Publications by authors named "Juan Pablo Zapata Ospina"

Article Synopsis
  • The study investigates how psychiatrists and psychologists diagnose adjustment disorder (AD) and distinguish it from major depressive episode (MDE) using a grounded theory approach that included interviews with professionals in Colombia.
  • Key findings reveal that clinicians face challenges in discussing stressful events without medicalizing them, emphasize that while diagnoses are essential, they are not infallible, and view AD as a valid diagnosis reflecting varying responses to stress.
  • The research suggests that recognizing AD can help prevent the overdiagnosis of MDE, and highlights the importance of considering AD similarly to MDE in treatment strategies, focusing on coping and interventions related to stressors.
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Article Synopsis
  • The Universidad de Antioquia's LivingLab developed a telehealth mental health programme during the COVID-19 pandemic to provide care and evaluate patient satisfaction.
  • From March 2020 to August 2021, the programme treated over 10,000 patients, with the majority diagnosed with depressive, anxiety, and psychotic disorders, and conducted more than 6,000 telehealth visits.
  • Patient satisfaction was high, with over 93% indicating they would recommend the service, suggesting the programme’s effectiveness and potential for broader adoption in mental health care.
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Background: The Racing and Crowded Thoughts Questionnaire (RCTQ-13) is the most widely used specific scale for the measurement of racing thoughts, but there is currently no Spanish version that allow the evaluation in Spanish-speaking patients. The objective of this study is to translate, adapt, and validate the RCTQ-13 in a Colombian population with affective disorders.

Methods: The questionnaire was translated and back-translated, and corrections were implemented following a pilot test to improve comprehensibility.

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Introduction: Adjustment disorder (AD) is a diagnosis that must be differentiated from major depressive episode (MDE) because of the therapeutic implications. The aim of this study is to understand the experience of patients who in their lifetime have been diagnosed with AD as well as MDE to establish the characteristics of each disorder.

Methods: A descriptive phenomenological approach was used with in-depth interviews to four patients and the method proposed by Colaizzi to understand the experiences and reach the description of both disorders.

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Introduction: Studies that have compared the cognitive alterations of the children of parents with bipolar disorder (CPBD) versus the children of control parents (CCP), present heterogeneous results due to the studies' methodological differences, the age of the population studied, and the lack of standardisation of the measures used for the different neurocognitive domains. The objective was to compare the neurocognitive profile of CPBD versus CCP to observe if there are differences that could be proposed as possible endophenotypes of BD.

Results: A total of 107 individuals (51 CPBD, and 56 CCP) with ages between 6 and 16 (mean, 12.

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Introduction: Attention deficit/hyperactivity disorder (ADHD) has genetic and environmental aetiological factors. There are few publications on the environmental factors. The objective of this review is to present the role of psychosocial adversity in the aetiology and course of ADHD.

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Introduction: Predominant polarity (PP) has been proposed as a specifier of bipolar disorder (BD) due to its relationship with clinical and prognostic variables. It is possible that this is due to a different underlying neurobiology, in such a way that the changes found by structural nuclear magnetic resonance imaging (sMRI) in BD are different and specific.

Objectives: To explore findings of structural neuroimaging in patients with BD type I (BD-I) according to PP.

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Introduction: Lithium treatment of bipolar disorder (BD) has been associated with less cognitive impairment and fewer changes in structural brain anatomy compared to other treatments. However, the studies are heterogeneous and few assess whether these effects are related. The objective of this study was to evaluate and relate cognitive performance and structural neuroanatomy in patients treated with and without lithium.

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Objective: To contextualize a synthesis of evidence on interventions in student mental health during the COVID-19 pandemic through a deliberative dialogue with Ibero-American universities.

Methods: An evidence synthesis and synchronous dialogues were previously conducted, consisting of subgroup discussions about the design and implementation of mental health interventions. An analysis of dialogic data was conducted, then organized by topic.

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A telehealth mental health programme was designed at the LivingLab of the Faculty of Medicine of the Universidad de Antioquia [University of Antioquia]. To describe the development and operation of the programme and evaluate the satisfaction of the patients treated during the COVID-19 pandemic in 2020 and 2021. Descriptive study that details the development of the programme.

