2003, Number 4
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Perinatol Reprod Hum 2003; 17 (4)
Intervención psicosocial para mujeres con depresión
Asunción LM
Language: Spanish
References: 51
Page: 219-229
PDF size: 122.58 Kb.
ABSTRACT
Objective: To present the antecedents and results of a psychological and educational intervention
for women with depression symptoms.
Background: The depression affects twice times more to women than men and it has a high
personal, social and economic cost, occupying the fourth place among all the illnesses due
to disability and premature death that it causes. This project give some answer to growing
world concern for depression and the enormous disability associated.
Material and methods: The investigation was carried out in three Community Centers of
Mental Health and Health Center of Health Ministry. It was designed and it evaluated a
psychological and educative intervention, directed to women with depression symptoms.
One hundred-thirty five women participated between 20 and 45 years old, with moderate or
severe depressive symptomatology (CES-D). The study was comparative among a group
condition IG (6 sessions of two hours) and an individual IIM (an educational session and
educational material), in four phases: pre-treatment, post-treatment, and following by four
months and by two years.
Results: In multiple analysis of variance for repeated measures a significant reduction of
depression symptoms was observed in post-treatment and following phases without there
were significant differences among the conditions (IG/IIM). The self-esteem was found with a
significant reduction in the same mensurations and they were not significant differences
among the conditions (IG/IIM). In the following by two years, didn’t show the decrease in
depression symptoms, however, these were not bigger than in the pre-treatment phase, but
the self-esteem increased. It was also observed that the participants considered that the
intervention had a positive influence in hers lives and problems and they expressed great
satisfaction with help received.
Conclusions: It was found that both interventions were effective in reducing the depression
symptoms, more to medium term that long term and in improving the long term self-esteem
with great satisfaction with help received in the participants.
REFERENCES
Lara CMA, Navarro AR. Positive and negative factors in the measurement of sex roles: findings from a Mexican sample. Hispanic J Behavioral Sci 1986; 8: 143-55.
Lara CMA, Navarro AR. Self-descriptions of Mexican college students in response to the BSRI and other sex role items. J Cross-Cultural Psychol 1987; 18: 331-4.
Lara CMA. Inventario de Masculinidad y femineidad. IMAFE. México: El Manual Moderno; 1993.
Lara MA. Masculinidad-Feminidad y Salud Mental. Importancia de las características no deseables de los roles de género. Salud Ment 1991; 14: 12-8.
5 . Lara MA, Acevedo M, López EK, Fernández M. (1993a). La salud emocional y tensiones asociadas a los papeles de género en las madres que trabajan y en las que no trabajan. Salud Ment 1993; 16: 13-22.
Medina-Mora ME, Tapia R, Mariño MC, Juárez F, Villatoro J, Caraveo J, Gómez M. Trastornos emocionales en una población urbana mexicana, resultados de un estudio nacional. Anales del Instituto Mexicano de Psiquiatría 1992; 3: 48-55.
McGrath E, Keita G, Strickland B, Russo N. Women and depression. Risk factors and treatment issues. Final report of the American Psychological Association’s National Task Force on Women and Depression; 1990.
Lara MA. Investigación sobre trabajo femenino y salud: avances y propuestas. En: Figueroa JG. (Comp.). La condición de la mujer en el espacio de la salud. Programa Salud Reproductiva y Sociedad y Centro de Estudios Demográficos y de Desarrollo Urbano de El Colegio de México; 1998: 131-54.
Lara MA, Fernández M, Acevedo M, López EK. Síntomas emocionales y roles familiares en mujeres mexicanas: estudio proyectivo e interpretación del género. Acta Psiquiátrica y Psicológica de América Latina 1996; 42: 329-40.
Lara MA, Acevedo M. Mujer, trabajo y salud mental: evaluación de la retroalimentación de los resultados de una investigación a los sujetos participantes. Salud Problema 1994; (4): 45-9.
