Civil liability for clinical misdiagnosis of suicidal intention: procedure and guidelines to minimize fatal diagnostic error / La responsabilidad civil por el diagnóstico clínico erróneo de la intención suicida: procedimiento y pautas para minimizar el error diagnóstico mortal

Background/Objectives: A fatal diagnostic error of suicidal intention, i.e., an error implying death or serious injuries (i.e., incapacitating, chronic injury) to the patient, may have civil liability (punishable error) for the clinician. The Scale for Suicidal Ideation (SSI) is the reference psychometric instrument used to measure suicidal intention. A meta-analytical review was designed with the aim of estimating the true reliability of the SSI in general and in different settings (moderators) with the aim of correcting unreliability raw scores. Method: A total of 90 primary studies reporting SSI's reliability (internal consistency) was found in the literature, yielding a total of 92 effect sizes. Bare-bones meta-analysis of correlation coefficients correcting effect by sampling error were run. Results: The results showed an overall mean true internal consistency of .8904, 95% CI [.8878, .8930], meaning that 42.6% of the population standard deviation is error and 18.11% of an individual's measure is error. Additional estimations (moderators) of SSI's reliability for gender (men: .8873, women: .8808) adaptation version (English: .9212, Korean: .9052, Chinese: .8402, Italian: .9163, Persian: .8612), and population (subclinical: .8769, general: .9230, mental illness: .9040) were obtained. All mean true estimations were under the desirable standard for applied settings where critical decisions are made, .95. Furthermore, for populations with risk of suicide, such as prison inmates and militaries, mean true reliability could not be computed as k was insufficient. Conclusion: Implications of true reliabilities obtained for the estimation of individuals' true scores and population standard deviations are discussed. Examples of computation of true scores to minimize fatal diagnosis errors were performed for both known reliability and unknown reliability settings (e.g., risk populations). (AU)

Antecedentes/Objetivo: Un error diagnóstico mortal de intención suicida, es decir, un error que implique la muerte o lesiones graves (es decir, incapacitantes, crónicas) para el paciente, puede tener responsabilidad civil (error punible) para el clínico. La Escala de Ideación Suicida (SSI) es el instrumento psicométrico de referencia utilizado para medir la intención suicida. En este estudio se diseñó una revisión metaanalítica para medir la fiabilidad real de la SSI en general y en diferentes ámbitos (moderadores), con el fin de corregir las puntuaciones brutas por la falta de fiabilidad de la medida. Método: En la búsqueda de estudios se encontró un total de 90 estudios primarios que trataban de la fiabilidad (consistencia interna) del SSI, lo que arrojó un total de 92 tamaños del efecto. Se ejecutaron meta-análisis del tipo bare-bone corrigiendo el efecto por el error de muestreo. Resultados: Se obtuvo una consistencia interna verdadera media global de .8904, IC 95% [.8878, .8930], es decir, el 42.6% de la desviación estándar de la población es error y el 18.11% de la medida de un sujeto es error. Se obtuvieron estimaciones adicionales (moderadores) de la fiabilidad del SSI para el género (hombres: .8873, mujeres: .8808), versión de adaptación (inglés: .9212, coreano: .9052, chino: .8402, italiano: .9163, persa: .8612) y población (subclínica: .8769, general: .9230, enfermedad mental: .9040). Todas las estimaciones verdaderas medias estaban por debajo del estándar deseable para entornos aplicados donde se toman decisiones críticas, .95. Además, para las poblaciones de riesgo de suicidio, como reclusos y militares, no se pudo calcular la fiabilidad media verdadera, ya que k era insuficiente. Conclusiones: Se discuten las implicaciones de la fiabilidad verdadera obtenida para la estimación de las puntuaciones verdaderas de los individuos y las desviaciones típicas de las poblaciones. ... (AU)

Measurement invariance of the Arizona Sexual Experience Scale by sexual orientation: comparing the sexual functioning of gay and heterosexual individuals.

