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Differences in Service Utilization, Co-occurring Disorders and Risk Behaviors between Men and Women Receiving Substance Use Treatment in Residential Facilities 在住宅设施接受药物使用治疗的男性和女性在服务利用、共患障碍和危险行为方面的差异
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.03
Diana Amelia Mondragón Martínez, Sonia Pérez Matus, Rodrigo Marín Navarrete, Luis Eduardo Villalobos Gallegos
Introduction: gender differences are notorious in population with a substance use disorder (SUD), from consumption patterns to treatment needs. Objective: to determine the differences between men and women in the prevalence of co-occurring disorders, contact with services and other health risks, like suicidal and high-risk sexual behaviors in a sample of patients with SUD currently receiving care in residential facilities. Method: comparative analysis between men and women, secondary to a multicenter cross-sectional study, conducted in 30 residential centers located in Mexico City, Puebla, Hidalgo, Queretaro and State of Mexico. Bivariate statistics studies were performed (Student’s t and Chi-square) to determine the difference between men and women. Results: differences were found in the prevalence of post-traumatic stress disorder and bulimia, as well as inconsistent condom use in the last year, which predominantly affect women. Discussion and conclusions: the female population is at higher risk, which highlights the importance of considering other paradigms in future studies in order to understand mental disorders and their comorbidities, such as the paradigms of social determinants in health and syndemic.
导读:在物质使用障碍(SUD)人群中,从消费模式到治疗需求,性别差异是众所周知的。目的:确定目前在寄宿机构接受治疗的SUD患者样本中,男性和女性在共患疾病、与服务接触和其他健康风险(如自杀和高危性行为)患病率方面的差异。方法:在墨西哥城、普埃布拉、伊达尔戈、克雷塔罗和墨西哥州的30个居住中心进行了一项多中心横断面研究,对男性和女性进行了比较分析。进行双变量统计研究(Student 's t和卡方)来确定男女之间的差异。结果:在创伤后应激障碍和暴食症的患病率上发现了差异,以及去年避孕套使用的不一致,这些主要影响女性。讨论和结论:女性人群的风险更高,这突出了在今后的研究中考虑其他范例的重要性,以便了解精神障碍及其合并症,例如健康和综合症中的社会决定因素范例。
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引用次数: 0
Relación entre estereotipos, rasgos y roles de género con el consumo de drogas ilegales en adolescentes veracruzanos 韦拉克鲁斯青少年的刻板印象、特征和性别角色与非法药物使用的关系
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.10
Nicole Guadalupe Vallejo-Alviter, Jorge Luis Arellanez Hernández, Jorge García-Villanueva, Tania Esmeralda Rocha-Sánchez, Delfino Vargas Chanes
Introduction: in Mexico, in the last decade, the consumption of psychoactive substances has increased among teenagers, especially the female population (INPRFM et al., 2017). One of the conceptual lines to understand this change is the construction of gender. Objective: we explored the relationship between gender stereotypes, traits and roles, and the use of illegal psychoactive substances in Mexican adolescents. Method: cross-sectional, correlational study, with a sample of 145 high school students from the Veracruz state, Mexico. The participants answered the scales: Traits, Roles, and Gender stereotypes, along with some questions to explore drug use. Results: we found similarities between men and women’s consumption of alcohol and tobacco; however, there was a higher use of illegal drugs in men. Men and women illegal drug users presented negative instrumental traits such as aggressiveness and impulsiveness. Men, both users and non-users, presented a higher score on the gender stereotypes scale, while women users had more negative instrumental roles with their peer group. Negative instrumental traits were predictors of illegal drug use. Discussion and conclusion: findings suggest further analysis of substance use from a gender perspective.
