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ISSN 0185-3325 (Print)
Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2000, Number 6

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Salud Mental 2000; 23 (6)

Los conocimientos de los estudiantes de medicina y del personal médico relacionados con el síndrome depresivo

Flores-Gutiérrez MY, Páez F, Ocampo-Castañeda J, Corona-Hernández F

Language: Spanish
References: 41
Page: 12-17
PDF size: 150.59 Kb.


ABSTRACT

The aim of this study is to evaluate and compare the knowledge about major depression among 4th year Medical students, interns, family medicine residents and family medicine physicians. Method: In a cross-sectinal comparative observation study, all candidate subjects fullfilling the selection criteria, and working at the Family Medicine Unit of the Psychiatric Hospital # 10 “Dr. Guillermo Dávila”, and at The Regional General Hospital #98, both from the Mexican Institute for Social Security, in Mexico City, were selected. The items of the instrument used were selected from two basic self-evaluation texts on psychiatry. Results: The final groups were: 40 fourth year medical students, 33 medical interns, 30 family medicine residents and 30 family medicine physicians. Medical students rated significantly higher than the rest of the groups in the total number of correct answers and in the total ratings ranging from 1 to 100. Conclusion: This work suggest the need of providing continous educat ion in major depression to interns, residents and family medicine physicians.


REFERENCES

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  2. 2 BROWN CH, SCHULBERG H: Treatment outcomes for primary care patients with major depression and lifetime anxiety disorders. Am J Psychiatry, 153:1293-1300, 1996.

  3. COYNE JC, FECHNER-BATES S, SCHWENK TL: Nondetection of depressión by primary care physicians reconsidered. General Hospital Psychiatry, 17:3-12, 1995.

  4. COYNE JC, FECHNER-BATES S, SCHWENK TL: Prevalence, nature, and comorbidity of depressive disorders in primary care. General Hospital Psychiatry, 16:267-276, 1994.

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  7. FREELING P: Diagnosis and treatment of depression in general practice. British J Psychiatry, 163 (supl. 20):14-19, 1993.

  8. GREENBERG PE: Depression: A neglected major illness. J Clin Psychiatry, 54:419-424, 1993.

  9. 9 GUTIERREZ GN, AGUILAR E, VINIEGRA VL: Validación de un instrumento para evaluar la competencia clínica del médico familiar. Rev Med IMSS, 37(3):201-210, 1999.

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  17. OXMAN TE: New paradigms for understanding the identification and treatment of depression in primary care. General Hospital Psychiatry, 19:79-81, 1997.

  18. SHAPIRO S, GERMAN PS, SKINNER EA: An experiment to change detection and management of mental morbidity in primary care. Med Care, 25:327-339, 1997.

  19. TYLEE A: The recognition and diagnosis of depression in general practice. Review article. Psychiatry peer selected citations. Current Medical Literature LTD, 17-23, 1996.

  20. WEXLER BE: The outpatient treatment of depression implications of outcome research for clinical practice. J Nerv Ment Dis, 180:277-286, 1992.

  21. ZUNG WWK, MAGILL M, MOORE J, GEORGE TD: Recognition and treatment of depression in a family medicine practice. J Clin Psychiatry, 44:3-6, 1983.

  22. BELFORT E: La depresión en la práctica médica. Una propuesta para su reconocimiento y abordaje en Latinoamérica. Acta Supl Psicofarmacológico, 1:3-7, 1998.

  23. BROWN CH, SCHULBERG H: Treatment outcomes for primary care patients with major depression and lifetime anxiety disorders. Am J Psychiatry, 153:1293-1300, 1996.

  24. COYNE JC, FECHNER-BATES S, SCHWENK TL: Nondetection of depressión by primary care physicians reconsidered. General Hospital Psychiatry, 17:3-12, 1995.

  25. COYNE JC, FECHNER-BATES S, SCHWENK TL: Prevalence, nature, and comorbidity of depressive disorders in primary care. General Hospital Psychiatry, 16:267-276, 1994.

  26. DE LA FUENTE R: Psicología Médica. Fondo de Cultura Económica, 2a. Ed. México, 1992.

  27. DE SANTILLANA HP, ALVARADO ME: Depresión en población adulta mayor. Tamizaje en unidad de primer nivel de atención médica. Rev. Med IMSS, 37(2):111-115, 1999.

  28. FREELING P: Diagnosis and treatment of depression in general practice. British J Psychiatry, 163 (supl. 20):14- 19, 1993.

  29. GREENBERG PE: Depression: A neglected major illness. J Clin Psychiatry, 54:419-424, 1993.

  30. GUTIERREZ GN, AGUILAR E, VINIEGRA VL: Validación de un instrumento para evaluar la competencia clínica del médico familiar. Rev Med IMSS, 37(3):201-210, 1999.

  31. H CHAN C, PROSEN H: Psychiatry. Question & Answers. Medical Examination Publishing Company. Décima edición. Appleton & Lange, Norwalk, 1995.

  32. HERRAN A, VAZQUEZ-BARQUERO JL, ARTAL J, GARCIA J, IGLESIAS C, MONTEJO J, DIEZ-MANRIQUE JF: El reconocimiento de la enfermedad mental en atención primaria y sus factores determinantes. Actas Esp Psiquiatr, 27(2):87-95, 1999.

  33. JONSON B, ROSENBAUN J: Economía de la salud en la depresión. Perspectivas en Psiquiatría, Vol. 4, Ed. Wiley: 49-50, Chichester, 1993.

  34. KATON W, GONZALEZ J: A review of randomized trials of psychiatric consultation-liaison studies in primary care. Psychosomatics, 35:268-278, 1994.

  35. NELSON JC, GREENFELD D: Pretest Autoevaluación y Repaso. Editorial Masson, Barcelona, 1997.

  36. ORGANIZACION MUNDIAL DE LA SALUD: CIE 10. Trastornos Mentales y del Comportamiento. Pautas Diagnósticas y de Actuación en Atención Primaria. Editorial Izquierdo SA, Madrid, 1996.

  37. OXMAN TE: New paradigms for understanding the identification and treatment of depression in primary care. General Hospital Psychiatry, 19:79-81, 1997.

  38. SHAPIRO S, GERMAN PS, SKINNER EA: An experiment to change detection and management of mental morbidity in primary care. Med Care, 25:327-339, 1997.

  39. TYLEE A: The recognition and diagnosis of depression in general practice. Review article. Psychiatry peer selected citations. Current Medical Literature LTD, 17-23, 1996.

  40. WEXLER BE: The outpatient treatment of depression implications of outcome research for clinical practice. J Nerv Ment Dis, 180:277-286, 1992.

  41. ZUNG WWK, MAGILL M, MOORE J, GEORGE TD: Recognition and treatment of depression in a family medicine practice. J Clin Psychiatry, 44:3-6, 1983.




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