Abstract：
INTRODUCTION:Maintenance Electroconvulsive Therapy (mECT) is a biological long-term treatment in which patients receive ECT on periods from 2 to 4 weeks, during a variable period of time, usually for more than 6 months. Recent studies showed the efficacy of mECT in prevention of relapse and recurrences. Our study wants to demostrate the effectivity and cost-effectivity of this therapy in the naturalistic conditions of our area. METHODOLOGY: DESIGN:Retrospective longitudinal study, with mirror analysis in naturalistic conditions. SUBJECTS:Patients attended at the Corporació Sanitària Parc Taulí (Sabadell, Catalonia), and included in the mECT program during more than six months. We performed diagnostic following DSM-IV criteria, subdividing the sample in three groups: patients affected of Recurrent Major Depression, Bipolar Disorder and Schizophrenia and Related Disorders. MEASURES:Number and duration of hospitalizations for the previous three years before the beginning of mECT, compared with the same data for the next three years following the beginning of mECT. Comparative analysis of direct hospitalization costs, costs of the mECT and pharmacologic costs. Statistic: Descriptive and non- parametric tests. RESULTS:Sample of 35 patients (1997-2008). There is a significative reduction the number of hospitalizations and days of hospitalization in the total sample and also in each of the three subgroups. The direct total cost decreased but it was only significant in the Bipolar Disorder subgroup, due to the increased pharmacological costs. CONCLUSIONS:mECT in our area is an effective and costeffective treatment with a great impact on the reduction of clinical decline and hospitalizations.
journal_name
Actas Esp Psiquiatrjournal_title
Actas espanolas de psiquiatriaauthors
Cosculluela A,Cobo J,Martínez-Amorós E,Paños M,Santiago AM,Crivillés S,Camposo M,Oliva JC,Granero A,Palao DJsubject
Has Abstractpub_date
2017-11-01 00:00:00pages
257-67issue
6eissn
1139-9287issn
1578-2735journal_volume
45pub_type
杂志文章abstract：INTRODUCTION:The objectives of the research are to determine the prevalence of major depression after childbirth and compare it with that of non-postpartum women; and to study the risk factors for postpartum depression. METHOD:We studied 425 women: 321 women in the first postpartum year, 41 nulliparous women and 63 wo...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVE:To determine whether there are differences in verbal working memory amongst subjects with schizophrenia, their first degree relatives and controls, and to evaluate the influence of symptoms on these differences, as an initial step to assess whether this cognitive function is an endophenotype. METHODS:We exam...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2013-03-01 00:00:00
abstract：:With the development of new antiretroviral therapies, there has been significant developments in the understanding of the neuropathogenesis of HIV-associated brain disease and the effects of these drugs in the CNS. This fact originated a substantial improvement in the survival of patients and influenced the course of ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2011-11-01 00:00:00
abstract：INTRODUCTION:The bulk of research on Family Interventions concentrates on assessing its efficacy in reducing psychotic relapses, there being very little research into its ability to reduce the morbidity of the main caregiver over the course of time. METHOD:Follow-up study at five years of a cohort of informal caregive...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,随机对照试验
doi：
更新日期：2006-05-01 00:00:00
abstract：:The aim of this paper is to present the bibliometric indicators of Actas Españolas de Psiquiatría that were obtained from the study "Potential impact factor of the Spanish medical journals in 2001", financed by the Spanish Ministerio de Educación, Cultura y Deporte. The citations made in Actas Españolas de Psiquiatría...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2004-11-01 00:00:00
abstract：:The concept of Typus Melancholicus (TM) was shaped by Tellenbach to describe the premorbid and intermorbid personality vulnerable to endogenous depression. The first part of this paper aims to point out the basic principles of Tellenbach’s theory – the method, the concept of endon, of rhythmic, of situation, of rimane...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2011-09-01 00:00:00
abstract：:In recent years, a direct relation between the occurrence of anxiety disorders, sleep disturbances, and mood disorders has been observed as a consequence of poor or inadequate diet. Eating habits in Western societies have greatly changed in recent decades, with an increase in the consumption of foods low in vitamin an...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2017-09-01 00:00:00
abstract：:Narcolepsy is an infrequent neurological disorder, included in the catalog of rare diseases. Despite the existenceof precise diagnostic criteria, this entity remains underdiagnosed. It is characterized by excessive daytime sleepiness associated with cataplexy; in some cases, hypnagogic or hypnopompic hallucinations, a...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2020-11-01 00:00:00
abstract：:Since 1992 it has been reported that obsessive-compulsive behavior may emerge in patients treated with clozapine. We would like to report a case of obsessive-compulsive behavior emerging after initiation of treatment with clozapine in a 22-year-old man with a diagnosis of schizoaffective disorder that was successfully...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2002-09-01 00:00:00
abstract：OBJECTIVES:To determine the prevalence of eating disorders in secondary level students, as well as to determine the relationship between eating behaviour and personality traits. SUBJECTS AND METHOD:During the 1997-98 school year, 816 secondary level students from Langreo (Asturias) were evaluated. EVALUATION:Eating D...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
abstract：INTRODUCTION:There are no conclusive data on the effectiveness of antidepressant drugs in the treatment of comorbid cases of alcohol dependence and depression. OBJECTIVES:To determine the effectiveness of venlafaxine on depression and on severity (need of treatment) of alcohol dependence and related problems. METHODS...
