocial areas, e.g. in pain, sleep, and energy and drive. LIMITATIONS The search was limited by year of publication and focused only on minor and major depression diagnoses: other depressive disorders were not included. Some underresearched, but relevant psychosocial areas could have not been analyzed. CONCLUSIONS The present systematic review provides information on the psychosocial difficulties that depressive patients face in their daily lives. Future studies on depression should include outcome instruments that cover these relevant areas in order to comprehensively describe psychosocial functioning.
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Affiliation(s)
- Maria Cabello
- Instituto de Salud Carlos III, Centro de Investigación en Red de Salud Mental, CIBERSAM, Spain
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Gonzalez-Molina M, Ruiz-Esteban P, Burgos D, Rodriguez MA, Cabello M, Gutierrez E, Hernandez D. Mycophenolate mofetil and tacrolimus reduce mortality after deceased donor kidney transplantation. Transplant Proc 2012; 44:2577-8. [PMID: 23146459 DOI: 10.1016/j.transproceed.2012.09.057] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
A study of mortality in renal transplantation recipients showed that the combination of mycophenolate mofetil (MMF) and tacrolimus (TaC) reduced the mortality rate. We studied 1045 consecutive adult deceased donor kidney transplant recipients from 1986-2001, where follow-up to 2011 was a minimum of 10 years, to analyze the impact of these immunosuppressive drugs on patient survival. Cox multivariate analysis showed that treatment with MMF and the use of TaC instead of cyclosporine reduced the risk of death by 43%. In conclusion, both immunosuppressive drugs reduced the risk of death of patients receiving from renal transplants deceased donors.
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Affiliation(s)
- M Gonzalez-Molina
- Nephrology Department, Carlos Haya University Hospital, Malaga and Torrecardenas Hospital, Almeria, Spain.
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López Jiménez V, Fuentes L, Jiménez T, León M, Garcia I, Sola E, Cabello M, Gutierrez C, Burgos D, Ruiz P, Hernandez D. Transplant Glomerulopathy: Clinical Course and Factors Relating to Graft Survival. Transplant Proc 2012; 44:2599-600. [DOI: 10.1016/j.transproceed.2012.09.068] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Ruiz-Esteban P, López V, García-Frías P, Cabello M, González-Molina M, Vozmediano C, Hernandez D. Concordance of Estimated Glomerular Filtration Rates Using Cockcroft-Gault, Modification of Diet in Renal Disease, and Chronic Kidney Disease Epidemiology in Renal Transplant Recipients. Transplant Proc 2012; 44:2561-3. [DOI: 10.1016/j.transproceed.2012.09.056] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Cabello M, Orza JAG, Barrero MA, Gordo E, Berasaluce A, Cantón L, Dueñas C, Fernández MC, Pérez M. Spatial and temporal variation of the impact of an extreme Saharan dust event. ACTA ACUST UNITED AC 2012. [DOI: 10.1029/2012jd017513] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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López V, Sola E, Jironda C, León M, García I, Gutierrez C, Cabello M, Burgos D, González-Molina M, Hernandez D. Biopsies in Renal Transplant Patients With Proteinuria: Histological Findings. Transplant Proc 2011; 43:2191-3. [DOI: 10.1016/j.transproceed.2011.05.027] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Pérez Valdivia M, Gentil M, Toro M, Cabello M, Rodríguez-Benot A, Mazuecos A, Osuna A, Alonso M. Impact of Cold Ischemia Time on Initial Graft Function and Survival Rates in Renal Transplants From Deceased Donors Performed in Andalusia. Transplant Proc 2011; 43:2174-6. [DOI: 10.1016/j.transproceed.2011.06.047] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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