Duración de las internaciones psiquiátricas: una caracterización clínica y socio-demográfica

Chebar, Damián; Alba, Patricio; Alarcón, Héctor; Fassi, Guillermo; Perel, Valeria Losanovsky; Mazaira, Silvina; Martino, Diego Javier

doi:10.53680/vertex.v30i148.124

Cited by 3 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…En el trabajo de Chebar y cols. de la sala de internación de mujeres del Hospital de Emergencias Psiquiátricas Torcuato de Alvear, se incluyeron 350 pacientes en un periodo de tres años y medio (promediando las 116 internaciones anuales) (Chebar et al, 2019). En el Hospital Piñero, se verificó la tendencia opuesta: mientras en el año 2008 se realizaron 41 ingresos, en 2011, se realizaron 109 ingresos (Internaciones Por Salud Mental En Hospitales Generales de Agudos de La Ciudad Autónoma de Buenos Aires, 2014).…”

Section: Discussionunclassified

“…en el Hospital Álvarez (promedio 46.2 días) (Richly, 2017), como así también en el trabajo de Chebar y cols. en el Hospital Alvear (promedio de 97.37 días [D.E.= 67.89] (Chebar et al, 2019). El promedio de días de internación informado por los Hospitales Monovalentes Borda y Moyano para el año 2011, por su parte, fue de 264.2 y 286.26 días respectivamente (Internaciones Por Salud Mental En Hospitales Generales de Agudos de La Ciudad Autónoma de Buenos Aires, 2014).…”

Section: Discussionunclassified

“…Comparativamente, el promedio de edad hallado se encuentra muy por encima de los registrados en los estudios correspondientes a salas de internación del sistema de salud pública (34.5 años [D.E.= 12.8] en el Hospital "T . Álvarez" (p<0.01) (Richly, 2017);36.59 [D.E.= 11.67] años en el Hospital "T. de Alvear" (p<0.01) (Chebar et al, 2019).…”

Section: Discussionunclassified

“…Las variables de análisis consideradas fueron clasificadas en cuatro dominios que elegimos jerarquizar a propósito del trabajo previo, así como de la literatura (Chebar et al, 2019;Grendas et al, 2019;Matusevich, 2006;Okumura et al, 2019;Plancke & Amariei, 2017;Richly, 2017;Triskier & Orgambide, 2002)…”

Section: Variablesunclassified

“…recabaron datos de la población de pacientes internados en la sala de Psiquiatría del Hospital General de Agudos "Teodoro Álvarez" de la Ciudad de Buenos Aires durante el período comprendido entre junio del 2004 y mayo del 2005 (Richly et al, 2006) y, en el año 2017 realizaron un nuevo estudio comparativo, recopilando los datos epidemiológicos correspondientes a la internación de dicho hospital entre junio de 2012 y mayo de 2013 (Richly, 2017). Por otro lado, en el año 2019, Chebar y cols., realizaron un estudio analítico de corte transversal de 350 pacientes internadas desde junio de 2013 hasta diciembre de 2017, con el objeto de determinar las variables clínicas, sociodemográficas, y terapéuticas asociadas a la duración de la internación en el Hospital de Emergencias Psiquiátricas "Torcuato de Alvear" (CABA, Argentina) (Chebar et al, 2019) .…”

Section: Introductionunclassified

See 4 more Smart Citations

Análisis Epidemiológico de la Sala de Internación de Psiquiatría de un Hospital General Metropolitano de Comunidad de la Ciudad de Buenos Aires, Argentina

