Browsing by Author "Medina-Mora, María Elena"

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A case-control study of alcohol and substance use disorders as risk factors for non-fatal injury
(OXFORD UNIV PRESS, GREAT CLARENDON ST, OXFORD OX2 6DP, ENGLAND, 2005) Borges, Guilherme; Mondragón, Liliana; Medina-Mora, María Elena; Orozco, Ricardo; Zambrano, Joaquín; Cherpitel, Cheryl; Metropolitan Autonomous Univ Xochimilco, Mexico City, DF, Mexico; guibor@imp.edu.mx
Aims: While alcohol use is thought to be a major risk factor for both fatal and non-fatal injuries, the association of substance use disorders (alcohol use disorders, AUD and substance use disorders, SUD) with occurrence of injury has not received the same attention. To report the association of AUD and SUD, according to diagnostic and statistics manual of mental disorders-IV (DSM-IV) and international classification of diseases 10 (ICD-10) criteria, and the risk of non-fatal injuries. Methods: A case-control study: Cases included 653 injured patients, 18-65-years-old, who attended one emergency department (ED). Controls included 1131 subjects from a representative sample of residents of Mexico City, of the same age group. Information on drug and alcohol use was obtained by interview using the world mental health version of the composite international diagnostic interview (WMH-CIDI). Results: Among injured patients, the prevalence of substance abuse or dependence within the last 12 months was 12.3% for alcohol and 2.5% for other substances (marijuana, cocaine, tranquilizers, amphetamines, others). Among residents of Mexico City, these prevalences were 1.8 and 0.3%, respectively. Adjusted odds ratios (OR) of injury according to alcohol and substance use were 4.95 (95% confidence interval (CI): 2.87-8.52) for alcohol and 2.58 (0.73-9.17) for other substances. An important level of comorbid alcohol and substance use disorders was also found. Conclusions: Efforts in the ED should be carried out to treat and/or refer patients with alcohol and substance use disorders, and special care should be taken to address comorbid cases.
A clinically useful, globally applicable, science-based classification
(Elsevier Science, 2019) Reed, Geoffrey M.; Medina-Mora, María Elena; Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA; Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland.; metmmora@gmail.com (María Elena Medina-Mora)
A global clinicians' map of mental disorders to improve ICD-11: Analysing meta-structure to enhance clinical utility
(Informa Healthcare, Telephone Houde, 69-77 Paul Street, London EC2A 4LQ, England, 2012) Roberts, Michael C.; Reed, Geoffrey M.; Medina-Mora, María Elena; Keeley, Jared W.; Sharan, Pratap; Johnson, David K.; Mari, Jair de Jesús; Ayuso-Mateos, José Luis; Gureje, Oye; Xiao, Zeping; Maruta, Toshimasa; Khoury, Brigitte; Robles, Rebeca; Saxena, Shekhar; Univ Kansas, Clin Child Psychol Program, 1000 Sunnyside Ave, Lawrence, KS 66045 USA.; mroberts@ku.edu
A precision treatment model for internet-delivered cognitive behavioral therapy for anxiety and depression among university students: a secondary analysis of a randomized clinical trial
(American Medical Association, 2023) Benjet, Corina; Hani Zainal, Nur; Albor, Yesica; Alvis-Barranco, Libia; Carrasco-Tapias, Nayib; Contreras-Ibáñez, Carlos C.; Cudris-Torres, Lorena; de la Peña, Francisco R.; González, Noé; Guerrero-López, José Benjamín; Gutierrez-Garcia, Raúl A.; Jiménez-Peréz, Ana Lucía; Medina-Mora, María Elena; Patiño, Pamela; Cuijpers, Pim; Gildea, Sarah M.; Kazdin, Alan E.; Kennedy, Chris J.; Luedtke, Alex; Sampson, Nancy A.; Petukhova, Maria V.; Kessler, Ronald C.; Center for Global Mental Health, National Institute of Psychiatry Ramón de la Fuente Muñiz, Mexico City, Mexico; kessler@hcp.med.harvard.edu (Ronald C.Kessler)
A shortage of medical doctors to meet the challenges of a growing addiction problem in low and middle income countries: The case Mexico
(WILEY-BLACKWELL, COMMERCE PLACE, 350 MAIN ST, MALDEN 02148, MA USA, 2009) Medina-Mora, María Elena; Inst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexico; medinam@imp.edu.mx
A Transnational Study of Migration and Smoking Behavior in the Mexican-Origin Population
(Amer Public Health Assoc INC, 800 I Street, NW, Washington, DC 20001-3710 USA, 2012) Tong, Elisa; Saito, Naomi; Tancredi, Daniel J.; Borges, Guilherme; Kravitz, Richard L.; Hinton, Ladson; Aguilar-Gaxiola, Sergio; Medina-Mora, María Elena; Breslau, Joshua; RAND Corp, 4570 5th Ave,Suite 600, Pittsburgh, PA 15213 USA; jbreslau@rand.org
Accessibility, acceptability, and adequacy of schizophrenia definition according to experts by experience: an icd-11 field study of patients and relative caregivers in Mexico
(Routledge, 2022) Robles-García, Rebeca; Fresán, Ana; Real, Tania; Domínguez-Martínez, Tecelli; Rascón, María Luisa; Hernández, Omar; Muñoz, Carolina; González, Alejandra; Brunet, Floriane; Balaige, Antoine; Askevis-Leherpeux, Françoise; Medina-Mora, María Elena; Roelandt, Jean-Luc; Global Mental Health Research Center, National Institute of Psychiatry, Mexico City, Mexico; reberobles@hotmail.com (Rebeca Robles-García)
Adaptación de un modelo de intervención cognoscitivo-conductual para usuarios dependientes de alcohol y otras drogas a población mexicana: un estudio piloto.
(Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Calz. México-Xochimilco 101, Col. San Lorenzo Huipulco, Tlalpan, México, D.F. Tel. 4160-5000., 2005) Barragán Torres, Lydia; González Vázquez, Julieta; Medina-Mora, María Elena; Ayala Velásquez, Héctor; Facultad de Psicología, Universidad Nacional Autónoma de México, Av. Universidad # 3004, Cd. Universitaria, 04510 México D.F.
El abuso crónico de sustancias adictivas es un problema de salud pública, debido a la gravedad de sus consecuencias: accidentes automovilísticos mortales, urgencias traumáticas, enfermedades físicas severas: cirrosis hepática, alteraciones cardiovasculares, problemas cerebrovasculares, pancreatitis; pérdidas en diferentes áreas del funcionamiento de vida cotidiana: social, psicológica, legal, personal, familiar, económica y laboral; depresión, ansiedad, alteraciones en el sueño, pérdida de redes de apoyo, suicidio, violencia, homicidios, divorcio, pérdida de empleo, hospitalizaciones, encarcelamientos, etc. En México, es necesario desarrollar más modelos de intervención para usuarios crónicos de sustancias adictivas, que incluyan la instrumentación y evaluación sistematizadas con mediciones a mediano y largo plazo para constatar su efectividad. El diseño de modelos de intervención requiere la inclusión de antecedentes de otros modelos con solidez y efectividad en su evidencia empírica. El modelo de intervención: Community Reinforcement Approach CRA, es reconocido por la literatura científica y por instancias internacionales (Nacional Institute of Drug Addiction y el National Institute of Alcoholism and Alcohol Abuse) como uno de los de mayor efectividad para disminuir el patrón de consumo en usuarios crónicos de sustancias adictivas. El objetivo en esta investigación preliminar fue adaptar, sistematizar, instrumentar y evaluar el impacto del modelo de intervención Community Reinforcement Approach en la disminución del patrón de consumo en usuarios dependientes de alcohol y otras drogas en población mexicana. Se instrumentó un Modelo de Intervención cognoscitivo-conductual en nueve usuarios crónicos; los criterios de inclusión fueron: ser mayor de 18 años, saber leer y escribir, tener un nivel de dependencia media y severa al alcohol y/o un nivel de dependencia sustancial y severa a otras drogas, uno o más tratamientos o internamientos previos, y pérdidas asociadas al consumo en diferentes áreas de vida cotidiana. La duración del tratamiento fue de 15 a 24 sesiones; y la duración de la sesión: 1 Hora _, dos veces por semana. Se utilizó un Diseño de Caso Unico con Réplicas y Seguimiento. El Modelo incluyó los siguientes componentes de intervención: Análisis funcional, muestra de no consumo, metas de vida cotidiana, comunicación, solución de problemas, rehusarse al consumo, consejo marital, búsqueda de empleo, habilidades recreativas y sociales, y prevención de recaídas. La adaptación del modelo original (CRA), incorporó cambios: 1) Inclusión de otras habilidades de comunicación, 2) Evaluación de variables predictoras de recaídas: autoeficacia y precipitadores, 3) Se añadieron habilidades de rehusarse al consumo de acuerdo al contexto ambiental de los usuarios mexicanos.Los instrumentos de evaluación pre-postest fueron : línea base retrospectiva (LIBARE), autoregistro, escala de confianza situacional y/o escala de autoconfianza en el consumo de drogas, escala de satisfacción de vida cotidiana, inventario de situaciones de consumo de drogas y/o inventario de situaciones de consumo de alcohol. Los cambios significativos identificados en esta investigación preliminar constatan la efectividad del modelo en los nueve usuarios dependientes de sustancias adictivas: decremento en el patrón de consumo durante y al año después de terminado el tratamiento, incremento en el nivel de satisfacción de vida cotidiana y en el nivel de autoeficacia después del tratamiento y en seguimiento; y disminución de la cantidad de precipitadores al consumo después del tratamiento y en seguimiento. Los usuarios aprendieron a generarse un estilo de vida cotidiano más satisfactorio, al incluir actividades incompatibles con el consumo. Se recomienda en réplicas de la instrumentación de este modelo incluir un componente de entrenamiento para el autocontrol de emociones (depresión, ansiedad y enojo), evaluar el funcionamiento cognitivo como variable predictora de recaídas, incluir a usuarios egresados en un grupo de actividades social-recreativas para reforzar el mantenimiento de la abstinencia a largo plazo.
