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Chilean neurorights legislation and its relevance for mental health: Criticisms and outlook 智利神经权利立法及其与精神健康的相关性:批评与展望
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-09-08 DOI: 10.17711/sm.0185-3325.2023.034
Isabel Cornejo-Plaza
Background. Recently, the academic world has established a series of reconfigurations of emerging human rights, in order to safeguard the mental integrity of people exposed to neurotechnologies. The recommendations of different stakeholders and a literature review support regulation of these technologies. There are different proposals for regulation, some in soft law and others in objective law. The type of regulation chosen can have repercussions on clinical practice, research, and public policy. The constitutional enactment of neurorights in Chile has been criticized in the academic fields of neuroethics and law as having potential negative effects on mental health research. Objective. To analyze in light of the available literature whether the construction of neurorights could create ethical conflicts in the field of mental health, or if it could offer protection against the disruptive use of various neurotechnologies. Method. This analysis included a narrative review of studies included in the PsycInfo, Springer, JSTOR, Medline, Scopus, PubMed, CINALH, and Web of Science databases, without restrictions on language or year of publication. Results. The enactment of neurorights as hard law is found not to be detrimental to the field of mental health. Discussion and conclusion. This article argues that the regulation of neurorights does not threaten the framework of an ecosystem that uses neurotechnologies. On the contrary, such regulation offers protections to people within the complex system of neurotechnologies.
背景。最近,学术界建立了一系列新兴人权的重新配置,以保护接触神经技术的人的精神完整性。不同利益相关者的建议和文献综述支持这些技术的监管。规制的建议有软法的,也有客观法的。所选择的监管类型可能对临床实践、研究和公共政策产生影响。智利宪法规定的神经权利在神经伦理学和法学学术领域受到批评,认为对精神健康研究有潜在的负面影响。目标。根据现有文献,分析神经权利的构建是否会在心理健康领域产生伦理冲突,或者它是否可以提供保护,防止各种神经技术的破坏性使用。方法。该分析包括对PsycInfo、Springer、JSTOR、Medline、Scopus、PubMed、CINALH和Web of Science数据库中研究的叙述性综述,不受语言和出版年份的限制。结果。将神经权利作为硬性法律加以颁布,对精神卫生领域没有不利影响。讨论与结论。本文认为,对神经权利的监管不会威胁到使用神经技术的生态系统的框架。相反,这种监管为身处复杂的神经技术系统中的人们提供了保护。
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引用次数: 0
Bioethics and advance directives in psychiatric in the hospital context 医院环境下精神病学的生命伦理学和预先指示
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-09-08 DOI: 10.17711/sm.0185-3325.2023.033
Liliana Mondragón-Barrios, Fernando Lolas Stepke
Introduction. Mental health services have been a focus of human rights advocates and recent legal reforms in some Latin American countries, which have called for a change from the paradigm of hospitalization to one of accompanying and supporting the person with mental health issues, which make it possible to apply the Advance Directives in Psychiatry (PADs). This change will require time, as well as economic, material, and human resources, and transformations in attitudes, culture, and society, but the implementation of PADs cannot be postponed: they must be used to protect the autonomy of the persons affected, within a bioethical framework. Objective. Identify possible bioethical conditions in the prevailing conventional hospital context in Latin America that allow for an implementation of PADs. Method. A participant-observer study was carried out in two psychiatric hospital services from June to September 2022. Results. A thematic analysis found three themes: 1) clinical care, 2) patient predisposition, and 3) medical-legal questions. This study considered part of theme 2, including the following sub-themes: a) patient self-perception, b) biography/narrative versus diagnostic classification, and c) negotiation. Discussion and conclusion. Prominent among the sub-themes discussed are recognition of the values of autonomy and its elements in all of the expressions of the person with mental illness, as well as actions of the physician or health care team in synergy with supported decision-making, a distinctive feature of the anticipatory process of the PAD.
