Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia
Objetivo: El objetivo de este estudio fue examinar la asociación entre las enfermedades psiquiátricas y los factores climáticos y estacionales, en los pacientes registrados en la Unidad de Emergencia, en el Hospital de Messina (Italia). Método: 6565 pacientes psiquiátricos se registraron a la Unidad...
- Autores:
-
Settineri, Salvatore
Mucciardi, Massimo
Leonardi, Valentina
Schlesinger, Stefan
Gioffrè Florio, Mara
Famà, Fausto
Muscatello, Maria Anna
Mento, Carmela
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2015
- Institución:
- Universidad de San Buenaventura
- Repositorio:
- Repositorio USB
- Idioma:
- eng
- OAI Identifier:
- oai:bibliotecadigital.usb.edu.co:10819/25769
- Acceso en línea:
- https://hdl.handle.net/10819/25769
https://doi.org/10.21500/20112084.2103
- Palabra clave:
- Weather
psychopathology
psychiatric emergency visits.
Clima
psicopatología
visitas a emergencias psiquiátricas
- Rights
- openAccess
- License
- International Journal of Psychological Research - 2016
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Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia |
| dc.title.translated.spa.fl_str_mv |
Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia |
| title |
Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia |
| spellingShingle |
Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia Weather psychopathology psychiatric emergency visits. Clima psicopatología visitas a emergencias psiquiátricas |
| title_short |
Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia |
| title_full |
Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia |
| title_fullStr |
Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia |
| title_full_unstemmed |
Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia |
| title_sort |
Condiciones meteorológicas y visitas a emergencias psiquiátricas en Messina Italia |
| dc.creator.fl_str_mv |
Settineri, Salvatore Mucciardi, Massimo Leonardi, Valentina Schlesinger, Stefan Gioffrè Florio, Mara Famà, Fausto Muscatello, Maria Anna Mento, Carmela |
| dc.contributor.author.eng.fl_str_mv |
Settineri, Salvatore Mucciardi, Massimo Leonardi, Valentina Schlesinger, Stefan Gioffrè Florio, Mara Famà, Fausto Muscatello, Maria Anna Mento, Carmela |
| dc.subject.eng.fl_str_mv |
Weather psychopathology psychiatric emergency visits. |
| topic |
Weather psychopathology psychiatric emergency visits. Clima psicopatología visitas a emergencias psiquiátricas |
| dc.subject.spa.fl_str_mv |
Clima psicopatología visitas a emergencias psiquiátricas |
| description |
Objetivo: El objetivo de este estudio fue examinar la asociación entre las enfermedades psiquiátricas y los factores climáticos y estacionales, en los pacientes registrados en la Unidad de Emergencia, en el Hospital de Messina (Italia). Método: 6565 pacientes psiquiátricos se registraron a la Unidad de Emergencia en Messina entre enero de 2005 y diciembre de 2010. Cada visita psiquiátrica en urgencias fue clasificada por fecha de aparición y diagnóstico de admisión de acuerdo con las categorías diagnósticas: ansiedad, trastornos del humor y psicosis. Datos meteorológicos locales se obtuvieron de la Institución Metereológica "Aereonautica Militare" estación en Messina, Sicilia. Además, para la recopilación de datos sobre el estado del cielo, temperatura, presión atmosférica con el valor normalizado a nivel del mar, la humedad relativa, la precipitación, la dirección del viento y la velocidad, la estación está conectada a una boya situada en el sector oriental del mar Tirreno. Resultados: En los trastornos de ansiedad se encontraron resultados relevantes en comparación con el invierno y la primavera (p = 0,007) y primavera y otoño (p = 0,001). En los trastornos afectivos se produjeron diferencias en relación con el invierno y el otoño (p = 0,002), primavera y otoño (p = 001), primavera y verano (p = 002). El trastorno psicótico presenta diferencias significativas entre verano y otoño (p = 0,001) y en primavera y otoño (p = 0,002). Conclusiones: Podemos observar una similitud de los trastornos