{"title":"Past, present, and future of Child Psychiatry in Mexico","authors":"Emmanuel Isaías Sarmiento Hernández, Patricia Zavaleta Ramírez, Armida Granados Rojas","doi":"10.17711/sm.0185-3325.2022.001","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.001","url":null,"abstract":"The period between 0 and 18 years of age, childhood and adolescence, is the stage when children and adolescents have the best opportunity to grow, develop, and become healthy and productive adults. It is known that during this stage, children are exposed to multiple biological, psychological, and social influences which can become risky or protective factors for physical and mental health (Pérez-Cuevas & Muñoz-Hernández, 2014). According to the World Health Organization (WHO), one half of the mental disorders begin before to 14 years old (Kessler et al., 2007) and from these only 20% are identified and receive mental health care (Neves & Leanza, 2014). Despite the fact that the WHO has recommended to its member countries that adequate services should be established for the care of children and adolescents with mental health disorders, in most countries the demand for children mental health care continues exceeding the resources available (Belfer, 2008).","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"46 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73481661","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 : 2022-01-26DOI: 10.17711/sm.0185-3325.2022.004
Raquel Mondragón Gómez, M. E. Medina-Mora Icaza, J. V. Villatoro Velázquez, M. B. Bustos Gamiño, Marcela Tiburcio Sainz, Emilia Lucio Gómez-Maqueo
{"title":"Problematic alcohol use in Mexican students: Transmission from parents to children","authors":"Raquel Mondragón Gómez, M. E. Medina-Mora Icaza, J. V. Villatoro Velázquez, M. B. Bustos Gamiño, Marcela Tiburcio Sainz, Emilia Lucio Gómez-Maqueo","doi":"10.17711/sm.0185-3325.2022.004","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2022.004","url":null,"abstract":"Introduction. Studies in various countries have shown that adolescents with a history of parental use of alcohol have a greater risk of presenting alcohol problems of their own, including binge drinking, driving under the influence of alcohol, and alcohol dependence. A few studies in Mexico have also found this association, but these have been carried out with non-representative populations. Objective. To examine the association between a history of parental alcohol use and binge drinking, and parental use and possible dependence on alcohol, in a national sample of junior high and high school students in Mexico. Method. A descriptive correlational study was carried out based on a secondary analysis of the National Survey of Student Drug Use (Encuesta Nacional de Consumo de Drogas en Estudiantes, ENCODE), which questioned 114,364 respondents. The association was evaluated with an estimate of prevalence ratios (PR). Results. Students whose mothers or both parents used alcohol had a greater risk for binge drinking (PR [mother] = 2.12, p #abr# .001; PR [both parents] = 2.18, p #abr# .001) and possible alcohol dependence (PR [mother] = 5.43, p #abr# .001; PR [both parents] = 5.14, p #abr# .001). Those whose fathers alone used alcohol had a lower risk for binge drinking (PR = 1.35, p #abr# .001) and for possible dependence (PR = 1.83, p #abr# .001). Discussion and conclusion. This study shows differences in the effects of problematic alcohol use by parents: use by the mother or by both parents implies a greater risk of binge drinking and possible dependence for their children. This finding should be considered in the design of interventions to prevent binge drinking.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"70 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76757295","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 : 2021-12-02DOI: 10.17711/sm.0185-3325.2021.037
V. Rodríguez-Pérez, Alicia Piñeirua Menéndez, Claudia Ramírez-Rentería, José Antonio Mata Marín
