10 results on '"Conde, Karina"'
Search Results
2. Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina.
- Author
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López MB, Lichtenberger A, Conde K, and Cremonte M
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- Adolescent, Adult, Argentina, Female, Humans, Pregnancy, Psychometrics, Reproducibility of Results, Young Adult, Alcoholism diagnosis, Pregnancy Complications diagnosis, Self Report
- Abstract
Background Considering the physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest a brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identifying women with alcohol use disorders is important because they could need a more specific intervention than simple advice to abstain. Most screening tests have been developed and validated in male populations and focused on the long-term consequences of heavy alcohol use, so they might be inappropriate to assess consumption in pregnant women. Objective To analyze the internal reliability and validity of the alcohol screening instruments Alcohol Use Disorders Identification Test (AUDIT), Alcohol Use Disorders Identification Test - Consumption (AUDIT-C), Tolerance, Worried, Eye-Opener, Amnesia and Cut-Down (TWEAK), Rapid Alcohol Problems Screen - Quantity Frequency (RAPS-QF) and Tolerance, Annoyed, Cut-Down and Eye-Opener (T-ACE) to identify alcohol use disorders in pregnant women. Methods A total of 641 puerperal women were personally interviewed during the 48 hours after delivery. The receiver operating characteristics (ROC) curves and the sensitivity and specificity of each instrument using different cut-off points were analyzed. Results All instruments showed areas under the ROC curves above 0.80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut-off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced the low reliability of those instruments and a better performance of the AUDIT in this population., Competing Interests: Disclosure The authors report no conflicts of interest in this work., (Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil.)
- Published
- 2017
- Full Text
- View/download PDF
3. Gender and Alcohol Use Disorders Diagnostic Criteria in Emergency Department Patients of Argentina.
- Author
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Conde K, Cremonte M, López MB, and Cherpitel CJ
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Alcohol Drinking, Argentina, Diagnostic and Statistical Manual of Mental Disorders, Emergency Service, Hospital, Female, Humans, Male, Middle Aged, Young Adult, Alcoholism
- Abstract
Background: Alcohol consumption and its related consequences are not equal for women and men, although related studies do not frequently include gender analysis., Objective: Our aim was to characterize differences in endorsement of ICD-10 and DSM 5 alcohol use disorder (AUD) criteria by gender in an Argentinean emergency department population., Methods: A probability sample of patients (N = 923) from the largest emergency department in the city of Mar del Plata, Argentina (44% were females, aged 16 to 86, M (SD) = 37.31(15.20) was collected. Using a structured questionnaire, diagnostic criteria for alcohol use disorders, alcohol consumption, and socio-demographic variables were obtained. Bivariate and multivariate analyses were used to assess differences in the endorsement of each diagnostic criterion by gender., Results: Women were less likely to endorse each of the criteria for each of the diagnostic schemes. Even after controlling alcohol consumption, socio-demographic variables, severity of alcohol use disorders and adjusting for multiple comparisons females had a lower probability than males of endorsing withdrawal and impaired control., Conclusions: gender differences in the endorsement of diagnostic criteria for both the DSM 5 and ICD-10 were found. Some differences in endorsement but not all, might be partially explained by alcohol consumption patterns and socio-demographic factors, and same remained after controlling severity of the AUD. Results also suggest a differential functioning of DSM 5 and ICD-10 AUD criteria for women and men., Competing Interests: Declaration of interest The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.
- Published
- 2016
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4. Time to Get Help? Help-Seeking Process in Latin American Hospital Patients with Alcohol Use Disorder.
- Author
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Conde, Karina, Salomon, Tomás, Civetta, Elida, Blanco, Maria, and Cremonte, Mariana
- Subjects
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ALCOHOLISM , *HELP-seeking behavior - Abstract
Alcohol Use Disorder (AUD) is one of the most harmful conditions associated with consumption. Despite a high level of consumption and an elevated number of people living with an AUD, evidence from help-seeking processes in Latin America is scarce and absent in Argentina. This paper aims to describe reasons for delaying and starting help-seeking, the process of problem awareness, and the years elapsed between drinking initiation, problem awareness, and help-seeking, as perceived by a clinical, non-random sample of people with AUD (n = 51). The most frequent reason for delaying help-seeking was not believing there was a problem. The most frequent motivators for seeking help were having physical or psychological problems due to use and repeated attempts to reduce or stop use. The outcomes of this study can be useful for designing interventions to reduce help-seeking barriers and facilitate access to treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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5. The Association Between Early Drinking and Dependence Varies by Drinking Context.
