medigraphic.com
Colegio de Medicina Interna de México.

2010, Number 1

<< Back Next >>

Med Int Mex 2010; 26 (1)

Frecuencia de ansiedad y depresión en pacientes adultos en la sala de urgencias de un hospital general no gubernamental e identificación por el médico de urgencias

Vilchis-Aguila IA, Secín-Diep R, López-Avila A, Córdova-Pluma VH

Language: Spanish
References: 23
Page: 5-10
PDF size: 318.18 Kb.


ABSTRACT

Background: The combination of physical and psychiatric pathology may complicate the diagnosis, course and treatment of patients. The effect of this comorbidity leads to increased levels of disability, higher health care costs, longer hospitalization, more unnecessary diagnostic tests, more frequent rehospitalizations, more medical care and response to treatment less satisfactory.
Objective: To determine the frequency of anxiety and depression in a sample of adult patients attending the emergency department at Hospital Angeles Pedregal.
Method: X made in order to investigate the anxiety-depressive symptoms in patients who go to the emergency room doctor for any reason. To determine the frequency of anxiety and depressive symptoms by anxiety and depression scale hospital.
Results: We found a frequency of 34.8 patients with anxiety and depression 8.7%. The emergency physician identified one patient with panic attacks.
Conclusions: we need a systematic and timely identification of anxiety disorders and depression in emergency rooms because this could be the starting point for monitoring these patients. The lack of attention to this area of conditions can increase morbidity and mortality.


REFERENCES

  1. Musselman DL, McDaniel JS, Porter MR, Nemeroff CB. Screening for depression. J Med Assoc Ga 1999;88(1):47-53.

  2. Beck DA, Koenig HG. Minor depression: a review of the literature. Int J Psychiatry 1996;26(2):177-209.

  3. Hall MF, Wise RG. Patient satisfaction or acquiescence? Comparing mail and telephone survey results. J Health Care Mark 1995;15(1):54-61.

  4. Koenig HG, George LK, Meador KG. Use of antidepressants by nonpsychiatrists in the treatment of medically ill hospitalized depressed elderly patients. Am J Psychiatry 1997;154(10):1369-1375.

  5. Smith GC, Strain JJ, Hammer JS, et al. Organic mental disorders in the consultation-liaison psychiatry setting. A multi-site study. Psychosomatics 1997;38(4):363-373.

  6. Kroenke K. Discovering depression in medical patients: reasonable expectations. Ann Intern Med 1997;15;126(6):463-467.

  7. Söllner W, Schüssler G. Psychodynamic therapy in chronic pain patients: a systematic review. Z Psychosom Med Psychother 2001;47(2):115-139.

  8. Kessler RC, Walters EE. Epidemiology of DSM-III-R major depression and minor depression among adolescents and young adults in the National Comorbidity Survey. Depress Anxiety 1998;7(1):3-14.

  9. Baker F, Jodrey D, Zabora J, Douglas C, Fernandez-Kelly P. Empirically selected instruments for measuring quality-of-life dimensions in culturally diverse populations. J Natl Cancer Inst 1996;(20):39-47.

  10. Ustün TB, Cooper JE, van Duuren-Kristen S, Kennedy C, et al. Revision of the ICIDH: mental health aspects. WHO/MNH Disability Working Group. Disabil Rehabil 1995;17(3-4):202-209.

  11. Beck AT, Guth D, Steer RA, Ball R. Screening for major depression disorders in medical inpatients with the Beck Depression Inventory for Primary Care. Behav Res Ther 1997;35(8):785-791.

  12. Bjelland I, Dahl A, Haug TT, Neckelmann D. The validity and interpretation of The Hospital Anxiety and Depression Scale. J Psychosom Res 2002;52:69-77.

  13. Calle J. La evaluación diagnóstica del paciente deprimido. Revista Colombiana de Psiquiatría 2000;6:3-7.

  14. Cassem H. Depressive disorders in the medically ill. An overview. Psychosomatics 1995;36:S2-10.

  15. Herrmann C, International experiences with the Hospital Anxiety and Depression Scale –a review of validation data and clinical results. J Psychosom Res. 1997 Ene; 42 (1): 17-41.

  16. Ingvar Bjelland, Alv A Dahl, Tone Tangen Haug, et al. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 2002;52(2):69-77.

  17. Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness. Biological Psychiatry 2003;54:216-226.

  18. Mykletun A, Stordal E, Dahl AA. The Hospital Anxiety and Depression Scale (HADS): factor structure, item analysis, and internal consistency in a large population. Br J Psychiatry 2001;179:540-544.

  19. Murray CJL, López AD. Evidence-based health policylessons from the Global Burden of Disease Study. Science 1996;274:740-743.

  20. Rico J, Restrepo M, Molina M. Adaptación y validación de la escala hospitalaria de ansiedad y depresión (HAD). En una muestra de pacientes con cáncer del Instituto Nacional de Cancerología de Colombia. Revista del Laboratorio de Psicometría 2005;3:73-86.

  21. Stordal E, Mykletun A, Bjelland I, Dahl AA. Anxiety and depression in individuals with somatic health problems: the Nord Trøndelag Health Study (HUNT). Scand J Prim Health Care 2003;21:136-141. 22. Thompson C, Ostler K, Peveler RC, Baker N, Kinmonth AL. Dimensional perspectives in the recognition of depressive symptoms in primary care: the Hampshire Depression Project. Br J Psychiat 2001;179:317-323.

  22. Tone Tangen Haug, Arnstein Mykletun, Alv AD. The Association Between Anxiety, Depression, and Somatic Symptoms in a Large Population: The HUNT-II Study. Psychosomatic Medicine 2004;66:845-851.

  23. Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67:361-370.




2020     |     www.medigraphic.com