Browsing by Author "Mondragón, L."

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Episodic alcohol use and risk of nonfatal injury
(OXFORD UNIV PRESS INC, JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA, 2004) Borges, G.; Cherpitel, C.J.; Mondragón, L.; Poznyak, V.; Peden, M.; Gutiérrez, I.; Inst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexico; guibor@imp.edu.mx
Usual and acute alcohol consumption are important risk factors for injury. Although alcohol-dependent people are thought to be at increased risk of injury, there are few reports suggesting that their risk is greater than that of nondependent alcohol users in a given episode of alcohol use. The authors conducted a case-crossover analysis of data on 705 injury patients from a hospital emergency department in Mexico City, Mexico, collected in 2002. The majority of the sample was male (60%) and over 30 years old (51%). With use of a multiple matching approach that took into account three control time periods (the day prior to the injury, the same day in the previous week, and the same day in the previous month), the estimated relative risk of injury for patients who reported having consumed alcohol within 6 hours prior to injury (17% of the sample) was 3.97 (95% confidence interval: 2.88, 5.48). This increase in the relative risk was concentrated within the first 2 hours after drinking; there was a positive association of increasing risk with increasing number of drinks consumed. These data suggested that relative risk estimates were the same for patients with and without alcohol use disorders.
Intento suicida y uso del tiempo libre en adolescentes mexicanos
(2000) González-Forteza, C.; Mariño, M.C.; Mondragón, L.; Medina-Mora, M.E.; Instituto Mexicano de Psiquiatría; gonzac@imp.edu.mx
Outcome results of two levels of intervention in low-income women with depressive symptoms
(AMER ORTHOPSYCHIATRIC ASSOC, 330 SEVENTH AVE, 18TH FL, NEW YORK, NY 10001 USA, 2003) Lara, M.A.; Navarro, C.; Rubi, N.A.; Mondragón, L.; Inst Nacl Psiquiatria, Dept Invest Epidemiol, Direcc Invest Epidemiol & Psicosociales, Calzada Mexico Xochimilco 101, Mexico City 14370, DF, Mexico.; laracan@imp.edu.mx
The effectiveness of 2 levels of intervention in reducing depressive symptoms in women was evaluated using a comparison design for a group condition (6 2-hr weekly sessions) and a minimum individual condition (20-min individual orientation plus psychoeducational material) with pretreatment, posttreatment, and follow-up assessments (93 in the group and 42 in the individual condition). A multivariate analysis of variance showed significant differences, in the expected direction, within the groups but not between conditions. Further comparisons showed a significant reduction from pretreatment to posttreatment and from pretreatment to follow-up assessment. Similar results were found for criteria-related variables (somatic and anxiety symptoms); an increase in self-esteem was observed as well.
Suicide attempt of students form Pachuca, Hgo., and its relation with depressive distress and substance abuse
(SOCIEDAD MEXICANA PSICOLOGIA, APARTADO POSTAL 22-211, TLALPAN 14000, MEXICO, 1998) Marino, C.G.F.M.D.; Rojas, E.; Mondragón, L.; Medina-Mora, M.E.; Inst Mexicano Psiquiatria, Div Invest Epidemiol & Sociales, Calz Mexico Xochimilco 101, Mexico City 14370, DF, Mexico.
Two levels of intervention in low-income women with depressive symptoms: Compliance and programme assessment
(SAGE PUBLICATIONS LTD, 6 BONHILL STREET, LONDON EC2A 4PU, ENGLAND, 2003) Lara, M.A.; Navarro, C.; Rubí, N.A.; Mondragón, L.; Inst Nacl Psiquiatria, Dept Invest Epidemiol, Direcc Invest Epidemiol & Psicosociales, Calzada Mexico Xochimilco 101, Mexico City 14370, DF, Mexico.; laracan@imp.edu.mx
Aims: This study reports on the evaluation of a brief group intervention for women of limited means with depressive symptoms. Method: A comparison design was used with pre-, post- and four-month follow-up assessments for 93 women in the group intervention condition who were given six two-hour sessions of psycho-educational intervention, and 42 women in a minimum individual condition who received a 20-minute explanation in addition to the educational material, which yielded the following results. Results: Both conditions were effective in motivating participants to engage in self-help activities (making time for themselves every week, using writing as a means of sorting out problems, talking to someone about their problems and carrying out the reflection and cognitive behavioural exercises) and to seek further professional help when necessary. The intervention condition was more positively evaluated since participants regarded it as having a greater influence on their life and problems. Influence was related to better understanding and coping with problems, mood improvement, changes in the way they thought about things, knowing themselves better and being more accepting of themselves. Conclusions: The results suggest that both interventions tackle important issues related to depression in women but further data are needed for a better understanding of this relationship.
Violence related injuries in the emergency room: Alcohol, depression, and conduct problems
(INFORMA HEALTHCARE, TELEPHONE HOUSE, 69-77 PAUL STREET, LONDON EC2A 4LQ, ENGLAND, 2004) Borges, G.; Cherpitel, C.J.; Medina-Mora, M.E.; Mondragón, L.; Inst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexico; guibor@imp.edu.mx
Objective. The aim of this study was to obtain epidemiological measures of the association between alcohol consumption and emergency room (ER) attendance due to violence, compared to the general population in the city of Pachuca, Mexico, during October-November, 1996 and June July, 1997. Method. The study was a population-based case-control design. Intervention and Measurements: Data consisted of an interviewer-administered questionnaire, collected on a 24-h basis, during the entire week. Setting and Participants: Cases were 127 patients (78% male) admitted to the ER because of an injury that was the result of violence (being in a fight or being attacked by someone). A sample of residents from Pachuca (n = 9120) was the comparison group. Results. Patients reporting drinking within 6h compared to nondrinkers were more likely to suffer a violence-related injury [34.0 (17.5-66.2)] and alcohol dependent patients were more likely to be involved in a violence-related injury [7.4 (3.5-15.6)] compared to noncurrent drinkers. When both alcohol prior and alcohol dependence were considered simultaneously in multiple models among current drinkers, patients with violence-related injuries were more likely to report alcohol prior but not to be positive for alcohol dependence. Depressive symptoms, but not conduct problem behavior, were also associated with violent injury in simultaneous regressions that included alcohol variables. Conclusions. In the city of Pachuca, Mexico, a large relationship between drinking prior to the event and violence-related injury, regardless of alcohol dependence, was found. Depression was also related to violence, suggesting the need for more comprehensive intervention with these patients.