- Child and Adolescent Psychosocial and Emotional Development
- Asthma and respiratory diseases
- Mental Health Treatment and Access
- Child Abuse and Trauma
- Substance Abuse Treatment and Outcomes
- Migration, Health and Trauma
- Maternal Mental Health During Pregnancy and Postpartum
- Racial and Ethnic Identity Research
- Resilience and Mental Health
- Child and Adolescent Health
- School Health and Nursing Education
- Health disparities and outcomes
- Attention Deficit Hyperactivity Disorder
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Early Childhood Education and Development
- IL-33, ST2, and ILC Pathways
- Pediatric health and respiratory diseases
- Suicide and Self-Harm Studies
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Homelessness and Social Issues
- Youth Substance Use and School Attendance
- Respiratory and Cough-Related Research
- Obesity, Physical Activity, Diet
- Psychosomatic Disorders and Their Treatments
- Adolescent and Pediatric Healthcare
University of Puerto Rico, Medical Sciences Campus
2016-2025
University of Puerto Rico at Río Piedras
2001-2025
Michigan State University
2025
University of Puerto Rico System
2015-2024
Northwestern University
2024
Children's Hospital of Pittsburgh
2024
University of Pittsburgh
2024
Cohort (United Kingdom)
2024
University of Southern California
2024
University of Wisconsin–Madison
2024
To describe the NIMH Diagnostic Interview Schedule for Children (DISC) Version 2.3 and to provide data on its performance characteristics in Methods Epidemiology of Child Adolescent Mental Disorders (MECA) Study.Data were collected DISC-2.3 at four sites 1,285 randomly selected children, aged 9 through 17 years, their parents. Two hundred forty-seven these child-parent pairs reassessed by a clinician interviewer, 1 3 weeks later.Administration time was approximately hour interview acceptable...
Although widely reported among Latino populations, contradictory evidence exists regarding the generalizability of immigrant paradox, i.e., that foreign nativity protects against psychiatric disorders. The authors examined whether this paradox applies to all groups by comparing estimates lifetime disorders subjects, U.S-born and non-Latino white subjects.The combined data from National Asian American Study Comorbidity Survey Replication, two largest nationally representative samples...
We examined the prevalence of depressive, anxiety, and substance use disorders among Latinos residing in United States.We used data from National Latino Asian American Study, which included a nationally representative sample Latinos. calculated weighted rates lifetime past-year psychiatric across different sociodemographic, ethnic, immigration groups.Lifetime disorder estimates were 28.1% for men 30.2% women. Puerto Ricans had highest overall rate ethnic groups assessed. Increased observed...
OBJECTIVE: The authors investigated whether there are disparities in the rates of specialty mental health care for Latinos and African Americans compared with non-Latino whites United States. METHODS: Data were analyzed from 1990-1992 National Comorbidity Survey, which surveyed a probability sample 8,098 English-speaking respondents aged 15 to 54 years. Respondents self-identified their race or ethnicity, yielding 695 Latinos, 987 Americans, 6,026 whites. on demographic characteristics,...
Abstract This paper provides a rationale for, and overview of, procedures used to develop the National Latino Asian American Study (NLAAS). The NLAAS is nationally representative community household survey that estimates prevalence of mental disorders rates health service utilization by Latinos Americans in US. central aims are to: 1) describe lifetime 12‐month psychiatric services use for populations using nationwide samples Americans, 2) assess associations among social position,...
Background. There are few cross-national comparisons of the rates suicide ideation and attempts across diverse countries. Nine independently conducted epidemiological surveys using similar diagnostic assessment criteria provided an opportunity to obtain that data. Methods. Suicide were assessed on Diagnostic Interview Schedule in over 40000 subjects drawn from United States, Canada, Puerto Rico, France, West Germany, Lebanon, Taiwan, Korea New Zealand. Results. The lifetime prevalence...
