Atención Familiar

POEMS: Patient-Oriented Evidence that Matters in Family Medicine

Geovani López-Ortiz — Thu, 04 Dec 2025 00:00:00 -0600

Editorial

Relationship Between Generalized Anxiety Disorder and Irritable Bowel Syndrome

Paola M. Bucio-Quintero, Ana I. Martínez-Piñón, Laura M. Pérez-Flores — Thu, 04 Dec 2025 00:00:00 -0600

Objective: To analyze the relationship between generalized anxiety disorder (GAD) and irritable bowel syndrome (IBS). Methods: A descriptive cross-sectional study with proportional stratified sampling was conducted in 363 patients with gad from the Mexican Institute of Social Security referred to General Hospital No. 1, in Michoacán between November 2023 and May 2024. The GAD-7 questionnaire was used to assess the severity of anxiety, and a targeted questionnaire based on Rome IV criteria was used to determine the presence of IBS. The association between anxiety severity and the presence of IBS was analyzed using the χ² Test, with statistical significance set at p<0.05. Results: The predominant demographic variables were female sex, age 19–29 years, bachelor’s degree education, and married marital status. The overall prevalence of IBS was 51.8% (n= 188). The proportion of IBS was significantly higher in patients with severe anxiety (76.6%) compared to those with mild anxiety (14.3%). A statistically significant association was found between GAD severity and the presence of IBS (p<0.001). Conclusion: The significant association between increased GAD severity and the presence of IBS justifies systematic gastrointestinal evaluation to optimize interdisciplinary management.

Relación entre trastorno de ansiedad generalizada y síndrome de intestino irritable

Paola M. Bucio-Quintero, Ana I. Martínez-Piñón, Laura M. Pérez-Flores — Thu, 04 Dec 2025 00:00:00 -0600

Objective: To analyze the relationship between generalized anxiety disorder (GAD) and irritable bowel syndrome (IBS). Methods: A descriptive cross-sectional study with proportional stratified sampling was conducted in 363 patients with GAD from the Mexican Institute of Social Security referred to General Hospital No. 1, in Michoacán between November 2023 and May 2024. The GAD-7 questionnaire was used to assess the severity of anxiety, and a targeted questionnaire based on Rome IV criteria was used to determine the presence of IBS. The association between anxiety severity and the presence of IBS was analyzed using the χ² Test, with statistical significance set at p<0.05. Results: The predominant demographic variables were female sex, age 19–29 years, bachelor’s degree education, and married marital status. The overall prevalence of IBS was 51.8% (n= 188). The proportion of IBS was significantly higher in patients with severe anxiety (76.6%) compared to those with mild anxiety (14.3%). A statistically significant association was found between gad severity and the presence of IBS (p<0.001). Conclusion: The significant association between increased gad severity and the presence of IBS justifies systematic gastrointestinal evaluation to optimize interdisciplinary management.

Assessment of Medical Knowledge on Cannabinoid-Based Medicine

Thu, 04 Dec 2025 00:00:00 -0600

Objective: To assess the knowledge of medical residents regarding cannabinoid-derived medicine. Methods: An anonymous survey administered to professionals affiliated to medical specialty programs of the Center for Research and Teaching in Health Sciences at the Autonomous University of Sinaloa, based at the Civil Hospital of Culiacán. Results: Of the 71 medical residents surveyed, 93% recognized the medical use of cannabinoids, but 77.5% did not receive professional training on the subject. Consequently, 83.1% did not feel prepared to prescribe them, and 23.9% lacked knowledge about the endocannabinoid system. Additionally, 93% considered medical training in this field necessary. Regarding regulation, 88.7% were unfamiliar with the Reglamento de la Ley General de Salud en Materia de Control Sanitario para la Producción, Investigación y Uso Medicinal de la Cannabis y sus Derivados Farmacológicos (Regulation of the General Health Law on Sanitary Control for the Production, Research, and Medicinal Use of Cannabis and its Pharmacological Derivatives). Conclusion: There is a broad acceptance of the therapeutic use of cannabinoids; however, insufficient training and an unawareness normative among the surveyed medical residents highlight the need to strengthen education in cannabinoid medicine as an emerging theme in Mexico.