afectivos; es decir, los trastornos de ansiedad y del estado de ánimo en comparación con la psicosis, los cuales tienen diferentes influencias y probablemente formas etiopatogénicas diferentes. En nuestra investigación, la distribución de los trastornos de ansiedad fue más alta que los trastornos depresivos en términos de la entrada de visitas a la sala de emergencia. Las principales diferencias se produjeron comparando la primavera y el otoño, las estaciones del año cuando todas las clases patológicas tienen diferencias significativas. De ello se deduce que el cambio climático más abrupto, típico de estas estaciones, en su conjunto provoca situaciones de emergencia psicopatológicas. El estudio es importante para la planificación de una asistencia más eficaz para los pacientes que necesitan ayuda psiquiátrica. |
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2015 |
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2015-01-01 |
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2016-01-01T00:00:00Z 2025-07-31T16:11:44Z |
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2016-01-01T00:00:00Z 2025-07-31T16:11:44Z |
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Artículo de revista |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
| dc.type.coar.eng.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
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10.21500/20112084.2103 |
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2011-7922 |
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2011-2084 |
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https://hdl.handle.net/10819/25769 |
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https://doi.org/10.21500/20112084.2103 |
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10.21500/20112084.2103 2011-7922 2011-2084 |
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https://hdl.handle.net/10819/25769 https://doi.org/10.21500/20112084.2103 |
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eng |
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eng |
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https://revistas.usb.edu.co/index.php/IJPR/article/download/2103/1876 |
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82 |
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1 |
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72 |
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9 |
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International Journal of Psychological Research |
| dc.relation.references.eng.fl_str_mv |
Briere J, Downes A. Summer in the City: Urban Weather Conditions and Psychiatric Emergency-Room Visits. Journal of Abnormal Psychology 1983; 92, 1: 77-80. Bulbena A, Pailhez G, Aceña R, Cunillera J, Rius A, Garcia-Ribera C, Gutiérrez J, Rojo C.Panic anxiety, under the weather? International Journal of Biometeorology. 2005; 49 (4): 238-243. Bulbena A, Sperry L, Pailhez G, Cunillera J. Panic attacks: Weather and season sensitivity? Psychiatry and Clinical Neurosciences. 2007; 61: 129. Christensen EM, Larsen JK, Gjerris A, Peacock L, Jacobi M, Hassenbalch E. Climatic factors and bipolar affective disorder. Nordic Journal of Psychiatry 2008; 62(1): 55-8. Damasio AR. Descartes error: emotion, reason and the human brain. New York, Grosset/Putnam. 1994. Daniels BA, Kirkby KC, Mitchell P, Hay D, Mowry B. Seasonal variation in hospital admission for bipolar disorder, depression and schizophrenia in Tasmania. Acta Psychiatrica Scandinavica 2000; 102,1: 38-43. De Graaf R, Van Dorsselaer S, Ten Have M, Schoemaker C, Vollenberg WAM. Seasonal variation in mental disorders in the general population of a country with a maritime climate: findings from the Netherlands mental health survey and incidence study. American Journal of Epidemiology 2005; 162, 7: 654-661. Deisenhammer EA, Kemmler G, Parson P. Association of meterological factors with suicide. Acta Psychiatrica Scandinavica 2003;108: 455-459. Dumont M, Beaulieu C. Light exposure in the natural environment: Relevance to mood and sleep disorders. Sleep Medicine. 