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Adaptación y validación de la prueba de detección de consumo de alcohol, tabaco y sustancias (ASSIST) en adolescentes mexicanos de una población semirrural 半农村人口墨西哥青少年酒精、烟草和物质消费筛查(ASSIST)的适应和验证
Pub Date : 2022-03-27 DOI: 10.28931/riiad.2022.1.04
Abigail Casas Muñoz, Ángel Eduardo Velasco Rojano, Arturo Loredo Abdalá
Introduction: the onset of substance use in adolescence could generate negative consequences in the future; for this reason it is recommended to have internationally standardized surveillance systems in adolescents, especially the most vulnerable without easy access to health or protection services such as those in a semi-rural context. Objective: to adapt and validate the ASSIST (Detection of Alcohol, Tobacco and Substance Consumption) screening test and to determine the prevalence of consumption in a sample of Mexican adolescents from a semi-rural community. Method: cross-sectional study in two public schools of the municipality of Malinalco, Mexico, the adapted version of ASSIST was applied with 8 reagents that identifies 10 substances and the need for brief psychotherapy, to adolescents from 11 to 19 years. Results: 229 students participated, 61% women, 19.3% secondary, 76.8% high school and 3.9% out of school. The test had adequate reliability (Cronbach’s Alpha = .84) and a correctly adjusted factorial structure [X2(7) = 3.18, p = .86, CFI = 1, RMSEA = 0]. The prevalence of consumption were Tobacco 27%, Alcohol 50%, Cannabis 13%, Cocaine 8%, Stimulants 6%, Inhalants 2%, Tranquilizers 3%, Hallucinogens 4%, Opiates 2% and Others 2%; of these 30% were in high school and 17% required brief psychotherapy. Discussion and conclusions: the version adapted with culturally relevant content is reliable and valid, with a structure that coincides with the original, can be used in research, diagnosis and intervention to generate information that helps plan strategies to improve the health of the adolescent population.
引言:青少年时期开始使用药物可能在未来产生负面后果;因此,建议对青少年建立国际标准化的监测系统,尤其是那些无法轻易获得健康或保护服务的最弱势群体,如半农村地区的青少年。目的:调整和验证酒精、烟草和物质消费检测(ASSIST)筛查测试,并确定来自半农村社区的墨西哥青少年的消费流行率。方法:在墨西哥马林纳尔科市的两所公立学校进行横断面研究,将ASSIST的改良版与8种试剂一起应用于11至19岁的青少年,这些试剂确定了10种物质和短暂心理治疗的必要性。结果:229名学生参加,61%为女性,19.3%为中学,76.8%为高中,3.9%为校外。该测试具有足够的可靠性(Cronbach’s Alpha=.84)和正确调整的因子结构[X2(7)=3.18,p=.86,CFI=1,RMSEA=0]。消费流行率为:烟草27%,酒精50%,大麻13%,可卡因8%,兴奋剂6%,吸入剂2%,镇静剂3%,致幻剂4%,阿片类药物2%和其他2%;其中30%在高中,17%需要短暂的心理治疗。讨论和结论:经文化相关内容改编的版本是可靠和有效的,其结构与原文一致,可用于研究、诊断和干预,以产生有助于制定改善青少年健康战略的信息。
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引用次数: 1
Propuesta de instrumento para medir de forma preliminar la adicción a la pornografía en población mexicana 关于初步衡量墨西哥人口色情成瘾的工具的建议
Pub Date : 2022-03-27 DOI: 10.28931/riiad.2022.1.05
Shilia Lisset Vargas Echeverría, José Ignacio Nevarez Martín
Introduction: information and Communication Technologies (ICTs) on the Internet have generated great benefits for society, but it has also strongly promoted behavioral addictions, such as pornography addiction. The use of pornography is not a problem, but the truth is that its abuse causes harmful effects on people’s physical and mental health. Objective: this article analyzes the use, but with special emphasis on the harm caused by abuse and addiction to pornography. Likewise, the first Mexican scale is proposed to preliminarily measure addiction to pornography. Method: reliability was evaluated through Cronbach’s Alpha and construct validity through Exploratory Factor Analysis. Results: a structure of 5 factors was detected: Emotion, Difficulties to control, Arousal (masturbation), Tolerance and Withdrawal, with a Kaisen-Meyer-Olkin value of .860 and the Bartlett sphericity test was 1015,688; gl = 325; p = .000. Discussion and conclusions: therefore, it is concluded that the EMAP (Addiction to Pornography Scale) for Mexican men and women is valid and reliable for research purposes.