{"title":"Beck Depression Inventory (BDI-IA) adapted for HIV: Psychometric properties, sensitivity & specificity in depressive episodes, adjustment disorder & without symptomatology","authors":"V. Rodríguez-Pérez, Alicia Piñeirua Menéndez, Claudia Ramírez-Rentería, José Antonio Mata Marín","doi":"10.17711/sm.0185-3325.2021.037","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.037","url":null,"abstract":"Introduction. The Beck Depression Inventory (BDI-IA) is the most widely used instrument for assessing depression symptoms. Although it has been validated in the Mexican population, it has not been tested in people living with HIV (PLWH), who tend to have symptoms difficult to distinguish from those associated with viral infection. Objective. We obtained the psychometric properties, sensitivity, specificity, and cut-off points to distinguish between a depressive episode, adjustment disorder and no symptoms. Method. Prospective study with 2,022 PLWH (88% men), who completed the BDI-IA between 2016 and 2017. Subjects had a mean age of 31.9 ± 9.3 years, with 12.0 ± 5.6 years of schooling, and 4.5 ± 4.3 years since diagnosis. The differentiation of items, internal consistency, factor analysis, and calculation of sensitivity and specificity were tested. Results. A Cronbach’s alpha coefficient of .91 was obtained. Through factorial analysis with orthogonal rotation (average intercorrelations r = .40, KMO .929), we obtained three factors: general factor of depression, somatic, and cognition, which explained 39.7%, 6.01%, and 5.49% of the variance, respectively. Only the items in the first factor (the short version with 12 items) were tested. With a cut-off point of 11, it had 85.5% sensitivity and 76% specificity [(AUC) = .865, 95% CI [.83, .90], p ≤ .001], and distinguished major depressive disorder from cases without mental symptoms. Discussion and conclusion. We show that the short version of the BDI-IA is reliable, valid, sensitive, and specific for evaluating depression symptoms comorbid with HIV infection.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"33 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76520798","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 : 2021-12-02DOI: 10.17711/sm.0185-3325.2021.034
Y. Flores-Peña, M. E. Pérez-Campa, H. Avila-Alpirez, J. M. Gutiérrez-Valverde, G. Gutierrez-Sanchez
{"title":"Depressive symptoms, maternal feeding styles, and preschool child’s body weight","authors":"Y. Flores-Peña, M. E. Pérez-Campa, H. Avila-Alpirez, J. M. Gutiérrez-Valverde, G. Gutierrez-Sanchez","doi":"10.17711/sm.0185-3325.2021.034","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.034","url":null,"abstract":"Introduction. Depressive symptoms (DS) can impact maternal child feeding styles (MCFS), and child’s body weight. Objective. 1. Verify if DS are different depending if the child has, or not, overweight-obesity (OW-OB); 2. Identify the MCFS based on the fact that the child has, or not, OW-OB; 3. Verify it DS are different according to MCFS; 4. Identify DS’s predictors. Method. Correlational cross-sectional study. The participants were 259 dyads (mother- preschool child) residents in Mexico’ Northeast. Mothers answered the Center for Epidemiologic Studies Depression Scale, Revised, and the Caregiver Feeding Styles Questionnaire. Mann-Whitney U test, Chi-square test, Kruskall-Wallis H, and multiple linear regression analysis were performed. Results. Twelve point eight percent of the mothers (n = 33) had DS, 35.5% (n = 92) authoritarian MCFS. No significant difference was identified between DS and MCFS according to the child’s OW-OB or lack thereof (U = 5726.0, p #cer# .05 and X2 = .078, gl = 3, p #cer# .05). A significant positive correlation was found between DS and MCFS demandingness (rs = .208, p = .001). The authoritarian MCFS had the highest DS mean (H = 10.70, gl = 3, p #abr# .05). The demandingness predicts the DS (X2 = 826.445, gl = 1, p = .001). Discussion and conclusion. Authoritarian MCFS predominated, DS were higher in mothers with authoritarian MCFS; demandingness predicts DS. It is recommended to promote authoritarian MCFS which favors the development of healthy eating habits.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"264 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79715682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2021-12-02DOI: 10.17711/sm.0185-3325.2021.036
Ricardo Ignacio Audiffred Jaramillo, J. E. García de Alba García, Ivonne García Monzón, Carlos Isaac Loza Salazar, Leticia Limón Cervantes