简介:在墨西哥,在过去十年中,青少年,特别是女性人口中精神活性物质的消费量有所增加(INPRFM等人,2017)。理解这种变化的一条概念线是性别的建构。目的:探讨墨西哥青少年性别刻板印象、特征和角色与非法精神活性物质使用的关系。方法:以墨西哥韦拉克鲁斯州145名高中生为样本进行横断面相关性研究。参与者回答了性格、角色和性别刻板印象的量表,并回答了一些关于吸毒的问题。结果:我们发现男性和女性在酒精和烟草消费方面存在相似之处;然而,男性使用非法药物的比例更高。男性和女性非法吸毒者表现出侵略性和冲动等消极的工具特征。男性用户和非用户在性别刻板印象量表上得分更高,而女性用户在同龄人群体中扮演的消极工具角色更多。负性工具特征是非法药物使用的预测因子。讨论和结论:研究结果建议从性别角度进一步分析药物使用情况。
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引用次数: 0
Factores de tratamiento terapéutico en identidad de recuperación en personas con trastorno por consumo de sustancias: análisis de contenido 物质使用障碍患者康复认同中的治疗治疗因素:内容分析
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.08
Alexis Amelio Fernández Flores, Alberto Castro Valles, María Nieves González Valles, Irene Concepción Carrillo Saucedo
Introduction: Various studies have shown that some components located within the treatment are important in building a new recovery identity and in addressing substance use disorders. Objective: the present study aims to explore the impact that the interaction of some treatment-related factors has on the internalization of a long-term recovery identity and the internal logic that follows the maturation of this process from the Opinion of people with substance use disorder who have been abstinent for more than a year. Method: a deductive content analysis was used that was operationalized on the basis of prior knowledge with semi-structured interviews with 9 participants diagnosed with a substance use disorder who were in a state of abstinence for more than one year, selected through intentionality and snowball. Results: the main categories explored that were relevant were: prolonged treatment time and continuous care, motivation to change, and quality of treatment received. Discussion and conclusions: the findings showed the importance of continuing and active treatment to achieve a stable recovery identity, the need for catharsis as an aid for the transition to sobriety and the conscious acceptance of the chronic nature of the disease. Also, the need and voluntary search for help was highlighted after having experienced critical and cumulative experiences of suffering associated with “hitting rock bottom”, the quality of treatment to consolidate a fortuitous rehabilitation, and the support of peers to increase self-efficacy and motivation towards change.
各种研究表明,治疗中的一些成分在建立新的康复身份和解决物质使用障碍方面很重要。目的:本研究旨在从戒断一年以上的物质使用障碍患者的观点出发,探讨治疗相关因素的相互作用对长期康复认同内化的影响及其成熟后的内在逻辑。方法:采用基于先验知识的演绎内容分析方法,采用半结构式访谈法对9名戒断1年以上的物质使用障碍被试进行意向性和滚雪球法筛选。结果:探讨了相关的主要类别:延长治疗时间和持续护理,改变的动机和接受治疗的质量。讨论和结论:研究结果表明,持续和积极的治疗对实现稳定的恢复身份的重要性,需要宣泄作为过渡到清醒的辅助,并有意识地接受疾病的慢性性质。此外,在经历了与“跌入谷底”相关的关键和累积的痛苦经历、巩固偶然康复的治疗质量以及同伴的支持以提高自我效能和改变的动力之后,需要和自愿寻求帮助得到了强调。
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引用次数: 0
El abordaje de la salud de hombres gay que consumen sustancias en México: un acercamiento a través de grupos focales 墨西哥吸毒男同性恋的健康问题:焦点小组方法
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.04
Juan Carlos Mendoza-Pérez, Héctor Alexis López-Barrientos, Christa Michelle Campillo-Arjón
Introduction: gay men (GM) in Mexico face specific health challenges due to their sexual orientation (SO). The relationship between substance use (SU) and healthcare in this population has been underexplored. Objective: to analyze the experiences and expectations of Mexican gay men who use substances in healthcare settings to generate recommendations for improving their healthcare approach. Method: focus groups were conducted to gather insights from 19 gay men who use substances. A directed content analysis was performed using four categories: experiences in health services, expectations for ideal healthcare services, care strategies and self-care, and issues to address in potential health interventions. Results: participants reported predominantly negative experiences in health services, primarily attributed to discrimination and rejection based on SU and SO. Faced with shared experience of SU in gay socialization environments, the gay men resorted to self-care practices and provided suggestions to enhance their care. Discussion and Conclusions: the findings underscore the importance of non-prohibitionist specialized care, free from stigma or discrimination based on SU and SO. It is recommended to incorporate protocols and care proposals for substance use within a harm reduction framework.
