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Boletín Clínico de la Asociación Médica del Hospital Infantil del Estado de Sonora

2021, Number 2

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Bol Clin Hosp Infant Edo Son 2021; 38 (2)

Morbidity of mental health disorders in adolescence. Analysis of clinical records of the outpatient clinic of the Center for Mental Hygiene “Dr. Carlos Nava Muñoz”

Campbell-Araujo ÓA, Figueroa-Duarte AS

Language: Spanish
References: 28
Page: 90-101
PDF size: 227.43 Kb.


ABSTRACT

As part of general health, mental health (MH) depends on culture and socioeconomic conditions. Poverty and what it entails: unhealthy conditions, malnutrition, illiteracy, family disorganization, social marginalization, negatively affect MH problems.
Objective: To know the morbidity of MH disorders in adolescents, from the outpatient clinic of the Dr. Carlos Nava Muñoz Mental Hygiene Center; in the city of Hermosillo, Sonora, from January to December 2016.
Material and Methods: 142 record files from the pediatric neurological service were selected for review. For the elaboration of the date capture format and statistical analysis, the statistical package Statistical Package for the Social Sciences (SPSS) Version 19 was used. In the classification of clinical diagnoses, the DSM-IV and the International Classification of Diseases were used. -CIE10- of the WHO. Type of study: Prospective and observational.
Results: It was observed that there are differences in MH disorders in adolescents according to sex (biological entity) and gender (sociocultural entity). According to the male sex, the highest frequency of neurodevelopmental disorders was found, in the first place: the diagnosis of intellectual disability, in a ratio of 28/9 (men/women). Followed by learning disorders in a ratio of 10/5. Regarding those related to gender, in males, it was found: conduct disorders with a distribution of 19/5. The use of substances of various types in a ratio of 18/6. Female gender were: Anxiety/depression 15/6 (women/ men); cutting self-harm disorder 15/5; adaptative disorders 8/4.
Conclusions: We need a government that really invests in improving the living conditions of a large part of the population: well-paid employment, housing, health, education, generating development opportunities, building a sense of community, respect for human rights, etc. Re-educate, sensitize and train the personnel who work in their institutions: Culture, Education, Health Services, Legal., with a focus on social justice and equity so that this is reflected in the care provided to the people of each increasing vulnerable population. If concrete actions are not carried out in these various areas, we cannot expect improvements.


REFERENCES

  1. Secretaría de Salud Subsecretaría de Prevención y Promoción de la Salud. Dirección General de Epidemiología. Perfil Epidemiológico de la Salud Mental. México: Secretaría de Salud. 2012.

  2. Sandoval-De Escudria JM, Richard Muñoz MP. La Salud Mental en México. Servicio de Investigación y análisis. División de Política Social. [En línea]. http://www.salud.gob.mx/unidades/cdi/documentos/ SaludMentalMéxico.pdf [Consultado el abril de 2019].

  3. Telles-Correia D, Saraiva S, Gonçalves J. Mental Disorder- The Need for an Accurate Definition. Front Psychiatry. 2018; 9: 64.

  4. Merikangas M, Nakamura E, Kessler R. Epidemiology of mental health. Dialog. Neuroscience. 2009; 11(1): 7-20.

  5. Merikangas M, He Jian-ping, Burtesin M, Swanson S, Avenevoli, Cui L, Benjet C, Georjiades K, Swendsen. Lifetime prevalence of mental disorders in US adolescentes: results from the National Comoborbidity Study-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010; 49(10): 980-989.

  6. Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, Rohde LA, Srinath S, Ulkuer N, Rahman A. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011 Oct 22; 378(9801): 1515-25.

  7. González S. La salud mental en México. [En línea]. http://www.conadic.gob.mx/doctos/salmen.htm [Consultado el 27 de junio de 2015].

  8. WHO. Mental Health: strengthening our response. [En línea] https://www.who.int/news-room/fact-sheets/ detail/mental-health-strengthening-our-response [Consultado el 25 de noviembre 2020].

