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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 Q3 Psychology 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。
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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 Q3 Psychology 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。
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引用次数: 0
Sex and Body Mass Index differences after one-year follow-up of an eating disorders risk factors universal prevention intervention in university students in Mexico City 墨西哥城大学生饮食失调危险因素普遍预防干预一年随访后的性别和体重指数差异
IF 1.3 4区 医学 Q3 Psychology Pub Date : 2023-06-01 DOI: 10.17711/sm.0185-3325.2023.019
C. Unikel Santoncini, Miriam Wendolyn Barajas Márquez, Concepción Díaz de León Vázquez, Alicia Parra Carriedo, José Alberto Rivera Márquez, G. M. Bilbao y Morcelle, Maricarmen Díaz Gutiérrez
Introduction. Interventions based on cognitive dissonance theory are the most effective for preventing eating disorders. Objective. To identify the changes at one year follow-up of a universal prevention intervention in disordered eating behaviors (DEB), thin-ideal internalization (TII), and drive for muscularity (DM). Method. A pre-experimental, pretest-posttest study was conducted on 602 university student subjects (76.1% women and 23.9% men) with an average age of 20.74 years at a public (30.6%) and a private university (69.4%) in Mexico City. A Split Plot ANOVA was performed with the intrasubject variable equal to each measurement (pretest, posttest, and follow-up), as well as the sex and body mass index (BMI) intersubject variables to analyze whether there was a significant interaction between these variables and the changes in dependent variables, as well as the changes through each measurement by group. Results. In the intrasubject analyses, statistically significant differences were found for DEB through the various measurements, without taking the interactions into account. Statistically significant interactions were observed between each measurement and BMI, and between each measurement and sex and BMI for the DM variable. Discussion and conclusion. Since a reduction of TII in women and DM in men was achieved, together with a decrease in DEB in women, the workshop can be said to have fully achieved its objectives for women and partly so for men.
介绍。基于认知失调理论的干预是预防饮食失调最有效的方法。目标。确定在饮食失调行为(DEB)、理想瘦型内化(TII)和肌肉化(DM)的普遍预防干预的一年随访中的变化。方法。对墨西哥城一所公立大学(30.6%)和一所私立大学(69.4%)的602名平均年龄为20.74岁的大学生(女性76.1%,男性23.9%)进行了实验前、测试前和测试后研究。对每次测量的受试者内变量(前测、后测和随访)以及性别和体重指数(BMI)的受试者间变量进行分离图方差分析,以分析这些变量与因变量的变化之间是否存在显著的相互作用,以及各组每次测量的变化。结果。在主体内分析中,在不考虑相互作用的情况下,通过各种测量方法发现DEB具有统计学显著差异。在DM变量中,每次测量与BMI之间,以及每次测量与性别和BMI之间均观察到统计学上显著的相互作用。讨论与结论。由于减少了妇女的TII和男子的DM,同时减少了妇女的DEB,可以说讲习班完全实现了妇女的目标,部分实现了男子的目标。
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引用次数: 0
Perceived academic stress in Mexican medical students. The role of sex emotional distress, burnout, academic-social support, current abuse experiences, and coping strategies 墨西哥医科学生的学业压力感知。性情绪困扰、倦怠、学术-社会支持、当前虐待经历和应对策略的作用
IF 1.3 4区 医学 Q3 Psychology Pub Date : 2023-06-01 DOI: 10.17711/sm.0185-3325.2023.020
Diana Patricia Guizar Sanchez, Raúl Sampieri Cabrera, Virginia Inclán Rubio, Armando Muñoz Comonfort
Introduction. Academic stress is a common problem among medical students that has a negative physiological, social, and learning impact. Perceived academic stress indicates how stressed a student is about academic issues over a given period of time and the ability to handle that stress. Objective. To determine the prevalence of PAS and evaluate possible risk factors, focusing on sex differences, burnout, emotional distress, academic-social support, and coping strategies. Method. A cross-sectional, retrospective, and comparative study was conducted through an online survey with medical students (MS) willing to participate anonymously. Results. All students reported PAS and the majority to a moderate-severe degree. Comparing the presence of abuse within the academic environment between men and women, we found differences in the frequency of reporting emotional abuse and sexual. Also, we found differences in perceived academic social support from teachers and family members. Multiple logistic regression analysis showed sex and current sexual abuse inside school had the strongest association with PAS in MS, followed by a family history of depression and perceived less academic social support from family. Discussion and conclusion. Timely identification of individuals at-risk will be critical to establish preventive strategies to limit the impact of PAS in MS, stress management programs, training coping skills, and offer prompt therapeutic alternatives when needed.
