Pub Date : 2023-03-20DOI: 10.17711/sm.0185-3325.2023.012
Fernando Flores Hernández, Sara Morales López, Yuseli Olivia Ramos Castillo, Tania Vives Varela, Manuel Millán-Hernández
Introduction. The Ryff Scale of Psychological Well-Being is the most widely used instrument for assessing the eudemonic perspective of well-being. Although it has been adapted for the Spanish population, it has not been modified for health science students in the Mexican population. Objective. Adapt and obtain the psychometric properties of this scale for medical students in the Mexican population. Method. The study was conducted with 1,974 undergraduate students, 1,551 from the UNAM Medicine Faculty and 423 from the La Salle University Mexican School of Medicine. The analysis was undertaken using the IBM SPSS Statistics 21 and AMOS 21 SPSS programs. Results. An instrument with a robust structure derived from the exploratory and confirmatory factor analyses carried out was obtained, with satisfactory explained variance, adequate internal consistency obtained through the Cronbach’s alpha coefficient, and appropriate discrimination. Discussion and conclusion. Our adaptation is a suitable version for Mexican medical students with four final dimensions; purpose in life, personal rejection and self-acceptance, personal control, and personal growth.
{"title":"Adaptation of the Psychological Wellbeing Scale in Mexican medical students","authors":"Fernando Flores Hernández, Sara Morales López, Yuseli Olivia Ramos Castillo, Tania Vives Varela, Manuel Millán-Hernández","doi":"10.17711/sm.0185-3325.2023.012","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.012","url":null,"abstract":"Introduction. The Ryff Scale of Psychological Well-Being is the most widely used instrument for assessing the eudemonic perspective of well-being. Although it has been adapted for the Spanish population, it has not been modified for health science students in the Mexican population. Objective. Adapt and obtain the psychometric properties of this scale for medical students in the Mexican population. Method. The study was conducted with 1,974 undergraduate students, 1,551 from the UNAM Medicine Faculty and 423 from the La Salle University Mexican School of Medicine. The analysis was undertaken using the IBM SPSS Statistics 21 and AMOS 21 SPSS programs. Results. An instrument with a robust structure derived from the exploratory and confirmatory factor analyses carried out was obtained, with satisfactory explained variance, adequate internal consistency obtained through the Cronbach’s alpha coefficient, and appropriate discrimination. Discussion and conclusion. Our adaptation is a suitable version for Mexican medical students with four final dimensions; purpose in life, personal rejection and self-acceptance, personal control, and personal growth.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"61 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91147624","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}
Pub Date : 2023-03-20DOI: 10.17711/sm.0185-3325.2023.011
Juliette Marie Brito-Suárez, Anna D Argoty-Pantoja, Luisa Fernanda Achury Beltrán, Luis Eduardo González Martínez,, Claudia Gutiérrez Camacho
Introduction. The COVID-19 pandemic has negatively impacted physical and mental health worldwide. It is essential to continue exploring the population’s psychological manifestations and the pandemic’s impact on lifestyles (physical activity, quality of sleep). Objective. This research aimed to describe the relationship between affect (positive and negative) and physical activity (PA) in college students during the COVID-19 pandemic. Method. A cross-sectional survey was conducted on health sciences students from three universities in Mexico and Colombia. PA was assessed using the short version of the International Physical Activity Questionnaire (IPAQ-S), and affects were measured using the PANAS index. A logistic regression model was used to assess the association between PA and affect. Results. We included 430 participants between 16 and 40 years. We found no differences between the male and female participants regarding age, weight (BMI), PA, or the number of hours of sitting per day. The monthly consumption of alcohol and tobacco was more frequent in males (p () .05), and women expressed having worse sleep quality (p () .05). Adjusting for the number of hours spent sitting per day, gender, BMI, age, sleep quality, smoking and alcohol consumption habits, participants reported having more positive affect when they engaged in greater PA. No association was found between PA and negative affect. Discussion and conclusion. Prioritizing mental health and assessments that determine the late impact of the COVID-19 pandemic on psychological well-being is critical. Promoting PA in university communities is considered a priority to positively impact students’ mental health and provide tools to facilitate coping.
