A NUESTROS LECTORES

Mental health in Ecuador

David Gaus [a]

1. Andean Health & Development, Estados Unidos

Doi: https://doi.org/10.23936/pfr.v7i3.257

PRÁCTICA FAMILIAR RURAL│Vol.7│No.3│Noviembre 2022│Recibido: 29/09/2022│Aprobado: 24/10/2022

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Abstract
Editorial response to the letter published in July 2022 under the title Anticipating the deterioration of mental health in Ecuador.
Keywords: mental health, Rural Family Practice, editorial letter

Salud mental en el Ecuador

Resumen

Respuesta editorial a la carta publicada en julio de 2022 bajo el título Anticipando el deterioro de la salud mental en el Ecuador.
Palabras clave: salud mental, Práctica Familiar Rural, carta editorial

 

PFR Editorial Reply: In our July issue of PFR, the letter from Garzon, et al. The upcoming mental health unrest in Ecuador(1), points to the potential severity of the downstream impact on mental health posed by the COVID-19 pandemic. Their letter also highlights the insufficient mental health services already plaguing the country even prior to the pandemic. We concur. This public health challenge is an even greater when one considers the taxonomy of mental illness diagnosis in cultures where mental health has earned little research. How does one diagnose depression, anxiety, or PTSD in a vastly different cultural context from those where these diagnoses are defined? Contributions from authors such as Chentsova-Dutton in the area of normative and deviant cultural scripts have begun to address this complexity(2).

As contributions in this field, the publishing group has published Initial effects of the COVID-19 pandemic on self-reported anxiety by Ecuadorian health service providers (3), Post-pandemic mental health, in medical students in Ecuador(4), Bioethical conflicts in patients with mental health problems (5), Suicide attempt in rural areas as a challenge to current explanatory models: discussion of a series of cases (6); among other articles that can be the beginning of a line of research, especially in rural communities.

Referencias

1. Garzon Chavez D, Romero Alvarez D, Garcés MS, Mena-Mena P. The upcoming mental health unrest in Ecuador. PFR [Internet]. 2 de agosto de 2022 [citado 2 de agosto de 2022];7(2). 

2. Chentsova-Dutton, Y. E., Ryder, A. G., & Tsai, J. (2014). Understanding depression across cultural contexts. In I. H. Gotlib & C. L. Hammen (Eds.), Handbook of depression (pp. 337–354). The Guilford Press.

3. Gaus Hinojosa G. Efectos iniciales de la pandemia de COVID-19 en la ansiedad autoinformada por los proveedores de servicios de salud ecuatorianos. PFR [Internet]. 31 de julio de 2021 [citado 9 de diciembre de 2022];6(2). Disponible en: https://practicafamiliarrural.org/index.php/pfr/article/view/201

4. Tufiño A, Acevedo D. Salud mental postpandemia, en estudiantes de medicina en Ecuador. PFR [Internet]. 29 de noviembre de 2022 [citado 9 de diciembre de 2022];7(3). Disponible en: https://practicafamiliarrural.org/index.php/pfr/article/view/254

5. Cornejo F, Mejía D. Conflictos bioéticos en el paciente con problemas de salud mental. PFR [Internet]. 30 de noviembre de 2019 [citado 9 de diciembre de 2022];4(3). Disponible en: https://practicafamiliarrural.org/index.php/pfr/article/view/136

6. Troya C, Tufiño A, Herrera D, Tulcanaz K. El intento suicida en zonas rurales como un desafío a los modelos explicativos vigentes: discusión de una serie de casos. PFR [Internet]. 30 de noviembre de 2019 [citado 9 de diciembre de 2022];4(3). Disponible en: https://practicafamiliarrural.org/index.php/pfr/article/view/117