Addressing the burden of mental, neurological, and substance use disorders: key messages from Disease Control Priorities, 3rd edition
(Elsevier, 2016) Patel, Vikram; Chisholm, Dan; Parikh, Rachana; Charlson, Fiona J.; Degenhardt, Louisa; Dua, Tarun; Ferrari, Alize J.; Hyman, Steve; Laxminarayan, Ramanan; Levin, Carol; Lund, Crick; Medina Mora, María Elena; Petersen, Inge; Scott, James; Shidhaye, Rahul; Vijayakumar, Lakshmi; Thornicroft, Graham; Whiteford, Harvey; DCP MNS Author Group; Albanese, Emiliano; Barry, Margaret; Baxter, Amanda J.; Carli, Vladimir; Charlson, Fiona J.; Chisholm, Dan; Collins, Pamela Y.; Colson, Abigail; Degenhardt, Louisa; Dua, Tarun; Egbe, Cathrine O.; Erskine, Holly E.; Evans-Lacko, Sara; Feigin, Valery; Fekadu, Abebaw; Ferrari, Alize J.; Giannakopoulos, Panteleimon; Gronholm, Petra; Gunnell, David; Hall, Wayne D.; Hyman, Steve; Jernigan, David; Jette, Nathalie; Johansson, Kjell Arne; Laxminarayan, Ramanan; Levin, Carol; Linde, Mattias; Lund, Crick; Marsden, John; Medina-Mora, María Elena; Megiddo, Itamar; Megiddo, Itamar; Mihalopoulos, Catherine; Monteiro, Maristela; Nigam, Aditi; Parikh, Rachana; Patel, Vikram; Petersen, Inge; Phillips, Michael R.; Prince, Martin J.; Rahman, Atif; Raykar, Neha; Real, Tania; Rehm, Jürgen; Roberts, Jacqueline; Room, Robin; Sánchez-Moreno, Diego; Scott, James G.; Semrau, Maya; Shidhaye, Rahul; Silverman, Morton M.; Foundation, Jed; Steiner, Timothy J.; Stockings, Emily; Strand, Kirsten Bjerkreim; Strang, John; Thakur, Kiran T.; Thornicroft, Graham; Verguet, Stéphane; Vijayakumar, Lakshmi; Vos, Theo; Whiteford, Harvey; London School of Hygiene & Tropical Medicine, London, UK; vikram.patel@lshtm.ac.uk.