介绍。精神健康服务一直是一些拉丁美洲国家人权倡导者和最近法律改革的重点,这些国家呼吁从住院治疗模式转变为陪伴和支持有精神健康问题的人的模式,这样才有可能实施《精神病学预先指示》。这一变化需要时间,也需要经济、物质和人力资源,需要态度、文化和社会的转变,但是,不能推迟实施PADs:必须在生物伦理框架内使用它们来保护受影响者的自主权。目标。确定在拉丁美洲普遍存在的传统医院环境中可能存在的允许实施PADs的生物伦理条件。方法。研究人员于2022年6月至9月在两家精神病院开展了一项参与者-观察者研究。结果。一项专题分析发现了三个主题:1)临床护理,2)患者易感性,以及3)医疗法律问题。本研究考虑了主题2的一部分,包括以下子主题:a)患者自我感知,b)传记/叙事与诊断分类,以及c)谈判。讨论与结论。在讨论的副主题中,突出的是承认自主的价值及其在精神疾病患者的所有表达中的要素,以及医生或卫生保健团队在支持决策的协同作用下的行动,这是PAD预期过程的一个显著特征。
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引用次数: 0
Anthropological algology and bioethics 人类学、藻类学和生命伦理学
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-09-08 DOI: 10.17711/sm.0185-3325.2023.031
Fernando Martinez Pintor
The importance of biopsychosocial factors in the genesis and maintenance of disease is increasingly being recognized. Most illnesses should be studied from a multifactorial perspective to facilitate understanding and treating them. Many psychopathological processes involve factors such as loneliness, hopelessness, and lack of social cohesion. As early as the nineteenth century, J.M. Charcot defined those illnesses in which no organic lesion was visible as functional disorders. Today, the anthropological view of illness known as the Heidelberg School provides us with a more global and comprehensible assessment of illness. The anthropological approach is complemented by a bioethical one, a bioethics of daily life which, as a practical science, studies and evaluates the living conditions of individuals, seeking practical solutions and contributing its reflections with deliberation and care. In this paper, we aim to highlight the most important factors that have an impact on illness by providing an anthropological view of illness and bringing bioethics closer to everyday life.
生物心理社会因素在疾病发生和维持中的重要性日益被认识到。大多数疾病应该从多因素的角度来研究,以促进理解和治疗。许多精神病理过程涉及诸如孤独、绝望和缺乏社会凝聚力等因素。早在19世纪,J.M. Charcot就将那些没有可见器质性病变的疾病定义为功能性疾病。今天,被称为海德堡学派的疾病人类学观点为我们提供了一种更全面、更容易理解的疾病评估。作为人类学方法的补充,还有生命伦理学方法,这是一种日常生活的生命伦理学,作为一门实用科学,它研究和评价个人的生活状况,寻求实际的解决办法,并深思熟虑地提出自己的看法。在本文中,我们的目标是通过提供疾病的人类学观点和使生物伦理学更接近日常生活来突出对疾病有影响的最重要因素。
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引用次数: 0
Normality and mental health: The ethical dimension 正常与心理健康:伦理层面
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-09-08 DOI: 10.17711/sm.0185-3325.2023.030
Fernando Lolas Stepke
This article applies the concept of normality, in both its descriptive and normative connotations, to the field of mental health, emphasizing its ethical undertones in different cultural and situational contexts. Ethics is defined as the linguistic justification of morals, and bioethics is characterized by arguments based on dialogical, discursive, and deliberative processes. Bioethical decision-making influences human relationships and has implications for diagnosis, prognosis, interventions, and evaluation of therapeutic results and outcomes. Normality in mental health should be reformulated on bioethical principles to avoid being a source of stigma and discrimination, at a time when human diversity and cultural change impose a redefinition of conceptual boundaries and depathologization of different forms of behavior and experience.