{"title":"Association between physical activity and affects in college students during the COVID-19 pandemic: A cross-sectional study","authors":"Juliette Marie Brito-Suárez, Anna D Argoty-Pantoja, Luisa Fernanda Achury Beltrán, Luis Eduardo González Martínez,, Claudia Gutiérrez Camacho","doi":"10.17711/sm.0185-3325.2023.011","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.011","url":null,"abstract":"Introduction. The COVID-19 pandemic has negatively impacted physical and mental health worldwide. It is essential to continue exploring the population’s psychological manifestations and the pandemic’s impact on lifestyles (physical activity, quality of sleep). Objective. This research aimed to describe the relationship between affect (positive and negative) and physical activity (PA) in college students during the COVID-19 pandemic. Method. A cross-sectional survey was conducted on health sciences students from three universities in Mexico and Colombia. PA was assessed using the short version of the International Physical Activity Questionnaire (IPAQ-S), and affects were measured using the PANAS index. A logistic regression model was used to assess the association between PA and affect. Results. We included 430 participants between 16 and 40 years. We found no differences between the male and female participants regarding age, weight (BMI), PA, or the number of hours of sitting per day. The monthly consumption of alcohol and tobacco was more frequent in males (p () .05), and women expressed having worse sleep quality (p () .05). Adjusting for the number of hours spent sitting per day, gender, BMI, age, sleep quality, smoking and alcohol consumption habits, participants reported having more positive affect when they engaged in greater PA. No association was found between PA and negative affect. Discussion and conclusion. Prioritizing mental health and assessments that determine the late impact of the COVID-19 pandemic on psychological well-being is critical. Promoting PA in university communities is considered a priority to positively impact students’ mental health and provide tools to facilitate coping.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"97 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85059753","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}
Pub Date : 2023-03-20DOI: 10.17711/sm.0185-3325.2023.007
León Jesús German-Ponciano, María Fernanda Zapata-de la Rosa, Brenda Itzel Molina-Cadena, Yared Sarai Velasco-Gómez, Á. A. Puig-Lagunes
Introduction. As a result of the COVID-19 pandemic, the prevalence of stress, anxiety, depression, and alcohol consumption has increased among medical students. Mindfulness is an intervention to decrease these psychopathologies and alcohol consumption; however, evidence has shown unclear results regarding its efficacy. Objective. To evaluate the effectiveness of an online Mindfulness-based intervention (MBI) on stress, anxiety, and depression symptomatology levels, as well as on alcohol consumption and mindfulness status in medical students during the COVID-19 pandemic. Method. A quasi-experimental study was conducted on 237 students, obtaining sociodemographic data. In addition the levels of psychopathology, alcohol consumption, and state of mindfulness: were measured pre-and post-intervention through the DASS-21, AUDIT, and MASS instruments. Eight online Mindfulness sessions were conducted once a week for approximately one hour each. Results. MBI did not reduce levels of psychopathologies or alcohol consumption, nor did the mindfulness status improve. High levels of psychopathologies, dropout rate, and lack of voluntary participation were the main factors limiting the effectiveness of the online MBI. Discussion and conclusion. The online MBI wasn’t effective among the population under study: we recommend generation strategies where students are involved in and complete intervention programs. Results from this research will help enhance future online mindfulness interventions.
