RESUMO
This study aimed to examine the difference in therapy satisfaction between lesbian, gay, and bisexual + (LGB +) individuals and heterosexual individuals, and to identify the association between therapy satisfaction and the perception of knowledge and attitudes of their last therapist among the LGB + participants. Through an exploratory design with a comparative group, 125 LGB + and 75 heterosexual participants were recruited online by availability. Results indicate that the participants' sexual orientation has no significant relation on therapy satisfaction. However, there was a significant positive association between satisfaction with therapy and the LGB + participants' perception that their therapist demonstrated knowledge and positive attitudes. This research highlights the importance for continuous education and curriculum efforts on LGB + issues.
Assuntos
Bissexualidade , Minorias Sexuais e de Gênero , Humanos , Feminino , Masculino , Inquéritos e Questionários , Satisfação Pessoal , Hispânico ou LatinoRESUMO
PURPOSE: The aims of this study were to develop a descriptive profile of patients with psychogenic nonepileptic seizures (PNES) in Puerto Rico who have been evaluated using an epilepsy monitoring unit. The other aim was to establish comparisons between the clinical manifestation of PNES and events of generalized epilepsy (GE). METHOD: A retrospective study was conducted to evaluate the information of patients who passed through the Epilepsy Unit in Caguas, Puerto Rico. In the first phase, sociodemographic information of 100 patients with PNES was collected. In the second phase, a sample of 51 cases was obtained; 37 cases with a final diagnosis of PNES and 14 cases with the diagnosis of GE. Observations were made with the objective of viewing and comparing the semiology and clinical manifestation presented through video encephalograms (vEEG) in both subsamples. RESULTS: Patients with PNES and epilepsy demonstrated different semiological patterns. Psychogenic nonepileptic seizures is predominant in females (95%). Most patients with epilepsy presented a relatively short seizure (<2â¯min) compared with patients with PNES (79% vs. 46%). Patients with epilepsy showed a slow return to their baseline manifestation (100% vs. 11%). Specifically, having their eyes closed, extreme asynchronous limb movements, and rigidity were statistically significant. CONCLUSION: These findings provide evidence that the semiology of patients with PNES is different from those displaying an epileptic seizure. This study supports the idea that the semiology of Latino patients with PNES is similar to the characteristics reported in other countries.
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The current study, guided by the Minority Stress Model (Meyer, 2003), seeks to examine the effect of sexual orientation or gender identity management (disclosure or concealment) in the relationship between internalized negative ideals (internalized homonegativity and internalized transnegativity) and psychological wellbeing in LGBTT+ people in Puerto Rico. Four instruments were translated from English to Spanish, two of them relating to the management of the minority identity, and two regarding the internalized negative ideals. Additionally, reliability measures were calculated for each instrument. The sample consisted of 203 participants, 165 identified as cisgendered, and 38 identified themselves as trans or another gender. Results suggested that internalized negative ideals predicted the minority identity management in LGBTT+ people. However, the relationship between the internalized negative ideals and psychological wellbeing was only confirmed in terms of sexual orientation and not of gender identity, which suggests that other factors may better explain wellbeing in trans people. A discussion is presented on these results' implications and the study's challenges and limitations due to the Covid-19 pandemic, and suggestions for further studies.
La presente investigación, guiada por el Modelo de Estrés de Minorías (Meyer, 2003), busca examinar el efecto del manejo de la orientación sexual o identidad de género, entiéndase divulgación u ocultación, en la relación de homonegatividad internalizada/transfobia internalizada con el bienestar psicológico en personas LGBTT+ en Puerto Rico. Se tradujeron cuatro instrumentos, dos relacionados al manejo de la identidad minoritaria (ocultación o divulgación), y dos sobre los ideales negativos internalizados, y se calculó su confiabilidad. La muestra consistió de 203 participantes, donde 165 se identificaron como cisgénero, y 38 como trans u otro género. Los hallazgos mostraron que los ideales negativos internalizados predijeron el manejo de la identidad minoritaria para las personas LGBTT+. No obstante, la relación entre los ideales negativos internalizados y el bienestar psicológico solo se confirmó para los ideales de la orientación sexual, y no de la identidad de género, lo cual sugiere que otros factores pueden explicar de forma más significativa el bienestar en las personas transgénero. Se presenta una discusión de las implicaciones de estos resultados. A su vez, se describen los retos y las limitaciones del estudio debido al COVID-19, así como recomendaciones para futuros estudios.
