The objective of the study was to analyze if there are significant differences between family cohesion and adaptability according to the type of family composition (nuclear, extensive, single parent and anuclear). This is an experimental, non-experimental, empirical research in which a non-probabilistic and cross-sectional selective associative strategy was employed; 428 male and female teenagers, aged 14 to 18, were evaluated at a national school in Callao. The scale of evaluation of cohesion and family adaptability of D. Olson (FACES III) and an ad hoc questionnaire to evaluate family composition were used. The results show significant differences between adolescents belonging to nuclear and anuclear families. Theoretical and practical implications are discussed.

Editorial.

This theoretical study aims to provide a conceptual and technical approach to systemic family therapy (SFT). The work starts pointing the postulates of general systems theory, cybernetics second-order theory of human communication practice-oriented representation, the conception of the family, their evolutionary cycle stages of crisis vivencian as you get to form a therapeutic system. It is concluded that the approach is empirical evidence has, holding, and today the SFT is becoming abandoning and / or reinventing some of its original tenets of new constructs.

Editorial.

The objective of the study was to analyze if there are significant differences between family cohesion and adaptability according to the type of family composition (nuclear, extensive, single parent and anuclear). This is an experimental, non-experimental, empirical research in which a non-probabilistic and cross-sectional selective associative strategy was employed; 428 male and female teenagers, aged 14 to 18, were evaluated at a national school in Callao. The scale of evaluation of cohesion and family adaptability of D. Olson (FACES III) and an ad hoc questionnaire to evaluate family composition were used. The results show significant differences between adolescents belonging to nuclear and anuclear families. Theoretical and practical implications are discussed.

Introducción: Aproximadamente 350 millones de personas tienen depresión. La presencia de hipertensión arterial es un factor de riesgo importante para la salud mental. Sin embargo, varios estudios sobre la asociación entre la hipertensión arterial y los síntomas depresivos presentan evidencia controvertida. El objetivo fue identificar si existe una asociación entre la hipertensión arterial y los síntomas depresivos, teniendo en cuenta el tiempo transcurrido desde el diagnóstico de hipertensión. Conclusión: existe una asociación entre la hipertensión y los síntomas depresivos, pero esto varía según el tiempo transcurrido desde el diagnóstico. Por lo tanto, las personas con <1 año desde el diagnóstico tenían la mayor probabilidad de tener síntomas depresivos; después de eso, esa probabilidad disminuyó a medida que aumentó el tiempo desde el diagnóstico. Métodos: S...

Objective: To evaluate the psychometric properties of the Spanish version of Jenkins Sleep Scale with 4 items (JSS-4) of the Peruvian health system's (PHS) nurses and physicians. Methods: We carried out a psychometric study based on secondary analysis in a sample from a nationally representative survey that used acomplex sampling design. The participants were physicians and nurses aged 18–65 years, working in PHS private and public facilities, who have fulfilled all JSS-4 items. We performed a confirmatory factor analysis. Reliability was evaluated via two estimates - classic alpha (α) and categorical omega (ω) coefficients. Also, we tested the invariance across groups of variables. The convergent validity was evaluated based on the relation between JSS-4 and PHQ-2 using Pearson's correlation coefficient and effect size (Cohen's d). Also, we designed normative values based on percent...

Objective To evaluate the relationship between job satisfaction, burnout syndrome (BS) and depressive symptoms (DS) based on the job demand-control framework model on a nationally representative sample of physicians working in the Peruvian Health System. Setting We carried out a secondary data analysis of the National Survey of Satisfaction of Users in Health 2016 in Peru. Primary and secondary outcome measures Our study assessed the development of the predictive model and had two parts: (1) to evaluate the association among the variables based on the job demand-control framework, and (2) to assess the proposed model acceptability using the structural equation modelling approach to estimate goodness-of-fit indices (GOFIs). Participants We excluded physicians older than 65 years, who did not report income levels or who had missing data related to the workplace. Thus, we analysed 2100 part...

