Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención

Background: As a part of the World Health Organization multicentric study of emotional disorders in general medical care, we studied patients who had a chronic medical ailment and a psychiatric disorder, according to ICD-10. Aim: To report the prevalence of patients with coexisting medical and psych...

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Autores principales:	Fullerton U,Claudio, Florenzano U,Ramón, Acuña R,Julia
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Materias:	Chronic disease Psychiatric status rating scales psycological tests
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000700004
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spelling	oai:scielo:S0034-988720000007000042000-09-01Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atenciónFullerton U,ClaudioFlorenzano U,RamónAcuña R,Julia Chronic disease Psychiatric status rating scales psycological tests Background: As a part of the World Health Organization multicentric study of emotional disorders in general medical care, we studied patients who had a chronic medical ailment and a psychiatric disorder, according to ICD-10. Aim: To report the prevalence of patients with coexisting medical and psychiatric disorders. Patients and methods: All patients, aged 15 to 65 years old, consulting in primary care outpatient clinics, were interviewed using a general health questionnaire. In a second phase, patients with chronic medical disorders were subjected to the World Health Organization Composite International Diagnostic Instrument. Results: Sixty nine percent of interviewed Chilean patients had a medical condition, compared to 60,3% of the global study group. Of these, 66% had a coexisting psychiatric diagnosis, compared to 31% of the global study group. The most frequent diagnoses in the Chilean sample were somatization disorders in 25%, harmful alcohol use in 14%, depression in 35% and hypocondriasis in 6%. There was a higher prevalence and odds ratio for psychiatric diagnoses among Chilean women. Conclusions: Patients with chronic medical disorders should be considered a high risk group for the coexistence of psychiatric disturbances. (Rev Méd Chile 2000; 128: 729-34).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.7 20002000-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000700004es10.4067/S0034-98872000000700004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Chronic disease Psychiatric status rating scales psycological tests
spellingShingle	Chronic disease Psychiatric status rating scales psycological tests Fullerton U,Claudio Florenzano U,Ramón Acuña R,Julia Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención
description	Background: As a part of the World Health Organization multicentric study of emotional disorders in general medical care, we studied patients who had a chronic medical ailment and a psychiatric disorder, according to ICD-10. Aim: To report the prevalence of patients with coexisting medical and psychiatric disorders. Patients and methods: All patients, aged 15 to 65 years old, consulting in primary care outpatient clinics, were interviewed using a general health questionnaire. In a second phase, patients with chronic medical disorders were subjected to the World Health Organization Composite International Diagnostic Instrument. Results: Sixty nine percent of interviewed Chilean patients had a medical condition, compared to 60,3% of the global study group. Of these, 66% had a coexisting psychiatric diagnosis, compared to 31% of the global study group. The most frequent diagnoses in the Chilean sample were somatization disorders in 25%, harmful alcohol use in 14%, depression in 35% and hypocondriasis in 6%. There was a higher prevalence and odds ratio for psychiatric diagnoses among Chilean women. Conclusions: Patients with chronic medical disorders should be considered a high risk group for the coexistence of psychiatric disturbances. (Rev Méd Chile 2000; 128: 729-34).
author	Fullerton U,Claudio Florenzano U,Ramón Acuña R,Julia
author_facet	Fullerton U,Claudio Florenzano U,Ramón Acuña R,Julia
author_sort	Fullerton U,Claudio
title	Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención
title_short	Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención
title_full	Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención
title_fullStr	Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención
title_full_unstemmed	Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención
title_sort	comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000700004
work_keys_str_mv	AT fullertonuclaudio comorbilidaddeenfermedadesmedicascronicasytrastornospsiquiatricosenunapoblaciondeconsultantesenelnivelprimariodeatencion AT florenzanouramon comorbilidaddeenfermedadesmedicascronicasytrastornospsiquiatricosenunapoblaciondeconsultantesenelnivelprimariodeatencion AT acunarjulia comorbilidaddeenfermedadesmedicascronicasytrastornospsiquiatricosenunapoblaciondeconsultantesenelnivelprimariodeatencion
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Comorbilidad de enfermedades médicas crónicas y trastornos psiquiátricos en una población de consultantes en el nivel primario de atención

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