Carmen Contreras
Dados Biográficos
| ID | 6572634 |
|---|---|
| NOME | Carmen Contreras |
| PRENOMES | Carmen |
| SOBRENOME | Contreras |
| ASSINATURA | CONTRERAS C |
| AFILIAÇÕES | EsSALUD |
| ORCID | 0000-0001-6184-3819 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAÇÕES | 2 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2011 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 1 |
“Un amigo secreto”
Adolescents living with HIV (ALWH) in Peru face significant mental health challenges, including a high prevalence of depression, exacerbated by limited access to mental health resources. This study explores the perceived acceptability of chatbots to support depression education, self-care, and referral among ALWH. Focus groups and interviews were conducted with 28 adolescents, 5 caregivers, and 5 HIV care personnel. A semi-structured interview gu…
Síntomas depresivos, violencia y discriminación en mujeres transgénero durante la pandemia de Covid-19
A high frequency of depressive symptoms, as well as experiences of gender-based discrimination and violence, was observed among TGW in Lima, Peru, during the COVID-19 pandemic. In addition, significant associations were identified between these experiences and the presence of depressive symptoms. These findings are consistent with existing evidence on the mental health impact of the pandemic, but also suggest a disproportionate burden among TGW a…
Tuberculosis treatment loss to follow-up in children exposed at home
Background: Loss to follow-up (LTFU) from tuberculosis (TB) treatment and care is a significant public health problem. It is important to understand what drives LTFU in children - a population whose treatment and management depend on an adult caregiver - to better provide support services to families affected by TB. Methods: We conducted a prospective cohort study of household contacts in Lima, Peru (2009-12). Using multilevel logistic regression…
Programmatic implementation of depression screening and remote mental health support sessions for persons recently diagnosed with TB in Lima, Peru during the Covid-19 pandemic
Depressive symptoms were common among persons recently diagnosed with TB. We observed improvements in depressive symptoms 6 months later for most participants who received remote sessions of PFA
Expanding mental health services in low- and middle-income countries
This paper proposes a framework for comprehensive, collaborative, and community-based care (C4) for accessible mental health services in low-resource settings. Because mental health conditions have many causes, this framework includes social, public health, wellness and clinical services. It accommodates integration of stand-alone mental health programs with health and non-health community-based services. It addresses gaps in previous models incl…
A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda
Health systems globally demand more competent workers but lack competency-based training programs to reach their goals. This study evaluates the effectiveness of a competency-based curriculum (EQUIP-FHS) for trainers and supervisors to teach foundational helping knowledge, attitudes and skills, guided by the WHO/UNICEF EQUIP platform, to improve the competency of in-service and pre-service workers from various health and other service sectors. A …
Perinatal depression and implementation of the “Thinking Healthy program” support intervention in an impoverished setting of Lima, Peru
Socios En Salud (SES) implemented the Thinking Healthy program (THP) to support women with perinatal depression before and during the COVID-19 pandemic in Lima Norte. We carried out an analysis of the in-person (5 modules) and remote (1 module) THP intervention. Depression was detected using PHQ-9, and THP sessions were delivered in women with a score (PHQ-9 ≥ 5). Depression was reassessed and pre- and post-scores were compared. In the pre-pandem…
Mobilizing digital technology to implement a population-based psychological support response during the Covid-19 pandemic in Lima, Peru
Digital technology can be used to screen for psychological distress and deliver mental health support for populations affected by the COVID-19 pandemic. More research is needed to determine whether technology contributes to improved mental health outcomes
Success at Scale
This study is a randomized controlled trial of a 12-week community-based group parenting intervention (“CASITA”) in Lima, Peru. CASITA improved neurodevelopment in a pilot study of 60 Peruvian children and subsequently scaled to 3,000 households throughout the district. The objective of this study was to assess intervention effectiveness when implemented at scale. A total of 347 children ages 6–20 months (52.7% male, 100% identified as “mestizo”)…
