Shoshana Berenzon - Academia.edu (original) (raw)
Papers by Shoshana Berenzon
Gender-related issues in the diagnosis and classification of alcohol use disorders among Mexican ... more Gender-related issues in the diagnosis and classification of alcohol use disorders among Mexican patients seeking specialized services Questões relacionadas ao sexo no diagnóstico e classificação de transtornos por uso de álcool entre pacientes mexicanos que procuram os serviços especializados
DOAJ (DOAJ: Directory of Open Access Journals), Feb 1, 2013
Depression is an important public health problem. It is the fourth cause of disease in the world ... more Depression is an important public health problem. It is the fourth cause of disease in the world in terms of lost years of healthy life. In Mexico, it ranks first in terms disability for women and ninth for men. There is a high comorbidity between depression and other mental disorders such as anxiety and substance abuse, as well as other serious and chronic physical conditions (e.g. diabetes, and heart disease). Despite the impact of depressive disorders in the quality of life of the population, there is a large proportion of people who don’t get treatment, delaying seeking help and thus don’t receive adequate assistance. The aim of this paper is to present an analysis of depression status in the Mexican population from a public health perspective; it includes prevalence and associated factors, gaps in care, characteristics of the use of services and treatments available. The paper concludes with a presentation of the implications for research and mental health policy in Mexico.
Revista Mexicana De Psicologia, Dec 1, 1998
APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...
Qualitative Health Research, Feb 2, 2017
People who work in health care facilities participate in a shared set of tacit agreements, attitu... more People who work in health care facilities participate in a shared set of tacit agreements, attitudes, habits, and behaviors that contribute to the functioning of those institutions, but that can also cause conflict. This phenomenon has been addressed tangentially in the study of bureaucratic practices in governmental agencies, but it has not been carefully explored in the specific context of public health care centers. To this end, we analyzed a series of encounters among staff and patients, as well as the situations surrounding the services offered, in public primary care health centers in Mexico City, based on Erving Goffman's concepts of social order, encounter, and situation, and on the concepts of formal and informal logic. In a descriptive study over the course of 2 years, we carried out systematic observations in 19 health centers and conducted interviews with medical, technical, and administrative staff, and psychologists, social workers, and patients. We recorded these observations in field notes and performed reflexive analysis with readings on three different levels. Interviews were recorded, transcribed, and analyzed through identification of thematic categories and subcategories. Information related to encounters and situations from field notes and interviews was selected to triangulate the materials. We found the social order prevailing among staff to be based on a combination of status markers, such as educational level, seniority, and employee versus contractor status, which define the distribution of workloads, material resources, and space. Although this system generates conflicts, it also contributes to the smooth functioning of the health centers. The daily encounters and situations in all of these health centers allow for a set of informal practices that provide a temporary resolution of the contradictions posed by the institution for its workers.
Psychiatric Services, May 1, 2017
Saude E Sociedade, Jun 1, 2013
Se presenta un análisis del uso de las medicinas alternativas para la atención de problemas emoci... more Se presenta un análisis del uso de las medicinas alternativas para la atención de problemas emocionales. La información se obtuvo de 36 entrevistas de investigación social realizadas en la Ciudad de México, se analizó mediante la categorización de significados, y bajo un modelo propuesto por Bishop et al. (2008). Las prácticas y recursos fueron utilizadas como tratamiento complementario, alternativo o convencional, también como experiencias placenteras y procedimientos de transformación personal. Con los tres primeros tipos de uso se atendieron padecimientos específicos; como "experiencias placenteras", se buscó obtener bienestar psicológico; y con la última modalidad, se obtuvo orientación para intervenir adecuadamente en alguna situación problemática. La categorización de Bishop et al. (2008) resultó útil para integrar prácticas que aún cuando son ampliamente usadas y cuentan con legitimidad social, se ignoran en el campo de la salud. Con estas prácticas se pretende ampliar el repertorio de recursos de cuidado y satisfacer necesidades que los servicios formales no cubren.
