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Search Results: 1 - 10 of 16149 matches for " Silvia;Medina-Mora "
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Association between smoking and minimal-mild depressive symptomatology in heavy smokers
Moreno Couti?o, Ana;Ruiz Velasco, Silvia;Medina-Mora Icaza, María Elena;
Salud mental , 2009,
Abstract: the world health organization (who) estimates that by the year 2020 tobacco addiction will be responsible for 10 million deaths, seventy percent of which will occur in underdeveloped countries. on the other hand, depression affects about 121 million people worldwide, and is projected to reach a second place in the ranking of disability adjusted life years (dalys) calculated for all ages and both sexes by the year 2020. in mexico, 14 million people are current smokers and 9.6 million are former smokers, according to the 2002 national addictions survey, and almost four million people are diagnosed with depression. both disorders are classified among the main causes of mortality and disability in mexico. by gender, major depression in females is the second most prevalent disorder. two percent of the mexican population (two million people) present at least one major depressive episode before reaching the age of 18. several studies have found an important link between depression and smoking. more recently, it was reported that the manifestation of depressive symptomatology predicts smoking addiction. although the strong association between affective disorders and drug abuse has been documented, they are generally treated independently. for this reason, the need for integral management of comorbid diseases has been highlighted. little is known about specific populations of patients that simultaneously manifest both disorders, and more knowledge is needed in order to design precise integral treatments for this kind of patients, taking into consideration the gender, severity of depression and level of nicotine dependence. the aim of this study was to describe the association between depressive symptoms, sociodemographic characteristics, and pattern of tobacco consumption of heavy smokers with minimal-mild depressive symptomatology in order to adjust for these relations in a later longitudinal regression analysis after these subjects have been assigned to different condition
Association between smoking and minimal-mild depressive symptomatology in heavy smokers
Ana Moreno Couti?o,Silvia Ruiz Velasco,María Elena Medina-Mora Icaza
Salud mental , 2009,
Abstract: La Organización Mundial de la Salud (OMS) estima que para el a o 2020 la adicción al tabaco será responsable de 10 millones de muertes, 70% de las cuales ocurrirá en los países subdesarrollados. La mitad de los fumadores actuales, aproximadamente 650 millones de personas, morirá debido a una causa relacionada con el consumo de tabaco. Por otro lado, actualmente la depresión afecta a cerca de 121 millones de personas en el mundo, y se ha proyectado que para el a o 2020 ocupará el segundo lugar en A os de Vida Ajustados por Discapacidad (AVAD) en todos los grupos de edad y en ambos sexos. En México, 14 millones de personas son fumadores actuales y 9.6 millones son ex fumadores, según la Encuesta Nacional de Adicciones (ENA) 2002, y casi cuatro millones de personas padecen depresión. Ambos trastornos se clasifican entre las principales causas de morbimortalidad en nuestro país. En cuanto a las diferencias por sexo, en las mujeres, la depresión es el segundo trastorno más frecuente. El dos por ciento de la población mexicana (dos millones de personas) ha padecido por lo menos un episodio de depresión importante antes de alcanzar la edad de 18 a os. Varios estudios han encontrado una asociación importante entre la depresión y el tabaquismo. Recientemente se reportó que la manifestación de la sintomatología depresiva predice la adicción al tabaco...