介绍。学业压力是医学生普遍存在的问题,对生理、社会和学习都有负面影响。感知的学业压力表明学生在一段时间内对学业问题的压力以及处理这种压力的能力。目标。确定PAS的患病率并评估可能的风险因素,重点关注性别差异、倦怠、情绪困扰、学术-社会支持和应对策略。方法。本研究采用横断面、回顾性和比较研究的方法,对愿意匿名参与的医学生进行在线调查。结果。所有学生都报告了PAS,大多数学生都是中度至重度。比较了在学术环境中存在的虐待在男性和女性之间,我们发现在报告情感虐待和性虐待的频率上存在差异。此外,我们还发现教师和家庭成员对学业社会支持的感知存在差异。多元logistic回归分析显示,性行为和在校性侵犯与多发性硬化患者PAS的关系最为密切,其次是家族抑郁史和较少的家庭学业社会支持。讨论与结论。及时识别高危个体对于制定预防策略以限制PAS对MS的影响、压力管理计划、培训应对技能以及在需要时提供及时的治疗方案至关重要。
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引用次数: 0
Comparison of two psychotherapies in cortisol response and their efficacy in reducing symptoms of anxiety and depression in women victims of intimate partner violence 两种心理疗法在皮质醇反应中的比较及其在减轻亲密伴侣暴力妇女受害者焦虑和抑郁症状方面的疗效
IF 1.3 4区 医学 Q3 Psychology Pub Date : 2023-06-01 DOI: 10.17711/sm.0185-3325.2023.018
Beatriz Cerda-De la O, A. L. Cerda-Molina, Marcela Biagini-Alarcón, L. Mayagoitia-Novales, Margarita De La Cruz-López, Jesús Alfredo Whaley-Sánchez
Introduction. There is a growing need to implement evidence-based psychological treatments for women victims of intimate partner violence (IPV) who commonly experience stress-related disorders such as anxiety, depression, or suicide risk, as well as altered cortisol reactivity. Objective. 1. To compare the changes in depressive and anxious symptomatology, quality of life, and cortisol reactivity after two different interventions, Acceptance and Commitment Therapy (ACT, based on psychological flexibility) or Interpersonal Therapy (IPT, based on empowerment) in women exposed to IPV. 2. To compare the changes in relation to the presence of suicide thoughts. Method. A clinical sample of 50 women (ages 21-74) randomly assigned to attend ACT or IPT, completed pre- and post-intervention questionnaires about intimate partner violence, quality of life, depression, anxiety, and measurements of salivary cortisol reactivity (basal, 15, 30, and 45 minutes after a cognitive challenge). We used Generalized Estimating Equation Models for data analysis. Results. There was a significant improvement post-intervention in all variables, regardless of the type of psychotherapy or the presence of suicide thoughts. Before interventions, women that reported suicide thoughts had severe symptoms of depression, anxiety, worse quality of life, and a cortisol hyper-response profile, in contrast to women without suicide thoughts who had moderate symptoms and no cortisol response. Cortisol response to the cognitive test decreased in all women after both therapies. Discussion and conclusion. Although different psychological approach, ACT, and IPT effectively improved mental health, quality of life, and changed cortisol reactivity of women exposed to IPV, including women at suicide risk.