RESUMO
Countries worldwide are making wide-ranging attempts to stymie the outbreak of the 2019 novel coronavirus (COVID-19), and most of their efforts depend on the financial, structural, and social resources available. Given the increase in documented cases of COVID-19 in Puerto Rico, the extension of an aggressive and restrictive quarantine has been the correct step to slow down the potential contagion. Nevertheless, in this article, we discuss additional concrete actions that should be considered. This unprecedented scenario provides us the opportunity to rethink our limited resources based on a socioecological perspective, with the aim of creating efficiency and reducing the inequities that could accompany the pandemic. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Assuntos
Comitês Consultivos , Infecções por Coronavirus , Controle de Infecções , Saúde Mental , Pandemias , Pneumonia Viral , Isolamento Social , Populações Vulneráveis , COVID-19 , Humanos , Porto RicoRESUMO
OBJECTIVE: Specialized epilepsy clinics receive many cases (20%-30% of total cases) in which the patients are diagnosed with psychogenic non-epileptic seizures (PNES). In Puerto Rico, there has been a lack of research on and data about patients with PNES. This study examined the clinical profile of 34 patients with a confirmed diagnosis of PNES. METHODS: A secondary analysis of 34 clinical records of patients with PNES was conducted. The resulting profile was based on clinical interviews, the behavioral presentation of seizures, the history of traumatic experiences or abuse, and the relationship between PNES events and life stressors. Also, the Beck Depression Inventory-II was used to explore depressive symptoms. RESULTS: Seventy six percent (n = 26) of the patients were female, with an average age of 34.32. All the patients in this sample experienced a PNES episode that was induced in the office through hypnotic imagery. In most cases, seizures consistently manifested PNES semiology: 82% presented unsynchronized and violent limb movements and featured vocalizations, pronounced ictal pelvic thrusting, and sideto-side head movements. Furthermore, 47% of the patients reported histories of trauma related to sexual, physical or emotional abuse. Moreover, 94% stated that most of their convulsions were triggered by stressful life events. Additionally, 50% of the patients presented symptoms of depression. CONCLUSION: The clinical profile of patients with PNES reveals that a considerable number of them presented a history of multiple traumatic experiences and most seizures seemed to be induced by stressful events. It is recommended that additional clinical research be conducted on PNES, with the aim of achieving the effective detection and diagnosis of the disorder, as well as increasing the focus of the healthcare industry on developing evidence-based interventions.
Assuntos
Depressão/epidemiologia , Trauma Psicológico/epidemiologia , Convulsões/diagnóstico , Estresse Psicológico/epidemiologia , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Porto Rico , Convulsões/psicologia , Adulto JovemRESUMO
This study compared the memory, attention/concentration, and executive functioning of 12 women with histories of child sexual abuse with a control group of 12 women without childhood abuse. Participants completed a neuropsychological test battery and various instruments assessing post-traumatic stress disorder and dissociation. The child sexual abuse group had lower performance than the control group on long- and short-term visual and verbal memory and presented more limited performance on executive functioning tasks. Functioning in these areas showed a negative correlation with post-traumatic stress disorder and dissociative symptoms. These findings suggest that child sexual abuse is associated with memory and executive functioning deficits and supports the idea that people with trauma histories and increased post-traumatic stress disorder and dissociation symptoms may have alterations in neuropsychological functioning.
Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Abuso Sexual na Infância/psicologia , Transtornos Cognitivos/etiologia , Transtornos Dissociativos/etiologia , Hispânico ou Latino/psicologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Adulto , Atenção/fisiologia , Criança , Transtornos Cognitivos/fisiopatologia , Função Executiva/fisiologia , Feminino , Humanos , Memória/fisiologia , Testes Neuropsicológicos , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Adulto JovemRESUMO
Depersonalization experiences have been studied in the United States and Europe, but there is a dearth of investigations with Latino populations. In the current study we examined the psychometric properties of the Spanish version of the Cambridge Depersonalization Scale (CDS) in 300 adult individuals from the community and compared the results with those reported previously with non-Latino clinical populations. Discrepant findings have been reported with respect to the factor structure of the CDS. We performed exploratory and confirmatory factor analyses on the CDS items and compared our results with published analyses on other populations. Results revealed that the psychometric properties of the CDS, such as reliability, seem adequate, although the factor structure of the CDS seems to be inconsistent across studies. We selected a 4-factor solution that was most parsimonious and best fit our data. Furthermore, we obtained a moderate, statistically significant relationship (r = .64, p = .001) between the CDS and the Dissociative Experiences Scale. Our results, utilizing a nonclinical sample of Puerto Rican adults, suggest that depersonalization experiences can be reliably measured in a Latino and Spanish-speaking population.