导读:互联网上的信息和通信技术(ict)给社会带来了巨大的利益,但它也强烈地促进了行为成瘾,如色情成瘾。色情作品的使用不是问题,但事实是,它的滥用对人们的身心健康造成了有害的影响。目的:本文分析了色情作品的使用,但特别强调了滥用和成瘾所造成的危害。同样,提出了第一个墨西哥量表来初步衡量色情成瘾。方法:采用Cronbach 's Alpha评价信度,探索性因子分析评价结构效度。结果:检测到情绪、控制困难、觉醒(自慰)、耐受性和戒断5个因素的结构,Kaisen-Meyer-Olkin值为0.860,Bartlett球形检验值为1015、688;Gl = 325;P = .000。讨论和结论:因此,我们得出结论,EMAP(色情成瘾量表)对墨西哥男性和女性的研究目的是有效和可靠的。
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引用次数: 0
The profile of amphetamine users in a substance abuse treatment center in Mexico 墨西哥药物滥用治疗中心苯丙胺使用者概况
Pub Date : 2022-03-27 DOI: 10.28931/riiad.2022.1.03
Jorge De Thomas Murillo, Richard Bueno-Antonio, A. Calderón-Garcidueñas, Cristina García Franco, R. Ruiz-Ramos, José Carlos Sáenz Álvarez, Karina Alor-Aguilar, Pedro Guy Baeza-Pérez, Wendy Elena Romero-Becerra, E. Villarreal-Ríos
Introduction: in Mexico, amphetamine use is a public health problem. Objective: to describe the profile of consumers of amphetamines. Method: it was retrospective and cross-sectional study. The medical records of those admitted to the state Cúspide substance abuse treatment center, during the period 2016-2018, were reviewed. Results: 112 patients (89 men, 23 women) were analyzed. The profile included a patient with high school (40.2%), coming from an unstructured (67.9%) and dysfunctional family (93.8%) with poor parental affective relationship, alcoholism in the family nucleus (55.3%), early onset of sexual activity, alcohol and tobacco consumption; impulsive personality, suicide attempts (35.7%), and injuries to third parties and theft (73.2%). Discussion and conclusions: amphetamine use and rising prevalence behavior are a reality; the problem goes beyond the field of health and becomes a social problem that potentially involves the entire population to a greater or lesser extent. Knowing the epidemiological profile of the amphetamine consumer is a reference for implementing health policies and establishing preventive and therapeutic measures in order to solve the problem.
简介:在墨西哥,使用安非他明是一个公共卫生问题。目的:描述安非他明消费者的概况。方法:采用回顾性和横断面研究。对2016-2018年期间进入国家Cúspide药物滥用治疗中心的患者的医疗记录进行了审查。结果:共分析112例患者,其中男性89例,女性23例。该患者高中学历(40.2%),来自非结构化(67.9%)和功能失调家庭(93.8%),父母情感关系差,家庭核心酗酒(55.3%),性行为早发,酒精和烟草消费;性格冲动、企图自杀(35.7%)、伤害第三者及偷窃(73.2%)。讨论和结论:安非他明的使用和不断上升的流行行为是现实;这一问题超出了卫生领域,成为一个可能或多或少涉及全体人口的社会问题。了解安非他明消费者的流行病学概况是执行卫生政策和制定预防和治疗措施以解决这一问题的参考。
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引用次数: 0
Una mirada a la genética y epigenética en adicción a sustancias 物质成瘾的遗传学和表观遗传学研究
Pub Date : 2022-03-27 DOI: 10.28931/riiad.2022.1.06
Ricardo Sánchez Huesca, Liliana Berenice Templos Núñez
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引用次数: 0
Are we doing what is necessary to prevent and reduce alcohol consumption? 我们是否采取了必要的措施来预防和减少酒精消费?
