Evolución del consumo de psicofármacos inapropiados en personas institucionalizadas

Sicras‐Mainar, Antoni; Loño, Jordi Peláez de; Castellá-Rosales, Amparo; Rejas‐Gutiérrez, Javier

doi:10.1157/13090384

Cited by 5 publications

(1 citation statement)

References 11 publications

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“…Los estudios observacionales en este grupo de pacientes frágiles muestran (tabla 4-3) una importante proporción de tratamientos con interacciones potencialmente graves 53,54 , de medicación inadecuada (especialmente psicofármacos) [55][56][57][58][59][60][61] , desconocimiento de aspectos esenciales de la posología o el tratamiento 51 , ausencia de tratamientos efectivos 62-64 y un elevado volumen de problemas relacionados con medicamentos y reacciones adversas [64][65][66][67] . En otro terreno, también resulta alarmante los porcentajes de automedicación en estos pacientes que elevan las posibilidades de interacciones.…”

Section: Ancianos Crónicos Y Polimedicadosunclassified

La refundación de la Atención Primaria

Rubio¹

2011

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Section: Ancianos Crónicos Y Polimedicadosunclassified

La refundación de la Atención Primaria

Rubio¹

2011

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La prescripción farmacéutica en Atención Primaria. Mucho más que un problema de gasto

Sanfélix‐Gimeno¹,

Peiró²,

Meneu³

2011

La Refundación De La Atención Primaria

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The factor structure and measurement invariance of the PHQ-4 and the prevalence of depression and anxiety in a Southeast Asian context amid the COVID-19 pandemic

et al. 2022

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This study examined the psychometric properties of the Patient Health Questionnaire-4 (PHQ-4) as an ultra-brief screener of depression and anxiety in the Philippines during the COVID-19 outbreak. Data from 4,524 non-clinical community respondents aged 18-73 years old was collected online between March and July 2020. We evaluated the screener’s factor structure, measurement invariance, and criterion-related validity using confirmatory factor analysis (CFA), multigroup CFA, and structural equation modeling (SEM), respectively. We also evaluated the accuracy of the PHQ-4 cut-off scores by comparing the them with the screeners’ full scales (i.e., PHQ-9 and GAD-7). Using the cutoff scores of the screeners, we also estimated the prevalence rates of depression and anxiety. The PHQ-4 has good internal reliability (Cronbach’s α = 0.82). The CFA results show that the two-factor model has an excellent model fit that is superior to the one-factor model. The two-factor model held through increasingly constrained multigroup CFA models across gender, age, and geographical location groups, demonstrating measurement invariance. The SEM model supported the PHQ-4’s theoretical association to stress, negative affect, and positive affect, supporting the screener’s criterion-related validity. In estimating prevalence rates, among those screened by the PHQ-4 cut-off scores for depression ( n = 1,905, 42.11%) and anxiety ( n = 1,853, 40.96%), 81.78% and 94.06% were consequently screened by the PHQ-9 and GAD-7, respectively. This study supports the reliability, validity, and measurement invariance of the PHQ-4 as an ultra-brief screener of depression and anxiety in a large community sample in Southeast Asia. The inclusion of ultra-brief screeners in COVID-19-related studies and other human disasters, especially among non-clinical samples in low- and middle-income countries, is relevant for the sustainable evaluation and monitoring of the severity mental health symptoms leading to timely and effective mental health service provision.

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Evolución del consumo de psicofármacos inapropiados en personas institucionalizadas

Cited by 5 publications

References 11 publications

La refundación de la Atención Primaria

La refundación de la Atención Primaria

La prescripción farmacéutica en Atención Primaria. Mucho más que un problema de gasto

The factor structure and measurement invariance of the PHQ-4 and the prevalence of depression and anxiety in a Southeast Asian context amid the COVID-19 pandemic

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