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Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Montaño-Lozada, J.M.; López, Norman; Espejo-Zapata, L.M.; Soto-Añari, Marcio; Ramos-Henderson, Miguel; Caldichoury-Obando, Nicole; Camargo, Loida (2021)

Introduction Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective To compare the cognitive performance of patients with epilepsy ...
Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

montaño-lozada, juan-manuel; López, Norman; ESPEJO ZAPATA, LINA MARIA; Soto-Añari, Marcio; Ramos-Henderson, Miguel; Caldichoury-Obando, Nicole; Camargo, Loida (Corporación Universidad de la Costa, 2021)

Introduction: Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective: To compare the cognitive performance of patients with epilepsy ...
Escala de ansiedad generalizada GAD-7 en profesionales médicos colombianos durante pandemia de COVID-19: validez de constructo y confiabilidad

Camargo, Loida; Herrera-Pino, Jorge Alfredo; Shelach , Salomon; Soto-Añari, Marcio; Porto, María F.; ALONSO, MONICA; González, Miguel; Contreras, Oscar; Caldichoury, Nicole; Ramos-Henderson, Miguel; GARGIULO, Pascual; López, Norman (Corporación Universidad de la Costa, 2021)

Introduction: The detection of anxiety symptoms among health workers who care for patients infected with COVID-19 is a current priority. Fast and valid instruments are required for this population group. The objective is ...
GAD-7 Generalised Anxiety Disorder scale in Colombian medical professionals during the COVID-19 pandemic: construct validity and reliability

Camargo, Loida; Herrera-Pino, Jorge Alfredo; Shelach , Salomon; Soto-Añari, Marcio; Porto, Maria F.; Alonso, Monica; González, Miguel; Contreras, Oscar; Caldichoury, Nicole; Ramos-Henderson, Miguel; GARGIULO, Pascual; López, Norman (Revista Colombiana de Psiquiatría, 2021-06-14)

Introduction: The detection of anxiety symptoms among health workers who care for patients infected with COVID-19 is a current priority. Fast and valid instruments are required for this population group. The objective is ...
The impact of SARS-CoV-2 on emotional state among older adults in Latin America

Soto-Añari, Marcio; Ramos-Henderson, Miguel; Camargo, Loida; Calizaya López, José Manuel; Caldichoury, Nicole; López, Norman (Corporación Universidad de la Costa, 2021-03-10)

In Latin America, the volume of care of infected patients, higher presence of comorbidities among older adults, and restricted access to clinical controls have become this age group into one with the highest risk (Dubey ...
Literacy level and executive control in healthy older peruvian adults

Soto-Añari, Marcio; López, Norman; Rivera-Fernández, Claudia; Belón-Hercilla, Verónica; Fernández-Guinea, Sara (Corporación Universidad de la Costa, 2021-08-26)

Introduction: Early-life educational experiences are associated with cognitive performance in aging. Early literacy seems to improve executive control mechanisms, however, it is not clear whether early education would still ...
Prevalence of dementia and associated factors among older adults in Latin America during the COVID-19 pandemic

Soto-Añari, Marcio; Camargo, Loida; Ramos-Henderson, Miguel; Rivera-Fernández, Claudia; Denegri Solís, Lucia; Calle, Ursula; Mori, Nicanor; Ocampo Barbá, Ninoska; López, Fernanda; Porto, Maria; Caldichoury Obando, Nicole; Saldías, Carol; Gargiulo, Pascual; Castellanos, Cesar; Shelach Bellido, Salomon; López, Norman (Dementia and Geriatric Cognitive Disorders Extra, 2021-09)

Background: The COVID-19 pandemic has had a great impact on cognitive health in Latin American older adults, increasing the risk of cognitive impairment and dementia. Our objective was to analyze the prevalence of dementia ...
Validación del Mini-Z para la detección de burnout en personal sanitario colombiano

Rivera-Fernández, Claudia; Soto-Añari, Marcio; Camargo, Loida; Caldichoury, Nicole; Ramos, Luis; Porto Torres, María Fernanda; López, Norman (Asociacion Colombiana de PsiquiatriaSpain, 2021-05-26)

La carga emocional y el estrés psicológico del personal sanitario se incrementa cuando las jornadas de trabajo son extenuantes, hay un desequilibrio entre el trabajo y las horas en casa y una importante disminución en ...

