Persona: Carrasco Ortiz, Miguel Ángel
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0000-0003-3282-818X
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Carrasco Ortiz
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Miguel Ángel
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Publicación The dynamics of psychological attributes and symptomatic comorbidity of depression in children and adolescents(Springer, 2023-07-12) Sánchez Hernández, Milagros Ocalin; Holgado Tello, Francisco Pablo; Carrasco Ortiz, Miguel ÁngelPurpose This investigation aimed to explore attribute dynamics and symptomatic comorbidity of depression with internalizing, externalizing, and other personal–contextual problems in children and adolescents from a network analysis. Methods We tested an attribute network of regularized partial correlations, standard and alternative centrality measures, and comorbidity bridge symptoms according to centrality bridge measures. Results Regularized partial correlation network and a centrality measures graph shown the prominent position of social problems and anxiety–depression. Minimum spanning tree (MST) found a hierarchical dynamics between attributes where mixed anxiety–depression was identified as the core and the other attributes were hierarchically connected to it by being positioned in six branches that are differentiated according to their theoretical contents. The most central connections are established with the attributes of their own community or theoretical groups, and 37 bridge symptoms were identified in all networks. Conclusions A significant role of mixed anxiety depression as an activator and intermediary of psychopathologies was supported as a central attribute of internalizing problems. Aggressive behavior as part of the broad externalizing dimension was one of the constructs that most intensively activate the network, and social problems were also distinguished as a relevant factor not only in terms of connections and central attributes but also in terms of bridge symptoms and comorbidity. This framework extends to the study of symptomatic “comorbidity.”Publicación Anxiety and Depression Symptoms in Spanish Children and Adolescents: An Exploration of Comorbidity from the Network Perspective(Springer, 2021-11-19) Sánchez Hernández, Milagros Ocalin; Carrasco Ortiz, Miguel Ángel; Holgado Tello, Francisco PabloThe combination of depression and anxiety is among the most prevalent comorbidities of disorders leading to substantial functional impairment in children and adolescents. The network perspective offers a new paradigm for understanding and measuring psychological constructs and their comorbidity. The present study aims to apply network analysis to explore the comorbidity between depression and anxiety symptoms. Specifically, the study examines bridge symptoms, comorbidity, and shortest pathway networks and estimates the impact of the symptoms in the network’s connectivity and structure. The findings show that “feeling lonely” and “feeling unloved” are identified as the most central bridge symptoms. The shortest path network suggests that the role of a mixed anxiety-depressive symptomatology, and specific and non-specific symptoms of clinical criteria, such as “worries,” “feels depressed,” “fears school,” and “talks about suicide” could serve as a warning for comorbidity.Publicación Análisis de Redes de Síntomas Internalizados y Externalizados en Niños y Adolescentes(Colegio Oficial de Psicólogos del Principado de Asturias, 2022-07-28) Sánchez Hernández, Milagros Ocalin; Holgado Tello, Francisco Pablo; Carrasco Ortiz, Miguel ÁngelAntecedentes: La experiencia de problemas psicológicos durante la infancia y la adolescencia es común. Sin embargo, la detección de conductas como síntomas de Psicopatologías que requieren diagnóstico y tratamiento clínico sigue siendo infravalorada. Por ello, para evolucionar en la comprensión de los fenómenos psicológicos considerando sus manifestaciones conductuales particulares, se aplican nuevas perspectivas teóricas y metodológicas como el análisis de redes. Método: En el presente estudio exploramos la dinámica de los síntomas de diferentes problemas internalizados y externalizados y personales-contextuales aplicando el análisis de redes. Se estimaron redes de correlaciones parciales regularizadas que incluye medidas de centralidad estándar e impacto global y estructural de los síntomas de distintos síndromes. Resultados: Los resultados muestran que los síndromes se activan a través de dinámicas de síntomas fuertemente relacionados con los demás y que actúan como intermediarios de potenciales problemas psicopatológicos en niños y adolescentes (por ejemplo, “sentirse triste”, “preocuparse”, “negarse a hablar”, “tener náuseas”, “amenazar a los demás”, “robar fuera”). Las medidas de centralidad y coeficientes de impacto oscilaron entre: fuerza (−2.39, 2.05), intermediación (−1.43, 3.38), cercanía (−2.60, 2.23) e influencia esperada (−2.87, 2.13). Conclusiones: Los resultados obtenidos sugieren la necesidad de explorar la dinámica multiconstructo, así como la comorbilidad sintomática entre ellas.