BACKGROUND: The assessment of sexual functioning requires accurate and reliable measures as well as short and easy to apply. The Arizona Sexual Experience Scale (ASEX), which provides a quick, easy, and nonintrusive assessment of sexual functioning in men and women, is a clear example of a commonly used scale that satisfies these qualities. AIM: The study sought to examine measurement invariance and differential item functioning (DIF) by sexual orientation of the Spanish version of the ASEX. METHODS: A confirmatory factor analysis was performed on a sample of 1600 adults (800 gay and 800 heterosexual individuals), testing measurement invariance of the ASEX by sexual orientation in men and women separately, and calculating its reliability and DIF. OUTCOMES: The measure provided by the Spanish version of the ASEX is reliable and valid for assessing the sexual functioning of gay men and lesbians, but comparisons by sexual orientation are not recommended for men. RESULTS: The results of the confirmatory factor analysis confirmed the unidimensional structure of the ASEX already found in the Spanish validation with heterosexual people. Measurement invariance showed that, in the men's sample, the factor structure of the ASEX only reached the weak level of invariance, whereas in the women's sample, strict invariance by sexual orientation was reached. The internal consistency reliability was adequate, with better coefficients in women than in men. No significant DIF was observed in either men or women. CLINICAL IMPLICATIONS: Clinicians should further their training in sexual and gender diversity as approaches such as affirmative LGBT psychotherapy gain popularity, and they must have access to assessment instruments that are psychometrically robust enough to be used with this population. STRENGTHS AND LIMITATIONS: This research has some limitations. Because the distribution was administered solely through social media platforms, those without access to social media were unable to participate. Beyond these restrictions, however, the findings are thought to be significant from a research and clinical perspective since measurement invariance is a step that is often excluded when using an instrument validated in a mostly heterosexual sample. CONCLUSION: Validating assessment tools in gay men and lesbians is essential because sexual functioning is a crucial concept in sexual health. The findings of this study suggest that the Spanish version of the ASEX offers valid and reliable measures of sexual functioning for both heterosexual and gay people, though there would be bias in comparing men of both orientations.

Sleep Patterns during the COVID-19 Lockdown in Spain.

BACKGROUND: To mitigate the spread of the coronavirus disease (COVID-19) pandemic, governments around the world adopted exceptional lockdown measures. This led to the disruption of normal life routines, including sleep. The aim of this study was to analyze differences in sleep patterns and subjective variables of sleep quality before and during lockdown. METHODS: A sample of 1673 Spanish adults (30% men; 82% of the total were between 21 and 50 years of age) was evaluated. The following sleep variables were evaluated: Sleep latency, sleep time, number and duration of awakenings, sleep satisfaction, daytime sleepiness, and the manifestation of symptoms related to sleep problems. RESULTS: Although 45% of people changed their sleep schedules (resulting in 42% sleeping longer during lockdown), sleep quality (37.6% worse), daytime sleepiness (28% worse), number of awakenings (36.9% more), and duration of awakenings (45% longer) were markedly worse. Statistical analyses indicated significant differences in all the evaluated sleep variables before and during lockdown in both men and women. Women reported less sleep satisfaction, and more symptoms related to sleep problems than men. CONCLUSIONS: A deterioration in the sleep patterns of the Spanish population, especially women, because of the lockdown declared due to the COVID-19 pandemic.

Measurement Invariance across Sexual Orientation for Measures of Sexual Attitudes.

Despite the growing interest in the study of sexual attitudes across sexual orientation, few studies have tested whether the instruments used to measure them are invariant. This study examined measurement invariance (configural, weak, strong, and strict) across sexual orientation in three different sexual attitude scales: the Sexual Opinion Survey (SOS) to assess erotophilia, the Hurlbert Index of Sexual Fantasy (HISF) to assess attitudes toward sexual fantasies, and the Negative Attitudes Toward Masturbation Inventory (NATMI) to assess negative attitudes toward masturbation. A total of 2293 Spanish adult men and women with different sexual orientations (i.e., heterosexual, bisexual, and gay) participated in the study. The results indicated strict invariance for HISF across sexual orientation and only weak invariance for SOS and NATMI. Differential item functioning was also found in two items of the NATMI scale. Evidence of validity was provided for the three scales that were studied.

Network and Exploratory Factorial Analysis of the Depression Clinical Evaluation Test.

Depression is a highly prevalent disorder with a wide range of symptomatology. Existing instruments for its assessment have only a few items for each factor. The Depression Clinical Evaluation Test (DCET) has been created to cover all depression symptoms at different times (month, year, and always) with several items for each facet. The content validity of this instrument has been judged by experts and, in this paper, we analyse its factorial structure and make a network analysis of it. The test (196 items) was administered to 602 adults without psychological disorders (Mage = 24.7, SD = 8.38, 72% women) both online and on paper. A network was estimated for each time point, using the absolute minimum selection and shrinkage operator. From the factor analysis, 12 factors were established for month, 11 for year, and 10 for always, leaving 94 items. The network analysis showed that the facets of depressive mood, anhedonia, and thoughts of Death, are central to all the estimated networks. The DCET is proposed as a valid and reliable multifactorial instrument to detect the variability of depressive symptoms in adults, guaranteeing its diagnostic usefulness.

Content Validity through Expert Judgment for the Depression Clinical Evaluation Test.

Background/Objective: The evaluation of depression requires valid and reliable measuring instruments, which collect a wide spectrum of symptoms that this disorder displays, in order to carry out an accurate and differential diagnosis. The objective of this work is the construction of the Depression Clinical Evaluation Test (DCET), where affective, somatic, cognitive, behavioral and interpersonal symptoms are considered and also analyze its content validity through an expert judgment. Method: Based on different diagnostic and manual classifications, a specification table for a depression test was established. In its evaluation, 16 experts in Psychological Assessment, Psychometry and/or Psychopathology participated. A total of 300 items were created. The experts had to assess the items according to the criteria of Content, Relevance, Clarity, Comprehension, Sensitivity, and Offensiveness. In addition, 50 adults, evaluated the compression of the items. Results: The degree of understanding for all the items was high and the expert judgment favoured the suppression of 104 items, thus obtaining a shorter measuring instrument with a total of 196 items for ease of application. Conclusions: The content validity of the test is adequate and fits the agreed definition of depression.

