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Cecilia Calero-Mora

Bio: Cecilia Calero-Mora is an academic researcher. The author has an hindex of 1, co-authored 3 publications receiving 3 citations.

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TL;DR: In this article, el caso de un varon de 47 anos con diagnosticos de trastorno bipolar tipo ii, trastornos limite de personalidad and trastorón por uso sustancias, presentaba una dependencia a tianeptina, de la que llego a consumir 1.125mg al dia.

2 citations

Journal Article
TL;DR: In this review, it is found that Bipolar Disorder has in its favor a greater construct validity and longterm stability than other mental disorders.
Abstract: espanolIntroduccion. La estabilidad de un diagnostico psiquiatrico en el tiempo representa la mejor prueba para validarlo y es util para predecir el curso de un trastorno. El diagnostico de Trastorno Bipolar presenta gran variabilidad a lo largo del tiempo y son pocas las investigaciones que han evaluado el impacto de la estabilidad diagnostica vs su cambio. Material y Metodos. Se realizo una revision sistematica mediante busqueda bibliografica en Pubmed, Medline y Web of Science de articulos publicados en los ultimos diez anos (2008-2018), utilizando las siguientes palabras clave: stability diagnosis, bipolar disorders y mood disorders. Se seleccionaron aquellos estudios realizados en pacientes que presentaban un cuadro afectivo y/o psicotico y en los que se estudiaba la estabilidad temporal del diagnostico. Resultados. La busqueda inicial mostro un total de 140 articulos, de los cuales 13 cumplieron los criterios de inclusion. Hemos encontrado que, en comparacion con otros trastornos mentales, en el Trastorno Bipolar se observa una mayor validez de constructo y estabilidad a largo plazo. Conclusiones. El Trastorno Bipolar en su fase inicial constituye un desafio diagnostico y terapeutico. Pese a ello, se considera junto con la esquizofrenia una de las categorias diagnosticas mas estables (el 60% de los pacientes que reciben este diagnostico inicial se mantiene en el tiempo). La ausencia de instrumentos fiables y validos para el diagnostico es considerada una limitacion, por lo que seria conveniente que en sucesivas clasificaciones de los trastornos mentales sigan esforzandose en que las entidades nosologicas tengan la mayor validez de constructo posible. EnglishIntroduction. Stability of a diagnosis over time represents the best evidence to validate psychiatric diagnoses and helps to predict the course of a disorder. The diagnosis of bipolar disorder shows large variability over time and only a few numbers of investigations have evaluated the impact of the diagnostic stability vs the change. Material and Methods. A systematic review was made through a literature search in Pubmed, Medline and Web of Science of the articles published in the last 10 years (2008-2018). We used the following key words; “stability diagnosis”, AND “bipolar disorders”, AND “mood disorders”. We selected those studies conducted in patients who presented affective and/or psychotic clinic where the stability of the diagnosis was studied over time. Results. The initial search showed a total of 140 articles, 13 of which met inclusion criteria. In this review we have found that, compared to other mental disorders, Bipolar Disorder has in its favor a greater construct validity and longterm stability. Conclusions. Initial phases of Bipolar Disorder constitute a real diagnostic and therapeutic challenge. Despite this, it is considered, added to schizophrenia as one of the most stable diagnostic categories (60% of patients who receive this initial diagnosis remain it during time). The absence of reliable and valid instruments for diagnosis is considered as a limitation so it would be convenient that in the next classifications of mental disorders they continue striving so that the nosological entities have greater construct validity possible.

2 citations


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TL;DR: It is almost certain that over the next few years bipolar susceptibility genes will be identified, which will have a major impact on the understanding of disease pathophysiology and will provide important opportunities to investigate the interaction between genetic and environmental factors involved in pathogenesis.

656 citations

Journal ArticleDOI
TL;DR: In this paper , the authors used administrative register data to provide a detailed picture of the financial situation of people with SMI in Sweden during a period of ±10 years around first-time psychiatric in-patient diagnosis of schizophrenia spectrum, bipolar, and major depressive disorders.
Abstract: Schizophrenia spectrum, bipolar, and major depressive disorders are severe mental illnesses (SMIs) that not only entail great suffering for those affected but also major societal costs. In this study, I use administrative register data to provide a detailed picture of the financial situation of people with SMI in Sweden during a period of ±10 years around first-time psychiatric in-patient diagnosis of schizophrenia spectrum, bipolar, and major depressive disorders. Receiving a diagnosis was associated with a considerable drop in earnings, which was largely compensated for by social transfers: mainly sickness and disability insurance. However, there were also large and increasing pre-diagnosis earnings gaps, relative to matched comparison groups, especially among those with schizophrenia spectrum disorders. These gaps were to a lesser extent compensated for by social transfers. Consequently, there were permanent and increasing - due to lost earnings growth - income differentials. Hence, findings in previous studies are confirmed: even in an advanced welfare state, people with SMI - especially those with schizophrenia - have an extremely weak position on the labour market and an equally difficult financial situation.