Inventario Concepción: desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria / Concepción inventory: development of a screening instrument for depression in primary care in Chile
Rev. méd. Chile
; 144(5): 555-562, mayo 2016. ilus, tab
Artigo
em Espanhol
| LILACS
| ID: lil-791041
Biblioteca responsável:
CL1.1
ABSTRACT
Background:
Screening instruments are required for the detection of depressive disorders by primary care practitioners.Aim:
To develop a screening instrument to detect depression, based on data gathered interviewing patients attending primary health care settings. Material andMethods:
The instrument was constructed with data about factors associated or triggering a depressive disorder obtained from 3,000 patients consulting for general morbidity. All patients answered the Composite International Diagnostic Interview, (version 2.1, section depression) and an inventory containing 39 risk factors for depression, obtained from the literature. A multiple imputation method using chained equations was carried out. Using a binary logistic regression with backward selection, an equation for depression screening was obtained. The c-index was calculated to estimate discriminating power of the model. A shrinkage factor was estimated to adjust the predictive model.Results:
Estimations were carried out with data from 2,552 patients with a median age of 47 years (73% women). Fifty five percent lived with a partner and 45% had basic studies. The method selected 14 significant predictors, with a shrinkage value of 0.861 and a c-index of 0.838 (95% confidence intervals 0.82-0.86).Conclusions:
The instrument has adequate psychometric properties as a screening tool for depression in primary health care.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Coordenação Multissetorial
/
Objetivo 11 Desigualdades e iniquidades na saúde
Base de dados:
LILACS
Assunto principal:
Atenção Primária à Saúde
/
Programas de Rastreamento
/
Depressão
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
/
Estudo de rastreamento
Aspecto:
Equidade e iniquidade
Limite:
Adolescente
/
Adulto
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2016
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Universidad de Concepción/CL