Antecedentes: La evaluación de la depresión requiere de instrumentos de medida válidos, fiables y que recojan el amplio espectro de síntomas que este trastorno conlleva, para poder llevar a cabo un diagnóstico certero y diferencial. El objetivo de este trabajo es la construcción del Test de Evaluación Clínica de la Depresión (TECD), que contempla síntomas afectivos, somáticos, cognitivos, conductuales e interpersonales, y analizar su validez de contenido a través de un juicio de expertos. Método: A partir de diferentes clasificaciones diagnósticas y manuales se estableció la tabla de especificación del test para este cuestionario de depresión. En la evaluación de este participaron 16 expertos en Evaluación Psicológica, Psicometría y/o Psicopatología. Se crearon 300 ítems en total, que los expertos tuvieron que valorar atendiendo a los criterios de Contenido, Relevancia, Claridad, Comprensión, Sensitividad y Ofensividad. Además, 50 adultos, valoraron la compresión de los items. Resultados: El grado de comprensión de todos los ítems fue elevado y el juicio de expertos supuso la supresión de 104 ítems, obteniendo así un instrumento de medida más breve, con 196 ítems en total, lo que facilitará su aplicación. Conclusiones: La validez de contenido del test es adecuada y se adapta a la definición de depresión establecida.

Content Validity through Expert Judgment for the Depression Clinical Evaluation Test / Validez de contenido mediante juicio de expertos para el Test de Evaluación Clínica de la Depresión

AbstractBackground/Objective: The evaluation of depression requires valid and reliable measuring instruments, which collect a wide spectrum of symptoms that this disorder displays, in order to carry out an accurate and differential diagnosis. The objective of this work is the construction of the Depression Clinical Evaluation Test (DCET), where affective, somatic, cognitive, behavioral and interpersonal symptoms are considered and also analyze its content validity through an expert judgment. Method: Based on different diagnostic and manual classifications, a specification table for a depression test was established. In its evaluation, 16 experts in psychological evaluation, psychometry and/or psychopathology participated. A total of 300 items were created. The experts had to assess the items according to the criteria of Content, Relevance, Clarity, Comprehension, Sensitivity and Offensiveness. In addition, 50 adults, evaluated the compression of the items. Results: The degree of understanding for all the items was high and the expert judgment favoured the suppression of 104 items, thus obtaining a shorter measuring instrument with a total of 196 items for ease of application. Conclusions: The content validity of the test is adequate and fits the agreed definition of depression.

Antecedentes La evaluación de la depresión requiere de instrumentos de medida válidos, fiables y que recojan el amplio espectro de síntomas que este trastorno conlleva, para poder llevar a cabo un diagnóstico certero y diferencial. El objetivo de este trabajo es la construcción del Test de Evaluación Clínica de la Depresión (TECD), que contempla síntomas afectivos, somáticos, cognitivos, conductuales e interpersonales, y analizar su validez de contenido a través de un juicio de expertos. Método A partir de diferentes clasificaciones diagnósticas y manuales se estableció la tabla de especificación del test para este cuestionario de depresión. En la evaluación de este participaron 16 expertos en Evaluación Psicológica, Psicometría y/o Psicopatología. Se crearon 300 ítems en total, que los expertos tuvieron que valorar atendiendo a los criterios de Contenido, Relevancia, Claridad, Comprensión, Sensitividad y Ofensividad. Además, 50 adultos, valoraron la compresión de los items. Resultados El grado de comprensión de todos los ítems fue elevado y el juicio de expertos supuso la supresión de 104 ítems, obteniendo así un instrumento de medida más breve, con 196 ítems en total, lo que facilitará su aplicación. Conclusiones La validez de contenido del test es adecuada y se adapta a la definición de depresión establecida.

Effect of an Interdisciplinary Weight Loss and Lifestyle Intervention on Obstructive Sleep Apnea Severity: The INTERAPNEA Randomized Clinical Trial.