2007; 8: 557-565. Erren TC, Nise MS, Meyer-Rochow VB. Latitude, light, clocks and mood. Psychopharmacology 2011; 216: 147–148. Gorwood P. Restoring circadian rhytms: a new way to successfully manage depression. Journal of Psychopharmacology. 2010; 24(8) Supplement 2: 15-19. Hoaki N, Terao T, Wang Y, Goto S, Tsuchiyama K, Iwata N. Biological aspect of hyperthymic temperament: light, sleep, and serotonin. Psychopharmacology. 2011; 213 (2-3):633-8. Howarth E, Hoffman MS. A multidimensional approach to the relationship between mood and weather. British Journal of Psychology 1984; 75: 15-23. Hsiang-Yi T, Kao Chin C, Yen Kuang Y, et al. Sunshine-exposure variation of human striatal dopamine D2/D3 receptor availability in healthy volunteers. Progress in Neuro-Psychopharmacology & Biological Psychiatry 2011; 35: 107–110. Huibers MJ, De Graag LE, Peeters FP, A. Does the weather make us sad? Meteorological determinants of mood and depression in the general population Psychiatry Research 2010; 180 (2): 143-146. Kaplan Z, Schild K, Levine J. Violence in hospitalized psychiatric patients: diurnal and seasonal patterns. Psychiatry Research 1996; 60: 199-204. Kennaway DJ. Clock genes at the haeart of depression. Journal of Psychopharmacology 2010; 24(8) Supplement 2: 5-14. Koskela A, Kauppinen T, Keski-Rahkonen A, Sihvola E, Kaprio J, Rissanen A, et al. Brain serotonin transporter binding of [123I] ADAM: within-subject variation between summer and winter data. Chronobiology International 2008; 25: 657–65. Lee HC, Lin HC, Tsai SY, Li CY, Chen CC, Huang CC. Suicide rates and the association with climate: a population-based study. Journal of Affective Disorders 2006; 92: 221-226. Lee HC, Tsai SY, Lin HC. Seasonal variations in bipolar disorder admissions and the association with climate: A population-based study. Journal of Affective Disorders 2007; 97: 61–69. Madden Pamela AF, Andrew Heath C, Norman Rosenthal E, Nicolas Martin G. Seasonal changes in Mood and Behavior. The role of genetic factors. Archives of General Psychiatry 1996; 53: 1. Maes M, De Meyer F, Peeters D, Meltzer H, Schotte C, Scharpe S, et al. The periodicities in and biometeorological relationships with bed occupancy of an acute psychiatric ward in Antwerp, Belgium. International Journal of Biometeorology 1993; 37(2): 78-82. Maes M, Scharpé S, Verkerk R, D'Hondt P, Peeters D, Cosyns P, et al .Seasonal variation in plasma tryptophan availability in healthy volunteers. Relationship to violent suicide occurrence. Archives of General Psychiatry 1995; 52: 937-946. Magnusson A. An overview of epidemiological studies on seasonal affective disorder. Acta Psychiatrica Scandinavica 2000; 101: 176-184. Magnusson A. Validation of the Seasonal Pattern Assessment Questionnaire (SPAQ). Journal of Affective Disorders. 1996; 40: 121-129. Mann JJ, Waternaux C, Haas GL, Malone KM. Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry 1999; 156:181-189. McIntyre IM, Judd FK, Marriott PM, Burrows GD, Norman TR. Plasma Melatonin Levels in Affective States. International Journal of Clinical Pharmacology Research 1989; 9: 159-164. Molin J, Mellerup E, Bolwig T, Scheike T, Dam H. The influence of climate on development of winter depression. Journal of Affective Disorders 1999; 37:151 – 155. Nair NP, Hariharasubramanian N, Pilapil C. Circadian rhythm of plasma melatonin in endogenous depression. Progress in Neuro-Psychopharmacology & Biological Psychiatry 1984; 8(4-6): 715-8. North CS, Pollio DE, Thompson SJ, Spitznagel EL, Smith EM. The association of psychiatric diagnosis with weather conditions in a large urban homeless sample. Social Psychiatry & Psychiatric Epidemiology. 1998 May;33(5):206-10. Ohtani T, Hisanobu K, Tareshi U, Ken I, Nobumasa K, Tsukasa S. Sensitivity to seasonal changes in panic disorder patients. Psychiatry and Clinical Neurosciences 2006; 60: 379-383. Ojane NM, Ursin R, Pallesen S, Kolsen F, Bjorvatin B. Increased Health risk in subjects with high self-reported seasonality. Plos One 2010, 5, 3: e9498. Oyane NMF, Byelland I, Pallesen S, Holsten F, Bjorvantn B. Seasonality is associated with anxiety and depression: The Hordaland health study. Journal of Affective disorders. 