An epidemiologic survey of the lifetime and six-month prevalence rates several psychiatric disorders was conducted in Puerto Rico. This study, carried out 1984, applied selected schedules a Spanish translation Diagnostic Interview Schedule to stratified, island-wide probability sample population. With few exceptions, this study were similar those obtained US communities studied Epidemiologic Catchment Area program. The demographic correlates are reviewed, differences between results previous...
<h3>Background</h3> Few prevalence studies in which<i>DSM-IV</i>criteria were used children representative community samples have been reported. We present data for the child and adolescent population of Puerto Rico examine relation of<i>DSM-IV</i>diagnoses to global impairment, demographic correlates, service use an island-wide sample. <h3>Methods</h3> sampled 1886 child-caretaker dyads by using a multistage sampling design. Children aged 4 17 years. Response rate was 90.1%. Face-to-face...
<h3>Background:</h3> Epidemiological data on panic disorder from community studies 10 countries around the world are presented to determine consistency of findings across diverse cultures. <h3>Method:</h3> Data independently conducted surveys (the United States, Canada, Puerto Rico, France, West Germany, Italy, Lebanon, Taiwan, Korea, and New Zealand), using Diagnostic Interview Schedule and<i>DSM-III</i>criteria including over 40 000 subjects, were analyzed with appropriate standardization...
Objective To examine the criterion validity of NIMH Diagnostic Interview Schedule for Children (DISC) Version 2.3 in Methods Epidemiology Child and Adolescent Mental Disorders (MECA) Study, using a design that permitted several comparisons DISC-generated diagnoses with based on clinician symptom ratings. Method Two hundred forty-seven youths were selected from 1,285 parent–youth pairs constituted four-site MECA sample. Subjects who screened positive any five diagnostic areas under...
An abridged somatization construct (the Somatic Symptom Index) derived from the Diagnostic Interview Schedule's disorder items was tested on community epidemiological samples to examine its prevalence, risk factors, and predictive value. The had a high prevalence (range, 4.4% 20% compared with .03% 0.7% for full DSM-III diagnosis), related low socioeconomic status, female gender, older chronological age, Hispanic ethnic background. presence of this determined preferential use medical...
There is little consensus on the extent to which psychiatric disorders or syndromes are universal they differ their core definitions and constellation of symptoms as a result cultural contextual factors. This controversy continues due lack biological markers, imprecise measurement gold standard for validating most conditions.Empirical studies were used present evidence in favor against universalist relativistic view child using model developed by Robins Guze determine validity disorders.The...
For unclear reasons, obese children with asthma have higher morbidity and reduced response to inhaled corticosteroids.To assess whether childhood obesity is associated airway dysanapsis (an incongruence between the growth of lungs airways) morbidity.We examined relationship in six cohorts without asthma, as well clinical outcomes asthma. Adjusted odds ratios (ORs) were calculated for each cohort a combined analysis all cohorts; longitudinal analyses also performed available data. Hazard...
Objective: The study reports the process of translation into Spanish and adaptation to Hispanic culture Alcohol Use Disorder Associated Disabilities Schedule (AUDADIS). This instrument is a structured diagnostic interview schedule specifically developed for assessment substance-related disorders their comorbid disabilities. Method: A random sample (N = 169) adults from primary health care clinic in Puerto Rico was selected. test-retest reliability examined across time interviewers, validity...
Associations between affective disorders, anxiety and substance use disorders were examined in epidemiological studies conducted Germany, Switzerland, Puerto Rico, the mainland US. There was a remarkable degree of similarity across magnitude type specific associated with disorders. Comorbidity greater for than misuse. Panic disorder subtype that most highly comorbid depression. Social phobia phobic strongest association The associations misuse generally quite low less consistent sites. No...
Behavior problems among youths cannot be understood without explaining their age and gender differences, but differences explained until they have been accurately described. In a household survey of 1,285 aged 9 to 17 years, there were no in oppositional behavior, aggression, property offenses, status offenses more common boys. Levels behavior greater at younger ages, aggression peaked near the middle this range, prevalent older ages. These findings are generally consistent with...