Importance: Obesity is the leading cause of obstructive sleep apnea (OSA); however, the effects of weight loss and lifestyle interventions on OSA and comorbidities remain uncertain. Objective: To evaluate the effect of an interdisciplinary weight loss and lifestyle intervention on OSA and comorbidities among adults with moderate to severe OSA and overweight or obesity. Design, Setting, and Participants: The Interdisciplinary Weight Loss and Lifestyle Intervention for OSA (INTERAPNEA) study was a parallel-group open-label randomized clinical trial conducted at a hospital-based referral center in Granada, Spain, from April 1, 2019, to October 23, 2020. The study enrolled 89 Spanish men aged 18 to 65 years with moderate to severe OSA and a body mass index (calculated as weight in kilograms divided by height in meters squared) of 25 or greater who were receiving continuous positive airway pressure (CPAP) therapy. The sole inclusion of men was based on the higher incidence and prevalence of OSA in this population, the differences in OSA phenotypes between men and women, and the known effectiveness of weight loss interventions among men vs women. Interventions: Participants were randomized to receive usual care (CPAP therapy) or an 8-week weight loss and lifestyle intervention involving nutritional behavior change, aerobic exercise, sleep hygiene, and alcohol and tobacco cessation combined with usual care. Main Outcomes and Measures: The primary end point was the change in the apnea-hypopnea index (AHI) from baseline to the intervention end point (8 weeks) and 6 months after intervention. Secondary end points comprised changes in other OSA sleep-related outcomes, body weight and composition, cardiometabolic risk, and health-related quality of life. Results: Among 89 men (mean [SD] age, 54.1 [8.0] years; all of Spanish ethnicity; mean [SD] AHI, 41.3 [22.2] events/h), 49 were randomized to the control group and 40 were randomized to the intervention group. The intervention group had a greater decrease in AHI (51% reduction; change, -21.2 events/h; 95% CI, -25.4 to -16.9 events/h) than the control group (change, 2.5 events/h; 95% CI, -2.0 to 6.9 events/h) at the intervention end point, with a mean between-group difference of -23.6 events/h (95% CI, -28.7 to -18.5 events/h). At 6 months after intervention, the reduction in AHI was 57% in the intervention group, with a mean between-group difference of -23.8 events/h (95% CI, -28.3 to -19.3 events/h). In the intervention group, 18 of 40 participants (45.0%) no longer required CPAP therapy at the intervention end point, and 6 of 40 participants (15.0%) attained complete OSA remission. At 6 months after intervention, 21 of 34 participants (61.8%) no longer required CPAP therapy, and complete remission of OSA was attained by 10 of 34 participants (29.4%). In the intervention vs control group, greater improvements in body weight (change, -7.1 kg [95% CI, -8.6 to -5.5 kg] vs -0.3 kg [95% CI, -1.9 to 1.4 kg]) and composition (eg, change in fat mass, -2.9 kg [95% CI, -4.5 to -1.3 kg] vs 1.4 kg [95% CI, -0.3 to 3.1 kg]), cardiometabolic risk (eg, change in blood pressure, -6.5 mm Hg [95% CI, -10.3 to -2.6 mm Hg] vs 2.2 mm Hg [95% CI, -2.1 to 6.6 mm Hg]), and health-related quality of life (eg, change in Sleep Apnea Quality of Life Index, 0.8 points [95% CI, 0.5-1.1 points] vs 0.1 points [95% CI, -0.3 to 0.4 points]) were also found at the intervention end point. Conclusions and Relevance: In this study, an interdisciplinary weight loss and lifestyle intervention involving Spanish men with moderate to severe OSA and had overweight or obesity and were receiving CPAP therapy resulted in clinically meaningful and sustainable improvements in OSA severity and comorbidities as well as health-related quality of life. This approach may therefore be considered as a central strategy to address the substantial impact of this increasingly common sleep-disordered breathing condition. Trial Registration: ClinicalTrials.gov Identifier: NCT03851653.

Análisis bibliométrico de las revistas españolas de psicología indexadas en el Emerging Source Citation Index (2018-2020) / Bibliometric analysis of spanish psychology journals indexed in the Emerging Source Citation Index (2018-2020)

El objetivo de este trabajo fue analizar las publicaciones y las revistas españolas de Psicología indexadas en el Emerging Source Citation Index(ESCI) durante los tres últimos años, con el fin de proporcionar información relevante como el indicador de citas de revistas (JCI), el número dedocumentos publicados, temáticas más estudiadas, análisis de indicadores, colaboraciones, etc. Utilizando el rango temporal de 2018-2020, sefiltraron 17 revistas obteniendo un total de 1.247 documentos (1.071 artículos) con 43.697 referencias. Sin contabilizar a España, los paísesmás productivos son México, Brasil y Chile. En cuanto al número de autores, destacan los mismos países en el siguiente orden: Brasil, México yChile. Las revistas con un mayor JCI y número de citas por documento son la Revista Iberoamericana de Psicología y Salud (1,08 y 5,17 respectivamente) y la International Journal of Educational Psychology (0,70 y 2,14 respectivamente), siendo la primera de estas la única situada enprimer cuartil. Las que tienen el índice h y g más elevado son la Revista Iberoamericana de Psicología y Salud (7 y 10) y Papeles del Psicólogo(6 y 9). Las tres “palabras clave” más utilizadas fueron psicoterapia, adolescentes y ansiedad. (AU)

