2019, Número 1
<< Anterior Siguiente >>
salud publica mex 2019; 61 (1)
Psicopatología y autolesiones en alumnos de nuevo ingreso en seis universidades mexicanas
Benjet C, Gutiérrez-García RA, Abrego-Ramírez A, Borges G, Covarrubias-Díaz A, Durán MS, González-González R, Hermosillo-de la Torre AE, Martínez-Martínez KI, Medina-Mora ME, Mejía-Zarazúa H, Pérez-Tarango G, Zavala-Berbena MA, Mortier P
Idioma: Ingles.
Referencias bibliográficas: 41
Paginas: 16-26
Archivo PDF: 400.61 Kb.
RESUMEN
Objetivo. Estimar psicopatologías y autolesiones en universitarios
de nuevo ingreso, así como los correlatos sociodemográficos,
el uso de servicios y la disposición para recibir
tratamiento.
Material y métodos. 4 189 estudiantes de
nuevo ingreso de seis universidades en cuatro estados contestaron
una encuesta en línea con una tasa de respuesta de
79.3%.
Resultados. 32.5% han padecido psicopatologías
en su vida, pero únicamente 19.5% han recibido tratamiento.
Mujeres, estudiantes con una orientación no heterosexual,
estudiantes de mayor edad, quienes tienen padres fallecidos o
no casados, sin religión o con una religión no católica/cristiana
tienen mayor probabilidad de presentar psicopatologías (RM=
1.18-1.99), mientras que aquellos de universidades privadas
y cuyos padres tienen estudios universitarios tienen menor
probabilidad (RM= 0.68-0.75).
Conclusiones. La alta tasa
de psicopatologías no tratadas combinada con la disposición
reportada de recibir servicios a través de su universidad
sugiere una oportunidad para la detección, canalización y
tratamiento de alumnos de nuevo ingreso para promover
una transición exitosa.
REFERENCIAS (EN ESTE ARTÍCULO)
Organización para la Cooperación y el Desarrollo Económicos. Nota País. Panorama de la educación 2013. Mexico: OCDE [cited 2017 sept 17]. Available from: https://www.oecd.org/edu/Mexico_EAG2013%20Country% 20note%20(ESP).pdf
Medina-Mora ME, Borges G, Lara C, Benjet C, Blanco J, Fleiz C, et al. Prevalence, service use, and Demographic Correlates of 12-month DSM-IV Psychiatric Disorders in Mexico: Results from the Mexican National Comorbidity Survey. Psychol Med. 2005;35:1773-84. https://doi. org/10.1017/S0033291705005672
Blanco C, Okuda M, Wright C, Hasin DS, Grant BF, Liu SM, et al. Mental health of college students and their non-college-attending peers: results from the National Epidemiologic Study on Alcohol and Related Conditions. Arch Gen Psychiatry. 2008;65(12):1429-37. https://doi.org/10.1001/ archpsyc.65.12.1429
Auerbach RP, Alonso J, Axinn WG, Cuijpers P, Ebert DD, Green JG, et al. Mental disorders among college students in the WHO World Mental Health Surveys. Psychol Med. 2016;46(14):2955-70. https://doi. org/10.1017/S0033291716001665
De Luca SM, Franklin C, Yueqi Y, Johnson S, Brownson C. The Relationship between suicide ideation, behavioral health, and college academic performance. Community Ment Health J. 2016;52(5):534-40. https://doi. org/10.1007/s10597-016-9987-4
Keyes CL, Eisenberg D, Perry GS, Dube SR, Kroenke K, Dhingra SS. The relationship of level of positive mental health with current mental disorders in predicting suicidal behavior and academic impairment in college students. J Am Coll Health. 2012;60(2):126-33. https://doi.org/10.1080/074 48481.2011.608393
Kiekens G, Claes L, Demyttenaere K, Auerbach RP, Green JG, Kessler RC, et al. Lifetime and 12-Month Nonsuicidal Self-Injury and Academic Performance in College Freshmen. Suicide Life Threat Behav. 2016;46(5):563-76. https://doi.org/10.1111/sltb.12237
Mortier P, Demyttenaere K, Auerbach RP, Green JG, Kessler RC, Kiekens G, et al. The impact of lifetime suicidality on academic performance in college freshmen. J Affect Disord. 2015;186:254-60. https://doi. org/10.1016/j.jad.2015.07.030
Hjorth CF, Bilgrav L, Frandsen LS, Overgaard C, Torp-Pedersen C, Nielsen B, et al. Mental health and school dropout across educational levels and genders: a 4.8-year follow-up study. BMC Public Health. 2016;16:976. https://doi.org/10.1186/s12889-016-3622-8
Haile YG, Alemu SM, Habtewold TD. Common mental disorder and its association with academic performance among Debre Berhan University students, Ethiopia. Int J Ment Health Syst. 2017;11:34. https://doi. org/10.1186/s13033-017-0142-6
Lester D. Depression and suicidal ideation in college students: a preliminary study of campus variables. Psychol Rep. 2013;112(1):106-8. https:// doi.org/10.2466/12.02.10.PR0.112.1.106-108
Kessler RC, Angermeyer M, Anthony JC, De Graaf R, Demyttenaere K, Gasquet I, et al. Lifetime prevalence and age-of-onset distritucions of mental disorders in the World Health Organization World Mental Health Survey Initiative. World Psychiatry. 2007;6:168-76.