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Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation
...
Montaño-Lozada, J.M. | 2021

Introduction Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective To compare the cognitive performance of patients with epilepsy and healthy controls through Montreal Cognitive Assessment (MoCA) during outpatient consultation at a reference diagnostic center in Colombia and analyze and the influencing factors. Materials and methodology One-hundred and four patients during neurology outpatient consultation in the city of Cartagena, Colombia, were assessed with the (MoCA) test, i.e., 54 people who consulted for headache and have not been diagnosed with epilepsy (NEP) and 50 with a diagnosis of epilepsy (EPs) according to the diagnostic criteria of the International League Against Epilepsy (ILAE). Results Significant differences were found in the total mean scores of the (MoCA) between (EPs) and (NPE) groups (t = 4.72; p < 0.01), particularly in attention (t = 3.22; p < 0.02) and memory (t = 5.04; p < 0.01) dimensions. Additionally, a significant association was observed between years of schooling and (MoCA) scores (p = 0,019) but not between socioeconomic level (p = 0,510), age (p = 0,452) and the frequency of seizures (p = 0,471). Discussion Patients with epilepsy show lower scores in several cognitive domains in respect of the control group. The (MoCA) has proven its appropriateness for cognitive screening in the contexts of clinical neurology outpatient consultation.

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Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation
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montaño-lozada, juan-manuel | 2021

Introduction: Epilepsy is a chronic neurological disorder that may occur alongside cognitive changes, with effects on multiple cognitive domains. Objective: To compare the cognitive performance of patients with epilepsy and healthy controls through Montreal Cognitive Assessment (MoCA) during outpatient consultation at a reference diagnostic center in Colombia and analyze and the influencing factors. Materials and methodology: One-hundred and four patients during neurology outpatient consultation in the city of Cartagena, Colombia, were assessed with the (MoCA) test, i.e., 54 people who consulted for headache and have not been diagnosed with epilepsy (NEP) and 50 with a diagnosis of epilepsy (EPs) according to the diagnostic criteria of the International League Against Epilepsy (ILAE). Results: Significant differences were found in the total mean scores of the (MoCA) between (EPs) and (NPE) groups (t = 4.72; p < 0.01), particularly in attention (t = 3.22; p < 0.02) and memory (t = 5.04; p < 0.01) dimensions. Additionally, a significant association was observed between years of schooling and (MoCA) scores (p = 0,019) but not between socioeconomic level (p = 0,510), age (p = 0,452) and the frequency of seizures (p = 0,471). Discussion: Patients with epilepsy show lower scores in several cognitive domains in respect of the control group. The (MoCA) has proven its appropriateness for cognitive screening in the contexts of clinical neurology outpatient consultation.

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Escala de ansiedad generalizada GAD-7 en profesionales médicos colombianos durante pandemia de COVID-19: validez de constructo y confiabilidad
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Camargo, Loida | 2021

Introduction: The detection of anxiety symptoms among health workers who care for patients infected with COVID-19 is a current priority. Fast and valid instruments are required for this population group. The objective is to establish the construct validity and reliability of the Generalised Anxiety Disorder (GAD-7) scale in Colombian doctors during the COVID-19 lockdown. Methods: E-health study, in which cross-sectional data were collected online (n= 1,030) from 610 COVID doctors and 420 non-COVID doctors, during the Colombian lockdown, between 20 April and 10 August 2020. Each subject was contacted, and they confirmed their participation, identity and professional role. Results: A single factor factorial structure was found, made up of the 7 items of the instrument, which managed to explain 70% of the variance. The goodness of fit indices (RMSEA = 0.080; CFI = 0.995; SRMR = 0.053; p < 0.001) showed an “acceptable” unidimensionality and adequate factor loadings in each item of the GAD-7, >0.070. Finally, the internal consistency of the instrument was good, with a Cronbach’s alpha of 0.920 (95%IC, 8.80-9.71). Conclusions: The GAD-7 is an instrument that presents adequate indicators of validity and reliability. It is an excellent tool that is reliable and easy and fast to use for the detection of generalised anxiety symptoms in medical personnel caring (or not) for patients infected with COVID-19.

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GAD-7 Generalised Anxiety Disorder scale in Colombian medical professionals during the COVID-19 pandemic: construct validity and reliability
...
Camargo, Loida | 2021-06-14

Introduction: The detection of anxiety symptoms among health workers who care for patients infected with COVID-19 is a current priority. Fast and valid instruments are required for this population group. The objective is to establish the construct validity and reliability of the Generalised Anxiety Disorder (GAD-7) scale in Colombian doctors during the COVID-19 lockdown. Methods: E-health study, in which cross-sectional data were collected online (n = 1,030) from 610 COVID doctors and 420 non-COVID doctors, during the Colombian lockdown, between 20 April and 10 August 2020. Each subject was contacted, and they confirmed their participation, identity and professional role. Results: A single factor factorial structure was found, made up of the 7 items of the instrument, which managed to explain 70% of the variance. The goodness of fit indices (RMSEA = 0.080; CFI = 0.995; SRMR = 0.053; p < 0.001) showed an “acceptable” unidimensionality and adequate factor loadings in each item of the GAD-7, >0.070. Finally, the internal consistency of the instrument was good, with a Cronbach's alpha of 0.920 (95%IC, 8.80-9.71). Conclusions: The GAD-7 is an instrument that presents adequate indicators of validity and reliability. It is an excellent tool that is reliable and easy and fast to use for the detection of generalised anxiety symptoms in medical personnel caring (or not) for patients infected with COVID-19.