Malleza

Abudarham

Bertolani

et al. 2022

Vertex Rev Arg Psiquiatr

View full text Add to dashboard Cite

Objetivo: Explorar la frecuencia de diferentes variables sociodemográficas, clínicas y terapéuticas en los pacientes internados en la Sala de Psiquiatría del Hospital Italiano de Buenos Aires (HIBA). Introducción: Considerando que la Sala de Psiquiatría del HIBA se encuentra emplazada en un hospital general privado metropolitano de comunidad, referente a nivel nacional e internacional, resulta relevante realizar una descripción actualizada de la población usuaria de dicho dispositivo a la luz de los cambios producto de la sanción de la Ley Nacional de Salud Mental N° 26.657. Materiales y métodos: Se realizó un estudio observacional descriptivo y analítico de corte transversal de pacientes que fueron internados en la Sala de Psiquiatría del HIBA durante el período comprendido entre el 1 de octubre de 2018 hasta el 30 de septiembre de 2019 inclusive. Resultados: Durante el período del estudio se valoraron 254 internaciones. Edad promedio de 51,85 años (D.E.=21,23), Mediana de la duración de internación correspondió a 22 días [IQR=14.00, 34.00], siendo el 31.5% de las mismas de carácter involuntario. Los motivos de ingreso más frecuentes fueron: cuadros depresivos (32.7%), descompensación psicótica (22.8%) y demencia/síntomas conductuales (13%). El 10.6% de los pacientes ingresaron tras haber realizado una tentativa suicida. Discusión: El presente trabajo permite tener una noción actualizada de las características de los pacientes que atendemos en la Sala de Internación teniendo en cuenta los cambios en la legislación vigente y en la sociedad en su conjunto. Conclusiones: Caracterizar los determinantes epidemiológicos del patrón de internaciones psiquiátricas permite realizar diagnóstico de situación local y actualizado que favorecerá el desarrollar y repensar estrategias de planificación y gestión informadas.

show abstract

Section: Discussionunclassified

Section: Variablesunclassified

Section: Introductionunclassified

See 3 more Smart Citations

Análisis Epidemiológico de la Sala de Internación de Psiquiatría de un Hospital General Metropolitano de Comunidad de la Ciudad de Buenos Aires, Argentina

Malleza

Abudarham

Bertolani

et al. 2022

Vertex Rev Arg Psiquiatr

View full text Add to dashboard Cite

show abstract

Needs Expressed in Peer-to-Peer Web-Based Interactions Among People With Depression and Anxiety Disorders Hospitalized in a Mental Health Facility: Mixed Methods Study

Storman,

Jemioło,

Sawiec

et al. 2024

J Med Internet Res

View full text Add to dashboard Cite

Background Hospitalization in psychiatric wards is a necessary step for many individuals experiencing severe mental health issues. However, being hospitalized can also be a stressful and unsettling experience. It is crucial to understand and address the various needs of hospitalized individuals with psychiatric disorders to promote their overall well-being and support their recovery. Objective Our objectives were to identify and describe individual needs related to mental hospitals through peer-to-peer interactions on Polish web-based forums among individuals with depression and anxiety disorders and to assess whether these needs were addressed by peers. Methods We conducted a search of web-based forums focused on depression and anxiety and selected samples of 160 and 176 posts, respectively, until we reached saturation. A mixed methods analysis that included an in-depth content analysis, the Pearson χ2 test, and φ coefficient was used to evaluate the posts. Results The most frequently identified needs were the same for depression and anxiety forums and involved informational (105/160, 65.6% and 169/393, 43%, respectively), social life (17/160, 10.6% and 90/393, 22.9%, respectively), and emotional (9/160, 5.6% and 66/393, 16.8%, respectively) needs. The results show that there is no difference in the expression of needs between the analyzed forums. The needs were directly (42/47, 89% vs 98/110, 89.1% of times for depression and anxiety, respectively) and not fully (27/47, 57% vs 86/110, 78.2% of times for depression and anxiety, respectively) addressed by forum users. In quantitative analysis, we found that depression-related forums had more posts about the need for informational support and rectification, the expression of anger, and seeking professional support. By contrast, anxiety-related forums had more posts about the need for emotional support; social life; and information concerning medications, hope, and motivation. The most common co-occurrence of expressed needs was between sharing own experience and the need for professional support, with a strong positive association. The qualitative analysis showed that users join web-based communities to discuss their fears and questions about psychiatric hospitals. The posts revealed 4 mental and emotional representations of psychiatric hospitals: the hospital as an unknown place, the ambivalence of presumptions and needs, the negative representation of psychiatric hospitals, and the people associated with psychiatric hospitals. The tone of the posts was mostly negative, with discussions revolving around negative stereotypes; traumatic experiences; and beliefs that increased anxiety, shock, and fright and deterred users from hospitalization. Conclusions Our study demonstrates that web-based forums can provide a platform for individuals with depression and anxiety disorders to express a wide range of needs. Most needs were addressed by peers but not sufficiently. Mental health professionals can benefit from these findings by gaining insights into the unique needs and concerns of their patients, thus allowing for more effective treatment and support.

