276 results on '"Moreno-Küstner, Berta"'
Search Results
52. Impulsivity, decision-making and risk-taking behaviour in bipolar disorder: a systematic review and meta-analysis
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Ramírez-Martín, Almudena, primary, Ramos-Martín, Javier, additional, Mayoral-Cleries, Fermin, additional, Moreno-Küstner, Berta, additional, and Guzman-Parra, Jose, additional
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- 2020
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53. Prevalence of Suicidality in the European General Population: A Systematic Review and Meta-Analysis
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Castillejos, Ma Carmen, primary, Huertas, Paloma, additional, Martín, Paloma, additional, and Moreno Küstner, Berta, additional
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- 2020
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54. Determinants of Suicidality in the European General Population: A Systematic Review and Meta-Analysis
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Carrasco-Barrios, María Teresa, primary, Huertas, Paloma, additional, Martín, Paloma, additional, Martín, Carlos, additional, Castillejos, Mª Carmen, additional, Petkari, Eleni, additional, and Moreno-Küstner, Berta, additional
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- 2020
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55. Prevalence of Suicidality in the European General Population: A Systematic Review and Meta-Analysis.
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Castillejos, Ma Carmen, Huertas, Paloma, Martín, Paloma, and Moreno Küstner, Berta
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SUICIDAL ideation ,RANDOM effects model ,ADULTS - Abstract
Objective: To conduct a systematic review and meta-analysis of the prevalence and variability in suicidality in the general adult population of Europe between 2008 and 2017.Methods: Studies containing original data on suicidality were identified in five electronic databases. Point, 12-month and lifetime prevalences were calculated for various types of suicidality. Pooled prevalence rates were calculated using a random effects model. Subgroup analysis and multivariate meta-regression were also performed.Results: We identified 24 papers containing original data, which provided 97 prevalence rates for suicidality. The pooled point prevalence rate was 3.96% (2.37-5.56), pooled 12-month prevalence 2.9% (1.49-4.32), and pooled lifetime prevalence 5.55% (4.31-6.79). The subgroup analysis showed that lifetime prevalence figures for wishing to be dead and suicidal ideation were higher in areas with a population of less than 3,849 inhabitants and in Eastern Europe. Finally, the multivariate meta-regression showed differences with respect to the period and type of suicidality, lower and upper age thresholds, population size, and study area.Conclusion: Our data showed that approximately 21% of European individuals have wished to be dead at some point during their lifetime. Studies like this are necessary to highlight the need for efforts to prevent and intervene in suicidality. [ABSTRACT FROM AUTHOR]- Published
- 2021
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56. Epidemiology of Suicidal Behavior in Malaga (Spain): An Approach From the Prehospital Emergency Service
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Moreno-Küstner, Berta, primary, del Campo-Ávila, José, additional, Ruíz-Ibáñez, Ana, additional, Martínez-García, Ana I., additional, Castro-Zamudio, Serafina, additional, Ramos-Jiménez, Gonzalo, additional, and Guzmán-Parra, José, additional
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- 2019
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57. Factors associated with use of community mental health services by schizophrenia patients using multilevel analysis
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Moreno Patricia, Navas Desiree, García-Herrera José M, Requena Javier, Angona Pedro, Mayoral Fermín, Rivas Fabio, Moreno-Küstner Berta, Serrano-Blanco Antoni, and Bellón Juan A
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Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Persons with schizophrenia and related disorders may be particularly sensitive to a number of determinants of service use, including those related with illness, socio-demographic characteristics and organizational factors. The objective of this study is to identify factors associated with outpatient contacts at community mental health services of patients with schizophrenia or related disorders. Methods This cross-sectional study analyzed 1097 patients. The main outcome measure was the total number of outpatient consultations during one year. Independent variables were related to socio-demographic, clinical and use of service factors. Data were collected from clinical records. Results The multilevel linear regression model explained 46.35% of the variance. Patients with significantly more contacts with ambulatory services were not working and were receiving welfare benefits (p = 0.02), had no formal education (p = 0.02), had a global level of severity of two or three (four being the most severe) (p < 0.001), with one or more inpatient admissions (p < 0.001), and in contact with both types of professional (nurses and psychiatrists) (p < 0.001). The patients with the fewest ambulatory contacts were those with diagnoses of persistent delusional disorders (p = 0.04) and those who were attended by four of the 13 psychiatrists (p < 0.001). Conclusions As expected, the variables that explained the use of community service could be viewed as proxies for severity of illness. The most surprising finding, however, was that a group of four psychiatrists was also independently associated with use of ambulatory services by patients with schizophrenia or related disorders. More research is needed to carefully examine how professional support networks interact to affect use of mental health.
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- 2011
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58. Predicting the onset and persistence of episodes of depression in primary health care. The predictD-Spain study: Methodology
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Brangier-Wainberg Paulette, Ruiz-García Victor, Motrico Emma, March Sebastia, Sánchez-Artiaga María, Vázquez-Medrano Ana, Oliván-Blázquez Bárbara, Martínez-Cañavate María, Gutierrez Blanca, Cervilla Jorge A, de Dios Luna Juan, Vicens Catalina, Díaz-Barreiros Miguel, Sánchez-Celaya Marta, GildeGómez-Barragán María, Montón-Franco Carmen, Torres-González Francisco, Moreno-Küstner Berta, Bellón Juan, del Mar Muñoz-García María, Nazareth Irwin, and King Michael
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Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background The effects of putative risk factors on the onset and/or persistence of depression remain unclear. We aim to develop comprehensive models to predict the onset and persistence of episodes of depression in primary care. Here we explain the general methodology of the predictD-Spain study and evaluate the reliability of the questionnaires used. Methods This is a prospective cohort study. A systematic random sample of general practice attendees aged 18 to 75 has been recruited in seven Spanish provinces. Depression is being measured with the CIDI at baseline, and at 6, 12, 24 and 36 months. A set of individual, environmental, genetic, professional and organizational risk factors are to be assessed at each follow-up point. In a separate reliability study, a proportional random sample of 401 participants completed the test-retest (251 researcher-administered and 150 self-administered) between October 2005 and February 2006. We have also checked 118,398 items for data entry from a random sample of 480 patients stratified by province. Results All items and questionnaires had good test-retest reliability for both methods of administration, except for the use of recreational drugs over the previous six months. Cronbach's alphas were good and their factorial analyses coherent for the three scales evaluated (social support from family and friends, dissatisfaction with paid work, and dissatisfaction with unpaid work). There were 191 (0.16%) data entry errors. Conclusion The items and questionnaires were reliable and data quality control was excellent. When we eventually obtain our risk index for the onset and persistence of depression, we will be able to determine the individual risk of each patient evaluated in primary health care.