介绍。越来越需要对遭受亲密伴侣暴力(IPV)的妇女实施基于证据的心理治疗,她们通常会经历与压力有关的障碍,如焦虑、抑郁或自杀风险,以及皮质醇反应性的改变。目的:1。比较暴露于IPV的妇女在接受和承诺治疗(ACT,基于心理灵活性)或人际治疗(IPT,基于赋权)两种不同干预措施后抑郁和焦虑症状、生活质量和皮质醇反应性的变化。2. 比较这些变化与自杀念头的出现之间的关系。方法。临床样本为50名女性(21-74岁),随机分配参加ACT或IPT,完成干预前和干预后关于亲密伴侣暴力、生活质量、抑郁、焦虑和唾液皮质醇反应性测量的问卷(认知挑战后基础、15、30和45分钟)。我们使用广义估计方程模型进行数据分析。结果。干预后的所有变量都有显著的改善,无论心理治疗的类型或自杀念头的存在。在干预之前,报告有自杀念头的妇女有严重的抑郁、焦虑、生活质量差和皮质醇高反应的症状,与没有自杀念头的妇女相比,她们有中度症状,没有皮质醇反应。两种治疗后,所有女性对认知测试的皮质醇反应都有所下降。讨论与结论。虽然不同的心理治疗方法,ACT和IPT有效地改善了暴露于IPV的妇女的心理健康、生活质量,并改变了皮质醇的反应性,包括有自杀风险的妇女。
{"title":"Comparison of two psychotherapies in cortisol response and their efficacy in reducing symptoms of anxiety and depression in women victims of intimate partner violence","authors":"Beatriz Cerda-De la O, A. L. Cerda-Molina, Marcela Biagini-Alarcón, L. Mayagoitia-Novales, Margarita De La Cruz-López, Jesús Alfredo Whaley-Sánchez","doi":"10.17711/sm.0185-3325.2023.018","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.018","url":null,"abstract":"Introduction. There is a growing need to implement evidence-based psychological treatments for women victims of intimate partner violence (IPV) who commonly experience stress-related disorders such as anxiety, depression, or suicide risk, as well as altered cortisol reactivity. Objective. 1. To compare the changes in depressive and anxious symptomatology, quality of life, and cortisol reactivity after two different interventions, Acceptance and Commitment Therapy (ACT, based on psychological flexibility) or Interpersonal Therapy (IPT, based on empowerment) in women exposed to IPV. 2. To compare the changes in relation to the presence of suicide thoughts. Method. A clinical sample of 50 women (ages 21-74) randomly assigned to attend ACT or IPT, completed pre- and post-intervention questionnaires about intimate partner violence, quality of life, depression, anxiety, and measurements of salivary cortisol reactivity (basal, 15, 30, and 45 minutes after a cognitive challenge). We used Generalized Estimating Equation Models for data analysis. Results. There was a significant improvement post-intervention in all variables, regardless of the type of psychotherapy or the presence of suicide thoughts. Before interventions, women that reported suicide thoughts had severe symptoms of depression, anxiety, worse quality of life, and a cortisol hyper-response profile, in contrast to women without suicide thoughts who had moderate symptoms and no cortisol response. Cortisol response to the cognitive test decreased in all women after both therapies. Discussion and conclusion. Although different psychological approach, ACT, and IPT effectively improved mental health, quality of life, and changed cortisol reactivity of women exposed to IPV, including women at suicide risk.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76870039","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: 1
Prolonged grief disorder treatment: An approach to COVID-19 grief 延长悲伤障碍治疗:一种治疗COVID-19悲伤的方法
IF 1.3 4区 医学 Q3 Psychology Pub Date : 2023-06-01 DOI: 10.17711/sm.0185-3325.2023.021
Consuelo Bernarda Martínez-Medina, A. Rodríguez-Orozco
Background. It has been estimated that COVID-19 grief will affect approximately sixteen million people worldwide, while the prevalence of prolonged grief disorder (PGD) could rise to 40%. Objective. To review treatments that can be administered to patients with PGD due to COVID-19. Method. PUBMED and Google Scholar were searched with the following keywords: prolonged grief disorder, complicated grief, grief and psychotherapy, and treatment of prolonged grief, complicated grief or persistent complex grief. Results. Fifty articles were reviewed on the efficacy of interpersonal therapy, rational