Evaluación del conocimiento médico sobre la medicina derivada de cannabinoides

Thu, 04 Dec 2025 00:00:00 -0600

Objective: To assess the knowledge of medical residents regarding cannabinoid- derived medicine. Methods: An anonymous survey administered to professionals affiliated to medical specialty programs of the Center for Research and Teaching in Health Sciences at the Autonomous University of Sinaloa, based at the Civil Hospital of Culiacán. Results: Of the 71 medical residents surveyed, 93% recognized the medical use of cannabinoids, but 77.5% did not receive professional training on the subject. Consequently, 83.1% did not feel prepared to prescribe them, and 23.9% lacked knowledge about the endocannabinoid system. Additionally, 93% considered medical training in this field necessary. Regarding regulation, 88.7% were unfamiliar with the Reglamento de la Ley General de Salud en Materia de Control Sanitario para la Producción, Investigación y Uso Medicinal de la Cannabis y sus Derivados Farmacológicos (Regulation of the General Health Law on Sanitary Control for the Production, Research, and Medicinal Use of Cannabis and its Pharmacological Derivatives). Conclusion: There is a broad acceptance of the therapeutic use of cannabinoids; however, insufficient training and an unawareness normative among the surveyed medical residents highlight the need to strengthen education in cannabinoid medicine as an emerging theme in Mexico.

Loneliness and Frailty in Older Adults: Coincidence or Clinical Coexistence?

Thu, 04 Dec 2025 00:00:00 -0600

Objective: To analyze the association between loneliness and frailty syndrome in older adults enrolled in a family medicine unit. Methods: An analytical cross-sectional study was conducted on a sample of 380 older adults aged 60 to 84 years, selected through non-probabilistic convenience sampling. The University of California, Los Angeles Loneliness Scale (UCLA) and the frail Scale were administered to assess subjective feelings of loneliness and frailty, respectively. Sociodemographic variables were collected (age, sex, marital status, educational level, family typology, substance use, comorbidities, use of social media, monthly income, and occupation). For the statistical analysis, absolute and relative frequencies were calculated, and the χ2 test and logistic regression were used to assess the association between variables. A significance level of p<0.05 was established. Results: It was found that 77.4% of the participants exhibited a severe level of loneliness, and 71.6% were classified as frail. No statistically significant correlation was observed between loneliness and frailty syndrome (χ2, p= 0.879). Conclusion: Although no significant association was identified between loneliness and frailty syndrome, both phenomena were highly prevalent in the study population. The findings emphasize the importance of health policies aimed at strengthening social and community support for older adults as a preventive measure against frailty and loneliness.

Soledad y fragilidad en adultos mayores: ¿coincidencia o coexistencia clínica?

Yael G. Gómez-Rodríguez, Benjamín Estrada-Hernández, Carlos A. Rivero-López — Thu, 04 Dec 2025 00:00:00 -0600

Objective: To analyze the association between loneliness and frailty syndrome in older adults enrolled in a family medicine unit. Methods: An analytical cross-sectional study was conducted on a sample of 380 older adults aged 60 to 84 years, selected through non-probabilistic convenience sampling. The University of California, Los Angeles Loneliness Scale (UCLA) and the FRAIL Scale were administered to assess subjective feelings of loneliness and frailty, respectively. Sociodemographic variables were collected (age, sex, marital status, educational level, family typology, substance use, comorbidities, use of social media, monthly income, and occupation). For the statistical analysis, absolute and relative frequencies were calculated, and the χ2 test and logistic regression were used to assess the association between variables. A significance level of p<0.05 was established. Results: It was found that 77.4% of the participants exhibited a severe level of loneliness, and 71.6% were classified as frail. No statistically significant correlation was observed between loneliness and frailty syndrome (χ2, p= 0.879). Conclusion: Although no significant association was identified between loneliness and frailty syndrome, both phenomena were highly prevalent in the study population. The findings emphasize the importance of health policies aimed at strengthening social and community support for older adults as a preventive measure against frailty and loneliness.