{"title":"Violence as a main symptom of schizophrenia and expressed emotion in relatives of users from Instituto Jalisciense de Salud Mental","authors":"Ricardo Ignacio Audiffred Jaramillo, J. E. García de Alba García, Ivonne García Monzón, Carlos Isaac Loza Salazar, Leticia Limón Cervantes","doi":"10.17711/sm.0185-3325.2021.036","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.036","url":null,"abstract":"Introduction. Schizophrenia is a mental disorder that affects 21 million people worldwide, and it brings about environments with high Expressed Emotion (EE) in the families of these individuals. High EE is characterized by negative evaluations, criticism, and overinvolvement of family members towards the person with schizophrenia. Objective. Recognize the relationship between the cultural agreement about the symptoms of schizophrenia and EE. Method. The study had a mixed design, with a cognitive anthropology method. The sample had a probabilistic estimate based on Weller and Romney proposal, with a competence higher than 50%, a confidence level of 95%, and 5% of type I error. The 40 participants were selected with a simple randomized probability sampling, conformed by relatives of patients from the Instituto Jalisciense de Salud Mental (SALME). Results. The 45% of the sample showed a high EE according to the Questionnaire for Measuring the Level of Expressed Emotion (CEEE). A single valid cultural model with statistical significance was found, in which violence was identified as the main symptom of schizophrenia. The best-informed relatives showed a lower EE (Mann-Whitney U = 1,000, p #abr# .001). Discussion and conclusion. Schizophrenia disorder has been associated with stigmas that generate rejection and fear. A total of 40% of the world’s population believe people with schizophrenia are dangerous and violent. It must be considered opportune to reconsider the use of the term “schizophrenia”, which is etymologically imprecise and supports stigmas that have excluded and defamed people with schizophrenia for more than a century.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"123 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75957126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2021-12-02DOI: 10.17711/sm.0185-3325.2021.039
Erik Leonardo Mateos Salgado, F. Ayala Guerrero, Alexis de Jesús Rueda Santos, Beatriz Eugenia del Olmo Alcántara
{"title":"Evaluation of the first-night effect of polysomnographic recording on cardiac autonomic activity in children with autism spectrum disorder","authors":"Erik Leonardo Mateos Salgado, F. Ayala Guerrero, Alexis de Jesús Rueda Santos, Beatriz Eugenia del Olmo Alcántara","doi":"10.17711/sm.0185-3325.2021.039","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.039","url":null,"abstract":"Introduction. The first night effect (FNE) is the tendency to have lower than usual sleep quality and quantity during the first polysomnography (PSG) recording, which alters sleep architecture. The FNE occurs in autism spectrum disorder (ASD), with studies suggesting that cardiac autonomic dysregulation is altered in patients with this illness. Objective. To determine whether the FNE influences the autonomic activity of ASD and typically developing (TD) children. Method. Two PSGs were recorded in 13 ASD and 13 TD children. The FNE was evaluated with eight sleep variables and autonomic activity through respiratory sinus arrhythmia (RSA) and low frequency (LF). Statistical analyses included intra- and inter-subject comparisons. Results. The FNE was present in both groups and affected more sleep variables in the ASD group. There were no significant differences between both recordings in RSA and LF. Inter-subject comparison showed significant differences in certain sleep variables, mainly during the first night. A comparison of RSA and LF between N2 and N3 stages and REM sleep showed that the TD group had significant differences in both measures whereas the ASD group only did so in the LF the first night. Discussion and conclusion. The influence of the FNE on the quantitative characteristics of sleep is corroborated in ASD and TD children, but not in RSA or LF. When the activity of the RSA and LF between sleep stages was considered, a different pattern was observed between the two PSG recordings.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"8 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83464586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2021-12-02DOI: 10.17711/sm.0185-3325.2021.038
R. Gutiérrez, Leticia Vega