Lara MA, Acevedo M, Luna S, Weckmann C, Villarreal AL, Pego C. ¿Es difícil ser mujer? Una guía sobre depresión. Instituto Mexicano de Psiquiatría e Instituto Latinoamericano de la Comunicación Educativa. Impresos Minal. 4a. reimpresión. México: Editorial Pax; 1996.
Lara MA, Acevedo M, Berenzon S. La depresión femenina vista desde la subjetividad de las mujeres. Cuadernos de Sáude Pública 2003; 19 (En prensa).
Desjarlais R, Eisenberg L, Good B, Kleinman A. World Mental Health. Problems and priorities in Low-Income countries. New York: Oxford University Press; 1995.
Murray CJL, López AD. The global burden of disease. A comprehensive assessment of mortality and disability from disease, injuries, and risk factors in 1990 and projected to 2020. Harvard University Press. World Health Organization and The World Bank; 1996.
Piccinelli M, Gomez Homen F. Gender differences in the epidemiology of affective disorders and schizophrenia. Division of Mental Health and Prevention of Substance Abuse. Geneva: World Health Organization; 1997.
Caraveo J, Medina-Mora ME, Rascón ML, Villatoro J, Martínez-Velez A, Gómez M. La prevalencia de los trastornos psiquiátricos en la población urbana adulta en México. Salud Ment 1996; 16: 14-21.
Berenzon S, Medina-Mora ME, López EK, González J. Prevalencia de trastornos mentales y variables asociadas en cuatro comunidades del sur de la ciudad de México. Mex J Psychol 1998; 15: 177-85.
Vega WA, Valle R, Kolody B, Hough R. The hispanic social network prevention intervention study: A community-based randomised trial. In: Muñoz RF: Depression prevention: Research directions. Washington DC: Hemisphere Publishing; 1987, p. 217-31.
Vega WA, Murphy J. Projecto Bienestar: An example of a community-based intervention. In: Wesport CT: Culture and the restructuring of community mental health: Contributions in psychology. Series No. 16. Greenwood Press; 1990; p. 103-22.
Muñoz RF, Ying Y. The prevention of depression. Research and practice. Johns Hopkins University Press. Baltimore and London./Washington, DC: Hemisphere Publishing; 1993.
Katon W, Robinson P, Von Korff M, Lin E, Bush T, Ludman E, Simon G, Walker E. A multifaceted intervention to improve treatment of depression in primary care. Archive General of Psychiatry 1996; 53: 924–32.
Kathol R, Katon W, Smith GR, Petty F, Triverdi M, Rush AJ. Guidelines for the diagnosis and treatment of depression for primary care physicians. Implications for consultation-liaison psychiatrist. Psychosomatics 1994; 35: 1-12.
Dowrick C, Casey P, Dalgard O, Hosmand C, Lethinen V, Vázquez-Barquero JL, Wilkinson G and the Odin Group. Outcomes of Depression International Network (ODIN). Background, methods and field trials. Br J Psy 1998; 172: 359-63.
Seligman MEP, Schulman P, DeRubeis RJ, Hollon SD (1999). The prevention of depression and anxiety. Prevention and treatment, 2 pre 0020008a.html.
Souery D, Lipp O, Mahieu B, Mendlewicz J. Advances in the genetics of depression 297-310. In: Honig A, Van Praag HM. Depression neurobiological, psychopathological and therapeutic advances. Clinical and neurobiological advances in psychiatry; 1997.
Jenaway A, Paykel ES. Life events and depression 279-96. En: Honig A, Van Praag HM. Depression neurobiological, psychopathological and therapeutic advances. Clinical and Neurobiological Advances in Psychiatry. USA: Sons NJ; 1997.
Reus VI. Trastornos Afectivos. En: Goldman H. Psiquiatría General. 2da. Edición. México: Ed. El Manual Moderno; 1989.
O’Keane V. Evolving model of depression as an expression of multiple interacting risk factors. Br J Psy 2000; 177: 482-3.
The World Health Report. Mental Health: New Understanding, New Hope. WHO; 2001.