Cross-national differences in clinically significant cannabis problems: epidemiologic evidence from 'cannabis-only' smokers in the United States, Mexico, and Colombia
Fabian Fiestas, Mirjana Radovanovic, Silvia S Martins, Maria E Medina-Mora, Jose Posada-Villa, James C Anthony
BMC Public Health , 2010, DOI: 10.1186/1471-2458-10-152
Abstract: Data are from the World Mental Health Surveys Initiative and the National Latino and Asian American Study, with probability samples in Mexico (n = 4426), Colombia (n = 5,782) and the United States (USA; n = 8,228). The samples included 212 'cannabis only' users in Mexico, 260 in Colombia and 1,724 in the USA. Conditional GLM with GEE and 'exact' methods were used to estimate variation in the occurrence of clinically significant problems in cannabis only (CO) users across these surveyed populations.The experience of cannabis-related problems was quite infrequent among CO users in these countries, with weighted frequencies ranging from 1% to 5% across survey populations, and with no appreciable cross-national variation in general. CO users in Colombia proved to be an exception. As compared to CO users in the USA, the Colombia smokers were more likely to have experienced cannabis-associated 'social problems' (odds ratio, OR = 3.0; 95% CI = 1.4, 6.3; p = 0.004) and 'legal problems' (OR = 9.7; 95% CI = 2.7, 35.2; p = 0.001).This study's most remarkable finding may be the similarity in occurrence of cannabis-related problems in this cross-national comparison within the Americas. Wide cross-national variations in estimated population-level cumulative incidence of cannabis use disorders may be traced to large differences in cannabis smoking prevalence, rather than qualitative differences in cannabis experiences. More research is needed to identify conditions that might make cannabis-related social and legal problems more frequent in Colombia than in the USA.Population prevalence and global health burdens associated with drug dependence and related drug use disorders vary markedly across world regions [1]. For example, in 2003, the United Nations Office on Drugs and Crime tallied the occurrence of cannabis problems in different countries of the world, based upon administrative reporting systems from each government (UN, 2003; https://www.unodc.org/pdf/trends2003_www_E.pdf we
Relación entre el consumo de tabaco, salud mental y malestares físicos en hombres trabajadores de una empresa textil mexicana
Rodríguez Machain, Ana Carolina;Martínez Vélez, Nora Angélica;Juárez García, Francisco;López Lugo, Elsa Karina;Carre?o García, Silvia;Medina-Mora, María Elena;
Salud mental , 2008,
Abstract: introduction tobacco use is considered a worldwide public health problem because of the amount of death and disease it causes. the who reports that 30% of the adult population in the world are cigarette smokers, and that nearly five million of these will die within one year. prospective studies performed by the who show that if current tobacco use continues, in 2020 there will be 8.4 million deaths due to tobacco-related diseases every year; seven out of 10 of these deaths will occur in emergent countries, like mexico. more than 53000 tobacco users die every year in mexico because of tobacco-related diseases, and at least 147 of these die daily. data from the national addictions survey (nas) 2002 showed that 26.4% of the people between 12 and 65 years old were active tobacco consumers; this amounted to nearly 14 million individuals. of these, 7.1% were under 18 years old. the number of tobacco consumers in mexico has increased from nine million in 1988 to 14 million in 2002. according to the nas, 52% of the users smoke on a daily basis, and 61.4% of them began smoking when they were minors. to know the actual consumption levels, it is important to consider some factors: the number of cigarettes a person smokes, the different situations where a person smokes, and the social and physical consequences of smoking. thus, it would be possible to develop a consumer classification (i. e. soft consumers, mild consumers, and hard consumers). there may be numerous causes for a person to be ill. when speaking about the harmful effects of tobacco use, the literature is clear in stating that these begin with the first cigarette smoked. however, it can take up to 30 years for a consumer to notice the damage on his health after his/her consumption began; but within the first ten years there are problems in lung function and in physical endurance. when a person starts smoking there are acute and unpleasant side effects that are rarely associated with smoked tobacco use. consumption
DSM-IV personality disorders in Mexico: results from a general population survey
Benjet, Corina;Borges, Guilherme;Medina-Mora, Maria Elena;
Revista Brasileira de Psiquiatria , 2008, DOI: 10.1590/S1516-44462008000300009
Abstract: objective: this paper reports the first population estimates of prevalence and correlates of personality disorders in the mexican population. method: personality disorders screening questions from the international personality disorder examination were administered to a representative sample of the mexican urban adult population (n = 2,362) as part of the mexican national comorbidity survey, validated with clinical evaluations conducted in the united states. a multiple imputation method was then implemented to estimate prevalence and correlates of personality disorder in the mexican sample. results: multiple imputation method prevalence estimates were 4.6% cluster a, 1.6% cluster b, 2.4% cluster c, and 6.1% any personality disorder. all personality disorders clusters were significantly comorbid with dsm-iv axis i disorders. one in every five persons with an axis i disorder in mexico is likely to have a comorbid personality disorder, and almost half of those with a personality disorder are likely to have an axis i disorder. conclusions: modest associations of personality disorders with impairment and strong associations with treatment utilization were largely accounted for by axis i comorbidity suggesting that the public health significance of personality disorders lies in their comorbidity with, and perhaps effects upon, axis i disorders rather than their direct effects on functioning and help seeking.
