2013, Number 1
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salud publica mex 2013; 55 (1)
Depression: state of the art and the need for public policy and action plans in Mexico.
Berenzon S, Lara MA, Robles R, Medina-Mora ME
Language: Spanish
References: 41
Page: 74-80
PDF size: 189.52 Kb.
ABSTRACT
Depression is an important public health problem. It is the
fourth cause of disease in the world in terms of lost years
of healthy life. In Mexico, it ranks first in terms disability for
women and ninth for men. There is a high comorbidity between
depression and other mental disorders such as anxiety
and substance abuse, as well as other serious and chronic
physical conditions (e.g. diabetes, and heart disease). Despite
the impact of depressive disorders in the quality of life of the
population, there is a large proportion of people who don’t
get treatment, delaying seeking help and thus don’t receive
adequate assistance. The aim of this paper is to present
an analysis of depression status in the Mexican population
from a public health perspective; it includes prevalence and
associated factors, gaps in care, characteristics of the use of
services and treatments available. The paper concludes with
a presentation of the implications for research and mental
health policy in Mexico.
REFERENCES
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.
Kessler RC, Angermeyer M, Anthony JC, De Graaf R, Demyttenaere K, Gasquet I, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry 2007; 6 (3): 168-176.
Aguilar-Gaxiola S, Kramer E, Resendez C, Magaña C. The context of depression in Latinos in the United States. En: Aguilar- Gaxiola S, Gullotta T, ed. Depression in Latinos. Assessment, treatment and prevention. New York: Springer, 2008.
Fleiz C, Ito E, Medina-Mora ME, Ramos L. Los malestares masculinos: Narraciones de un grupo de varones adultos de la Ciudad de México. Salud Mental 2008;31:381-339.
Rafful C, Medina-Mora ME, Borges G, Benjet C, Orozco R. Depression, gender and the treatment gap in Mexico. JAffect Disord 2012;138;35:1-11.
Medina-Mora ME, Rojas E, Borges G, Vázquez-Pérez, Fleiz C, Real T. Comorbidity: Depression and substance abuse. En: Aguilar-Gaxiola S , Gullotta T, eds. Depression in Latinos. Assessment, treatment and prevention. New York: Springer, 2008.
Breslau J, Borges G, Hagar Y, Tancredi D, Gilman S. Immigration to the USA and risk for mood and anxiety disorders: variation by origin and age at immigration. Psychol Med 2009;39:1117-1127.
Medina-Mora ME, Borges G, Lara C, Ramos L, Zambrano J, Fleiz C. Prevalencia de sucesos violentos y de trastorno por estrés postraumático en la población mexicana. Salud Publica Mex 2005a; 47:8-22.
Medina-Mora ME, Borges G, Lara C, Benjet C, Blanco J, et al. Prevalence, service use, and demographic correlates of 12-month DSMIV psychiatric disorders in Mexico: results from the Mexican National Comorbidity Survey. Psychol Med 2005b; 35(12):1773-1783.
Kessler R, Tat W, Demler O, Walters E. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005;62:617-627.
Feijó M, Kohn R, Mari J, Andrade L, Almeida-Filho N, Blay S, et al. La epidemiología de las enfermedades mentales en Brasil. En: Rodríguez J, Kohn R, Aguilar-Gaxiola S, eds. Epidemiología de los trastornos mentales en América Latina y el Caribe. Washington: Organización Panamericana de la Salud, 2009:79-89.
Vicente B, Kohn R, Saldivia S, Rioseci P. Las contribuciones de Chile a la investigación epidemiológica psiquiátrica. En: Rodríguez J, Kohn R, Aguilar- Gaxiola S, eds. Epidemiología de los trastornos mentales en América Latina y el Caribe. Washington: Organización Panamericana de la Salud, 2009:18-131.
Posada-Villa J, Aguilar-Gaxiola S, Deeb-Sossa N. La patología psiquiátrica en Colombia: Resultados del Estudio Nacional de Salud Mental, Colombia, 2003. En: Rodríguez J, Kohn R, Aguilar-Gaxiola S, eds. Epidemiología de los trastornos mentales en América Latina y el Caribe. Washington: Organización Panamericana de la Salud, 2009:64-78.
Lara MC, Medina-Mora ME, Borges G, Zambrano J. Social cost of mental disorders: disability and work days lost. Results from the Mexican Survey of Psychiatric Epidemiology. Salud Mental 2007;30:4-11.
González-Pier E, Gutiérrez-Delgado C, Stevens G, Barraza-Lloréns M, Porras-Condey R, Carvalho N, et al. Definición de prioridades para las intervenciones de salud en el Sistema de Protección Social en Salud de México. Salud Publica Mex 2007;49(Supl 1):S37-S52.
Benjet C, Borges G, Blanco J, Rojas E, Fleiz E, Méndez E. et al. La Encuesta de Salud Mental en adolescentes de México. En: Rodríguez J, Kohn R, Aguilar-Gaxiola S, eds. Epidemiología de los trastornos mentales en América Latina y el Caribe. Washington: Organización Panamericana de la Salud, 2009;90-100.
Mejía-Arango S, Miguel-Jaimes A, Villa A, Ruiz-Arregui L, Gutiérrez- Robledo LM. Deterioro cognoscitivo y factores asociados en adultos mayores en México. Salud Publica Mex 2007;49 (Supl 4):475-481.
Zúñiga E, Vega E. Envejecimiento de la población de México. Reto del siglo XXI. México: Consejo Nacional de Población, 2004:78.