本文将“正常”的概念应用于心理健康领域,包括其描述性和规范性内涵,强调其在不同文化和情境背景下的伦理内涵。伦理学被定义为道德的语言辩护,而生命伦理学的特点是基于对话、话语和审议过程的论证。生物伦理决策影响人际关系,并对诊断、预后、干预和治疗结果的评估有影响。在人类多样性和文化变化迫使重新定义概念界限和使不同形式的行为和经验去病态化的时候,应根据生物伦理原则重新制定精神健康的正常状态,以避免成为耻辱和歧视的来源。
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引用次数: 0
Ethical and social issues in research on genetics and mental health 遗传学和心理健康研究中的伦理和社会问题
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-09-08 DOI: 10.17711/sm.0185-3325.2023.032
Eduardo Rodríguez-Yunta
Objective. To reflect on ethical and social issues related to research on the genetics of mental health. Method. A narrative review was undertaken of 87 articles found in three databases: Medline, Scopus, and Scielo. Keywords were defined broadly to capture as many relevant publications as possible. Data were summarized by topic. Results. The following topics were identified regarding the application of genetic and genomic tools to mental health disorders: problems with diagnosis, proper informed consent procedures, protecting confidential data, providing participants with research results, risk-benefit balance, equity and access, commercialization of genotyping, and prenatal testing. Discussion and Conclusion. Although a promising field, there is still much research needed on genetic approaches to mental health to achieve clinical relevance and predictive value, and more so in developing countries where there is little available data. Cost-benefit studies thus do not recommend genetic diagnoses in underdeveloped settings. Instead, local approaches should be enhanced. One limitation of research on the genetics of mental health is that it seeks biological causes for mental illnesses. However, the etiology of most mental health disorders is multifactorial, limiting the predictive value of genetic tests. Still, understanding the genetic origins of the biological pathways that lead to mental illness is important to diagnosis and therapy. Other problems discussed are enhancement of the informed consent process and counseling, protection of the right to know and not to know, and how the geneticization of disease is related to stigma.
目标。反思与心理健康遗传学研究有关的伦理和社会问题。方法。对Medline、Scopus和Scielo三个数据库中的87篇文章进行了叙述性综述。关键词定义广泛,以便尽可能多地获取相关出版物。数据按主题汇总。结果。在将遗传和基因组工具应用于精神健康障碍方面,确定了以下主题:诊断问题、适当的知情同意程序、保护机密数据、向参与者提供研究结果、风险-利益平衡、公平和获取、基因分型商业化以及产前检测。讨论与结论。虽然这是一个很有前途的领域,但仍然需要对心理健康的遗传方法进行大量研究,以实现临床相关性和预测价值,在数据很少的发展中国家更是如此。因此,成本效益研究不建议在不发达地区进行基因诊断。相反,应该加强地方方法。心理健康遗传学研究的一个局限是它寻求精神疾病的生物学原因。然而,大多数精神疾病的病因是多因素的,限制了基因检测的预测价值。尽管如此,了解导致精神疾病的生物途径的遗传起源对诊断和治疗很重要。讨论的其他问题包括加强知情同意程序和咨询,保护知情权和不知情权,以及疾病的遗传与耻辱的关系。
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引用次数: 0
The COVID-19 pandemic’s risk factors for depression among postgraduate healthcare students 2019冠状病毒病大流行对医护研究生抑郁的危险因素
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-07-20 DOI: 10.17711/sm.0185-3325.2023.026
Fernanda Rocha Anjos de Oliveira Souza, V. F. D. Nascimento, M. Espinosa, S. Pillon, Christopher Wagstaff, A. C. P. Terças-Trettel
Introduction. The pandemic has generated challenges which impact the mental health of the population, including postgraduate healthcare students. Objective. To evaluate the factors associated with depression in postgraduate healthcare students during the COVID-19 pandemic. Method. This is a cross-sectional study with postgraduate healthcare students, with a sample of 117 participants. The data were collected through an online form, between September and November 2021, using semi-structured questionnaires with sociodemographic information and information regarding participants’ mental health, as defined by the DSM-5 Scale, where the depression domain was considered a variable for this study. The variables were tested using the Poisson multiple regression model with robust variance in the bivariate analysis between the dependent and independent variables (95% CI). Results. In the bivariate analysis, there was an association between depression and not having a partner, also a low monthly income, studying for a master’s or professional doctorate and having an employment relationship parallel to the postgraduate course. Regarding the mental health of the participants, the following factors were associated with depression: anger, mania, anxiety, somatic symptoms, suicidal ideation, mental disorder, memory, repetitive thinking, dissociation, personality functioning, and substance use (p () .05). In the multiple analysis, it was found that mania, anxiety, and dissociation remained statistically associated with depression (p () .05). Discussion and conclusion. Factors associated with depression in this population raise the importance of mental health promotion interventions for postgraduate healthcare students, who seek help both through mental health services and through their universities.