Mondragón,Liliana; Monroy,Zuraya; Ito,Ma. Emily; Medina-Mora,Ma. Elena;
Acta bioethica , 2010, DOI: 10.4067/S1726-569X2010000100011
Abstract: the aim of this study is to know the conflicts between beneficence and autonomy principles present in physician-patient relationship during therapy of suicidal attempt. research was carried out in two psychiatry hospitals of the city of mexico. the sample included three subjects with suicidal attempt, older than 18 years, attended as outpatients for an injure self inflicted last year, and three psychiatrists treating these patients. information was obtained by individual interviews with previous informed consent. an argumentative discourse analysis was carried out to find meaning given by participants to bioethics principles and possible conflicts between them. conflicts between beneficence and autonomy were related to the benefit of treatment, respect to patients values and beliefs, among others. this study present relevant ethical considerations in the clinical scenery, by offering to the psychiatrist a bioethical analysis which allows him/her to act according with beneficence while respecting the autonomy of the patient in cases of suicidal attempt and, in this way, to give them better attention.
Treatment of mental disorders for adolescents in Mexico City
Borges,G; Benjet,C; Medina-Mora,ME; Orozco,R; Wang,PS;
Bulletin of the World Health Organization , 2008, DOI: 10.1590/S0042-96862008001000011
Abstract: objective: this study describes the prevalence, adequacy and correlates of 12-month mental health service use among participants in the mexican adolescent mental health survey. methods: the authors conducted face-to-face household surveys of a probability sample of 3005 adolescents aged 12-17 years residing in the mexico city metropolitan area during 2005. the prevalence of mental health disorders and the use of services were assessed with the computer-assisted adolescent version of the world mental health composite international diagnostic interview. correlates of service use and adequate treatment were identified in logistic regression analyses that took into account the complex sample design and weighting process. findings: less than one in seven respondents with psychiatric disorders used any mental health services during the previous year. respondents with substance-use disorders reported the highest prevalence of service use and those with anxiety disorders the lowest. approximately one in every two respondents receiving any services obtained treatment that could be considered minimally adequate. conclusion: we found large unmet needs for mental health services among adolescents with psychiatric disorders in mexico city. improvements in the mental health care of mexican youth are urgently needed.
Quest?es relacionadas ao gênero no diagnóstico e classifica??o de transtornos por uso de álcool entre pacientes mexicanos que buscam servi?os especializados
Berenzon, Shoshana;Robles, Rebeca;Reed, Geoffrey M.;Medina-Mora, María Elena;
Revista Brasileira de Psiquiatria , 2011, DOI: 10.1590/S1516-44462011000500008
Abstract: objective: the objective of the study was to examine the role of gender in the endorsement of symptoms included in both the international classification of diseases-10th edition and the diagnostic and statistical manual of mental disorders-4th edition. method: six hundred patients treated for alcohol-related problems in outpatient services in mexico were evaluated with the substance abuse module of the composite international diagnostic interview. results: confirmatory factor analyses using the international classification of diseases-10th edition and diagnostic and statistical manual of mental disorders-4th edition criteria produced two factors that included a combination of abuse/harmful alcohol use and dependence symptoms, which explained 40% and 49.2% of the total variance, respectively. in the abuse/harmful use groups of patients, symptoms and social consequences differed according to gender: withdrawal syndrome, lack of control and legal problems were more frequent in men, while women exhibited higher rates of attempts to give up alcohol and difficulties to accomplish daily activities. specific gender-related factors differentiated abuse/harmful use from dependence, such as loss of control and time spent to drink in the case of men and desire to drink among women, according to the diagnostic and statistical manual of mental disorders-4th edition dependence criteria; and presence of physical symptoms in men and family/social problems, craving, and futile effort to stop drinking in women, according to the international classification of diseases-10th edition dependence criteria. conclusion: future classification systems of substance abuse disorders should take into account differences between genders in order to help closing the treatment gap for women.
