Natàlia Carceller-Maicas

Natàlia Carceller-Maicas
Universitat Rovira i Virgili | URV · Medical Anthropology Research Center. Departament d'Antropologia, Filosofia i Treball Social.

PhD

About

30
Publications
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Introduction
Natàlia Carceller-Maicas currently works at the Medical Anthropology Research Center. Departament d'Antropologia, Filosofia i Treball Social., Universitat Rovira i Virgili. Natàlia does research in Medical Anthropology, Social and Cultural Anthropology, Health and Social Psychology, Mental Health, Youth, Emotions, and Drugs. She uses mix methods and participative techniques doing participative research-action projects. Currently her research interest focus on Gender Violence Prevention in Youth. And her current research projects are "Vulnerabilities and drug consumption in adolescents and young people" and " Collaborative Management of Medication: A research project and participatory action in mental health".
Additional affiliations
December 2010 - present
Universitat Rovira i Virgili
Position
  • Researcher
December 2010 - March 2018
Universitat Rovira i Virgili
Position
  • Social, Cultural and Medical Anthropologist

Publications

Publications (30)
Thesis
Full-text available
Los problemas de salud mental son comunes en la adolescencia y la juventud, especialmente los malestares clínicos y subclínicos de tipo depresivo y ansioso. La prevalencia de los malestares emocionales de este tipo aumenta a medida que se pasa de la adolescencia a la primera juventud, y a la juventud adulta. Sin embargo se ha evidenciado que la may...
Article
Full-text available
La pandemia global de la COVID-19 y sus derivadas en la vida social, política y económica han intensificado algunas de las desigualdades y vulnerabilidades existentes, a la vez que han propiciado nuevas formas de vivir lo cotidiano, marcadas principalmente por el confinamiento. Nuestra investigación pretende analizar, desde el prisma de la antropol...
Book
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En el presente monográfico damos a conocer la investigación sobre los consumos de drogas en población juvenil y adolescente de la ciudad de Tarragona y las vulnerabilidades sociales relacionadas que nuestro equipo de investigación pudo llevar a cabo gracias a las Ayudas a la investigación del Centro Reina Sofía sobre adolescencia y juventud 2016.
Chapter
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Los estudios sobre salud y jóvenes confirman el estado de salud mayoritariamente bueno de la juventud española , aunque alertan sobre algunos riesgos estructurales y el uso simbólico de “la salud” como un arma de control social sobre los jóvenes. Reconocer esta función de control social permite señalar que hay problemas que no suelen estar donde la...
Article
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Consumo de drogas y vulnerabilidades sociales en adolescentesMulticulturalitat en el comerç de proximitat
Article
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Resumen (analítico): las elevadas tasas de evitación/infrautilización de los servicios de salud mental adolescente señalan la preferencia de este colectivo por autoatender sus malestares. Integrar los saberes juveniles mediante un enfoque hermenéutico y de interpretación de narrativas permite esclarecer las razones de dicha preferencia pues da a co...
Chapter
Full-text available
El presente texto reflexiona sobre las potencialidades de la in-vestigación transdisciplinar en salud, a partir de una investigación-acción participativa con jóvenes. Para ello introduce en primer lugar los conceptos clave de participación y transdisciplinariedad, y describe en profundidad la metodología empleada; finalizándose el capítulo con la e...
Conference Paper
Full-text available
The body-health-risk triad shapes a wide potential field of research. The approach of this triad, as well as of its articulations and interconnections, from a social and phenomenological approach leads us to a field of common study: the embodiment of risk as a reflection of a new social, political and moral order.
Article
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La comunicación es clave en el ámbito de la salud, e incrementa su importancia con la era digital. Internet y los nuevos mass mediase han convertido actualmente en herramientas básicas de comunicación, y son incluso imprescindibles cuando hablamos de la juventud. Escasos son los jóvenes que, en nuestro contexto occidental, no tienen hoy en día un...
Article
Full-text available
Background: Depression affects a considerable proportion (12-25 %) of adolescents and so-called emerging adults (ages of 18 and 25). The aims of this study were to explore the relationship between perceived social support and depression in a sample of emerging adults, and subsequently to identify the type of social support young people consider mo...