Adolescent alcohol use and alcohol use disorders in Mexico City
(2014) Benjet, Corina; Borges, Guilherme; Méndez, Enrique; Casanova, Leticia; Medina-Mora, María Elena; Department of Epidemiological and Psychosocial Research, National Institute of Psychiatry Ramon de la Fuente; cbenjet@imp.edu.mx
OBJECTIVE: To estimate the prevalence, sex, age distribution, and socio-demographic correlates of any alcohol use, consumption patterns, and any alcohol use disorder in a representative sample of Mexican adolescents. METHODS: 3005 youth (52.1% female) aged 12-17 from a stratified multistage area probability sample were representative of adolescents residing in the Mexico City Metropolitan Area. Alcohol use and disorder and their socio-demographic correlates were evaluated with the World Mental Health adolescent version of the Composite International Diagnostic Interview. Data were post-stratified to the total Mexico City adolescent population. RESULTS: 59% has used alcohol, this proportion increasing significantly with age. By age 17, 82.5% has used alcohol. Consumption patterns are mostly of low/moderate quantity or infrequent high quantity. Lifetime DSM-IV alcohol use disorder criteria are met by 3.8%, reaching 8.1% for 16-17 years-olds. While males have greater frequency and quantity of drinking, there are no gender differences for alcohol use disorders. Non-school attending youth have twice the odds of a lifetime (OR=2.0, 95% CI=1.13-3.53) and 12-month disorder (OR=2.1, 95% CI=1.10-4.15). Low parental monitoring is associated with 1.72 times the odds of a lifetime disorder (95% CI=1.10-2.68). CONCLUSIONS: Over a third of 12 year-olds had ever drunk an alcoholic beverage in their lifetime suggesting that the prevention of alcohol use and disorders must begin in late childhood. Initiatives to foment parental monitoring and to prevent, identify, and treat alcohol use problems in non-school attending youth in particular should be a priority for the wellbeing of Mexico City adolescents.
Adolescent substance abuse in Mexico, Puerto Rico and the United States: Effect of anonymous versus confidential survey formats
(Haworh Press Inc, 10 Alice St, Binghamton, NY 13904-1580 USA, 2006) Latimer, William W.; O'Brien, Megan S.; Vásquez, Marco A.; Medina-Mora, María Elena; Rios-Bedoya, Carlos F.; Floyd, Leah J.; Univ Minnesota, Minneapolis, MN 55455 USA; wlatimer@jhsph.edu
Anonymous surveys have been widely used worldwide to describe adolescent substance use yet cannot elucidate causal drug abuse predictors. Studies in the U.S. have generally found that anonymous and confidential surveys yield comparable levels of self-reported substance use, yet the effect of survey format on youth self-report has not been evaluated in other countries. The present study compared data from the confidential International Longitudinal Survey of Adolescent Health with anonymously collected survey data on alcohol and marijuana use among school-based youth in Mexico, Puerto Rico., and the U.S. The findings suggest that confidential surveys yield valid self-reports of adolescent substance use.
Alcohol abuse in developed and developing countries in the World Mental Health Surveys: Socially defined consequences or psychiatric disorder?
(Wiley-Blackwell, 2014) Glantz, Meyer D.; Medina-Mora, María Elena; Petukhova, Maria; Andrade, Laura Helena; Anthony, James C.; Girolamo, Giovanni de; Graaf, Ron de; Degenhardt, Louisa; Demyttenaere, Koen; Florescu, Silvia; Gureje, Oye; Haro, Josep Maria; Horiguchi, Itsuko; Karam, Elie G.; Kostyuchenko, Stanislav; Lee, Sing; Lépine, Jeaía-Pierre; Matschinger, Herbert; Neumark, Yehuda; Posada-Villa, Jose; Sagar, Rajesh; Stein, Dan J.; Tomov, Toma; Wells, J Elisabeth; Chatterji, Somnath; Kessler, Ronald C.; Division of Epidemiology, Services, and Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, Maryland; kessler@hcp.med.harvard.edu
Alcohol use and alcohol use disorders in Mexico
(2007) Borges, Guilherme; Medina-Mora, María Elena; Lara, Carmen; Zambrano, Joaquín; Benjet, Corina; Fleiss, Clara; Instituto Nacional de Psiquiatría Ramón de la Fuente
Alcohol use disorders in national samples of Mexcicans and Mexican-Americans - The Mexican National Addiction Survey and the US National Alcohol Survey
(SAGE PUBLICATIONS INC, 2455 TELLER RD, THOUSAND OAKS, CA 91320 USA, 2006) Borges, Guilherme; Medina-Mora, María Elena; Lown, Anne; Ye, Yu; Robertson, Marjorie J.; Cherpitel, Cheryl; Greenfield, Tom; Inst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexico; guibor@imp.edu.mx
The authors show associations between immigration and alcohol disorders using data from the 1995 and 2000 U.S. National Alcohol Surveys and the 1998 Mexico National Household Survey on Addictions. The prevalence of alcohol dependence was 4.8% for the Mexicans, 4.2% for the Mexico-born immigrants, and 6.6% for the U.S.-born Mexican Americans. They found a general lack of significance for the immigration variables with few consistent dose-response findings for alcohol use disorders. High acculturation was associated With higher risks for women; however, unexpectedly, high acculturation was associated with lower risks for males. Among Mexican Americans, the impact of immigration to the United States on the prevalence of alcohol use disorders differs by gender. Male and female differences and possible sources of immigrant selection are important issues for future research.