2008; 105:147-155. Page LA, Hajat S, Kovats RS. Relationship between daily suicide counts and temperature in England and Wales. British Journal of Psychiatry 2007;19:106-112. Preti A. The influence od seasonal change on suicidal behaviour in Italy. Journal of Affective Disorders.1997; 44:123-130. Radua J, Pertusa A, Cardoner N. Climatic relationship with specific clinical subtypes of depression. Psychiatry Research. 2010; 175: 217-220. Sarrias MJ, Artigas F, Martinez E, Gelpi E. Seasonal changes of plasma serotonin and related parameters: correlation with environmental measures. Biological Psychiatry 1989; 26: 695-706. Schory TJ, Piecznski N, Nair S, El-Mallakh RS. Barometric pressure, emergencypsychiatric visits and violent acts. Canadian Journal of Psychiatry. 2003; 48: 624-7. Shiloh R, Shapira A, Potcher O, Hermesh H, Popper M, Weizman A. Effects of climate on admission rates of shicophrenia patients to psychiatric hospital. European Psychiatry 2005; 20: 61-64. Singh GP, Chavan BS, Arun P, Sidana A. Seasonal pattern of psychiatry service utilization in a tertiary care hospital. Indian Journal Psychiatry 2007; 49: 91-5. Sulman FG. The impact of weather on human health. Review on Environmental Health 1984; 4: 83-119. Terao T, Hoaki N. Light can ameliorate low mood in healthy people. Psychopharmacology. 2011; 213 (4):831. Tsai JF, Hsiao S, Wang SY. Infrared irradiation has potential antidepressant effect. Progress in Neuro-Psychopharmacology & Biological Psychiatry 2007; 31: 1397-1400. Volpe FM, Da Silva EM, Dos Santos TN, De Freitas DEG. Further evidence of seasonality of mania in the tropics suicidality. Journal of Affective Disorders. 2010; 124: 178–182. Volpe FM, Tavares A, Del Porto JA. Seasonality of three dimensions of mania: Psychosis, aggression and suicidality. Journal of Affective Disorders 2008; 108: 95–100. Watson D. Mood and temperament. The Guilford Press. New York 2000. Winkler D, Pjrek E, Konstantinidis A, Praschak-Ieder N, Willeit M, Stastny J, et al. Anger attacks in seasonal affective disorder. The international journal of neuropsychopharmacology 2006; 9 (2): 215-9 Yackerson NS, Zilberman A, Todder D, Kaplan Z. The influence of several changes in atmospheric states over semi-arid areas on the incidence of mental health disorders. International Journal of Biometeorology 2011; 55(3): 403-10. |
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Settineri, SalvatoreMucciardi, MassimoLeonardi, ValentinaSchlesinger, StefanGioffrè Florio, MaraFamà, FaustoMuscatello, Maria AnnaMento, Carmela2016-01-01T00:00:00Z2025-07-31T16:11:44Z2016-01-01T00:00:00Z2025-07-31T16:11:44Z2015-01-01Objetivo: El objetivo de este estudio fue examinar la asociación entre las enfermedades psiquiátricas y los factores climáticos y estacionales, en los pacientes registrados en la Unidad de Emergencia, en el Hospital de Messina (Italia). Método: 6565 pacientes psiquiátricos se registraron a la Unidad de Emergencia en Messina entre enero de 2005 y diciembre de 2010. Cada visita psiquiátrica en urgencias fue clasificada por fecha de aparición y diagnóstico de admisión de acuerdo con las categorías diagnósticas: ansiedad, trastornos del humor y psicosis. Datos meteorológicos locales se obtuvieron de la Institución Metereológica "Aereonautica Militare" estación en Messina, Sicilia. Además, para la recopilación de datos sobre el estado del cielo, temperatura, presión atmosférica con el valor normalizado a nivel del mar, la humedad relativa, la precipitación, la dirección del viento y la velocidad, la estación está conectada a una boya situada en el sector oriental del mar Tirreno. Resultados: En los trastornos de ansiedad se encontraron resultados relevantes en comparación con el invierno y la primavera (p = 0,007) y primavera y otoño (p = 0,001). En los trastornos afectivos se produjeron diferencias en relación con el invierno y el otoño (p = 0,002), primavera y otoño (p = 001), primavera y verano (p = 002). El trastorno psicótico presenta diferencias significativas entre verano y otoño (p = 0,001) y en primavera y otoño (p = 0,002). Conclusiones: Podemos observar una similitud de los trastornos afectivos; es decir, los trastornos de ansiedad y del estado de ánimo en comparación con la psicosis, los cuales tienen diferentes influencias y probablemente formas etiopatogénicas diferentes. En nuestra investigación, la distribución de los trastornos de ansiedad fue más alta que los trastornos depresivos en términos de la entrada de visitas a la sala de emergencia. Las principales diferencias se produjeron comparando la primavera y el otoño, las estaciones del año cuando todas las clases patológicas tienen diferencias significativas. De ello se deduce que el cambio climático más abrupto, típico de estas estaciones, en su conjunto provoca situaciones de emergencia psicopatológicas. El estudio es importante para la planificación de una asistencia más eficaz para los pacientes que necesitan ayuda psiquiátrica.Objective: The aim of this study is to examine the association between psychiatric disease, climatic and seasonal factors in patients recorded to the Emergency Unit, in Messina Hospital (Italy). Method: A total of 6565 psychiatric patients were recorded to the Emergency Unit in Messina from January 2005 and December 2010. Each psychiatric visit in emergency, was categorized by date of appearance and admitting diagnosis according to diagnostic categories: Anxiety, Mood Disorders and Psychosis. Local weather data were obtained from the Metereological Instituted “Aereonautica Militare” station in Messina, Sicily, In addition, to gathering data on the state of the sky, temperature, atmosphericpressure with the normalized value at sea level, relative humidity, rainfall, wind direction and speed, the station is connected to a buoy located on the eastern sector of Tyrrhenian Sea. Results: In anxiety disorders we have found relevant results comparison between winter and spring (p=.007) and spring and fall (p=.001). In affective disorders the differences occur in relation to winter and fall (p=.002), spring and fall (p=001), spring and summer (p=002). The psychotic disorder presents significant differences between summer and fall (p=.001) and spring and fall (p=.002). Conclusions: We can observe a similarity of affective disorders, i.e. anxiety and mood disorders compared to psychosis, which have different influences and probably according to dissimilar etiopathogenetic ways. In our research, the distribution of anxiety disorders is higher than depressive disorders in terms of delivering emergency room visits. The major differences occur comparing spring and fall, the seasons when all pathological classes have significant differences. It follows that the most abrupt climate change, typical of these seasons, as a whole, cause psychopathological emergencies. The study is important for planning a more effective assistance for patients needing psychiatric support.application/pdf10.21500/20112084.21032011-79222011-2084https://hdl.handle.net/10819/25769https://doi.org/10.21500/20112084.2103engUniversidad San Buenaventura - USB (Colombia)https://revistas.usb.edu.co/index.php/IJPR/article/download/2103/1876821729International Journal of Psychological ResearchBriere J, Downes A. Summer in the City: Urban Weather Conditions and Psychiatric Emergency-Room Visits. Journal of Abnormal Psychology 1983; 92, 1: 77-80. Bulbena A, Pailhez G, Aceña R, Cunillera J, Rius A, Garcia-Ribera C, Gutiérrez J, Rojo C.Panic anxiety, under the weather? International Journal of Biometeorology. 2005; 49 (4): 238-243. Bulbena A, Sperry L, Pailhez G, Cunillera J. Panic attacks: Weather and season sensitivity? Psychiatry and Clinical Neurosciences. 2007; 61: 129. Christensen EM, Larsen JK, Gjerris A, Peacock L, Jacobi M, Hassenbalch E. Climatic factors and bipolar affective disorder. Nordic Journal of Psychiatry 2008; 62(1): 55-8. Damasio AR. Descartes error: emotion, reason and the human brain. New York, Grosset/Putnam. 