emotional-behavioral therapy, supportive therapy, humanistic therapy, systemic family therapy, group therapy, writing therapy, Internet-based intervention, and a modality of cognitive behavioral therapy used with prolonged grief, metacognitive therapy, and acceptance and commitment therapy. Discussion and conclusion. There is no consensus on the psychotherapeutic treatment of choice for people with PGD due to the loss of a family member to COVID-19. Group therapy is effective in reducing the intensity of uncomplicated grief, cognitive-behavioral therapy is highly efficacious in reducing the severity of grief, metacognitive therapy specifically designed for PGD has a positive impact on depression, anxiety, stress, rumination, and quality of life while Acceptance and Commitment Therapy is helpful for restoring spirituality. Psychotherapy is most effective when combined with drug therapy. It is suggested that comparative studies be undertaken of psychotherapeutic techniques for managing patients with PGD associated with COVID-19 and the adaptation of these techniques to virtual settings.
背景。据估计,COVID-19悲伤将影响全球约1600万人,而长期悲伤障碍(PGD)的患病率可能上升到40%。目标。回顾可用于COVID-19引起的PGD患者的治疗方法。方法。通过以下关键词检索PUBMED和Google Scholar:延长悲伤障碍,复杂悲伤,悲伤与心理治疗,延长悲伤的治疗,复杂悲伤或持续性复杂悲伤。结果。本文回顾了人际关系治疗、理性情绪行为治疗、支持治疗、人本治疗、系统家庭治疗、团体治疗、写作治疗、网络干预、认知行为治疗、元认知治疗、接受和承诺治疗等治疗方法的疗效。讨论与结论。对于因家庭成员死于COVID-19而患有PGD的人选择的心理治疗治疗尚未达成共识。团体治疗能有效降低单纯悲伤的强度,认知行为治疗能有效降低悲伤的严重程度,为PGD专门设计的元认知治疗对抑郁、焦虑、压力、反思和生活质量有积极影响,而接受和承诺治疗有助于恢复精神。心理治疗与药物治疗相结合是最有效的。建议开展心理治疗技术的比较研究,以管理与COVID-19相关的PGD患者,并将这些技术应用于虚拟环境。
{"title":"Prolonged grief disorder treatment: An approach to COVID-19 grief","authors":"Consuelo Bernarda Martínez-Medina, A. Rodríguez-Orozco","doi":"10.17711/sm.0185-3325.2023.021","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.021","url":null,"abstract":"Background. It has been estimated that COVID-19 grief will affect approximately sixteen million people worldwide, while the prevalence of prolonged grief disorder (PGD) could rise to 40%. Objective. To review treatments that can be administered to patients with PGD due to COVID-19. Method. PUBMED and Google Scholar were searched with the following keywords: prolonged grief disorder, complicated grief, grief and psychotherapy, and treatment of prolonged grief, complicated grief or persistent complex grief. Results. Fifty articles were reviewed on the efficacy of interpersonal therapy, rational emotional-behavioral therapy, supportive therapy, humanistic therapy, systemic family therapy, group therapy, writing therapy, Internet-based intervention, and a modality of cognitive behavioral therapy used with prolonged grief, metacognitive therapy, and acceptance and commitment therapy. Discussion and conclusion. There is no consensus on the psychotherapeutic treatment of choice for people with PGD due to the loss of a family member to COVID-19. Group therapy is effective in reducing the intensity of uncomplicated grief, cognitive-behavioral therapy is highly efficacious in reducing the severity of grief, metacognitive therapy specifically designed for PGD has a positive impact on depression, anxiety, stress, rumination, and quality of life while Acceptance and Commitment Therapy is helpful for restoring spirituality. Psychotherapy is most effective when combined with drug therapy. It is suggested that comparative studies be undertaken of psychotherapeutic techniques for managing patients with PGD associated with COVID-19 and the adaptation of these techniques to virtual settings.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81482732","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