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- 2008
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59. Prediction of depression in European general practice attendees: the PREDICT study
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Geerlings Mirjam I, Kalda Ruth, Aluoja Anu, Rifel Janez, Rotar Danica, Moreno-Küstner Berta, Bellón-Saameño Juan A, Walker Carl, Morris Richard, Neeleman Jan, Xavier Miguel, Maaroos Heidi-Ingrid, Švab Igor, Torres-González Francisco, Weich Scott, King Michael, Carraça Idalmiro, de Almeida Manuel, Vicente Benjamin, Saldivia Sandra, Rioseco Pedro, and Nazareth Irwin
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Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Prevention of depression must address multiple risk factors. Estimating overall risk across a range of putative risk factors is fundamental to prevention of depression. However, we lack reliable and valid methods of risk estimation. This protocol paper introduces PREDICT, an international research study to address this risk estimation. Methods/design This is a prospective study in which consecutive general practice attendees in six European countries are recruited and followed up after six and 12 months. Prevalence of depression is assessed at baseline and each follow-up point. Consecutive attendees between April 2003 and September 2004 who were aged 18 to 75 were asked to take part. The possibility of a depressive episode was assessed using the Depression Section of the Composite International Diagnostic Interview. A selection of presumed risk factors was based on our previous work and a systematic review of the literature. It was necessary to evaluate the test-retest reliability of a number of risk factor questions that were developed specifically, or adapted, for the PREDICT study. In a separate reliability study conducted between January and November 2003, consecutive general practice attendees in the six participating European countries completed the risk factor items on two occasions, two weeks apart. The overall response rate at entry to the study was 69%. We exceeded our expected recruitment rate, achieving a total of 10,048 people in all. Reliability coefficients were generally good to excellent. Discussion Response rate to follow-up in all countries was uniformly high, which suggests that prediction will be based on almost a full cohort. The results of our reliability analysis are encouraging and suggest that data collected during the course of PREDICT will have a satisfactory level of stability. The development of a multi-factor risk score for depression will lay the foundation for future research on risk reduction in primary care. Our data will also provide the necessary evidence base on which to develop and evaluate interventions to reduce the prevalence of depression.
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- 2006
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60. Experience coercion, post‐traumatic stress, and satisfaction with treatment associated with different coercive measures during psychiatric hospitalization
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Guzmán‐Parra, José, primary, Aguilera‐Serrano, Carlos, additional, García‐Sanchez, Juan Antonio, additional, García‐Spínola, Edgar, additional, Torres‐Campos, Daniel, additional, Villagrán, José María, additional, Moreno‐Küstner, Berta, additional, and Mayoral‐Cleries, Fermín, additional
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- 2018
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61. Prevalence of psychotic disorders and its association with methodological issues. A systematic review and meta-analyses
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Moreno-Küstner, Berta, primary, Martín, Carlos, additional, and Pastor, Loly, additional
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- 2018
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62. Estudio psicométrico de un cuestionario sobre las actitudes de los médicos de atención primaria hacia la salud mental: Cuestionario MAPSAM-14.
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Moreno Küstner, Berta, primary, Bordallo Aragon, Antonio, additional, and Sepúlveda Muñoz, Jesús, additional
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- 2018
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63. The influence of clerkship on students’ stigma towards mental illness: a meta-analysis
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Petkari, Eleni, primary, Masedo Gutiérrez, Ana I, additional, Xavier, Miguel, additional, and Moreno Küstner, Berta, additional
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- 2018
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64. Variables Associated With the Subjective Experience of Coercive Measures in Psychiatric Inpatients: A Systematic Review
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Aguilera-Serrano, Carlos, primary, Guzman-Parra, Jose, additional, Garcia-Sanchez, Juan A, additional, Moreno-Küstner, Berta, additional, and Mayoral-Cleries, Fermin, additional
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- 2017
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65. Randomized control trial to assess the efficacy of metacognitive training compared with a psychoeducational group in people with a recent onset of psychosis
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Moreno-Küstner, Berta, primary
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- 2017
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66. Suicidality in primary care patients who present with sadness and anhedonia
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Moreno-Küstner, Berta, Jones, Rebeca, Švab, Igor, Maaroos, Heidi, Xavier, Miguel, Geerlings, Mirjam, Torres-González, Francisco, Nazareth, Irwin, Motrico-Martínez, Emma, Montón-Franco, Carmen, Gil-de-Gómez, María José, Sánchez-Celaya, Marta, Díaz-Barreiros, Miguel Ángel, Vicens-Caldentey, Catalina, King, Michael, and NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
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Risk ,Psychiatry and Mental health ,Anhedonia ,SDG 3 - Good Health and Well-being ,Depression ,Cohort ,Primary care ,Suicidality ,behavioral disciplines and activities - Abstract
Background: Sadness and anhedonia (loss of interest in activities) are central symptoms of major depression. However, not all people with these symptoms meet diagnostic criteria for major depression. We aimed to assess the importance of suicidality in the outcomes for primary care patients who present with sadness and anhedonia. Method: Cohort study of 2,599 unselected primary care attenders in six European countries followed up at 6 and 12 months. Results: 1) In patients with sadness and/or anhedonia who were not depressed at entry to the study, suicide plans (OR = 3.05; 95 % CI = 1.50-6.24; p = 0.0022) and suicide attempts (OR = 9.08; 95 % CI = 2.57-32.03; p = 0.0006) were significant predictors of developing new onset depression at 6 or 12 months. 2) In patients with sadness and/or anhedonia who met CIDI criteria for major depression at entry, suicidal ideation (OR = 2.93; 95 % CI = 1.70-5.07; p = 0.0001), suicide plans (OR = 3.70; 95 % CI = 2.08-6.57; p < 0.0001), and suicide attempts (OR = 3.33; 95 % CI = 1.47-7.54; p = 0.0040) were significant predictors of persistent depression at 6 or 12 months. Conclusions: Three questions on suicidality could help primary care professionals to assess such patients more closely without necessarily establishing whether they meet criteria for major depression. publishersversion published