BMC Women's Health, Aug 31, 2017
Background: The recent mental health care reforms in Mexico call for the regular evaluation of th... more Background: The recent mental health care reforms in Mexico call for the regular evaluation of the services provided. This involves analyzing the opinions of those who utilize them on a daily basis, particularly women, since they are the main health service users. This study explores the barriers to mental health care perceived by a group of women attending primary care centers. Method: A qualitative methodological approach was chosen. The participants were purposively selected, using the snowball technique. Semi-structured interviews were analyzed using the thematic analysis. Results: Three sets of factors representing barriers to care were identified in the participants' discourse. The first is linked to systemic barriers such as a lack of familiarity with the way the service operates, and irregularities in the consultations and appointment schedules that are not always geared to women's needs. The second concerns the social stigma associated with emotional and/or mental disorders and their care while the third involves the characteristics of psychologists and their professional work. Conclusions: In order to overcome some of the barriers identified, users should be given information on the work of mental health professionals, which would help dispel certain misconceptions and sensitize them to the importance of this type of treatment in achieving overall health. There is also a need to make psychologists aware of the living conditions and socio-cultural context of the women who attend these health facilities.
Qualitative Social Work, Aug 13, 2018
In Mexico, people with limited resources who seek specialized attention in mental health generall... more In Mexico, people with limited resources who seek specialized attention in mental health generally go to primary health care, where their first contact is with social workers. There is little information about the activities of social workers in the field of mental health, and little recognition of their role. The aim of this study is to characterize the role of the social workers in health centers in Mexico City. We used an exploratory sequential mixed methods design (QUAL ! quan) in two phases. The first phase consisted of interviews with 15 social workers, and the second a survey of 92. The qualitative information was analyzed through the establishment of categories and subcategories, and the quantitative data using descriptive statistics. The results of the two phases were then triangulated. The majority of the social workers had specialized diplomas from technical high schools, with little training in mental health.
Se presenta un análisis del uso de las medicinas alternativas para la atención de problemas emoci... more Se presenta un análisis del uso de las medicinas alternativas para la atención de problemas emocionales. La información se obtuvo de 36 entrevistas de investigación social realizadas en la Ciudad de México, se analizó mediante la categorización de significados, y bajo un modelo propuesto por Bishop et al. (2008). Las prácticas y recursos fueron utilizadas como tratamiento complementario, alternativo o convencional, también como experiencias placenteras y procedimientos de transformación personal. Con los tres primeros tipos de uso se atendieron padecimientos específicos; como "experiencias placenteras", se buscó obtener bienestar psicológico; y con la última modalidad, se obtuvo orientación para intervenir adecuadamente en alguna situación problemática. La categorización de Bishop et al. (2008) resultó útil para integrar prácticas que aún cuando son ampliamente usadas y cuentan con legitimidad social, se ignoran en el campo de la salud. Con estas prácticas se pretende ampliar el repertorio de recursos de cuidado y satisfacer necesidades que los servicios formales no cubren.
El texto aborda algunos aspectos de la comercialización de las medicinas alternativas en la Ciuda... more El texto aborda algunos aspectos de la comercialización de las medicinas alternativas en la Ciudad de México. Si bien la popularidad que han cobrado estas terapias obedece, por una parte, a específicas demandas de salud; por otra, el consumo de confort y entretenimiento ha estimulado un mercado orientado al bienestar. El texto está basado en los hallazgos de una investigación cuyo objetivo fue comprender el sentido de las prácticas y discursos relacionados con las medicinas alternativas, así como conocer los mecanismos de comercialización. Se realizaron observaciones sistemáticas en diversos centros dedicados a la práctica de las medicinas alternativas. Componentes como la música, el aroma y los elementos decorativos, entre otros, ocuparon un lugar central para la creación de atmósferas de confort, y al mismo tiempo dieron forma a las actividades terapéuticas.
PubMed, Feb 20, 2015
Objectives: To analyze the link between intimate partner violence (IPV) reported in the past year... more Objectives: To analyze the link between intimate partner violence (IPV) reported in the past year and depressive symptoms in pregnant Mexican women. Material and methods: The data were obtained from the National Addictions Survey (ENA) 2008. For the purposes of this paper, we analyzed a sample of women over 18 who reported being pregnant at the time of the interview (n = 250). When this number is weighted at the population level, it represents 881,575 women across the country. The χ2 test was used to analyze demographic characteristics, prevalence of depressive symptoms and intimate partner violence. A multiple logistic regression was performed to estimate predictors of depressive symptoms during pregnancy. Results: The prevalence of any type of intimate partner violence (IPV) was 5.4% and of depressive symptoms was 16.2% (CES-D ≥ 16). A total of 53.4% of pregnant women who reported IPV during the past year had depressive symptoms whereas this occurred in 14.1% of those who had not been victimized. The variables that predicted depressive symptoms during pregnancy were having been a victim of IPV (OR = 6.23) and having nine years or less of schooling (OR = 5.26). Working outside the home and family income level did not increase the risk of depressive symptoms in this population. Conclusions: This population study, representative at the national level, provides an initial overview of the link between intimate partner violence and depressive symptoms in pregnant women in México. The results highlight the need to expand research on the topics covered, as well as to detect both phenomena in a timely manner during pregnancy in order to propose the necessary care.