介绍。这一流行病带来了挑战,影响到人口的心理健康,包括保健专业研究生的心理健康。目标。目的评估2019冠状病毒病大流行期间卫生保健研究生抑郁相关因素。方法。这是一项针对医疗保健研究生的横断面研究,样本为117名参与者。数据是在2021年9月至11月期间通过在线表格收集的,使用半结构化问卷,其中包含社会人口统计信息和参与者心理健康信息,如DSM-5量表所定义的,其中抑郁症领域被认为是本研究的一个变量。使用泊松多元回归模型对变量进行检验,在因变量和自变量之间的双变量分析中具有稳健方差(95% CI)。结果。在双变量分析中,抑郁与没有伴侣、月收入低、攻读硕士或专业博士学位以及与研究生课程平行的就业关系之间存在关联。关于参与者的心理健康,以下因素与抑郁相关:愤怒、躁狂、焦虑、躯体症状、自杀意念、精神障碍、记忆、重复思维、分离、人格功能和物质使用(p() 0.05)。在多重分析中,发现躁狂症、焦虑和精神分离与抑郁症在统计学上仍然相关(p(0.05))。讨论与结论。这一人群中与抑郁症相关的因素提高了对通过心理健康服务和大学寻求帮助的保健研究生进行心理健康促进干预的重要性。
{"title":"The COVID-19 pandemic’s risk factors for depression among postgraduate healthcare students","authors":"Fernanda Rocha Anjos de Oliveira Souza, V. F. D. Nascimento, M. Espinosa, S. Pillon, Christopher Wagstaff, A. C. P. Terças-Trettel","doi":"10.17711/sm.0185-3325.2023.026","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.026","url":null,"abstract":"Introduction. The pandemic has generated challenges which impact the mental health of the population, including postgraduate healthcare students. Objective. To evaluate the factors associated with depression in postgraduate healthcare students during the COVID-19 pandemic. Method. This is a cross-sectional study with postgraduate healthcare students, with a sample of 117 participants. The data were collected through an online form, between September and November 2021, using semi-structured questionnaires with sociodemographic information and information regarding participants’ mental health, as defined by the DSM-5 Scale, where the depression domain was considered a variable for this study. The variables were tested using the Poisson multiple regression model with robust variance in the bivariate analysis between the dependent and independent variables (95% CI). Results. In the bivariate analysis, there was an association between depression and not having a partner, also a low monthly income, studying for a master’s or professional doctorate and having an employment relationship parallel to the postgraduate course. Regarding the mental health of the participants, the following factors were associated with depression: anger, mania, anxiety, somatic symptoms, suicidal ideation, mental disorder, memory, repetitive thinking, dissociation, personality functioning, and substance use (p () .05). In the multiple analysis, it was found that mania, anxiety, and dissociation remained statistically associated with depression (p () .05). Discussion and conclusion. Factors associated with depression in this population raise the importance of mental health promotion interventions for postgraduate healthcare students, who seek help both through mental health services and through their universities.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"70 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74641026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors related to academic performance in medical students 医学生学业成绩的相关因素
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-07-20 DOI: 10.17711/sm.0185-3325.2023.024
José Benjamín Guerrero-López, A. M. Monterrosas, Carlos Reyes-Carmona, Araceli Arrioja Guerrero, Andrea Navarrete-Martínez, Felipe Flores Morones, M. Flores-Ramos, Héctor Fernando Hernández-Ruiz
Introduction. Academic performance in medical students can be influenced by several factors, including those related to mental health and family relationships. Objective. To examine the factors affecting academic performance in medical students, specifically considering potential diagnoses of depression. Method. A survey was conducted among 747 fourth-year medical students. The survey included questions on sociodemographic variables, mental health, and well-being. The Patient Health Questionnaire (PHQ) was utilized, encompassing sections on depression, anxiety, panic, eating habits, alcohol consumption, and the Stress Perception Scale. Academic performance was assessed based on students' Grade Point Average (GPA). Descriptive statistics, Pearson correlation coefficients, and a linear regression model were employed for data analysis. Results. The study revealed several variables significantly associated with GPA. Age (r = -.388), financial situation (r = .241), relationships with cohabitants (r = .165), and relationships with peers (r = .217) were found to have a correlation with academic performance. Additionally, repeating a course was found to be significantly associated with a person's GPA (r = .518) even after controlling for depression. Discussion and conclusion. The findings indicate that robust mental health, a favorable financial situation, and positive interpersonal relationships are crucial for achieving optimal academic performance in medical students. These results emphasize the need to address mental health concerns, promote a supportive social environment, and provide financial assistance to enhance the educational outcomes of medical students.