An alternative taxation method for low-to middle-income countries
(Wiley-Blackwell, Commerce Place, 350 Main ST, Malden 02148, MA USA, 2012) Medina-Mora, María Elena; Director Gen Natl Inst Psychiat Ramon Fuente, Calzada Mexico Xochimilc 101, Mexico.; medinam@imp.edu.mx
An estimate of the economic burden of schizophrenia in Mexico: a retrospective study in the psychiatric hospital setting
(International Society of Global Health, 2022) Cabello-Rangel, Héctor; Arredondo, Armando; Díaz-Castro, Lina; Reyes-Morales, Hortensia; Medina-Mora, María Elena; Research Department, Psychiatric Hospital Fray Bernardino Álvarez
An international survey examining the impact of the COVID-19 pandemic on telehealth use among mental health professionals
(Pergamon Press, 2022) Montoya, Madeline I.; Kogan, Cary S.; Rebello, Tahilia J.; Sadowska, Karolina; Garcia-Pacheco, José A.; Khoury, Brigitte; Kulygina, Maya; Matsumoto, Chihiro; Robles, Rebeca; Huang, Jingjing; Andrews, Howard F.; Ayuso-Mateos, José Luis; Denny, Keith; Gaebel, Wolfgang; Gureje, Oye; Kanba, Shigenobu; Maré, Karen; Medina-Mora, María Elena; Pike, Kathleen M.; Roberts, Michael C.; Sharan, Pratap; Stein, Dan J.; Stroup, T. Scott; Zhao, Min; Reed, Geoffrey M.; School of Psychology, University of Ottawa, 136 Jean-Jacques Lussier Pvt., Vanier Building, Ottawa, Ontario, K1N 6N5, Canada; ckogan@uottawa.ca (C.S. Kogan)
Antidepressant use in low- middle- and high-income countries: a World Mental Health Surveys report
(Cambridge University Press, 2023) Kazdin, Alan E.; Wu, Chi Shin; Hwang, Irving; Puac-Polanco, Victor; Sampson, Nancy A.; Al-Hamzawi, Ali; Alonso, Jordi; Andrade, Laura Helena; Benjet, Corina; Caldas-de-Almeida, José-Miguel; Girolamo, Giovanni de; Jonge, Peter de; Florescu, Silvia; Gureje, Oye; Haro, Josep M.; Harris, Meredith G.; Karam, Elie G.; Karam, Georges; Kovess-Masfety, Viviane; Lee, Sing; McGrath, John J.; Navarro-Mateu, Fernando; Nishi, Daisuke; Oladeji, Bibilola D.; Posada-Villa, José; Stein, Dan J.; Üstün, T. Bedirhan; Vigo, Daniel V.; Zarkov, Zahari; Zaslavsky, Alan M.; Kessler, Ronald C.; the WHO World Mental Health Survey collaborators; Borges, Guilherme; Medina-Mora, María Elena; Department of Psychology, Yale University, New Haven, CT, USA; kessler@hcp.med.harvard.edu (Ronald C. Kessler)
Anxiety among Central American migrants in Mexico: a cumulative vulnerability
(MDPI, 2023) Berenzon Gorn, Shoshana; Saavedra, Nayelhi; Bojorquez, Ietza; Reed, Geoffrey; Wainberg, Milton L.; Medina-Mora, María Elena; Dirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría Ramon de la Fuente Muñíz, Mexico City 14370, Mexico; metmmora@gmail.com
Association of MGAT4C with major neurocognitive disorder in the Mexican population
(Elsevier, 2021) Bliskunova, Tatiana; Genis-Mendoza, Alma Delia; Martínez-Magaña, José Jaime; Vega-Sevey, Julissa Gabriela; Jiménez-Genchi, Janett; Roche, Andrés; Guzmán, Rafael; Zapata, Leonor; Castro-Chavira, Susana; Fernández, Thalia; Villatoro-Velázquez, Jorge Ameth; Camarena, Beatriz; Fleiz-Bautista, Clara; Bustos-Gamiño, Marycarmen; Medina-Mora, María Elena; Nicolini, Humberto; Instituto Nacional de Medicina Genómica, Laboratorio de Genómica de Enfermedades Psiquiátricas y Neurodegenerativas, Ciudad de México, Mexico; adgenis@inmegen.gob.mx (A.D. Genis-Mendoza), hnicolini@inmegen.gob.mx (H. Nicolini)