Conference Paper
Full-text available
Health sector is an important point to attend in this privatized world. Participative researchaction configures itself as an optimum way to face health inequalities, because it allows us to work in a collaborative way joint with general population to improve health, wellbeing and quality of life.
Article
Full-text available
Communication is key in the feld of health, and the digital age did nothing but increase its importance. Today, the Internet and the new mass media have become basic communication tools, which in the case of young people, are sometimes essential. Most youngsters in the Western world have a latest generation mobile phone, which they use to communica...
Research
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Call For Papers-Extended_ "BODY, HEALTH &RISK" . Coimbra 2016.
Article
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This paper explains our experience working in a transdisciplinary research team focused on adolescence mental health. It introduces briefly the two key theoretical concepts: participation and transdisciplinarity. In order to be followed with a deep description of the methodology and the creation of the two principal materials resulting from our res...
Article
Full-text available
El consumo de tabaco y los problemas de salud mental de tipo depresivo/ansioso son dos fenomenos que suelen iniciarse en la adolescencia y juventud con cierta co-ocurrencia. Ambos fenomenos guardan una relacion bidireccional que, en el caso de los jovenes, la hipotesis de automedicacion parece explicar de forma mas exhaustiva que otras opciones. El...
Conference Paper
Mental health problems – particularly subclinical distress conditions, depression and anxiety – are common in adolescent. In Catalonia, the prevalence of mood disorders is 14.3% and the prevalence of anxiety disorders is considerably higher (31.9%). Despite this, young people are the age group that makes least use of mental health services. The stu...
Article
Full-text available
Emotional distress is common in adolescence, and self-care strategies are frequently preferred to address it. The aim of this article is to analyze the self-care strategies among adolescents and young people diagnosed with depression or with self-perceived depressive distress in Catalonia using a qualitative design. We analyzed the self-care strate...
Conference Paper
Full-text available
La proliferación de los medios y la cultura digital en nuestra sociedad es cada día mayor y va impregnando nuestro contexto de un modo cada vez más intenso y variado. La aceptación y acogida de dichos medios por parte de diferentes sectores y grupos de nuestra sociedad es diversa, variando en función de factores socioculturales. El grupo de edad qu...
Article
Full-text available
Background Adolescents and young adults often suffer from depression, but tend to avoid seeking professional help. The aim of this study was to explore the reasons for non-professional-help-seeking in a sample of young adults resident in Catalonia with depressive symptoms through a qualitative study. In addition, the subjects were invited to offer...
Article
Full-text available
The number of fines issued for drug taking is increasing and the majority of these are issued to people under the age of 25. An alternative approach is to make them undergo therapeutic sessions to help them stop taking drugs; however, this is often done without taking into account the damage that therapy can cause if an individual does not believe...
Article
Full-text available
Tobacco use and mental health problems in the depression/anxiety spectrum often begin in adolescence as co-occurring phenomena. Epidemiologically, the relationship between them is bidirectional, but in the case of young people it appears to be explained best by the unidirectional self-medication hypothesis. The aim of this study is to explore the r...
Book
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Il testo che il lettore ha tra le mani è una guida di buone prassi per affrontare i problemi psico-emozionali degli adolescenti e dei giovani. La ragione pratica della sua elaborazione è l’utilizzo su più livelli dei servizi professionali da parte delle persone di quest’età principalmente di fronte a situazioni di depressione e ansietà, oltre ai si...
Book
Full-text available
El libro que se presenta al lector es una guía de buenas prácticas para la atención de los problemas psicoemocionales de los adolescentes y jóvenes. La razón práctica de su elaboración es la infrautilización de los servicios profesionales por parte de este grupo de edad ante situaciones de depresión y ansiedad, principalmente; aunque también ante l...
Book
Full-text available
Lo teneis disponible de forma gratuita en el siguiente enlace: http://www.publicacionsurv.cat/llibres-digitals/antropologia-medica/item/397-orientaciones-para-las-buenas-prácticas-en-la-atención-psicosocial-de-jóvenes-y-adolescentes El libro que se presenta al lector es una guía de buenas prácticas para la atención de los problemas psicoemocionale...