Social connections and depressive symptoms among older adults during the initial lockdown period for COVID-19 COVID-19初期封锁期间老年人的社会关系和抑郁症状
IF 1.3 4区 医学 Q3 Psychology Pub Date : 2023-06-01 DOI: 10.17711/sm.0185-3325.2023.017
S. Solis-López, V. Hernandez-Ruiz, H. Amièva, J. Ávila-Funes
Introduction. Little information from developing countries during the first lockdown for COVID-19 is available. We hypothesized that the use of communication tools, and not living alone would provide a protective effect against DS. Objective. To determine the association between social connections and depressive symptoms (DS) during the first lockdown period among Mexican community-dwelling older adults. Method. Cross-sectional phone survey including 269 participants aged 65 years or older. Participants were asked about their social connections and the presence of DS during the first lockdown for COVID-19. Results. Mean age was 83.2 (SD = 6.7). Compared with those without DS, those with DS reported a greater number of phone calls or videocalls although this was not statistically significant. However, when stratifying by housing situation, only the participants who lived alone and that received less calls from friends had more DS (p = .04). Discussion and conclusion. Living alone allowed the participants not to have much contact with family and this caused friends to represent the most important social relationship outside the home. We hypothesize that the means to stay socially active for older adults in Latin America are different and have a different impact. Because, DS only were present among the participants who reported living alone and having fewer calls from friends during the confinement period.
介绍。在COVID-19首次封锁期间,发展中国家提供的信息很少。我们假设,使用交流工具,而不是独自生活,会对退行性痴呆起到保护作用。目标。在墨西哥社区居住的老年人中,确定第一次封锁期间社会联系与抑郁症状(DS)之间的关系。方法。横断面电话调查包括269名65岁及以上的参与者。参与者被问及在COVID-19第一次封锁期间他们的社会关系和DS的存在。结果。平均年龄83.2岁(SD = 6.7)。与没有DS的人相比,患有DS的人报告了更多的电话或视频通话次数,尽管这在统计上没有显著性。然而,当按住房情况分层时,只有独居和接到朋友电话较少的参与者有更多的DS (p = .04)。讨论与结论。独自生活使得参与者与家人没有太多的联系,这使得朋友成为家庭之外最重要的社会关系。我们假设,拉丁美洲老年人保持社会活动的手段是不同的,并有不同的影响。因为,只有那些在坐月子期间独居和很少接到朋友电话的参与者才会出现退行性痴呆。
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引用次数: 0
Adaptation, validity, and reliability of the Resilience Scale SV-RES in hospital health professionals in Mexico 墨西哥医院卫生专业人员弹性量表SV-RES的适应、效度和信度
IF 1.3 4区 医学 Q3 Psychology Pub Date : 2023-06-01 DOI: 10.17711/sm.0185-3325.2023.016
Ricardo Iván Figueroa-García, Eduardo Abraham Vidal-Velazco, Cynthia Magaly Díaz-Juárez, Juan Manuel León-Torres, J. Sánchez-Sosa
Introduction. Resilience is the capacity in which the qualities and resources of the individual help in the successful coping of adverse situations. Studying the construct of resilience requires seeing it as a process and not only a characteristic of the individual. Saavedra's resilient response is a model that fits this idea and explains resilience satisfactorily. Having a measuring instrument for health personnel working in hospitals would allow discovering its benefits as a protective factor in the workplace. Objective. Adapt and validate the Resilience Scale SV-RES in hospital health professionals in Mexico. Method. Based on recent research literature, including response models and modified and adapted items from the Resilience Scale SV-RES, a total of 909 health professionals responded. Distribution, factor analysis, and internal consistency tests were performed. Results. The process led to a scale of 28 items grouped into six factors with an overall internal consistency of (α = .908) and 50.5% of explained variance. Discussion and conclusion. The Resilience Scale SV-RES has adequate psychometric properties that make it appropriate to measure the resilience capacity of hospital health professionals in Mexico.