International Journal of Women's Health, Dec 1, 2022
Background: Perinatal depression is a common mental disorder regarded as a severe public health p... more Background: Perinatal depression is a common mental disorder regarded as a severe public health problem. Studies have shown that incorporating mental health care into primary health services that provide pregnancy care makes it easier for women to seek help for depressive symptoms. In this context, the following question is of interest: How prepared are primary health services in Mexico City that provide pregnancy and postpartum care to treat perinatal depression? This article seeks to explore the perceptions and knowledge of perinatal depression in health professionals and analyze the barriers to its care at primary care centers in Mexico City. Methods: An exploratory study with a qualitative approach was conducted. Doctors, nurses, social workers who provide maternal and childcare, mental health personnel, and the directors of four centers were interviewed. Interviews were audio-recorded and transcribed for thematic analysis. Results: Most primary care personnel are unaware of the Official Standard that recommends providing maternal mental health care during the perinatal period. There is no initiative for its incorporation into routine care. A significant barrier to its implementation is health professionals' biased, stereotyped perception of perinatal depression, motherhood, and the role of women. Other barriers include the workload of health professionals, the division of care between professionals, and the lack of communication between the latter. Women with psychological symptoms are not referred to mental health staff in a timely manner. Social workers are in closer contact with women and are more willing to address their emotional distress. Conclusion: Maternal mental health care, contingent on pregnancy, childbirth, and puerperium care at primary care centers is currently not possible due to the lack of knowledge, barriers, and directors' dependence on hospital management decisions.
A fines de 1995 miembros de la Academia Nacional de Medicina de México y otros profesiona-les int... more A fines de 1995 miembros de la Academia Nacional de Medicina de México y otros profesiona-les interesados en el problema de la violencia crearon el Comité de Vinculación Externa para el Estudio de la Violencia Intrafamiliar y Sexual, con los siguientes ...
Gaceta médica de México
This article describes the results from a drug use survey conducted among high school students of... more This article describes the results from a drug use survey conducted among high school students of the Federal District. The analysis suggested that being male and attending the last three years of high-school, differentiated significantly users from non users. These two variables, along with an older age, differentiated students that had used one substance from those that had used more than one. These variables had no effect on the decision of stopping the use after experimenting or continuing the use of substances. Significant variables were also perception of availability, having friends, parents or brothers that use substances, or to knowing drug users; peer approval and low perception of risk. Depression symptoms differentiated only users from non users but suicidal tendency grew with use; receiving information from friends influenced the decision of experimenting and of using more than one substance. Finally, the more severe patterns were related to the perception that there ar...
Salud Mental, Dec 2, 2021
Introduction. The transition to parenthood can be a source of stress for fathers and, in some cas... more 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.
Salud mental
Introduction. During COVID-19, health workers faced increased stress accentuated by gender roles,... more Introduction. During COVID-19, health workers faced increased stress accentuated by gender roles, such as motherhood. Objective. This study analyzed the characteristics of a group of physicians-mothers, its impact on mental health, and their experiences during this pandemic. Method. Mixed methods study using an online survey to investigate sociodemographic, family, emotional, and professional aspects, in addition to the personal experience of 537 doctors-mothers during the first stage of COVID-19. Results. Due to the pandemic, most of the participants changed their daily activities. The hours dedicated to professional work (HM = 5.08, p #abr# .0001), childcare (HM = 3.74, p #abr# .0001), and food planning and preparation (HM = -6.96, p #abr# .0001) were increased, while the hours dedicated to physical exercise (MH = 8.67, p #abr# .0001) and personal care (MH = 9.54, p #abr# .0001) decreased. It has been pointed out that this pandemic has generated a lack of well-defined sp...
