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Cognition heavily relies on social determinants and genetic background. Latin America comprises approximately 8% of the global population and faces unique challenges, many derived from specific demographic and socioeconomic variables, such as violence and inequality. While such factors have been described to influence mental health outcomes, no large-scale studies with Latin American population have been carried out. Therefore, we aim to describe the cognitive performance of a representative sample of Latin American individuals with schizophrenia and its relationship to clinical factors. Additionally, we aim to investigate how socioeconomic status (SES) relates to cognitive performance in patients and controls.
Methods
We included 1175 participants from five Latin American countries (Argentina, Brazil, Chile, Colombia, and Mexico): 864 individuals with schizophrenia and 311 unaffected subjects. All participants were part of projects that included cognitive evaluation with MATRICS Consensus Cognitive Battery and clinical assessments.
Results
Patients showed worse cognitive performance than controls across all domains. Age and diagnosis were independent predictors, indicating similar trajectories of cognitive aging for both patients and controls. The SES factors of education, parental education, and income were more related to cognition in patients than in controls. Cognition was also influenced by symptomatology.
Conclusions
Patients did not show evidence of accelerated cognitive aging; however, they were most impacted by a lower SES suggestive of deprived environment than controls. These findings highlight the vulnerability of cognitive capacity in individuals with psychosis in face of demographic and socioeconomic factors in low- and middle-income countries.
Involuntary admission of mentally ill patients tends to be related to clinical severity and worst therapeutic response.
Objectives
To evaluate whether there is a relationship between involuntary admission and prescription of two or more antipsychotics (that is, polytherapy) among patients with schizophrenia and other psychosis.
Methods
A total of 241 patients (40.2% females, mean age 39.7+/−13.0 years) consecutively admitted during 2009 to a psychiatric inpatient ward with diagnosis of schizophrenia and other psychoses were assessed.
Results
Out of the total sample, 150 (62.2%) patients were on polytherapy, and of the 241 patients 134 (55.6%) were involuntarily admitted. Involuntary admission was unrelated to age (p = 0.335), specific diagnosis (p = 0.452), or length of psychosis (p = 0.234). On the contrary, it was related to gender (61.8% of males vs. 46.4% of females were involuntary, p = 0.018) and to polytherapy/monotherapy prescription (62.0% of patients on polytherapy vs. 45.1% of patients on monotherapy were involuntarily admitted; and 53.3% of voluntary patients vs. 69.4% of involuntary were on polytherapy p = 0.010). After controlling for age, gender, specific diagnosis and length of psychosis the association between involuntary admission and being in polytherapy remained significant (p = 0.047).
Conclusions
Patients involuntarily admitted are more prone to be on antipsychotic polytherapy.
Asenapine is the most recent compound that hasbeen FDA- and EMA-approved for treatment of mania. Its efficacy and safety havebeen assessed in placebo-controlled trials, but little is known about itsperformance in routine clinical conditions. The MANACOR study assessed costsassociated with treatment of mania in several hospital settings acrossCatalonia, Spain. As part of the protocol, we compared cost-effectiveness ofasenapine versus other treatment options.
Methods
A combined prospective and retrospective datacollection and analysis was conducted from January 2011 to December 2013following a clinical interview and assessment of manic and depressive symptoms(YMRS, HDRS-17), clinical state (CGI-BP-M), psychosocial functioning (FAST),sexual dysfunction (PRSexDQ) and health resource costs associated withtreatment with asenapine versus other antipsychotics.
Results
152 patients from different university hospitalswere included. 53 patients received asenapine and 99 received otherantipsychotics. Considering inpatients (N=117), those treated with asenapinepresented a significantly less severe manic episode (p=0.001), less psychoticsymptoms (p=0.030) and, more comorbid personality disorder (p=0.002). Regardingoutpatients, those treated with asenapine showed significantly less severemanic episode (p=0.046), more previous mixed episodes (p= 0.013) and, moresexual dysfunction at baseline (p=0.036). No significant differences were foundin mean total costs per day.
Limitations
Non-randomized study design.
Conclusion
Clinicians tended to use asenapine in patientswith less severe manic symptoms but more complex clinical profile, includingmore mixed episodes in the past, concomitant personality disorder, and sexualproblems. Treatment with asenapine was not associated with higher costs when comparedto other options.
Previous studies have reported progressive brain changes and cognitive deficits in early-onset psychosis (EOP). Little is known on the relationship between longitudinal changes in brain structure and neurocognition.
