Duration of untreated illness and outcomes in unipolar depression: A systematic review and meta-analysis

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

“…La literatura internacional ha señalado que la reducción del tiempo sin tratamiento en pacientes que inician un nuevo episodio depresivo es clave, sobre todo en el caso del primer episodio depresivo 54,55 . Esto tiene implicancias relevantes para Chile, en donde se ha constatado que la brecha de tratamiento para la depresión en adolescentes es cercana a 90% 56 .…”

Factors associated with delayed diagnosis of mood and/or anxiety disorders

“…The time interval for the specified subgroups was informed by previous studies, which found the receipt of a diagnosis within the same year as symptom onset to be associated with better health-related outcomes among those with mood and/or anxiety disorders. 1,2,12 After excluding those respondents with symptoms that followed their diagnosis due to small subgroup size (n = 50), as well as those with missing responses to either of the questions used to calculate the time to diagnosis (n = 99), we were left with a final study sample of 3212 ( Figure 1). …”

“…[1][2][3] However, despite the existence of effective treatments, a large proportion of Canadians with these disorders experience a delay in diagnosis, or remain undiagnosed. [4][5][6][7][8][9] Individual factors such as low mental health literacy, fear of stigmatization and a preference to manage one's own health, as well as health system factors such as limited access to mental health services and health professionals' insufficient knowledge, skills or time may all play a role.…”

“…[16][17][18][19] The only Canadian study on this topic, to our knowledge, was published almost 20 years ago and was based on data from the Ontario Health Survey; therefore, the results are not nationally representative. 20 Using data from the 2014 Survey on Living with Chronic Diseases in Canada-Mood and Anxiety Disorders Component (SCLDC-MA), our objectives were twofold: (1) to identify the sociodemographic and clinical characteristics associated with time to diagnosis; and (2) to examine the relationship between time to diagnosis and physical and mental health status in a nationally representative sample of community-dwelling Canadian adults with a self-reported mood and/or anxiety disorder diagnosis.…”

Facteurs associés au diagnostic tardif d'un trouble de l’humeur et/ou d’anxiété

“…Nous avons ensuite classé les répondants en quatre sousgroupes mutuellement exclusifs en fonction du délai de diagnostic ainsi calculé : (1) symptômes apparus plus de cinq ans avant l'établissement du diagnostic (délai long); (2) symptômes apparus entre un et cinq ans avant l'éta blissement du diagnostic (délai modéré); (3) apparition des symptômes et établisse ment du diagnostic dans la même année (délai court); et (4) symptômes apparus après l'établissement du diagnostic. Le choix de l'intervalle de temps pour la création des sousgroupes repose sur des études anté rieures qui ont révélé que l'apparition des symptômes et l'obtention d'un diagnostic au cours de la même année sont associées à de meilleurs résultats de santé chez les personnes atteintes de troubles de l'hu meur et/ou d'anxiété 1,2,12 .…”