介绍。医学生的学习成绩可能受到几个因素的影响,包括与心理健康和家庭关系有关的因素。目标。研究影响医学生学业成绩的因素,特别是考虑到潜在的抑郁症诊断。方法。对747名四年级医学生进行了一项调查。该调查包括社会人口变量、心理健康和幸福等问题。采用病人健康问卷(PHQ),包括抑郁、焦虑、恐慌、饮食习惯、饮酒和压力感知量表等部分。学业成绩是根据学生的平均绩点(GPA)来评估的。采用描述性统计、Pearson相关系数和线性回归模型进行数据分析。结果。该研究揭示了与GPA显著相关的几个变量。年龄(r = - 0.388)、经济状况(r = 0.241)、与同居者的关系(r = 0.165)、与同龄人的关系(r = 0.217)与学业成绩存在相关性。此外,重复课程被发现与一个人的GPA显著相关(r = .518),即使在控制抑郁之后。讨论与结论。研究结果表明,健康的心理健康、良好的经济状况和积极的人际关系对医学生取得最佳学业成绩至关重要。这些结果强调需要解决心理健康问题,促进一个支持性的社会环境,并提供财政援助,以提高医学生的教育成果。
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引用次数: 0
Team sports as a protective factor against mental health problems and suicidal ideation in adolescents 团体运动是预防青少年心理健康问题和自杀意念的保护因素
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-07-20 DOI: 10.17711/sm.0185-3325.2023.022
Luciano Machado-Oliveira, Alison Oliveira da Silva, Breno Quintella Farah, Iberê Caldas Souza Leão, Fabiano Tadeu Costa Souza, Fátima Larissa Santiago, Leonardo Machado, Paula Rejane Beserra Diniz
Introduction. Adolescents who practice sports have better mental health indicators. Objective. To analyze the association between different types of physical activity (systematized exercise, individual, and collective sports), mental health, and suicidal ideation in adolescents. Method. We conducted a cross-sectional study with 666 Brazilian adolescents (14-19 y.o.) attending high schools and selected using random cluster sampling. The mental health indicators analyzed were evaluated through the Self Reporting Questionnaire and the Strengths and Difficulties Questionnaire, including suicidal ideation. We also obtained physical activity information through questionnaires. Results. There was a higher prevalence related to mental disorders (54.2% vs. 32.5%), difficulties related to mental health (79.6% vs. 48.4%), and suicidal thoughts (22.9% vs. 11.4%) in girls than in boys (p () .001 for all). The boys engaged in more team sports (41.0 vs. 23.8), whereas girls performed more exercise (45.1 vs. 26.5; p () .001). Discussion and conclusion. The practice of team sports helps develop the collective spirit, stimulates social interaction, and develops reasoning and emotional intelligence. Boys who play team sports have fewer symptoms of common mental disorders, lower mental health problems, and less suicidal ideation than physically inactive boys.
介绍。参加体育运动的青少年有更好的心理健康指标。目标。分析青少年不同类型的体育活动(系统运动、个人和集体运动)、心理健康和自杀意念之间的关系。方法。我们对666名巴西高中生(14-19岁)进行了横断面研究,采用随机整群抽样。通过自我报告问卷和优势与困难问卷对所分析的心理健康指标进行评估,包括自杀意念。我们还通过问卷调查获得了身体活动信息。结果。女孩中与精神障碍相关的患病率(54.2%比32.5%)、与精神健康相关的困难(79.6%比48.4%)和自杀念头(22.9%比11.4%)均高于男孩(p < 0.001)。男孩更多地参与团队运动(41.0比23.8),而女孩更多地进行锻炼(45.1比26.5;P() .001)。讨论与结论。团队运动的实践有助于培养集体精神,促进社会互动,发展推理和情商。参加团队运动的男孩比不运动的男孩有更少的常见精神障碍症状,更少的精神健康问题,更少的自杀意念。
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引用次数: 0
What diseases affect elderly Mexican population?  哪些疾病影响墨西哥老年人?