The aim of this work was to analyze the Spanish psychology publications and journals indexed in the Emerging Source Citation Index (ESCI) duringthe last three years, to provide relevant information such as the journal citation indicator (JCI), the number of published documents, the most studiedtopics, analysis of indicators, collaborations, etc. Using the time range 2018-2020, 17 journals were screened, and a total of 1,247 documents(1,071 articles) with 43,697 references were obtained. Excluding Spain, the most productive countries were Mexico, Brazil, and Chile. In terms ofthe number of authors, the same countries predominate, in the following order: Brazil, Mexico, and Chile. The journals with the highest JCI andnumber of citations per paper were the Revista Iberoamericana de Psicología y Salud (1.08 and 5.17 respectively) and the International Journalof Educational Psychology (0.70 and 2.14 respectively), the former being the only one in the first quartile. Those with the highest h and g indexeswere the Revista Iberoamericana de Psicología y Salud (7 and 10 respectively) and Papeles del Psicólogo (6 and 9 respectively). The three mostused «keywords» were psychotherapy, adolescents, and anxiety. (AU)

A Reliability Generalization Meta-analysis of the South Oaks Gambling Screen (SOGS).

BACKGROUND: The South Oaks Gambling Screen (SOGS) is one of the most widely used screening instruments for evaluating addiction to gambling. METHOD: The main objective of this study is to analyze whether the SOGS is a reliable instrument and what characteristics of studies on the SOGS are linked to its reported reliability. RESULTS: A meta-analysis was carried out with 63 studies including 65 independent samples. The mean value of a was .86 (95% CI of .84­.88), with high heterogeneity (I2 = 98.27%). The variables that explain the most heterogeneity were the continent where the study was performed (R2 = .61), application to participants with or without clinical problems (R2 = .58), the form of administration of the questionnaire (R2 = .56), and the standard deviation in the SOGS score (R2 = .13). CONCLUSIONS: The results show that the SOGS is a reliable instrument for evaluating gambling addiction. However, the meta-analysis highlights the need to report the reliability values for each empirical study and to provide a set of recommendations for researchers and professionals who use this instrument.

Characteristics of sleep spindles in school-aged children with attention-deficit/hyperactivity disorder.

OBJECTIVE: Attention deficit/hyperactivity disorder (ADHD) is a complex disorder, characterized by different presentations with distinct cognitive and neurobiological characterizations. Here we aimed to investigate whether sleep spindle activity, which has been associated with brain maturation, may be a potential biomarker able to differentiate ADHD presentations in school-aged children (7-11 years). METHOD: Spindle characteristics were extracted from overnight polysomnography in 74 children (27 ADHD-Inattentive [IQ = 96.04], 25 ADHD-hyperactive/impulsive [IQ = 98.9], and 22 ADHD-combined [IQ = 96.1]). We obtained data of the frontal (Fz) and parietal (Pz) derivations using a validated spindle detection algorithm. RESULTS: Children with ADHD showed a higher number and density of slow compared to fast spindles which were more frequent in frontal area. No differences were observed among ADHD presentations for any spindle characteristics. Spindle frequency and density increased with age, indicating an age-dependent maturation of different sleep spindles. However, no associations between IQ and spindle characteristics were observed. CONCLUSIONS: In children with ADHD the spindle characteristics evolve with age but sleep spindle activity does not seem to be a valid biomarker of ADHD phenotypes or general cognitive ability.

Sleep, academic achievement, and cognitive performance in children with attention-deficit hyperactivity disorder: A polysomnographic study.

The objective of this study was to examine the influence of parent-reported and polysomnography (PSG)-measured sleep patterns on the academic and cognitive performance of children with attention-deficit hyperactivity disorder (ADHD). We assessed 91 children (18 girls) diagnosed with ADHD aged 7-11 years (29 ADHD-Inattentive, 32 ADHD-Hyperactive/Impulsive, and 31 ADHD-Combined). The Paediatric Sleep Questionnaire (PSQ) and Paediatric Daytime Sleepiness Scale (PDSS) were used to assess subjective sleep quality, as perceived by parents, and objective sleep variables were assessed by PSG. Cognitive performance was evaluated using the Wechsler Intelligence Scale for Children (WISC), and the final average grade of the last school year was used as a measure of academic performance. Academic performance was predicted by the following sleep variables: Sleep time, time in bed, night awakenings, and daytime sleepiness. The best predictors of cognitive performance in children with ADHD were rapid eye movement latency, light sleep, periodic limb movements index (PLMs), awakenings, and daytime sleepiness. In conclusion, sleep parameters are closely associated with the academic and cognitive functioning of children with ADHD.

