David Córcoles

Consorci MAR Parc de Salut de Barcelona | MAR

The management of severe hoarding is often highly challenging due to lack of collaboration and the need to coordinate a large team of professionals. Although numerous strategies have been developed to manage severe hoarding, the most effective approach has not been established. To evaluate and compare three different approaches to the management of...

Background Mental health professionals require exceptional communication skills and the ability to maintain an empathetic and authentic attitude within the therapeutic relationship. It is crucial that they achieve an optimal balance of physical, mental, and social wellbeing to enhance their performance in this context. This necessity has sparked a...

RESUMEN Introducción: La conducta empática emplea el humor como habilidad comunicativa, útil en contextos clínicos y de salud mental. Objetivo: Evaluar el nivel de sentido del humor (SH) en pacientes con diagnóstico en salud mental atendidos en servicios de salud mental de agudos. Material y métodos: Estudio de diseño descriptivo y transversal. Pa...

Objective: Hoarding behaviour is a common but poorly characterised problem in real-world clinical practice. Although hoarding behaviour is the key component of Hoarding Disorder (HD), there are people who exhibit hoarding behaviour but do not suffer from HD. The aim of the present study was to characterise a clinical sample of patients with clinic...

Introducción: La salud mental se considera un estado de salud y de bienestar general. Nuestro estudio se centró en el modelo multifactorial de salud mental positiva de Lluch, formado por 6 factores: satisfacción personal, actitud prosocial, autocontrol, autonomía, resolución de problemas y autoactualización y habilidades de relación interpersonal....

Introduction Home Treatment (HT) teams are among the better-studied options to reduce admission at the hospital, having been described as an alternative to hospitalization in patients with schizophrenia. There may be certain risk factors which has already been described such as living alone (Dean and Gadd, BMJ, 1990; 301, 1021–1023; Schnyder et al....

Introduction Several factors related to the risk of requiring psychiatric hospitalization have been described in patients diagnosed with schizophrenia treated with methods other than home treatment. With regard to the symptoms, high global illness severity and positive symptoms of schizophrenia have been most frequently related to the risk of hospi...

Objectives: To evaluate the usefulness of annual training in verbal de-escalation techniques for reducing the use of mechanical restraints during nonvoluntary ambulance transfers of patients with mental health problems who need emergency care. Material and methods: Quasi-experimental before-after study. Patients with mental diseases treated by a...

Introduction Little is known about the need for mechanical restraint during non-voluntary transfers from patient’s homes to the psychiatric emergency department in patients diagnosed with Paranoid Schizophrenia. Although there is no evidence of its efficacy, one of the main tools used for the reduction of mechanical restraints is verbal de-escalati...

The role of caregivers is essential during home hospitalization since they act as co-therapists, being the level of responsibility experienced by them higher than usual.

Resumen Introducción: Desde el inicio de la pandemia por COVID-19 se ha alertado sobre los efectos que ésta tendría en la salud mental de la población y se había previsto un aumento de las tasas de suicidio como ocurrió en pandemias previas. Los estudios realizados hasta la fecha difieren respecto a si durante la pandemia por COVID se están viendo...

Background: Despite numerous attempts to reduce the use of mechanical restraint (MR), this technique continues to be widely applied in many acute psychiatric care settings. In order to reduce MR, a better understanding of the variables associated with its use and duration in different clinical environments is essential. Aim: To determine the pro...

Background: Family may play an important role in the origin, maintenance, and treatment of people with social withdrawal. The aim of this study is to analyze family factors related to social withdrawal syndrome. Methods: Socio-demographic, clinical, and family data, including family psychiatric history, dysfunctional family dynamics, and history of...

Introduction: Although home hospitalization has begun to develop widely in recent years there is a notable lack of studies. The following study includes data from the Psychiatric Home Hospitalization Unit of the Hospital del Mar (HADMar). This program has been running for 2years and takes place in a socio-demographically depressed area in Barcelon...

Introduction Although home hospitalisation has begun to develop widely in recent years there is a notable lack of studies. The following study includes data from the Psychiatric Home Hospitalisation Unit of the Hospital del Mar (HADMar). This programme has been running for 2 years and takes place in a socio-demographically depressed area in Barcelo...