Assuntos
Despersonalização/psicologia , Psicometria , Adulto , Feminino , Humanos , Masculino , Escalas de Graduação Psiquiátrica , Porto Rico , TraduçõesRESUMO
This study explores dissociative symptoms in 3 different groups of Puerto Rican children. Data were collected on 40 children with documented sexual abuse history, 39 children with psychiatric disorders but without a history of sexual abuse, and 40 community control children. Dissociative symptoms were assessed with the child using the Trauma Symptom Checklist for Children (TSCC); a social worker answered the Child Dissociative Checklist (CDC). Results indicated that children with sexual abuse obtained significantly different scores on both the TSCC and the CDC. Further analysis indicated that child and social worker reports of dissociative symptoms were highly correlated (r = .73). Furthermore, 30% of the children in the sexual abuse group scored at or above the cutoff point of 12 on the CDC, which is indicative of a dissociative disorder. None of the children in the other 2 groups obtained such a score. The results suggest that children with documented sexual abuse victimization demonstrate a significant number of dissociative phenomena that not only are subjectively experienced but also can be observed by a non-family member. Finally, as nearly a third of the abused children obtained a score of 12 or higher on the CDC, the next step is to prepare clinicians to conduct a proper and formal diagnosis assessment of dissociative disorders.
Assuntos
Abuso Sexual na Infância/diagnóstico , Abuso Sexual na Infância/psicologia , Transtornos Dissociativos/diagnóstico , Transtornos Dissociativos/psicologia , Serviço Social , Análise de Variância , Estudos de Casos e Controles , Lista de Checagem , Criança , Abuso Sexual na Infância/estatística & dados numéricos , Transtornos Dissociativos/epidemiologia , Feminino , Humanos , Masculino , Porto Rico/epidemiologia , Fatores de RiscoRESUMO
The only hypnotizability scale that has been translated and validated for the Puerto Rican population is the Barber Suggestibility Scale (BSS). In this article, the Stanford Hypnotic Clinical Scale (SHCS) was translated and validated for this population. The translated SHCS ("Escala Stanford de Hipnosis Clinica" [ESHC]) was administered individually to 100 Puerto Rican college students. There were no significant differences found between the norms of the original SHCS samples and the Spanish version of the SHCS. Both samples showed similar distributions. The Spanish version's internal reliability as well as the item discrimination index were adequate. The authors conclude that the ESHC is an adequate instrument to measure hypnotizability in the Puerto Rican population.
Assuntos
Hipnose , Testes Psicológicos , Tradução , Adulto , Idoso , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Psicológicos/normas , Porto Rico , Reprodutibilidade dos Testes , Adulto JovemRESUMO
This is the first research done in Puerto Rico presenting a basic socio-demographic profile of a sample of Puerto Rican centenary elderly that also includes psychological characteristics. The sample consist of eleven subjects, divided in five women and six men (mean age sample = 102.4 years) evaluated with a battery of psychological instrument that include the Symptom Checklist 90-R (SCL-90-R); the Beck Depressive Inventory (BDI-II); the Beck Suicide Scale (BSS); the Beck Hopelessness Scale (BHS); the Beck Anxiety Inventory (BAI) and the Folstein Mini-Mental. Main findings demonstrate that, with the exception of anxiety and hopelessness symptomatology, this particular sample is with a good psychological health. It is recommended to continue this type of research with a bigger sample and include other psychological and psychiatric screening instruments.