- Published
- 2016
67. Factores asociados al riesgo suicida en Andalucía. Estudio PISMA-ep suicidio
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Moreno-Küstner, Berta, Huertas, Paloma, and Cervilla, Jorge
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Epidemiología ,Suicidio - Abstract
El suicidio es un importante problema de salud mental a nivel internacional. Más de 800.000 personas se suicidan cada año. La conducta suicida es más frecuente que el suicidio consumado y por cada suicidio consumado, se dan entre 10 y 20 casos de intento suicida (1).Los estudios epidemiológicos que toman en consideración la prevalencia y los factores asociados al riesgo suicida en diferentes poblaciones son escasos, no existiendo estudios previos sobre esta realidad en Andalucía. El objetivo de este estudio es conocer laprevalencia del riesgo suicida y analizar su asociación con variables demográficas, psicosociales y clínicas. Estudio transversal mediante una encuesta domiciliaria sobre una muestra representativa de adultos no institucionalizados de ambos sexos con edades comprendidas entre 18 y 75 años. 4507 sujetos fueron entrevistados utilizando la Entrevista Neuropsiquiátrica Internacional (MINI) (3) para evaluar el riesgo suicida actual. Se utilizaron instrumentos estandarizados para la evaluación de las siguientes variables independientes: demográficas (edad, género, estado civil, situación laboral, nivel educativo, nivel de urbanicidad del lugar de residencia y provincia de residencia), psicosociales (eventos vitales estresantes, experiencias de maltrato físico, psicológico y sexual en la infancia, funcionamiento personal y social, apoyo social y rasgos de personalidad: neuroticismo e impulsividad) y clínicas (historia familiar de problemas psiquiátricos, antecedentes de suicidio en la familia, dependencia a la nicotina y otras drogas y consumo de alcohol). Se realizó un análisis exploratorio de la distribución de los datos, incluyendo frecuencias y medias de todas las variables independientes. Se calculó la prevalencia del riesgo suicida actual (IC; 95%). Para el análisis univariante se utilizó el test chi-cuadrado y la prueba t-student y finalmente se realizó un análisis multivariante de regresión logística de efectos fijos, contralado por provincia. El 6,4% de la muestra de sujetos presentan riesgo de suicidio actual. Los resultados del modelo multivariante indican que las asociaciones estadísticamente significativas con el riesgo suicida actual fueron ser mujer, mayor edad, estar divorciado/separado/viudo/soltero, historia familiar de enfermedad mental, mayor número deeventos vitales estresantes, menos apoyo social, niveles mayores de neuroticismo, consumo elevado de alcohol, y dependencia a nicotina y otras drogas. Nuestros resultados son similares a los encontrados en otros estudios previos (4). Conclusiones Se trata del primer estudio epidemiológico realizado en Andalucía sobre el riesgo de suicidio, ofreciéndonos importantes resultados de interés clínico para la prevención del suicidio. Bibliografía 1. World Health Organisation. Prevention suicide: A global Imperative. 2014. Disponible en: ihttp://www.who.int/mental_health/suicide-prevention/world_report_2014/es/ 2. Hardt J., Bernert S., Matschinger H., Angermeier M.G., VilagutG., Bruffaerts R., et al. Systematic review of risk factors for suicide and suicide attempt among psychiatric J Affective Disorders 2015; 175: 168–174. 3. Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Herqueta T, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(Suppl.20):22-33. 4. Nock M.K., Borges G, Bromet E.J., Cha C.B., Kessler R.C., Lee S.Suicide and suicidal behavior.Epidemiol Rev. 2008;30:133-54 Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech.
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- 2016
68. Considerations about the assessment of stigma towards persons with schizophrenia: The question of gender
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Masedo Gutiérrez, Ana Isabel, primary, Grandón Fernández, Pamela, additional, Bustos, Claudio, additional, and Moreno-Küstner, Berta, additional
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- 2017
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69. Los servicios de salud mental se enredan en la informática
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Moreno-Küstner, Berta
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Salud mental ,Sistemas de información ,Salud mental - Sistemas de información - Abstract
Con los últimos adelantos en la tecnología informática, cada vez resulta más fácil diseñar, alimentar y gestionar grandes bases de datos, estandarizar la entrada y salida de la información, mejorar su accesibilidad, facilitar las tareas administrativas y repetitivas como informes, recetas, circulares,… en definitiva suponen una mejora en la gestión de la información clínica. Efectivamente se está avanzando en el desarrollo informático aplicado al ámbito sanitario, sin embargo, el gran avance tecnológico no se ve acompañado de resultados útiles y aplicables en el ámbito de la atención, la gestión y la investigación sanitaria en general y en el ámbito de la salud mental en particular. El problema de los sistemas de información en salud mental en España reside en las dificultades para crear información relevante, en la falta de homogeneidad en la recogida de la información, el análisis incompleto de los resultados, la tardía explotación y la escasa difusión. Además, en el contexto actual de descentralización administrativa, con la transferencia de las competencias sanitarias a las comunidades autónomas ha aumentado la dispersión en la forma de generar y crear la información, debido al desarrollo desigual de los sistemas de información, en cada comunidad autónoma. Actualmente, no contamos con indicadores mínimos a nivel autonómico, ni a nivel central, que nos permitan comparar la situación de la atención a la salud mental en España. Y, sin buena información será difícil establecer comparaciones en el desempeño de los servicios de salud mental y evaluar los progresos. En conclusión y según el informe de la Sociedad Española de Salud Pública y Administración Sanitaria del año 2010, es necesaria una profunda reforma de los sistemas de información sanitaria, que se encamine hacia la creación de un sistema de información global. Actualmente, existe la necesidad imperiosa de disponer de una única historia de salud electrónica con información básica compartida, con todos los elementos de seguridad y confidencialidad posibles, permitiendo el acceso rápido a la información esencial a cualquier profesional que toma decisiones sobre la salud mental de un paciente, beneficiando igualmente a la investigación médica, a través del acceso a bases de datos que aportan la información imprescindible en la que se fundamenta el progreso científico. Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech.
- Published
- 2015
70. Experience coercion, post‐traumatic stress, and satisfaction with treatment associated with different coercive measures during psychiatric hospitalization.
