Publications by authors named "Yolanda Torres"

Article Synopsis
  • A large-scale, cross-national study examined the impact of removing the "excessiveness" requirement for diagnosing generalized anxiety disorder (GAD) among individuals living in challenging circumstances.
  • Data from over 133,000 adults across various income countries revealed that eliminating this criterion raises the global prevalence of GAD from 2.6% to 4.0%, especially in low- and middle-income countries.
  • Non-excessive worriers, while less severe, exhibit similar socio-demographic traits and impairment levels as excessive worriers, indicating they are significant cases deserving diagnosis and treatment.
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The title complex, (1,4,7,10,13,16-hexa-oxa-cyclo-octa-decane-1κ )(μ-oxalato-1κ , :2κ , )triphenyl-2κ -potassium(I)tin(IV), [KSn(CH)(CO)(CHO)] or K[18-Crown-6][(CH)SnOC], was synthesized. The complex consists of a potassium cation coordinated to the six oxygen atoms of a crown ether mol-ecule and the two oxygen atoms of the oxalatotri-phenyl-stannate anion. It crystallizes in the monoclinic crystal system within the space group 2.

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Article Synopsis
  • Many patients discontinue antidepressant medication (ADM) without a doctor's recommendation, with 15.7% ceasing use independently compared to 10.9% who followed their prescriber's advice.
  • The primary reason for stopping was feeling better (46.6%), particularly noted by those who discontinued within the first two weeks of treatment, while concerns like perceived ineffectiveness and costs were less common.
  • Factors influencing discontinuation include country income levels, employment status, and the prescribing professional, indicating that patient-reported reasons are complex and vary widely among individuals.
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Background: Information on the frequency and timing of mental disorder onsets across the lifespan is of fundamental importance for public health planning. Broad, cross-national estimates of this information from coordinated general population surveys were last updated in 2007. We aimed to provide updated and improved estimates of age-of-onset distributions, lifetime prevalence, and morbid risk.

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Importance: Understanding the association of civil violence with mental disorders is important for developing effective postconflict recovery policies.

Objective: To estimate the association between exposure to civil violence and the subsequent onset and persistence of common mental disorders (in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [DSM-IV]) in representative surveys of civilians from countries that have experienced civil violence since World War II.

Design, Setting, And Participants: This study used data from cross-sectional World Health Organization World Mental Health (WMH) surveys administered to households between February 5, 2001, and January 5, 2022, in 7 countries that experienced periods of civil violence after World War II (Argentina, Colombia, Lebanon, Nigeria, Northern Ireland, Peru, and South Africa).

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Aim: Exposure to traumatic events (TEs) is associated with substance use disorders (SUDs). However, most studies focus on a single TE, and are limited to single countries, rather than across countries with variation in economic, social and cultural characteristics. We used cross-national data to examine associations of diverse TEs with SUD onset, and variation in associations over time.

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Purpose: Lesbian, gay, and bisexual (LGB) individuals, and LB women specifically, have an increased risk for psychiatric morbidity, theorized to result from stigma-based discrimination. To date, no study has investigated the mental health disparities between LGB and heterosexual AQ1individuals in a large cross-national population-based comparison. The current study addresses this gap by examining differences between LGB and heterosexual participants in 13 cross-national surveys, and by exploring whether these disparities were associated with country-level LGBT acceptance.

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Article Synopsis
  • Patient-reported helpfulness of treatment is a key measure of quality in patient-centered mental health care, focusing on experiences with various common disorders.
  • A study of over 10,000 respondents from 30 global surveys found that while only 26.1% found the first treatment helpful, the likelihood of finding helpful treatment increased significantly with each additional professional seen.
  • Despite higher treatment-seeking behavior in high-income countries, the perceived helpfulness of treatments was similar across both high-income and low- to middle-income countries, highlighting the need to encourage persistence in seeking help for mental health issues.
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Purpose: To investigate the prevalence and predictors of perceived helpfulness of treatment in persons with a history of DSM-IV social anxiety disorder (SAD), using a worldwide population-based sample.

Methods: The World Health Organization World Mental Health Surveys is a coordinated series of community epidemiological surveys of non-institutionalized adults; 27 surveys in 24 countries (16 in high-income; 11 in low/middle-income countries; N = 117,856) included people with a lifetime history of treated SAD.

Results: In respondents with lifetime SAD, approximately one in five ever obtained treatment.

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Background: Mental health treatment is scarce and little resources are invested in reducing the wide treatment gap that exists in the Americas. The regional barriers are unknown. We describe the barriers for not seeking treatment among those with mental and substance use disorders from six (four low- and middle-income and two high-income) countries from the Americas.

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Objective: To estimate structural and attitudinal reasons for premature discontinuation of mental health treatment, socio-demographic and clinical correlates of treatment dropout due to these reasons, and to test country differences from the overall effect across the region of the Americas.

Methods: World Health Organization-World Mental Health (WMH) surveys were carried out in six countries in the Americas: Argentina, Brazil, Colombia, Mexico, Peru and USA. Among the 1991 participants who met diagnostic criteria (measured with the Composite International Diagnostic Interview (WMHCIDI)) for a mental disorder and were in treatment in the prior 12-months, the 236 (12.

