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Introduction. After several months of COVID-19 lockdown, addressing the implications related to the emotional distress and well-being of the population during confinement has become increasingly evident. Objective. To explore, through a lexicometric and content-based approach, the responses related to discomfort and emotional well-being during the first confinement due to the COVID-19 lockdown. Method. Subjects included 2,555 adults in Mexico, mainly women (78.3%), with an average age of 46. Data were drawn from an online survey published on social networks from June 3 to July 5, 2020. The open answers of the subjects about discomfort and emotional well-being during lockdown, together with suggestions to improve the handling of the pandemic, were analyzed using word frequency analysis (clouds) and thematic content analysis. Result. Findings highlighted the implications of lockdown, including loss of social interaction, teleworking and overexposure to the news, associated with discomfort. In turn, activities related to self-care, doing household repairs, and sharing activities with the family were linked to well-being. Discussion and conclusion. Findings show that time was a key factor to transition from well-being to boredom, where space and material resources played a preponderant role during confinement. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to describe the most common forms and expressions of structural stigma from the perspective of a group of people who attended four treatment centers as a result of having received a psychiatric or neuropsychiatric diagnosis (n=68) and a group of health service providers engaged in these services in Mexico City (n=95). We adopted an approach, based on the intersectionality approach, which involves the interplay between social determinants, including gender, in the processes of social exclusion in mental health. In this qualitative study, the in-depth interview technique was used, for which specific guidelines were designed for providers and users of psychiatric services. The interviews were audio recorded, transcribed and subsequently encoded through a specialized program (Atlas ti, version 7.0). This paper examines the perceptions and experiences of stigma and discrimination related to psychiatric disorders, and other specific aspects related to the care process. Among the findings are the structural nature of discrimination not only directed at people affected by severe mental illness, but also at health personnel. Moreover, the respondents' accounts reveal certain structural barriers that impact the quality of care, particularly for users who have multiple conditions of social vulnerability that go beyond the scope of these service providers, constituting dilemmas for the provider. Lastly, on the basis of the analysis of the various difficulties expressed by the study population in relation to the care services, the main challenges to improving the quality of services in the field of mental health are described. [ABSTRACT FROM AUTHOR]