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El artículo aborda la relación entre la esquizofrenia, que afecta aproximadamente al 1% de la población mundial, y la osteoporosis, una enfermedad que disminuye la densidad y calidad ósea, comportando un aumento del riesgo de fracturas. Las personas con esquizofrenia suelen llevar un estilo de vida sedentario y tener hábitos poco saludables, lo que incrementa su riesgo de desarrollar osteoporosis.

The article addresses the relationship between schizophrenia, which affects approximately 1% of the global population, and osteoporosis, a disease that decreases bone density and quality, increasing the risk of fractures. People with schizophrenia often lead a sedentary lifestyle and have unhealthy habits, which increases their risk of developing osteoporosis.

El Hospital de Día de Granollers es un dispositivo de hospitalización parcial, que atiende a personas adultas afectas de patología mental grave en situación de crisis, cuya estancia media es de 4 semanas. Los principales objetivos de derivación al servicio son valoración diagnóstica, ajuste del tratamiento farmacológico, estabilización clínica y activación del paciente para el posterior seguimiento en el Centro de Salud Mental de Adultos (CSMA). 

The Granollers Day Hospital is a partial hospitalization facility that serves adults with severe mental health issues in crisis, with an average stay of 4 weeks. The main objectives for referral to the service are diagnostic assessment, adjustment of pharmacological treatment, clinical stabilization, and patient activation for subsequent follow-up at the Adult Mental Health Center (CSMA).

Background and objectives: Particularly explicit sexual seduction and the possible involvement of psychopathological conditioning factors is addressed. Method: Original contribution based on a synthetic narrative ad-hoc review. A synopsis of the relevant published scientific findings on that subject is presented. The number of selected references is n= 64. Results: In more sexualised seduction, behaviour is regulated by interlocking subcortical and cortical brain structures. Seduction is mobilised on the basis of desire, assuming that sexual attraction is physiological, while seduction is ritualistic. Endocrine factors and genetic physical abnormalities exist that may undermine the uniquely sexualised seductive capacity. The possible influences of various mental disorders, certain conditions linked to sexual health and some problems associated with interpersonal relationships are indicated. Lastly, various biological and pharmacological intermediations in seduction with sexualised behaviours are discussed. Conclusions: Seduction, which most likely differs neurophysiologically according to its organic condition and gender, is not a uniquely cultural or social phenomenon. Psychopathology can have a powerful influence on all those involved. 

Schizophrenia is a complex mental disorder whose wide range of symptoms are often grouped into so-called positive (delusions and hallucinations), negative (lack of motivation and emotional blunting), and disorganization (mainly incoherence of speech) syndromes. A developmental element in the origin for the disorder is widely accepted, in the sense that people who develop the disorder show subtle changes in early life and childhood. Brain structural changes, including a 2-3% reduction in brain volume, are another well-established finding in schizophrenia. These structural changes are believed to have a partial developmental origin, as they are present at the onset of the illness and potentially even before. However, attempts to link these brain structural changes to specific symptoms have had limited success.

A lo largo de este año 2025, la revista Informaciones Psiquiátricas conmemora su 70º aniversario, consolidándose como un pilar importante en la difusión del conocimiento en salud mental en todas sus vertientes y desde todas las disciplinas.

Fundada en 1955 por el Dr. Diego Parellada Feliu, entonces Director Médico del Instituto Psiquiátrico Femenino de Sant Boi de Llobregat de las Hermanas Hospitalarias del Sagrado Corazón de Jesús, actualmente Fundació Hospitalàries Sant Boi. La publicación nació con el propósito de demostrar a la comunidad médica de la época que en dicho centro "también se producía ciencia", además de proveer de todos los cuidados necesarios a los pacientes allí ingresados.

Se realiza una descripción de cómo ha sido la evolución en la atención en salud mental (SM) de las personas con Diversidad Funcional (DF) del Centro Benito Menni CASM de Sant Boi, desde que son atendidas en el mismo, basándonos en el modelo de recuperación en SM, para describir de modo específico, el reciente programa comunitario especializado, puesto en marcha en diciembre de 2022 y dirigido a personas con DF que presentan problemas de SM.

COMMUNITY APPROACH IN MENTAL HEALTH AND FUNCTIONAL DIVERSITY (DF), FROM THE RECOVERY MODEL

The article describes how the evolution has been in the mental health care (SM) of people with Functional Diversity (FD) at the Benito Menni CASM Center in Sant Boi, since they are treated there, based on the SM recovery model, to specifically describe the recent specialized community program, launched in December 2022 and aimed at people with FD who present with SM problems.

La presentación y evolución de la enfermedad mental en psicogeriatría suele ser diferente a otras etapas de la vida. Características clínicas, cambios psicológicos y la repercusión sociofamiliar conlleva unas necesidades más especializadas en la atención de estos pacientes que debe ser realizada en Unidades diferenciadas por profesionales de disciplinas diferentes.

The presentation and evolution of mental illness in psychogeriatrics typically differ from those in other stages of life. The clinical characteristics, psychological changes, and socio-familial impact require more specialised care for these patients, which should be provided in dedicated units by professionals from various disciplines.

El cambio demográfico, que ya se predijo en los años 80, avoca al sistema sanitario y social a modificar su respuesta ante unos usuarios y unos profesionales con una realidad distinta a la de hace más de 40 años. Esto obliga a optimizar los recursos, pasando de un sistema global reactivo a otro mucho más proactivo, donde las personas atendidas tienen un papel determinante en la toma de decisiones, prevaleciendo el principio de autonomía sobre el resto, cuando se trata de una persona competente para decidir. 

The demographic change, which was already predicted in the 1980s, forces the healthcare and social system to alter its response to users and professionals who have a reality different from that of more than 40 years ago. This forces the optimization of resources, moving from a reactive global system to a much more proactive one, where the individuals served play a decisive role in decision-making, with the principle of autonomy prevailing over others, when it comes to a competent person to decide.

Delusions, defined as false beliefs that are held with firm conviction despite evidence to the contrary, are among the most characteristic and troubling symptoms of schizophrenia. The search for their neurobiological origins has produced several theories, one of the most influential being the aberrant salience hypothesis. This theory, links delusions to irregular dopamine function. Specifically, it argues that excess dopamine activity leads the brain to assign undue importance, or salience, to otherwise neutral stimuli. It is known that salience is attributed to stimuli in the environment by means of so called reward prediction error (RPE) signaling, the brain’s mechanism for signaling when an outcome is better or worse than expected.