1994. Daniels BA, Kirkby KC, Mitchell P, Hay D, Mowry B. Seasonal variation in hospital admission for bipolar disorder, depression and schizophrenia in Tasmania. Acta Psychiatrica Scandinavica 2000; 102,1: 38-43. De Graaf R, Van Dorsselaer S, Ten Have M, Schoemaker C, Vollenberg WAM. Seasonal variation in mental disorders in the general population of a country with a maritime climate: findings from the Netherlands mental health survey and incidence study. American Journal of Epidemiology 2005; 162, 7: 654-661. Deisenhammer EA, Kemmler G, Parson P. Association of meterological factors with suicide. Acta Psychiatrica Scandinavica 2003;108: 455-459. Dumont M, Beaulieu C. Light exposure in the natural environment: Relevance to mood and sleep disorders. Sleep Medicine. 2007; 8: 557-565. Erren TC, Nise MS, Meyer-Rochow VB. Latitude, light, clocks and mood. Psychopharmacology 2011; 216: 147–148. Gorwood P. Restoring circadian rhytms: a new way to successfully manage depression. Journal of Psychopharmacology. 2010; 24(8) Supplement 2: 15-19. Hoaki N, Terao T, Wang Y, Goto S, Tsuchiyama K, Iwata N. Biological aspect of hyperthymic temperament: light, sleep, and serotonin. Psychopharmacology. 2011; 213 (2-3):633-8. Howarth E, Hoffman MS. A multidimensional approach to the relationship between mood and weather. British Journal of Psychology 1984; 75: 15-23. Hsiang-Yi T, Kao Chin C, Yen Kuang Y, et al. Sunshine-exposure variation of human striatal dopamine D2/D3 receptor availability in healthy volunteers. Progress in Neuro-Psychopharmacology & Biological Psychiatry 2011; 35: 107–110. Huibers MJ, De Graag LE, Peeters FP, A. Does the weather make us sad? Meteorological determinants of mood and depression in the general population Psychiatry Research 2010; 180 (2): 143-146. Kaplan Z, Schild K, Levine J. Violence in hospitalized psychiatric patients: diurnal and seasonal patterns. Psychiatry Research 1996; 60: 199-204. Kennaway DJ. Clock genes at the haeart of depression. Journal of Psychopharmacology 2010; 24(8) Supplement 2: 5-14. Koskela A, Kauppinen T, Keski-Rahkonen A, Sihvola E, Kaprio J, Rissanen A, et al. Brain serotonin transporter binding of [123I] ADAM: within-subject variation between summer and winter data. Chronobiology International 2008; 25: 657–65. Lee HC, Lin HC, Tsai SY, Li CY, Chen CC, Huang CC. Suicide rates and the association with climate: a population-based study. Journal of Affective Disorders 2006; 92: 221-226. Lee HC, Tsai SY, Lin HC. Seasonal variations in bipolar disorder admissions and the association with climate: A population-based study. Journal of Affective Disorders 2007; 97: 61–69. Madden Pamela AF, Andrew Heath C, Norman Rosenthal E, Nicolas Martin G. Seasonal changes in Mood and Behavior. The role of genetic factors. Archives of General Psychiatry 1996; 53: 1. Maes M, De Meyer F, Peeters D, Meltzer H, Schotte C, Scharpe S, et al. The periodicities in and biometeorological relationships with bed occupancy of an acute psychiatric ward in Antwerp, Belgium. International Journal of Biometeorology 1993; 37(2): 78-82. Maes M, Scharpé S, Verkerk R, D'Hondt P, Peeters D, Cosyns P, et al .Seasonal variation in plasma tryptophan availability in healthy volunteers. 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International Journal of Biometeorology 2011; 55(3): 403-10.International Journal of Psychological Research - 2016info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/https://revistas.usb.edu.co/index.php/IJPR/article/view/2103Weatherpsychopathologypsychiatric emergency visits.Climapsicopatologíavisitas a emergencias psiquiátricasCondiciones meteorológicas y visitas a emergencias psiquiátricas en Messina ItaliaCondiciones meteorológicas y visitas a emergencias psiquiátricas en Messina ItaliaArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Textinfo:eu-repo/semantics/articleJournal articleinfo:eu-repo/semantics/publishedVersionPublicationOREORE.xmltext/xml2876https://bibliotecadigital.usb.edu.co/bitstreams/ec5f1b58-b040-4039-9ade-a533a11bc069/downloadb1a837bd62f778fd5624bc773001479aMD5110819/25769oai:bibliotecadigital.usb.edu.co:10819/257692025-07-31 11:11:44.503https://creativecommons.org/licenses/by-nc-sa/4.0/https://bibliotecadigital.usb.edu.coRepositorio Institucional Universidad de San Buenaventura Colombiabdigital@metabiblioteca.com |