介绍。适应力是一种能力,在这种能力中,个人的素质和资源有助于成功地应对不利的情况。研究弹性的结构需要将其视为一个过程,而不仅仅是个人的特征。Saavedra的弹性反应模型符合这一观点,并令人满意地解释了弹性。为在医院工作的保健人员配备一种测量仪器,将有助于发现其作为工作场所保护因素的好处。目标。墨西哥医院卫生专业人员适应和验证弹性量表SV-RES。方法。根据最近的研究文献,包括反应模型和弹性量表SV-RES的修改和改编项目,共有909名卫生专业人员回应。进行了分布、因子分析和内部一致性检验。结果。该过程导致28个项目分为6个因素的量表,整体内部一致性为(α = .908),解释方差为50.5%。讨论与结论。弹性量表SV-RES具有足够的心理测量特性,使其适合于衡量墨西哥医院卫生专业人员的弹性能力。
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引用次数: 1
Mental illness attitudes in medical education: Assessing the stigma in medical students 医学教育对精神疾病的态度:评估医学生的耻辱感
IF 1.3 4区 医学 Q3 Psychology Pub Date : 2023-03-20 DOI: 10.17711/sm.0185-3325.2023.014
Ernesto Márquez-Cervantes, Daniela Haydé Romero-Guerra, A. Costilla-Esquivel
Introduction. Factors affecting the quality of physician care include a shortage of trained staff, stigma, and discrimination. Objective. The objective was to compare the intensity of stigmatization before and after a Psychiatry course, as measured by the scale of clinicians’ attitudes towards mental illness, a version for medical students (MICA-2) designed to identify stigmatic attitudes towards mental disorders. Method. The fifth-year Medicine students enrolled in the Psychiatry course answered anonymously using the MICA-2 test at the start and the end of their course. Additionally, we asked the students to answer a question about their interest in learning more about mental illness. Results. Three hundred and thirty students were invited; 300 agreed to participate in the first application of the scales, and 291 in the follow-up. The average age was 22 ± 2 years, with a range of 20-30 years, and there was a similar gender distribution in both applications. In the initial application, the average score of the MICA-2 was 41.34 (SD = 7.86, 95% CI = [40.43, 42.25]). The follow-up application’s mean was 37.10 (SD = 8.15, 95% CI = [36.30, 38.15]). Also, there was a decrease in interest in learning more about mental illness. Discussion and conclusion. A reduction in the average scores of the MICA-2 was observed after a Psychiatry course, suggesting that attitudes toward mental disorders improved. A Psychiatry clerkship with close supervision modified the attitudes of medical students toward mental disorders. However, it did not increase their interest in learning more about mental illness.