{"title":"Effectiveness evaluation of online Mindfulness in mental health and alcohol consumption in medical students during the COVID-19 pandemic","authors":"León Jesús German-Ponciano, María Fernanda Zapata-de la Rosa, Brenda Itzel Molina-Cadena, Yared Sarai Velasco-Gómez, Á. A. Puig-Lagunes","doi":"10.17711/sm.0185-3325.2023.007","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.007","url":null,"abstract":"Introduction. As a result of the COVID-19 pandemic, the prevalence of stress, anxiety, depression, and alcohol consumption has increased among medical students. Mindfulness is an intervention to decrease these psychopathologies and alcohol consumption; however, evidence has shown unclear results regarding its efficacy. Objective. To evaluate the effectiveness of an online Mindfulness-based intervention (MBI) on stress, anxiety, and depression symptomatology levels, as well as on alcohol consumption and mindfulness status in medical students during the COVID-19 pandemic. Method. A quasi-experimental study was conducted on 237 students, obtaining sociodemographic data. In addition the levels of psychopathology, alcohol consumption, and state of mindfulness: were measured pre-and post-intervention through the DASS-21, AUDIT, and MASS instruments. Eight online Mindfulness sessions were conducted once a week for approximately one hour each. Results. MBI did not reduce levels of psychopathologies or alcohol consumption, nor did the mindfulness status improve. High levels of psychopathologies, dropout rate, and lack of voluntary participation were the main factors limiting the effectiveness of the online MBI. Discussion and conclusion. The online MBI wasn’t effective among the population under study: we recommend generation strategies where students are involved in and complete intervention programs. Results from this research will help enhance future online mindfulness interventions.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"20 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86475334","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}
Pub Date : 2023-03-20DOI: 10.17711/sm.01863325.2023.006
Diana Guízar-Sánchez, V. Inclán-Rubio, R. Sampieri-Cabrera
{"title":"Towards the design of holistic mental health programs in the student population","authors":"Diana Guízar-Sánchez, V. Inclán-Rubio, R. Sampieri-Cabrera","doi":"10.17711/sm.01863325.2023.006","DOIUrl":"https://doi.org/10.17711/sm.01863325.2023.006","url":null,"abstract":"","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"25 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81711063","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}
Pub Date : 2023-03-20DOI: 10.17711/sm.0185-3325.2023.008
Karolay Tocto-Solis, Elizabeth Carolina Muñoz Arteaga, Jessenia Fiestas-Cordova, Christian Alberto Rodriguez-Saldaña
Introduction. University students experience multiple academic and social activities that cause enormous anxiety and stress, affecting them psychologically and physically. In this case, the psychosomatic symptoms, resulting from stress and anxiety, are part of a physical ailment and their emergence can be linked to the setting and time when they occur. Objective. To determine the association between anxiety levels and the degree of psychosomatic features (PF). Method. A study with a cross-sectional analytical design was developed, which included a total of 352 medical students from the city of Piura, Peru, to whom the PHQ-15 test was administered through Google Forms. Those with a previous psychiatric diagnosis were excluded. Results. It was found that PF are influenced by being female (RPa = 1.45, CI 95% = [1.23, 1.71], p ≤ .001), and having mild (RPa = 1.11, CI 95% = [1.20, 1.63], p ≤ .001) and moderate anxiety levels (RPa = 1.7, CI 95% = [1.24, 2.34], p = .001). Discussion and conclusion. The presence of a mental condition is necessary for the presence of PF. These stressors create selective alterations of large-scale brain networks involved in the cognitive control, regulation and processing of emotions, stress, and somatic-visceral perception. The study concludes that psychosomatic features are found in approximately 75% of medical students and anxiety in approximately 15%. Mild and moderate anxiety is an influential factor in psychosomatic features, as is being female.
