Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención

Abstract

Background The knowledge of predictive factors in depression should help to deal with the disease. Aim To assess potential predictors of remission of major depressive disorders (MDD) in secondary care and to propose a predictive model. Material and Methods A 12 month follow-up study was conducted in a sample of 112 outpatients at three psychiatric care centers of Chile, with baseline and quarterly assessments. Demographic, psychosocial, clinical and treatment factors as potential predictors, were assessed. A clinical interview with the checklist of DSM-IV diagnostic criteria, the Hamilton Depression Scale and the List of Threatening Experiences and Multidimensional Scale of Perceived Social Support were applied. Results The number of stressful events, perceived social support, baseline depression scores, melancholic features, time prior to beginning treatment at the secondary level and psychotherapeutic sessions were included in the model as predictors of remission. Sex, age, number of previous depressive episodes, psychiatric comorbidity and medical comorbidity were not significantly related with remission. Conclusions This model allows to predict depression score at six months with 70% of accuracy and the score at 12 months with 72% of accuracy.

Factores de riesgo para intento de suicidio en personas con trastorno depresivo en atención secundaria

“…El seguimiento entre el 01/08/2013 y 31/07/2015 fue completado por 102 pacientes. El flujo de los participantes, tasa de respuesta y las características de las evaluaciones se encuentran publicadas 10 , ya que este estudio es parte de una investigación sobre el curso del TDM en el nivel secundario de atención del SSÑ.…”