El papel del género en la demanda de atención por problemas asociados al consumo de alcohol en México
Belló,Mariana; Puentes-Rosas,Esteban; Icaza,María Elena Medina-Mora;
Revista Panamericana de Salud Pública , 2008, DOI: 10.1590/S1020-49892008000400002
Abstract: objectives: to update information available on the role that gender plays when consumers of alcohol seek help, as well as to evaluate the associations between the demand for treatment and other key variables. methods: data came from 2002 national survey on addictions (encuesta nacional de adicciones) in mexico, which interviewed one randomly-selected individual from 12-65 years of age in each of 11 252 homes. the results of this study are based on the responses of the 5 406 individuals identified as consumers of alcohol. the demand for health care services was defined as seeking treatment for drinking-related problems during the last year. alcohol consumers were defined as those people who had consumed alcohol during the last year. the national treatment-seeking prevalence rate was calculated by gender, consumption patterns, dependency syndrome, and other alcohol-related issues. in the logistical regression analyses, seeking treatment was used as the dependent variable. results: of the total consumers, 1.4% sought treatment for drinking-related problems. for males, the corresponding percentage was 2.1%, while for women it was 0.2% (p < 0.001). for each woman with an alcohol dependency who got help, there were 49 males who did so. in the multivariate analysis, gender was significantly associated, using females as the reference, even when controlling for dependency and for absenteeism at work due to excessive alcohol consumption. conclusions: the probability of seeking treatment is higher among males than females who are faced with cultural, family, and treatment-related barriers. another important predictor is work absenteeism due to excess drinking. health care planning needs to sharpen its focus through programs designed to address the specific needs of women.
Tabaquismo y depresión
Moreno Couti?o, Ana;Medina-Mora Icaza, María Elena;
Salud mental , 2008,
Abstract: the objective of the present work is to review updated information about smoking and depression, based on a revision of pubmed data base to find articles with the words <>, <> and <> in the title, the summary, or the key words. the date of the most recent article reviewed was april of the 2008. an analysis of these articles was performed aiming to select the pertinent ones for the subject to treat in this summary. additional articles were selected from references found in articles identified in the original revision. in addition, we offer a proposition about new research directions for depression and smoking, specially treatments for those patients who have simultaneously these disorders, since it's important to design and evaluate new treatments against tobacco smoking habits. treatments must have an integral approach, contemplating the psychological as well as the pharmacological intervention in order to achieve for a complete treatment. smoking and depression constitute two important worldwide and national public health problems. tobacco addiction is worldwide one of the main causes of deterioration of the quality of life and increased morbi-mortality. it causes 5000000 deaths per year (one out of ten deaths of adults).the world health organization (who) estimated that according to present tendencies, in the year 2020, smoking habits will be responsible for ten million deaths, of which, seven out of ten will take place in developing countries. for the year 2030 tobacco smoking will be the main cause of death around the world. in mexico, according to the latest national survey of addictions, there were 14 million smokers, 9.6 million were former smokers and around 60000 people die every year due to illnesses directly related to smoking habits. in adittion, in the year 2002 the who informed that depression was the prevailing disorders in general population with 154012 cases, affecting primarily women (62%) (95023 cases). this disorde
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