介绍。大学生经历了多种学术和社会活动，这些活动造成了巨大的焦虑和压力，影响了他们的心理和身体。在这种情况下，由压力和焦虑引起的心身症状是身体疾病的一部分，它们的出现可能与发生时的环境和时间有关。目标。确定焦虑水平与心身特征(PF)程度之间的关系。方法。一项采用横断面分析设计的研究被开发出来，其中包括来自秘鲁皮乌拉市的352名医学生，通过谷歌表格对他们进行PHQ-15测试。那些先前有精神病诊断的人被排除在外。结果。结果发现，焦虑程度受女性(RPa = 1.45, CI 95% = [1.23, 1.71]， p≤0.001)、轻度焦虑(RPa = 1.11, CI 95% = [1.20, 1.63]， p≤0.001)和中度焦虑(RPa = 1.7, CI 95% = [1.24, 2.34]， p = 0.001)的影响。讨论与结论。精神状态的存在是PF出现的必要条件。这些压力源造成了涉及认知控制、情绪、压力和躯体-内脏感知的调节和处理的大规模大脑网络的选择性改变。该研究得出结论，大约75%的医学生有心身特征，大约15%的医学生有焦虑。轻度和中度焦虑是心身特征的一个影响因素，女性也是如此。
{"title":"Association between level of anxiety and degree of psychosomatic features in medical students at a private university in Northern Peru","authors":"Karolay Tocto-Solis, Elizabeth Carolina Muñoz Arteaga, Jessenia Fiestas-Cordova, Christian Alberto Rodriguez-Saldaña","doi":"10.17711/sm.0185-3325.2023.008","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.008","url":null,"abstract":"Introduction. University students experience multiple academic and social activities that cause enormous anxiety and stress, affecting them psychologically and physically. In this case, the psychosomatic symptoms, resulting from stress and anxiety, are part of a physical ailment and their emergence can be linked to the setting and time when they occur. Objective. To determine the association between anxiety levels and the degree of psychosomatic features (PF). Method. A study with a cross-sectional analytical design was developed, which included a total of 352 medical students from the city of Piura, Peru, to whom the PHQ-15 test was administered through Google Forms. Those with a previous psychiatric diagnosis were excluded. Results. It was found that PF are influenced by being female (RPa = 1.45, CI 95% = [1.23, 1.71], p ≤ .001), and having mild (RPa = 1.11, CI 95% = [1.20, 1.63], p ≤ .001) and moderate anxiety levels (RPa = 1.7, CI 95% = [1.24, 2.34], p = .001). Discussion and conclusion. The presence of a mental condition is necessary for the presence of PF. These stressors create selective alterations of large-scale brain networks involved in the cognitive control, regulation and processing of emotions, stress, and somatic-visceral perception. The study concludes that psychosomatic features are found in approximately 75% of medical students and anxiety in approximately 15%. Mild and moderate anxiety is an influential factor in psychosomatic features, as is being female.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"25 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77014481","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}
Pub Date : 2023-03-20DOI: 10.17711/sm.0185-3325.2023.015
Felipe Agudelo Hernández, María Benavides Bastidas, Fernando Arango Gómez
Introduction. A steady rise in mental problems has been observed in the university population, particularly in the area of health, related to the COVID-19 pandemic. Protective factors such as resilience and risk factors such as adverse events in childhood have been associated with mental health outcomes. Objective. Describe psychiatric symptoms and their association with adverse childhood experiences and resilience in first-semester students in the three undergraduate programs of the Faculty of Health Sciences of the University of Caldas, Colombia in 2020. Method. Descriptive, cross-sectional, correlational study, using a virtual survey including the SRQ (Self Reporting Questionnaire), Wagnild and Young’s Resilience Scale and questions on adverse childhood experiences. Results. A total of 108 students with a mean age of 19.6 years participated in the study. Affective symptoms were found in 6.4% of subjects. The most frequent level of resilience was medium, while the most commonly reported adverse event was child abuse. An association was found between being exposed to adverse childhood experiences and the presence of symptoms that compromise mental health and alter one of the domains of resilience. A link was also found between the presence of these symptoms and the alteration of domains of resilience. Discussion and conclusion. It was possible to identify a risk of mental health disorders in students, and to establish an association between adverse events in childhood and resilience.