  9. Das J, Quy-Toan D, Friedman J, McKenzie D, Scott K. Mental health and poverty in developing countries: Revisiting the relationship. Soc Sci Med. 2007; 65(3): 467-480.

  10. Gilman SE, Kawachi I, Fitzmaurice GM, Buka SL. Family disruption in childhood and risk of adult depression. Am J Psychiatry. 2003; 60(5): 939-46.

  11. IBM Corp. Released 2010. IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp.

  12. Manual de Diagnóstico Estadístico. En su versión más reciente elaborado y publicado por la Asociación Americana de Psiquiatría (Manual de Diagnóstico Estadístico. Versión 5. DSM5. 2013).

  13. Organización Mundial de la Salud. CIE 10. Décima Revisión de la Clasificación Internacional de Las Enfermedades. Trastornos Mentales y del Comportamiento: Descripciones Clínicas y Pautas para el Diagnóstico. Madrid: Meditor. 1992.

  14. INEGI. Censo de Población y Vivienda 2010. Sistema para la consulta de información censal (SCINCE) Versión 05/2012.

  15. Phillips SP. Defining and measuring gender: A social determinant of health whose time has come. International Journal for Equity in Health. 2005; 4: 11.

  16. Zahn-Waxler C, Shirtcliff E, Marceau K. Disorders of childhood and adolescence: gender and psychopathology. Ann Rev Clin Psycho. 2008; 4: 275-303.

  17. Lazcano-Ponce E, Katz G, Allen-Leigh B, Magaña- Valladares L, Rangel-Edave G, Minoletti A, Wahlber A, Salvador-Carulla L. Trastorno del desarrollo intelectual en América Latina: un marco para establecer las prioridades políticas de investigación y atención. Rev Panam Salud Pública. 2013; 34(3): 204-209.

  18. Boyle CA, Murphy CC. Neurodevelopmental Disabilities. En: Nelson LM, Tanner CM, Van Den Eeden S, McGuire VM. Neuroepidemiology. From Principles to Practice. New York: Oxford. 2004.

  19. Gillberg C. Developmental and neuropsychiatric disorders in childhood. En: Aicardi J, Bax M, Gillberg C, Oiger H. Diseases of the Nervous System Childhood. London: Cambridge University Press. 1998.

  20. Maulik PK, Mascarenhas MN, Mathers CD. Corrigendum To Prevalence of intellectual disability: A meta-analysis of population-based studies. (Research in Developmental Disabilities, Volume 32, Issue 2, March–April 2011, Pages 419-436). Research in Developmental Disabilities. 2013; 24: 729.

  21. Méndez-Díaz M, Romero-Torres B, Cortés Morelos J, Ruiz-Contreras A, Próspero G O. Neurobiología de las adicciones. Rev Fac Med UNAM. 2017; 60(1): 6-16.

  22. Rutter M, Sroufe LA. Developmental psychopathology: Concepts and challenges. Development and Psychopathology. 2000; 12: 265-296.

  23. Smith DT, Mouzon DM, Elliot M. Review the Assumptions About Men´s Mental Health: An Exploration of the Gender Binary. Am J Mens Health. 2018; 12(1): 78-89.

  24. Ramos-Lira L. ¿Por qué hablar de género y salud mental? Rev Sal Ment. 2014; 37(4): 275-281.

  25. Bonino L. Varones, Género y Salud Mental: Deconstruyendo la “Normalidad” Masculina. En: Carabi A, Segarra M. Nuevas Masculinidades. Barcelona: Icaria. 2000.

  26. Björkqvist K. Sex differences in physical, verbal, and indirect aggression: A review of recent research. Sex Roles. 1994; 30(3): 177-188.

  27. Burbank V. Female Aggression in Cross-Cultural Perspective. Cross-Cultural Research. 1987; 21(1- 4): 70-100.

  28. Elliott M. Gender Differences in the Determinants of Distress, Alcohol Misuse, and Related Psychiatric Disorders. Society and Mental Health. 2013; 3(2): 96-113.




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