Salud Mental最新文献

{"title":"Depressive symptoms, maternal feeding styles, and preschool child’s body weight","authors":"Y. Flores-Peña, M. E. Pérez-Campa, H. Avila-Alpirez, J. M. Gutiérrez-Valverde, G. Gutierrez-Sanchez","doi":"10.17711/sm.0185-3325.2021.034","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.034","url":null,"abstract":"Introduction. Depressive symptoms (DS) can impact maternal child feeding styles (MCFS), and child’s body weight. Objective. 1. Verify if DS are different depending if the child has, or not, overweight-obesity (OW-OB); 2. Identify the MCFS based on the fact that the child has, or not, OW-OB; 3. Verify it DS are different according to MCFS; 4. Identify DS’s predictors. Method. Correlational cross-sectional study. The participants were 259 dyads (mother- preschool child) residents in Mexico’ Northeast. Mothers answered the Center for Epidemiologic Studies Depression Scale, Revised, and the Caregiver Feeding Styles Questionnaire. Mann-Whitney U test, Chi-square test, Kruskall-Wallis H, and multiple linear regression analysis were performed. Results. Twelve point eight percent of the mothers (n = 33) had DS, 35.5% (n = 92) authoritarian MCFS. No significant difference was identified between DS and MCFS according to the child’s OW-OB or lack thereof (U = 5726.0, p #cer# .05 and X2 = .078, gl = 3, p #cer# .05). A significant positive correlation was found between DS and MCFS demandingness (rs = .208, p = .001). The authoritarian MCFS had the highest DS mean (H = 10.70, gl = 3, p #abr# .05). The demandingness predicts the DS (X2 = 826.445, gl = 1, p = .001). Discussion and conclusion. Authoritarian MCFS predominated, DS were higher in mothers with authoritarian MCFS; demandingness predicts DS. It is recommended to promote authoritarian MCFS which favors the development of healthy eating habits.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"264 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79715682","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}

{"title":"Violence as a main symptom of schizophrenia and expressed emotion in relatives of users from Instituto Jalisciense de Salud Mental","authors":"Ricardo Ignacio Audiffred Jaramillo, J. E. García de Alba García, Ivonne García Monzón, Carlos Isaac Loza Salazar, Leticia Limón Cervantes","doi":"10.17711/sm.0185-3325.2021.036","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.036","url":null,"abstract":"Introduction. Schizophrenia is a mental disorder that affects 21 million people worldwide, and it brings about environments with high Expressed Emotion (EE) in the families of these individuals. High EE is characterized by negative evaluations, criticism, and overinvolvement of family members towards the person with schizophrenia. Objective. Recognize the relationship between the cultural agreement about the symptoms of schizophrenia and EE. Method. The study had a mixed design, with a cognitive anthropology method. The sample had a probabilistic estimate based on Weller and Romney proposal, with a competence higher than 50%, a confidence level of 95%, and 5% of type I error. The 40 participants were selected with a simple randomized probability sampling, conformed by relatives of patients from the Instituto Jalisciense de Salud Mental (SALME). Results. The 45% of the sample showed a high EE according to the Questionnaire for Measuring the Level of Expressed Emotion (CEEE). A single valid cultural model with statistical significance was found, in which violence was identified as the main symptom of schizophrenia. The best-informed relatives showed a lower EE (Mann-Whitney U = 1,000, p #abr# .001). Discussion and conclusion. Schizophrenia disorder has been associated with stigmas that generate rejection and fear. A total of 40% of the world’s population believe people with schizophrenia are dangerous and violent. It must be considered opportune to reconsider the use of the term “schizophrenia”, which is etymologically imprecise and supports stigmas that have excluded and defamed people with schizophrenia for more than a century.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"123 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75957126","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}