{"title":"Resilience, adverse childhood experiences, and mental health in Health Science students during the COVID-19 pandemic","authors":"Felipe Agudelo Hernández, María Benavides Bastidas, Fernando Arango Gómez","doi":"10.17711/sm.0185-3325.2023.015","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.015","url":null,"abstract":"Introduction. A steady rise in mental problems has been observed in the university population, particularly in the area of health, related to the COVID-19 pandemic. Protective factors such as resilience and risk factors such as adverse events in childhood have been associated with mental health outcomes. Objective. Describe psychiatric symptoms and their association with adverse childhood experiences and resilience in first-semester students in the three undergraduate programs of the Faculty of Health Sciences of the University of Caldas, Colombia in 2020. Method. Descriptive, cross-sectional, correlational study, using a virtual survey including the SRQ (Self Reporting Questionnaire), Wagnild and Young’s Resilience Scale and questions on adverse childhood experiences. Results. A total of 108 students with a mean age of 19.6 years participated in the study. Affective symptoms were found in 6.4% of subjects. The most frequent level of resilience was medium, while the most commonly reported adverse event was child abuse. An association was found between being exposed to adverse childhood experiences and the presence of symptoms that compromise mental health and alter one of the domains of resilience. A link was also found between the presence of these symptoms and the alteration of domains of resilience. Discussion and conclusion. It was possible to identify a risk of mental health disorders in students, and to establish an association between adverse events in childhood and resilience.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"10 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89399518","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}
Pub Date : 2023-01-27DOI: 10.17711/sm.0185-3325.2023.004
M. Fairuzza, Thoyyibatus Sarirah, Drina Intyaswati
Introduction. Verbal abuse is one of the domestic violence that is still underestimated because it has no direct physical effect; it has a tremendous impact on young adults’ mental health. Objective. This study wanted to confirm the negative effect of verbal abuse on mental health. In addition, parental education is also predicted to play a role in young adults’ mental health. Method. This study uses a quantitative approach with a total sample of 160 respondents, consisting of 47 males and 113 females. Data collection was carried out by distributing questionnaires through social media, with the criteria of respondents being in the range of 18-22 years old and being cared for by their parents in childhood. Results. The results showed a significant negative effect of parental verbal abuse in childhood on mental health in young adults. In addition, a father’s education also has a positive effect on young adults’ mental health, whereas a mother’s education does not play a role in mental health. Discussion and conclusion. Verbal abuse from parents as a youngster will impact one’s mental health as a young adult. Future research is expected to look at who commits verbal abuse in more detail and increase the sample size to evaluate the effect of maternal education.
{"title":"The role of parental education on verbal abuse and its impact on the mental health of young adults","authors":"M. Fairuzza, Thoyyibatus Sarirah, Drina Intyaswati","doi":"10.17711/sm.0185-3325.2023.004","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.004","url":null,"abstract":"Introduction. Verbal abuse is one of the domestic violence that is still underestimated because it has no direct physical effect; it has a tremendous impact on young adults’ mental health. Objective. This study wanted to confirm the negative effect of verbal abuse on mental health. In addition, parental education is also predicted to play a role in young adults’ mental health. Method. This study uses a quantitative approach with a total sample of 160 respondents, consisting of 47 males and 113 females. Data collection was carried out by distributing questionnaires through social media, with the criteria of respondents being in the range of 18-22 years old and being cared for by their parents in childhood. Results. The results showed a significant negative effect of parental verbal abuse in childhood on mental health in young adults. In addition, a father’s education also has a positive effect on young adults’ mental health, whereas a mother’s education does not play a role in mental health. Discussion and conclusion. Verbal abuse from parents as a youngster will impact one’s mental health as a young adult. Future research is expected to look at who commits verbal abuse in more detail and increase the sample size to evaluate the effect of maternal education.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"177 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76414278","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}
Pub Date : 2023-01-27DOI: 10.17711/sm.0185-3325.2023.002
Ester Gutiérrez-Velilla, M. C. Iglesias, N. Caballero-Suárez
Introduction. Patient-physician relationship is associated with ART adherence and medical follow-up in people living with HIV (PLWH). Patient’s trust in their doctor is a key component of patient-physician relationship, so adequate and reliable instruments to measure this component are important to evaluate its impact on health outcomes. Objective. To evaluate the psychometric properties of a translated and adapted version of Trust in Physician Scale (TPS) in Mexican PLWH. Method. A cross-sectional study was carried out in PLWH. Scale was translated to Spanish and culturally adapted. Sociodemographic and TPS data were collected online due to COVID-19 pandemic. Exploratory (EFA) and confirmatory (CFA) factor analysis were carried out in two different samples. Results. Data from 215 participants was used to EFA. Five items were eliminated due to low correlation with total scale. Final Cronbach's alpha was .93. A single-factor structure explained 68.8% of the variance. CFA in a sample of 140 participants confirmed adequate fit indices (χ2[7] = 13.015 p = .072, CFI = .997, RMSEA = .057, SMRS = .0015). Discussion and conclusion. The final scale was unifactorial and it is made up of six items instead of 11. It seems to be a valid and reliable scale to measure patient’s trust in doctors in Mexican PLWH. Further studies are recommended to provide evidence of convergent validity to the instrument.