Background: To assess the validity and reliability of the set of scales (general professional activity, health services management, and working conditions) on the different areas of job satisfaction in Peruvian physicians based on the data from the National Survey of Satisfaction of Users in Health (ENSUSALUD). Method: We carried out a psychometric study based on the secondary data analysis of Questionnaire 2 of ENSUSALUD-2016. Participants were selected from a two-stage stratified national probability representative sampling by political region. Validity was assessed by exploratory and confirmatory factor analyses, and measurement invariance analysis. We assessed the reliability using internal consistency coefficients (alpha and omega). The set of scales were composed of items related to three different areas of job satisfaction: 1) satisfaction with general professional activity, 2) sa...

During the pandemic, many individuals with chronic or infectious diseases other than COVID-19 were unable to receive the care they needed due to the high demand for respiratory care. Our study aims to assess the impact of the COVID-19 pandemic on services provided to people with chronic diseases in Peru from 2016 to 2022. We performed a secondary database analysis of data registered by the comprehensive health insurance (SIS), the intangible solidarity health fund (FISSAL), and private healthcare institutions (EPS), using interrupted time series analysis. Our study identified 21,281,128 individual users who received care. The pooled analysis revealed an average decrease of 1,782,446 in the number of users receiving care in the first month of the pandemic compared with the expected values for that month based on pre-pandemic measurements. In addition, during the pandemic months, there was...

Antecedentes: Se estima que 350 millones de personas tienen depresión, solo en el Perú entre 3,27% y 17,1% tienen síntomas depresivos. La hipertensión arterial es un factor de riesgo para problemas de salud mental. Sin embargo, varios estudios sobre la asociación entre la hipertensión arterial y los síntomas depresivos presentan evidencia controvertida. Objetivo: Identificar la asociación entre la hipertensión arterial y la sintomatología depresiva en la población general considerando el tiempo de diagnóstico de la hipertensión. Método: Se realizó un análisis secundario de datos utilizando el Cuestionario de Salud de la Encuesta Demográfica y de Salud (ENDES) desde 2014 hasta 2016. La sintomatología depresiva se definió como un puntaje ≥15 en el Patient Health Questionnaire (PHQ -9); mientras que la hipertensión arterial fue la exposición de interés, definida como...

Antecedentes: Uno de los problemas de salud mental mayor impacto en la vida de las personas, es la conducta suicida, que constituye un problema de salud pública en gran medida prevenible, siendo responsable de casi la mitad de todas las muertes violentas. Nuestro estudio es proponer un modelo que permita explicar y predecir la ideación suicida a partir de los problemas de salud mental (estrés-ansiedad-depresión) y la funcionalidad familiar (cohesión, flexibilidad y cohesión). Método: Nuestro estudio es transversal. La población estuvo constituida por médicos internos de todo el Perú. Se utilizó un muestreo no probabilístico. Se utilizó la Escala de Evaluación de la Cohesión y Adaptabilidad Familiar (FACES-III), la Escala de Comunicación Familiar, la Escala de Satisfacción Familiar, Escala de Depresión, Ansiedad y Estrés (DASS-21) y la Escala de Ideación Suicida - Peor...

Objective: Abdominal obesity (AO) is characterised by excess adipose tissue. It is a metabolic risk that affects the physical and mental health, particularly in women since they are more prone to mental health problems like depression. This study investigated the association between AO and depressive symptoms in Peruvian women of reproductive age (18-49 years). Design: This is a cross-sectional observational study. Setting: Peruvian women population of reproductive age. Participants: We used data from the Peruvian Demographic and Family Health Survey (DHS) for 2018 and 2019 to assess 17 067 women for the presence of depressive symptoms (using the Patient Health Questionnaire (PHQ-9): cut-off score ≥ 10) and AO (measured by abdominal circumference; cut-off score ≥88 cm). Results: We observed a 64·55 % prevalence of AO and 7·61 % of depressive symptoms in the study sample. Furthermor...