简介:墨西哥男同性恋者(GM)由于其性取向(SO)而面临特殊的健康挑战。在这一人群中,物质使用(SU)与医疗保健之间的关系尚未得到充分探讨。目的:分析在卫生保健机构使用物质的墨西哥男同性恋者的经历和期望,以提出改进其卫生保健方法的建议。方法:采用焦点小组法,对19名使用药物的男同性恋者进行调查。使用四个类别进行了定向内容分析:卫生服务经验、对理想卫生保健服务的期望、护理战略和自我保健,以及潜在卫生干预措施中需要解决的问题。结果:参与者主要报告了在卫生服务方面的负面经历,主要归因于基于SU和SO的歧视和排斥。面对SU在同性恋社交环境中的共同经历,男同性恋者采取了自我护理的做法,并提出了加强护理的建议。讨论和结论:研究结果强调了非禁忌性专门护理的重要性,避免了基于性取向和性取向的污名化或歧视。建议将药物使用的议定书和护理建议纳入减少危害框架。
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引用次数: 0
Ensuring Public Health and Safety while Guaranteeing Individual Rights 在保障个人权利的同时确保公共卫生和安全
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.11
Thomas Kattau
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引用次数: 0
Consumo de marihuana y violencia filioparental en adolescentes 青少年吸食大麻与亲子暴力
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.09
Pedro Moisés Noh-Moo, Manuel Antonio López-Cisneros, Lubia del Carmen Castillo-Arcos, Sylvia Claudine Ramírez-Sánchez, Jesica Guadalupe Ahumada-Cortez, Miguel Ángel Villegas-Pantoja
Introduction: marijuana use has repercussions among members of the family nucleus; it is related to child-to-parent violence due to the neurological and behavioral effects that it originates in the adolescent, which can trigger violent behavior of sons and daughters towards the father and mother. Objective: to analyze the relationship between marijuana consumption and child-to-parent violence in high school adolescents. Method: correlational study in 318 high school adolescents of both sexes, between 14 and 19 years old. The instruments used were a Sociodemographic File and the Conflict Tactics Scale (CTS2), programmed on the Microsoft Forms platform. Results: there is a positive relationship between marijuana use and verbal and economic violence towards both parents (p () .05). The Multiple Linear Regression Model, it was significant (p () .05) on the verbal and economic violence towards both parents. Discussion and conclusions: marijuana consumption in adolescence is a risk to the health of adolescents and family parents. It is proposed to design early care strategies in the family core, with emphasis on the prevention of marijuana use or misuse and the different types of child-to-parent violence.
简介:大麻的使用对家庭核心成员产生了影响;它与孩子对父母的暴力有关,因为它起源于青少年时期的神经和行为影响,可能引发儿子和女儿对父亲和母亲的暴力行为。目的:分析高中青少年吸食大麻与亲子暴力的关系。方法:对318名14 ~ 19岁的高中男女青少年进行相关研究。使用的工具是在Microsoft Forms平台上编写的社会人口档案和冲突策略量表(CTS2)。结果:大麻使用与对父母双方的言语暴力和经济暴力呈正相关(p < 0.05)。多元线性回归模型显示,对父母双方的言语暴力和经济暴力存在显著性差异(p() 0.05)。讨论与结论:青少年吸食大麻对青少年和家庭父母的健康构成风险。建议在家庭核心设计早期护理策略,重点是预防大麻使用或滥用以及不同类型的儿童对父母暴力。
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引用次数: 0
Desempeño cognitivo en usuarios y no usuarios de metanfetaminas en abstinencia temprana y prolongada 早期和长期戒断甲基苯丙胺使用者和非使用者的认知表现
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.06
Pedro Antonio Fernández Ruiz, María Luisa García Gomar, Agustín Jaime Negrete Cortés, Nereyda Cruz Zuñiga, José Román Chávez Méndez
Introduction: methamphetamine use decreases general cognitive performance; however, evidence of this is heterogeneous and limited in the Mexican population. Objective: to determine the difference between the time period of methamphetamine abstinence and cognitive performance in Mexican drug users and non-users, and to identify the relationship between users in early and prolonged stages of abstinence. Method: comparative correlational research. It was composed of 34 male participants aged between 17 and 57 years old; 25 are patients with methamphetamine use disorder in an abstinence period and they are from a rehabilitation center (1 to 180 days: n = 17; 180 or more days n = 8) who were compared with healthy non-using controls (n = 9). A battery of neuropsychological tests was applied to measure cognitive performance (mental flexibility, inhibitory control and working memory). Data were analyzed with the STATISTICA 7 statistical program. Results: The findings suggest significant differences in cognitive performance between methamphetamine withdrawal users and non-users, particularly in cognitive inhibitory control and working memory. On the one hand, similar cognitive functioning was found among patients with different withdrawal times. Although, in comparison with the non-consuming group, cognitive performance was found to be worse for the early abstinence group, but not for the prolonged abstinence group. Consumption history was correlated with cognitive alterations in working memory and mental flexibility. Discussion and conclusions: methamphetamine use has implications on inhibitory control and working memory performance in early abstinence.