{"title":"Evaluation of the first-night effect of polysomnographic recording on cardiac autonomic activity in children with autism spectrum disorder","authors":"Erik Leonardo Mateos Salgado, F. Ayala Guerrero, Alexis de Jesús Rueda Santos, Beatriz Eugenia del Olmo Alcántara","doi":"10.17711/sm.0185-3325.2021.039","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.039","url":null,"abstract":"Introduction. The first night effect (FNE) is the tendency to have lower than usual sleep quality and quantity during the first polysomnography (PSG) recording, which alters sleep architecture. The FNE occurs in autism spectrum disorder (ASD), with studies suggesting that cardiac autonomic dysregulation is altered in patients with this illness. Objective. To determine whether the FNE influences the autonomic activity of ASD and typically developing (TD) children. Method. Two PSGs were recorded in 13 ASD and 13 TD children. The FNE was evaluated with eight sleep variables and autonomic activity through respiratory sinus arrhythmia (RSA) and low frequency (LF). Statistical analyses included intra- and inter-subject comparisons. Results. The FNE was present in both groups and affected more sleep variables in the ASD group. There were no significant differences between both recordings in RSA and LF. Inter-subject comparison showed significant differences in certain sleep variables, mainly during the first night. A comparison of RSA and LF between N2 and N3 stages and REM sleep showed that the TD group had significant differences in both measures whereas the ASD group only did so in the LF the first night. Discussion and conclusion. The influence of the FNE on the quantitative characteristics of sleep is corroborated in ASD and TD children, but not in RSA or LF. When the activity of the RSA and LF between sleep stages was considered, a different pattern was observed between the two PSG recordings.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"8 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83464586","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}

{"title":"Self-medication with cannabidiol (CBD) and associated treatments in the self-care of anxiety in women from Mexico City: A qualitative study","authors":"R. Gutiérrez, Leticia Vega","doi":"10.17711/sm.0185-3325.2021.038","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.038","url":null,"abstract":"Introduction. The popular use of marijuana and its components (THC and CBD) for medicinal purposes is often regarded as irresponsible and ignorant. However, in this paper, it is conceptualized and studied as medical knowledge of self-care, in which it is linked to different therapeutic knowledge from conventional and alternative medicine to treat anxiety. Objective. This article reports on a qualitative research project designed to analyze the practices and risks of self-medication with CBD, and its links with medical treatments and self-care measures for dealing with anxiety in adult women in Mexico City. Method. Eleven adult women, mostly professionals, diagnosed with anxiety, participated in the study. In-depth interviews were conducted to learn how women use therapeutic resources to cope with anxiety in their everyday lives. The interviews were transcribed and analyzed using ATLAS ti 7 software. Results. Self-medication is part of a self-care process with several facets: the experience of symptoms, self-diagnosis, the use of various remedies (dosage and administration), and their evaluation. During this process, women use a range of medication, psychological therapies, herbalism, acupuncture, yoga, and sleep hygiene measures, including CBD, either as an alternative or an adjunct to biomedical pharmacology, with or without medical supervision. Certain risks were identified, such as the use of CBD that may be incorrectly labeled or interact dangerously with other self-prescribed substances. Discussion and conclusion. These results coincide with those of various authors who equate self-care with a first level of care, which has risks that could be reduced by controlling misleading marketing and developing professional medical services, which are trained and accessible to users, who could inform them about the medicinal use, scope and risks of CBD or THC for health.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"23 3 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83537706","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}

{"title":"A population study on perinatal psychological distress in Mexican fathers","authors":"M. Lara, S. Berenzon, L. Nieto, Laura Navarrete, Clara Fleiz, Marycarmen Bustos, J. Villatoro","doi":"10.17711/sm.0185-3325.2021.035","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.035","url":null,"abstract":"Introduction. The transition to parenthood can be a source of stress for fathers and, in some cases, it can be accompanied by emotional distress. This aspect has been neglected in Mexican research. Objective. To estimate the prevalence of emotional distress and the sociodemographic factors associated with it in Mexican fathers. Method. Cross-sectional study. A subsample of 997 fathers, over 18 years of age, was taken from the data of a national survey, whose partners were pregnant or had given birth in the last six months. The Kessler Emotional Distress Scale (K6) was used. Results. About 25% of the fathers experienced moderate emotional distress during their partner's pregnancy and 29.5% during the postpartum period; 1.0% and 1.9% showed serious emotional distress in those periods, respectively. Being between 18 and 29 years old (PR = .10; CI [.01, .79]), having lower educational attainment (PR = 5.59; CI [1.19, 26.21]), and going through postpartum (PR = 4.11; CI [1.00, 16.78]) were at higher risks for severe emotional distress; having one or two children (PR = .16; CI [.05, .55]) or more than three (PR = .08; CI [.01, .44]) was a higher risk than being a first-time father. Discussion and conclusion. It is necessary to continue studying paternal perinatal mental health due to the impact it has on the mother and the infant, and to design tailored interventions. Parental emotional distress needs to be better understood considering recent changes in the paternal role in developing countries.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"57 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77710987","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}