A non-specialist depression care pathway for adolescents living with HIV and transitioning into adult care in Peru
A simple care pathway operationalizing depression screening and non-specialist delivered emotional support is a first step toward integrated depression and HIV care for ALWH
The Use of Wearable Technology to Objectively Measure Sleep Quality and Physical Activity Among Pregnant Women in Urban Lima, Peru
Preparing to launch the ‘Thinking Healthy Programme’ perinatal depression intervention in Urban Lima, Peru
Background. An estimated 19–25% of perinatal women in low- and middle-income countries are affected by depression which, untreated, is associated with multiple health problems for mothers and children. Nonetheless, few perinatal women have access to depression care. The Thinking Healthy Programme (THP), promoted by the World Health Organization (WHO), is an evidence-based, non-specialist delivered depression intervention that addresses this care …
Community strengthening and mental health system linking after flooding in two informal human settlements in Peru
This intervention provides a model for a small-scale response to disasters that can effectively and acceptably identify individuals in need of mental health services and link them to a health system that may otherwise remain inaccessible
Atlantic Extreme Wave Events During the Last Four Millennia in the Guadalquivir Estuary, SW Spain
A multidisciplinary study from a number of drilled cores in the Guadalquivir estuary has made possible to identify as many as three extreme wave events and their facies in the 4th millennium BP (A: ~ 4000 cal yr BP, B: ~ 3550 cal yr BP, and C: ~ 3150 cal yr BP). These events, which caused strong erosion in the Guadalquivir sandy barrier and in the neighboring aeolian systems of El Abalario, brought about significant paleogeographical changes that…
Impact of late-Holocene aridification trend, climate variability and geodynamic control on the environment from a coastal area in SW Spain
A detailed pollen analysis has been carried out on two sediment cores taken from a marsh area located in the Doñana National Park, southwestern Spain. The studied sedimentary sequences contain a similar late Holocene record of vegetation and climate and show a progressive aridification trend since at least 5000 cal. yr BP, through a decrease in forest cover in this area. Long-term vegetation changes shown here (semi-desert expansion and Mediterra…
Frecuencia y patotipos de Escherichia coli diarrogénica en niños peruanos con y sin diarrea
Introduction. Diarrheagenic E. coli (DEC) are a major cause of diarrhea in children in developing countries. However, they are not part of routine diagnosis in clinical laboratories. Objectives. To determine the DEC prevalence in Peruvian children and to describe the genetic variability of these strains. Materials and methods. A total of 8 003 E. coli strains previously isolated from eight different studies of diarrhea in children, mainly from pe…
Patrones de adherencia de cepas de Escherichia coli Difusamente adherente (Daec) provenientes de niños con y sin diarrea
Our findings suggest a difference between adherence patterns, actin polymerization and motility between DAEC strains corresponding to diarrhea and control groups. The significance of these results must be confirmed with a bigger number of strains and determining the presence of virulence genes in the strains
Patrones de adherencia de cepas de Escherichia coli difusamente adherente (Daec) provenientes de niños con y sin diarrea
Introduction. Diffusely adherent E. coli (DAEC) is the sixth recognized group of diarrheagenic E. coli. However, its association with diarrhea remains controversial. Variability in the adherence patterns of clinical strains is unknown. Objectives. To compare the adherence patterns between strains isolated from children with and without diarrhea. Materials and methods. A total of 31 DAEC strains were analyzed, 25 from children with diarrhea and 6 …
Frecuencia y patotipos de Escherichia coli diarrogénicas en niños peruanos con y sin diarrea
DEC are a major cause of diarrhea in Peruvian children. These pathogens are highly heterogeneous. Additional studies are required to determine the prevalence in rural areas of Peru and in severe diarrhea cases
Impact of late-Holocene aridification trend, climate variability and geodynamic control on the environment from a coastal area in SW Spain