Assuntos
Idoso de 80 Anos ou mais/psicologia , Ansiedade/epidemiologia , Depressão/epidemiologia , Feminino , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Inventário de Personalidade , Projetos Piloto , Dinâmica Populacional , Testes Psicológicos , Psicologia , Porto Rico/epidemiologia , Fatores Socioeconômicos , SuicídioRESUMO
This study evaluated the effectiveness of a cognitive-behavioral intervention for children with disruptive disorders and depressed mood. Four hundred thirty four boys and 174 girls, ages 8 to 13, attending public schools, were initially evaluated to determine the diagnosis of a disruptive disorder. Of those diagnosed with disruptive disorders, 278 were assigned to the two experimental groups. The Child Depression Inventory was administered to the children and the Bauermeister School Behavior Inventory was administered to the teachers at three different stages. At post-treatment, significant reductions were found in the treatment group vs. the control group in depressed mood and disruptive behaviors. Children in the treatment group showed further reductions at the follow-up in both areas.(AU)
Este estudio evaluó la efectividad de una intervención cognoscitiva/conductual para niños diagnosticados con trastornos disruptivos y depresión. Cuatrocientos treinta y cuatro niños y 174 niñas, entre 8 a 13 años y de escuelas públicas, fueron evaluados para determinar los diagnósticos de conductas disruptivas; sólo 278 fueron asignados a los grupos experimentales. El Inventario de Depresión de Kovacs fue administrado a los niños y el Inventario de Bauermeister de Conducta-Escuela fue administrado a maestros. Las medidas fueron administradas en tres momentos. Reducciones significativas en post-tratamiento fueron encontradas en el grupo del tratamiento vs. el grupo control en depresión y comportamientos disruptivos. Los niños en el tratamiento también mostraron reducciones significativas en el seguimiento de 6 meses en depresión y comportamientos disruptivos.(AU)
RESUMO
Patterns of correlates, comorbidity and impairment associated with attention-deficit hyperactivity disorder (ADHD) in children and youth were examined in representative samples from the community and from treatment facilities serving medically indigent youth in Puerto Rico. Information from caretakers and youths was obtained using the Diagnostic Interview Schedule for Children, (version IV), measures of global impairment, and a battery of potential correlates. In the community (N = 1,896) and the treated samples (N = 763), 7.5 and 26.2% of the children, respectively, met criteria for DSM-IV ADHD in the previous year. Although the prevalence rates and degree of impairment differed, the general patterns of correlates, comorbidity and impairment were similar in both populations. The exceptions were associated with conduct disorder, anxiety, impairment in the ADHD comorbid group, and age factors that appeared to be related to selection into treatment.
Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtornos Mentais/epidemiologia , Características de Residência/estatística & dados numéricos , Adolescente , Comportamento do Adolescente/psicologia , Fatores Etários , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/epidemiologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Criança , Comportamento Infantil/psicologia , Pré-Escolar , Comorbidade , Feminino , Humanos , Entrevista Psicológica , Masculino , Transtornos Mentais/psicologia , Razão de Chances , Pais/psicologia , Prevalência , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Porto Rico/epidemiologia , Fatores Sexuais , Fatores SocioeconômicosRESUMO
Sexual relations with intercourse (ASR-I) and high prevalence of teen pregnancies (19.2%, in 2002) among adolescents in Puerto Rico constitute a serious biopsychosocial problem. Studying the consequences and correlates of ASR-I in community and mental health samples of adolescents is important in designing and implementing sexual health programs. Randomized representative cross-sectional samples of male and female adolescents from 11-18 years old (N = 994 from the general community, N = 550 receiving mental health services) who had engaged in ASR-I were the subjects of this study. Demographic, family, and sexual data and the DISC-IV were collected from individual interviews. Logistic regression models, bivariate odds ratios, Chi-squares, and t tests were used in the statistical analysis. The mental health sample showed higher rates of ASR-I, lifetime reports of pregnancy and lower age of ASR-I onset for females. No gender difference in the prevalence of ASR-I was observed in both samples. Older adolescents from the community sample meeting psychiatric diagnosis criteria, and with lower parental monitoring, were more likely to engage in ASR-I, whereas in the mental health sample, adolescents with lower parental monitoring and parental involvement reported significantly more ASR-I. Prevalence of ASR-I and Risky Sexual Behavior (RSB) were almost identical. Adolescents with mental health disorders initiate and engage in ASR-I earlier and more frequently regardless of gender. Older adolescents are more likely to engage in ASR-I and parent-child relationships emerged as a highly relevant predictor of adolescent sexual behavior. The high correspondence between ASR-I and RSB has important clinical implications.
