Sara Guila Fidel Kinori

Vall d'Hebron Hospital Universitari

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Francisco José Eiroá‐Orosa

Universitat de Barcelona

Anna Giannoni-Pastor

Universitat Autònoma de Barcelona

Miguel Casas

Hospital Sant Joan de Déu Barcelona

Josep Antoni Ramos‐Quiroga

Universitat Autònoma de Barcelona

Ruth Tasqué-Cebrián

Universitat Autònoma de Barcelona

José María Argüello

Universitat Autònoma de Barcelona

Damià Valero-Bover

Catalan Society of Family and Community Medicine

Gerard Carot-Sans

Institut d'Investigació Biomédica de Bellvitge

Jordi Piera-Jiménez

Servei de Salut de les Illes Balears

Pol Pérez Sust

Catalan Society of Family and Community Medicine

Cooperative Institutions

Vall d'Hebron Hospital Universitari

Universitat Autònoma de Barcelona

Centro de Investigación Biomédica en Red de Salud Mental

Vall d'Hebron Institut de Recerca

Instituto de Salud Carlos III

Centre for Biomedical Network Research on Rare Diseases

Servei de Salut de les Illes Balears

Hospital Clínic de Barcelona

Centro de Investigación Biomédica en Red

Departament de Salut

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Confidencialidad en las historias clínicas informatizadas en salud mental hospitalaria

Medicina Clínica (2012)

Sara Guila Fidel Kinori Francisco José Eiroá‐Orosa Anna Giannoni-Pastor Ruth Tasqué-Cebrián

Demographics

Family Caregivers

10.1016/j.medcli.2012.02.022

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Citations (2)

Segunda víctima y calidad de los recursos de apoyo a los profesionales en cardiología

Revista Española de Cardiología (2022)

Jordi Bañeras Pablo Jorge‐Pérez Clara Bonanad María Thiscal López Lluva Isaac Moll

10.1016/j.recesp.2022.01.006

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Prevalence and Predictors of Posttraumatic Stress Symptomatology Among Burn Survivors

Journal of Burn Care & Research (2015)

Anna Giannoni-Pastor Francisco José Eiroá‐Orosa Sara Guila Fidel Kinori José María Argüello Miguel Casas

Burns can be a traumatic and stressful experience, although each patient may respond in very different ways. The aim of this study was to explore the variability on posttraumatic stress disorder (PTSD) and acute stress disorder (ASD) prevalence and evaluate the specific weight of different variables on PTSD development among adult burn patients. A systematic review was carried out to explore the prevalence of ASD and PTSD and identify their predictors. Meta-analytical methods were used to explore the strength of association between PTSD and the latter. From an initial pool of 190 studies, 24 were used in the systematic review, and only 19 studies could be used for the meta-analysis because of different methodological limitations. The prevalence of ASD at baseline ranged from 2 to 30% and prevalence of PTSD ranged from 3 to 35% at 1 month, 2 to 40% between 3 and 6 months, 9 to 45% in the year postinjury and ranged 7 to 25% more than 2 years later. Life threat perception was the strongest predictor for PTSD occurrence, followed by acute intrusive symptoms and pain associated with burn injuries. Predictive variables identified in this research may be useful in targeting burn patients who are at risk for developing posttraumatic stress symptoms and stress-related psychological symptoms.

Acute Stress Disorder

10.1097/bcr.0000000000000226

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Citations (95)

Personality as a predictor of depression symptoms in burn patients: A follow-up study

Burns (2014)

Anna Giannoni-Pastor Montserrat Gomà‐i‐Freixanet Sergi Valero Sara Guila Fidel Kinori Ruth Tasqué-Cebrián

Depression

Sensation Seeking

Hostility

10.1016/j.burns.2014.07.028

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Citations (23)

Psychosocial Factors and Antiepileptic Drug Use Related to Delayed Diagnosis of Refractory Psychogenic Nonepileptic Seizures

Cognitive and Behavioral Neurology (2014)

Amanda Rodríguez‐Urrutia Manuel Toledo Francisco José Eiroá‐Orosa Xavier Salas‐Puig Estevo Santamarina