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Guzmán‐Parra, José, Aguilera‐Serrano, Carlos, García‐Sanchez, Juan Antonio, García‐Spínola, Edgar, Torres‐Campos, Daniel, Villagrán, José María, Moreno‐Küstner, Berta, and Mayoral‐Cleries, Fermín
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CONTROL (Psychology) ,CHI-squared test ,HOSPITAL care ,PATIENT satisfaction ,POST-traumatic stress disorder ,PSYCHIATRIC emergencies ,QUESTIONNAIRES ,STATISTICS ,DATA analysis ,MULTIPLE regression analysis ,QUANTITATIVE research ,VISUAL analog scale ,DATA analysis software ,DESCRIPTIVE statistics ,KRUSKAL-Wallis Test - Abstract
Coercive measures are frequently used in psychiatric hospitalization. However, there are few studies that analyse perceived coercion, post‐traumatic stress, and subjective satisfaction with the hospitalization treatment associated with different types of coercive measures. The sample consisted of 111 patients admitted to two psychiatric units and divided into three groups based on the measure applied: involuntary medication (N = 41), mechanical restraint (N = 32), and combined measures (mechanical restraint and involuntary medication; N = 38). The outcome variables were perceived coercion evaluated with the Coercion Experience Scale (CES), post‐traumatic stress evaluated with the Davidson Trauma Scale (DTS), and satisfaction with the treatment evaluated with the Client's Assessment of Treatment (CAT). The results found higher levels of perceived coercion associated with the use of mechanical restraint (P = 0.002) and combined measures (P < 0.001) in comparison with involuntary medication. Additionally, in relation to post‐traumatic stress, mechanical restraint (P = 0.013) and combined measures (P = 0.004) were more stressful compared to involuntary medication. Finally, the use of combined measures was associated with lower satisfaction with inpatient psychiatric treatment compared to the use of involuntary medication (P = 0.006). The following recommendation would be consistent with the results found: if a patient does not specify a preference for some type of measure, involuntary medication could be used and mechanical restraint avoided, especially when used in combination with involuntary medication. [ABSTRACT FROM AUTHOR]
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- 2019
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71. The andalusian 'multiplex families with bipolar disorder ': a revaluation of the cohort study (1997-2013)
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Guzmán, José, Mayoral, Fermín, Moreno-Küstner, Berta, Rivas, Fabio, Romero, Pablo, Gay, Eudoxia, González, María José, Gil, Susana, Cabaleiro, Francisco, Rio, Francisco, Pérez, Fermín, Haro, Jesús, Nöthen, Markus, Streit, Fabian, Strohmaier, Jana, and Rietschel, Marcela
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Genetic ,Psicosis maniacodepresiva ,Bipolar - Abstract
Objectives. Bipolar disorder (BD) is highly heritable, and gene identification will elucidate biological factors and gene-environment interactions. Multiplex families represent a promising resource for identifying rare variants and polygenic effects. However, such families are difficult to recruit. In 1997, >100 multiplex Andalusian BD pedigrees - the largest of which contains >20 affected members- were recruited within an Andalusian-German collaboration study. Since then, the Andalusian psychiatric network and biobank facilities have been expanded in order to facilitate psychiatric research. Therefore in 2013, the Andalusian-German collaborators initiated a follow-up study of this cohort in order to identify new genetic and environmental factors for BD aetiology and clinical course. Methods. In 1997, BD patients at Andalusian psychiatric hospitals who reported a family history of BD were asked to inform their families about the study. All consenting family members (N= 937; BPI/II=265; Recurrent Mayor Depression=149) were assessed using a structured psychiatric interview for life-time best estimate psychiatric diagnosis (SADS) and the family history method, and blood was obtained for DNA genetic analysis. Follow-up involves reassessment of diagnosis, neuropsychological testing (CANTAB), and the collection of biomaterials (RNA, Plasma, IPS, hair cortisol, etc.). Written informed consent is obtained for all study procedures and analyses. Results. For the first three families, follow-up assessments and biomaterial-processing have been completed. Follow-up of the remaining families is ongoing. Conclusion. This cohort represents a unique resource for the investigation of BD aetiology and clinical course, and will be available to international researchers from other sciences. Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech.
- Published
- 2014
72. Suicidality in primary care patients who present with sadness and anhedonia: a prospective European study
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Moreno-Küstner, Berta, primary, Jones, Rebeca, additional, Švab, Igor, additional, Maaroos, Heidi, additional, Xavier, Miguel, additional, Geerlings, Mirjam, additional, Torres-González, Francisco, additional, Nazareth, Irwin, additional, Motrico-Martínez, Emma, additional, Montón-Franco, Carmen, additional, Gil-de-Gómez, María José, additional, Sánchez-Celaya, Marta, additional, Díaz-Barreiros, Miguel Ángel, additional, Vicens-Caldentey, Catalina, additional, and King, Michael, additional
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- 2016
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73. Prevalence and use of services in persons with schizophrenia and related disorders in Málaga (Spain)
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Moreno-Küstner, Berta, Martín, Carlos, Mayoral, Fermín, Angona, Pedro, García-Herrera, José María, Navas, Desiree, and Rivas, Fabio
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Epidemiology ,Use of services ,Prevalence ,Schizophrenia ,Esquizofrenia ,Psicología - Abstract
Background/Objectives Very few studies have examined schizophrenia morbidity in Spain, using multiple sources of information. We performed a 1-year prevalence study of schizophrenia and related disorders in Málaga and the use of services in a population aged 14 years or older living in the mental health catchment area of Carlos Haya hospital (Málaga, Spain). Methods Data were obtained from multiple sources of information mainly clinical databases. We selected more than 4000 persons as “possible cases” and we consult case notes and key informant (general practice and psychiatrists) to confirm schizophrenic diagnoses and place of living. Results A total of 1808 patients, 1169 men and 639 women were included as cases in the study. The one year ICD-10 prevalence rate was 6,8 (6,5-7,1) per 1000 adult population. Almost 80% of cases were in contact with public mental health services. Responsibility for schizophrenic patients is mainly carried by mental health services. Discussion/Conclusion Health planning should be based on local data about prevalence and use of services. Multiple sources of information are essential for accurate estimation of prevalence of schizophrenia disorders. Grants Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech. Junta de Andalucía (PI/PI338/2008 y CTS-945)
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- 2013
74. Psychometrics properties of a questionnaire on the attitudes of general practitioners towards mental health (MAPSAM-14).
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Moreno Küstner, Berta, Bordallo Aragón, Antonio, and Sepúlveda Muñoz, Jesús
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MENTAL health , *PSYCHOMETRICS , *ATTITUDE (Psychology) , *FACTOR analysis , *CROSS-sectional method - Abstract
Background The aim of this study is to adapt and analyze the psychometric properties of a questionnaire on the perceptions of general practitioners towards mental health. Method: This is a descriptive cross-sectional, observational study. A total of 145 general practitioners from the reference area of Malaga Regional Hospital answered this 25-item questionnaire; a factorial analysis was then conducted and its internal consistency reliability was tested. Results: The adequacy of sampling and sphericity were satisfactorily met. Three dimensions measured by 14 items were found in the factorial analysis explaining 55.1% of its variance: the MAPSAM-14 questionnaire. Conclusions: This questionnaire may be a proper tool with which to determine the satisfaction of general practitioners in relation to mental health services, their beliefs and stigma towards mental illness and their level of training in the field of schizophrenia and related disorders. [ABSTRACT FROM AUTHOR]
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- 2018
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75. Needs, Perceived Support, and Hospital Readmissions in Patients with Severe Mental Illness.