{"title":"Self-medication with cannabidiol (CBD) and associated treatments in the self-care of anxiety in women from Mexico City: A qualitative study","authors":"R. Gutiérrez, Leticia Vega","doi":"10.17711/sm.0185-3325.2021.038","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.038","url":null,"abstract":"Introduction. The popular use of marijuana and its components (THC and CBD) for medicinal purposes is often regarded as irresponsible and ignorant. However, in this paper, it is conceptualized and studied as medical knowledge of self-care, in which it is linked to different therapeutic knowledge from conventional and alternative medicine to treat anxiety. Objective. This article reports on a qualitative research project designed to analyze the practices and risks of self-medication with CBD, and its links with medical treatments and self-care measures for dealing with anxiety in adult women in Mexico City. Method. Eleven adult women, mostly professionals, diagnosed with anxiety, participated in the study. In-depth interviews were conducted to learn how women use therapeutic resources to cope with anxiety in their everyday lives. The interviews were transcribed and analyzed using ATLAS ti 7 software. Results. Self-medication is part of a self-care process with several facets: the experience of symptoms, self-diagnosis, the use of various remedies (dosage and administration), and their evaluation. During this process, women use a range of medication, psychological therapies, herbalism, acupuncture, yoga, and sleep hygiene measures, including CBD, either as an alternative or an adjunct to biomedical pharmacology, with or without medical supervision. Certain risks were identified, such as the use of CBD that may be incorrectly labeled or interact dangerously with other self-prescribed substances. Discussion and conclusion. These results coincide with those of various authors who equate self-care with a first level of care, which has risks that could be reduced by controlling misleading marketing and developing professional medical services, which are trained and accessible to users, who could inform them about the medicinal use, scope and risks of CBD or THC for health.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"23 3 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83537706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2021-12-02DOI: 10.17711/sm.0185-3325.2021.035
M. Lara, S. Berenzon, L. Nieto, Laura Navarrete, Clara Fleiz, Marycarmen Bustos, J. Villatoro
{"title":"A population study on perinatal psychological distress in Mexican fathers","authors":"M. Lara, S. Berenzon, L. Nieto, Laura Navarrete, Clara Fleiz, Marycarmen Bustos, J. Villatoro","doi":"10.17711/sm.0185-3325.2021.035","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.035","url":null,"abstract":"Introduction. The transition to parenthood can be a source of stress for fathers and, in some cases, it can be accompanied by emotional distress. This aspect has been neglected in Mexican research. Objective. To estimate the prevalence of emotional distress and the sociodemographic factors associated with it in Mexican fathers. Method. Cross-sectional study. A subsample of 997 fathers, over 18 years of age, was taken from the data of a national survey, whose partners were pregnant or had given birth in the last six months. The Kessler Emotional Distress Scale (K6) was used. Results. About 25% of the fathers experienced moderate emotional distress during their partner's pregnancy and 29.5% during the postpartum period; 1.0% and 1.9% showed serious emotional distress in those periods, respectively. Being between 18 and 29 years old (PR = .10; CI [.01, .79]), having lower educational attainment (PR = 5.59; CI [1.19, 26.21]), and going through postpartum (PR = 4.11; CI [1.00, 16.78]) were at higher risks for severe emotional distress; having one or two children (PR = .16; CI [.05, .55]) or more than three (PR = .08; CI [.01, .44]) was a higher risk than being a first-time father. Discussion and conclusion. It is necessary to continue studying paternal perinatal mental health due to the impact it has on the mother and the infant, and to design tailored interventions. Parental emotional distress needs to be better understood considering recent changes in the paternal role in developing countries.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"57 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77710987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2021-10-22DOI: 10.17711/10.17711/SM.0185-3325.2021.031
Susana Mesa Mesa, Alejandra Gómez García, Luisa Fernanda Naranjo Pérez, Laura Montoya, Martha Saldarriaga, Juan David Velásquez Tirado, Gustavo Adolfo Constaín González, C. R. Ramírez, Yeison Felipe Gutiérrez Vélez, J. G. F. Vásquez
