Graciela Rojas
Biographic Data
| ID | 3667545 |
|---|---|
| NAME | Graciela Rojas |
| GIVEN NAMES | Graciela |
| FAMILY NAME | Rojas |
| SIGNATURE | ROJAS G |
| AFFILIATIONS | University of Chile |
| ORCID | 0000-0002-9577-7415 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 9 |
| WORKS AS AUTHOR | 18 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Suicídio no Chile
O suicídio é um problema crítico de saúde pública, representando uma das principais causas de morte em todo o mundo, com implicações biopsicossociais significativas. Este estudo analisa o fenômeno no contexto chileno, explorando fatores de risco como desigualdades socioeconômicas, saúde mental, traumas e estigmas culturais. A metodologia incluiu a análise de dados estatísticos nacionais de 2000 a 2020, entrevistas qualitativas com 186 indivíduos …
The Impact of a Yoga-Based Mindfulness Intervention versus Psycho-Educational Session for Older Adults with Mild Cognitive Impairment
Providing evidence-based programs such as preventive therapy for Alzheimer's disease has relevant implications for public mental health services in Chile
Salud mental primaria para niños, niñas y adolescentes institucionalizados
(analytical)Mental health care for vulnerable and institutionalized children and adolescents is a clinical and ethical challenge in Chile and Latin America. This study explores experiences and challenges encountered when providing mental health care among primary health care professionals. Qualitative research was conducted using an openended questionnaire for interviewing professionals in a rural area of Chile. The data was analyzed using Ground…
Understanding the Relationship between Depression and Chronic Diseases Such as Diabetes and Hypertension
There is a bi-directional relationship between depression and chronic illnesses such as diabetes and hypertension. This comorbidity is associated with higher mortality risk and diminishes the efficacy of interventions. The specific mechanisms of this mutual influence are still not fully understood, and most intervention protocols address these conditions separately. This study aims to improve our understanding of this relationship. We interviewed…
Feasibility and Acceptability of “Cuida tu Ánimo” (Take Care of Your Mood)
The rapid internet penetration in Latin American countries has made it possible to implement digital mental health interventions. "Cuida tu Ánimo" (Take Care of Your Mood) is an internet-based program for the prevention and early intervention of depression in adolescents. A pilot study was conducted in Chile and Colombia to study the feasibility and acceptability of the program and estimate its effects. There were 199 participants (53.3% women; m…
Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care
The comorbidity of depression with physical chronic diseases is usually not considered in clinical guidelines. This study evaluated the feasibility of a technology-assisted collaborative care (TCC) program for depression in people with diabetes and/or high blood pressure (DM/HBP) attending a primary health care (PHC) facility in Santiago, Chile. Twenty people diagnosed with DM/HBP having a Patient Health Questionnaire-9 score ≥ 15 points were rec…
Computer-Assisted Cognitive-Behavioral Therapy to Treat Adolescents With Depression in Primary Health Care Centers in Santiago, Chile
Introduction: Evidence from developed countries shows the efficacy of computer-assisted cognitive-behavioral therapy (cCBT) in addressing adolescent depression in home and/or school settings. This paper presents the results of a randomized controlled trial (RCT) of a brief therapist-guided cCBT intervention for adolescent depression in resource-constrained primary health care (PHC) settings. Material and methods: A multicenter, two-arm parallel-g…
Measuring Primary Health Care Clinicians’ Skills for Depression Management
Introduction: Primary health care clinicians play an important role in the management of depression. Thus, it is very important to have a valid and reliable assessment of the competences needed to manage depression in primary health care, with the use of clinical simulation providing such an opportunity. Objective: The present study describes the assessment of primary health care clinicians' depression-related skills through a series of objective…
Implementing the protocol of a pilot randomized controlled trial for the recovery-oriented intervention to people with psychoses in two Latin American cities
Several Latin American countries have made remarkable strides towards offering community mental health care for people with psychoses. Nonetheless, mental health clinics generally have a very limited outreach in the community, tending to have weaker links to primary health care; rarely engaging patients in providing care; and usually not providing recovery-oriented services. This paper describes a pilot randomized controlled trial (RCT) of Critic…
Association between School Membership and Substance Use among Adolescents
ISRCTN19466209. Retrospectively registered
RedeAmericas
The purpose of this paper is to describe the development and initial accomplishments of a training program of young leaders in community mental health research as part of a Latin American initiative known as RedeAmericas. RedeAmericas was one of five regional 'Hubs' funded by the National Institute of Mental Health (NIMH) to improve community mental health care and build mental health research capacity in low- and middle-income countries. It incl…
Standardization of health outcomes assessment for depression and anxiety