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Guzman-Parra, Jose, Moreno-Küstner, Berta, Rivas, Fabio, Alba-Vallejo, Mercedes, Hernandez-Pedrosa, Javier, and Mayoral-Cleries, Fermin
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MEDICAL needs assessment , *MENTAL illness , *PSYCHOLOGICAL stress , *SOCIAL support , *SEVERITY of illness index , *PATIENT readmissions - Abstract
People with severe mental illness have multiple and complex needs that often are not addressed. The purpose of this study was to analyse needs and support perceived and the relationship with hospital readmission. We assessed 100 patients with severe mental illness at discharge from an acute inpatient unit in terms of needs (Camberwell Assessment of Needs), clinical status (The Brief Psychiatric Rating Scale), and social functioning (Personal and Social Performance); we also followed up these patients for 1 year. The group of patients who were readmitted had more total needs than did the non-readmitted, in addition to more unmet needs, although the differences were not significant. The highest risk factor for rehospitalisation was the number of previous admissions. In addition, the help of informal carers in alleviating psychological distress was associated with the risk of readmission. The main conclusion concerns the role of the psychological support provided by informal networks in preventing readmission. [ABSTRACT FROM AUTHOR]
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- 2018
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76. Variables Associated With the Subjective Experience of Coercive Measures in Psychiatric Inpatients: A Systematic Review: Variables associées à l’expérience subjective de mesures coercitives chez des patients psychiatriques hospitalisés: une revue systématique
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Aguilera-Serrano, Carlos, Guzman-Parra, Jose, Garcia-Sanchez, Juan A., Moreno-Küstner, Berta, and Mayoral-Cleries, Fermin
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INVOLUNTARY treatment ,RESTRAINT of patients ,BEHAVIOR modification ,SOLITUDE ,PATIENT satisfaction - Abstract
Objective: This systematic review presents evidence regarding factors that may influence the patient's subjective experience of an episode of mechanical restraint, seclusion, or forced administration of medication.Method: Two authors searched CINAHL, PubMed, SCOPUS, Web of Science, and Psych-Info, considering published studies between 1 January 1992 and 1 February 2016. Based on the inclusion criteria and methodological quality, 34 studies were selected, reporting a total sample of 1,869 participants.Results: The results showed that the provision of information, contact and interaction with staff, and adequate communication with professionals are factors that influence the subjective experience of these measures. Humane treatment, respect, and staff support are also associated with a better experience, and debriefing is an important procedure/technique to reduce the emotional impact of these measures. Likewise, the quality of the working and physical environment and some individual and treatment variables were related to the experience of these measures. There are different results in relation to the most frequently associated experiences and, despite some data that indicate positive experiences, the evidence shows such experiences to be predominantly negative and frequently with adverse consequences. It seems that patients find forced medication and seclusion to be more tolerable than mechanical restraint and combined measures.Conclusions: It appears that the role of the staff and the environmental conditions, which are potentially modifiable, affect the subjective experience of these measures. There was considerable heterogeneity among studies in terms of coercive measures experienced by participants and study designs. [ABSTRACT FROM AUTHOR]- Published
- 2018
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77. El estudio Andalusian Bipolar Family(ABiF): protocolo y descripción de la muestra
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Guzman-Parra, Jose, Rivas, Fabio, Strohmaier, Jana, Forstner, Andreas, Streit, Fabian, Auburger, Georg, Propping, Peter, Orozco-Diaz, Guillermo, González, Maria José, Gil-Flores, Susana, Cabaleiro-Fabeiro, Francisco Javier, del Río-Noriega, Francisco, Perez-Perez, Fermin, Haro-González, Jesus, de Diego-Otero, Yolanda, Romero-Sanchiz, Pablo, Moreno-Küstner, Berta, Cichon, Sven, Nöthen, Markus M., Rietschel, Marcella, and Mayoral, Fermin
- Abstract
Se presenta la primera descripción del estudio denominado Andalusian Bipolar Family(ABiF). Se trata de una investigación longitudinal con familias procedentes de Andalucía (España), que comenzó en 1997, con el objetivo de dilucidar las causas geneticomoleculares del trastorno afectivo bipolar. Desde entonces, esta cohorte ha contribuido a una serie de hallazgos clave, que han sido publicados en revistas internacionales. Sin embargo, el conocimiento sobre las bases genéticas del trastorno en estas familias sigue siendo limitado.
- Published
- 2018
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78. ¿Por qué no funcionan los sistemas de información en salud mental?: Diez requisitos necesarios para su implementación
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Moreno Küstner, Berta
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sistemas de información ,psychiatric case records ,information systems ,mental health ,salud mental ,historia clínica - Abstract
Para que los sistemas de información en salud mental sean eficientes deberían cumplir los siguientes requisitos. (1) El sistema debe estar centrado en el paciente, (2) la recogida de la información debe ser longitudinal y acumulada; (3) el sistema debe ser integrado y exhaustivo. Para todo ello necesitamos contar con un código de identificación único y universal de cada paciente. (4) Debe definirse un conjunto mínimo básico de datos a recoger homogéneos y estandarizados, que cumplan normas de (5) confidencialidad y criterios mínimos de (6) calidad. Además, el sistema de información debe permitir (7) la explotación de resultados de forma ágil, rápida y flexible y que sea útil para la comunidad científica: profesionales clínicos, gestores e investigadores. Es necesario que (8) los profesionales clínicos estén involucrados en el desarrollo de los sistemas de información y reciban el asesoramiento necesario, (9) desde unidades intermedias, para su correcta utilización. Por último, y no por ello menos importante, (10) los sistemas de información en salud mental deben estar apoyados institucionalmente y ser considerados como una prioridad dentro del sistema de atención a la salud mental. A mental health information system, must meet the following minimum requirements if it is to be considered of good quality. The system must be patient centred, and the information must be longitudinal, accumulated, exhaustive and complete. This requires a unique universal identification code for each patient. The data recorded must comply with the guarantees of confidentiality and the minimum quality criteria to enable the drawing up of results that are useful for the scientific community, including clinicians, managers and researchers. For these information systems to be efficient, it is necessary for the clinicians to be involved in their development and to receive training for their correct use. Finally, these systems should receive institutional support and be considered a priority within the mental health care system.
