Características clínicas del trastorno depresivo mayor en tratamiento en el nivel secundario de atención / Clinical features of major depressive disorders treated in secondary health care facilities in Chile
Rev. méd. Chile
; 145(3): 335-343, Mar. 2017. graf, tab
Artigo
em Espanhol
| LILACS
| ID: biblio-845545
Biblioteca responsável:
CL1.1
ABSTRACT
Background:
Depression is considered the second leading cause of disability worldwide.Aim:
To describe the clinical characteristics and the evolution of major depressive disorder (MDD) in secondary care. To evaluate the association between socio-demographic and clinic variables with the first or recurrent major depressive events (MDE). Material andMethods:
Clinical features, treatment, remission and duration of MDE were evaluated during a follow up lasting 12 months in 112 participants aged 44 ± 15 years (79% women). Patients were assessed as outpatients every three months at three psychiatric care centers of Chile. Clinical interviews were carried out using DSM-IV diagnostic criteria checklists and the Hamilton Depression Scale was applied.Results:
Most patients were referred from primary care. The mean time lapse for referral to the secondary level was 10.8 months. Most patients had episodes that were recurrent, severe, with a high rate of psychosis, with suicide attempts and melancholic features and with psychiatric and medical comorbidities. Remission rate was 27.5%. In only 16 % of patients, the episode lasted six months or less. The group with recurrent episodes had different age, sex and clinical features.Conclusions:
MDD treated at the secondary care level is severe and its symptoms are intense. The time lapse prior to referral was prolonged. Primary care management and referral of these patients should be studied more closely.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
ODS3 - Meta 3.1 Reduzir a Mortalidade Materna
Problema de saúde:
Coordenação Multissetorial
/
Cuidado Materno
Base de dados:
LILACS
Assunto principal:
Transtorno Depressivo Maior
/
Antidepressivos
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Limite:
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:
2017
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Universidad de Concepción/CL