Introducción: La aparición del COVID-19 y su evolución hasta pandemia mundial trajo consigo consecuencias negativas de forma holística en las personas, que incluye la afectación de la salud mental con una prevalencia de sintomatología ansiosa y depresiva. Objetivo: Nuestro estudio realiza una revisión narrativa de los estudios publicados sobre secuelas post-COVID en salud mental. Método: Se realizó una revisión narrativa utilizando la Búsqueda de literatura en PubMed (01 de enero del 2020 a 15 de mayo del 2021). Se realizó una revisión por título y resumen, y a texto completo, para incluir los artículos al estudio. Resultados y discusión: Un total de 12 estudio ingresaron a nuestra revisión. Los estudios reportaron que alrededor del 50% de los pacientes infectados por la Covid-19 presentaron secuelas mentales, ocupando el primer lugar, la ansiedad, siendo la fóbica un t...

Clinical Practice Guidelines (CPGs) should follow an adequate methodology using an evidence-based approach in order to provide reliable recommendations. However, little is known regarding the quality of CPGs for Depression, which precludes its adequate use by stakeholders and mental health professionals. Thus, the aim of this study was to conduct a scoping review to describe the characteristics and quality of CPGs for Depression in adults.

Clinical Practice Guidelines (CPGs) should follow an adequate methodology using an evidence-based approach in order to provide reliable recommendations. However, little is known regarding the quality of CPGs for Depression, which precludes its adequate use by stakeholders and mental health professionals. Thus, the aim of this study was to conduct a scoping review to describe the characteristics and quality of CPGs for Depression in adults.

Introduction: Psychopathic traits harm the professional development and interpersonal relations of the general population, including healthcare professionals. This can be seen not only in already licensed physicians, but it may also be evidenced since their formative years as medical students. Objective: To evaluate the presence of psychopathic traits in a sample of Peruvian medical students and determining whether there is an association between sociodemographic and mental health (depression and anxiety) characteristics on the levels of psychopathic traits. Methods: A cross-sectional study was conducted on 497 students of a Peruvian medical school. Through online questionnaires, the following instruments were self-administered: Levenson Self-Report Psychopathy Scale (LSRP), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7). Results: 19.7% of the particip...

“Background: The aims of the study was to evaluate the psychometric properties and to characteristics of a scale on research skills as well as to characterize the experience of university thesis students using information databases (i.e., Scopus or Web of Science) and bibliographic reference managers. Methods: A sample of 1598 university students from five departments, acroos the different campuses of one Peruvian university. The psychometric properties of the instrument were evaluated using factor analysis and measurement invariance according to sex and age groups. In addition, an internal consistency analysis was conducted for scale reliability using Cronbach’s alpha, ordinal alpha, and the omega index. Results: Our study identified that the unidimensional model with correlated errors showed adequate indicators of reliability and goodness of fit, with the exception of the RMSEA, wh...

Background: The aims of the study was to evaluate the psychometric properties and to characteristics of a scale on research skills as well as to characterize the experience of university thesis students using information databases (i.e., Scopus or Web of Science) and bibliographic reference managers. Methods: A sample of 1598 university students from five departments, acroos the different cam- puses of one Peruvian university. The psychometric properties of the instrument were evaluated using factor analysis and measurement invariance according to sex and age groups. In addition, an internal consistency analysis was conducted for scale reliability using Cronbach’s alpha, ordinal alpha, and the omega index. Results: Our study identified that the unidimensional model with correlated errors showed adequate indicators of reliability and goodness of fit, with the exception of the RMSEA, whi...

Background The costs associated with healthcare are of critical importance to both decision-makers and users, given the limited resources allocated to the health sector. However, the available scientific evidence on healthcare costs in low- and middle-income countries, such as Peru, is scarce. In the Peruvian context, the health system is fragmented, and the private health insurance and its financing models have received less research attention. We aimed to analyse user cost-sharing and associated factors within the private healthcare system. Methods Our study was cross-sectional, using open data from the Electronic Transaction Model of Standardized Billing Data—TEDEF-SUSALUD, between 2021–2022. Our unit of analysis is the user’s medical bills. We considered the total amount of cost-sharing, proportion of total payments as cost-sharing, and cost-sharing as a proportion of minimum s...