A Meta-Analysis of the Generalization of the Reliability of State/Trait Depression Inventory Scores / Meta-Análisis de Generalización de la Fiabilidad de las Puntuaciones del Inventario de Depresión Estado/Rasgo

BACKGROUND: Depression is a disorder that is highly prevalent nowadays. Within the dimensional explanatory model of depression, the State/Trait Depression Inventory was developed. Its objective is to identify the degree of affectation (state) and the frequency of occurrence (trait) of the affective component of depression. The instrument has proven reliable and comprises two factors in its structure: state and trait, with two euthymia and dysthymia subscales in each one. The objective of this meta-analysis is to find an average alpha for the questionnaire. METHOD: A bibliographical search was conducted on Web of Science and Scopus. Forty-five articles were selected. RESULTS: The alpha ranges from .84 to .89 for all factorizations, and in most studies a bifactorial structure of state and trait depression was found. CONCLUSIONS: The State/Trait Depression Inventory is a reliable and suitable instrument for measuring depression

ANTECEDENTES: la depresión es un trastorno de alta prevalencia en la actualidad. Dentro del modelo explicativo dimensional de la depresión, se desarrolló el Inventario de Depresión Estado/Rasgo, cuyo objetivo es identificar el grado de afectación (estado) y la frecuencia de ocurrencia (rasgo) del componente afectivo de la depresión. Este instrumento ha demostrado ser fiable y poseer dos factores en su estructura: estado y rasgo con dos subescalas eutimia y distimia en cada uno. El objetivo de este meta-análisis es hallar un alfa medio de las puntuaciones cuestionario. MÉTODO: se realizó una búsqueda bibliográfica en Web of Science y Scopus. Se seleccionaron 45 artículos. RESULTADOS: el alfa oscila entre 0,84 y 0,89 para todas las factorizaciones, y en la mayoría de los estudios se halló una estructura bifactorial de depresión estado y rasgo. CONCLUSIONES: el Inventario de Depresión Estado/Rasgo es un instrumento fiable y adecuado para medir la depresión

A Meta-Analysis of the Generalization of the Reliability of State/Trait Depression Inventory Scores.

BACKGROUND: Depression is a disorder that is highly prevalent nowadays. Within the dimensional explanatory model of depression, the State/Trait Depression Inventory was developed. Its objective is to identify the degree of affectation (state) and the frequency of occurrence (trait) of the affective component of depression. The instrument has proven reliable and comprises two factors in its structure: state and trait, with two euthymia and dysthymia subscales in each one. The objective of this meta-analysis is to find an average alpha for the questionnaire. METHOD: A bibliographical search was conducted on Web of Science and Scopus. Forty-five articles were selected. RESULTS: The alpha ranges from .84 to .89 for all factorizations, and in most studies a bifactorial structure of state and trait depression was found. CONCLUSIONS: The State/Trait Depression Inventory is a reliable and suitable instrument for measuring depression.

Perfil psicosocial, factores de riesgo y reinserción en reclusas adultas: una revisión sistemática / Psychosocial profile, risk factors and reintegration in adult women prisoners: A systematic review

Resumen El objetivo de este trabajo fue analizar los efectos psicológicos asociados con la estancia en prisión en mujeres reclusas, así como su perfil psicosocial. Para esto se llevó a cabo una búsqueda de la literatura en las siguientes bases de datos: Web of Science, Scopus, Psicodoc, PsycInfo, Pubmed y DOAJ. En la búsqueda se localizó un total de 1403 trabajos (1350 artículos y 53 revisiones), de los cuales se seleccionaron, finalmente, 106 estudios. Se observan importantes diferencias entre hombres y mujeres en cuanto al ajuste a prisión, además de que las mujeres reclusas tienen unas necesidades específicas. Como conclusión cabe señalar la necesidad de más estudios que complementen la información sobre los efectos psicológicos de las mujeres en países menos desarrollados.

Abstract The objective of this work was to analyze the psychological effects associated with the stay in prison in women prisoners as well as their psychosocial profile. For this purpose, a literatura search was carried out in the following databases: Web of Science, Scopus, Psicodoc, PsycInfo, Pubmed and DOAJ. In the search a total of 1403 papers were located (1350 articles and 53 reviews), finally selecting 106 studies. There are important differences between men and women in terms of adjustment to prison, in addition to the fact that women prisoners have specific needs. In conclusion, more studies are needed to complement the information on the psychological effects of women in less developed countries.