{"title":"Measuring confidence in physician: Adaptation and validation of TPS in HIV individuals from Mexico","authors":"Ester Gutiérrez-Velilla, M. C. Iglesias, N. Caballero-Suárez","doi":"10.17711/sm.0185-3325.2023.002","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.002","url":null,"abstract":"Introduction. Patient-physician relationship is associated with ART adherence and medical follow-up in people living with HIV (PLWH). Patient’s trust in their doctor is a key component of patient-physician relationship, so adequate and reliable instruments to measure this component are important to evaluate its impact on health outcomes. Objective. To evaluate the psychometric properties of a translated and adapted version of Trust in Physician Scale (TPS) in Mexican PLWH. Method. A cross-sectional study was carried out in PLWH. Scale was translated to Spanish and culturally adapted. Sociodemographic and TPS data were collected online due to COVID-19 pandemic. Exploratory (EFA) and confirmatory (CFA) factor analysis were carried out in two different samples. Results. Data from 215 participants was used to EFA. Five items were eliminated due to low correlation with total scale. Final Cronbach's alpha was .93. A single-factor structure explained 68.8% of the variance. CFA in a sample of 140 participants confirmed adequate fit indices (χ2[7] = 13.015 p = .072, CFI = .997, RMSEA = .057, SMRS = .0015). Discussion and conclusion. The final scale was unifactorial and it is made up of six items instead of 11. It seems to be a valid and reliable scale to measure patient’s trust in doctors in Mexican PLWH. Further studies are recommended to provide evidence of convergent validity to the instrument.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"52 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83351592","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}
Pub Date : 2023-01-27DOI: 10.17711/sm.0185-3325.2023.005
Carolina Wagner, Rocío Cáceres-Melillo
Background. Previous reviews have concluded that whilst mindfulness-based interventions reduce PTSD symptoms through fear extinction and cognitive restructuring, further research is needed. Objective. The aim of this report is to systematically review existing literature about the association between standardized mindfulness-based interventions and PTSD with the aim of identifying implications for practice and recommendations for future research. Method. The CINAHL Complete, PsycINFO, Medline, and PsycArticles databases were searched, looking for full-text articles from 2018 up to march 2022. Results. There was a significant improvement in PTSD symptoms in MBCT participants, even if some experienced a high increase at baseline. MBSR participants with moderate to severe trauma symptoms showed a greater reduction in symptoms whereas mild trauma symptoms at baseline showed slightly higher symptomatology at the end of treatment. Discussion and conclusion. From the results, MBCT, MBSR, and their variations seem to tackle different domains of the diagnosis. Whilst MBSR is associated with improvements in terms of attentional difficulties, MBCT facilitates the connection between dysfunctional cognitive concepts and avoidant behaviours that maintain the symptomatology. Nevertheless, the active components of MBCT or MBSR that have an impact on symptom reduction are undetermined. Future studies will be enhanced by monitoring the change in underlying mechanisms attached to the practice of mindfulness through outcome measurements, among other considerations.