Assuntos
Comportamento Sexual/estatística & dados numéricos , Adolescente , Criança , Feminino , Humanos , Masculino , Porto RicoRESUMO
This study explored the relationships among a variety of victimization experiences and dissociative symptoms in a community probabilistic household sample (n=891) of youths (11-17 years old) in Puerto Rico. To measure dissociative symptoms, the authors selected eight items from the Adolescent Dissociative Experiences Scale (Armstrong, Putnam, Carlson, Liber, & Smith, 1997) that are indicative of pathological forms of dissociation. Victimization factors associated with dissociation were investigated with bivariate logistic regression followed by multiple logistic regression. The results indicated that 44 (4.9%) youths experienced pathological dissociative symptoms. Forty-three (98%) of those youths experienced victimization. Logistic regression analyses indicated that the risk of pathological dissociation was significant among those participants who reported severe forms of physical abuse and those who were exposed to violence.
Assuntos
Maus-Tratos Infantis/psicologia , Transtornos Dissociativos/epidemiologia , Violência/psicologia , Adolescente , Criança , Maus-Tratos Infantis/estatística & dados numéricos , Transtornos Dissociativos/etiologia , Transtornos Dissociativos/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Análise Multivariada , Prevalência , Porto Rico/epidemiologia , Fatores de Risco , Violência/estatística & dados numéricosRESUMO
This study examined the use of a Spanish version of the Child Dissociative Checklist (CDC) in Puerto Rico. The CDC was administered to the primary caretakers of three groups of children: 31 with documented abuse histories, 30 with Attention Deficit Hyperactivity Disorder (ADHD), 33 with no abuse or psychiatric record. Results confirmed the reliability and validity of the CDC and revealed that Puerto Rican children with abuse histories showed significantly higher levels of dissociation than the children in the other two groups. Moreover, more than half of the abused children had a score above the usual cut-off point of 12 in the CDC, while only a handful of the ADHD children and none in the control group evidenced such a pattern. The results also showed that there were significant correlations between the CDC and the duration of the abusive experiences. Implications of our findings and subsequent clinical recommendations are offered.
Assuntos
Maus-Tratos Infantis/psicologia , Transtornos Dissociativos/diagnóstico , Transtornos Dissociativos/psicologia , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Criança , Abuso Sexual na Infância/diagnóstico , Abuso Sexual na Infância/psicologia , Transtornos Dissociativos/etiologia , Feminino , Humanos , Idioma , Masculino , Determinação da Personalidade , Psicometria/métodos , Porto Rico , Valores de Referência , Reprodutibilidade dos TestesRESUMO
BACKGROUND: Few prevalence studies in which DSM-IV criteria were used in children in representative community samples have been reported. We present prevalence data for the child and adolescent population of Puerto Rico and examine the relation of DSM-IV diagnoses to global impairment, demographic correlates, and service use in an island-wide representative sample. METHODS: We sampled 1886 child-caretaker dyads in Puerto Rico by using a multistage sampling design. Children were aged 4 to 17 years. Response rate was 90.1%. Face-to-face interviews of children and their primary caretakers were performed by trained laypersons who administered the Diagnostic Interview Schedule for Children, version IV (DISC-IV) in Spanish. Global impairment was measured by using the Children's Global Assessment Scale scored by the interviewer of the parent. Reports of service use were obtained by using the Service Assessment for Children and Adolescents. RESULTS: Although 19.8% of the sample met DSM-IV criteria without considering impairment, 16.4% of the population had 1 or more of the DSM-IV disorders when a measure of impairment specific to each diagnosis was considered. The overall prevalence was further reduced to 6.9% when a measure of global impairment was added to that definition. The most prevalent disorders were attention-deficit/hyperactivity disorder (8.0%) and oppositional defiant disorder (5.5%). Children in urban settings had higher rates than those in rural regions. Older age was related to higher rates of major depression and social phobia, and younger age was related to higher rates of attention-deficit/hyperactivity disorder. Both overall rates and rates of specific DSM-IV/DISC-IV disorders were related to service use. Children with impairment without diagnosis were more likely to use school services, whereas children with impairment with diagnosis were more likely to use the specialty mental health sector. Of those with both a diagnosis and global impairment, only half received services from any source. CONCLUSIONS: Because we used the DISC-IV to apply DSM-IV criteria, the study yielded prevalence rates that are generally comparable with those found in previous surveys. The inclusion of diagnosis-specific impairment criteria reduced rates slightly. When global impairment criteria were imposed, the rates were reduced by approximately half.