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-07-20 DOI: 10.17711/sm.0185-3325.2023.025
Luis Fernando Collazos Marín, Guillermo Velázquez Lopez, Ismael Aguilar Salas
Introduction. The demographic and epidemiological transition, as well as the aging population has changed how older adults are treated in our healthcare system. Objective. To establish the sociodemographic and clinical characteristics of the patients from the Psychogeriatric Clinic (PC) of the Ramón de la Fuente Muñiz National Institute of Psychiatry (INPRFM) seen between January 1, 2011, and December 31, 2020. Method. Descriptive, observational, cross-sectional, retrospective study. A database was created with the information from digital clinical records. No additional scales were used. Statistical analysis performed in SPSS 20.0. Results. 2056 records were found, 1247 met the inclusion criteria. The mean age was 74.28 years, women 73.46% (n = 916), primary school 46.62% (n = 427), married 35.70% (n = 327), urban area 93.99% (n = 1172), home-based 78.28% (n = 717), low socioeconomic level 59.99% (n = 522). The most common psychiatric pathology was depressive disorders 62.07% (n = 774) and neurocognitive disorders 37.52% (n = 468) due to Alzheimer’s disease 17.08% (n = 213), with Mini-Mental State Examination of 18.88 points (± 6.68). They had comorbidities such as arterial hypertension 52.85% (n = 659), diabetes mellitus 23.34% (n = 291) and had a geriatric syndrome in 64.42% (n = 218). Discussion and conclusion. Aging in Mexico affects the female population the most. The analysis report from the prevalence for psychogeriatric pathologies of the PC it’s for of its kind. The main goal is promoting research on dementias and highlighting the magnitude of the problem for Latin American governments. The results are not intended to be extrapolated to the general population.
介绍。人口和流行病学的转变,以及人口老龄化已经改变了老年人在我们的医疗保健系统中的治疗方式。目标。建立2011年1月1日至2020年12月31日期间Ramón de la Fuente Muñiz国家精神病学研究所(INPRFM)老年心理诊所(PC)患者的社会人口学和临床特征。方法。描述性、观察性、横断面、回顾性研究。利用来自数字临床记录的信息创建了一个数据库。没有使用额外的量表。采用SPSS 20.0进行统计分析。结果:共检索到病历2056份,其中1247份符合纳入标准。平均年龄74.28岁,女性73.46% (n = 916),小学46.62% (n = 427),已婚35.70% (n = 327),城区93.99% (n = 1172),家庭78.28% (n = 717),社会经济水平低59.99% (n = 522)。最常见的精神病理为抑郁障碍62.07% (n = 774),阿尔茨海默病所致神经认知障碍37.52% (n = 468) (n = 213),最小精神状态检查18.88分(±6.68)分。合并高血压52.85% (n = 659),糖尿病23.34% (n = 291),合并老年综合征64.42% (n = 218)。讨论与结论。墨西哥的老龄化对女性人口影响最大。这份分析报告显示了老年精神疾病的患病率,这是同类中最重要的。会议的主要目标是促进对痴呆症的研究,并强调该问题对拉美各国政府的重要性。这些结果不打算外推到一般人群。
{"title":"What diseases affect elderly Mexican population? ","authors":"Luis Fernando Collazos Marín, Guillermo Velázquez Lopez, Ismael Aguilar Salas","doi":"10.17711/sm.0185-3325.2023.025","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.025","url":null,"abstract":"Introduction. The demographic and epidemiological transition, as well as the aging population has changed how older adults are treated in our healthcare system. Objective. To establish the sociodemographic and clinical characteristics of the patients from the Psychogeriatric Clinic (PC) of the Ramón de la Fuente Muñiz National Institute of Psychiatry (INPRFM) seen between January 1, 2011, and December 31, 2020. Method. Descriptive, observational, cross-sectional, retrospective study. A database was created with the information from digital clinical records. No additional scales were used. Statistical analysis performed in SPSS 20.0. Results. 2056 records were found, 1247 met the inclusion criteria. The mean age was 74.28 years, women 73.46% (n = 916), primary school 46.62% (n = 427), married 35.70% (n = 327), urban area 93.99% (n = 1172), home-based 78.28% (n = 717), low socioeconomic level 59.99% (n = 522). The most common psychiatric pathology was depressive disorders 62.07% (n = 774) and neurocognitive disorders 37.52% (n = 468) due to Alzheimer’s disease 17.08% (n = 213), with Mini-Mental State Examination of 18.88 points (± 6.68). They had comorbidities such as arterial hypertension 52.85% (n = 659), diabetes mellitus 23.34% (n = 291) and had a geriatric syndrome in 64.42% (n = 218). Discussion and conclusion. Aging in Mexico affects the female population the most. The analysis report from the prevalence for psychogeriatric pathologies of the PC it’s for of its kind. The main goal is promoting research on dementias and highlighting the magnitude of the problem for Latin American governments. The results are not intended to be extrapolated to the general population.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"229 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77583727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-efficacy and well-being of youth during the COVID-19 pandemic in Indonesia 2019冠状病毒病大流行期间印度尼西亚青年的自我效能感和幸福感
