Salud MentalPub Date : 2021-10-21DOI: 10.17711/sm.0185-3325.2021.029
J. A. Aldana López, Eric Foulkes González, José Fernando Ojeda Palomera, Jaime Carmona Huerta, Martín Acosta Fernández
{"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}
Salud MentalPub Date : 2021-10-21DOI: 10.17711/sm.0185-3325.2021.031
Susana Mesa Mesa, Alejandra Gómez García, Luisa Fernanda Naranjo Pérez, Laura Tobón Montoya, María Victoria Ocampo Saldarriaga, Juan david Velásquez Tirado, Gustavo Adolfo Constaín González, C. Ricardo Ramírez, Yeison Felipe Gutiérrez Vélez, J. G. Franco Vásquez
{"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 Tobón Montoya, María Victoria Ocampo Saldarriaga, Juan david Velásquez Tirado, Gustavo Adolfo Constaín González, C. Ricardo Ramírez, Yeison Felipe Gutiérrez Vélez, J. G. Franco Vásquez","doi":"10.17711/sm.0185-3325.2021.031","DOIUrl":"https://doi.org/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","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"710 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74763962","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}
Salud MentalPub Date : 2021-10-21DOI: 10.17711/sm.0185-3325.2021.028
O. Mamani-Benito, Renzo Felipe Carranza Esteban, J. Ventura-León, T. Caycho-Rodríguez, Rosa Farfán Solís, Darwin Hidalgo Blanco Shocosh
{"title":"Effect of concern about COVID-19 on professional self-efficacy, psychological distress, anxiety, and depression in Peruvian health personnel","authors":"O. Mamani-Benito, Renzo Felipe Carranza Esteban, J. Ventura-León, T. Caycho-Rodríguez, Rosa Farfán Solís, Darwin Hidalgo Blanco Shocosh","doi":"10.17711/sm.0185-3325.2021.028","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.028","url":null,"abstract":"Introduction. Concern about becoming infected with COVID-19 is one of the reactions that has affected the mental health of Peruvian health care workers. Objective. To determine the effect of concern about COVID-19 on professional self-efficacy, psychological distress, anxiety, and depression in health personnel in the Puno region of Peru. Method. An explanatory, cross-sectional study was conducted with the voluntary participation of 401 health workers (such as nurses, physicians, nursing technicians, obstetricians, dentists, psychologists, and nutritionists) of both sexes (24.2% men and 75.5% women) from 12 health networks in the region of Puno, Peru. They were asked to answer the Scale of Concern for the Transmission of COVID-19 in Health Personnel (EPPC-Cov19), Patient Health Questionnarie-2 (PHQ-2, Generalized Anxiety Disorder Scale-2 (GAD-2) and the Professional Self Efficacy Scale (AU-10). Structural Equation Modeling (SEM) was used for data analysis. Results. The factor loads of the explanatory model showed a good fit: χ² (286) = 797.31, p","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"78 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73905585","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}
Salud MentalPub Date : 2021-10-21DOI: 10.17711/10.17711/SM.0185-3325.2021.032
Rubén Francisco Palafox Carvajal, Miriam Teresa Domínguez Guedea
{"title":"Stress in university research professors: A systematic review","authors":"Rubén Francisco Palafox Carvajal, Miriam Teresa Domínguez Guedea","doi":"10.17711/10.17711/SM.0185-3325.2021.032","DOIUrl":"https://doi.org/10.17711/10.17711/SM.0185-3325.2021.032","url":null,"abstract":"Antecedentes. La investigacion es clave para el avance de la sociedad. Entre los desafios que la literatura apunta para el desarrollo cientifico, se encuentra el estres en investigadores, que experimentado de manera cronica puede mermar la produccion academica y la salud fisica y mental de estos. Aunque existe literatura que aborda las consecuencias del estres en el contexto academico, la mayoria de los estudios se realizan en estudiantes. Aun es escaso el conocimiento sobre las caracteristicas del estres como resultante de demandas simultaneas de tipo academico, laboral y socio-personal. \u0000Objetivo. Identificar y contrastar los componentes metodologicos y los hallazgos principales de estudios relativos al estres en investigadores. \u0000Metodo. Se utilizo la guia Preferred Reporting Items for Systematic Reviews and Meta-Analyses para analizar la evidencia actual de literatura. Se incluyeron articulos cientificos a texto completo del periodo 2008-2019, en ingles o espanol, con participantes dedicados a la investigacion y/o docencia. Se busco en Scopus, Ebsco, Dialnet, Web of Science y Pubmed. \u0000Resultados. Se obtuvieron 180 registros, pero solo cuatro cumplieron los criterios de evaluacion en sintesis cualitativa. \u0000Discusion y conclusion. El estres se presenta en ≈20% de los participantes, asociado a variables psicologicas (falta de control, agotamiento emocional, percepcion de sobrecarga, multiplicidad de roles) e institucionales (demandas de diferentes sistemas de evaluacion, inestabilidad laboral, poco reconocimiento de la actividad cientifica). Los estudios enfatizan aspectos que predisponen y precipitan el estres, pero no destacan aspectos psicologicos individuales de la experiencia estresante.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"27 1","pages":"249-256"},"PeriodicalIF":1.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87265705","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}
Salud MentalPub Date : 2021-08-30DOI: 10.17711/sm.0185-3325.2021.020
M. E. Medina-Mora Icaza, Raúl Martin del Campo Sánchez, J. V. Villatoro Velázquez