{"title":"Psychological stress in mothers of neonates admitted to an intensive care unit","authors":"Susana Mesa Mesa, Alejandra Gómez García, Luisa Fernanda Naranjo Pérez, Laura Montoya, Martha Saldarriaga, Juan David Velásquez Tirado, Gustavo Adolfo Constaín González, C. R. Ramírez, Yeison Felipe Gutiérrez Vélez, J. G. F. Vásquez","doi":"10.17711/10.17711/SM.0185-3325.2021.031","DOIUrl":"https://doi.org/10.17711/10.17711/SM.0185-3325.2021.031","url":null,"abstract":"Introduction. The admission of the newborn to a neonatal intensive care unit (NICU) leads to maternal stress. This stress has deleterious consequences on the mother and the appropriate attachment with her child. Objective. To assess the relationship of mothers’ sociodemographic, clinical, psychological, and psychiatric factors, as well as neonates’ clinical aspects with the level of psychological stress perceived by mothers of neonates admitted to the NICU. Method. Cross-sectional study with 47 women over the age of 18, whose infants had been admitted to a NICU during the last 72 hours. Bivariate correlations and a multivariate linear model with the significant variables in the bivariate analyses where performed. Results. According to the multivariate model, the perception of loneliness and the presence of at least one psychiatric diagnosis (depressive episode, dysthymia, generalized anxiety disorder, adjustment disorder, acute stress disorder, or substance use disorder) were associated with maternal stress. Problem-focused coping strategies were relevant within the model and could have protective value against stress. The model explained 73.5% of the stress severity variance ( F 38.848; p Discussion and conclusion. Stress in mothers of newborns admitted to a NICU is related to their feeling of loneliness and mental health. The mothers’ need for support and psychopathology are aspects to be considered when providing care to the newborns and their families. Training in coping strategies focused on specific situations could contribute to the reduction of mothers’ stress.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"39 6","pages":"241-248"},"PeriodicalIF":1.3,"publicationDate":"2021-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72591095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salud MentalPub Date : 2021-10-21DOI: 10.17711/sm.0185-3325.2021.030
A. Juárez-García, Anabel Camacho-avila, J. García-Rivas, Oniria Gutiérrez-Ramos
{"title":"Psychosocial factors and mental health in Mexican healthcare workers during the COVID-19 pandemic","authors":"A. Juárez-García, Anabel Camacho-avila, J. García-Rivas, Oniria Gutiérrez-Ramos","doi":"10.17711/sm.0185-3325.2021.030","DOIUrl":"https://doi.org/10.17711/sm.0185-3325.2021.030","url":null,"abstract":"Introduction. The World Health Organization has estimated a significant increase in mental disorders due to the COVID-19 pandemic and has identified healthcare workers as a vulnerable group. In Mexico, the impact of this pandemic on the mental health of healthcare workers and the psychosocial factors associated with it remain unknown. Objective. To identify levels of stress, burnout, anxiety, and depression and their relationship with negative psychosocial stressors and positive psychosocial resources in healthcare workers in Mexico during the COVID-19 pandemic. Method. As a part of a larger project in certain Latin American countries, 269 health workers from various Mexican clinics and hospital centers initially participated in a non-experimental, cross-sectional correlational design. Participants were recruited by targeted sampling. Various ultra-brief measures were used to measure symptoms of depression, anxiety, burnout, and stress and a mixed-methods exploration technique was used to identify associated psychosocial factors, which were also explored with cluster analysis. Results. We found high levels of depressive and anxiety symptoms (56.9% and 74.7%), as well as burnout and stress (49.8% and 46.8%). Although the stressors “infection of self” and “family infection” (38.3% and 30.9%) and the resources “family” and “personal protective equipment” (34.6% and 24.5%) were the most frequent, there were more than 20 factors in each category differentially associated with mental health. Cluster analysis made it possible to identify representative sets of psychosocial variables. Discussion and conclusion. The increased risk in mental health for health care workers is confirmed in a preliminary way and the stressors and resources to be considered in preventive strategies to address COVID-19 pandemic in Mexico are identified.","PeriodicalId":46510,"journal":{"name":"Salud Mental","volume":"9 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2021-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75315850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}