Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano

Background: A high proportion of women consulting for depression have a history of childhood abuse and trauma. Aim: To compare the effcacy and costs associated with a treatment that inquires directly into childhood trauma and understands present interpersonal diffculties as a compulsion to repeat th...

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Autores principales:	VITRIOL G,VERÓNICA, CANCINO A,ALFREDO, FLORENZANO U,RAMÓN, BALLESTEROS T,SOLEDAD, SCHWARTZ P,DANIEL
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Cost-benefit analysis Depression Stress disorders, post-traumatic
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000400006
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spelling	oai:scielo:S0034-988720100004000062010-06-30Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma tempranoVITRIOL G,VERÓNICACANCINO A,ALFREDOFLORENZANO U,RAMÓNBALLESTEROS T,SOLEDADSCHWARTZ P,DANIEL Cost-benefit analysis Depression Stress disorders, post-traumatic Background: A high proportion of women consulting for depression have a history of childhood abuse and trauma. Aim: To compare the effcacy and costs associated with a treatment that inquires directly into childhood trauma and understands present interpersonal diffculties as a compulsion to repeat the traumatic past, versus the usual treatment, in women with severe depression and childhood trauma. Material and Methods: Eighty seven women with depression and prior history of early trauma that sought help at the Mental Health Unit of the Hospital de Curicó were studied. Forty four were randomly assigned to the experimental treatment, and 43 to the usual management. Patients were evaluated using the Hamilton Depression Scale, the Outcome Questionnaire (OQ 45.2) and an expenditures sheet at baseline, three and six months. An intention to treat analysis and a simple cost-analysis were performed. Results: Hamilton and OQ 45.2 scores improved in both treatment groups, with signifcantly better results achieved in the experimental patients. The direct overall costs of experimental and control treatments were CLP 8,628,587 and 9,688,240, respectively. The main contributors to costs in both arms were medications (26.5%), followed by the number of psychiatric consultations (19.2%) in the experimental group and by hospitalizations (25.4%) in the control group. The costs per patient recovered in experimental and control groups were CLP 616,328 and 1,973,649, respectively. Conclusions: The proposed model resulted more effective for the treatment of this group of women.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.4 20102010-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000400006es10.4067/S0034-98872010000400006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cost-benefit analysis Depression Stress disorders, post-traumatic
spellingShingle	Cost-benefit analysis Depression Stress disorders, post-traumatic VITRIOL G,VERÓNICA CANCINO A,ALFREDO FLORENZANO U,RAMÓN BALLESTEROS T,SOLEDAD SCHWARTZ P,DANIEL Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano
description	Background: A high proportion of women consulting for depression have a history of childhood abuse and trauma. Aim: To compare the effcacy and costs associated with a treatment that inquires directly into childhood trauma and understands present interpersonal diffculties as a compulsion to repeat the traumatic past, versus the usual treatment, in women with severe depression and childhood trauma. Material and Methods: Eighty seven women with depression and prior history of early trauma that sought help at the Mental Health Unit of the Hospital de Curicó were studied. Forty four were randomly assigned to the experimental treatment, and 43 to the usual management. Patients were evaluated using the Hamilton Depression Scale, the Outcome Questionnaire (OQ 45.2) and an expenditures sheet at baseline, three and six months. An intention to treat analysis and a simple cost-analysis were performed. Results: Hamilton and OQ 45.2 scores improved in both treatment groups, with signifcantly better results achieved in the experimental patients. The direct overall costs of experimental and control treatments were CLP 8,628,587 and 9,688,240, respectively. The main contributors to costs in both arms were medications (26.5%), followed by the number of psychiatric consultations (19.2%) in the experimental group and by hospitalizations (25.4%) in the control group. The costs per patient recovered in experimental and control groups were CLP 616,328 and 1,973,649, respectively. Conclusions: The proposed model resulted more effective for the treatment of this group of women.
author	VITRIOL G,VERÓNICA CANCINO A,ALFREDO FLORENZANO U,RAMÓN BALLESTEROS T,SOLEDAD SCHWARTZ P,DANIEL
author_facet	VITRIOL G,VERÓNICA CANCINO A,ALFREDO FLORENZANO U,RAMÓN BALLESTEROS T,SOLEDAD SCHWARTZ P,DANIEL
author_sort	VITRIOL G,VERÓNICA
title	Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano
title_short	Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano
title_full	Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano
title_fullStr	Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano
title_full_unstemmed	Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano
title_sort	eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000400006
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Eficacia y costos asociados a un tratamiento ambulatorio en mujeres con depresión severa y trauma temprano

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