Methods:
Naturalistic 5-year prospective study comparing frontal gray matter (GM) volume and executive functions in adolescents with a first episode of EOP and a sample of healthy controls at baseline, 2-year and 5-year follow-up.
Results:
Thirty-six patients (age at baseline 15.8 ±.7, 66.6% male) and 34 controls (15.4±1.4, 55.9% male) comprised the study sample. Both patients and controls presented with frontal GM loss during the first five years of follow-up. During the first two years, patients presented with significantly greater GM loss than controls in the left (F=9.642, p=0.003) and right frontal lobe (F=7.585, p=0.008), with no significant differences between year 2 and 5. Patients with EOP performed significantly worse in executive tasks than controls in all visits. During the first two years of follow-up, controls, but not patients, presented with a significant improvement in executive functioning (F=7.523, p=0.009), with similar evolution of cognitive functioning between years 2 and 5 in both groups (F=0.908, p=0.346). Changes in frontal GM volume and executive functioning were not significantly correlated within the entire follow-up period.
Conclusion:
Over the first two years of illness, patients with EOP show greater frontal GM loss and less improvement in executive functions than expected. This could be a critical period for the development of deficits in EOP, in which more intensive interventions would be warranted.
Asenapine is the most recent compound that has been FDA- and EMA-approved for treatment of mania. Its efficacy and safety have been assessed in placebo-controlled trials, but little is known about its performance in routine clinical conditions. In this study, we compared features of patients treated with adjunctive asenapine or other adjunctive antipsychotics and the costs of the treatment.
Methods:
A combined prospective and retrospective data collection and analysis was conducted from January 2011 to December 2013 following a clinical interview and assessment of manic and depressive symptoms (YMRS, HDRS-17), clinical state (CGI-BP-M), psychosocial functioning (FAST), sexual dysfunction (PRSexDQ) and health resource costs associated with treatment with adjunctive asenapine versus other adjunctive antipsychotics.
Results:
Hundred and fifty-two patients from different university hospitals were included. Fifty-three patients received adjunctive asenapine and 99 received other adjunctive antipsychotics concomitantly to mood stabilizers. Considering inpatients, those treated with adjunctive asenapine presented a significantly less severe manic episode (P = 0.001), less psychotic symptoms (P = 0.030) and more comorbid personality disorder (P = 0.002). Regarding outpatients, those treated with adjunctive asenapine showed significantly less severe manic episode (P = 0.046), more previous mixed episodes (P = 0.013) and more sexual dysfunction at baseline (P = 0.036). No significant differences were found in mean total costs per day.
Conclusion:
Clinicians tended to use adjunctive asenapine in patients with less severe manic symptoms but more complex clinical profile, including more mixed episodes in the past, concomitant personality disorder, and sexual problems. Treatment with adjunctive asenapine was not associated with higher costs when compared to other options.
Smoking is an addictive and chronic disease. Twenty-four percent of the Spanish population in 2012 smoked daily.
Aims and objectives
To evaluate a smoking cessation program in a Primary Care Center.
Methods
Observational, prospective study. We describe an individualized smoking cessation in Plaza del Ejército Health Center (Valladolid). Inclusion criteria: active smoker, ≥ 18 years old and belonging to the Health Center. Exclusion: severe mental illness. Included patients from November 2013 until January2014. Ended in July 2014. Four Medical residents participated, we present the results of one of them. During the first consultation motivational interviewing was conducted, physical examination and treatment was prescribed (cognitive behavioral therapy or drug treatment: varenicline). In subsequent consultations interview and follow-up. Variables: age, gender, pack-years, nicotine dependence (Fagerstrom) and Prochaska and DiClemente phase, weight, treatment used, dropout rate and final withdrawal of snuff.
Results
Eleven patients, mean age 48.18 (13.61), 7 (63.6) women. Comorbidity: 6 (54.5) anxious-depressive pathology, 1 (9.1) dysthymia, 2 (18.2) endocrine pathology and 1 (9.1) respiratory disease. Four (36.4) showed high dependency and 2 (18.2) extreme. Media packages 20.50/year (19,20). Seven (63.6) were in action phase of Prochaska and DiClemente and 2 (18.2) in preparation. Visits range: 1-11. The average was 4.55 (3.64). Three (27.27) patients attended only the first visit. Four (36.4) achieved complete abstinence, 3 (27.27) met maintenance phase. One (9.1) reduced consumption in half. Patients gained average 0.5 kg (2.47).
