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Biomedical subjects

L Rojo Moreno

Publications and source records attributed to L Rojo Moreno.

9 recordsLinked to original sources
PubMedDate not supplied

[Psychiatrist's burnout. A survey].

INTRODUCTION: This work seeks to know the state of the Burnout syndrome among Spanish psychiatrists' with the purpose of having some national reference values. It also sought to elucidate the sociodemographic and work-related variables which can influence the burnout syndrome. METHODS: A survey (which includes sociodemographic, work-related variables and the Maslach Burnout Inventory) is applied to a sample of psychiatrists assisting at the National Congress of Psychiatry held in Valencia. The statistical analysis comprises parametric, non parametric and multivariate methods. RESULTS: The results of the three subscales included in the Maslach Burnout Inventory is offered along their relationship with the sociodemographic and work-related variables studied. The multivariate analysis shows that only the variable sex can influence the probability of obtaining high scores in the depersonalization subscale. CONCLUSIONS: The scores obtained in the three subscales of the of Maslach Burnout Inventory are higher than those published to date. These prior studies were carried out with autonomous samples. The possible relationship of these high scores with the current spanish situation is considered.

Adult↗
PubMedDate not supplied

[The Spanish version of the Manchester Nurse Rating Scales].

INTRODUCTION: There is no Nursing-staff Mania Rating Scale adapted to the Spanish language. The present work is the result of the adaptation we have carried out. METHODOLOGY: The scale has been translated and the back-translation compared with the original version. It has been applied on 670 occasions to a sample of 59 patients. Simultaneously the patients were rated with the Manic Interpersonal Interaction Scale, two versions of the Visual Analogue Scale and the Numeric Rating Scale. RESULTS: The coefficient Alpha of Cronbach is 0.94. The interrater's correlation coefficient for the total of the scale is 0.84. The factorial analysis gives a single factor that explains 65% of the variance. The Area under the ROC Curve is 0,87. CONCLUSIONS: The scale shows excellent psychometric properties, with great homogeneity of the scale items and good discriminate properties between bipolar patient and those affected by other psychoses.

Adult↗
PubMedDate not supplied

[Bipolar disorder: helping the treatment].

INTRODUCTION: [corrected] Psychoeducation programs for bipolar patients try to give them a theoretical and practical system to understand and cope with the consequences of this disorder. The published studies reviewed support the idea that patients included in this therapeutic approach present higher treatment compliance. METHODOLOGY: The purpose of our study is to specify the benefits of the psychoeducation programs, comparing the degree of knowledge of the illness (Measured by means of the Understanding Mood Disorder Questionnaire Gavazzi et al, 1997, Spanish version of Livianos and Rojo, 1998) of 10 patients included in our program with that of another 10 patients who attended the same lithium clinic, but were not included in the psychoeducation program. RESULTS: There are statistically significant differences in the total of the scale as well as on the mania scale and known facts, but no differences on the depression scale. CONCLUSION: The results allow us to stress the impact of the psychoeducation programs on the knowledge of illness.

Adult↗
PubMedDate not supplied

[New mood stabilizers and reproductive cycle].

INTRODUCTION: The use of new mood stabilizers in the treatment of bipolar disorder has supposed a revolution, especially due to its more favorable profile in many aspects. Nevertheless, therapeutic decisions on treatment during pregnancy and the breastfeeding period are still being debated. Since these new anticonvulsants appeared in the decade of 1990, less naturalistic experience in its use exists during these periods than with other older anticonvulsants. METHODS: A Medline and Embase search was conducted from 1970 to 2003 to review the articles published on the use of the new mood stabilizers during pregnancy and breastfeeding, and its effects on contraception. Neurology and psychiatry text chapters and abstracts of the Annual Meeting of the American Psychiatric Association (years 2001-2003) were also reviewed. RESULTS: Although some recent articles suggest that new mood stabilizers could have a smaller risk of congenital defects, and therefore could be used with smaller risks in women in fertile age, most of articles reviewed indicate that there is not enough knowledge on the safety of the new mood stabilizers in pregnancy and breastfeeding. CONCLUSIONS: The risks and benefits of continuing with the new mood stabilizers during pregnancy and breastfeeding must be weighed carefully, and the severity of the disease and the previous answer to treatment should be taken into account.

Anticonvulsants↗
PubMedDate not supplied

[Translation and adaptation in the Spanish environment of the Altman Self-Rating Mania Scale].

INTRODUCTION: The aim of the present study is the translation, adaptation and validation in the Spanish environment of a self-rating of mania scale, the Altman Self-Rating Scale for Mania (ASRM), to fulfill a need in our environment in the self-rating of mania. METHODS: The scale was translated, and then a back translation was done. This was sent to the author of the original scale. The scale was administered to a sample of 74 patients with bipolar disorder, divided into two groups, one formed by patients with acute mania (n=35) and the other one constituted by asymptomatic patients (n=39). Concurrently we applied the Clinician Administered Rating Scale for Mania (CARS-M) and the Numeric Evaluation Scale (NES). RESULTS: High internal consistency, high and significant correlation with the CARS-M mania sub-scale, as well as with the NES and very significant differences between the two groups in the scale score were found. The ROC curve indicates excellent adjustment of the scale, when discriminating among bipolar patients with and without manic symptoms. The factorial analysis provided a single factor that accounts for 62% of the total variance. CONCLUSIONS: The Altman Self-Rating Mania Scale is shown to be a reliable and valid self-rating instrument to assess the presence and intensity of manic symptoms. It makes it possible to carry out simple and quick assessments of the patient's state, can be used for research as clinical objectives and can also be a screening instrument.

Adolescent↗
PubMedDate not supplied

[Validation of the SRQ in mental health examinations of the general public].

The utility of the SRQ on the mental health screening in a general population sample is tested on this paper. In terms of a better sensibility/specificity adjustment, and greater adequacy the results show that the best cut-off point is found on 3 affirmative answers. The results are discussed in relation to some others found at the literature.

Adolescent↗
PubMedDate not supplied

[The influence of emotions on upbringing memories: a before-after study with a parental bonding instrument (PBI)].

A common idea is the that the patients with affective and anxiety disorders recover in a partial way their memories in function of their state. This particular fact can influence the remembrance of the upbringing so that the memory is facilitated for facts congruent with their current affects. The authors apply a questionnaire of upbringing (PBI) to a group of anxious and depressive patients at the beginning of the treatment and when the improvement has taken place. There are not variations for the punctuations in the scale of upbringing, which is invariant with the changes of the humour.

Adolescent↗