Pub Date : 2022-03-27 DOI: 10.28931/riiad.2022.1.01
J. V. Villatoro Velázquez, M. B. Bustos Gamiño, Nancy Amador Buenabad, María L. Gutiérrez López, Raquel Mondragón Gómez, M. E. Medina-Mora Icaza
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引用次数: 0
El uso de una página web como alternativa para el tratamiento del abuso de alcohol en adolescentes: un estudio de caso único 使用网站作为青少年酒精滥用治疗的替代方案:一项独特的案例研究
Pub Date : 2021-08-19 DOI: 10.28931/riiad.2021.2.03
Cinthia Judith Ibarra Villalpando, K. Martínez, María Silvia Carreño-García, Itzel Guadalupe Romo Hernández
Introduction: the usage of Information and Communication Technology (ICT) to treat psychological problems such as addictions, is a recent issue that has allowed the recognition that the use of this type of tools is effective towards the problem they claim to solve, in a similar way as traditional therapy treatments do. Objective: to evaluate the efficacy of the Brief Intervention Program for Adolescents who Abuse Drugs (PIBA) and the Brief Advice in the Web Page modality regarding the barriers in the implementation of drug abuse treatments by the COVID-19 pandemic. Method: we started from a A-B-A single-case design with high school adolescent students who reported abusive use and associated consequences. The study consisted of four stages 1) evaluation, 2) admission, 3) PIBA or Brief Advice and 4) follow-up. Results: the results obtained showed a decrease in the pattern of alcohol consumption and an increase in self-efficacy to control consumption in various risk situations. Discussion and conclusions: the program provided the necessary tools for adolescents to maintain their consumption goal.
引言:使用信息和通信技术(ICT)治疗成瘾等心理问题是最近的一个问题,它使人们认识到使用这种工具对他们声称要解决的问题是有效的,就像传统的治疗方法一样。目的:评估针对新冠肺炎大流行实施药物滥用治疗的障碍,青少年药物滥用简短干预计划(PIBA)和网页模式中的简短建议的有效性。方法:我们从a-B-a单例设计开始,研究了报告滥用和相关后果的高中青少年学生。该研究包括四个阶段:1)评估,2)入院,3)PIBA或简要建议,4)随访。结果:所获得的结果显示,在各种风险情况下,饮酒模式减少,控制饮酒的自我效能感增强。讨论和结论:该计划为青少年保持消费目标提供了必要的工具。
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引用次数: 0
Interaction effects of response inhibition and affectivity in tobacco craving 烟草渴求反应抑制与情感的交互作用
Pub Date : 2021-08-19 DOI: 10.28931/riiad.2021.2.01
Nelson Bruno de Almeida Cunha, Carlos Martínez-Munguía
Introduction: Models of nicotine dependence indicate the influence of impulsivity and affectivity in smoking behaviors. However, it is necessary that studies with higher ecological validity are carried out in order to elucidate how impulsivity and affectivity articulate to provoke tobacco craving. Objective: To evaluate the interaction effects of response inhibition and affectivity in tobacco craving. Method: The study was carried out with 90 smokers, who were divided into two groups, according to their performance on a parametric Go/No-Go task (higher and lower level of response inhibition). Cue-elicited craving was measured by physiologic responses and self-report, before and after a pleasant or unpleasant affectivity manipulation. Results: Moderation analysis suggests that response inhibition and unpleasant affect have combined effects in self-report and skin conductance related to tobacco craving. Response inhibition levels seem to increase tobacco craving, but they are independent of pleasant affect. Discussion and conclusions: Affectivity is a fundamental factor in comprehending the relationship between response inhibition and craving for tobacco. The unpleasant affect is one of the triggers for the desire to smoke, especially for those more impulsive individuals, which have an exaggerated perception of tobacco effect in alleviating unpleasant experiences. It is essential to train techniques to control negative affect stimuli, especially in those individuals with less capacity to inhibit responses.