Sleep among presentations of Attention-Deficit/Hyperactivity Disorder: Analysis of objective and subjective measures / El sueño en las diferentes presentaciones del Trastorno por déficit de atención/hiperactividad: análisis de medidas objetivas y subjetivas

BACKGROUND/OBJECTIVE: To examine subjective and objective sleep patterns in children with different Attention-Deficit/Hyperactivity Disorder (ADHD) presentations. METHOD: We assessed 92 children diagnosed with ADHD (29 ADHD-Inattentive [ADHD-I], 31 ADHD-Hyperactive/Impulsive [ADHD-H/I], and 32 ADHD-Combined [ADHD-C)]) aged 7-11 years. The Pediatric Sleep Questionnaire (PSQ), Pediatric Daytime Sleepiness Scale (PDSS), and a sleep diary were used as subjective sleep measures, and polysomnography was used to objectively assess sleep quantity, quality, and fragmentation. RESULTS: Subjective data showed impaired sleep in 12.7% of the sample. No significant differences were found between ADHD presentations in any objective and subjective sleep variable. Nevertheless, data on sleep fragmentation suggested a worse sleep continuity for the ADHD-H/I group, and correlation analyses confirmed that sleep is affected by age. CONCLUSIONS: Children with ADHD may suffer from sleep breathing problems and daytime sleepiness, as reported by their parents, even when their total sleep time and sleep efficiency are not affected. It seems that sleep in this population does not largely vary as a function of the ADHD presentation. Sleep in children with ADHD evolves with age

ANTECEDENTES/OBJETIVO: Examinar los patrones de sueño subjetivos y objetivos de niños con diferentes presentaciones del Trastorno por déficit de atención e hiperactividad (TDAH). MÉTODO: Se evaluaron 92 niños (29 TDAH-inatento [TDAH-I)], 31 TDAH-hiperactivo/impulsivo [TDAH-H/I] y 32 TDAH-combinado [TDAH-C]) de entre 7-11 años. El Pediatric Sleep Questionnaire (PSQ), la Pediatric Daytime Sleepiness Scale (PDSS) y un diario de sueño se utilizaron como medidas subjetivas de sueño. Para evaluar objetivamente la cantidad, calidad y fragmentación del sueño se utilizó la polisomnografía. RESULTADOS: Los datos subjetivos mostraron alteraciones del sueño en el 12,7% de la muestra. No se observaron diferencias significativas en ninguna variable objetiva y subjetiva de sueño entre las diferentes presentaciones de TDAH. No obstante, los datos de fragmentación de sueño sugirieron una peor continuidad en el grupo con TDAH-H/I, y los análisis correlacionales confirmaron que el sueño se ve afectado por la edad. CONCLUSIONES: Los niños con TDAH pueden experimentar problemas respiratorios durante el sueño y somnolencia diurna, según lo informado por sus padres, incluso cuando su tiempo total y eficiencia de sueño no se vean afectados. Parece que el sueño en el TDAH no varía en función de la presentación. El sueño en los niños con TDAH evoluciona con la edad

Sleep among presentations of Attention-Deficit/Hyperactivity Disorder: Analysis of objective and subjective measures.

To examine subjective and objective sleep patterns in children with different Attention-Deficit/Hyperactivity Disorder (ADHD) presentations. METHOD: We assessed 92 children diagnosed with ADHD (29 ADHD-Inattentive [ADHD-I], 31 ADHD-Hyperactive/Impulsive [ADHD-H/I], and 32 ADHD-Combined [ADHD-C)]) aged 7-11 years. The Pediatric Sleep Questionnaire (PSQ), Pediatric Daytime Sleepiness Scale (PDSS), and a sleep diary were used as subjective sleep measures, and polysomnography was used to objectively assess sleep quantity, quality, and fragmentation. RESULTS: Subjective data showed impaired sleep in 12.7% of the sample. No significant differences were found between ADHD presentations in any objective and subjective sleep variable. Nevertheless, data on sleep fragmentation suggested a worse sleep continuity for the ADHD-H/I group, and correlation analyses confirmed that sleep is affected by age. CONCLUSIONS: Children with ADHD may suffer from sleep breathing problems and daytime sleepiness, as reported by their parents, even when their total sleep time and sleep efficiency are not affected. It seems that sleep in this population does not largely vary as a function of the ADHD presentation. Sleep in children with ADHD evolves with age.

ANTECEDENTES/OBJETIVO: Examinar los patrones de sueño subjetivos y objetivos de niños con diferentes presentaciones del Trastorno por déficit de atención e hiperactividad (TDAH). Método: Se evaluaron 92 niños (29 TDAH-inatento [TDAH-I)], 31 TDAH-hiperactivo/impulsivo [TDAH-H/I] y 32 TDAH-combinado [TDAH-C]) de entre 7­11 años. El Pediatric Sleep Questionnaire (PSQ), la Pediatric Daytime Sleepiness Scale (PDSS) y un diario de sueño se utilizaron como medidas subjetivas de sueño. Para evaluar objetivamente la cantidad, calidad y fragmentación del sueño se utilizó la polisomnografía. Resultados: Los datos subjetivos mostraron alteraciones del sueño en el 12,7% de la muestra. No se observaron diferencias significativas en ninguna variable objetiva y subjetiva de sueño entre las diferentes presentaciones de TDAH. No obstante, los datos de fragmentación de sueño sugirieron una peor continuidad en el grupo con TDAH-H/I, y los análisis correlacionales confirmaron que el sueño se ve afectado por la edad. Conclusiones: Los niños con TDAH pueden experimentar problemas respiratorios durante el sueño y somnolencia diurna, según lo informado por sus padres, incluso cuando su tiempo total y eficiencia de sueño no se vean afectados. Parece que el sueño en el TDAH no varía en función de la presentación. El sueño en los niños con TDAH evoluciona con la edad.