Conclusions
The results are similar to those reported in other series. Modest dropout rate. No pharmacological treatment was used due to high coexistence of comorbidities, the only patient who used varenicline suffered insomnia. Average age and media packages were superior to other series.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
There are very few comparative controlled trials of risperidone versus olanzapine in manic patients. No previous naturalistic study has compared the efficacy of these two antipsychotics in the natural environment of manic inpatients.
Objective
The aim of this retrospective and naturalistic study was to evaluate the efficacy of acute treatment with risperidone vs. olanzapine in Bipolar I manic inpatients.
Methods
(1) Patients: the study includes all the inpatients diagnosed with bipolar I manic episode (DSM-IV) who were admitted during the years 2009 to 2014. Patients treated with risperidone and olanzapine concomitantly (n = 6) and patients not treated with risperidone or olanzapine (n = 129) were excluded.
The patients finally included (n = 183) were separated in two groups:
– treated with risperidone (n = 89);
– treated with olanzapine (n = 94).
(2) The Student-T test was used to compare, between the groups, the mean of scores in YMRS and CGI-S scales and the mean of length of stay.
Results
Baseline characteristics were similar between the groups. The majority of patients were also treated with mood stabilizers (46% with lithium and 45% with valproate).
The mean decrease in CGI-S scores from baseline to the day of discharge was significantly (P < 0.003) higher in the risperidone group (−2.81 vs. −2.36). The length of stay was significantly (P < 0.004) lower in the olanzapine group (mean of 23.03 days vs. mean of 30.3).
Conclusions
(1) The CGI-S scores in manic patients treated with risperidone decreased more than in patients treated with olanzapine during admission. (2) The length of stay was significantly lower in patients treated with olanzapine.
Disclosure of interest
The authors have not supplied their declaration of competing interest.
The purpose of this study was to investigate potential mechanisms involved in fat deposition promoted by dietary lysine deficiency, particularly intramuscular fat (IMF), and differential responses between fatty and lean pigs. Carcass traits and lipogenic enzyme activities and gene expression levels in muscles and adipose tissue were investigated in Iberian (fatty) and Landrace × Large White (LDW) pigs under identical feeding level (based on body weight (BW)) and management conditions. Twenty-eight barrows of 10 kg initial BW, 14 per breed, were fed two isoproteic (200 g CP /kg DM) and isocaloric (14.7 MJ metabolizable energy/kg DM) diets with identical composition except for the lysine content (1.09% for diet adequate in lysine and 0.52% for diet deficient in lysine). At a BW of 25 kg, pigs were slaughtered. Compared with pigs fed the lysine-adequate diet, in both genotypes lysine-deficient diet led to lower carcass protein concentration, lower relative proportions of leaner components (loin, ham and shoulder; P < 0.01), and higher carcass fatty components and carcass lipid concentration (P < 0.001). Irrespective of diet, the activity and gene expression of lipogenic enzymes (fatty acid synthase (FAS), malic enzyme (ME) and glucose-6-phosphate dehydrogenase (G6PDH)) were greater in Iberian than in LDW pigs, particularly in adipose tissue where transcriptional regulators involved in the control of adipogenesis and lipogenesis were also upregulated in Iberian animals. In backfat tissue, there was a small decrease induced by or no effects of lysine-deficient diet on the activity and gene expression of lipogenic enzymes, nor in gene expression levels of upstream regulators of lipogenesis and adipogenesis. In longissimus muscle, the activity of FAS, G6PDH and ME increased with lysine deficiency in both genotypes (P < 0.01) and an upregulation of gene expression of lipogenic enzymes was specifically observed in Iberian pigs (P < 0.05 to P < 0.001). In biceps femoris muscle of lysine-deficient pigs, the activity of FAS and ME enzymes increased, ME1 gene was upregulated (added to FASN gene in the case of Iberian pigs; P < 0.01 to P < 0.001) and PPARA gene was downregulated (P < 0.05). The results show that in both fatty and lean pigs, the effect of lysine deficiency on lipid metabolism was tissue-specific, with an activation of lipogenesis in longissimus and biceps femoris muscle but no apparent stimulation in backfat adipose tissue. Suitable feeding protocols including lysine-deficient diets should be designed for each pig type in order to increase intramuscular lipids without penalizing the growth of lean carcass components.