Gender-related issues in the diagnosis and classification of alcohol use disorders among Mexican ... more Gender-related issues in the diagnosis and classification of alcohol use disorders among Mexican patients seeking specialized services Questões relacionadas ao sexo no diagnóstico e classificação de transtornos por uso de álcool entre pacientes mexicanos que procuram os serviços especializados
DOAJ (DOAJ: Directory of Open Access Journals), Feb 1, 2013
Depression is an important public health problem. It is the fourth cause of disease in the world ... more Depression is an important public health problem. It is the fourth cause of disease in the world in terms of lost years of healthy life. In Mexico, it ranks first in terms disability for women and ninth for men. There is a high comorbidity between depression and other mental disorders such as anxiety and substance abuse, as well as other serious and chronic physical conditions (e.g. diabetes, and heart disease). Despite the impact of depressive disorders in the quality of life of the population, there is a large proportion of people who don’t get treatment, delaying seeking help and thus don’t receive adequate assistance. The aim of this paper is to present an analysis of depression status in the Mexican population from a public health perspective; it includes prevalence and associated factors, gaps in care, characteristics of the use of services and treatments available. The paper concludes with a presentation of the implications for research and mental health policy in Mexico.
Revista Mexicana De Psicologia, Dec 1, 1998
APA PsycNET Our Apologies! - The following features are not available with your current Browser c... more APA PsycNET Our Apologies! - The following features are not available with your current Browser configuration. - alerts user that their session is about to expire - display, print, save, export, and email selected records - get My ...
Qualitative Health Research, Feb 2, 2017
People who work in health care facilities participate in a shared set of tacit agreements, attitu... more People who work in health care facilities participate in a shared set of tacit agreements, attitudes, habits, and behaviors that contribute to the functioning of those institutions, but that can also cause conflict. This phenomenon has been addressed tangentially in the study of bureaucratic practices in governmental agencies, but it has not been carefully explored in the specific context of public health care centers. To this end, we analyzed a series of encounters among staff and patients, as well as the situations surrounding the services offered, in public primary care health centers in Mexico City, based on Erving Goffman's concepts of social order, encounter, and situation, and on the concepts of formal and informal logic. In a descriptive study over the course of 2 years, we carried out systematic observations in 19 health centers and conducted interviews with medical, technical, and administrative staff, and psychologists, social workers, and patients. We recorded these observations in field notes and performed reflexive analysis with readings on three different levels. Interviews were recorded, transcribed, and analyzed through identification of thematic categories and subcategories. Information related to encounters and situations from field notes and interviews was selected to triangulate the materials. We found the social order prevailing among staff to be based on a combination of status markers, such as educational level, seniority, and employee versus contractor status, which define the distribution of workloads, material resources, and space. Although this system generates conflicts, it also contributes to the smooth functioning of the health centers. The daily encounters and situations in all of these health centers allow for a set of informal practices that provide a temporary resolution of the contradictions posed by the institution for its workers.
Psychiatric Services, May 1, 2017
Saude E Sociedade, Jun 1, 2013
Se presenta un análisis del uso de las medicinas alternativas para la atención de problemas emoci... more Se presenta un análisis del uso de las medicinas alternativas para la atención de problemas emocionales. La información se obtuvo de 36 entrevistas de investigación social realizadas en la Ciudad de México, se analizó mediante la categorización de significados, y bajo un modelo propuesto por Bishop et al. (2008). Las prácticas y recursos fueron utilizadas como tratamiento complementario, alternativo o convencional, también como experiencias placenteras y procedimientos de transformación personal. Con los tres primeros tipos de uso se atendieron padecimientos específicos; como "experiencias placenteras", se buscó obtener bienestar psicológico; y con la última modalidad, se obtuvo orientación para intervenir adecuadamente en alguna situación problemática. La categorización de Bishop et al. (2008) resultó útil para integrar prácticas que aún cuando son ampliamente usadas y cuentan con legitimidad social, se ignoran en el campo de la salud. Con estas prácticas se pretende ampliar el repertorio de recursos de cuidado y satisfacer necesidades que los servicios formales no cubren.