We analyzed clinical and psychosocial factors in patients with refractory psychogenic nonepileptic seizures, seeking characteristics that could hasten diagnosis.Psychogenic nonepileptic seizures remain a diagnostic challenge. Prognosis is best if patients are treated within 2 years of symptom onset. Psychosocial factors have been shown to provide important information for differential diagnosis.Over a year and 1132 consecutive patients, our hospital's Epilepsy Unit suspected 93 patients of having psychogenic nonepileptic seizures and confirmed refractory psychogenic nonepileptic seizures in 67. We referred these patients to our psychiatric consultation unit for detailed diagnostic interviews, and 53 of the patients followed through. Two months after the psychiatric evaluation we gave them a psychiatric intervention, explaining the diagnosis and treating their comorbidities. We also tracked the patients' use of antiepileptic drugs for 3 months, from just before the psychiatric evaluation until a month after they started the intervention.Women, patients with an inadequate primary support group, and patients who had tried many antiepileptic drugs were most likely to have their diagnosis of psychogenic nonepileptic seizures delayed by >2 years after onset. A stepwise logistic regression showed that the 2 best predictors of late diagnosis were lack of availability of a primary support group and patients trying many antiepileptic drugs.Clinicians evaluating patients with questionable seizures should raise their suspicion of psychogenic nonepileptic seizures especially in female patients with an insufficient primary support group and a history of taking multiple antiepileptic drugs.

Psychogenic disease

10.1097/wnn.0000000000000045

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Citations (4)

Prevalence and Predictors of Posttraumatic Stress Symptomatology Among Burn Survivors

Anna Giannoni-Pastor Francisco José Eiroá‐Orosa Sara Guila Fidel Kinori José María Argüello Miguel Casas

Burns can be a traumatic and stressful experience, although each patient may respond in very different ways. Objective: The aim of this study was to explore the variability on Post-traumatic stress disorder and Acute Stress Disorder prevalence, and evaluate the specific weight of different variables on Post-traumatic stress disorder development among adult burn patients. Methods: A systematic review was carried out to explore the prevalence of acute and Post-traumatic stress disorder and identify their predictors. Meta-analytical methods were used to explore the strength of association between Posttraumatic stress disorder and the latter. From an initial pool of 190 studies, 24 were used in the systematic review, and only 19studies could be used for the meta-analysis due to different methodological limitations. Outcomes: The prevalence of Acute Stress Disorder at baseline ranged from 2 to 30% and prevalence of Post-traumatic stress disorder ranged from 3 to 35% at 1 month, 2-40% between 3 and 6 months, 9-45% in the year post-injury and ranged 7-25% more than two years later. Life threat perception was the strongest predictor for Post-traumatic stress disorder occurrence, followed by acute intrusive symptoms and pain associated with burn injuries. Conclusions: Predictive variables identified in this research may be useful in targeting burn patients who are at risk for developing post-traumatic stress symptoms and stress related psychological symptoms.

Acute Stress Disorder

Traumatic stress

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A Web-Based App for Emotional Management During the COVID-19 Pandemic: Platform Development and Retrospective Analysis of its Use Throughout Two Waves of the Outbreak in Spain (Preprint)

Sara Guila Fidel Kinori Gerard Carot-Sans Andrés Cuartero Damià Valero-Bover Rosa Roma Monfa

