https://sms.carm.es/ricsmur/handle/123456789/17625 2026-10-24T21:08:26Z https://sms.carm.es/ricsmur/handle/123456789/28816 Decision-making capacity for research participation among addicted people: a cross-sectional study Morán-Sánchez, Inés; Sánchez-Muñoz, María; Luna-Maldonado, Aurelio; Pérez-Carceles, María-Dolores; Aguilera-Alcaraz, Beatriz BACKGROUND: Informed consent is a key element of ethical clinical research. Addicted population may be at risk for impaired consent capacity. However, very little research has focused on their comprehension of consent forms. The aim of this study is to assess the capacity of addicted individuals to provide consent to research. METHODS: 53 subjects with DSM-5 diagnoses of a Substance Use Disorder (SUD) and 50 non psychiatric comparison subjects (NPCs) participated in the survey from December 2014 to March 2015. This cross-sectional study was carried out at a community-based Outpatient Treatment Center and at an urban-located Health Centre in Spain. A binary judgment of capacity/incapacity was made guided by the MacArthur Competence Assessment Tool for Clinical Research (MacCAT-CR) and a clinical interview. Demographics and clinical characteristics were assessed by cases notes and the Mini-Mental State Examination, the Global Assessment Functional Scale and the Clinical Global Impression Scale. RESULTS: NPCs performed the best on the MacCAT-CR, and patients with SUD had the worst performance, particularly on the Understanding and Appreciation subscales. 32.7% SUD people lacked research-related decisional capacity. There were no statistically significant differences between the groups in terms of capacity to consent to research. CONCLUSIONS: The findings of our study provide evidence that a large proportion of individuals with SUD had decisional capacity for consent to research. It is therefore inappropriate to draw conclusions about capacity to make research decisions on the basis of a SUD diagnosis. In the absence of advanced cognitive impairment, acute withdrawal or intoxication, we should assume that addicted persons possess decision-making capacity. Thus, the view that people with SUD would ipso facto lose decision-making power for research consent is flawed and stigmatizing. 2016-12-01T00:00:00Z https://sms.carm.es/ricsmur/handle/123456789/28046 Transient Improvement of Burning Mouth Syndrome After Electroconvulsive Therapy Martín-Brufau, Ramón; Martin-Gorgojo, A; Medina-Garrido, María-Loreto; Brufau-Redondo, Carmen 2026-09-01T00:00:00Z https://sms.carm.es/ricsmur/handle/123456789/27165 The effectiveness of group-based psychological interventions for emotional distress in non-clinical adult populations: a systematic review Martí-Esquitino, Jesús; Fernández-Serrano, Ana-Belén; Fernández-Zomeño, Alejandro; López-López, Reyes; Martínez-Serrano, José BACKGROUND: The demand for healthcare due to emotional distress from daily challenges has grown rapidly. Many individuals do not meet criteria for a mental disorder, yet psychotropic medication is often the first-line response. Group-based psychological interventions have emerged as alternatives for reducing emotional distress, but their effectiveness in non-clinical populations remains unclear. OBJECTIVES: This systematic review examines the effectiveness of group-based interventions in reducing emotional distress among non-clinical adults. METHODS: A comprehensive search was conducted across major databases from January 2013 to March 2025. Eligible studies included interventions targeting adults with non-clinical distress. Studies were excluded if participants had a diagnosed mental disorder or if the absence of diagnosis was unclear. RESULTS: A total of 4,942 records were identified (3,980 through database searching and 962 through backward citation tracking), including 20 studies. Most interventions produced significant improvements. Mindfulness-based approaches were most frequent, either alone or integrated with cognitive-behavioral therapy (CBT) or acceptance and commitment therapy (ACT). Relaxation techniques also showed independent benefits. DISCUSSION: Most interventions were psychoeducational, with mindfulness most widely applied. No significant differences were observed between intervention types. Findings highlight the potential of diverse psychological strategies to improve well-being in non-clinical adults, while stressing the need for further evaluation. 2026-05-04T00:00:00Z https://sms.carm.es/ricsmur/handle/123456789/26528 El estigma de los profesionales de salud mental hacia los usuarios con trastorno mental Valverde-Bolívar, Efrén; García-Arenas, José-J; López-Pelegrín, Ilda; Pérez-Gómez, Laura; Muñoz-López, Manuel; Simonelli-Muñoz, Agustín-J Individuals with mental disorders are labeled in such a way that it leads to stigmatization. This generates a disadvantage as regards to the rest of the members of the society, limiting their participation as active members within it and at the same time being deleterious to their way of life. Mental health professionals are not safe from internalizing these stereotypes and prejudices assumed from their environment, thereby showing stigmatizing attitudes and behaviors towards the users in the different mental health resources. 2022-07-01T00:00:00Z