A detailed pollen analysis has been carried out on two sediment cores taken from a marsh area located in the Doñana National Park, southwestern Spain. The studied sedimentary sequences contain a similar late Holocene record of vegetation and climate and show a progressive aridification trend since at least 5000 cal. yr BP, through a decrease in forest cover in this area. Long-term vegetation changes shown here (semi-desert expansion and Mediterra…
Frecuencia y patotipos de Escherichia coli diarrogénica en niños peruanos con y sin diarrea
Introduction. Diarrheagenic E. coli (DEC) are a major cause of diarrhea in children in developing countries. However, they are not part of routine diagnosis in clinical laboratories. Objectives. To determine the DEC prevalence in Peruvian children and to describe the genetic variability of these strains. Materials and methods. A total of 8 003 E. coli strains previously isolated from eight different studies of diarrhea in children, mainly from pe…
Patrones de adherencia de cepas de Escherichia coli Difusamente adherente (Daec) provenientes de niños con y sin diarrea
Our findings suggest a difference between adherence patterns, actin polymerization and motility between DAEC strains corresponding to diarrhea and control groups. The significance of these results must be confirmed with a bigger number of strains and determining the presence of virulence genes in the strains
Patrones de adherencia de cepas de Escherichia coli difusamente adherente (Daec) provenientes de niños con y sin diarrea
Introduction. Diffusely adherent E. coli (DAEC) is the sixth recognized group of diarrheagenic E. coli. However, its association with diarrhea remains controversial. Variability in the adherence patterns of clinical strains is unknown. Objectives. To compare the adherence patterns between strains isolated from children with and without diarrhea. Materials and methods. A total of 31 DAEC strains were analyzed, 25 from children with diarrhea and 6 …
Frecuencia y patotipos de Escherichia coli diarrogénicas en niños peruanos con y sin diarrea
DEC are a major cause of diarrhea in Peruvian children. These pathogens are highly heterogeneous. Additional studies are required to determine the prevalence in rural areas of Peru and in severe diarrhea cases
Atlantic Extreme Wave Events During the Last Four Millennia in the Guadalquivir Estuary, SW Spain
A multidisciplinary study from a number of drilled cores in the Guadalquivir estuary has made possible to identify as many as three extreme wave events and their facies in the 4th millennium BP (A: ~ 4000 cal yr BP, B: ~ 3550 cal yr BP, and C: ~ 3150 cal yr BP). These events, which caused strong erosion in the Guadalquivir sandy barrier and in the neighboring aeolian systems of El Abalario, brought about significant paleogeographical changes that…
Impact of late-Holocene aridification trend, climate variability and geodynamic control on the environment from a coastal area in SW Spain
A detailed pollen analysis has been carried out on two sediment cores taken from a marsh area located in the Doñana National Park, southwestern Spain. The studied sedimentary sequences contain a similar late Holocene record of vegetation and climate and show a progressive aridification trend since at least 5000 cal. yr BP, through a decrease in forest cover in this area. Long-term vegetation changes shown here (semi-desert expansion and Mediterra…
Preparing to launch the ‘Thinking Healthy Programme’ perinatal depression intervention in Urban Lima, Peru
Background. An estimated 19–25% of perinatal women in low- and middle-income countries are affected by depression which, untreated, is associated with multiple health problems for mothers and children. Nonetheless, few perinatal women have access to depression care. The Thinking Healthy Programme (THP), promoted by the World Health Organization (WHO), is an evidence-based, non-specialist delivered depression intervention that addresses this care …
Community strengthening and mental health system linking after flooding in two informal human settlements in Peru
This intervention provides a model for a small-scale response to disasters that can effectively and acceptably identify individuals in need of mental health services and link them to a health system that may otherwise remain inaccessible
The Use of Wearable Technology to Objectively Measure Sleep Quality and Physical Activity Among Pregnant Women in Urban Lima, Peru
Success at Scale
This study is a randomized controlled trial of a 12-week community-based group parenting intervention (“CASITA”) in Lima, Peru. CASITA improved neurodevelopment in a pilot study of 60 Peruvian children and subsequently scaled to 3,000 households throughout the district. The objective of this study was to assess intervention effectiveness when implemented at scale. A total of 347 children ages 6–20 months (52.7% male, 100% identified as “mestizo”)…