Benjet C, Borges G, Méndez E, Albor Y, Casanova L, Orozco R, et al. Eight-year incidence of psychiatric disorders and service use from adolescence to early adulthood: longitudinal follow-up of the Mexican Adolescent Mental Health Survey. Eur Child Adolesc Psychiatry. 2016;25(2):163-73. https://doi.org/10.1007/s00787-015-0721-5
Borges G, García JA, Orozco R, Benjet C, Medina-Mora ME. Suicidio. In: JR de la Fuente, G Heinze (eds.). Salud Mental y Medicina Psicológica. Mexico City: McGraw-Hill Interamericana, 2014;195-202.
Mojtabai R, Stuart EA, Hwang I, Eaton WW, Sampson N, Kessler RC. Long-term effects of mental disorders on educational attainment in the National Comorbidity Survey ten-year follow-up. Soc Psychiatry Psychiatr Epidemiol. 2015;50(10):1577-91. https://doi.org/10.1007/ s00127-015-1083-5
Mojtabai R, Stuart EA, Hwang I, Susukida R, Eaton WW, Sampson N, et al. Long-term effects of mental disorders on employment in the National Comorbidity Survey ten-year follow up. Soc Psychiatry Psychiatr Epidemiol. 2015;50(11):1657-68. https://doi.org/10.1007/s00127-015-1097-z
Breslau J, Miller E, Jin R, Sampson NA, Alsono J, Andrade LH, et al. A multinational study of mental disorders, marriage, and divorce. Acta Psychiatr Scand. 2011;124(6):474-86. https://doi.org/10.1111/j.1600- 0447.2011.01712.x
Borges G, Benjet C, Medina-Mora ME, Orozco R, Wang PS. Treatment of Mental Disorders for Adolescents in Mexico City. Bull World Health Organ. 2008;86(10):757-64. https://doi.org/10.2471/BLT.07.047696
Borges G, Medina-Mora ME, Wang PS, Lara C, Berglund P, Walters E. Treatment and adequacy of treatment of mental disorders among respondents to the Mexico National Comorbidity Survey. Am J Psychiatry. 2006;163(8):1371-8. https://doi.org/10.1176/ajp.2006.163.8.1371
Benjet C, Borges G, Medina-Mora ME, Méndez E, Fleiz C, Rojas E, et al. Diferencias de sexo en la prevalencia y severidad de trastornos psiquiátricos en adolescentes de la Ciudad de México. Salud Ment. 2009:32(2):155-63.
Nolen-Hoeksema S. Emotion regulation and psychopathology: the role of gender. Annu Rev Clin Psychol. 2012;8:161-87. https://doi.org/10.1146/ annurev-clinpsy-032511-143109
Nock MK, Holmberg EB, Photos VI, Michel BD. Self-Injurious Thoughts and Behaviors Interview: development, reliability, and validity in an adolescent sample. Psychol Assess. 2007;19(3):309-17. https://doi. org/10.1037/1040-3590.19.3.309
Posner K, Oquendo MA, Gould M, Stanley B, Davies M. Columbia Classification Algorithm of Suicide Assessment (C-CASA): classification of suicidal events in the FDA’s pediatric suicidal risk analysis of antidepressants. Am J Psychiatry. 2007;164:1035-43. https://doi.org/10.1176/ ajp.2007.164.7.1035
Kessler RC, Ustun TB. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Meth Psych Res. 2004;13:93-121. https://doi.org/10.1002/mpr.168
Haro JM, Arbabzadeh-Bouchez S, Brugha TS, de Girolamo G, Guyer ME, Jin R, et al. Concordance of the composite international diagnostic interview version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Healt surveys. Int J Methods Psychiatr Res. 2006;15:167-80. https://doi.org/10.1002/mpr.196
Medina-Mora ME, Borges G, Benjet C, Lara C, Berglund P. Psychiatric disorders in Mexico: lifetime prevalence in a nationally representative sample. Br J Psychiatry. 2007;190(6):521-8. https://doi.org/10.1192/bjp. bp.106.025841
Medina-Mora ME, Borges G, Lara C, Benjet C, Blanco JJ, Fleiz C, et al. Resultados de la encuesta nacional de epidemiología psiquiátrica en México. Salud Ment. 2003;26:1-16.