Surkan PJ, Kennedy CE, Hurley KM, Black M. Maternal depression and early childhood growth in developing countries: systematic review and meta-analysis. Bull World Health Organ 2011;287: 607-615.
Gaynes BN, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, et al. Depression: prevalence, screening accuracy, and screening outcomes. Agency for Healthcare Research and Quality. Evidence Report No. 119. 2006 [consultado 2012 septiembre 18] Disponible en: www. ahrq.gov.
The Maternal Mental Health Work Group. House Bill 2666: Maternal Mental Health Work Group. Oregon, USA: Oregon Health Authority; 2010 [consultado 2012septiembre 18] Disponible en: http://www.oregon. gov/OHA/mentalhealth/child-mh-soc-in-plan-grp/reports/hb2666.pdf?ga=t.
Alvarado-Esquivel C, Sifuentes-Álvarez A, Estrada-Martínez S, Salas- Martínez C, Hernández-Alvarado B, Ortiz-Rocha S, et al. Prevalencia de depresión posnatal en mujeres atendidas en hospitales públicos de Durango, México. Gac Med Mex 2010;146:1-9.
Antenatal and postnatal mental health. The nice guideline on clinical management and service guidance. The British Psychological Society. Great Britain: Alden Press; 2007. [consultado 2012 septiembre 20] Diponible en: http://www.nice.org.uk/nicemedia/pdf/CG45fullguideline.pdf.
Lara MA, Navarro C, Navarrete L. Outcome results of a psychoeducational intervention in pregnancy to prevent PPD: A randomized control trial. J Affecti Disord2010;122:109-117.
Bennett H, Einarson A, Taddio A, Koren G, Einarson, T. Depression during pregnancy. Overview of clinical factors. Clin Drug Invest 2004;24:157-179.
Lara MA, Le HN, Letechipia G, Hochhausen L. Prenatal depression in Latinas in the U.S. and Mexico. Matern Child Health J 2009;13:567-76.
Davis WK, Hess GE, Hiss RG. Psychological correlates of survival in diabetes. Diabetes Care 1988;11:538-545.
Word Federation for Mental Health. Mental health and chronic physical illnesses. The need for continued and integrated care. USA: World Federation for Mental Health, 2010.
Caraveo J. Epidemiología psiquiátrica en México 1977-2000. En: Rodríguez J, Kohn R, Aguilar-Gaxiola S, eds. Epidemiología de los trastornos mentales en América Latina y el Caribe. Washington: Organización Panamericana de la Salud, 2009;132-144.
Bittner A, Goodwin RD, Wittchen H, Beesdo H, Höfle M, Lieb R. What characteristics of primary anxiety disorders predict subsequent major depressive disorder? J Clin Psychiat 2004;65:618-626.
Wang P, Angermeyer M, Borges G, Bruffaerts R, Tat Chiu W, Girolamo G, et al. Delay and failure in treatment seeking after first onset of mental disorders in the World Mental Health Survey Initiative. En: Kessler R, Ustun TB, eds. The WHO World Mental Health Surveys. Global perspectives on the epidemiology of mental disorders. Cambridge University Press/World Health Organization, 2008;522-533.
Borges G, Medina-Mora ME, Wang P, Lara C, Berglund P, Walters E. Treatment and adequacy of treatment of mental disorders among respondents to the Mexico National Comorbidity Survey. Am J Psychiatry 2006;163:1371–1378.
Berenzon, S, Saavedra N, Alanis S. Estrategias utilizadas por un grupo de mujeres mexicanas para cuidar su salud emocional. Autoatención y apoyo social. Salud Publica Mex 2009;51:474-481.
Wagner F, González-Forteza C, Sánchez-García S, García-Peña C, Gallo J. Enfocando la depresión como problema de salud pública en México. Salud Mental 2012; 35(1):3-11.
Chisholm D. Dollars, DALYs and decisions: economic aspects of the mental health system. Geneva: World Health Organization, 2006.
Lara-Muñoz MC, Robles-García R, Orozco R, Real T, Chisholm D, Medina-Mora ME. Estudio de costo-efectividad del tratamiento de la depresión en México. Salud Mental 2010;33:301-308.
Thase ME, Greenhouse JB, Frank E, ReynoldsCF, Pilkonis PA, Hurley K, et al. Treatment of major depression with psychotherapy or psychotherapy-pharmacotherapy combinations. Arch Gen Psychiatry 1997;54;1009-1015.
Muñoz, RF, Ghosh Ippen C, Rao S, Le HL, Dwyer EV. Manual de terapia de grupo para el tratamiento cognitivo-conductual de la depresion: Aprendiendo a manejar su realidad personal. [consultado 2012 septiembre 26] Disponible en: http://www.medschool.ucsf.edu/latino/ cbtdspan.aspx
Páez F, Robles R, Chávez J. Eficacia de una intervención psicológica impartida por un pasante de medicina para disminuir la sintomatología depresiva y ansiosa en mujeres rurales del estado de Jalisco. Trabajo de investigación presentado en el Encuentro Nacional de Investigadores. Veracruz, México: Secretaría de Salud, 2002.
Lara M, Navarro C, Rubí N, Mondragón, L. Outcome of two levels of intervention in low-income women with depressive symptoms. Am J Orthopsychiatry 2003; 73(1): 35-43.
Riveros A, Cortazar-Palapa J, Alcazar F, Sánchez Sosa JJ. Efectos de una intervención cognitivo conductual en la calidad de vida, ansiedad, depresión y condición médica de pacientes diabéticos e hipertensos esenciales. Int J Clin Health Psychol 2005;5:445-462.