Assuntos
Manual Diagnóstico e Estatístico de Transtornos Mentais , Hispânico ou Latino/psicologia , Transtornos Mentais/epidemiologia , Adolescente , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/diagnóstico , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/epidemiologia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Criança , Pré-Escolar , Estudos Transversais , Transtorno Depressivo Maior/diagnóstico , Transtorno Depressivo Maior/epidemiologia , Transtorno Depressivo Maior/psicologia , Feminino , Hispânico ou Latino/estatística & dados numéricos , Humanos , Incidência , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Serviços de Saúde Mental/estatística & dados numéricos , Determinação da Personalidade , Transtornos Fóbicos/diagnóstico , Transtornos Fóbicos/epidemiologia , Transtornos Fóbicos/psicologia , Porto Rico/etnologia , Estudos de AmostragemRESUMO
This paper describes the reliability and validity of the service assessment for children and adolescents (SACA) for use among Spanish-speaking respondents. The test-retest reliability of the instrument was assessed in a randomly selected clinical sample of 146 Puerto Rican children and adolescents aged 4-17. Both parents and children were administered the SACA twice by independent interviewers over an average 12-day follow-up period. The accuracy of parental and youth self-reports was assessed by comparing these reports to information obtained from medical records. The results showed that parents and children (aged 11-17) were able to report with fair to moderate reliability any last year use of mental health services, any outpatient mental health services, and school services. Residential and hospitalization services were reported by both informants with substantial test-retest reliability. Slight or no test-retest reliability was obtained for parent and child on the use of the specific type of mental health professionals, as well as parental reports of several treatment modalities. Substantial sensitivity of the SACA was obtained when comparing medical records to parental and child reports to lifetime use of any service and outpatient mental health service. Moderate sensitivity was obtained for last year use of mental health services for both parent and child informants.
Assuntos
Serviços de Saúde do Adolescente/estatística & dados numéricos , Serviços de Saúde da Criança/estatística & dados numéricos , Hispânico ou Latino/estatística & dados numéricos , Entrevista Psicológica/métodos , Serviços de Saúde Mental/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Revisão da Utilização de Recursos de Saúde/métodos , Adolescente , Adulto , Criança , Pré-Escolar , Coleta de Dados , Feminino , Hispânico ou Latino/psicologia , Hospitais Psiquiátricos/estatística & dados numéricos , Humanos , Modelos Logísticos , Pais/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Porto Rico , Tratamento Domiciliar/estatística & dados numéricos , AutorrevelaçãoRESUMO
El estudio de las psicopatologías en Puerto Rico fue un carnpo poco productivo durante las primeras siete décadas de este siglo. Durante este término de tiempo las publicaciones profesionales fueron exiguas y mayormente anecdóticas. Sin embargo, la década de los años ochenta fue una muy productiva en términos de publicaciones profesionales y estudios de corte empírico. Principalmente se destacan una serie programática de estudios epidemiológicos que abarcan poblaciones de niños y adultos. También son notables algunos esfuerzos encaminados a auscultar ciertos aspectos clínicos y psicoterapéuticos con pacientes que presentan esquizofrenia y trastornos disociativos. La década de los noventa ha continuado en un ritmo ascendente el nivel de investigación clínica y epidemiológica en la isla. (AU)
Assuntos
Psicopatologia/tendências , Pesquisa , Porto Rico , Saúde MentalRESUMO
El estudio de las psicopatologías en Puerto Rico fue un carnpo poco productivo durante las primeras siete décadas de este siglo. Durante este término de tiempo las publicaciones profesionales fueron exiguas y mayormente anecdóticas. Sin embargo, la década de los años ochenta fue una muy productiva en términos de publicaciones profesionales y estudios de corte empírico. Principalmente se destacan una serie programática de estudios epidemiológicos que abarcan poblaciones de niños y adultos. También son notables algunos esfuerzos encaminados a auscultar ciertos aspectos clínicos y psicoterapéuticos con pacientes que presentan esquizofrenia y trastornos disociativos. La década de los noventa ha continuado en un ritmo ascendente el nivel de investigación clínica y epidemiológica en la isla.