del Rio-Berumen SE, Macías-Carrillo AT, Bernal-Gallegos GD, Ramírez-Gutiérrez AG, Rosales-Escobedo KM, Ramírez-Delgado VD

Language: Spanish
References: 10
Page: 135-140
PDF size: 618.93 Kb.

ABSTRACT

Background:Anxiety and depression are highly prevalent psychiatric disorders among hospitalized patients. Recent studies show an increased incidence of depression among them.
Objective:To identify the prevalence and associated factors that have an influence on the onset of depression in hospitalized patients.
Methods:This is a descriptive cross-sectional non experimental study. We used the MINI Neuropsychiatric International interview (5.0.0 DSM-IV. D. Sheehan, 2000) in 120 hospitalized patients in the Hospital Civil of Guadalajara Fray Antonio Alcalde, randomly selected who met the following inclusion criteria: males and females older than 18 years, any socioeconomic level, voluntary participation, without alteration of consciousness. We evaluated age, occupation, the highest level of educational attainment, length of stay and medical department as independent variables and the incidence of depression as a dependent variable.
Results:From the total sample (120 patients, 100%), 45.83% (n=55) patients met the criteria for depression diagnosis. 67% (n = 37) of the depressed patients were male, while 33% (n = 18) were female. The highest rates of depression were observed in individuals with basic education at primary level, having an incidence of 23.33%. The departments with the highest percentage of patients with depression were: Geriatrics with 75% (n=3), Nephrology with 69% (n=9), Hematology with 67% (n=2) and Oncology with 60% (n=6). The highest rates of depression were seen in patients with nosocomial short stays of 1 to 18 days (74.53%), reaching a peak in the first week (43.63%), followed by a subsequent stabilized decrease from day 31 until day 54, representing 5.43%.
Conclusions:The prevalence of depression in the Hospital Civil of Guadalajara Fray Antonio Alcalde, according to our study was 45.83%, representing a higher rate than the statistics reported by the World Health Organization (WHO). The variables associated with the diagnosis of depression were: age, occupation, education level (inversely proportional), marital status, presence of chronic illness and hospital stay (less than 15 days and over 45).

REFERENCES

1. 1.Ruíz-Flores L.G., Colín-Piana R.F., Corlay-Noriega I.S., Lara-Muñoz M.C., Dueñas-Tentori H.J. Trastorno depresivo mayor en México: la relación entre la intensidad de la depresión, los síntomas físicos dolorosos y la calidad de vida. Salud Ment 2007; 30(2):25-32

2. 2.Mogollón-Díaz J., Jinete-Castellanos S., Moreno-Martínez I., Álvarez M. Prevalencia de trastorno depresivo mayor en pacientes mayores de 50 años hospitalizados en un servicio de medicina interna. MedUNAB. 2005; 8 (1):11- 14.

3. 3.Halgin R.P. y Krauss W.S. Psicología de la anormalidad, Perspectivas clínicas sobre desórdenes psicológicos. (Pp. 310-315) México: McGraw-Hill, 2004.

4. 4.Esquivel-Molina C., Buendía-Cano F., Villa-Hernández F., Ontiveros- Martínez R., Velasco-Rodríguez V., Martínez-Mendoza J. Ansiedad y depresión en familiares de pacientes hospitalizados. Med int Méx. 2007; 23(6):512-16

5. 5.Martínez-Mendoza J., Martínez-Ordaz V., Esquivel-Molina C., Velasco- Rodríguez V. Prevalencia de depresión y factores de riesgo en el adulto mayor hospitalizado. Rev Med del IMSS. 2007; 45 (1):21-28

6. 6.Vázquez G. Algunas Generalidades en Relación a los Trastornos Afectivo. Revista del Instituto Jalisciense de Salud Mental, 2008, (1) 3-19.

7. 7.Espinosa-Aguilar A., Caraveo-Anduaga J., Zamora-Olvera M., Arronte- Rosales A., Krug-Llamas E., Olivares-Santos R., Reyes-Morales H., Tapia- García M., García-González J., Doubova S., Peña-Valdovinos A. Guía de práctica clínica para el diagnostico y tratamiento de depresión en los adultos mayores. 2007; 30(6): 69-80

8. 8.Grau A., Comas P., Suñer R., Peláez E., Sala L., Planas M. Evolución de la ansiedad y de la depresión detectada durante la hospitalización en un servicio de Medicina Interna. Revista Anales de Medicina Interna 2007; 24(5)

9. 9.- Agudelo-Vélez D., Lucumí-Acelas L., Santamaría-Quiroga Y. Evaluación de la depresión en pacientes hospitalizados por distintas enfermedades médicas en la ciudad de Bucaramanga. Pensamiento Psicológico, Vol. 4, Núm. 10, enero-junio, 2008, pp. 59-83. Pontificia Universidad Javeriana, Colombia.

10. 10.Belló M. Prevalencia y diagnóstico de depresión en población adulta en México. Salud Pública Méx 2005; Vol. 47(sup 1):4-11.