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Search Results: 1 - 10 of 14698 matches for " Enrique; Medina-Mora "
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Epidemiología de los trastornos de la conducta alimentaria en una muestra representativa de adolescentes
Corina Benjet,Enrique Méndez,Guilherme Borges,María Elena Medina-Mora
Salud mental , 2012,
Abstract: Objetivos. El presente trabajo tiene el objetivo de estimar la prevalencia de anorexia nervosa, bulimia nervosa y el trastorno por atracones en la población general de adolescentes del Distrito Federal. Asimismo se pretende proporcionar una descripción de las características socio-demográficas y clínicas de los jóvenes que cumplen criterios diagnósticos según el DSM-IV para estos trastornos, la proporción de discapacidad, comorbilidad psiquiátrica y conducta suicida para cada trastorno y estimar la utilización de servicios. Material y métodos Los datos provienen de la Encuesta Mexicana de Salud Mental Adolescente, una encuesta con dise o probabilístico y multietápico representativa de adolescentes entre los 12 y 17 a os, residentes del Distrito Federal y área conurbada. Se entrevistó a 3005 adolescentes en sus hogares utilizando como instrumento diagnóstico la Entrevista Internacional Diagnóstica Compuesta (WMH-CIDI-A), aplicada cara a cara, por medio de una computadora portátil, por encuestadores capacitados. La tasa de respuesta fue de 71%. Resultados La prevalencia alguna vez de anorexia, bulimia y el trastorno por atracones se estima en 0.5%, 1.0% y 1.4%, respectivamente. Entre 83 y 100% reportan discapacidad y todos aquellos con anorexia y casi la mitad de aquellos con bulimia y atracones reportan discapacidad grave. Sin embargo, ni una cuarta parte con uno de estos trastornos ha recibido tratamiento a pesar de la discapacidad que generan. Hay mayor prevalencia de trastornos comórbidos, conducta suicida y adversidades psicosociales en jóvenes con trastornos alimentarios que en aquellos sin ellos. Conclusiones Los hallazgos muestran una brecha entre las necesidades de atención y el tratamiento para estos trastornos en nuestra población adolescente. Se alan la importancia de programas para la prevención de conductas alimentarias riesgosas, la detección temprana con un enfoque en grupos vulnerables (por ejemplo quienes han sufrido alguna adversidad como abuso sexual), y la reducción de barreras para la búsqueda y utilización de servicios.
Diferencias de sexo en la prevalencia y severidad de trastornos psiquiátricos en adolescentes de la Ciudad de México
Corina Benjet,Guilherme Borges,Maria Elena Medina-Mora,Enrique Méndez
Salud mental , 2009,
Abstract: Introducción: El presente trabajo proporciona datos de la Encuesta Mexicana de Salud Mental Adolescente y tiene el objetivo de estimar las diferencias por sexo de la prevalencia y la severidad en los últimos 12 meses para 17 trastornos psiquiátricos en adolescentes de la Ciudad de México y área metropolitana así como las edades de inicio de dichos trastornos. Material y métodos: El dise o de la muestra fue probabilístico y multietápico, ésta estuvo compuesta por adolescentes entre los 12 y 17 a os, residentes del Distrito Federal y área metropolitana. Para ello, se entrevistó a 3005 adolescentes en sus hogares, con una tasa de respuesta de 71% y se utilizó como instrumento diagnóstico la Entrevista Internacional Diagnóstica Compuesta (WMH-CIDI-A 3.0) aplicada cara a cara, por medio de una computadora portátil, por encuestadores capacitados en los hogares de los participantes...
Diferencias de sexo en la prevalencia y severidad de trastornos psiquiátricos en adolescentes de la Ciudad de México
Benjet, Corina;Borges, Guilherme;Medina-Mora, María Elena;Méndez, Enrique;Fleiz, Clara;Rojas, Estela;Cruz, Carlos;
Salud mental , 2009,
Abstract: introduction the first and only nationally representative prevalence estimates of psychiatric disorders in mexico (the mexican national comorbidity survey) indicate sex differences in the expression of psychopathology and early ages of onset for most disorders, often in the adolescent years. studies from other countries have shown that sex differences in the pattern of psychopathology vary by life stage, which in part, may be explained by different ages of onset for varying disorders. these studies also suggest that many of the sex differences in the prevalence of disorders emerge during the adolescent years. however, scarce data is available on the epidemiology of adolescent psychopathology in mexico, and much less regarding possible sex differences in the patterns of prevalence, severity and ages of onset. the purpose of this report, therefore, is to estimate sex differences in the 12-month prevalence and severity of 17 psychiatric disorders (using dsm-iv diagnostic criteria) as well as ages of onset in adolescents from mexico city metropolitan area. materials and methods this article provides data from the mexican adolescent mental health survey. this survey has a multistage probability design and is representative of adolescents between 12 and 17 years old who reside in the mexico city metropolitan area. the final sample included 3 005 adolescents selected from a stratified multistage area probability sample. in all strata, the primary sampling units were census count areas cartographically defined and updated in 2000 by the mexican national institute of statistics, geography and informatics (inegi). two hundred census count areas were selected with probability proportional to size. secondary sampling units were city blocks, four of which were selected with probability proportional to size from each census count area. all households within these selected city blocks with adolescents aged 12 to 17 were selected. one eligible member from each of these households w
Youth who neither study nor work: mental health, education and employment
Benjet,Corina; Hernández-Montoya,Dewi; Borges,Guilherme; Méndez,Enrique; Medina-Mora,María Elena; Aguilar-Gaxiola,Sergio;
Salud Pública de México , 2012, DOI: 10.1590/S0036-36342012000400011
Abstract: objective: limited educational and job opportunities for youth has led to a phenomenon termed neet (not in education, employment or training). the objective is to estimate the prevalence of psychiatric disorders, substance use and suicidal behavior in youth classified as neet and to compare with those who study only, work only or do both. material and methods: 3 005 12-to-17 year-olds in mexico city were evaluated in 2005 with the composite international diagnostic interview. descriptive and logistic regression analyses considered the multistage weighted sample design. results: neet youth as well as those who work only or study and work simultaneously have greater odds of psychiatric disorder, substance use and suicidal behavior compared to those who study exclusively even after controlling for social disadvantage. conclusion: vulnerability is not circumscribed to neet adolescents, but to all teens who are not exclusive students. supporting youth to continue studying exclusively may buffer negative mental health outcomes.
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.
DISYUNTIVAS EN LAS CONCEPCIONES SOBRE AUTONOMíA Y BENEFICENCIA QUE AFECTAN LA TERAPéUTICA DEL INTENTO SUICIDA
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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