Chapter
Full-text available
The prevalence of depression among adolescents and young adults has increased in recent years, and there are significant gender differences among persons with a clinical diagnosis. Among the participants in a longitudinal survey of adolescent emotional distress in Catalonia, nearly twice as many young women (11.5%) as young men (5.9%) had a diagnos...
Data
http://www.youtube.com/watch?v=MzH0ze17Uts&feature=youtu.be https://vimeo.com/82190200
Article
Full-text available
El sistema de salud mental catalán ha experimentado un proceso de evolución durante el cual se han producido cambios significativos que han conformado el modelo vigente. A pesar de los avances, existen aún ámbitos en los que las carencias se hacen patentes, como es el caso de la unificación de las redes de salud mental y drogadicciones. La Patologí...
Article
Full-text available
La depressió i els malestars associats estan en auge a la nostra societat. La depressió és la quarta malaltia en termes de prevalença mundial per la població general, i es preveu que el 2020 serà la segona malaltia més prevalent del món. Els nostres adolescents i joves, que seran els adults del futur, es veuran, per tant, afectats per l’augment d’a...

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Projects

Projects (4)
Project
Project summary Depression among adolescents and young people is a challenge for mental health care in the majority of Western countries, mainly because of its impact on suicide rates and risk of serious mental disorders in adult life, its association with consumption of psychoactive substances, and its effects on the life cycle (low school and job performance). Adolescents and so-called emergent adults (young people between the ages of 18 and 25) are age groups with a high prevalence and incidence of clinical depression (around 15%) and subclinical depression (around 32%), but the majority avoid using mental health care services. According to the literature, it is estimated that only 18-34% of young people with the corresponding symptomatology seek help from a mental health professional. This research project has three principal aims, each associated with a different phase of the project. In Phase 1, we undertook an analysis of the social determinants of depression and negative mood states among Catalan adolescents and young adults by exploiting the data of the Panel de Famílies i Infància (PFI), a longitudinal sociological study of a representative sample of the Catalan adolescent population consisting of approximately 3000 participants. The second aim, linked to Phase 2, was to understand the reasons for avoidance of mental health care services using a mixed-methods (qualitative/quantitative) approach in a sub-sample of 105 participants in the PFI. Finally, in Phase 3 we produced a guide to best practices and an audiovisual documentary with the participation of selected young people interviewed during Phase 2, mental health professionals, and members of the research team, with the aim of promoting forms of treatment better suited to the psychoemotional problems of adolescents and young adults. Results The most significant results of this research project can be grouped into three categories: 1) social profiles of adolescents and young adults with subclinical distress or a diagnosis of depression; 2) processes of avoidance and help-seeking; and 3) the creation of a guide to best practices and other actions to facilitate adolescents’ and young adults’ use of mental health care services. Details on each category are provided below. 1. Social profiles, use of tobacco and other substances, and emotional distress/depression An analysis of the Panel de Famílies i Infància showed that adolescents and young adults with a diagnosis of depression lacked energy and felt sad, nervous, lonely, unhappy and pressured by their parents. Girls and young women with a diagnosis of depression felt more sad, nervous, unhappy, tired and overburdened than boys and young men with a similar diagnosis. The boys and young men with depression, by contrast, felt more bored, lonely and pressured by their parents than their female counterparts in the survey. The survey participants with subclinical distress fell into two groups, which we labeled “socially disaffiliated” and “overwhelmed”. The first group, with a higher representation of participants from lower-middle and lower class backgrounds, felt sad, lonely and bored. The “overwhelmed” group, with a higher representation of participants from middle and upper-middle class backgrounds, felt more nervous, overburdened and under more pressure from their parents. The prevalence of diagnosed depression and/or anxiety was higher among lower-income families. While the percentage of young men and women with a diagnosis was 14.4% among those whose annual family income was below 21,600 euros, it dropped to 8.6% among those whose annual family income was between 21,600 and 36,000 euros, and further to 6.7% among participants whose annual family income was above 36,000 euros. This association was more pronounced among the female survey participants, among whom the prevalence of diagnosed depression and/or anxiety was 17.9% at the lowest annual family income level. Adolescents and young people from single-parent families had a greater risk of being diagnosed with depression