- Published
- 2012
79. La información sanitaria se enreda en la informática
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Moreno Küstner, Berta
- Published
- 2011
80. Factores asociados a las demandas psiquiátricas a los servicios de urgencias prehospitalarios de Málaga (España).
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Guzmán-Parra, José, Martínez-García, Ana Isabel, Guillén-Benítez, Cristobalina, Castro-Zamudio, Serafina, Jiménez-Hernández, Manolo, and Moreno-Küstner, Berta
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EMERGENCY medical services ,EMERGENCY medicine ,MENTAL health ,MENTAL health services ,PSYCHIATRY ,MEDICAL care - Abstract
Copyright of Salud Mental is the property of Instituto Nacional de Psiquiatria Ramon de la Fuente and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
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81. Patients’ Opinions about Knowing Their Risk for Depression and What to Do about It. The PredictD-Qualitative Study
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Bellón, Juan Á., primary, Moreno-Peral, Patricia, additional, Moreno-Küstner, Berta, additional, Motrico, Emma, additional, Aiarzagüena, José M., additional, Fernández, Anna, additional, Fernández-Alonso, Carmen, additional, Montón-Franco, Carmen, additional, Rodríguez-Bayón, Antonina, additional, Ballesta-Rodríguez, María Isabel, additional, Rüntel-Geidel, Ariadne, additional, Payo-Gordón, Janire, additional, Serrano-Blanco, Antoni, additional, Oliván-Blázquez, Bárbara, additional, Araujo, Luz, additional, Muñoz-García, María del Mar, additional, King, Michael, additional, Nazareth, Irwin, additional, and Amezcua, Manuel, additional
- Published
- 2014
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82. Unmet needs in the management of schizophrenia
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Torres-González, Francisco, primary, Ibanez-Casas, Inmaculada, additional, Saldivia, Sandra, additional, Ballester, Dinarte, additional, Grandón-Fernández, Pamela, additional, Moreno-Küstner, Berta, additional, Xavier, Miguel, additional, and Gómez-Beneyto, Manuel, additional
- Published
- 2014
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83. Análisis de patrones de utilización de servicios en pacientes esquizofrénicos
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Moreno-Küstner, Berta, Godoy García, Juan Francisco, Torres González, Francisco, and Universidad de Granada. Departamento de Medicina legal, Toxicología y Psiquiatría
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Enfermos mentales ,Esquizofrénicos ,Psiquiatría - Abstract
Tesis Univ. de Granada. Departamento de Medicina legal, Toxicología y Psiquiatría. Leída en 2002
- Published
- 2002
84. Andalusian Case Register of Schizofrenia
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Moreno Küstner, Berta, Rosales Varo, Carmen, and Torres González, Francisco
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sistemas de información ,schizophrenia ,mental disorders ,esquizofrenia ,information systems ,behavioral disciplines and activities ,registros de casos ,psychiatry register - Abstract
El Registro Andaluz de Esquizofrenia tiene como objetivo principal conocer la prevalencia de la esquizofrenia asistida en el área sur de la provincia de Granada. The main aim of the Andalusian Case Register for Schizophrenia is to determine the prevalence of schizophrenia of those cared for by the public network of mental health services in South Granada.
- Published
- 2001
85. List of Threatening Experiences Questionnaire--Spanish Version
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Motrico, Emma, primary, Moreno-Küstner, Berta, additional, de Dios Luna, Juan, additional, Torres-González, Francisco, additional, King, Michael, additional, Nazareth, Irwin, additional, Montón-Franco, Carmen, additional, Gilde Gómez-Barragán, María Josefa, additional, Sánchez-Celaya, Marta, additional, Díaz-Barreiros, Miguel Ángel, additional, Vicens, Catalina, additional, Moreno-Peral, Patricia, additional, and Bellón, Juan Ángel, additional
- Published
- 2013
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86. ¿Por qué no funcionan los sistemas de información en salud mental?: Diez requisitos necesarios para su implementación
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Moreno Küstner, Berta, primary
- Published
- 2012
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87. La información sanitaria se enreda en la informática
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Moreno Küstner, Berta, primary
- Published
- 2011
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88. Development of a new spatial analysis tool in mental health: Identification of highly autocorrelated areas (hot-spots) of schizophrenia using a Multiobjective Evolutionary Algorithm model (MOEA/HS)
- Author
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García-Alonso, Carlos R., primary, Salvador-Carulla, Luis, additional, Negrín-Hernández, Miguel A., additional, and Moreno-Küstner, Berta, additional
- Published
- 2010
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89. Opiniones de médicos de atención primaria, psiquiatras y psicólogos acerca de las guías de práctica clínica para la depresión. Un estudio cualitativo exploratorio
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Fernández Sánchez, Anna, primary, Sánchez-Carracedo, David, additional, Navarro-Rubio, M. Dolors, additional, Pinto-Meza, Alejandra, additional, and Moreno-Küstner, Berta, additional
- Published
- 2010
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90. High-activity variants of the uMAOA polymorphism increase the risk for depression in a large primary care sample
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Rivera, Margarita, primary, Gutiérrez, Blanca, additional, Molina, Esther, additional, Torres-González, Francisco, additional, Bellón, Juan A., additional, Moreno-Küstner, Berta, additional, King, Michael, additional, Nazareth, Irwin, additional, Martínez-González, Luis J., additional, Martínez-Espín, Esther, additional, Muñoz-García, María M., additional, Motrico, Emma, additional, Martínez-Cañavate, Teresa, additional, Lorente, José A., additional, Luna, Juan D., additional, and Cervilla, Jorge A., additional
- Published
- 2009
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91. The Malaga Schizophrenia Case-Register (Resma): Overview of Methodology and Patient Cohort
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Moreno-Küstner, Berta, primary, Mayoral, Fermín, additional, Pérez, Olga, additional, García-Herrera, José María, additional, Algarra, José, additional, Rivas, Fabio, additional, Pérez, Rita, additional, Becerra, Francisco, additional, and Gornemann, Isolde, additional
- Published
- 2009
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92. Prediction of depression in European general practice attendees: the PREDICT study
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King, Michael, primary, Weich, Scott, additional, Torres-González, Francisco, additional, Švab, Igor, additional, Maaroos, Heidi-Ingrid, additional, Neeleman, Jan, additional, Xavier, Miguel, additional, Morris, Richard, additional, Walker, Carl, additional, Bellón-Saameño, Juan A, additional, Moreno-Küstner, Berta, additional, Rotar, Danica, additional, Rifel, Janez, additional, Aluoja, Anu, additional, Kalda, Ruth, additional, Geerlings, Mirjam I, additional, Carraça, Idalmiro, additional, de Almeida, Manuel Caldas, additional, Vicente, Benjamin, additional, Saldivia, Sandra, additional, Rioseco, Pedro, additional, and Nazareth, Irwin, additional
- Published
- 2006
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93. Género y salud mental en un mundo cambiante
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Montero, Isabel, primary, Aparicio, Dolores, additional, Gómez-Beneyto, Manuel, additional, Moreno-Küstner, Berta, additional, Reneses, Blanca, additional, Usall, Judit, additional, and Vázquez-Barquero, José L, additional
- Published
- 2004
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94. Creación y funcionamiento del Registro Andaluz de Esquizofrenia
- Author
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Moreno Küstner, Berta, primary, Rosales Varo, Carmen, additional, and Torres González, Francisco, additional
- Published
- 2001
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95. Revisión crítica de las fuentes de variabilidad en la medición de la prevalencia de esquizofrenia.