{"title":"UNGASS 2016 five years later: A perspective from Mexico","authors":"M. E. Medina-Mora Icaza, Raúl Martin del Campo Sánchez, J. V. Villatoro Velázquez","doi":"10.17711/sm.0185-3325.2021.020","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.020","url":null,"abstract":"","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"31 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86896149","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}
Salud MentalPub Date : 2021-08-30DOI: 10.17711/sm.0185-3325.2021.023
J. Varela, C. D. L. C. L. Cruz, Jessica Giselle Leija Guerrero, Karen Estefanía Sánchez Rodríguez, Omar Kawas Valle
{"title":"Positive reappraisal as a stress coping strategy during the COVID-19 pandemic","authors":"J. Varela, C. D. L. C. L. Cruz, Jessica Giselle Leija Guerrero, Karen Estefanía Sánchez Rodríguez, Omar Kawas Valle","doi":"10.17711/sm.0185-3325.2021.023","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.023","url":null,"abstract":"Introduction. The stress coping strategies people rely on impact their psychological well-being and may be related to the risk of developing psychopathology in the short- and long-term after an unfortunate event. Objective. To define the main stress coping strategies in our region as a first step in assessing the risk of developing psychopathology derived from the SARS-CoV-2 pandemic. Method. This is an observational, cross-sectional, analytical study that includes 396 participants over 18 years of age residents of the state of Nuevo Leon. Using an online form, the participants were asked to complete the Coping Strategies Questionnaire (CAE). Results. In general, after two months of mitigation measures in Mexico, positive reappraisal was the stress coping strategy with the highest score in the population studied. We found higher scores on negative auto-focused and overt emotional expression on the comparation between sociodemographic subgroups. Discussion and conclusion. The present study shows that, in our community, positive reappraisal was the stress coping strategy with the highest score. Positive reappraisal is an active form of coping associated with greater psychological well-being and fewer risk of developing psychopathology in the short and long term. Based on this, our hypothesis is that the predominant use of this strategy could translate into a higher psychological well-being during and after the SARS-CoV-2 pandemic in the studied sample.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"8 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84725844","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}
Salud MentalPub Date : 2021-08-30DOI: 10.17711/sm.0185-3325.2021.024
José L. Hernández-Torres, Nancy Rodríguez-Vázquez, Roxana Martínez-Cervantes, A. M. Cárdenas-Cortés, D. Gómez-Melasio, P. E. Trujillo-Hernández
{"title":"Impact of the use of sexual material and online sexual activity during preventive social isolation due to COVID-19","authors":"José L. Hernández-Torres, Nancy Rodríguez-Vázquez, Roxana Martínez-Cervantes, A. M. Cárdenas-Cortés, D. Gómez-Melasio, P. E. Trujillo-Hernández","doi":"10.17711/sm.0185-3325.2021.024","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.024","url":null,"abstract":"Introduction. Preventive social isolation due to coronavirus disease (COVID-19) has represented one of the greatest health challenges of the last decades worldwide. As a result of social isolation, the consumption of information in digital media, such as the use of online sexual material, has increased, leading to risky sexual behavior in young people. Objective. To quantify the impact on the use and type of online sexual material and to determine the predictors of online sexual activity in people in preventive social isolation due to COVID-19. Method. Multivariate cross-sectional study; 385 participants were studied and contacted through an online survey. Results. Internet pages and social networks are the main platforms for the use of online sexual material, and its consumption was more frequent in those who had more days of preventive social isolation. Predictors of sexual activity were cybersex (β = .38), excitation (β = .36), masturbation (β = .34), and adventure (β = .33), which were found to be statistically significant (p ˂ .001). Discussion and conclusion. Privacy plays an important role in the use of online sexual material and activities, and greater consumption can be found in intimacy. It is important to be alert to the effects of the pandemic on sexual risk behavior and further research is needed.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"35 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75515199","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}
Salud MentalPub Date : 2021-08-30DOI: 10.17711/sm.0185-3325.2021.025
Luiz José Frota Solon Júnior, Carlos Henrique Tomaz Ribeiro, Leonardo de Sousa Fortes, Bruno Teixeira Barbosa, L. D. S. Silva Neto
{"title":"Smartphone addiction is associated with symptoms of anxiety, depression, stress, tension, confusion, and insomnia: A cross-sectional and comparative study with physically and non-physically active adults in self-isolation during the COVID-19 pandemic","authors":"Luiz José Frota Solon Júnior, Carlos Henrique Tomaz Ribeiro, Leonardo de Sousa Fortes, Bruno Teixeira Barbosa, L. D. S. Silva Neto","doi":"10.17711/sm.0185-3325.2021.025","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.025","url":null,"abstract":"Introduction. During the novel coronavirus disease (COVID-19) outbreak, social media exposure and the use of electronic devices have increased; still, these behaviors may cause adverse health effects. Objective. This study assessed sleep quality, insomnia, mood, and psychological aspects among physically (n = 46) and non-physically (n = 53) active individuals during self-isolation throughout the COVID-19 pandemic and examined their association with smartphone