Social withdrawal is a new mental health problem increasingly common, present in different cultures, whose psychopathology and treatment is not yet established. This study aims to determine the socio-demographic and clinical features and possible clinical subtypes that predict the 12-month outcomes of cases with hikikomori syndrome, a severe form o...

Objective: The aim of the study was to evaluate whether the neuropsychiatric symptoms interfere with cognitive impairment detection in primary care and to describe which of them generate more confusion. Design: Descriptive and observational study. Location: Mobile psychiatric unit in collaboration with primary healthcare centers in Barcelona....

Introduction Although physical restraint (PR) is a non-rarely practice on psychiatry there are few studies that focus the attention on the risk factors for this intervention. PR is a legitimacy practice when is needed and well applied but is not free from side effects. Knowing risk factors might be useful to improve the application of PR. Objectiv...

Electroconvulsive therapy and psychotropic concomitant treatment: study of clozapine and mood stabilizers

Introduction Social withdrawal is a major health problem that has been related with higher morbidity and mortality rates. There are few studies about the relationship between suicidal behavior and social isolation. Aim To describe the existence of suicidal risk in subjects with social isolation. Method Participants were 187 subjects referred to a...

A Home Treatment team was compared with a Psychiatric Emergency Department (PED) on preventing hospitalization among two cohorts of 448 patients matched by diagnosis, sex, and age. The logistic regression showed that HT people were 4.6 times less likely to be admitted than those from PED.

Conclusions Results Hospitalization of patients with mental illness stands as the main method of assistance in situations of acute decompensation. While often represents the main gateway to entrance at mental health system and in other cases it is necessary by the natural course of the disease, a comprehensive outpatient management approach is esse...

Introduction: To analyze factors associated with clinical observation, pharmacotherapy and referral on discharge of patients with anxiety disorder (AD) seeking care at a psychiatric emergency unit. Method: A total of 5003 consecutive visits were reviewed over a three-year period at a psychiatric emergency service in a tertiary university hospita...

Background: Social withdrawal behaviour is a major health problem that is becoming increasingly important, being necessary studies that investigate its psychopathology and existence in different cultures. Aims: To describe the clinical and socio-demographic characteristics of hikikomori individuals in Spain. Method: Participants were 200 subje...

Several studies have described aggressive behaviour among psychotic patients. Aggressiveness has been related with first episode psychosis and the presence of positive psychotic symptoms, as well as with poor insight. Male gender, antisocial personality and substance use are risk factors for aggressive behaviour in psychosis. The aim of this study...

Introduction Social isolation is a factor associated to mortality and morbidity in general population. This symptom has been considered as prodrome in ‘high-risk mental states’ for a possible development of psychosis. Social isolation is a frequent problem in psychotic patients visited by mobile crisis unit (EMSE). Objective To describe the differ...

Background Dhat syndrome is a widely recognized clinical condition from the Indian subcontinent characterized by a preoccupation with semen loss in urine and other symptoms such as fatigue or depressed mood. This condition has been considered to be a culture-bound syndrome, and may be considered to be a culturally manifestation of depression or anx...

Several studies have suggested that immigrants have higher rates of psychiatric emergency service use and a higher risk of mental disorders such as schizophrenia than indigenous populations. To compare the likelihood that immigrants (immigrant group) v. indigenous population (indigenous group) will be diagnosed with borderline personality disorder...

This study aimed to determine factors associated with hospitalization and decisions to prescribe psychotropic medication for patients with borderline personality disorder seeking care at psychiatric emergency units. A total of 11,578 consecutive visits were reviewed over a four-year period at a psychiatric emergency service in a tertiary hospital i...

Introduction: our group has set up a program for psychiatric emergency home interventions. It is composed of a multidisciplinary mobile outreach team (EMSE) that attends to psychiatric emergencies by means of home visits in the city of Barcelona. This program works like the medical emergency units called for on the local emergency number (061). Obj...

RESUMEN: INTRODUCCION: Observamos que los servicios hospitalarios y ambulatorios convencionales no han llegado a responder adecuadamente a las necesidades urgentes de los pacientes con trastornos mentales severos. El EMSE nace en el 2003 como una unidad móvil de crisis para la atención domiciliaria de los TMS desvinculados con el fin de vincularlos...