La adolescencia es la transición entre la infancia y la edad adulta, es la etapa de plasticidad cerebral y adaptación a eventos ambientales, tienen una acentuada reactividad emocional, sensibilidad a la influencia de pares, impulsividad y búsqueda de emociones, asociado a una capacidad limitada de autocontrol, unido a cambios hormonales y neurobiológicos especialmente en determinadas áreas del cerebro, lo cual desencadenó una búsqueda de Independencia y autonomía.

Objective: To determine the relationship between year levels of medical studies and depressive and anxious symptoms during the first months of the COVID-19 pandemic in a sample of medical students in Lima, controlling specifically the variables sex and presence of underlying medical conditions. Material and Methods: An online survey collected information from 250 medical students, covering general data, previous medical history and symptoms of depression (PHQ-9) and anxiety (GAD-7). Data were managed using multivariate analysis of covariance. Results: Differences were found between years of study and the combined values of PHQ-9 and GAD-7 (Wilks’ Λ = 0.86; p = 1.68 x 10-4; η2p = 0.08). Underlying medical conditions also showed significant differences for the combined values of PHQ-9 and GAD-7 (Wilks’ Λ = 0.94, p = 4.43 x 10-4, η2p = 0.06). The univariate test for year of study sh...

Este texto analiza tres artículos publicados sobre el impacto de la pandemia de COVID - 19, específicamente en el período de post cuarentena y bajo políticas restrictivas en la población de Lima. Se destaca que el aislamiento prolongado y las restricciones tienen efectos negativos en la salud mental, lo que lleva a tasas altas de depresión, ansiedad y estrés. Aunque hay un número creciente de estudios sobre los efectos psicológicos durante la pandemia; hay una falta de investigación sobre los efectos después del período de cuarentena. a. Población de Lima Metropolitana: se encontró que, aproximadamente el 50 % de la población estudiada tuvo niveles de distrés, evidenciando mayores porcentajes en depresión y ansiedad comparados con estudios previos y recientes en el Perú. Las poblaciones de mayor vulnerabilidad estuvieron en las de mayor edad y el haber tenido un familia...

La palabra estigma se refiera a una marca en el cuerpo, esta palabra en griego significa picadura, marca hecha por un tatuaje. En el contexto de la salud, es la asociación negativa ente una persona o un grupo de personas que comparten ciertas características y una enfermedad especifica.

Se presenta el caso de un varón con esquizofrenia que, a consecuencia de un cuadro de polidipsia psicógena, desarrolló alteración del sensorio y convulsiones con hallazgo de hiponatremia severa y elevación de enzima creatinafosfokinasa (CPK), compatible con rabdomiólisis. Se plantea que el cuadro de polidipsia psicógena y su secuela de encefalopatía hiponatrémica deben considerarse en el diagnóstico diferencial de cualquier paciente que se presente con alteración de conciencia o convulsiones.

Objectives: To perform an expert validation study of COVID-19 Peritraumatic Distress Index (CPDI) for its eventual use in Perú. Material and Methods: In a first round by experts, the CPDI was translated into Spanish and then adapted. In a second round, (n = 13), the content validity was evaluated by using Aiken’s V (V). The V was calculated for each item, as well as for the whole instrument (VTOT). Results: Of the 24 original items, only one (S7) presented non-significant values for content validity, reason for which it was removed. The final 23-items scale did not present any alterations for the VTOT calculation Conclusions: On the basis of its adequate content validity, the Spanish version of CPDI is suitable for its application in the Peruvian population. The psychometric characteristics of the instrument, as well as its proposed modification remain to be defined through quantitati...

Objetivos: Determinar la prevalencia de depresión y síntomas depresivos entre pacientes nuevos que acuden alconsultorio de Dermatología del Hospital Nacional Cayetano Heredia (HNCH), así como la posible asociación entrelas variables demográficas o las características de la patología dermatológica y la presencia de depresión y síntomasdepresivos. Métodos: Se realizó un estudio descriptivo, transversal entre 287 pacientes nuevos que acudieron alconsultorio de dermatología del HNCH. Se registraron los datos demográficos, los de la enfermedad dermatológica,y los antecedentes personales y familiares. Se aplicó el Inventario de depresión de Beck (IDB) y la Entrevista ClínicaEstructurada para Trastornos del DSM-IV (SCID), apartado de depresión mayor, entre enero y agosto del año2003. Resultados: La prevalencia de depresión fue de 20,6% y la de síntomas depresivos, de 44,9...

Objective: to validate the short form (4 questions) of the geriatric depression scale in elderly adult patients. Material and method: the study was performed from September 2002 to June 2003. We included 400 patients aged 60 and older in the geriatrics outpatient clinic of the Hospital Nacional Cayetano Heredia. The participants were not receiving antidepressant therapy and had no evidence of cognitive deterioration. The tests applied were the DSM-IV (gold standard), the 15-item geriatric depression scale (GDS-15) and the 4-item geriatric depression scale (GDS-4).  Results: the average age was 70,85 years (range 60-98 years); 66,25% were women. 17,3% had depression according to DSM - IV, 11,8% according to GDS - 15 and 34,3% according to GDS-4. The sensitivity of the GDS-15 was 49%; specificity 96%, negative predictive value 90% and positive predictive value 72%. The sensitivity of ...

Objective: to validate the short form (4 questions) of the geriatric depression scale in elderly adult patients. Material and method: the study was performed from September 2002 to June 2003. We included 400 patients aged 60 and older in the geriatrics outpatient clinic of the Hospital Nacional Cayetano Heredia. The participants were not receiving antidepressant therapy and had no evidence of cognitive deterioration. The tests applied were the DSM-IV (gold standard), the 15-item geriatric depression scale (GDS-15) and the 4-item geriatric depression scale (GDS-4).  Results: the average age was 70,85 years (range 60-98 years); 66,25% were women. 17,3% had depression according to DSM - IV, 11,8% according to GDS - 15 and 34,3% according to GDS-4. The sensitivity of the GDS-15 was 49%; specificity 96%, negative predictive value 90% and positive predictive value 72%. The sensitivity of ...

Objective: To determine the relationship and connecting factors between pre-existing diseases, medication intake and peritraumatic distress in physicians in face-to-face activity in the city of Lima, Peru during the COVID-19 pandemic. Method: The study included physicians working in the first line of care of patients with COVID-19, as well as physicians working in other areas. The instruments used were the COVID-19 related Peritraumatic Distress Index (CPDI), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder Scale-7 (GAD-7). A general linear model was performed taking the CPDI values as the dependent variable to assess distress-related factors. Results: 288 physicians were included, 54.50% of whom worked in the front line. The CPDI value showed a direct relationship with GAD-7 and PHQ-9, as well as with medical illness. A statistically significant direct relationsh...

Objective: Identify in the adult population of Metropolitan Lima the prevalence, access and factors associated with the main mental disorders (MD) during the COVID-19 pandemic. Methodology: Cross-sectional, correlational study in a probabilistic, two-stage sample of 1823 adults (≥18 years old), interviewed by telephone. Instruments: sociodemographic file and housing characteristics; Questionnaire on COVID-19 Experiences; the MINI International Neuropsychiatric Interview ICD-10 Version; the MINI Suicide Risk Scale; the Pittsburgh Sleep Quality Index; the Perceived Stress Scale; Psychosocial Functioning Brief Scale (based on suggested areas of the WHO DAS-S); Questionnaire on Access to Health Services; Mezzich Quality of Life Index; Diener's Life Satisfaction Scale; Block's Ego-Resilience Scale; and an Abbreviated Ad-hoc Questionnaire on Domestic Violence. Analysis used were the correcte...