BMC Women's Health, Aug 31, 2017
Background: The recent mental health care reforms in Mexico call for the regular evaluation of th... more Background: The recent mental health care reforms in Mexico call for the regular evaluation of the services provided. This involves analyzing the opinions of those who utilize them on a daily basis, particularly women, since they are the main health service users. This study explores the barriers to mental health care perceived by a group of women attending primary care centers. Method: A qualitative methodological approach was chosen. The participants were purposively selected, using the snowball technique. Semi-structured interviews were analyzed using the thematic analysis. Results: Three sets of factors representing barriers to care were identified in the participants' discourse. The first is linked to systemic barriers such as a lack of familiarity with the way the service operates, and irregularities in the consultations and appointment schedules that are not always geared to women's needs. The second concerns the social stigma associated with emotional and/or mental disorders and their care while the third involves the characteristics of psychologists and their professional work. Conclusions: In order to overcome some of the barriers identified, users should be given information on the work of mental health professionals, which would help dispel certain misconceptions and sensitize them to the importance of this type of treatment in achieving overall health. There is also a need to make psychologists aware of the living conditions and socio-cultural context of the women who attend these health facilities.
Qualitative Social Work, Aug 13, 2018
In Mexico, people with limited resources who seek specialized attention in mental health generall... more In Mexico, people with limited resources who seek specialized attention in mental health generally go to primary health care, where their first contact is with social workers. There is little information about the activities of social workers in the field of mental health, and little recognition of their role. The aim of this study is to characterize the role of the social workers in health centers in Mexico City. We used an exploratory sequential mixed methods design (QUAL ! quan) in two phases. The first phase consisted of interviews with 15 social workers, and the second a survey of 92. The qualitative information was analyzed through the establishment of categories and subcategories, and the quantitative data using descriptive statistics. The results of the two phases were then triangulated. The majority of the social workers had specialized diplomas from technical high schools, with little training in mental health.
Se presenta un análisis del uso de las medicinas alternativas para la atención de problemas emoci... more Se presenta un análisis del uso de las medicinas alternativas para la atención de problemas emocionales. La información se obtuvo de 36 entrevistas de investigación social realizadas en la Ciudad de México, se analizó mediante la categorización de significados, y bajo un modelo propuesto por Bishop et al. (2008). Las prácticas y recursos fueron utilizadas como tratamiento complementario, alternativo o convencional, también como experiencias placenteras y procedimientos de transformación personal. Con los tres primeros tipos de uso se atendieron padecimientos específicos; como "experiencias placenteras", se buscó obtener bienestar psicológico; y con la última modalidad, se obtuvo orientación para intervenir adecuadamente en alguna situación problemática. La categorización de Bishop et al. (2008) resultó útil para integrar prácticas que aún cuando son ampliamente usadas y cuentan con legitimidad social, se ignoran en el campo de la salud. Con estas prácticas se pretende ampliar el repertorio de recursos de cuidado y satisfacer necesidades que los servicios formales no cubren.
El texto aborda algunos aspectos de la comercialización de las medicinas alternativas en la Ciuda... more El texto aborda algunos aspectos de la comercialización de las medicinas alternativas en la Ciudad de México. Si bien la popularidad que han cobrado estas terapias obedece, por una parte, a específicas demandas de salud; por otra, el consumo de confort y entretenimiento ha estimulado un mercado orientado al bienestar. El texto está basado en los hallazgos de una investigación cuyo objetivo fue comprender el sentido de las prácticas y discursos relacionados con las medicinas alternativas, así como conocer los mecanismos de comercialización. Se realizaron observaciones sistemáticas en diversos centros dedicados a la práctica de las medicinas alternativas. Componentes como la música, el aroma y los elementos decorativos, entre otros, ocuparon un lugar central para la creación de atmósferas de confort, y al mismo tiempo dieron forma a las actividades terapéuticas.
PubMed, Feb 20, 2015
Objectives: To analyze the link between intimate partner violence (IPV) reported in the past year... more Objectives: To analyze the link between intimate partner violence (IPV) reported in the past year and depressive symptoms in pregnant Mexican women. Material and methods: The data were obtained from the National Addictions Survey (ENA) 2008. For the purposes of this paper, we analyzed a sample of women over 18 who reported being pregnant at the time of the interview (n = 250). When this number is weighted at the population level, it represents 881,575 women across the country. The χ2 test was used to analyze demographic characteristics, prevalence of depressive symptoms and intimate partner violence. A multiple logistic regression was performed to estimate predictors of depressive symptoms during pregnancy. Results: The prevalence of any type of intimate partner violence (IPV) was 5.4% and of depressive symptoms was 16.2% (CES-D ≥ 16). A total of 53.4% of pregnant women who reported IPV during the past year had depressive symptoms whereas this occurred in 14.1% of those who had not been victimized. The variables that predicted depressive symptoms during pregnancy were having been a victim of IPV (OR = 6.23) and having nine years or less of schooling (OR = 5.26). Working outside the home and family income level did not increase the risk of depressive symptoms in this population. Conclusions: This population study, representative at the national level, provides an initial overview of the link between intimate partner violence and depressive symptoms in pregnant women in México. The results highlight the need to expand research on the topics covered, as well as to detect both phenomena in a timely manner during pregnancy in order to propose the necessary care.