An international standard of health outcomes assessment has the potential to improve clinical decision making, enhance health care for the benefit of patients, and facilitate scientific knowledge
Monitoring and evaluating capacity building activities in low and middle income countries
The hubs were successful in providing CB recipients with a wide range of CB activities. The challenge remains to ensure ongoing CB of mental health researchers in LMICs, and in particular, to sustain the CB efforts of the five hubs after the termination of NIMH funding
Lessons from scaling up a depression treatment program in primary care in Chile
In Chile, the National Depression Detection and Treatment Program (Programa Nacional de Diagnóstico y Tratamiento de la Depresión, PNDTD) in primary care is a rare example of an evidence-based mental health program that was scaled up to the national level in a low- or middle-income country. This retrospective qualitative study aimed to better understand how policymakers made the decision to scale up mental health services to the national level, a…
Treatment and prevention of mental disorders in low-income and middle-income countries
Stability of Somatoform Symptoms—Implications for Classification
OBJECTIVE: To investigate the stability of somatoform symptoms/disorders. METHODS: A literature search was done to select studies reporting data on stability of medically unexplained physical symptoms. RESULTS: Whereas individual symptoms vary over time, grouping symptoms into syndromes seems to create stable features. There are substantial problems with the use of lifetime diagnosis, favoring classification approaches that require only present s…
Inequities in Mental Health Care After Health Care System Reform in Chile
Objectives. We compared differences in mental health needs and provision of mental health services among residents of Santiago, Chile, with private and public health insurance coverage. Methods. We conducted a cross-sectional survey of a random sample of adults. Presence of mental disorders and use of health care services were assessed via structured interviews. Individuals were classified as having public, private, or no health insurance coverag…
Comparing sex inequalities in common affective disorders across countries
Comparing sex inequalities in common affective disorders across countries
Implementing the protocol of a pilot randomized controlled trial for the recovery-oriented intervention to people with psychoses in two Latin American cities
Several Latin American countries have made remarkable strides towards offering community mental health care for people with psychoses. Nonetheless, mental health clinics generally have a very limited outreach in the community, tending to have weaker links to primary health care; rarely engaging patients in providing care; and usually not providing recovery-oriented services. This paper describes a pilot randomized controlled trial (RCT) of Critic…
Inequities in Mental Health Care After Health Care System Reform in Chile
Objectives. We compared differences in mental health needs and provision of mental health services among residents of Santiago, Chile, with private and public health insurance coverage. Methods. We conducted a cross-sectional survey of a random sample of adults. Presence of mental disorders and use of health care services were assessed via structured interviews. Individuals were classified as having public, private, or no health insurance coverag…
Comparing sex inequalities in common affective disorders across countries
Inequities in Mental Health Care After Health Care System Reform in Chile
Objectives. We compared differences in mental health needs and provision of mental health services among residents of Santiago, Chile, with private and public health insurance coverage. Methods. We conducted a cross-sectional survey of a random sample of adults. Presence of mental disorders and use of health care services were assessed via structured interviews. Individuals were classified as having public, private, or no health insurance coverag…
Treatment and prevention of mental disorders in low-income and middle-income countries
Stability of Somatoform Symptoms—Implications for Classification
OBJECTIVE: To investigate the stability of somatoform symptoms/disorders. METHODS: A literature search was done to select studies reporting data on stability of medically unexplained physical symptoms. RESULTS: Whereas individual symptoms vary over time, grouping symptoms into syndromes seems to create stable features. There are substantial problems with the use of lifetime diagnosis, favoring classification approaches that require only present s…
Lessons from scaling up a depression treatment program in primary care in Chile
In Chile, the National Depression Detection and Treatment Program (Programa Nacional de Diagnóstico y Tratamiento de la Depresión, PNDTD) in primary care is a rare example of an evidence-based mental health program that was scaled up to the national level in a low- or middle-income country. This retrospective qualitative study aimed to better understand how policymakers made the decision to scale up mental health services to the national level, a…
Monitoring and evaluating capacity building activities in low and middle income countries
The hubs were successful in providing CB recipients with a wide range of CB activities. The challenge remains to ensure ongoing CB of mental health researchers in LMICs, and in particular, to sustain the CB efforts of the five hubs after the termination of NIMH funding
RedeAmericas
