Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria

Background: Screening instruments are required for the detection of depressive disorders by primary care practitioners. Aim: To develop a screening instrument to detect depression, based on data gathered interviewing patients attending primary health care settings. Material and Methods: The instrume...

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Autores principales:	Vicente,Benjamín, Saldivia,Sandra, Melipillán,Roberto, Hormazabal,Naín, Carroza,Ana, Pihan,Rolando
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Depression Diagnosis Primary Health Care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000500001
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spelling	oai:scielo:S0034-988720160005000012016-08-31Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primariaVicente,BenjamínSaldivia,SandraMelipillán,RobertoHormazabal,NaínCarroza,AnaPihan,Rolando Depression Diagnosis Primary Health Care Background: Screening instruments are required for the detection of depressive disorders by primary care practitioners. Aim: To develop a screening instrument to detect depression, based on data gathered interviewing patients attending primary health care settings. Material and Methods: The instrument was constructed with data about factors associated or triggering a depressive disorder obtained from 3,000 patients consulting for general morbidity. All patients answered the Composite International Diagnostic Interview, (version 2.1, section depression) and an inventory containing 39 risk factors for depression, obtained from the literature. A multiple imputation method using chained equations was carried out. Using a binary logistic regression with backward selection, an equation for depression screening was obtained. The c-index was calculated to estimate discriminating power of the model. A shrinkage factor was estimated to adjust the predictive model. Results: Estimations were carried out with data from 2,552 patients with a median age of 47 years (73% women). Fifty five percent lived with a partner and 45% had basic studies. The method selected 14 significant predictors, with a shrinkage value of 0.861 and a c-index of 0.838 (95% confidence intervals 0.82-0.86). Conclusions: The instrument has adequate psychometric properties as a screening tool for depression in primary health care.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.5 20162016-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000500001es10.4067/S0034-98872016000500001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Depression Diagnosis Primary Health Care
spellingShingle	Depression Diagnosis Primary Health Care Vicente,Benjamín Saldivia,Sandra Melipillán,Roberto Hormazabal,Naín Carroza,Ana Pihan,Rolando Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria
description	Background: Screening instruments are required for the detection of depressive disorders by primary care practitioners. Aim: To develop a screening instrument to detect depression, based on data gathered interviewing patients attending primary health care settings. Material and Methods: The instrument was constructed with data about factors associated or triggering a depressive disorder obtained from 3,000 patients consulting for general morbidity. All patients answered the Composite International Diagnostic Interview, (version 2.1, section depression) and an inventory containing 39 risk factors for depression, obtained from the literature. A multiple imputation method using chained equations was carried out. Using a binary logistic regression with backward selection, an equation for depression screening was obtained. The c-index was calculated to estimate discriminating power of the model. A shrinkage factor was estimated to adjust the predictive model. Results: Estimations were carried out with data from 2,552 patients with a median age of 47 years (73% women). Fifty five percent lived with a partner and 45% had basic studies. The method selected 14 significant predictors, with a shrinkage value of 0.861 and a c-index of 0.838 (95% confidence intervals 0.82-0.86). Conclusions: The instrument has adequate psychometric properties as a screening tool for depression in primary health care.
author	Vicente,Benjamín Saldivia,Sandra Melipillán,Roberto Hormazabal,Naín Carroza,Ana Pihan,Rolando
author_facet	Vicente,Benjamín Saldivia,Sandra Melipillán,Roberto Hormazabal,Naín Carroza,Ana Pihan,Rolando
author_sort	Vicente,Benjamín
title	Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria
title_short	Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria
title_full	Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria
title_fullStr	Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria
title_full_unstemmed	Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria
title_sort	inventario concepción: desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000500001
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Inventario Concepción: Desarrollo y validación de un instrumento de tamizaje de depresión para atención primaria

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