<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0211-5735</journal-id>
<journal-title><![CDATA[Revista de la Asociación Española de Neuropsiquiatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Asoc. Esp. Neuropsiq.]]></abbrev-journal-title>
<issn>0211-5735</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Neuropsiquiatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0211-57352019000100013</article-id>
<article-id pub-id-type="doi">10.4321/s0211-57352019000100013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevención en la infancia: no toda intervención hoy es más salud para mañana]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevention in childhood: not all interventions today will mean more health tomorrow]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caretti Giangaspro]]></surname>
<given-names><![CDATA[Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guridi Garitaonandia]]></surname>
<given-names><![CDATA[Oihana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivas Cambronero]]></surname>
<given-names><![CDATA[Eva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud Mental Vallecas Villa  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Salud Mental Leganés  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Salud Mental Moratalaz  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>39</volume>
<numero>135</numero>
<fpage>241</fpage>
<lpage>259</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0211-57352019000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0211-57352019000100013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0211-57352019000100013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen En este trabajo se investigan los beneficios e inconvenientes de las intervenciones de prevención primaria y promoción de la salud mental infanto-juvenil. Ambas cuestiones son importantes para determinar cuándo y cómo desarrollar estas actividades. Los resultados derivados de una revisión bibliográfica indican que los factores de riesgo tienen que ver con un entorno social problemático o empobrecido y con métodos de crianza inadecuados. De este modo, la parentalidad se erige como uno de los elementos más susceptibles de intervención a través de estrategias preventivas. Sin embargo, no parece que las intervenciones preventivas desde el ámbito clínico sean claramente eficaces. Existe un mayor consenso en que las estrategias útiles son las políticas de promoción de la salud que inciden sobre los entornos sociales problemáticos, modificando prácticas y normas sociales para minimizar la exposición de las familias a acontecimientos estresantes. Posteriormente, hacemos una evaluación de las intervenciones de prevención primaria en los dispositivos de salud mental a la luz de la experiencia clínica. Estas intervenciones, ya sea de acompañamiento psicoterapéutico o de coordinación de intervenciones no clínicas sobre factores de riesgo, no siempre están indicadas y pueden ser potencialmente iatrogénicas por producir estigma, patologización, sobretratamiento y desresponsabilización. Finalmente, proponemos una guía para la toma de decisiones en intervenciones de prevención primaria teniendo en cuenta cinco ejes: la clínica, los factores de riesgo, los recursos del niño y la familia para enfrentar la adversidad, la existencia de demanda de tratamiento y los posibles perjuicios.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract In this work, we investigate the benefits and problems of primary prevention interventions and mental health promotion in children and adolescents. Both issues are crucial to determine when and how to develop these activities. The results of a bibliographic review on the subject indicate that risk factors are linked to an impoverished, problematic environment and inappropriate nurturing methods. Whereas parenting becomes one of the elements most susceptible to preventive interventions, the latter do not appear to be effective in clinical settings. There is a growing consensus that useful strategies entail health-promoting policies that impact on problematic social environments by modifying social practices and norms to minimize families' exposure to stressful events. Further, we discuss primary prevention interventions in mental health services in the light of clinical experience. These interventions, either psychotherapeutic accompaniment or coordination of non-clinical partners that take part in risk factors control, are not always indicated. They can be potentially iatrogenic because they involve stigma, pathologization, overtreatment and disresponsabilization. Finally, we propose a guide to decision-making in preventive intervention based on five aspects: clinical manifestations, risk factors, children and family resources to deal with adversity, treatment request, and eventual harms.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[prevención]]></kwd>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[adolescentes]]></kwd>
<kwd lng="es"><![CDATA[iatrogenia]]></kwd>
<kwd lng="en"><![CDATA[prevention]]></kwd>
<kwd lng="en"><![CDATA[child]]></kwd>
<kwd lng="en"><![CDATA[adolescent]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[iatrogenic]]></kwd>
</kwd-group>
</article-meta>
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