Becker J, Schmaling K. Interpersonal aspects of depression from psychodynamic and attachment perspectives. In: Becker J. Kleinman A. Psychosocial aspects of depression. New Jersey hove and London: Lawrence Erlbaum Associates, Publishers. Hillsdale; 1991.
Harris T, Brown G, Bifulco A. Loss of parent in childhood and adult psychiatric disorder: the role of lack of adequate parental care. Psych Med 1986; 16: 641-59.
Monroe S, Depue R. Life stress and depression. In: Becker J, Kleinman A. Psychosocial aspects of depression. Lawrence Erlbaum Associates. New Jersey hove and London: Publishers. Hillsdale; 1991.
Belle D. (Ed.). Social ties and social support. In: D Belle (Ed). Lives in stress: Women and depression. Beverly Hills, CA: Sage Publications; 1982.
Dennerstein L, Astbury J, Morse C. Psychosocial and mental health aspects of women’s health. Genova: Word Health Organization; 1993.
Bebbington P. The origins of sex differences in depressive disorder: bridging the gap. Internat Revi Psych 1996; 8: 295-332.
Meagher D, Murray D. Women’s Health. Supplement to the Lancet 1997; 349(Supl. I): sI17-sI20.
Padgett DK. Women’s mental health: Some directions for research. American Orthopsychiatric Association 1997; 67: 522-34.
Ramos L, Esteban R, Aceves LG, Santijeral MT, Caballero GM, Pérez GG. Significado personal del delito en víctimas de asalto en vía pública, robo a casa y violación. Trabajo presentado en el 23rd. International Congress of Applied Psychology. Madrid 1994(7), 17-22.
Burin M, Moncarz E, Velázquez S. El malestar de las mujeres. La tranquilidad recetada. México: Paidós; 1990.
Natera G, Casco M, Herrejón E, Mora J. Interacción entre parejas con diferente patrón de consumo de alcohol y su relación con antecedentes familiares de consumo de México. Salud Ment 1993; 18: 33-43.
Belle D. Poverty and Women’s Mental Health. American Psychologist 1990; 45: 385-9.
Jauregui H. Salud mental y pobreza en asentamientos humanos de San Martín de Porres. Anales de Salud Mental 1996; 12: 27-44.
Lara MA, Salgado de Snyder N. Mujer, pobreza y salud mental. En: Las mujeres en la pobreza. México: El Colegio de México y Grupo Interdisciplinarios de Mujer, Trabajo y Pobreza; 1994, p. 243-91.
Lara MA. Mondragón L, Rubí NA. Un estudio de factibilidad sobre la prevención de la depresión en las mujeres. Salud Ment 1999; 22: 41-8.
Lara MA, Acevedo M, Luna MS. Guía didáctica para el trabajo del material educativo ¿Es difícil ser mujer? Una guía sobre depresión. México: Ed Pax; 2001.
Radloff L. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1997; 1: 385-401.
Spitzer RL, Williams JBW, Gibbon M. Guía del usuario para la entrevista clínica estructurada para el DSM-III-R. Departamento de Psiquiatría e Investigaciones Biométricas de la Universidad del Estado de Nueva York (Structured Clinical Interview for the DSM-III-R. Patient version [SCID-P,4/1/88]. New York State Psychiatry Institute, Biometrics Research); 1998.
Coopersmith S. The antecedents of selfesteem. Palo Alto, California: Consulting Psychologists’ Press; 1981.
Lara MA, Navarro C, Rubí NA, Mondragón L. Outcome of two levels of intervention in low-income women with depressive symptoms. Am J Orthopsychiatry 2003; 73: 35-43.
Lara MA, Navarro C, Rubí NA, Mondragón L. Two levels of intervention in low-income women with depressive symptoms. Compliance and programme assessment. Inter J Soc Psychiatry 2003; 49: 43-57.
Lara MA, Navarro C, Navarrete L, Mondragón L, Rubí NA. Seguimiento a dos años de una intervención psicoeducativa para mujeres con síntomas de depresión. Salud Ment 2003; 6: 27-36.