{"title":"Psychological stress in mothers of neonates admitted to an intensive care unit","authors":"Susana Mesa Mesa, Alejandra Gómez García, Luisa Fernanda Naranjo Pérez, Laura Montoya, Martha Saldarriaga, Juan David Velásquez Tirado, Gustavo Adolfo Constaín González, C. R. Ramírez, Yeison Felipe Gutiérrez Vélez, J. G. F. Vásquez","doi":"10.17711/10.17711/SM.0185-3325.2021.031","DOIUrl":"https://doi.org/10.17711/10.17711/SM.0185-3325.2021.031","url":null,"abstract":"Introduction. The admission of the newborn to a neonatal intensive care unit (NICU) leads to maternal stress. This stress has deleterious consequences on the mother and the appropriate attachment with her child. Objective. To assess the relationship of mothers’ sociodemographic, clinical, psychological, and psychiatric factors, as well as neonates’ clinical aspects with the level of psychological stress perceived by mothers of neonates admitted to the NICU. Method. Cross-sectional study with 47 women over the age of 18, whose infants had been admitted to a NICU during the last 72 hours. Bivariate correlations and a multivariate linear model with the significant variables in the bivariate analyses where performed. Results. According to the multivariate model, the perception of loneliness and the presence of at least one psychiatric diagnosis (depressive episode, dysthymia, generalized anxiety disorder, adjustment disorder, acute stress disorder, or substance use disorder) were associated with maternal stress. Problem-focused coping strategies were relevant within the model and could have protective value against stress. The model explained 73.5% of the stress severity variance ( F 38.848; p Discussion and conclusion. Stress in mothers of newborns admitted to a NICU is related to their feeling of loneliness and mental health. The mothers’ need for support and psychopathology are aspects to be considered when providing care to the newborns and their families. Training in coping strategies focused on specific situations could contribute to the reduction of mothers’ stress.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"39 6","pages":"241-248"},"PeriodicalIF":1.3,"publicationDate":"2021-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72591095","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}

{"title":"Psychosocial factors and mental health in Mexican healthcare workers during the COVID-19 pandemic","authors":"A. Juárez-García, Anabel Camacho-avila, J. García-Rivas, Oniria Gutiérrez-Ramos","doi":"10.17711/sm.0185-3325.2021.030","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.030","url":null,"abstract":"Introduction. The World Health Organization has estimated a significant increase in mental disorders due to the COVID-19 pandemic and has identified healthcare workers as a vulnerable group. In Mexico, the impact of this pandemic on the mental health of healthcare workers and the psychosocial factors associated with it remain unknown. Objective. To identify levels of stress, burnout, anxiety, and depression and their relationship with negative psychosocial stressors and positive psychosocial resources in healthcare workers in Mexico during the COVID-19 pandemic. Method. As a part of a larger project in certain Latin American countries, 269 health workers from various Mexican clinics and hospital centers initially participated in a non-experimental, cross-sectional correlational design. Participants were recruited by targeted sampling. Various ultra-brief measures were used to measure symptoms of depression, anxiety, burnout, and stress and a mixed-methods exploration technique was used to identify associated psychosocial factors, which were also explored with cluster analysis. Results. We found high levels of depressive and anxiety symptoms (56.9% and 74.7%), as well as burnout and stress (49.8% and 46.8%). Although the stressors “infection of self” and “family infection” (38.3% and 30.9%) and the resources “family” and “personal protective equipment” (34.6% and 24.5%) were the most frequent, there were more than 20 factors in each category differentially associated with mental health. Cluster analysis made it possible to identify representative sets of psychosocial variables. Discussion and conclusion. The increased risk in mental health for health care workers is confirmed in a preliminary way and the stressors and resources to be considered in preventive strategies to address COVID-19 pandemic in Mexico are identified.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"9 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75315850","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}

{"title":"Well-being and mental health of healthcare workers before, during, and after COVID-19","authors":"Emmeline Lagunes Cordoba","doi":"10.17711/SM.0185-3325.2021.027","DOIUrl":"https://doi.org/10.17711/SM.0185-3325.2021.027","url":null,"abstract":"The World Health Organization states that people’s mental health is as essential and important to our well-being as is our physical health. This is because, when we feel mentally well, we can not only be productive and contribute to our communities, but we can also enjoy our free time, and arguably enjoy our lives. The recognition of this intricated relationship has led to multiple studies focused on identifying those factors impacting people’s well-being and mental health. For example, alcohol consumption and obesity have been associated with poor mental health and quality of life, while physical activity, adequate sleep, and consumption of fruits and vegetables have been associated with better health and well-being. As well as having good social support and socioeconomic stability.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"28 1","pages":"211-214"},"PeriodicalIF":1.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82729804","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}