For more than 60 years, Colombia experienced an armed conflict involving government forces, guerrillas, and other illegal armed groups. Violence, including torture and massacres, has caused displacement of entire rural communities to urban areas. Lack of information on the problems displaced communities face and on their perceptions on potential solutions to these problems may prevent programs from delivering appropriate services to these communities. This study explores the problems of Afro-Colombian survivors from two major cities in Colombia; the activities they do to take care of themselves, their families, and their community; and possible solutions to these problems.
Methods
This was a qualitative, interview-based study conducted in Quibdó and Buenaventura (Colombia). Free-list interviews and focus groups explored the problems of survivors and the activities they do to take care of themselves, their families, and their community. Key-informant interviews explored details of the identified mental health problems and possible solutions.
Results
In Buenaventura, 24 free-list interviews, one focus group, and 17 key-informant interviews were completed. In Quibdó, 29 free-list interviews, one focus group, and 15 key-informant interviews were completed. Mental health problems identified included: (1) problems related to exposure to torture/violent events; (2) problems with adaptation to the new social context; and (3) problems related to current poverty, lack of employment, and ongoing violence. These problems were similar to trauma symptoms and features of depression and anxiety, as described in other populations. Solutions included psychological help, talking to friends/family, relying on God’s help, and getting trained in different task or jobs.
Conclusion:
Afro-Colombian survivors of torture and violence described mental health problems similar to those of other trauma-affected populations. These results suggest that existing interventions that address trauma-related symptoms and current ongoing stressors may be appropriate for improving the mental health of survivors in this population.
Santaella-TenorioJ, Bonilla-EscobarFJ, Nieto-GilL, Fandiño-LosadaA, Gutiérrez-MartínezMI, BassJ, BoltonP. Mental Health and Psychosocial Problems and Needs of Violence Survivors in the Colombian Pacific Coast: A Qualitative Study in Buenaventura and Quibdó. Prehosp Disaster Med. 2018;33(6):567–574.
Dolerites from the Sierra de San Pedro (Betic Cordillera, southern Spain) develop three main types of microsystems during hydrothermal alteration: (1) centimetre-sized veins cross-cutting the dolerites; (2) microfractures in feldspar and diopside grains; and (3) alterations involving primary-igneous mafic phyllosilicate grains. The vein and microfracture sites developed alteration assemblages of randomly oriented smectites (saponite and beidellite) and halloysite. At these sites, the alteration mechanism was governed by complete dissolution of the parent material with subsequent crystallization of the products, with no parent-mineral crystallographic control. Pseudomorphed mafic phyllosilicate sites are characterized by oriented complex mineral assemblages made of chlorite, chlorite/smectite mixed layers, corrensite, saponite and relicts of biotite. These assemblages formed during the initial high-temperature stage of the hydrothermal process. In these microsites, the alteration sequence was controlled by the parent-mineral structure and chemistry, with products determined by structural relations with the parent phyllosilicate. Alteration of one phyllosilicate to the next most stable proceeds via interstratification of the parent and product phyllosilicates.
Phyllosilicate associations in hydrothermally altered fluorite ore bodies are: Li-chlorite ± pyrophyllite ± interstratified minerals ± muscovite +± kaolinite. Chlorites, the main alteration minerals, are dioctahedral, d060 = 1.489-1-490/~,, of Ia polytype. The structural formulae indicate substitution of AI for Si from 0.61-0.78 atoms. The total octahedral occupancy ranges from 4.52-4-71 atoms, with 0.49-0-69 Li atoms per half cell unit. This composition indicates that the chlorites are intermediate members of the donbassite-cookeite series proposed by Sudo (1978). The mineralogical associations and textural relations suggest that after intensive silicification which produced alkali alteration under acid conditions, pyrophyllite was produced at the expense of muscovite and then Li-bearing donbassite formed from the pyrophyllite. The Li needed for the formation of the chlorites could be genetically related to granitic batholiths which occur close to the fluorite ores.