BACKGROUND Quarantines and nationwide lockdowns implemented for containing the spread of the COVID-19 pandemic may lead to distress and increase the frequency of anxiety and depression symptoms among the general population. During the nationwide lockdown of the first wave of the COVID-19 outbreak in Spain, we developed and launched a web-based app to promote emotional self-care in the general population and facilitate contact with health care professionals. OBJECTIVE This study aimed to describe a web-based app and analyze its utilization pattern throughout 2 successive waves of the COVID-19 outbreak in Spain. METHODS Our web-based app targeted all individuals aged 18 years or more and was designed by adapting the contents of a mobile app for adjuvant treatment of posttraumatic stress disorder (ie, the PTSD Coach app) to the general population and the pandemic or lockdown scenario. We retrospectively assessed the utilization pattern of the web-based app using data systematically retrieved from Google Analytics. Data were grouped into 3 time periods, defined using Joinpoint regression analysis of COVID-19 incidence in our area: first wave, between-wave period, and second wave. RESULTS The resulting web-based app, named gesioemocional.cat, maintains the navigation structure of the PTSD Coach app, with three main modules: tools for emotional self-care, a self-assessment test, and professional resources for on-demand contact. The self-assessment test combines the Patient Health Questionnaire-2 and the 7-item Generalized Anxiety Disorder scale and offers professional contact in the advent of a high level of depression and anxiety; contact is prioritized in accordance with a screening questionnaire administered at the time of obtaining individual consent to be contacted. The tools for emotional self-care can be accessed either on-demand or symptom-driven. The utilization analysis showed a high number of weekly accesses during the first wave. In this period, press releases regarding critical events of the pandemic progression and government decisions on containment measures were followed by a utilization peak, irrespective of the sense (ie, positive or negative) of the information. Positive information pieces (eg, relaxation of containment measures due to a reduction of COVID-19 cases) resulted in a sharp increase in utilization immediately after information release, followed by a successive decline in utilization. The second wave was characterized by a lower and less responsive utilization of the web-based app. CONCLUSIONS mHealth tools may help the general population cope with stressful conditions associated with the pandemic scenario. Future studies shall investigate the effectiveness of these tools among the general population—including individuals without diagnosed mental illnesses—and strategies to reach as many people as possible.

Pandemic

10.2196/preprints.27402

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Crecimiento postraumático en pacientes supervivientes de quemaduras, un estudio preliminar [Post-traumatic growth in burn survivor patients, a preliminary study]

Acción Psicológica (2012)

Francisco José Eiroá‐Orosa Ruth Tasqué-Cebrián Sara Guila Fidel Kinori Anna Giannoni-Pastor José María Argüello-Alonso

We present the preliminary results of a study on posttraumatic growth in patients included in the Fenix II research project developed in the Burns Unit of the University Hospital Vall d'Hebron, reference center for Catalonia and the Balearic Islands. For the study we used the narratives of patients in both inpatient and outpatient psychiatric and psychotherapy treatment after discharge. Based on the Posttraumatic Growth Inventory (Tedeschi & Calhoun, 1996), semi-structured interviews were conducted with the Psychiatry Department staff working in the burn unit. This information was completed with narratives of patients during admission and early follow-up (up to 6 months after the burn). The results show that while few patients posed substantial changes in the dimensions of Meaning of Life and Beliefs in this stage of recovery, many patients reported the importance of the Relationship with Others and aspects such as Empathy and Social Support. Although during hospitalization data is inconclusive, many patients report improvements in the perception of themselves in the monitoring phase. The convalescence phase in which data were collected, seems too early to assess global Changes in Life.

Convalescence

Posttraumatic growth

10.5944/ap.9.2.4103

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Citations (1)

Actuació davant de les segones víctimes: cultura de la seguretat dels pacients

Annals de Medicina (2016)

Roser Anglès Sara Guila Fidel Kinori

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Implicaciones deontológicas de las historias clínicas informatizadas (HCI) para los profesionales de la salud mental.

Sara Guila Fidel Kinori Francisco José Eiroá‐Orosa Arnuncio Pastor Rocío Cebrián J.M. Argüello Alonso

La introduccion de las nuevas tecnologias especialmente, en el registro de las Historias Cinicas, viene significando grandes avances a nivel de mejoras en la atencion de los usuarios. Pero por otra parte, ha reintroducido la preocupacion por la preservacion de los contenidos, de la seguridad de la informacion y del uso de esta informacion. Mientras que la legislacion intenta regular el uso de esa informacion a nivel general, ciertas especialidades medicas estan objetivando que existen dificultades para el cumplimiento de ciertos estandares bioeticos. Entre ellas destacan las profesiones vinculadas a la Salud Mental: psiquiatras, psicologos y enfermeros especialistas. En este trabajo se describe la situacion actual respecto de la implementacion de las Historias Clinicas Informatizadas (HCI) en el ambito de la comunidad autonoma de Cataluna, como tambien se presentan las limitaciones en cuanto a la preservacion de la confidencialidad bajo esta practica.

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