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The impact of SARS-CoV-2 on emotional state among older adults in Latin America
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Soto-Añari, Marcio | 2021-03-10

In Latin America, the volume of care of infected patients, higher presence of comorbidities among older adults, and restricted access to clinical controls have become this age group into one with the highest risk (Dubey etal., 2020). Under confinement circumstances, older people can experience feelings of helplessness and uncertainty about the future, difficulties to stay focused, anxiety, stress, agitation, withdrawal, and depression (Armitage and Nellums, 2020; Wang etal., 2020). Accordingly, a Consortium of universities, research centers, and clinical centers have joined forces to carry out research which seeks to know the emotional state of Latin American older adults during confinement by Coronavirus disease (COVID-19). The study included the following countries: Argentina, Bolivia, Chile, Colombia, Costa Rica, Ecuador, Guatemala, Honduras, Mexico, Nicaragua, Peru, Puerto Rico, Dominican Republic, and Venezuela. Between April and May, we carry out the piloting of the evaluation protocol, making cultural and linguistic adaptations. Later, between June and October, more than 7000 older adults were evaluated by telephone by an expert professional through filling out an online form. The protocol we used includes a sociodemographic and clinical questionnaire, information on confinement, lifestyles, and the abbreviated version of the Yesavage Geriatric Depression Scale (Martínez de la Iglesia etal., 2020). Sociodemographic characteristics of the final sample (n = 5245) show that 34% are men and 66% are women, with an average age of 69.61 years (SD = 7.28). Average schooling was 10.99 years (SD = 5.85) depending on the country, and 16.7% were illiterate. The major racial pattern of the population is Latin American mestizo (55.1%) followed by white (39.4%), South American indigenous (1.5%), and African American subjects (1.2%). Seventy-seven percentage of the participants have a monthly income, from retirement (45.9%) or independent work (26.4%), and 85% live with their spouses or relatives. Regarding quarantine, 86.7% of the respondents stated that they complied with the confinement measures, with an average of 123.15 days (SD = 42.43) of quarantine, which varies by country. Our data analysis has revealed that 30.27% of the older adults exhibit emotional disturbances. In Mexico and Peru, we have observed the highest levels of geriatric depression (38.9% and 38.1%, respectively) and in Venezuela the lowest (21.35%). Regression analysis shows that more years of schooling (OR = 0.943; IC95%: 0.93–0.95), having an economic income (OR = 0.764; IC95%: 0.64–0.90) and being a Latin American mestizo (OR = 0.832, IC95%: 0.71–0.98) are associated with reduced risk of geriatric depression. On the other hand, being widowed (OR = 1.428; IC95%: 1.10–1.85) or separated (OR = 1.352; IC95%: 1.01–1.82), lived in Bolivia (OR = 1.805; IC95%: 1.31–2.48), Mexico (OR = 2.320; IC95%: 1.70–3.16), and Peru (OR = 2.008; IC95%: 1.45–2.78) are associated with highest risk. This first multicenter study found that emotional status of older adults during the SARS-CoV-2 pandemic in Latin America varies depending on the country where they live and sociodemographic and socioeconomic factors. It is necessary for follow-up studies to validate diagnosis and analyze the greater risk of deterioration in the coming months.

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Literacy level and executive control in healthy older peruvian adults
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Soto-Añari, Marcio | 2021-08-26

Introduction: Early-life educational experiences are associated with cognitive performance in aging. Early literacy seems to improve executive control mechanisms, however, it is not clear whether early education would still be an advantage in countries like Peru, where access to and quality of education is highly variable. Aim: Our objective was to analyze the association of literacy level with executive control factors. Method: We evaluated 93 healthy older adults with a clinical protocol that included the Mini-Mental State Examination, the Geriatric Depression Scale and Global Dementia Staging. We also used a neuropsychological executive function battery which included the Trail-Making Test parts A and B, the Stroop Test, phonological and semantic verbal fluency tasks, Forward and Backward Digits, Numbers and Letters of the Wechsler Scale, and the Go/No-Go task. We used a principal component analysis for the dimensional reduction of the variables. To measure the level of literacy we used the word accentuation test (WAT). Results: We observed statistically significant correlations between the principal components (PCs) of working memory, cognitive flexibility and inhibitory control with the WAT scores. Furthermore, we observed that processing speed and WAT predict the scores on PCs factors better than years of education and age. Conclusions: Literacy level correlates more closely with better cognitive performance than years of education and thus, might improve executive control factors that could compensate and protect against brain changes in cognitive decline and dementia.