Relationship Between Stress, Overweight, and Obesity in Medical Residents

Mayra Yadira Hernández-Mendoza, Adán Pacifuentes-Orozco, Oliva Mejía-Rodríguez — Thu, 04 Dec 2025 00:00:00 -0600

Objective: To evaluate the association between stress levels and the presence of overweight or obesity among medical residents at a regional general hospital. Methods: A longitudinal study was conducted with first-year residents from medical and surgical specialties. Measurements were taken at two time points: baseline and six months later. Body mass index, waist circumference, hip circumference, blood pressure, and stress levels (as the main variable) were assessed. Additionally, anxiety and depression levels were evaluated using validated instruments. Data were presented as mean, standard deviation, and confidence intervals. Student’s t test, χ2 test, and Spearman correlation were applied, with a significance level of p<0.05. Results: Participants included 53.4% women and 46.6% men. After six months, the proportion of residents with overweight decreased from 34.39% to 26.56%, while grade I obesity decreased from 22.86% to 20.31%. At follow-up, stress (p<0.001), anxiety (p= 0.002), and depression (p= 0.004) levels showed statistically significant differences, indicating changes in the scores of these variables. The correlation between stress and overweight/obesity was not statistically significant. Conclusion: Stress levels were not significantly associated with the presence of overweight or obesity among medical residents.

P300 and Cognitive Impairment in Major Depression: A Narrative Review of Its Diagnostic and Prognostic Value

Thu, 04 Dec 2025 00:00:00 -0600

Objective: To analyze the potential diagnostic and prognostic biomarker value of P300 parameters (amplitude and latency) in cognitive symptoms of major depressive disorder (MDD). Methods: A literature search was conducted in Web of Science and PubMed, covering publications from 2019 to 2025. The search terms used were P300, parameters, cognitive impairment, and major depressive disorder. An initial screening identified 89 articles. Selection criteria included original articles with available references, peer-reviewed publications, and studies providing updated information on diagnosis and treatment with relevant contributions to this search. After applying these criteria, 28 articles were included. Results: Patients with major depressive disorder showed prolonged P300 latency compared with healthy controls. These alterations may reflect different aspects of cognitive dysfunction, such as attention, processing speed, and working memory. Conclusion: As an objective and noninvasive tool, P300 is useful for assessing cognitive function; however, further research is needed to validate its use as a diagnostic and prognostic biomarker.

Diabetes Awareness: The Importance of Nutrition in Glycemic Control

Leslie Guzmán-Sandoval — Thu, 04 Dec 2025 00:00:00 -0600

Communication with the Patient

Gaps and Challenges in the Evaluation of Microscopic Hematuria in Primary Care

Yiyary Tonatzin Jimenez-Maya, Juan Manuel Morales-Vázquez — Thu, 04 Dec 2025 00:00:00 -0600

Journal Club

The Importance of Dietary Management as a Positive Health Behavior in Patients With Type 2 Diabetes Mellitus

Brisa Alegría-Arrocena — Thu, 04 Dec 2025 00:00:00 -0600

Journal Club

Proximal Humeral Pseudofracture in a Preeschool Child

Luis Gerardo Domínguez Gasca, Luis Gerardo Domínguez-Carrillo — Thu, 04 Dec 2025 00:00:00 -0600

Identify a Case

Instructions for Authors

Atención Familiar UNAM — Thu, 04 Dec 2025 00:00:00 -0600

Portada, contraportada y hoja legal

Atención Familiar UNAM — Thu, 04 Dec 2025 00:00:00 -0600

Aten. Fam. Volumen 33 no. 1 enero-abril, 2026 (PDF completo)

Atención Familiar UNAM — Thu, 04 Dec 2025 00:00:00 -0600