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Introduction: The offspring of bipolar parents (BO) is a high-risk population for inheriting the bipolar disorder (BD) and other early clinical manifestations, such as sleep disturbances.

Objective: To compare the presence of psychiatric disorders and sleep disturbances of BO versus offspring of control parents (OCP).

Methods: A cross-sectional analytical study was conducted that compared BO versus OCP.

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Introduction: Studies that have compared the cognitive alterations of the children of parents with bipolar disorder (CPBD) versus the children of control parents (CCP), present heterogeneous results due to the studies' methodological differences, the age of the population studied, and the lack of standardisation of the measures used for the different neurocognitive domains. The objective was to compare the neurocognitive profile of CPBD versus CCP to observe if there are differences that could be proposed as possible endophenotypes of BD.

Results: A total of 107 individuals (51 CPBD, and 56 CCP) with ages between 6 and 16 (mean, 12.

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Background: The aim of the study is to compare the emotional effects of COVID-19 among three different groups, namely: health personnel, medical students, and a sample of the general population.

Methods: 375 participants were recruited for this study, of which 125 were medical students (preclinical studies, 59; clinical studies, 66), 125 were health personnel (COVID-19 frontline personnel, 59; personnel not related with COVID-19, 66), and 125 belonged to the general population. The PHQ-9, GAD-7, and CPDI scales were used to assess the emotional impact.

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Background: College and university students are a population vulnerable to mental disorders, especially during the COVID-19 pandemic. Their mental health has been affected by confinement, difficulties in the development of academic activities, and the demands of new pedagogical modalities. We aimed to respond to the question: what are the actions around promotion and prevention, mental symptoms care, and pedagogical adaptations that can be developed in order to improve the mental health of college and university students?

Methods: We conducted a critical synthesis from a systematic review of the literature.

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Objective: Validate the Self Stigma Of Seeking Help (SSOSH) scale in a population of students of a medical school for its use in Colombia.

Methods: We included 384 medical students from the city of Medellín. Initially, two direct translations were made, two back translation and one pilot test.

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Introduction: Attention deficit/hyperactivity disorder (ADHD) has genetic and environmental aetiological factors. There are few publications on the environmental factors. The objective of this review is to present the role of psychosocial adversity in the aetiology and course of ADHD.

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Introduction: Lithium treatment of bipolar disorder (BD) has been associated with less cognitive impairment and fewer changes in structural brain anatomy compared to other treatments. However, the studies are heterogeneous and few assess whether these effects are related. The objective of this study was to evaluate and relate cognitive performance and structural neuroanatomy in patients treated with and without lithium.

View Article and Find Full Text PDF

Objective: Validate the Self Stigma Of Seeking Help (SSOSH) scale in a population of students of a medical school for its use in Colombia.

Methods: We included 384 medical students from the city of Medellín. Initially, two direct translations were made, two back translation and one pilot test.

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Introduction: The offspring of bipolar parents (BO) is a high-risk population for inheriting the bipolar disorder (BD) and other early clinical manifestations, such as sleep disturbances.

Objective: To compare the presence of psychiatric disorders and sleep disturbances of BO versus offspring of control parents (OCP).

Methods: A cross-sectional analytical study was conducted that compared BO versus OCP.

View Article and Find Full Text PDF

Introduction: Predominant polarity (PP) has been proposed as a specifier of bipolar disorder (BD) due to its relationship with clinical and prognostic variables. It is possible that this is due to a different underlying neurobiology, in such a way that the changes found by structural nuclear magnetic resonance imaging (sMRI) in BD are different and specific.

Objectives: To explore findings of structural neuroimaging in patients with BD type I (BD-I) according to PP.

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Content-based validity can be defined as the evidence of the degree to which the items of an instrument represent the construct to be inferred. It is the initial and unavoidable step for evaluating other sources of validity. However, it is one of the least reported psychometric properties in development of health measurement scales.

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Background: The treatment of schizophrenia includes the use of psychotropic drugs, psychotherapy, and psychosocial interventions that include psychoeducation. This strategy has been defined as the delivery of information about the disorder and its treatment in a systematic and structured way.

Objective: To review the literature on the efficacy of psychoeducation in schizophrenia.

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