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Moreno-Küstner, Berta, Martín, Carlos, and Almenara, José
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- *
ETHNOLOGY methodology , *RESEARCH methodology , *DISEASE prevalence , *SCHIZOPHRENIA , *EPIDEMIOLOGICAL research - Abstract
Epidemiologic research plays a very relevant role to know the prevalence of schizophrenia. However, sometimes data from different studies are compared without taking into account some methodological questions that influence the results. This paper reviews different methodological factors that influence variability of rates in schizophrenia prevalence. Also, we provide some generic recommendations for measuring prevalence. We have revised 52 studies which offer prevalence rates of schizophrenia. A big difference appears in the prevalence rates of schizophrenia which range between 1 to 45 per 1000 inhabitants. The factors founded can be summarized as follows: 1. type of prevalence; 2. denominator population; 3. place of selection of cases; 4. classification issue; 5. diagnoses categories and 6. methods of diagnoses. In conclusion, in the epidemiological studies about schizophrenia prevalence we have to take into account the methodological factors involved in order to interprete and compare results from different studies. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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96. Prevalence of obesity and abdominal obesity in the Lausanne population.
- Author
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Bellón, Juan Ángel, Moreno-Küstner, Berta, Torres-González, Francisco, Montón-Franco, Carmen, GildeGómez-Barragán, María Josefa, Sánchez-Celaya, Marta, Díaz-Barreiros, Miguel Ángel, Vicens, Catalina, Luna, Juan de Dios, Cervilla, Jorge A, Gutierrez, Blanca, Martínez-Cañavate, María Teresa, Oliván-Blázquez, Bárbara, Medrano, Ana Vázquez-, Sánchez-Artiaga, María Soledad, March, Sebastia, Motrico, Emma, Ruiz-García, Victor Manuel, Wainberg, Paulette Renée Brangier-, and Muñoz-García, María del Mar
- Subjects
- *
OBESITY , *BODY mass index , *MULTIVARIATE analysis - Abstract
Background: Obesity can be defined using body mass index (BMI) or waist (abdominal obesity). Little information exists regarding its prevalence and determinants in Switzerland. Hence, we assessed the levels of obesity as defined by BMI or waist circumference in a Swiss population-based sample. Methods: Cross-sectional, population-based non-stratified random sample of 3,249 women and 2,937 men aged 35-75 years living in Lausanne, Switzerland. Overall participation rate was 41%. Results: In men, the prevalences of overweight (BMI ≥25 kg/m²) and obesity (BMI ≥30 kg/m²) were 45.5% and 16.9%, respectively, higher than in women (28.3% and 14.3%, respectively). The prevalence of abdominal obesity (waist ≥102 in men and ≥88 cm in women) was higher in women than in men (30.6% vs. 23.9%). Obesity and abdominal obesity increased with age and decreased with higher educational level in both genders. In women, the prevalence of obesity was lower among former and current smokers, whereas in men the prevalence of obesity was higher in former smokers but did not differ between current and never smokers. Multivariate analysis showed age to be positively related, and education and physical activity to be negatively related with obesity and abdominal obesity in both genders, whereas differential effects of smoking were found between genders. Conclusion: The prevalence of abdominal obesity is higher than BMI-derived obesity in the Swiss population. Women presented with more abdominal obesity than men. The association between smoking and obesity levels appears to differ between genders. [ABSTRACT FROM AUTHOR]
- Published
- 2008
97. INFLUENCE OF MATERNAL AND PATERNAL HISTORY IN SYMPTOMS, COGNITION AND METACOGNITION IN PEOPLE WITH FIRST-EPISODE PSYCHOSIS.
- Author
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López-Carrilero, Raquel, Mendoza-Garcia, Sara, Birulés, Irene, Barajas, Ana, Lorente, Esther, Gutierrez-Zotes, Antonio, Grasa, Eva, Pousa, Esther, Pélaez, TRinidad, Luisa Barrigon, Maria, Gonzalez Higueras, Fermin, Ruiz, Isabel, Cid, Jordi, Ferrer-Quintero, Marta, Moreno-Küstner, Berta, Moritz, Steffen, and Ochoa, Susana
- Subjects
CHILDREN of people with mental illness ,COGNITIVE testing ,CONFERENCES & conventions ,PSYCHOSES ,RISK assessment ,FAMILY history (Medicine) - Abstract
Background: Previous studies have found that the best predictor of individual risk when developing one or several mental and neurocognitive disorders is family history of mental disorder, more specifically, first degree relatives. The estimated risk of developing schizophrenia is of approximately 10% in individuals that present a paternal or maternal risk of psychosis, increasing to a 50% if both parents are affected; in comparison to a 1% risk in general population (Hall, 1994; Hannon et al., 2016). Having a first-degree family member with psychosis is the best individual risk predictor in developing mental or neurocognitive disorders (Bhatia et al., 2016; Thorup et al., 2018). However, literature exploring the role of family history of psychosis on symptoms, cognition, social cognition and metacognition in first-episode of psychosis (FEP) is scarce, and there is a dearth of studies examining the influence of the maternal and paternal history of psychosis independently. Methods: The main aim of the present study is to assess the clinical, cognitive, social cognitive and metacognitive variables in people with FEP with family risk, considering the maternal and paternal history of mental disorder separately. As secondary aims, we will assess the clinical, cognitive, social cognition and metacognition variables considering the presence of a maternal and paternal history of psychosis. Methods: A transversal, descriptive, observational design was chosen for this study. The sample was composed of people with a recent onset of psychosis, recruited from 10 public centers in Spain. We recruited 186 individuals with FEP between 18 and 45 years of age. We collected information about the diagnosis of mother and father with mental disorders. Symptoms were assed with the PANSS. A battery of questionnaires on metacognition and social cognition variables was included. Neurocognitive functioning was measured. The statistical analysis was done using SPSS. Results: Individuals with a maternal history of a mental disorder showed higher scores in delusional experiences (p=0.004) and scored lower in general functioning as measured by the GAF (p=0.029). The individuals with the presence of a maternal history of psychosis scored significantly higher in the positive subscale of the PANSS (p=0.030). Individuals with a paternal history of psychotic disorder scored worse in high expectations and the need for adapting to the others and they had a greater presence of externalizing bias than those without a paternal history (p=0.026). Discussion: Results yield that there is a higher prevalence of a maternal history of psychosis than the paternal history of psychosis, and furthermore, these individuals exhibit a specific clinical, cognitive, social and metacognitive profile. This study raises awareness on the different profiles of persons with first-episode psychosis and the influence of the family history on clinical, cognitive, social and metacognitive variables, which should be taken into account when offering individualized early treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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98. Bipolar multiplex families have an increased burden of common risk variants for psychiatric disorders
