Major depression in hospitalized Argentine general medical patients: Prevalence and risk factors

Torre, Andrés Yanzón de La; Oliva, Nicolás; Echevarrieta, Paula L.; Pérez, Bibiana G.; Caporusso, Gabriela B.; Titaro, Anabella J.; Kicyla, Alejandro Todaro; Cuatz, Mariana; Locatelli, Mariana; Nelson, Lucila M.; Mullen, Mercedes Mac; Baldessarini, Ross J.; Daray, Federico Manuel

doi:10.1016/j.jad.2016.02.066

Cited by 22 publications

(19 citation statements)

References 34 publications

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“…This result is comparable with previous studies, which reported a prevalence of 13.5% to 47% of major depression in inpatients with CVD[16,30-33]. Different from previous studies, that reported only 5% of patients with CVD and depression were being treated with antidepressants[33], in our sample, 23.7% of the subjects were taking an antidepressant.…”

Section: Discussionsupporting

confidence: 82%

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Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Barreto

Garcia

Prado

et al. 2017

WJP

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AIMTo identify factors associated with depressive symptoms among inpatients with cardiovascular disease (CVD).METHODSThis is a cross-sectional study performed in a subsample of a large cross-sectional research that investigated affective disorders and suicide behaviour among inpatients hospitalized in non-surgical wards of the University Hospital of the Federal University of Minas Gerais from November 2013 to October 2015. Sociodemographic and clinical data were obtained through a structured interview and medical record review. Depression was assessed by the depression subscale of the Hospital Anxiety and Depression Scale, with scores ≥ 8 considered as positive screening for depression. We used the Fageström Test for Nicotine Dependence to characterize nicotine dependence. For assessing resilience and early-life trauma, we used the raw scores of the Wagnild and Young Resilience Scale and Childhood Trauma Questionnaire, respectively.RESULTSAt endpoint, we included 137 subjects. Thirty-eight (27.7%) subjects presented depressive symptoms and nine (23.7%) of those were receiving antidepressant treatment during hospitalization. The female sex; a lower mean educational level; a greater prevalence of previous suicide attempts; a higher level of pain; a higher prevalence of family antecedents of mental disorders; a lower resilience score; and higher childhood trauma score were the factors significantly associated with screening positive for major depression (P < 0.05). Multivariate analysis demonstrated that the factors independently associated with the depressive symptoms were a higher childhood trauma severity (OR = 1.06; P = 0.004); moderate to severe nicotine dependence (OR = 8.58; P = 0.008); and the number of previous hospital admissions (OR = 1.11; P = 0.034). The obtained logistic model was considered valid, indicating that the three factors together distinguished between having or not depressive symptoms, and correctly classified 74.6% of individuals in the sample.CONCLUSIONOur results demonstrate that inpatients presenting both CVD and a positive screening for depression are more prone to have antecedents of childhood trauma, nicotine dependence and a higher number of previous hospitalizations.

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Section: Discussionsupporting

confidence: 82%

“…The same applies for those admitted to general hospitals, a population in which 28% present criteria for depressive disorders[16]. Less than one in four cases of major depression among inpatients are correctly diagnosed by assisting physicians[14].…”

Section: Introductionmentioning

confidence: 99%

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Barreto

Garcia

Prado

et al. 2017

WJP

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“…Personality characteristics include smoking (82,94,111), alcohol consumption and drug use (77,91,94), relationship quality (91, 112, 113) (partner) violence experience (96,112,(114)(115)(116), threatening life events in the past 12 months (79,80,91,(117)(118)(119)(120), physical activity and sedentary behavior (94,106,111,(121)(122)(123), stress (15,43,79,124,125), need for affect, emotional avoidance (126)(127)(128), anxiety sensitivity (129-131), sense of mastery, internal locus of control (79,(132)(133)(134)(135), worry (136)(137)(138), self-worth (100,104,(139)(140)(141), and loneliness (142)…”

Section: Other Assessmentsmentioning

confidence: 99%

“…Sociodemographic variables that shall be examined include age (76,77,111,146,147), sex (82,92,104,110,111,117,118,(146)(147)(148)(149), origin country (148), migration (150)(151)(152)(153), ethnicity, minority (111,147,154), discrimination (103,155,156), education level (92,96,(109)(110)(111)148), employment status (88,111,125), relationship status, living situation (88,92,111,146), parenthood (82), caregiving living situation (94,157,158), economic status (90,91,118,159), and social status (94,…”

Section: Other Assessmentsmentioning

confidence: 99%

Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

et al. 2020

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Background: Farmers show high levels of depressive symptoms and mental health problems in various studies. This study is part of a nationwide prevention project carried out by a German social insurance company for farmers, foresters, and gardeners (SVLFG) to implement internet-and tele-based services among others to improve mental health in this population. The aim of the present study is to evaluate the (cost-)effectiveness of personalized tele-based coaching for reducing depressive symptom severity and preventing the onset of clinical depression, compared to enhanced treatment as usual.Methods: In a two-armed, pragmatic randomized controlled trial (N = 312) with follow-ups at post-treatment (6 months), 12 and 18 months, insured farmers, foresters, and gardeners, collaborating family members and pensioners with elevated depressive symptoms (PHQ-9 ≥ 5) will be randomly allocated to personalized tele-based coaching or enhanced treatment as usual. The coaching is provided by psychologists and consists of up to 34 tele-based sessions for 25-50 min delivered over 6 months. Primary outcome is depressive symptom severity at post-treatment. Secondary outcomes include depression onset, anxiety, stress, and quality of life. A health-economic evaluation will be conducted from a societal perspective.Discussion: This study is the first pragmatic randomized controlled trial evaluating the (cost-)effectiveness of a nationwide tele-based preventive service for farmers. If proven effective, the implementation of personalized tele-based coaching has the potential to reduce disease burden and health care costs both at an individual and societal level.

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“…Según un estudio publicado en Buenos Aires la depresión en los hospitales metropolitanos es de un 27% cuantificada por examen clínico psiquiátrico a un 44% con inventario de Beck 9 .…”

Section: Introductionunclassified

Depresión asociada al apoyo social, estancia hospitalaria y patología médica en pacientes ingresados en hospital de clínicas Dr. Manuel Quintela

et al. 2018

Rev. chil. neuro-psiquiatr.

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The prevalence of depression and anxiety in pacients hospitalized in general hospitals is very high, this is associated with increased morbidity and mortality and higher health costs. Emotional support is essential in any recovery process. Method: A descriptive and analytical study was carried out on depression and its relationship with social support, hospital stay and medical illness in patients admitted to the Dr. Manuel Quintela Clinical Hospital Montevideo-Uruguay. The Beck test for depression and the scale validated for social support Medical Outcomes Study (MOS) were applied. Characteristics of the studied population were described. Results: More than half of the interviewees presented some degree of depesión. It was possible to affirm that 73.7% of the users with scarce social support presented depressive symptoms with an increase in depression, especially of moderate and mild type. There was a higher incidence of depression in patients with prolonged hospital stay, however this data was not statistically significant. Regarding medical pathology, we highlight the strong presence of depression in cardiovascular and surgical oncology patients.

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Major depression in hospitalized Argentine general medical patients: Prevalence and risk factors

Cited by 22 publications

References 34 publications

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Childhood trauma and factors associated with depression among inpatients with cardiovascular disease

Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

Depresión asociada al apoyo social, estancia hospitalaria y patología médica en pacientes ingresados en hospital de clínicas Dr. Manuel Quintela

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