介绍。影响医生护理质量的因素包括缺乏训练有素的工作人员、耻辱感和歧视。目标。目的是比较精神病学课程前后的污名化程度,通过临床医生对精神疾病的态度量表来衡量,这是一个为医科学生设计的版本(MICA-2),旨在确定对精神障碍的污名化态度。方法。参加精神病学课程的五年级医学院学生在课程开始和结束时匿名回答了MICA-2测试。此外,我们要求学生回答一个关于他们对了解更多精神疾病的兴趣的问题。结果。邀请了三百三十名学生;300人同意参加第一次申请比额表,291人同意参加后续申请。平均年龄22±2岁,年龄范围20 ~ 30岁,性别分布相似。首次应用时,MICA-2的平均评分为41.34分(SD = 7.86, 95% CI =[40.43, 42.25])。随访应用的平均值为37.10 (SD = 8.15, 95% CI =[36.30, 38.15])。此外,对更多地了解精神疾病的兴趣也有所下降。讨论与结论。在精神病学课程后,观察到MICA-2的平均分数有所下降,这表明对精神障碍的态度有所改善。精神病学实习在密切监督下改变了医学生对精神障碍的态度。然而,这并没有增加他们学习更多精神疾病的兴趣。
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引用次数: 0
An assessment of mental health of Mexican and Colombian medical students during the COVID-19 pandemic COVID-19大流行期间墨西哥和哥伦比亚医学生心理健康评估
IF 1.3 4区 医学 Q3 Psychology Pub Date : 2023-03-20 DOI: 10.17711/sm.0185-3325.2023.010
D. X. Pacheco-Tobón, Edgar Bautista-Soto, Claudia Arellano-Ramírez, Daniela Orozco-García, Lucia Ramos-Ruiz, Eliana Herbales-Martinez, L. Porchia, R. Pérez-Fuentes, M. Gonzalez-Mejia
Introduction. The COVID-19 pandemic caused the cessation of academic activities from the face-to-face format to confinement and virtual classes, in which little is studied about its effect on mental health. Objective. Determine levels of depression, anxiety, and stress in medical students in Mexico and Colombia during the COVID-19 pandemic. Furthermore, depression, anxiety, and stress were compared by gender, education status, and country. Method. A cross-sectional study was carried out with 426 medical students. Data was collected using an online survey containing the Depression, Anxiety, Stress Scale (DASS-21) questionnaire. Results. Overall scores for depression, anxiety, and stress were 6.7 ± 1.2, 8.8 ± 1.2, and 5.6 ± 1.2, respectively. Females had significantly higher overall scores for depression (.24-fold increase), anxiety (.25-fold increase), and stress (.40-fold increase) than males (p ≤ .01). The risk for anxiety and stress by school year showed that basic years were associated with higher scores than advanced years (.25 and .38-fold increase, respectively). For females, starting medical school did show an increased risk of depression when compared to male students in their basic years (.38-fold increase). Lastly, students from Mexico had an increased risk for depression and anxiety (p ≤ .022 and p ≤ .004, respectively) but not for stress (p ≤ .402), when compared to students from Colombia. Discussion and conclusion. Significant anxiety and depression were observed in medical students from Mexico and Colombia. Factors associated with an increased risk of depression and anxiety are students in their basic years as well as being female.
介绍。新冠肺炎疫情导致学术活动停止,从面对面的形式到禁闭和虚拟课堂,几乎没有研究其对心理健康的影响。目标。确定2019冠状病毒病大流行期间墨西哥和哥伦比亚医学生的抑郁、焦虑和压力水平。此外,抑郁、焦虑和压力按性别、教育程度和国家进行比较。方法。对426名医学生进行了横断面研究。数据收集使用包含抑郁,焦虑,压力量表(DASS-21)的在线调查问卷。结果。抑郁、焦虑和压力总分分别为6.7±1.2、8.8±1.2和5.6±1.2。女性在抑郁方面的总体得分明显高于男性。增加24倍),焦虑(。增加25倍),压力(。40倍)高于男性(p≤0.01)。学年焦虑和压力的风险表明,基础年级的学生比高年级的学生得分更高。分别增加了25倍和0.38倍)。对于女性来说,开始医学院的学生在基础阶段与男生相比,确实显示出更高的抑郁风险。38倍增加)。最后,与来自哥伦比亚的学生相比,来自墨西哥的学生抑郁和焦虑的风险增加(p≤0.022和p≤0.004分别),但压力没有增加(p≤0.402)。讨论与结论。在墨西哥和哥伦比亚的医学生中观察到显著的焦虑和抑郁。与抑郁和焦虑风险增加相关的因素是小学阶段的学生以及女性。
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