- Author
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Conde, Karina, Peltzer, Raquel I., Gimenez, Paula V., and Cremonte, Mariana
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ALCOHOLISM ,BINGE drinking ,ALCOHOLIC beverages ,HIGH-income countries ,DATA reduction - Abstract
Evidence regarding the association between early drinking (ED) and later dependence is controversial. It has been alternately hypothesized that ED either plays a causal role in the development of dependence or that it is an early marker of increased psychosocial vulnerabilities. Despite a clear rationale for delaying youth consumption, it is important to discern this relationship. However, most epidemiological evidence comes from individual studies and high-income countries. If there is a causal link between ED and dependence, an association at the aggregate level would be expected. Furthermore, if the link is due to biological mechanisms, the association should be rather invariable regardless of the drinking context, while if the association is due to psychosocial factors, a wider variability is to be expected. We explored whether the association between ED and dependence varied across countries clustered by their shared contextual drinking characteristics. We used data from 169 countries from the Global Information System on Alcohol and Health of the World Health Organization: ED, alcohol dependence, heavy episodic drinking (HED), actual drinkers, and alcohol policy. To cluster countries by their shared drinking characteristics (prevalences of HED and actual drinkers, and alcohol policy), we used, sequentially, two multivariate data reduction techniques: a multiple correspondence analysis (MCA) and a hierarchic classification. To estimate the association between ED and alcohol dependence, beta regressions were performed, and then adjusted by country income-level and repeated by gender. The results indicated four country clusters: primarily abstainers (class 1), low drinking countries (class 2), high drinking countries (class 3), and very high drinking countries (class 4). Positive relationships between ED and alcohol dependence were found for all the countries in the world and for those in classes 1 and 2. No significant relationships were found for class 3 or class 4. These results were similar for males, but not for females, where no significant relationships were found after adjusting for income level. The association between ED and dependence varies according to the drinking context. Our findings either suggest that the ED–dependence association may be due to individual or environmental vulnerabilities that promote consumption outside cultural norms or that, if there is a causal link between ED and dependence, it is strongly moderated by psychosocial characteristics. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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6. ALCOHOL DRINKING IN PREGNANT WOMEN FROM AN ARGENTINIAN CITY.
- Author
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Lichtenberger, Aldana, Conde, Karina, Inés Peltzer, Raquel, Biscarra, María Ayelén, Gonzáles, Santiago, and Cremonte, Mariana
- Subjects
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ALCOHOL drinking , *PREGNANT women , *ALCOHOLISM , *BINGE drinking , *FETAL alcohol syndrome - Abstract
Alcohol drinking during pregnancy might lead to detrimental consequences to the mother and fetus, being Fetal Alcohol Syndrome (FAS) the most severe. In many Latin-American countries, there is a paucity of information about prenatal exposure to alcohol. Aim. To estimate alcohol drinking in pregnant women and describe it concerning sociodemographic characteristics. Method. Data were collected from a random sample of women attending the public health care system (N=852) in 2016. Alcohol drinking, including binge drinking (BD), was evaluated before and after pregnancy recognition. Descriptive and bivariate analyses were performed. Results. While pregnant, two out of ten women reported drinking. Moreover, 2% engaged in BD and 3% presented indicators of alcohol dependence. BD before pregnancy was related to drinking during pregnancy and frequency, quantity, and BD before pregnancy with BD during pregnancy. Conclusions. Alcohol consumption in pregnant women was higher than the estimated for most Latin- American countries, and of the considered characteristics, was almost exclusively related to consumption patterns before pregnancy. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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7. Validade dos questionários de expectativas para o consumo de álcool
- Author
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Conde, Karina, Lichtenberger, Aldana, and Peltzer, Raquel I
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Alcoholism ,Alcoholismo ,Estudos de Validação ,Straining ,Peneiramento ,Cribado ,Validation Studies ,Alcoolismo ,Validade dos Questionários de Expectativas de Consumo de Álcool ,Estudios de Validación - Abstract