addiction. Method. A cross-sectional study was conducted among adult Brazilian citizens in self-isolation for at least 60 days; ninety-nine volunteers from different Brazilian regions were enrolled in the online survey. The Depression, Anxiety and Stress Scale-Short Form, the Pittsburgh Sleep Quality Index, the Insomnia Severity Index, the Brunel Mood Scale, and the Smartphone Addiction Scale-Short Version were used to assess the study outcomes. Results. The results indicate moderate and large correlations of smartphone addiction with mood subscales, insomnia (r = .52), anxiety (r = .49), depression (r = .49), and stress (r = .49) symptoms. Also, it was observed that physically active participants were less addicted to smartphones than the non-physically active during self-isolation (p","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"1 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78318190","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}
Salud MentalPub Date : 2021-08-30DOI: 10.17711/sm.0185-3325.2021.021
S. Chavez-Valdez, Alejandro Rodríguez, O. Villar, M. Jiménez, Anabel de la Rosa-Gómez, Paulina Arenas-Landgrave, Sofía Cristina Martínez-Luna, Flor Rocío Ramírez-Martínez, Jasshel Teresa Salinas-Saldívar
{"title":"Coping strategies associated to widespread fear and post-traumatic stress criteria in a Mexican sample during COVID-19 pandemic: A cross-sectional study","authors":"S. Chavez-Valdez, Alejandro Rodríguez, O. Villar, M. Jiménez, Anabel de la Rosa-Gómez, Paulina Arenas-Landgrave, Sofía Cristina Martínez-Luna, Flor Rocío Ramírez-Martínez, Jasshel Teresa Salinas-Saldívar","doi":"10.17711/sm.0185-3325.2021.021","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.021","url":null,"abstract":"Introduction. The COVID-19 pandemic has impacted the population generating widespread fear due to people’s perception that both their health and safety are at risk. Widespread fear, a synonym for social anxiety, is associated with affective intrusive cognitions. Likewise, it is related to symptoms of post-traumatic stress, physiological intrusive and eluding coping responses, and could be associated with long-term vulnerability to develop PTSD. Objective. To assess the association between coping strategies, widespread fear to COVID-19, and symptoms of post-traumatic stress disorder in Mexican population exposed to the SARS-CoV2 pandemic. Method. A cross sectional, empirical, descriptive study through survey research was performed; 370 participants were sampled by nationality quotas, and they completed digital self-informed instruments on an on-line psychosocial intervention. Sample size was estimated using a power analysis. Results. Findings showed reliable indicators between physiological coping and PTSD symptoms. There was a 42% variance related to PTSD delayed intrusive cognitive responses, a 40% variance was related to PTSD negative alterations in cognitions and mood, a 31% variance was explained by hyperarousal responses, and a 29% of the variance represented PTSD avoidance symptoms. Widespread fear of COVID-19 was explained by affective behavioral coping strategies linked also to PTSD symptoms. Discussion and conclusion. Research found consistency between findings and theories on emotion-centered strategies, which in turn were are related to affective coping around widespread fear to COVID-19 and avoidance intrusive symptoms, physiological coping with avoidance, considering future community post-traumatic stress traits and anxiety disorders in Mexican communities exposed to the pandemic, linking strategies with community trauma.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"127 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79537672","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}
Salud MentalPub Date : 2021-08-30DOI: 10.17711/sm.0185-3325.2021.026
Cecilia González, Nazira Calleja, Claudia Sánchez Bravo, María Eugenia Gómez López, J. Meléndez
{"title":"Subjective well-being in men and women during the COVID-19 lockdown: A structural model","authors":"Cecilia González, Nazira Calleja, Claudia Sánchez Bravo, María Eugenia Gómez López, J. Meléndez","doi":"10.17711/sm.0185-3325.2021.026","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.026","url":null,"abstract":"Introduction. As a measure for controlling COVID-19, lockdown has had a psychological impact on people. Since subjective well-being (SW) has been positively associated with mental health, the identification of its predictors in this context will enable it to be strengthened. Objective. To generate and test explanatory models for SW in men and women under lockdown due to the pandemic. Method. Four thousand seven hundred and seventy-one inhabitants of Mexico, with paid employment, under lockdown, answered a set of instruments via the Internet that evaluated positive and negative psychological factors in addition to SW. Based on correlation and multiple regression analysis, models were proposed for men and women, which were tested by path analysis. Results. Both models successfully fit the data and explained a high proportion of the SW variance. Spiritual strength was the best predictor, mainly for women, while the capacity for enjoyment was central to the models, mediating the effect of empathy and depression. Discussion and conclusion. SW is significantly predicted by the factors studied, especially spiritual strength and capacity for enjoyment, which seem to provide men and women with fortitude and meaning of life in adverse circumstances such as today’s.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"29 6 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79706202","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}