Publications by authors named "Eduardo Madrigal-de Leon"

COVID-19 frontline healthcare workers (FHCW) are struggling to cope with challenges that threaten their wellbeing. We examine the frequency and predictors of the most frequent mental health problems (MHP) among FHCW during the first COVID-19 peak in Mexico, one of the most severely affected countries in terms of FHCW's COVID-19 mortality. A cross-sectional survey was conducted between May 8 and August 18, 2020.

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Previous studies in Mexico undertaken at residential facilities for treating substance use disorders (SUDs) reported that the prevalence of Dual Disorders (DDs) is over 65%. DDs pose a major challenge for the Mexican health system, particularly for community-based residential care facilities for SUDs, due to the shortage of certified professionals to diagnose and treat these patients. Moreover, the lack of standardized algorithms for screening for and evaluating DDs to refer patients to specialized services (whether private or public) hinders timely care, delaying the start of integrated treatment.

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In Mexico, very few studies have been published on dual disorders (DD) at specialized treatment centers describing actual treatment needs and even fewer have been undertaken at addiction treatment centers in the public system. The objective of this study was therefore to analyze DD and other clinical characteristics in people seeking treatment at outpatient addiction centers in the public system.

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Background: Access to mental health care is a worldwide public health challenge. In Mexico, an unacceptably high percentage of the population with mental disorders does not receive the necessary treatment, which is mainly due to the lack of access to mental health care. The community mental health care model was created and has been implemented to improve this situation.

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Background: Paternalism/overprotection limits communication between healthcare professionals and patients and does not promote shared therapeutic decision-making. In the global north, communication patterns have been regulated to promote autonomy, whereas in the global south, they reflect the physician's personal choices. The goal of this study was to contribute to knowledge on the communication patterns used in clinical practice in Mexico and to identify the determinants that favour a doctor-patient relationship characterized by low paternalism/autonomy.

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Objective: To describe the prevalence of knowledge about neurodevelopment disorders (NDDs) and the level of acceptance of models of inclusive education (IEM) in teachers.

Materials And Methods: A multicenter cross-sectional study in Mexico and Central America. A self-report instrument to teachers of basic level on knowledge in NDDs and acceptance of the IEM.

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Objective: To estimate the factors associated with open communication between mental health professionals and parents of patients with intellectual disabilities and other neurodevelopmental disorders.

Materials And Methods: Cross-sectional survey in 759 mental health professionals. The association between the pattern of open communication and the attributes of communication was estimated through a logistic, ordinal, multivariate model.

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Objective: To analyze the mental health care needs of the serious mental disorders (SMD) and factors associated with the use of services in Mexico.

Materials And Methods: A cross-sectional analytical study was conducted in two phases, the first with a national database of available services and its utilization; the second, a sample of medical records of a psychi- atric hospital.

Results: Schizophrenia is the most prevalent MDS; more than 50% of those hospitalized were male, with an average age of 37 years.

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Objective: to analyze changes on risk behavior (RB) by gender in an adolescent student's cohort.

Methods: online questionnaire based on YRBSS of CDC with 36 RB was applied in two periods (2003, 2005) to 115 students aged 15 to 19 from High School. Statistics: McNemar and binomial.

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Objective: to explore and analyze tobacco smoking cessation strategies and identify differences by gender in adolescents.

Methods: exploratory study with 62 regular tobacco smoking students from a public high school University of Guadalajara. Free lists were used for data collection.

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Objective: to evaluate the association between tobacco-smoking patterns and family and school variables in school teenagers from Guadalajara, Mexico.

Methods: 556 high school students at the Universidad de Guadalajara participated in the study. The analysis included the following risk factors: parental, siblings and friends smoking habits, being employed while studying, being an irregular student, school shift (morning/evening), and history of rejection in their first application to enter high-school.

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Objective: Evaluation of effect in short term of the parents school program (PSP) about the family environment and the different results between participating and non-participating parents.

Material And Methods: A cohort study was performed on 112 parents of students from the High School 5 (University of Guadalajara) during six months, 61 parents received the program (intervention group, IG) and 51 were the control group (CG). The program was made in 17 weekly interactive meetings, where the topics were: adolescent psychology and sexuality; parent-children relationship; family communication; self esteem; and addiction prevention.

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