or anxiety. This variable affected both male and female survey participants, but differently. Among the boys and young men, the prevalence of diagnosed depression or anxiety was more than double (10%) in single-parent families than in two-parent families (4.3%). The prevalence among girls and young women was significantly higher, 16% in single-parent families and 10% in two-parent families. Among the survey participants whose parents were separated or divorced, a negative perception of the quality of the father’s or mother’s relationship with his or her former spouse or partner was a risk factor for depression. Other risk factors for depression included having an unemployed parent or parent’s partner, and the mother’s time of arrival home from work (the later the hour, the higher the risk). Negative mood states in the depressive spectrum constituted a risk factor for daily tobacco use in adolescence. Feelings of sadness were a risk factor for daily smoking (OR=1.633), although communication with the father canceled out this effect. Parental pressure was a risk factor for daily smoking in both sexes (girls, OR=2.064; boys, OR=1.784). Intergenerational communication at home reduced the risk of daily tobacco use independently of the adolescent’s mood state. Those who had symptoms of depression or anxiety in adolescence gave self-medication for distress as their main reason for smoking against other possible reasons such as habit, pleasure, experimentation, or peer group influence. Chronic feelings of sadness were associated with excessive alcohol consumption (EAC) or binge drinking among boys and young men in the survey (OR=2.7). Feeling pressured by parents was associated with this type of alcohol use in both sexes (boys, OR= 1.8; girls, OR=2.1). Female survey participants from lower-middle and high-income families were likelier to indulge in binge drinking (OR=1.6 and OR=1.7 respectively) than girls from lower-class or middle-class families. Having parents of immigrant origin (OR=0.4) and a weekend curfew hour set by parents (OR=0.6) were factors negatively associated with excessive alcohol consumption among girls. The impact of socioeconomic and family factors on EAC was greater among the female survey participants than among the males. 2. Avoidance of professional help-seeking and lay strategies of self-care We found that Catalan adolescents and young adults avoid seeking professional help for symtoms of depression for a variety of reasons, the most important of which include treating the problem as a “normal” response to distressing events, denial, a preference for relying on their own resources, shame and stigma linked to use of mental health care services, trust in their social network (family and friends) to resolve their distress, lack of information on available services, problems of access to services, fear of receiving a diagnosis, lack of confidence in the efficacy of existing treatments, and a perception of treatment as excessively protocol-driven and insensitive to individuals’ particular situations and needs. Boys and young men showed a greater tendency to avoid seeking professional help for their problems and a greater preference for self-reliance, independently of whether they had received a diagnosis in the past or had negative mood states in the depressive spectrum. Girls and young women with a diagnosis of depression avoided help-seeking because they did not believe treatment would work, were reluctant to risk the social stigma associated with using mental health services, and considered these services insufficiently sensitive to individual concerns. Girls with negative mood states avoided seeking professional help for fear of getting a diagnosis and because they lacked knowledge of how to access services, and girls without either a diagnosis or subclinical distress tended to see depressive mood states as normal responses to distressing life events and not serious enough to warrant medical or psychiatric attention. Both male and female study participants showed a preference for resolving their problems within their social networks. Lack of psychological and/or emotional support, but not a lack of instrumental support, was associated with both clinical and subclinical depressive distress. Loss of friendships over time was associated with persistent depressive symptoms. We found clear gender preferences for the kind of social support adolescents and young adults expected from their social networks. Girls and young women prioritize awareness of their distress as a problem over emotional self-control. For boys and young men, however, it is just the reverse. They prioritize emotional self-control over problematizing their distress, and this explains why they are more likely than their female counterparts to avoid seeking professional help for symptoms of depression. Finally, depressive distress showed important changes in the transition from adolescence into young adulthood as a result of shifts in conceptions of what social scientists call the “lifeworld.” The passage from adolescence to young adulthood involved moving from a lifeworld perceived as socially centripetal to one understood as socially centrifugal; from a sense of lived time as cyclic to a sense of lived time as linear and progressive; from a concept of self anchored in immediacy to a self open to projection; and as a result, from a conception of emotional distress as unending and unresolvable to the idea that distress is finite and resolvable. These changes, among others, should be taken into account in treating persons in this age group. 