We have examined the nature and origin of smectites in glaciomarine sediments of the AND-2A drill core (McMurdo Sound, Antarctica) by means of X-ray diffraction (XRD) analyses on the clay fraction, field emission scanning electron microscopy (FESEM), scanning electron microscopy (SEM) observations and SEM-EDS microanalyses on smectite particles. Relying on the smectite variation throughout the drill core it was possible to split the sequence into three units. Smectites throughout the core are either detrital or authigenic. Detrital smectites are close to montmorillonite-beidellite in composition while newly-formed smectites frequently have higher Fe-Mg contents and intermediate compositions between the saponite and nontronite field, with lower amounts in the montmorillonite-beidellite field. In the upper sedimentary sections (Unit I, and Unit II, 36-440 mbsf, 0.7-16.5 Ma) smectites are interpreted to be predominantly detrital, whereas in the lower portion of the core (Unit III, 440-1123.20 mbsf, 16.5-20.2 Ma) authigenic smectites are the most common feature. The predominance of mica, the abundance of chlorite, and the nature of smectites in the upper units indicate physical weathering under cold and dry climate, and a dominant provenance for the clay minerals from the Transantarctic Mountains. Smectites in the lower unit are considered mostly authigenic and they are most likely to be the result of early diagenetic processes, being formed from the alteration of volcanic material (glass, pyroxenes and feldspars) and/or through precipitation from fluids of a possible hydrothermal origin. Our survey attests to the importance of discriminating between a detrital and authigenic nature of smectites as the occurrence of authigenic clay minerals in ancient sedimentary successions might lead to incorrect palaeoclimatic interpretations, since they can be affected by diagenetic processes, thus obliterating the climatic signal.
An unusually complete sequence of pelitic rocks ranging from diagenetic to greenschist-facies metamorphic grades occurs in southern Sierra Espun˜a, Spain. Prograde and retrograde reactions have been studied by X-ray diffraction and electron microscopy (SEM, TEM and AEM). The prograde reaction series, with reactions facilitated by tectonic stress, includes: (1) R4 interstratified illite-smectite in the diagenetic Malaguide Complex that preserves the variable orientation of original smectite packets, and has 1Md polytypism; (2) chemically heterogeneous illite and Na-K dioctahedral white micas that progressively evolve toward chemical and textural equilibrium in the anchizonal Intermediate Units; and (3) thick, defect-free packets of phengite, paragonite and clinochlore which have a typical metamorphic texture, in the Alpujarride Complex. Two superimposed retrograde episodes produced: (a) sudoite at near-peak metamorphic conditions and (b) dioctahedral smectite during low-temperature retrograde diagenesis.
Piglet body composition at weaning could be a determinant for pig’s viability and may be influenced by factors such as the nutritional management followed during suckling. An experiment was conducted to study whether intermittent suckling (IS) affects body composition at weaning and nutrient and energy retention during a 34-day lactation period in Iberian piglets. Litters were subjected to conventional suckling (CS) or IS (n=10 litters of six piglets per treatment) in two trials. All piglets had ad libitum access to creep feed from day 15 onwards. In IS, piglets were progressively separated from the sow for 6, 8 and 10 h daily during the last week of lactation, whereas in CS piglets had continuous access to their dams. Creep feed intake in litters and BW development of individual piglets were measured throughout the 34-day lactation. Within each litter, both at birth and at weaning (day 35), one piglet was used to assess nutrient retention and body composition by the comparative slaughter approach. During days 29 to 35 of the experiment, daily creep feed intake was greater in IS piglets (IS 124, CS 67 g/piglet, P=0.040), and average daily gain differed significantly between groups (IS 190, CS 150 g/day, P=0.010). BW at weaning was higher in the IS than in the CS piglets (IS 8.19, CS 7.48 kg, P=0.011). Empty-body fat and energy content at weaning were higher in the IS compared with CS litters, as well as fat content in the carcass (P=0.04). The IS treatment did not affect empty-body protein deposition, but significantly increased daily retention of fat, energy, ash and calcium, compared with CS litters (P<0.05). Thus, IS in Iberian piglets seems to enhance feed intake, growth rate and retention of some body components, which may contribute to a higher body fat content at weaning and facilitate the weaning process.
Botulism is a severe neuroparalytic disorder that can be potentially life-threatening. In Barcelona, Spain, no outbreaks had been reported in the past 25 years. However, in September 2011, two outbreaks occurred involving two different families. A rare case of Clostridium baratii which produced a neurotoxin F outbreak was detected in five family members who had shared lunch, and several days before that another family was affected by C. botulinum toxin A which was probably present in homemade pâté.