{"title":"Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness-Based Stress Reduction (MBSR) in the treatment of Post-Traumatic Stress Disorder (PTSD): A literature review","authors":"Carolina Wagner, Rocío Cáceres-Melillo","doi":"10.17711/sm.0185-3325.2023.005","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.005","url":null,"abstract":"Background. Previous reviews have concluded that whilst mindfulness-based interventions reduce PTSD symptoms through fear extinction and cognitive restructuring, further research is needed. Objective. The aim of this report is to systematically review existing literature about the association between standardized mindfulness-based interventions and PTSD with the aim of identifying implications for practice and recommendations for future research. Method. The CINAHL Complete, PsycINFO, Medline, and PsycArticles databases were searched, looking for full-text articles from 2018 up to march 2022. Results. There was a significant improvement in PTSD symptoms in MBCT participants, even if some experienced a high increase at baseline. MBSR participants with moderate to severe trauma symptoms showed a greater reduction in symptoms whereas mild trauma symptoms at baseline showed slightly higher symptomatology at the end of treatment. Discussion and conclusion. From the results, MBCT, MBSR, and their variations seem to tackle different domains of the diagnosis. Whilst MBSR is associated with improvements in terms of attentional difficulties, MBCT facilitates the connection between dysfunctional cognitive concepts and avoidant behaviours that maintain the symptomatology. Nevertheless, the active components of MBCT or MBSR that have an impact on symptom reduction are undetermined. Future studies will be enhanced by monitoring the change in underlying mechanisms attached to the practice of mindfulness through outcome measurements, among other considerations.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"96 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74970467","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}
Pub Date : 2023-01-27DOI: 10.17711/sm.0185-3325.2023.001
Yarmila Elena Valencia Carlo, Guillermina Natera Rey, Alejandro Jiménez Genchi
Introduction. Increased rumination is associated with longer night-time sleep onset latency and poorer sleep quality and efficiency in people with insomnia symptoms. Objective. To validate the Diurnal Insomnia Symptoms Response Scale (DISRS) in a general population sample. Method. 102 participants (women = 67 and men = 35) comprising patients and relatives who attended an outpatient consultation at a health center in Mexico City were evaluated. The English-Spanish-English translation system was used by two Spanish-speaking experts on the subject, an independent bilingual expert translated the new version of the scale into English, which was then compared with the original. The following self-administered questionnaires were used to evaluate the convergent, discriminant validity of this tool: the Ruminative Response Scale (RRS), the Insomnia Severity Index (ISI), and Penn State Worry Questionnaire (PSWQ). Results. The internal consistency of the scale items was α = .93. Principal components factor analysis yielded three factors with an eigenvalue of greater than one, which together explain 59.5% of the variance. Correlations between the total DISRS score and the cognitive-motivational dimensions (r = .938, p () .01), negative state (r = .898, p () .01) and tiredness (r = .853, p () .01) were statistically significant. Insomnia symptoms (SCC = .89) outweighed worries (SCC = .33) and ruminant responses (SCC = .33) when discriminating between cases with low and high levels of rumination associated with insomnia symptoms. Discussion and conclusion. Our results suggest that the DISRS scale has adequate psychometric properties that make it valid and reliable for use with the Mexican population.
{"title":"Psychometric properties of the Diurnal Insomnia Symptoms Response Scale (DISRS) in a Mexican population sample APPENDIX","authors":"Yarmila Elena Valencia Carlo, Guillermina Natera Rey, Alejandro Jiménez Genchi","doi":"10.17711/sm.0185-3325.2023.001","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2023.001","url":null,"abstract":"Introduction. Increased rumination is associated with longer night-time sleep onset latency and poorer sleep quality and efficiency in people with insomnia symptoms. Objective. To validate the Diurnal Insomnia Symptoms Response Scale (DISRS) in a general population sample. Method. 102 participants (women = 67 and men = 35) comprising patients and relatives who attended an outpatient consultation at a health center in Mexico City were evaluated. The English-Spanish-English translation system was used by two Spanish-speaking experts on the subject, an independent bilingual expert translated the new version of the scale into English, which was then compared with the original. The following self-administered questionnaires were used to evaluate the convergent, discriminant validity of this tool: the Ruminative Response Scale (RRS), the Insomnia Severity Index (ISI), and Penn State Worry Questionnaire (PSWQ). Results. The internal consistency of the scale items was α = .93. Principal components factor analysis yielded three factors with an eigenvalue of greater than one, which together explain 59.5% of the variance. Correlations between the total DISRS score and the cognitive-motivational dimensions (r = .938, p () .01), negative state (r = .898, p () .01) and tiredness (r = .853, p () .01) were statistically significant. Insomnia symptoms (SCC = .89) outweighed worries (SCC = .33) and ruminant responses (SCC = .33) when discriminating between cases with low and high levels of rumination associated with insomnia symptoms. Discussion and conclusion. Our results suggest that the DISRS scale has adequate psychometric properties that make it valid and reliable for use with the Mexican population.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"38 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90916869","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：