导言:使用甲基苯丙胺会降低一般认知能力;然而,这方面的证据在墨西哥人群中是异质的和有限的。目的:确定墨西哥吸毒者与非吸毒者甲基苯丙胺戒断时间与认知表现的差异,并确定戒断早期和长期阶段吸毒者之间的关系。方法:比较相关研究。它由34名年龄在17到57岁之间的男性参与者组成;戒断期甲基苯丙胺使用障碍患者25例,来自康复中心(1 ~ 180天:n = 17;180天或更长时间(n = 8),与健康的未使用药物的对照组(n = 9)进行比较。采用一系列神经心理学测试来测量认知表现(心理灵活性、抑制控制和工作记忆)。使用STATISTICA 7统计程序分析数据。结果:研究结果表明,甲基苯丙胺戒断者和非戒断者在认知表现上存在显著差异,尤其是在认知抑制控制和工作记忆方面。一方面,不同停药时间的患者认知功能相似。尽管与不饮酒组相比,早期戒酒组的认知表现更差,但长期戒酒组则不然。消费历史与工作记忆和心理灵活性的认知改变相关。讨论和结论:甲基苯丙胺的使用对早期戒断的抑制控制和工作记忆表现有影响。
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引用次数: 0
Activación conductual para dejar de fumar en universitarios mediante videoconferencia: estudio piloto 大学生通过视频会议戒烟的行为激活:初步研究
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.05
Juan Gabriel Magdaleno Rico, Sara Eugenia Cruz Morales, Jennifer Lira Mandujano
Introduction: tobacco use is a public health problem in the world. In Mexico, prevalence rates are higher in young adults. There are different reasons for smoking or quitting in a college environment, but they all overlap since most include positive affect induction and reduction of negative affect, which accounts for positive and negative reinforcement processes in smoking behavior. Behavioral Activation (BA) was originally proposed in the treatment of depression through the reinforcement of incompatible behaviors. Promising results have been reported recently in the use of substances and modification of affective states. Objective: to evaluate the effectiveness of a Behavioral Activation intervention to Smoking cessation (BA-S) in the consumption pattern. Method: BA-S was applied by videoconference to 15 college students, with a single-case design with replication; the effect size was calculated using the non-overlap of all pairs (NAP). Results: The BA-S was effective for smoking cessation and reducing consumption patterns. The effect size ranged between 91.10% and 100%; nine students quit smoking and six reduced their consumption. Discussion and conclusions: BA-S decreased the pattern of tobacco consumption and modified the affective states; these results should be taken with caution due to the limited number of participants. It is suggested to continue with the application of the intervention through videoconference since it is a viable alternative in this population.