To determine possible mechanisms of action that might explain the nutrient partitioning effect of betaine and conjugated linoleic acid (CLA) in Iberian pigs and to address potential adverse effects, twenty gilts were restrictively fed from 20 to 50 kg BW Control, 0.5% betaine, 1% CLA or 0.5% betaine + 1% CLA diets. Serum hormones and metabolites profile were determined at 30 kg BW and an oral glucose test was performed before slaughter. Pigs were slaughtered at 50 kg BW and livers were obtained for chemical and histological analysis. Decreased serum urea in pigs fed betaine and betaine + CLA diets (11%; P = 0.0001) indicated a more efficient N utilization. The increase in serum triacylglycerol (58% and 28%, respectively; P = 0.0098) indicated that CLA and betaine + CLA could have reduced adipose tissue triacylglycerol synthesis from preformed fatty acids. Serum glucose, low-density lipoprotein (LDL) cholesterol and non-esterified fatty acids were unaffected. CLA and betaine + CLA altered serum lipids profile, although liver of pigs fed CLA diet presented no histopathological changes and triglyceride content was not different from Control pigs. Compared with controls, serum growth hormone decreased (20% to 23%; P = 0.0209) for all treatments. Although serum insulin increased in CLA, and especially in betaine + CLA pigs (28% and 83%; P = 0.0001), indices of insulin resistance were unaffected. In conclusion, CLA, and especially betaine + CLA, induced changes in biochemical parameters and hormones that may partially explain a nutrient partitioning effect in young pigs. Nevertheless, they exhibited weak, although detrimental, effects on blood lipids. Moreover, although livers were chemically and histologically normal, pigs fed CLA diet challenged with a glucose load had higher serum glucose than controls.
In the present work, a comparison study of the NiMo hydrodesulfurization (HDS) catalysts supported on different nanostructured supports of MCM-41 and SBA-15-types and the same ones modified by TiO2 grafting was undertaken. The aim of this study was to inquire on the effect of the characteristics of the primary silica supports on the activity and selectivity of the NiMo catalysts modified with titania in deep HDS. Supports and catalysts were characterized by nitrogen physisorption, small-angle and powder XRD, TPR, UV-vis DRS, and HRTEM, and tested in the simultaneous HDS of dibenzothiophene (DBT) and 4,6-dimethyldibenzothiophene (4,6-DMDBT). It was found that titania grafting on all silica supports resulted in a slight decrease of BET surface area and total pore volume. However, the characteristic p6mm hexagonal pore arrangement of the used nanostructured silica materials was not affected. Powder X-ray diffraction pointed out a good dispersion of Mo and Ni oxide species in all prepared catalysts. TPR characterization of the NiMo catalysts revealed some increase in the metal-support interaction after titania grafting on the silica surface. Further DRS characterization indicated that the best dispersion of Mo oxide species was obtained on the TiSBA-15 support. Titania addition to the silica supports also produced an increase in the dispersion of the sulfided NiMo phase, which was more marked for SBA-15 support than for the MCM-41 (HRTEM). The most active NiMo/Ti-SBA-15 catalyst resulted to be significantly more active (∼40 %) than the conventional NiMo/γ-Al2O3 catalyst in HDS of 4,6-DMDBT.
A series of NiW catalysts supported on SBA-15-type materials modified with Al, Ti or Zr were prepared and tested in simultaneous hydrodesulfurization (HDS) of two model compounds: dibenzothiophene (DBT) and 4,6-dimethyldibenzothiophene (4,6-DMDBT). Catalysts were prepared by incipient wetness impregnation of SBA-type materials (pure silica SBA-15, Al-SBA-15, Ti-SBA-15 or Zr-SBA-15) using Keggin-type heteropolyacid H4SiW12O40 as active phase precursor and nickel nitrate. Nominal composition of the catalysts was 19 wt.% of WO3 and 3 wt.% of NiO. The supports and catalysts were characterized by SEM-EDX, N2physisorption, small-angle and powder XRD, UV-Vis DRS, TPR and HRTEM. It was shown that a good dispersion of Al, Ti and Zr species on the SBA-15 surface was reached. The characteristic structure of the SBA-15 support was preserved in all supports and NiW catalysts. Addition of metal atoms (Al, Ti, Zr) on the SBA-15 surface prior to catalysts’ preparation improved dispersion of Ni and W oxide species in calcined catalysts. HRTEM characterization of sulfided catalysts showed that the dispersion of NiW active phase was also better on metal-containing SBA-15 supports than on the pure silica one. All NiW catalysts supported on metal-containing SBA-15 materials showed an outstanding catalytic performance in HDS of both model compounds used (DBT and 4,6-DMDBT). A good correlation was found between the dispersion of sulfided NiW active phase and catalytic activity results. The highest HDS activity was obtained with the NiW catalyst supported on Zr-containing SBA-15 molecular sieve, which makes it a promising catalytic system for ultra-deep hydrodesulfurization of diesel fuel.