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Identificación de los síntomas somáticos y de ansiedad que contribuyen a la detección de la depresión en la atención primaria

Published online by Cambridge University Press:  12 May 2020

Katrin Barkowa ,
T. Reinhard Heuna ,
T. Bedirhan Üstÿnb ,
Mathias Berger ,
Isaac Bermejo ,
Wolfgang Gaebeld ,
Martin Hárter ,
Frank Schneider ,
Rolf-Dieter Stieglitz  and
Wolfgang Maier
Katrin Barkowa
Affiliation:
Departamento de Psiquiatría, Universidad de Bonn, Sigmund-Freud-Strasse 25, 53105Bonn, Alemania
T. Reinhard Heuna
Affiliation:
Departamento de Psiquiatría, Universidad de Bonn, Sigmund-Freud-Strasse 25, 53105Bonn, Alemania
T. Bedirhan Üstÿnb
Affiliation:
Organización Mundial de la Salud, Ginebra, Suiza
Mathias Berger
Affiliation:
Departamento de Psiquiatría, Universidad de Friburgo, Alemania
Isaac Bermejo
Affiliation:
Departamento de Psiquiatría, Universidad de Friburgo, Alemania
Wolfgang Gaebeld
Affiliation:
Departamento de Psiquiatría, Universidad de Düsseldorf, Alemania
Martin Hárter
Affiliation:
Departamento de Psiquiatría, Universidad de Friburgo, Alemania
Frank Schneider
Affiliation:
Departamento de Psiquiatría, Universidad de Düsseldorf, Alemania Departamento de Psiquiatría y Psicoterapia, Hospital Universitario, Aquisgrán, Alemania
Rolf-Dieter Stieglitz
Affiliation:
Departamento Ambulatorio Psiquiátrico Universitario, Universidad de Basilea, Suiza
Wolfgang Maier
Affiliation:
Departamento de Psiquiatría, Universidad de Bonn, Sigmund-Freud-Strasse 25, 53105Bonn, Alemania
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Resumen

A menudo, se hace caso omiso de los smtomas somáticos y los síntomas de ansiedad en la detección de la depresión en atencion primaria. La presente investigacion examinó en qué medida los síntomas somáticos y de ansiedad registrados en la Entrevista Diagnostica Internacional Compuesta-Version de Atención Primaria (CIDI-PHC) pueden mejorar la detección de la depresión comparado con el Cuestionario de Salud General, versión de 12 elementos, solo. Se utilizaron datos del estudio de la Organización Mundial de la Salud sobre Problemas Psicológicos en Atención Sanitaria General. La muestra de estudio constaba de las personas que acudieron a los servicios de atención primaria de 15 centros de todo el mundo y se sometieron a un examen psiquiátrico con la CIDI-PHC. Los smtomas somáticos sin explicación médica (dolor de espalda, sensaciones de pesadez/ligereza en partes del cuerpo, períodos de debilidad corporal, crisis/convulsiones, cansancio permanente, agotamiento después de un esfuerzo mínimo) y -en menor medidasíntomas de ansiedad diversos (p. ej., sentimientos de ansiedad/nerviosismo, sentimientos de tensión, dificultades para relajarse) contribuyeron significativamente a la detección de la depresión en un análisis de regresión logística. Los resultados confirman la observación de que, en la atención primaria, los síntomas somáticos desempefian un papel importante en la manifestacion de los trastornos depresivos. Los elementos investigados aquí podrían resultar beneficiosos para que futuros instrumentos de deteccion selectiva de la depresivos en la atención primaria.

Keywords

DepresiónAtención primariaDetecciónInstrumentos de detección selectivaSomatizaciónAnsiedad
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 11 , Issue 8 , November 2004 , pp. 514 - 521
Copyright
Copyright © European Psychiatric Association 2000

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