引言:尼古丁依赖模型表明冲动和情感对吸烟行为的影响。然而,有必要进行具有更高生态有效性的研究,以阐明冲动和情感是如何引起烟草渴求的。目的:评价反应抑制与情感在烟草渴求中的相互作用。方法:对90名吸烟者进行研究,根据他们在参数Go/No-Go任务中的表现(较高和较低的反应抑制水平),将他们分为两组。线索引发的渴望是通过生理反应和自我报告来衡量的,在愉快或不愉快的情感操作之前和之后。结果:适度分析表明,反应抑制和不愉快情绪在与烟草渴求相关的自我报告和皮肤电导方面具有联合作用。反应抑制水平似乎会增加对烟草的渴望,但它们与愉快情绪无关。讨论与结论:情感是理解反应抑制与烟草渴求之间关系的一个基本因素。这种不愉快的情绪是吸烟欲望的诱因之一,尤其是对于那些更冲动的人来说,他们对烟草在缓解不愉快体验方面的作用有夸大的看法。训练控制负面影响刺激的技术是至关重要的,尤其是在那些抑制反应能力较弱的人身上。
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引用次数: 0
Censo local sobre consumo de drogas en población escolar 当地学校人口吸毒普查
Pub Date : 2021-08-16 DOI: 10.28931/riiad.2021.2.05
Carolina Espinosa-Luna, M. R. Hernández-Pozo, Marco Torres-Inguanzo, Boris González-Ceja
Introduction: Under the framework of social prevention of violence, the results of a survey on drug use in school population in a locality in Guadalupe, Zacatecas, Mexico, are presented. Objective: Determine the prevalence of drug consumption in the local student population. Method: The questionnaire developed by INPRFM for ENCODE 2014 in its version for student age populations was applied. The questionnaire was answered by 96.6% of the population studied (N=1139). Results: 33.3% of the students stated that they had been offered drugs as gifts and 7.9% stated that they had been offered to buy drugs. Lifetime prevalence were 49.4% for alcohol, 37.6% for tobacco and 24.3% for some drugs such as amphetamines, tranquilizers, marijuana, cocaine, crack or rock, inhalants, methamphetamines or heroin. Prevalence of use in the last twelve months were 56.9% for alcohol, 20.1% for tobacco and 13.2% for other drugs. Prevalence of use in the last month were 35.8% for alcohol, 9.1% for tobacco and 9% for other drugs. Discussion: the relevance of a bivariate logistic regression analysis is proposed to study the connection between personal or sociodemographic characteristics with drug use. Two routes of action are proposed: a) Psychosocial, brief interventions adapted to the population and b) Socio-political, influence on the social context of conflict and illegality.
引言:在社会预防暴力的框架下,对墨西哥萨卡特卡斯州瓜达卢佩某地区在校人口吸毒情况进行了调查。目的:了解当地学生吸毒现状。方法:采用INPRFM编制的《ENCODE 2014》学生年龄人群调查问卷。问卷的回答率为96.6% (N=1139)。结果:33.3%的学生表示曾被赠与毒品,7.9%的学生表示曾被赠与购买毒品。酒精的终生患病率为49.4%,烟草为37.6%,安非他明、镇静剂、大麻、可卡因、快克或岩石、吸入剂、甲基苯丙胺或海洛因等药物的终身患病率为24.3%。过去12个月的酒精使用率为56.9%,烟草使用率为20.1%,其他药物使用率为13.2%。上个月的酒精使用率为35.8%,烟草使用率为9.1%,其他药物使用率为9%。讨论:提出了双变量逻辑回归分析的相关性,以研究个人或社会人口学特征与药物使用之间的联系。提出了两条行动路线:a)适应人口的社会心理短期干预措施;b)对冲突和非法行为的社会背景产生社会政治影响。
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引用次数: 0
Trastorno de juego por Internet y función parental en estudiantes universitarios 大学生网络游戏障碍与父母功能
Pub Date : 2021-08-16 DOI: 10.28931/riiad.2021.2.04
Sebastián Guillermo Risco Martínez, Mónica Cassaretto Bardales
Introduction: behavioral addictions, and particularly video game addiction, are showing a notable rise in recent years, which is why the latter is already considered a disorder by the WHO. This disorder has been researched in relation to various variables highlighting the importance of the family context; which is why it´s recommended to delve deeper regarding specific aspects about the role that the relationship between parent and child can have in the development of said addictions. Objective: Analyze the relation between the risk of developing Internet gaming disorder (IGD) and the perception a group of