Comorbilidad en personas con depresión que consultan en centros de la atención primaria de salud en Santiago, Chile

Rojas, Graciela; Fritsch, Rosemarie; Martínez, Vania; Vöhringer, Paul A.; Castro, Ariel

doi:10.4067/s0034-98872017000100004

Cited by 13 publications

(13 citation statements)

References 46 publications

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“…In this regard, the presentation of depression in conjunction with physical and/or psychiatric conditions represents a significant challenge for depression detection, diagnosis, and treatment by PHC physicians, who usually spend their consultation time exploring physical symptoms that mask emotional problems (34). Regrettably, comorbidity between depression and other conditions is the norm rather than the exception in PHC, and major efforts will be required for educational and health institutions, as decision makers, to integrate the complex management of depression to education curricula, continuing education, and clinical practice guidelines (36).…”

Section: Discussionmentioning

confidence: 99%

Measuring Primary Health Care Clinicians’ Skills for Depression Management

et al. 2019

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Introduction: Primary health care clinicians play an important role in the management of depression. Thus, it is very important to have a valid and reliable assessment of the competences needed to manage depression in primary health care, with the use of clinical simulation providing such an opportunity. Objective: The present study describes the assessment of primary health care clinicians’ depression-related skills through a series of objective structured clinical examination stations. Material and Methods: Clinicians from multi-professional teams for the management of depression at two primary health care clinics in Santiago, Chile, went through seven objective structured clinical examination stations, lasting 10 to 20 min each, to assess their depression-related skills. The clinical and communicative skills measured were in accordance with clinical guidelines. Standardized patients portrayed cases usually encountered in clinical practice, while expert raters evaluated clinicians’ performance with standardized checklists. Results: Psychosocial clinicians performed better than biomedical clinicians in the assessed skills. The most notable results were as follows: a high level of accomplishment in the relationship with patient, medical anamnesis, health checkup, and lab test requests; heterogeneous performance in patient management according to screening results, feedback to the patient, and registration in clinical records; and major deficiencies in the differential diagnosis of bipolar disorder. Discussion: The objective structured clinical examinations administered provided an opportunity to perform an in-depth examination of the depression-related skills of primary health care clinicians, where flaws in the screening and diagnosis procedures used by biomedical clinicians were detected. Given the significant involvement of these types of clinicians in depression management, undergraduate-level and continuing health education opportunities are needed.

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Section: Discussionmentioning

confidence: 99%

Measuring Primary Health Care Clinicians’ Skills for Depression Management

et al. 2019

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“…La prevalencia de CP coincide con la literatura respecto a la alta frecuencia de otras patologías mentales que se presentan simultáneamente en pacientes depresivos [30][31][32][33] . Sin embargo, 89,1% de CP evidenciado en esta muestra resulta superior a lo reportado en otros estudios [30][31][32][33] , destacando además la alta proporción de patologías ansiosas.…”

Section: Discussionunclassified

“…Sin embargo, 89,1% de CP evidenciado en esta muestra resulta superior a lo reportado en otros estudios [30][31][32][33] , destacando además la alta proporción de patologías ansiosas. Este resultado se puede atribuir a la alta prevalencia de EIA detectada, considerando que existe evidencia que confirma la relación entre comorbilidades ansiosas y EIA [1][2][3]28 , e incluso relaciones específicas entre determinadas comorbilidades ansiosas y determinados EIA 2,34 .…”

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Depresión adulta y experiencias infantiles adversas: evidencia de un subtipo depresivo complejo en consultantes de la atención primaria en Chile

et al. 2017

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(r = 0.19; p < 0.01), psychiatric comorbidities (r = 0.23; p < 0.01), partner violence events (r = 0.31; p < 0.01), vital stressful events (r = 0.12; p < 0.01), number of depressive episodes (r = 0.16; p < 0.01), duration of the longer depressive episode (r = 0.12; p < 0.05) and suicidal tendency according to HDRS (r = 0.16; p < 0.01). An inverse correlation was observed between frequency of ACE and age at the first depressive episode (r = -0.12; p < 0.05). Conclusions: These data are consistent with the hypothesis that early trauma is associated with more severe and complex depressive episodes during adulthood. (Rev Med Chile 2017; 145: 1145-1153

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“…Of these, 9.38% were at moderate risk and 30.08% were at high risk for suicidal behavior. 24 The idea that grief or the end of a relationship does not necessarily accompany suffering, as it is a subjective experience, but rather the presence of suffering due to loss is what would be the factor related to suicidal behavior. With this understanding, the committee understood that not only did the loss itself support the change in the expression of item 9 from processo de luto recente (recent grieving process) to presença de sofrimento por perda de ente querido (processo de luto recente) ou fim de relação (presence of suffering due to loss of loved one (recent grieving process) or end of a relationship).…”

Section: Discussionmentioning

confidence: 99%

Content Validation for the Brazilian Version of the Nurses Global Assessment of Suicide Risk Index

Veloso

Monteiro

Santos

2021

Texto contexto - enferm.

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Objective: to perform the content validation of the Nurses Global Assessment of Suicide Risk index for the Brazilian population served in primary care. Method: a methodological study of cultural adaptation and content evaluation of the NGASR index, original scale from the United Kingdom, carried out through the stages: evaluation of verbal comprehension by an experts committee (semantic, idiomatic, conceptual and cultural equivalence and content validity), back-translation and verification of clarity by means of a pre-test. The experts committee was composed of nine judges and the pre-test with 30 users of primary care services and 19 nurses. The Content Validation Index was calculated. Results: the final validated version is composed of 15 items that obtained a Content Validation Index greater than 0.78 by the experts committee and in the application of the pre-test with users and nurses. Conclusion: the instrument favors the performance of professional nurses in primary health care in the prevention of suicidal behavior by facilitating risk assessment and the adoption of relevant actions.

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Comorbilidad en personas con depresión que consultan en centros de la atención primaria de salud en Santiago, Chile

Cited by 13 publications

References 46 publications

Measuring Primary Health Care Clinicians’ Skills for Depression Management

Measuring Primary Health Care Clinicians’ Skills for Depression Management

Depresión adulta y experiencias infantiles adversas: evidencia de un subtipo depresivo complejo en consultantes de la atención primaria en Chile

Content Validation for the Brazilian Version of the Nurses Global Assessment of Suicide Risk Index

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