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Prevalence of dementia and associated factors among older adults in Latin America during the COVID-19 pandemic
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Soto-Añari, Marcio | 2021-09

Background: The COVID-19 pandemic has had a great impact on cognitive health in Latin American older adults, increasing the risk of cognitive impairment and dementia. Our objective was to analyze the prevalence of dementia and the associated factors in Latin American older adults during SARS-CoV-2 pandemic. Methods: A multicentric first phase cross-sectional observational study was conducted during the SARS-CoV-2 pandemic. Five thousand two hundred and forty-five Latin American adults over 60 years of age were studied in 10 countries: Argentina, Bolivia, Chile, Colombia, Ecuador, Guatemala, Mexico, Peru, the Dominican Republic, and Venezuela. We used the telephone version of Montreal Cognitive Assessment, the "Alzheimer Disease 8"scale for functional and cognitive changes, and the abbreviated version of the Yesavage depression scale. We also asked for sociodemographic and lockdown data. All the evaluation was made by telephone. Cross-tabulations and χ2 tests were used to determine the variability of the prevalence of impairment by sociodemographic characteristics and binary logistic regression to assess the association between dementia and sociodemographic factors. Results: We observed that the prevalence of dementia in Latin America is 15.6%, varying depending on the country (Argentine = 7.83 and Bolivia = 28.5%). The variables most associated with dementia were race and age. It does not seem to be associated with the pandemic but with social and socio-health factors. Conclusion: The prevalence of dementia shows a significant increase in Latin America, attributable to a constellation of ethnic, demographic, and socioeconomic factors.

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Validación del Mini-Z para la detección de burnout en personal sanitario colombiano
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Rivera-Fernández, Claudia | 2021-05-26

La carga emocional y el estrés psicológico del personal sanitario se incrementa cuando las jornadas de trabajo son extenuantes, hay un desequilibrio entre el trabajo y las horas en casa y una importante disminución en el recurso humano y de gestión para la atención de los pacientes1 como en las actuales circunstancias de pandemia por el Sars-Cov-22. Estos factores afectan al bienestar emocional de los trabajadores y la calidad de los cuidados de los pacientes3, lo que incrementa la aparición de enfermedades psiquiátricas, estrés4 y síndrome de burnout (BO)5.

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Browsing by Author "Soto-Añari, Marcio"

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation ﻿

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation ﻿

Escala de ansiedad generalizada GAD-7 en profesionales médicos colombianos durante pandemia de COVID-19: validez de constructo y confiabilidad ﻿

GAD-7 Generalised Anxiety Disorder scale in Colombian medical professionals during the COVID-19 pandemic: construct validity and reliability ﻿

The impact of SARS-CoV-2 on emotional state among older adults in Latin America ﻿

Literacy level and executive control in healthy older peruvian adults ﻿

Prevalence of dementia and associated factors among older adults in Latin America during the COVID-19 pandemic ﻿

Validación del Mini-Z para la detección de burnout en personal sanitario colombiano ﻿

Envíos recientes

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Escala de ansiedad generalizada GAD-7 en profesionales médicos colombianos durante pandemia de COVID-19: validez de constructo y confiabilidad

GAD-7 Generalised Anxiety Disorder scale in Colombian medical professionals during the COVID-19 pandemic: construct validity and reliability

The impact of SARS-CoV-2 on emotional state among older adults in Latin America

Literacy level and executive control in healthy older peruvian adults

Prevalence of dementia and associated factors among older adults in Latin America during the COVID-19 pandemic

Validación del Mini-Z para la detección de burnout en personal sanitario colombiano

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Cognitive changes in patients with epilepsy identified through the MoCA test during neurology outpatient consultation

Escala de ansiedad generalizada GAD-7 en profesionales médicos colombianos durante pandemia de COVID-19: validez de constructo y confiabilidad

GAD-7 Generalised Anxiety Disorder scale in Colombian medical professionals during the COVID-19 pandemic: construct validity and reliability

The impact of SARS-CoV-2 on emotional state among older adults in Latin America

Literacy level and executive control in healthy older peruvian adults

Prevalence of dementia and associated factors among older adults in Latin America during the COVID-19 pandemic

Validación del Mini-Z para la detección de burnout en personal sanitario colombiano