International Journal of Women's Health, Dec 1, 2022
Background: Perinatal depression is a common mental disorder regarded as a severe public health p... more Background: Perinatal depression is a common mental disorder regarded as a severe public health problem. Studies have shown that incorporating mental health care into primary health services that provide pregnancy care makes it easier for women to seek help for depressive symptoms. In this context, the following question is of interest: How prepared are primary health services in Mexico City that provide pregnancy and postpartum care to treat perinatal depression? This article seeks to explore the perceptions and knowledge of perinatal depression in health professionals and analyze the barriers to its care at primary care centers in Mexico City. Methods: An exploratory study with a qualitative approach was conducted. Doctors, nurses, social workers who provide maternal and childcare, mental health personnel, and the directors of four centers were interviewed. Interviews were audio-recorded and transcribed for thematic analysis. Results: Most primary care personnel are unaware of the Official Standard that recommends providing maternal mental health care during the perinatal period. There is no initiative for its incorporation into routine care. A significant barrier to its implementation is health professionals' biased, stereotyped perception of perinatal depression, motherhood, and the role of women. Other barriers include the workload of health professionals, the division of care between professionals, and the lack of communication between the latter. Women with psychological symptoms are not referred to mental health staff in a timely manner. Social workers are in closer contact with women and are more willing to address their emotional distress. Conclusion: Maternal mental health care, contingent on pregnancy, childbirth, and puerperium care at primary care centers is currently not possible due to the lack of knowledge, barriers, and directors' dependence on hospital management decisions.
A fines de 1995 miembros de la Academia Nacional de Medicina de México y otros profesiona-les int... more A fines de 1995 miembros de la Academia Nacional de Medicina de México y otros profesiona-les interesados en el problema de la violencia crearon el Comité de Vinculación Externa para el Estudio de la Violencia Intrafamiliar y Sexual, con los siguientes ...
Gaceta médica de México
This article describes the results from a drug use survey conducted among high school students of... more This article describes the results from a drug use survey conducted among high school students of the Federal District. The analysis suggested that being male and attending the last three years of high-school, differentiated significantly users from non users. These two variables, along with an older age, differentiated students that had used one substance from those that had used more than one. These variables had no effect on the decision of stopping the use after experimenting or continuing the use of substances. Significant variables were also perception of availability, having friends, parents or brothers that use substances, or to knowing drug users; peer approval and low perception of risk. Depression symptoms differentiated only users from non users but suicidal tendency grew with use; receiving information from friends influenced the decision of experimenting and of using more than one substance. Finally, the more severe patterns were related to the perception that there ar...
Salud Mental, Dec 2, 2021
Introduction. The transition to parenthood can be a source of stress for fathers and, in some cas... more 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.
Salud mental
Introduction. During COVID-19, health workers faced increased stress accentuated by gender roles,... more Introduction. During COVID-19, health workers faced increased stress accentuated by gender roles, such as motherhood. Objective. This study analyzed the characteristics of a group of physicians-mothers, its impact on mental health, and their experiences during this pandemic. Method. Mixed methods study using an online survey to investigate sociodemographic, family, emotional, and professional aspects, in addition to the personal experience of 537 doctors-mothers during the first stage of COVID-19. Results. Due to the pandemic, most of the participants changed their daily activities. The hours dedicated to professional work (HM = 5.08, p #abr# .0001), childcare (HM = 3.74, p #abr# .0001), and food planning and preparation (HM = -6.96, p #abr# .0001) were increased, while the hours dedicated to physical exercise (MH = 8.67, p #abr# .0001) and personal care (MH = 9.54, p #abr# .0001) decreased. It has been pointed out that this pandemic has generated a lack of well-defined sp...