show abstract

Needs Expressed in Peer-to-Peer Web-Based Interactions Among People With Depression and Anxiety Disorders Hospitalized in a Mental Health Facility: Mixed Methods Study (Preprint)

Storman,

Jemioło,

Sawiec

et al. 2023

Preprint

View full text Add to dashboard Cite

BACKGROUND Hospitalization in psychiatric wards is a necessary step for many individuals experiencing severe mental health issues. However, being hospitalized can also be a stressful and unsettling experience. It is crucial to understand and address the various needs of hospitalized individuals with psychiatric disorders to promote their overall well-being and support their recovery. OBJECTIVE Our objectives were to identify and describe individual needs related to mental hospitals through peer-to-peer interactions on Polish web-based forums among individuals with depression and anxiety disorders and to assess whether these needs were addressed by peers. METHODS We conducted a search of web-based forums focused on depression and anxiety and selected samples of 160 and 176 posts, respectively, until we reached saturation. A mixed methods analysis that included an in-depth content analysis, the Pearson <i>χ</i><sup>2</sup> test, and φ coefficient was used to evaluate the posts. RESULTS The most frequently identified needs were the same for depression and anxiety forums and involved informational (105/160, 65.6% and 169/393, 43%, respectively), social life (17/160, 10.6% and 90/393, 22.9%, respectively), and emotional (9/160, 5.6% and 66/393, 16.8%, respectively) needs. The results show that there is no difference in the expression of needs between the analyzed forums. The needs were directly (42/47, 89% vs 98/110, 89.1% of times for depression and anxiety, respectively) and not fully (27/47, 57% vs 86/110, 78.2% of times for depression and anxiety, respectively) addressed by forum users. In quantitative analysis, we found that depression-related forums had more posts about the need for informational support and rectification, the expression of anger, and seeking professional support. By contrast, anxiety-related forums had more posts about the need for emotional support; social life; and information concerning medications, hope, and motivation. The most common co-occurrence of expressed needs was between sharing own experience and the need for professional support, with a strong positive association. The qualitative analysis showed that users join web-based communities to discuss their fears and questions about psychiatric hospitals. The posts revealed 4 mental and emotional representations of psychiatric hospitals: the hospital as an unknown place, the ambivalence of presumptions and needs, the negative representation of psychiatric hospitals, and the people associated with psychiatric hospitals. The tone of the posts was mostly negative, with discussions revolving around negative stereotypes; traumatic experiences; and beliefs that increased anxiety, shock, and fright and deterred users from hospitalization. CONCLUSIONS Our study demonstrates that web-based forums can provide a platform for individuals with depression and anxiety disorders to express a wide range of needs. Most needs were addressed by peers but not sufficiently. Mental health professionals can benefit from these findings by gaining insights into the unique needs and concerns of their patients, thus allowing for more effective treatment and support.

show abstract

Duración de las internaciones psiquiátricas: una caracterización clínica y socio-demográfica

Cited by 3 publications

References 20 publications

Análisis Epidemiológico de la Sala de Internación de Psiquiatría de un Hospital General Metropolitano de Comunidad de la Ciudad de Buenos Aires, Argentina

Análisis Epidemiológico de la Sala de Internación de Psiquiatría de un Hospital General Metropolitano de Comunidad de la Ciudad de Buenos Aires, Argentina

Needs Expressed in Peer-to-Peer Web-Based Interactions Among People With Depression and Anxiety Disorders Hospitalized in a Mental Health Facility: Mixed Methods Study

Needs Expressed in Peer-to-Peer Web-Based Interactions Among People With Depression and Anxiety Disorders Hospitalized in a Mental Health Facility: Mixed Methods Study (Preprint)

Contact Info

Product

Resources

About