Mortier P, Cuijpers P, Kiekens G, Auerbach RP, Demyttenaere K, Green JG, et al. The prevalence of suicidal thoughts and behaviors among college students: a meta-analysis. Psych Med. 2018;48(4):554-65. https://doi. org/10.1017/S0033291717002215
González-Macip S, Díaz-Martínez A, Ortiz-León S, González-Forteza C, González-Núñez JJ. Características psicométricas de la Escala de Ideación Suicida de Beck (ISB) en estudiantes universitarios de la ciudad de México. Salud Ment. 2000;23(2):21-30.
Unikel C, Gómez-Peresmitré G, González-Forteza C. Suicidal behaviour, risky eating behaviors and psychosocial correlates in Mexican female students. Eur Eat Disorders Rev. 2006;14(6):414-21. https://doi. org/10.1002/erv.707
Pérez-Amezcua B, Rivera-Rivera L, Atienzo EE, de Castro F, Leyva- López A, Chávez-Ayala R. Prevalencia y factores asociados a la ideación e intento suicida en adolescentes de educación media superior de la República mexicana. Salud Publica Mex. 2010;52(4):324-33.
Melo-Carrillo A, Van Oudenhove L, Lopez-Avila A. Depressive symptoms among Mexican medical students: High prevalence and the effect of a group psychoeducation intervention. J Affect Disord. 2012;136(3):1098- 103. https://doi.org/10.1016/j.jad.2011.10.040
Strunin L, Díaz-Martínez A, Díaz-Martínez LR, Kuranz S, HernándezÁvila C, Fernández-Varela H. Changes in alcohol use among first year university students in Mexico. Subst Use Misuse. 2015;50(1):106-13. https:// doi.org/10.3109/10826084.2014.960591
Covarrubias R, Romero A, Trivelli M. Family achievement guilt and mental well-being of college students. J Child Fam Stud. 2015;24(7):2031-7. https://doi.org/10.1007/s10826-014-0003-8
Otowa T, York TP, Gardner CO, Kendler KS, Hettema JM. The impact of childhood parental loss on risk for mood, anxiety and substance use disorders in a population-based sample of male twins. Psychiatry Res. 2014;220(1-2):404-9. https://doi.org/10.1016/j.psychres.2014.07.053
Gilman SE, Kawachi I, Fitzaurice GM, Buka L. Socio-economic status, family disruption and residential stability in childhood: relation to onset, recurrence and remission of major depression. Psychol Med. 2003;33(8):1341-55. https://doi.org/10.1017/S0033291703008377
King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 2008;8(1):70. https://doi. org/10.1186/1471-244X-8-70
Lea T, de Wit J, Reynolds R. Minority stress in lesbian, gay, and bisexual young adults in Australia: associations with psychological distress, suicidality, and substance use. Arch Sex Behav. 2014;43(8):1571-8. https://doi. org/10.1007/s10508-014-0266-6
Lawrence RE, Oquendo MA, Stanley B. Religion and suicide risk: a systematic review. Arch suicide res. 2016;20(1):1-21. https://doi.org/10.108 0/13811118.2015.1004494
Cunningham CE, Zipursky RB, Christensen BK, Bieling PJ, Madsen V, Rimas H, et al. Modeling the mental health service utilization decisions of university undergraduates: A discrete choice conjoint. J Am Coll Health. 2017;1-10. https://doi.org/10.1080/07448481.2017.1322090
Eisenberg D, Hunt J, Speer N. Mental health in American colleges and universities: variation across student subgroups and across campuses. J Nerv Ment Dis. 2013;201:60-7. https://doi.org/10.1097/ NMD.0b013e31827ab077