Ranking 2019 de investigación de las universidades públicas españolas / Research Ranking of Spanish Public Universities (2019)

ANTECEDENTES: los cambios producidos en el sistema universitario español con el proceso Bolonia hacen necesaria la realización periódica de informes de evaluación de la actividad investigadora. El objetivo de este estudio es actualizar el último ranking disponible de investigación de las universidades públicas españolas con los datos de 2013-2018. MÉTODO: se evaluó la producción y productividad de cada universidad, atendiendo a siete indicadores específicos y a una puntuación global: artículos en revistas indexadas en el JCR (Journal Citation Reports), tramos de investigación, proyectos I+D, tesis doctorales, ayudas FPU (formación de profesorado universitario), ayudas FPI (formación de personal investigador) y patentes. RESULTADOS: a nivel global, las universidades Complutense de Madrid, Barcelona y Granada se sitúan en las primeras posiciones en producción, mientras que las primeras posiciones en productividad son ocupadas por las universidades Pompeu Fabra, Autónoma de Madrid y Autónoma de Barcelona. CONCLUSIONES: las universidades que ocupan las primeras posiciones en este ranking se mantienen relativamente estables a lo largo del tiempo y son también las que destacan en clasificaciones internacionales

BACKGROUND: The changes produced in the Spanish university system due to the Bologna process require periodically updated evaluation reports of research activity. The objective of this study is to update the last available ranking of Spanish public universities, based on data from 2013-2018. METHOD: The production and productivity of each university were assessed based on seven specific indicators and a global score: articles in journals indexed in the JCR (Journal Citation Reports), research periods, R+D projects, doctoral theses, FPU (training of university professors) grants, FPI (training of personal researchers) grants, and patents. RESULTS: Globally, the universities Complutense of Madrid, Barcelona, and Granada hold the first positions in terms of production, while the first positions in terms of productivity are held by the universities Pompeu Fabra, Autonomous of Madrid, and Autonomous of Barcelona. CONCLUSIONS: The universities that hold the top positions in this ranking remain relatively steady over time and are also the Spanish universities that stand out in international classifications

[Research Ranking of Spanish Public Universities (2019)].

Research Ranking of Spanish Public Universities (2019). BACKGROUND: The changes produced in the Spanish university system due to the Bologna process require periodically updated evaluation reports of research activity. The objective of this study is to update the last available ranking of Spanish public universities, based on data from 2013-2018. METHOD: The production and productivity of each university were assessed based on seven specific indicators and a global score: articles in journals indexed in the JCR (Journal Citation Reports), research periods, R+D projects, doctoral theses, FPU (training of university professors) grants, FPI (training of personal researchers) grants, and patents. RESULTS: Globally, the universities Complutense of Madrid, Barcelona, and Granada hold the first positions in terms of production, while the first positions in terms of productivity are held by the universities Pompeu Fabra, Autonomous of Madrid, and Autonomous of Barcelona. CONCLUSIONS: The universities that hold the top positions in this ranking remain relatively steady over time and are also the Spanish universities that stand out in international classifications.

Interdisciplinary Weight Loss and Lifestyle Intervention for Obstructive Sleep Apnoea in Adults: Rationale, Design and Methodology of the INTERAPNEA Study.

Obesity is a major risk factor for obstructive sleep apnoea (OSA), the most common sleep-disordered breathing related to neurocognitive and metabolic syndromes, type II diabetes, and cardiovascular diseases. Although strongly recommended for this condition, there are no studies on the effectiveness of an interdisciplinary weight loss and lifestyle intervention including nutrition, exercise, sleep hygiene, and smoking and alcohol cessation. INTERAPNEA is a randomised controlled trial with a two-arm parallel design aimed at determining the effects of an interdisciplinary tailored weight loss and lifestyle intervention on OSA outcomes. The study will include 84 males aged 18-65 with a body mass index of ≥25 kg/m2 and severe to moderate OSA randomly assigned to usual care (i.e., continuous positive airway pressure), or interdisciplinary weight loss and lifestyle intervention combined with usual care. Outcomes will be measured at baseline, intervention end-point, and six-month post-intervention, including apnoea-hypopnoea index (primary outcome), other neurophysical and cardiorespiratory polysomnographic outcomes, sleep quality, daily functioning and mood, body weight and composition, physical fitness, blood biomarkers, health-related quality of life, and cost-effectiveness. INTERAPNEA may serve to establish a cost-effective treatment not only for the improvement of OSA and its vast and severe comorbidities, but also for a potential remission of this condition.