- Author
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Andlauer, Till FM, Guzman-Parra, Jose, Streit, Fabian, Strohmaier, Jana, González, Maria José, Gil Flores, Susana, Cabaleiro Fabeiro, Francisco J, Del Río Noriega, Francisco, Perez, Fermin Perez, Haro González, Jesus, Orozco Diaz, Guillermo, De Diego-Otero, Yolanda, Moreno-Küstner, Berta, Auburger, Georg, Degenhardt, Franziska, Heilmann-Heimbach, Stefanie, Herms, Stefan, Hoffmann, Per, Frank, Josef, Foo, Jerome C, Treutlein, Jens, Witt, Stephanie H, Cichon, Sven, Kogevinas, Manolis, Bipolar Disorder Working Group Of The Psychiatric Genomics Consortium, Consortium, Major Depressive Disorder Working Group Of The Psychiatric Genomics, Rivas, Fabio, Mayoral, Fermín, Müller-Myhsok, Bertram, Forstner, Andreas J, Nöthen, Markus M, and Rietschel, Marcella
- Subjects
Depressive Disorder, Major ,Bipolar Disorder ,Case-Control Studies ,Schizophrenia ,Humans ,Genetic Predisposition to Disease ,3. Good health - Abstract
Multiplex families with a high prevalence of a psychiatric disorder are often examined to identify rare genetic variants with large effect sizes. In the present study, we analysed whether the risk for bipolar disorder (BD) in BD multiplex families is influenced by common genetic variants. Furthermore, we investigated whether this risk is conferred mainly by BD-specific risk variants or by variants also associated with the susceptibility to schizophrenia or major depression. In total, 395 individuals from 33 Andalusian BD multiplex families (166 BD, 78 major depressive disorder, 151 unaffected) as well as 438 subjects from an independent, BD case/control cohort (161 unrelated BD, 277 unrelated controls) were analysed. Polygenic risk scores (PRS) for BD, schizophrenia (SCZ), and major depression were calculated and compared between the cohorts. Both the familial BD cases and unaffected family members had higher PRS for all three psychiatric disorders than the independent controls, with BD and SCZ being significant after correction for multiple testing, suggesting a high baseline risk for several psychiatric disorders in the families. Moreover, familial BD cases showed significantly higher BD PRS than unaffected family members and unrelated BD cases. A plausible hypothesis is that, in multiplex families with a general increase in risk for psychiatric disease, BD development is attributable to a high burden of common variants that confer a specific risk for BD. The present analyses demonstrated that common genetic risk variants for psychiatric disorders are likely to contribute to the high incidence of affective psychiatric disorders in the multiplex families. However, the PRS explained only part of the observed phenotypic variance, and rare variants might have also contributed to disease development.
99. Predicting the onset and persistence of episodes of depression in primary health care. The predictD-Spain study: Methodology
- Author
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Bellón Saameño, Juan Ángel, Moreno-Küstner, Berta, Torres González, Francisco, Montón-Franco, Carmen, Gilde Gómez-Barragán, María Josefa, Sánchez-Celaya, Marta, Díaz-Barreiros, Miguel Ángel, Vicens, Catalina, Luna Del Castillo, Juan De Dios, Cervilla Ballesteros, Jorge A., Gutiérrez Martínez, Blanca, Martínez-Cañavate López-Montes, Teresa, Oliván-Blázquez, Bárbara, Vázquez-Medrano, Ana, Sánchez-Artiaga, María Soledad, March, Sebastia, Motrico, Emma, Ruiz-García, Víctor Manuel, Brangier-Wainberg, Paulette, Muñoz-García, María del Mar, Nazareth, Irwin, King, Michael, and PredictD Group
- Subjects
Persistence (psychology) ,Male ,Episodes of depression ,Population based cohort ,humanos ,adolescente ,Effects of putative risk factors ,estudios de seguimiento ,Common mental disorders ,Social support ,Study Protocol ,Recurrence ,Risk Factors ,estudios prospectivos ,Surveys and Questionnaires ,Epidemiology ,evaluación de riesgos ,Prevalence ,Major depression ,Prospective Studies ,Prospective cohort study ,Depression (differential diagnoses) ,mediana edad ,anciano ,lcsh:Public aspects of medicine ,prevalencia ,adulto ,Middle Aged ,Female ,Risk assessment ,Adult ,medicine.medical_specialty ,Adolescent ,Physical health ,factores socioeconómicos ,Risk Assessment ,Life events ,trastorno depresivo ,medicine ,factores de riesgo ,Humans ,Different cultures ,Onset persistence of depression ,Psychiatry ,Aged ,Depressive Disorder ,Primary Health Care ,business.industry ,Public health ,Public Health, Environmental and Occupational Health ,Reproducibility of Results ,lcsh:RA1-1270 ,Psychiatric disorder ,Generalized anxiety ,reproducibilidad de resultados ,Socioeconomic Factors ,Risk factors ,Spain ,Biostatistics ,business ,Factor Analysis, Statistical ,recurrencia ,Follow-Up Studies - Abstract
Background: The effects of putative risk factors on the onset and/or persistence of depression remain unclear. We aim to develop comprehensive models to predict the onset and persistence of episodes of depression in primary care. Here we explain the general methodology of the predictD-Spain study and evaluate the reliability of the questionnaires used. Methods: This is a prospective cohort study. A systematic random sample of general practice attendees aged 18 to 75 has been recruited in seven Spanish provinces. Depression is being measured with the CIDI at baseline, and at 6, 12, 24 and 36 months. A set of individual, environmental, genetic, professional and organizational risk factors are to be assessed at each follow-up point. In a separate reliability study, a proportional random sample of 401 participants completed the test-retest (251 researcher-administered and 150 self-administered) between October 2005 and February 2006. We have also checked 118,398 items for data entry from a random sample of 480 patients stratified by province. Results: All items and questionnaires had good test-retest reliability for both methods of administration, except for the use of recreational drugs over the previous six months. Cronbach's alphas were good and their factorial analyses coherent for the three scales evaluated (social support from family and friends, dissatisfaction with paid work, and dissatisfaction with unpaid work). There were 191 (0.16%) data entry errors. Conclusion: The items and questionnaires were reliable and data quality control was excellent. When we eventually obtain our risk index for the onset and persistence of depression, we will be able to determine the individual risk of each patient evaluated in primary health care., The research in Spain was funded by grants from the Spanish Ministry of Health (grant FIS references: PI04/1980, PI0/41771, PI04/2450, and PI06/1442), Andalusian Council of Health (grant references: 05/403, 06/278 and 08/0194), and the Spanish Ministry of Education and Science (grant reference SAF 2006/07192). The Malaga sample, as part of the predictD-International study, was also funded by a grant from The European Commission (reference QL4-CT2002-00683).
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100. Satisfacción de necesidades y calidad de vida en personas con esquizofrenia y transtornos afines, en Chile
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Alvarado Muñoz, Rubén, Torres González, Francisco, Moreno-Küstner, Berta, Silva Zamora, Claudio, and Universidad de Granada. Departamento de Medicina Legal, Toxicología y Psiquiatría
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Calidad de vida ,Esquizofrenia ,Psiquiatría - Abstract
Tesis Univ. Granada. Departamento de Medicina Legal, Toxicología y Psiquiatría. Leída el 20 de septiembre de 2007
- Published
- 2018
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