university students have of their parents´ parenting process (maternal and paternal). Method: 94 university students belonging to science faculties from Lima, Perú participated. The Internet Gaming Disorder Test - IGD-20 (Pontes et al., 2014) and the Adolescent Family Process scale - AFP (Vazsonyi et al., 2003) were used. Results: significant associations between both constructs were found in relation to the mother’s parenting, but not with the father´s parenting. It shows a positive correlation between IGD and the perception of support from the mother (r=.24, p
简介:行为成瘾,尤其是电子游戏成瘾,近年来显着增加,这就是为什么后者已经被世界卫生组织视为一种障碍。这种障碍与各种变量有关,突出了家庭背景的重要性;这就是为什么建议深入研究父母和孩子之间的关系在成瘾发展中可能发挥的作用的具体方面。目的:分析网络游戏障碍(IGD)的发病风险与一组大学生对父母养育过程(母亲和父亲)的认知之间的关系。方法:来自秘鲁利马的94名科学系大学生参加。使用了互联网游戏障碍测试IGD-20(Pontes等人,2014)和青少年家庭过程量表AFP(Vazsonyi等人,2003)。结果:两种结构之间的显著关联与母亲的养育方式有关,但与父亲的养育方式无关。IGD与母亲对支持的感知呈正相关(r=.24,p
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引用次数: 0
Evaluación de activación conductual en universitarios que consumen mariguana: estudio piloto 食用大麻的大学生行为激活评估的初步研究
Pub Date : 2021-08-16 DOI: 10.28931/riiad.2021.2.02
Emmanuel Said Baeza Torres, S. Morales, J. Mandujano
Introduction: In Mexico, marijuana consumption has increased in adults and university students, triggering problems in attention, concentration, anxiety, depression, dependence, and cardio-respiratory difficulties. Psychological interventions like brief motivational treatment (BMT) and cognitive behavioral therapy (CBT) have reported some difficulties such as a low and medium effect size, decreased consumption without reaching abstinence, and heterogeneity in the use of both cognitive and behavioral techniques. The use of behavioral techniques in Behavioral Activation has reported effectiveness in the treatment of anxiety, depression, and recently in alcohol and tobacco. Objective: to evaluate the effect size of a Behavioral Activation treatment in abstinence of marijuana (BA-M) measured in units, occasions, and quantity of consumption. Method: in a sample of university students (n = 8), the intervention of behavioral activation was applied, which includes functional analysis, planning and goal setting, contingency management, skills training, and relapse prevention. It was carried out a multielement single case design with eight replications, calculating the effect size through the non-overlapping index of all pairs. Results: high effect size was obtained in the consumption pattern, ranging between 91.10% and 100%, 5 university students achieved abstinence. Discussion and conclusions: treatment in BA-M obtained a high effect size in abstinence and a decrease in marijuana abuse these results are similar to those reported in alcohol and tobacco.
引言:在墨西哥,成年人和大学生的大麻消费量增加,引发了注意力、注意力、焦虑、抑郁、依赖和心肺困难等问题。据报道,短期动机治疗(BMT)和认知行为治疗(CBT)等心理干预措施存在一些困难,如低和中等效果、在不达到禁欲的情况下减少消费以及认知和行为技术使用的异质性。据报道,在行为激活中使用行为技术可以有效治疗焦虑、抑郁,最近还可以治疗烟酒。目的:评估行为激活治疗在戒除大麻(BA-M)中的效果大小,以单位、场合和消费量衡量。方法:对8名大学生进行行为激活干预,包括功能分析、计划和目标设定、应急管理、技能培训和复发预防。它进行了八次重复的多元素单案例设计,通过所有配对的非重叠指数计算效果大小。结果:在消费模式中获得了较高的效果大小,在91.10%-100%之间,5名大学生实现了禁欲。讨论和结论:BA-M的治疗在禁欲和减少大麻滥用方面获得了很高的效果——这些结果与在酒精和烟草中报道的结果相似。
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引用次数: 0
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Revista Internacional de Investigacion en Adicciones
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