3. Creation of a guide to best practices and a documentary video The final part of this project consisted in the application of knowledge derived from our research to the development of a guide to best practices and an audiovisual documentary. The guide to best practices is aimed at providing professionals in the fields of medicine, mental health, and teaching with tools to help them rethink approaches to mental health care for adolescents and young adults, and to break the cycle of avoidance in this age group in regard to use of professional mental health care services. What is distinctive about this guide is that it was produced collaboratively in discussion groups that included young people, health professionals, and members of the research team. It is the first such mental health guide to be published in Catalonia or in the Spanish state, and it is available in three languages: Catalan, Castilian, and Italian. The 27-minute documentary video is intended for health care professionals and teachers as a tool to complement the guide to best practices. Produced collaboratively by selected young people interviewed during the second phase of the project, mental health care professionals, and members of the research team, it is spoken in Catalan and Castilian, with subtitles available in English, Italian, and Portuguese. Relevance and possible implications Because of the nature of this study, the implications of our research are not limited to strictly clinical considerations but extend to health care in general and mental heath care in particular, as well as to health care policy and planning, prevention, and health promotion. We have offered an overview of the connections between social profiles, consumption of tobacco and other substances, and negative mood states and depression in adolescents and young adults. Some of the implications of our findings are as follows: 1. It is important that mental health care initiatives targeting this age group take into account the strong influence of social inequalities and gender differences on the prevalence of both negative mood states and of clinical depression and anxiety, as well as the association between depressive symptoms and consumption of tobacco and other substances. For example, girls with chronic feelings of sadness are more likely to use tobacco on a daily basis, while boys similarly affected tend to excessive alcohol consumption. 2. It is vital that smoking cessation programs targeting this age group take into consideration both the psychological dimensions (negative mood states and depressive symptoms) and the social dimensions (family structure, parent-child communication, gender, family income level, social class, and relationships to peer groups). Our research results show that it is strategically important to strengthen the social capital of families, especially parent-child communication and parental authority (not authoritarianism), since they weaken the association between depressive symtoms and substance use or abuse. 3. Adolescents and young adults with a previous diagnosis of depression or anxiety begin consuming legal or illegal psychoactive substances at a later age, but use them more as a form of self-medication than as a leisure activity, for pleasure, or to achieve peer group acceptance. Medical and mental health interventions should be aware of this fact, and both care practices and smoking, alcohol and drug cessation programs should be designed specifically for this age group. This is the only qualitative study carried out in Catalonia or in the Spanish state on avoidance of professional help-seeking by adolescents and young adults with depressive emotional distress. Most severe and recurrent mental health problems appear before the age of 25, and those in the depressive spectrum are of central importance because of their clinical and social implications. While preventive strategies are helpful, they – like the organization of mental health services – are not always appropriate for the needs of this age group, or sensitive to the gender differences uncovered by our research. For this reason, we designed a guide to best practices for the psychosocial care of adolescents and young adults, availavle in Catalan, Castilian, and Italian. Following is the link to the guide to best practices: http://publicacionsurv.cat/llibres-digitals/antropologia-medica/item/397-orientaciones-para-las-buenas-pr%C3%A1cticas-en-la-atenci%C3%B3n-psicosocial-de-j%C3%B3venes-y-adolescentes This guide is complemented by a documentary video available with English, Italian, and Portuguese subtitles at: http://vimeo.com/82190200 Resulting publications To date, this project has generated 47 outputs including scientific articles, books, book chapters and papers at professional conferences.
Project
Este proyecto financiado por el Centro Reina Sofia de investigación en Adolescencia y Juventud pretende detectar las vulnerabilidades (sociales, económicas, personales, emocionales, etc.) que afectan a la población adolescente y que favorecen la aparición de factores de riesgo en términos de salud y consumo de drogas.