{"title":"Stress in university research professors: A systematic review","authors":"Rubén Francisco Palafox Carvajal, Miriam Teresa Domínguez Guedea","doi":"10.17711/sm.0185-3325.2021.032","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.032","url":null,"abstract":"Background. Research is crucial to the development of society. The literature on the challenges for scientific development highlights that chronic stress in researchers can affect their academic production and their physical and mental health. Although some literature reports the consequences of stress in the academic field, most studies are carried out on students, and there is very little knowledge on the characteristics of stress because of simultaneous academic, occupational, and socio-personal demands. Objective. To analyze and contrast the methodological components and main results of stress-related studies on researchers. Method. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guide was used to analyze current evidence in the literature. Full-text scientific papers from the period 2008-2019 were included in both English and Spanish, on subjects engaged in research and teaching. The databases used were Scopus, Ebsco, Dialnet, and Web of Science. Results. One hundred and eighty records were obtained, but only four met the criteria for the qualitative evaluation. Discussion and conclusion. Stress is present in the 20% of subjects associated with psychological (lack of control, emotional fatigue, overload, multi-tasking) and institutional variables (evaluation system demands, tenure track, lack of scientific recognition). The studies emphasize aspects that predispose and precipitate stress but do not highlight psychological aspects of the stressful experience.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"31 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83154270","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}

{"title":"Digital survey of mental health, associated psychosocial, and work factors in medical specialty residents in the Guadalajara metropolitan area","authors":"J. A. Aldana López, Eric Foulkes González, José Fernando Ojeda Palomera, Jaime Carmona Huerta, Martín Acosta Fernández","doi":"10.17711/sm.0185-3325.2021.029","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.029","url":null,"abstract":"Introduction. Medical specialty residents have become a high-risk population for mental health disorders, mainly due to long working days, limited time for rest and recreation, problems inherent in the work environment, and substance use. Since all these factors not only alter the training of future specialists, but also the care they provide for people, the study of an intervention in this population is of interest to the health system and human resource training in the health sector. Objective. To evaluate the mental health status, prevalence of work exhaustion and associated psychosocial and work factors in medical residents in the Guadalajara Metropolitan Area. Method. This was a cross-sectional, observational, descriptive, and comparative study, in which, through a digitized survey on the Google Forms platform, the GHQ-28, ASSIST, and Maslach Burnout Inventory scales were administered to medical specialty residents from various health institutions in the Guadalajara Metropolitan Area. Results. The total sample comprised 306 residents, representing 11.23% of the total residents in the Guadalajara Metropolitan Area (2,724). Female physicians had a higher percentage of participation with 61.4% (n = 188), with male physicians accounting for 38.6% (n = 118). The average age was 28.9 years and 84.9% (n = 260) were pursuing a clinical specialty, and 15.1% (n = 46) a surgical one p ˂ 05. On average, they worked 74.1 hours per week, whereas in surgical specialties they worked another 10 hours (82.63 ± 23.40 vs. 72.67 ± 19.76, p = .002). 72.5% (n = 222) showed a high risk of developing burnout. 9.2% (n = 28) obtained scores compatible with severe depression, which was related to a higher number of hours worked per week and heavier alcohol consumption than residents without depression, 21.24% (n = 65) of respondents frequently thought about dropping out, 22.5% (n = 69) felt dissatisfied with their work, while 14.05% (n = 43) of the residents had recently noticed that they had had frequent thoughts of taking their own lives. Discussion and conclusion. The higher number of hours worked per week, surgical specialties, and the presence of workplace harassment were recognized as psychosocial and occupational factors associated with mental health problems in resident physicians, such as depression, thoughts of death, burnout, and psychoactive substance use. In a country like Mexico, where medical residents are a crucial pillar of the public health system, it is necessary to ensure their well-being, and seek to improve the working and academic conditions of medical residencies to ensure that this is reflected in the quality and safety of patient care.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"3 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76534327","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}