A non-specialist depression care pathway for adolescents living with HIV and transitioning into adult care in Peru
A simple care pathway operationalizing depression screening and non-specialist delivered emotional support is a first step toward integrated depression and HIV care for ALWH
Mobilizing digital technology to implement a population-based psychological support response during the Covid-19 pandemic in Lima, Peru
Digital technology can be used to screen for psychological distress and deliver mental health support for populations affected by the COVID-19 pandemic. More research is needed to determine whether technology contributes to improved mental health outcomes
Expanding mental health services in low- and middle-income countries
This paper proposes a framework for comprehensive, collaborative, and community-based care (C4) for accessible mental health services in low-resource settings. Because mental health conditions have many causes, this framework includes social, public health, wellness and clinical services. It accommodates integration of stand-alone mental health programs with health and non-health community-based services. It addresses gaps in previous models incl…
A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda
Health systems globally demand more competent workers but lack competency-based training programs to reach their goals. This study evaluates the effectiveness of a competency-based curriculum (EQUIP-FHS) for trainers and supervisors to teach foundational helping knowledge, attitudes and skills, guided by the WHO/UNICEF EQUIP platform, to improve the competency of in-service and pre-service workers from various health and other service sectors. A …
Perinatal depression and implementation of the “Thinking Healthy program” support intervention in an impoverished setting of Lima, Peru
Socios En Salud (SES) implemented the Thinking Healthy program (THP) to support women with perinatal depression before and during the COVID-19 pandemic in Lima Norte. We carried out an analysis of the in-person (5 modules) and remote (1 module) THP intervention. Depression was detected using PHQ-9, and THP sessions were delivered in women with a score (PHQ-9 ≥ 5). Depression was reassessed and pre- and post-scores were compared. In the pre-pandem…
Tuberculosis treatment loss to follow-up in children exposed at home
Background: Loss to follow-up (LTFU) from tuberculosis (TB) treatment and care is a significant public health problem. It is important to understand what drives LTFU in children - a population whose treatment and management depend on an adult caregiver - to better provide support services to families affected by TB. Methods: We conducted a prospective cohort study of household contacts in Lima, Peru (2009-12). Using multilevel logistic regression…
Programmatic implementation of depression screening and remote mental health support sessions for persons recently diagnosed with TB in Lima, Peru during the Covid-19 pandemic
Depressive symptoms were common among persons recently diagnosed with TB. We observed improvements in depressive symptoms 6 months later for most participants who received remote sessions of PFA
“Un amigo secreto”
Adolescents living with HIV (ALWH) in Peru face significant mental health challenges, including a high prevalence of depression, exacerbated by limited access to mental health resources. This study explores the perceived acceptability of chatbots to support depression education, self-care, and referral among ALWH. Focus groups and interviews were conducted with 28 adolescents, 5 caregivers, and 5 HIV care personnel. A semi-structured interview gu…
Síntomas depresivos, violencia y discriminación en mujeres transgénero durante la pandemia de Covid-19
A high frequency of depressive symptoms, as well as experiences of gender-based discrimination and violence, was observed among TGW in Lima, Peru, during the COVID-19 pandemic. In addition, significant associations were identified between these experiences and the presence of depressive symptoms. These findings are consistent with existing evidence on the mental health impact of the pandemic, but also suggest a disproportionate burden among TGW a…
Medicine (16 obras) · Psychiatry (8 obras) · Psychology (7 obras) · Biology (6 obras) · Internal Medicine (6 obras) · Depression (economics (5 obras) · Genetics (5 obras) · Mental health (5 obras) · Diarrhea (4 obras) · Environmental health (4 obras)