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Aim: We examined prevalence and factors associated with receiving perceived helpful alcohol use disorder (AUD) treatment, and persistence in help-seeking after earlier unhelpful treatment.

Methods: Data came from 27 community epidemiologic surveys of adults in 24 countries using the World Health Organization World Mental Health surveys (n = 93,843). Participants with a lifetime history of treated AUD were asked if they ever received helpful AUD treatment, and how many professionals they had talked to up to and including the first time they received helpful treatment (or how many ever, if they had not received helpful treatment).

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Article Synopsis
  • The study investigates the impact of prior mental disorders on outcomes for people diagnosed with major depressive disorder (MDD) over the past year.
  • The analysis utilized data from a large sample (over 80,000 adults) across 27 countries, focusing on various types of mental disorders and their effects on depression-related issues like suicidality and impairment in daily functioning.
  • Findings reveal that a significant majority of individuals with 12-month MDD had preceding mental disorders, particularly noting that non-depressive disorders were linked to worse depression outcomes, indicating a need for thorough psychiatric assessments in these patients.
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Background: Although randomized trials show that specific phobia treatments can be effective, it is unclear whether patients experience treatment as helpful in clinical practice. We investigated this issue by assessing perceived treatment helpfulness for specific phobia in a cross-national epidemiological survey.

Methods: Cross-sectional population-based WHO World Mental Health (WMH) surveys in 24 countries (n=112,507) assessed lifetime specific phobia.

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This research focuses on the study of the ruins of a large building known as "El Torreón" (the Tower), belonging to the Ulaca (Solosancho, Province of Ávila, Spain). Different remote sensing and geophysical approaches have been used to fulfil this objective, providing a better understanding of the building's functionality in this town, which belongs to the Late Iron Age (ca. 300-50 BCE).

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Background: Depressive and anxiety disorders are highly comorbid, which has been theorized to be due to an underlying internalizing vulnerability. We aimed to identify groups of participants with differing vulnerabilities by examining the course of internalizing psychopathology up to age 45.

Methods: We used data from 24158 participants (aged 45+) in 23 population-based cross-sectional World Mental Health Surveys.

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Background: Perceived helpfulness of treatment is an important healthcare quality indicator in the era of patient-centered care. We examine probability and predictors of two key components of this indicator for posttraumatic stress disorder (PTSD).

Methods: Data come from World Mental Health surveys in 16 countries.

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Importance: The perceived helpfulness of treatment is an important patient-centered measure that is a joint function of whether treatment professionals are perceived as helpful and whether patients persist in help-seeking after previous unhelpful treatments.

Objective: To examine the prevalence and factors associated with the 2 main components of perceived helpfulness of treatment in a representative sample of individuals with a lifetime history of DSM-IV major depressive disorder (MDD).

Design, Setting, And Participants: This study examined the results of a coordinated series of community epidemiologic surveys of noninstitutionalized adults using the World Health Organization World Mental Health surveys.

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Background: Prevalences of Alcohol Use Disorders (AUDs) and Mental Health Disorders (MHDs) in many individual countries have been reported but there are few cross-national studies. The WHO World Mental Health (WMH) Survey Initiative standardizes methodological factors facilitating comparison of the prevalences and associated factors of AUDs in a large number of countries to identify differences and commonalities.

Methods: Lifetime and 12-month prevalence estimates of DSM-IV AUDs, MHDs, and associations were assessed in the 29 WMH surveys using the WHO CIDI 3.

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Article Synopsis
  • Illicit drug use and related health issues have increased over the past decades, but knowledge gaps exist, particularly in understanding the prevalence of dependence, making it hard to compare data across countries.
  • The World Mental Health Surveys Initiative collected data from 27 surveys across 25 countries using standardized methods to assess drug use disorders (DUDs) among adults.
  • Results showed that DUD prevalence varies significantly by country income level, with higher rates in wealthier nations, and DUDs were more prevalent among men and younger individuals, often linked to other mental disorders.
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Background: Specific phobia (SP) is a relatively common disorder associated with high levels of psychiatric comorbidity. Because of its early onset, SP may be a useful early marker of internalizing psychopathology, especially if generalized to multiple situations. This study aimed to evaluate the association of childhood generalized SP with comorbid internalizing disorders.

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Importance: Limited empirical research has examined the extent to which cohort-level prevalence of substance use is associated with the onset of drug use and transitioning into greater involvement with drug use.

Objective: To use cross-national data to examine time-space variation in cohort-level drug use to assess its associations with onset and transitions across stages of drug use, abuse, dependence, and remission.

Design, Setting, And Participants: The World Health Organization World Mental Health Surveys carried out cross-sectional general population surveys in 25 countries using a consistent research protocol and assessment instrument.

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Aims: To examine cross-national patterns of 12-month substance use disorder (SUD) treatment and minimally adequate treatment (MAT), and associations with mental disorder comorbidity.

Design: Cross-sectional, representative household surveys.

Setting: Twenty-seven surveys from 25 countries of the WHO World Mental Health Survey Initiative.

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