The purpose of this paper is to describe the development and initial accomplishments of a training program of young leaders in community mental health research as part of a Latin American initiative known as RedeAmericas. RedeAmericas was one of five regional 'Hubs' funded by the National Institute of Mental Health (NIMH) to improve community mental health care and build mental health research capacity in low- and middle-income countries. It incl…
Standardization of health outcomes assessment for depression and anxiety
An international standard of health outcomes assessment has the potential to improve clinical decision making, enhance health care for the benefit of patients, and facilitate scientific knowledge
Association between School Membership and Substance Use among Adolescents
ISRCTN19466209. Retrospectively registered
Computer-Assisted Cognitive-Behavioral Therapy to Treat Adolescents With Depression in Primary Health Care Centers in Santiago, Chile
Introduction: Evidence from developed countries shows the efficacy of computer-assisted cognitive-behavioral therapy (cCBT) in addressing adolescent depression in home and/or school settings. This paper presents the results of a randomized controlled trial (RCT) of a brief therapist-guided cCBT intervention for adolescent depression in resource-constrained primary health care (PHC) settings. Material and methods: A multicenter, two-arm parallel-g…
Measuring Primary Health Care Clinicians’ Skills for Depression Management
Introduction: Primary health care clinicians play an important role in the management of depression. Thus, it is very important to have a valid and reliable assessment of the competences needed to manage depression in primary health care, with the use of clinical simulation providing such an opportunity. Objective: The present study describes the assessment of primary health care clinicians' depression-related skills through a series of objective…
Implementing the protocol of a pilot randomized controlled trial for the recovery-oriented intervention to people with psychoses in two Latin American cities
Several Latin American countries have made remarkable strides towards offering community mental health care for people with psychoses. Nonetheless, mental health clinics generally have a very limited outreach in the community, tending to have weaker links to primary health care; rarely engaging patients in providing care; and usually not providing recovery-oriented services. This paper describes a pilot randomized controlled trial (RCT) of Critic…
Salud mental primaria para niños, niñas y adolescentes institucionalizados
(analytical)Mental health care for vulnerable and institutionalized children and adolescents is a clinical and ethical challenge in Chile and Latin America. This study explores experiences and challenges encountered when providing mental health care among primary health care professionals. Qualitative research was conducted using an openended questionnaire for interviewing professionals in a rural area of Chile. The data was analyzed using Ground…
Understanding the Relationship between Depression and Chronic Diseases Such as Diabetes and Hypertension
There is a bi-directional relationship between depression and chronic illnesses such as diabetes and hypertension. This comorbidity is associated with higher mortality risk and diminishes the efficacy of interventions. The specific mechanisms of this mutual influence are still not fully understood, and most intervention protocols address these conditions separately. This study aims to improve our understanding of this relationship. We interviewed…
Feasibility and Acceptability of “Cuida tu Ánimo” (Take Care of Your Mood)
The rapid internet penetration in Latin American countries has made it possible to implement digital mental health interventions. "Cuida tu Ánimo" (Take Care of Your Mood) is an internet-based program for the prevention and early intervention of depression in adolescents. A pilot study was conducted in Chile and Colombia to study the feasibility and acceptability of the program and estimate its effects. There were 199 participants (53.3% women; m…
Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care
The comorbidity of depression with physical chronic diseases is usually not considered in clinical guidelines. This study evaluated the feasibility of a technology-assisted collaborative care (TCC) program for depression in people with diabetes and/or high blood pressure (DM/HBP) attending a primary health care (PHC) facility in Santiago, Chile. Twenty people diagnosed with DM/HBP having a Patient Health Questionnaire-9 score ≥ 15 points were rec…
The Impact of a Yoga-Based Mindfulness Intervention versus Psycho-Educational Session for Older Adults with Mild Cognitive Impairment
Providing evidence-based programs such as preventive therapy for Alzheimer's disease has relevant implications for public mental health services in Chile
Suicídio no Chile
O suicídio é um problema crítico de saúde pública, representando uma das principais causas de morte em todo o mundo, com implicações biopsicossociais significativas. Este estudo analisa o fenômeno no contexto chileno, explorando fatores de risco como desigualdades socioeconômicas, saúde mental, traumas e estigmas culturais. A metodologia incluiu a análise de dados estatísticos nacionais de 2000 a 2020, entrevistas qualitativas com 186 indivíduos …
Medicine (17 works) · Psychiatry (15 works) · Psychology (12 works) · Mental Health Treatment and Access (10 works) · Mental health (9 works) · Child and Adolescent Psychosocial and Emotional Development (7 works) · Nursing (7 works) · Clinical Psychology (6 works) · Gerontology (6 works) · Clinical Psychology (5 works)