烟草使用是世界上的一个公共卫生问题。在墨西哥,年轻人的患病率更高。在大学环境中,吸烟或戒烟有不同的原因,但它们都是重叠的,因为大多数都包括积极影响的诱导和消极影响的减少,这说明了吸烟行为的正强化和负强化过程。行为激活(BA)最初是在抑郁症的治疗中提出的,通过强化不相容的行为。最近在物质的使用和情感状态的改变方面已经报道了有希望的结果。目的:评价行为激活干预戒烟(BA-S)在消费模式中的有效性。方法:采用视频会议的方式对15名大学生进行BA-S教学,采用单病例复制设计;效应量采用全对不重叠法(NAP)计算。结果:BA-S对戒烟和减少消费模式有效。效应量在91.10% ~ 100%之间;9名学生戒烟,6名学生减少了吸烟量。讨论与结论:BA-S降低了烟草消费模式,改变了情感状态;由于参与者数量有限,这些结果应谨慎对待。建议继续通过视频会议进行干预,因为它在这一人群中是一种可行的选择。
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引用次数: 0
Early Life Parent-Child Positive Interactions (Points) Prevent the Development of Psychiatric Symptoms 早期亲子积极互动(分)预防精神症状的发展
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.07
Alejandra E Ruiz Contreras, Jehú I López-Juárez, Talía V Román-López, Ulises Caballero-Sánchez, Ivett Ortega-Mora, Mónica Méndez Díaz, Andrea Herrera-Solís, Felipe Vadillo-Ortega, Oscar E Prospéro García
Introduction: early life positive parent/child interactions (points) nuance the child’s behavior when coping with adversity. Objective: to contrast parent-child points and negative interactions (no-points) to determine their potential impact on resilience, academic achievement (AA), and current psychiatric symptoms. Method: points and no-points were contrasted to determine their impact on resilience, academic achievement (AA), and current psychiatric symptoms in young students (n = 115; mean = 20.56 years, SD = 1.85). Results: of all the students interviewed, 61.73% reported being raised from both parents with no-points (negligent care, NC) and/or overprotection, while the rest (38.26%) were raised with points (optimal care, OC) and no overprotection. Half of the NC subjects suffered abuse (NC+A). OC induced higher AA and resilience, less insomnia and depression/anxiety symptoms, and fewer number of drugs of abuse than NC or NC+A. NC and NC+A were risk factors for mild, moderate, and severe symptoms of depression, anxiety, and insomnia; and NC+A were more likely to consume three or more drugs. Discussion and conclusions: raising children with points makes them resourceful and resilient to psychiatric disorders and better able to meet social and academic demands throughout life. Psychoeducation about the impact of early-life negative psychosocial interactions on adult life will promote points and social adaptation.
简介:早期生活中积极的父母/孩子互动(点)使孩子在应对逆境时的行为有细微差别。目的:对比亲子积分和负互动(无积分),以确定它们对心理弹性、学业成绩和当前精神症状的潜在影响。方法:比较得分和不得分对年轻学生心理弹性、学业成绩(AA)和当前精神症状的影响(n = 115;平均值= 20.56岁,SD = 1.85)。结果:在所有受访学生中,61.73%的学生报告父母双方都没有得分(疏忽照顾,NC)和/或过度保护,其余(38.26%)的学生报告父母双方都有得分(最佳照顾,OC)和没有过度保护。一半的NC受试者遭受虐待(NC+A)。与NC或NC+A相比,OC诱导的AA和恢复力较高,失眠和抑郁/焦虑症状较少,滥用药物数量较少。NC和NC+A是轻度、中度和重度抑郁、焦虑和失眠的危险因素;NC+A组更有可能服用三种或更多药物。讨论和结论:用分数来培养孩子,使他们在面对精神疾病时更有智慧和弹性,并能更好地满足一生的社会和学业需求。关于早期生活负面社会心理互动对成年生活影响的心理教育将促进积分和社会适应。
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引用次数: 0
La importancia de un Sistema de Alerta Temprana para la Política de Drogas en México 早期预警系统对墨西哥毒品政策的重要性
Pub Date : 2023-09-19 DOI: 10.28931/riiad.2023.2.01
Miguel Bencomo-Cruz López, Carolina Pinzón-Gómez
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引用次数: 0
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Revista Internacional de Investigacion en Adicciones
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