Depression and anxiety are highly prevalent psychological disorders in end-stage renal disease (ESRD) that have a negative clinical impact. The purpose of our study was to identify factors associated with the presence of depression and anxiety, in a sample of ESRD patients treated with hemodialysis. We included 187 patients from two dialysis facilities, age 18–65 years. Beck’s depression and anxiety inventories, KDQOL36 questionnaire, the cognitive distortion scale and the Mexican scale of resilience were used. Socio-demographic and clinical information was obtained from medical records. Depression was present in 143 (76.4%) patients. Patient with depression were older (33 (26–52) years vs. 30 (24.43) years, p = 0.025), had a lower education level (36% vs. 9%, p = 0.001), used more medications (67% vs. 36%, p = 0.001), had a comorbidity (75% vs. 41%, p = 0.001), and a higher proportion were waiting for a kidney transplant. Anxiety was present in 112 (59.8%) cases. By multivariate analysis, depression was independently associated with lower education, absence of previous kidney transplant, anxiety, higher cognitive distortion, lower psychological resilience, and lower quality of life scores. In conclusion, lower psychological resilience, lower education level, and higher cognitive distortions are factors associated with depression and anxiety in ESRD patients.

The aim of this study was to compare the effect of cognitive behavioral intervention (CBI) combined with the resilience model (CBI + R) vs CBI alone on depression symptoms, anxiety symptoms, and quality of life of end-stage renal disease (ESRD) patients undergoing hemodialysis replacement therapy. Method: Fifty-three subjects were randomly assigned to one of two treatment groups. The control group (n = 25) was provided with treatment strategies based on a cognitive behavioral approach, while the experimental group (n = 28) were given the same techniques plus resilience model strategies. Five psychological instruments were applied: Beck Depression Inventory, Beck Anxiety Inventory, Mexican Resilience Scale, cognitive distortions scale, and the Kidney Disease related Quality of Life questionnaire. Participants were assessed at baseline (before treatment), eight weeks later (end of treatment), and four weeks after the end of treatment (follow up). The results were analyzed by ANOVA for repeated measures with a Bonferroni-adjusted test method, with p < 0.05 considered significant. Results: The experimental group had significant differences in total and somatic depression as well as differences in the dimensions of cognitive distortions and a significant increase in the dimensions of resilience. The control group had significant differences in all variables but showed lower scores in the evaluated times. Conclusions: The resilience model strengthens and enhances the effectiveness of the cognitive behavioral approach to reduce symptoms of depression and anxiety in patients with ESRD.

El abordaje de factores salutogénicos en la enfermedad renal crónica (ERC), representa una opción para la comprensión y tratamiento de aspectos psicológicos en el padecimiento. La resiliencia percibida como factor que permite potenciar y afrontar situaciones adversas, ha sido planteada como un componente de interés psicológico en el ámbito de los pacientes renales, por lo que el propósito de este trabajo fue realizar una revisión de los estudios científicos publicados del 2000 al 2017 sobre resiliencia en pacientes con ERC, con el fin de mostrar un panorama general de investigación publicada sobre la temática. Se utilizó metodología PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses), se realizó una búsqueda exhaustiva de estudios en cinco bases de datos científicas electrónicas, se evaluó la calidad metodológica de los estudios para llegar a la selección final de los artículos. En la búsqueda se obtuvieron 233 artículos en 4 bases de datos y 4 de manera manual teniendo en total 237 estudios, los cuales se fueron eliminando a partir de los criterios de inclusión y exclusión quedando en su totalidad 13 artículos. La inclusión de investigaciones que aborden resiliencia como termino salutogénico, resulta una alternativa en el tratamiento integral de poblaciones con presencia de patologías médicas y promueve una visión centrada en nuevas propuestas de intervenciones psicológicas.

The purpose of this systematic review was to identify the studies carried out through time referring to the quality of life of university students with disabilities, instruments used to measure it, as well as the setting where those were applied. The search was done through EBSCO, SAGE Journals, SCOPUS, and RedALyC databases, and studies from 1994 to 2016 were found. Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) and quality assessment were used in the 6 selected papers. Studies reveal quality of life and higher education students with disabilities are a scarcely studied coupling which generates invisibility in academic terms.

Objective: This work aimed to develop and validate a scale to assess motivations for alcohol drinking among Mexican college students. Methods: The scale design consisted of applying a stimulus phrase to assess motivations for moderate alcohol drinking (up to three drinks per occasion) and severe alcohol consumption (four or more drinks) in 130 college students. The semantic network technique was applied to identify 15 defining motivations (with more considerable semantic weight) for each drinking level, constituting the pilot scale. The pilot scale was validated on 307 students from a public university in Mexico (255 with moderate drinking and 82 with severe consumption). Results: The final number of items per level of drinking was 10 (moderate drinking) and 13 (severe consumption). Internal reliability (Cronbach’s alpha) for the first one was 0.886 with three factors that explain 57.5% of the total variance; the second had an alpha of 0.884 with four factors that explain 70.5% of the total variance. All the factors had positive correlations with the risk perception for alcohol drinking, and there was a positive correlation between severe consumption motivation and the risk perception for consumption of other substances. The confirmatory factor analysis showed that the proposed theoretical models adjust to the data with an error of approximately zero (i.e., RMSEA of 0.088 for moderate consumption and 0.074 for severe consumption), which also carefully measures the motivation for moderate and severe alcohol consumption among college students. Conclusions: The new scale is valid and reliable for assessing motivations for moderate and severe alcohol consumption in Mexican college students. This may be a valuable tool to design and evaluate interventions for the prevention of alcohol use among college students.

Background: The Beck Depression Inventory Second Edition (BDI-II) is used to assess depression worldwide. In Mexico, the BDI-II Spanish translation is widely used. Despite more than 23 million people being identified as indigenous, there is no empirical evidence on the BDI-II psychometric properties among indigenous languages, including Otomi. Therefore, this study aimed to cross-culturally adapt the BDI-II for the Otomi population and evaluate its psychometric properties. Methods: This cross-sectional instrumental study with non-probability sampling was conducted with 228 participants from the Otomi community. The cross-cultural adaptation of the BDI-II followed Beaton’s guidelines for self-report measures: (i) translation, (ii) synthesis, (iii) back translation, (iv) expert committee review, (v) pretesting, and (vi) submission of documentation to the developers. Reliability was assessed using Cronbach’s alpha. Exploratory and confirmatory factor analyses were used to determine structural and construct validity. Results: The cross-culturally adapted instrument showed adequate reliability, with a total Cronbach’s α of 0.756, comprising 14 items and four factors (with alpha coefficients ranging from 0.505 to 0.633). These factors included three cognitive–affective dimensions and one somatic dimension, which conceptually align with Beck’s original model. Confirmatory factor analysis (CFA) presented adequate indices: Comparative Fit Index (CFI) = 0.901, Root Mean Square Error of Approximation (RMSEA) = 0.056, IC_90% [0.028–0.079], and Goodness-of-Fit Index = 0.908, which indicate a balanced and parsimonious fit of the model. Conclusions: The BDI-II is a reliable and culturally valid instrument for measuring depressive symptoms among the Otomi people of the Mezquital Valley.