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

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...

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Autores principales: Salvo,Lilian, Saldivia,Sandra, Parra,Carlos, Cifuentes,Manuel, Bustos,Claudio, Acevedo,Paola, Díaz,Marcela, Ormazabal,Mitza, Guerra,Ivonne, Navarrete,Nicol, Bravo,Verónica, Castro,Andrea
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2017
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001201514
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spelling oai:scielo:S0034-988720170012015142018-04-06Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atenciónSalvo,LilianSaldivia,SandraParra,CarlosCifuentes,ManuelBustos,ClaudioAcevedo,PaolaDíaz,MarcelaOrmazabal,MitzaGuerra,IvonneNavarrete,NicolBravo,VerónicaCastro,Andrea Depression Outpatients Secondary Care 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.12 20172017-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001201514es10.4067/s0034-98872017001201514
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Depression
Outpatients
Secondary Care
spellingShingle Depression
Outpatients
Secondary Care
Salvo,Lilian
Saldivia,Sandra
Parra,Carlos
Cifuentes,Manuel
Bustos,Claudio
Acevedo,Paola
Díaz,Marcela
Ormazabal,Mitza
Guerra,Ivonne
Navarrete,Nicol
Bravo,Verónica
Castro,Andrea
Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención
description 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.
author Salvo,Lilian
Saldivia,Sandra
Parra,Carlos
Cifuentes,Manuel
Bustos,Claudio
Acevedo,Paola
Díaz,Marcela
Ormazabal,Mitza
Guerra,Ivonne
Navarrete,Nicol
Bravo,Verónica
Castro,Andrea
author_facet Salvo,Lilian
Saldivia,Sandra
Parra,Carlos
Cifuentes,Manuel
Bustos,Claudio
Acevedo,Paola
Díaz,Marcela
Ormazabal,Mitza
Guerra,Ivonne
Navarrete,Nicol
Bravo,Verónica
Castro,Andrea
author_sort Salvo,Lilian
title Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención
title_short Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención
title_full Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención
title_fullStr Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención
title_full_unstemmed Predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención
title_sort predictores de remisión del trastorno depresivo mayor en tratamiento en el nivel secundario de atención
publisher Sociedad Médica de Santiago
publishDate 2017
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001201514
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