IF 1.3 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-07-20 DOI: 10.17711/sm.0185-3325.2023.023
Tience Debora Valentina, Firmanto Adi Nurcahyo, Dewi Puri Astiti
Introduction. The impact of the COVID-19 pandemic on the well-being of young people has attracted the concerned of many parties. Self-efficacy, an individual’s belief to cope with various situations, is believed to have a relationship with individual’s psychological well-being. Objective. To explore the relationship between self-efficacy and well-being of young people in Indonesia during the COVID-19 pandemic. Method. A cross-sectional design with a convenience sample of high schools and universities students in Indonesia. The number of participants were 365 young people aged 15-23 years (M = 18.57; SD = 1.95). They were asked to complete the Self-efficacy Scale and the Flourishing Scale in the form of an online survey. Results. There is a positive correlation between self-efficacy and well-being (r = .547, p () .01) with the contribution percentage of 33.5%. The two-way ANOVA resulted there was an effect of education level on wellbeing (F = 12.956, p () .05), while there was no gender effect on wellbeing (F = .006, p #cer# .05). Discussion and conclusion. The findings of this study highlighting the importance of developing self-efficacy in young people in order to promote well-being despite facing a challenging situation.
介绍。新冠肺炎疫情对青年福祉的影响引起各方关注。自我效能感是一种个体应对各种情况的信念,被认为与个体的心理健康有关系。目标。目的探讨2019冠状病毒病大流行期间印度尼西亚年轻人自我效能感与幸福感之间的关系。方法。这是一个横断面设计,以印度尼西亚的高中生和大学生为方便样本。参与者为365名15-23岁的年轻人(M = 18.57;Sd = 1.95)。他们被要求以在线调查的形式完成自我效能量表和繁荣量表。结果。自我效能感与幸福感呈正相关(r = .547, p() .01),贡献率为33.5%。双向方差分析结果显示,受教育程度对幸福感有影响(F = 12.956, p() .05),而性别对幸福感没有影响(F = 0.006, p #cer# .05)。讨论与结论。这项研究的结果强调了在面临挑战的情况下,为了促进幸福,培养年轻人的自我效能感的重要性。
{"title":"Self-efficacy and well-being of youth during the COVID-19 pandemic in Indonesia","authors":"Tience Debora Valentina, Firmanto Adi Nurcahyo, Dewi Puri Astiti","doi":"10.17711/sm.0185-3325.2023.023","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.023","url":null,"abstract":"Introduction. The impact of the COVID-19 pandemic on the well-being of young people has attracted the concerned of many parties. Self-efficacy, an individual’s belief to cope with various situations, is believed to have a relationship with individual’s psychological well-being. Objective. To explore the relationship between self-efficacy and well-being of young people in Indonesia during the COVID-19 pandemic. Method. A cross-sectional design with a convenience sample of high schools and universities students in Indonesia. The number of participants were 365 young people aged 15-23 years (M = 18.57; SD = 1.95). They were asked to complete the Self-efficacy Scale and the Flourishing Scale in the form of an online survey. Results. There is a positive correlation between self-efficacy and well-being (r = .547, p () .01) with the contribution percentage of 33.5%. The two-way ANOVA resulted there was an effect of education level on wellbeing (F = 12.956, p () .05), while there was no gender effect on wellbeing (F = .006, p #cer# .05). Discussion and conclusion. The findings of this study highlighting the importance of developing self-efficacy in young people in order to promote well-being despite facing a challenging situation.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"1 6","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72408923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Salud Mental
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