Introducción: las expectativas hacia el consumo de alcohol se definen como creencias de los efectos del alcohol sobre el comportamiento y podrían predecir su consumo. El objetivo de este trabajo es resumir la información disponible sobre los cuestionarios que las miden y su validez. Métodos: se realizaron búsquedas en las bases de datos Pubmed, Scopus, PsycINFO, Lilacs y Scielo, seleccionando estudios sobre la validez de los cuestionarios. La calidad del material se evaluó con la guía CASP y la síntesis de datos fue cualitativa. Resultados: de las 133 referencias resultantes, 56 se eliminaron por repetirse, 52 por no ser de la temática/objetivo, y se agregaron 7 de otras fuentes. Se hallaron 16 instrumentos con buenos índices de fiabilidad y validez, algunos de ellos utilizados eficazmente para predecir el consumo de alcohol. Conclusión: los cuestionarios de expectativas hacia el consumo de alcohol podrían constituir una herramienta útil para la investigación, evaluación clínica y tamizaje. Introduction: as the alcohol expectancies could predict alcohol consumption, the aim of this study is to summarize available information on the alcohol expectancies questionnaires and their validity. Methods: we performed searches in PubMed, Scopus, PsycINFO, LILACS and SciELOdatabases, and we selected studies about validity of the questionnaires. The material quality was assessed using the CASP guide and data synthesis was qualitative. Results: we found 133 references, 56 were repeated, 52 were not on the subject oraim, and we added 7 from other sources. We found 16 instruments with good reliability and validity indicators, some of which were used effectively to predict alcohol consumption. Conclusion: the alcohol expectancies questionnaires could be ausefultool for clinical, evaluation, screening and research. Introdução: como as expectativasemrelaçãoaoconsumo álcoolpoderiam prever o consumo de álcool, oobjetivo desteestudoéresumir as informaçõesdisponíveis sobre os questionários de expectativas emrelaçãoao consumo de álcool e sua validade. Métodos: as buscas foram realizadas nas bases de dados PubMed, Scopus, PsycINFO, LILACS e SciELO, selecionando os estudos sobre a validade dos questionários. A qualidade do material foiavaliadacom o roteiro CASP e a síntese dos dados foiqualitativa. Resultados: das 133 referências resultantes, 56 foram removidas por ser repetidas, 52 por não ser da temática /objeto, e 7 foram agregadas de outrasfontes. Encontraram-se 16 instrumentos combons índices de confiabilidade e validade, alguns dos quaissão utilizados de forma eficaz para predizer o consumo de álcool. Conclusão: os questionários de expectativasemrelaçãoaoconsumo de álcoolpoderiam ser uma útilferramenta de pesquisa, avaliação clínica e triagem.
- Published
- 2014
8. Características de los Instrumentos de Tamizaje del Trastorno por Uso de Alcohol en Jóvenes Universitarios de Argentina.
- Author
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Conde, Karina, Gimenez, Paula Victoria, and Cremonte, Mariana
- Subjects
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ALCOHOL drinking , *COLLEGE students , *MEDICAL screening , *EPIDEMIOLOGY , *ALCOHOLISM - Abstract
The prevalence of alcohol use disorders in university students is alarmingly high. Screening instruments are fundamental for both, epidemiological research and clinical practice. The aim of this article is to compare the performance of the most widely used screening instruments (AUDIT, AUDIT-C, TWEAK, RAPS-QF, and CAGE) in Argentinean university students. Screening tests, along with the Alcohol Section of the Composite International Diagnostic Interview that yields DSM 5 compatible diagnoses were administered to a probabilistic sample (N = 2,430) of university students from a national public university. The following characteristics were evaluated among others: optimal cut-off points, sensitivity, specificity, internal consistency, temporal stability, and item presence and discrimination capacity. The global appraisal of results suggests that the AUDIT and RAPS-QF would be preferable for evaluating AUD in this population. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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9. Natural recovery from alcohol use disorders in Argentinean university students.
- Author
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Conde, Karina, Lichtenberger, Aldana, Santángelo, Pablo, and Cremonte, Mariana
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ALCOHOLISM ,COLLEGE students ,CONFIDENCE intervals ,CONVALESCENCE ,MULTIVARIATE analysis ,RESEARCH funding ,STATISTICAL sampling ,LOGISTIC regression analysis ,ALCOHOL drinking in college ,DATA analysis software ,ALCOHOL-induced disorders ,DESCRIPTIVE statistics ,ODDS ratio - Abstract
A significant percentage of people with an alcohol-use disorder (AUD) recover on their own and differ substantially from those who do not. Those who do not seek assistance for AUD include a high proportion of university students. The aim of this study was to describe, in a cohort of Argentinean university students, the differences among drinkers who had never had an alcohol-related problem, those who recovered from an AUD on their own (natural recovery), and those who currently had an AUD. Participants were 1170 randomly selected students from the National University of Mar del Plata. They were assessed regarding the quantity and frequency of alcohol consumption, AUD severity, and sociodemographic variables. Descriptive and multivariate analyses (logistic regressions) were performed. Differences were found primarily in alcohol consumption variables, gender, and age. Natural recovery and current AUD groups drank higher quantities of alcohol and did so more frequently compared with drinkers who had never met any AUD criteria. Students with a current AUD drank higher quantities than did those who were in natural recovery. Students who recovered naturally had less severe AUDs, but many still had an alcohol-related problem. The implications of self-promoted changes in drinking behaviors are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
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10. Validez de los cuestionarios de expectativas hacia el consumo de alcohol.
- Author
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Conde, Karina, Lichtenberger, Aldana, and Peltzer, Raquel I.
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ALCOHOL drinking ,DRINKING behavior ,TEST validity ,QUESTIONNAIRES - Abstract
Copyright of Investigaciones ANDINA is the property of Fundacion Universitaria del Area Andina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
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