El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria

Background: Depression is highly prevalent among Chilean adults, therefore a primary care treatment program was devised. Aim: To evaluate the Program for detection, diagnosis and integral treatment of depression, implemented in Chilean Primary Health Care Centers. Material and Methods: A three and s...

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Autores principales:	Alvarado,Rubén, Rojas,Graciela
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Depression Primary health care Questionnaires
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000500005
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spelling	oai:scielo:S0034-988720110005000052011-09-16El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesariaAlvarado,RubénRojas,Graciela Depression Primary health care Questionnaires Background: Depression is highly prevalent among Chilean adults, therefore a primary care treatment program was devised. Aim: To evaluate the Program for detection, diagnosis and integral treatment of depression, implemented in Chilean Primary Health Care Centers. Material and Methods: A three and six months follow-up study was conducted among women admitted to the program at seven primary health care centers in two regions of Chile. Socio-demographic data, treatments provided and compliance with the program were assessed. A clinical standardized interview (with ICD-10) was carried out and the intensity of depressive symptoms was evaluated using Beck Depression Inventory (BDI). Results: The initial sample was composed by 201 women aged 25 to 65 years. At 6 months, 35% were lost from follow up. Depression was mild, moderate or severe in 12, 63 and 25% of women, respectively. The severity of depression was underestimated by primary care teams. Among women with regular and irregular attendance to medical appointments and those that abandoned treatment, BDIscore decreased by 35,37and 13%, respectively. Conclusions: This primary care program for depression was effective to reduce BDI scores. Diagnostic precision of primary care teams must be improved.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.5 20112011-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000500005es10.4067/S0034-98872011000500005
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Depression Primary health care Questionnaires
spellingShingle	Depression Primary health care Questionnaires Alvarado,Rubén Rojas,Graciela El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria
description	Background: Depression is highly prevalent among Chilean adults, therefore a primary care treatment program was devised. Aim: To evaluate the Program for detection, diagnosis and integral treatment of depression, implemented in Chilean Primary Health Care Centers. Material and Methods: A three and six months follow-up study was conducted among women admitted to the program at seven primary health care centers in two regions of Chile. Socio-demographic data, treatments provided and compliance with the program were assessed. A clinical standardized interview (with ICD-10) was carried out and the intensity of depressive symptoms was evaluated using Beck Depression Inventory (BDI). Results: The initial sample was composed by 201 women aged 25 to 65 years. At 6 months, 35% were lost from follow up. Depression was mild, moderate or severe in 12, 63 and 25% of women, respectively. The severity of depression was underestimated by primary care teams. Among women with regular and irregular attendance to medical appointments and those that abandoned treatment, BDIscore decreased by 35,37and 13%, respectively. Conclusions: This primary care program for depression was effective to reduce BDI scores. Diagnostic precision of primary care teams must be improved.
author	Alvarado,Rubén Rojas,Graciela
author_facet	Alvarado,Rubén Rojas,Graciela
author_sort	Alvarado,Rubén
title	El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria
title_short	El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria
title_full	El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria
title_fullStr	El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria
title_full_unstemmed	El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria
title_sort	el programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000500005
work_keys_str_mv	AT alvaradoruben elprogramanacionalparaeldiagnosticoytratamientodedepresionenatencionprimariaunaevaluacionnecesaria AT rojasgraciela elprogramanacionalparaeldiagnosticoytratamientodedepresionenatencionprimariaunaevaluacionnecesaria
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El programa nacional para el diagnóstico y tratamiento de depresión en atención primaria: una evaluación necesaria

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