journal_title：Actas espanolas de psiquiatria
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：2005-01-01 00:00:00
abstract：INTRODUCTION AND METHOD:The ESAP is a self-rating scale based on the panic attack with 0 to 3 scoring and the total score is obtained by adding the 14 scores- the highest score thus being 42. Forty patients were included for the study, and the were assessed at their first visit, after one week and after one month in th...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：1999-05-01 00:00:00
abstract：:The Psychotic Symptom Rating Scales (PSYRATS) is a clinical assessment tool that focuses on the detailed measurement of delusions and hallucinations in patients with psychosis. The goal of this study was to examine the psychometric properties of the Portuguese version of the PSYRATS. A sample of 92 outpatients sufferi...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2017-03-01 00:00:00
abstract：INTRODUCTION:The high prevalence of bulimia nervosa among eating disorders and limited repertoire of assessment tools available for these disorders in Spanish have resulted in special interest regarding the adaptation of a specific instrument such as the Bulimia Test (BULIT). METHODOLOGY:A total of 119 outpatients, mo...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2007-09-01 00:00:00
abstract：INTRODUCTION:Freud introduced two concepts of illness gain-one was a more external conscious adaptive form of gain, called secondary gain, and the other was a more internal unconscious destructive form of gain, called the need to be ill. Both forms of illness gain are interdependent and secondary gain can generate a ne...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2005-03-01 00:00:00
abstract：INTRODUCTION:currently the treatment of mental illness by antidepressants is very frequent. Selective serotonin reuptake inhibitors are the most prescribed antidepressants worldwide and have been associated with alterations in accommodation or pupil. The objective of this study is to evaluate the effects of fluoxetine ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2020-03-01 00:00:00
abstract：INTRODUCTION:Test of Everyday Attention for Children (TEA-Ch) has been validated in different countries demonstrating that it is an instrument with a correct balance between reliability and duration. Given the shortage of trustworthy instruments of evaluation in our language for infantile population we decide to explor...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2016-09-01 00:00:00
abstract：:Choking phobia is characterized by fear and avoidance of swallowing food, fluids or pills. It often appears in women after an episode of choking on food. We present the case of an adolescent beginning her phobia after a mononucleosis with severe dysphagia. Patient's solid restriction raised concerns about differential...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2001-11-01 00:00:00
abstract：INTRODUCTION:In the last years, there has been a growing interest in the study of cognitive functioning, not only in schizophrenia but also in other psychoses and psychiatric disorders. Attention, memory and information processing deficits may have great relevance as predictors of social adjustment and quality of life....
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 00:00:00
abstract：:This review is focused on aggressive behavior in adult patients with major mental disorders. Aggression, agitation, and hostility are defined. The roles of intramuscular forms of ziprasidone and olanzapine in the treatment of acute agitation and aggression are discussed. We review general considerations pertaining to ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2006-03-01 00:00:00
abstract：INTRODUCTION:Updating psychopathology is currently viewed as being dependent on a readjustment that fits the ever increasing knowledge of cerebral physiopathology. Nevertheless, this recalibration cannot elude the apories of a medical semiology based upon the identification of correlates and injury as the reference of ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVE:To compare the relative healthcare costs, from the perspective of the Spanish National Healthcare System (NHS), of initiating treatment with either pregabalin, or SSRI/SNRI, as add-on therapies, in patients with generalized anxiety disorder (GAD), who are resistant to benzodiazepine-based therapy (BR). METHO...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,多中心研究
doi：
更新日期：2013-05-01 00:00:00
abstract：AIM:This study has aimed to assess whether there are differences between immigrant and local psychiatric inpatients admitted to a general hospital in Spain in relation to diagnostic or treatment management. METHODS:We carried out a cohort study, with a sample of N=102 immigrant patients and N=102 local patients, match...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2010-09-01 00:00:00
abstract：INTRODUCTION:Due to the fact that various research studies have shown that drug users usually have a father with negative characteristics, it is convenient to investigate this phenomenon and take it into consideration in addict treatment efforts. METHODOLOGY:This is a qualitative study that explores the fatherly perce...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:Cyproheptadine is a drug with direct antimuscarinic, antihistaminic (H1) and antiseronergic (5HT2) effects. In spite of its use as an orexigenic agent in normal or anorectic subjects, little is known about its effect in affective, anxiety or psychotic disorders. We present the case of a 14-year patient beginning with ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2000-07-01 00:00:00
abstract：INTRODUCTION:In recent years, reports of attentional deficits in schizophrenic patients and in their biological relatives have rapidly increased, including an important effort to search for the endophenotypes in order to link specific genes to this illness. Posner et al. developed a test, the Attention Network Test (AN...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：INTRODUCTION:Delirium is an organic mental disorder defined as a confusional state, attention deficit and disorganized thinking, with a fluctuating course and acute development. Underlying causes are numerous, but the most common are multiple medical problems and drug side effects. SUBJECTS AND METHOD:We present a des...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2001-05-01 00:00:00
abstract：:There has been increasing interest about cognition in schizophrenia during recent years. The greater focus of the investigators has been focused greater interest on the relation of cognitive deterioration with positive and negative symptoms, and functionality. However very few studies, if any, have specifically focuse...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2012-07-01 00:00:00
abstract：:The article begin with a review of the high prevalence of concurrent mental illness and substance abuse disorders among general and clinical populations, highlighting the need for development of appropriate services to treat these persons. Several studies have revealed a significant adverse impact of comorbid personal...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章,评审
doi：
更新日期：2001-01-01 00:00:00
abstract：:The objective of this study was to examine the article production on psychosis from the main spanish journals of psychology and psychiatry, as well as to make comparisons among them. 16 journals of psychology and 5 of psychiatry were selected and a period of revision of four years settled down (2003-2006). The sample ...
journal_title：Actas espanolas de psiquiatria
pub_type： 杂志文章
doi：
更新日期：2010-05-01 00:00:00
