Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-12-02T19:06:23.488Z Has data issue: false hasContentIssue false
  • English
  • Français

Predictibilidad del abandono del tratamiento en pacientes ambulatorios con depresión unipolar

Published online by Cambridge University Press:  12 May 2020

E. Hoencamp ,
P. M. J. Haffmans  and
H. J. Duivenvoorden
E. Hoencamp
Affiliation:
Centro Psiquiátrico Bloemendaal, Monsterseweg 93, 2553RJThe Hague
P. M. J. Haffmans
Affiliation:
Centro Psiquiátrico Bloemendaal, Monsterseweg 93, 2553RJThe Hague
H. J. Duivenvoorden
Affiliation:
Centro Psiquiátrico Bloemendaal, Monsterseweg 93, 2553RJThe Hague
Get access

Resumen

En un estudio con una estrategia de tratamiento secuencial de tres fases que implicó a 119 pacientes ambulatorios deprimidos, un total de 31 pacientes (26,7%) interrumpieron prematuramente el tratamiento debido a los efectos secundarios (21/31), el agravamiento de los síntomas (3/31), el incumplimiento terapéutico (4/31) y acontecimientos no relacionados con el tratamiento (3/31). En la línea de base, no se encontraron diferencias en los datos sociodemográficos y psiquiátricos entre los pacientes que abandonaron el tratamiento y los que no lo hicieron. Como predictores del abandono se utilizaron ocho dominios de datos referentes a la historia psiquiátrica, la historia premórbida, los síntomas, la personalidad y el ajuste social. Utilizando un análisis matemático de regresión lineal, sólo se relacionaron con el abandono tres variables. Los pacientes con una historia de uso de alcohol o mal funcionamiento social según el eje V del Manual Diagnóstico y Estadístico DSM III-R tenían una probabilidad más alta de abandonar, mientras que los pacientes con perturbación del sueño según la Lista de Síntomas (SCL)-90 tenían una probabilidad más pequeña de hacerlo.

Keywords

prediccióndepresiónabandono
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 5 , Issue 6 , September 1998 , pp. 379 - 384
Copyright
Copyright © European Psychiatric Association 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Hoencamp E, Haffmans PMJ, Duivenvoorden HJ. Predictability of dropout in unipolar depressed outpatients. Eur Psychiatry 1998; 13: 63-66.

References

Bibliografía

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (3 rd ed, rev) (DSM-III-R). Washington, DC: APA; 1987.Google Scholar
Arrindell, WAEttema, JHM: SCL-90. Handleiding bij een multidimensionele psych opathologie indicator. Lisse: Swets and Zeitlinger, 1986.Google Scholar
Bech, PKastrup, MRafaelsen, OJ, Minicompendium of Rating scales for States of anxiety, depression, mania, schizophrenia with corresponding DSM-III syndromes. Acta Psychiatr Scand 1986; 73: Supl 326: 23-8.Google Scholar
Book, HE. Some psychodynamics of non compliance. Can J Psychiat 1987; 32: 115-7.CrossRefGoogle ScholarPubMed
Carney, MWPRoth, MGarside, RF, The diagnosis of depressive syndromes and the prediction of ECT response. Br J Psychiat 1965; 3: 659-74.Google Scholar
Derogatis, LRLipman, RSCovi, L, The SCL-90: an outpatient psychiatric rating scale. Psychoparmacol Bull 1973; 19: 13–28.Google Scholar
Frank, EPrien, RFKupfer, DJAlberts, L, Implications of non-compliance on research in affective disorders. Psychopharmacol Bull 1985; 21: 37–42.Google Scholar
Guscott, RGrof, P. The clinical meaning of refractory depression: a review for the clinician. Am J Psychiat 1991; 148: 695–704.Google ScholarPubMed
Haynes, RB. A critical review of the “determinants” of patient compliance with therapeutic regimes. In: Sackett, DL. Haynes, RB, eds. Compliance with thera Peuticregimes. Baltimore, London: The Johns Hopkins University Press; 1976.Google Scholar
Hoencamp, Eet, al. Predictors of (non-) response in depressed outpatients treated with a three phase sequential medication strategy. J Affect Disord 1994; 31: 235-46.CrossRefGoogle ScholarPubMed
Jacob, Met, al. Attrition in maintenance therapy for recurrent depression. J Affect Disord 1984; 6: 181-9.CrossRefGoogle ScholarPubMed
Kornblith, SJRehm, LO’Hara, MWLamparski, DM,The contribution of self-reinforcement training and behavioral assignments to the efficacy of self-control therapy for depression. Cogn Ther Res 1983; 7:499-528.Google Scholar
Last, CGThase, MSHersen, MBellack, ASHimmelhoch, JM, Patterns of attrition for psychosocial and pharmacologic treatments of depression. J Clin Psychiat 1985; 46: 361-6.Google ScholarPubMed
Myers, EDCalvert, EJ. Information, compliance and side-effects: A study of patients on antidepresant medication. Br J Clin Pharmacol 1984; 17: 21-5.CrossRefGoogle Scholar
Myers, EDBranthwaite, A. Outpatient compliance with antidepressant medication. Br J Psychiat 1992; 60: 83-6.CrossRefGoogle Scholar
Overall, JEDonachie, NDFaillace, LA, Implications of restrictive diagnosis for compliance to andidepressant drug therapy: alprazolan versus imipramine. J Clin Psychiat 1987; 48: 51-4.Google ScholarPubMed
Park, LCLipman, RS. A comparison of patient dosage deviation reports with pill counts. Psychophamac o l 1964; 6: 299–302.CrossRefGoogle ScholarPubMed
Persons, JBBums, DDPerloff, JJ, Predictors of dropout and outcome in cognitive therapy for depression in a private practice setting. Cogn Ther Res 1988; 12: 557-75.CrossRefGoogle Scholar
Pugh, R. An association between hostility and poor adherence to treatment in patients suffering from depression. Br J Med Psychol 1983; 56: 205-8.CrossRefGoogle ScholarPubMed
Rabin, ASKaslow, NJ, Rehm LR Factors influencing continuation in behavioral therapy. Behav Res Ther 1985; 23: 695-8.CrossRefGoogle Scholar
Roth, HP. Current perspectives the year update on patient compliance research. Patient Educ Couns 1987; 10: 107-16.CrossRefGoogle Scholar
Simons, ADLevine, JLLustman, PJMurphy, GE, Patient attrition in a comparative outcome study of depression: a follow-up report. J Affect Disotd 1984; 6: 163-73.CrossRefGoogle Scholar
Spitzer, RLWilliams, JBW. Structured Clinical Interview for D SM IIIR personality disorders, SCID-II13-11-1987. New York: New York State Psychiatric Institute; 1987.Google Scholar
Spitzer, RLWilliams, JBWGibbon, MFirst, MB, Structured clinical interview for DSM III-R. Washington, DC: American Psychiatric Press; 1990.Google Scholar
Spitzer, RLWilliams, JBWGibbon, MFirst, MB, SCID - User's guide for the Structural Clinical Interv iew for DSM-III-R. Washington, DC: American Psychiatric Press; 1990.Google Scholar
Weissman, MMKlerman, GLPaykel, ESPrusoff, BAHanson, B, Treatment effeets on the social adjustment of depressed patients. Arch Gen Psychiat 1974; 131: 186-91.Google Scholar
Weisman, MMPrusoff, BAThomson, WDHarding, PJMyers, JK, Social adjustment by self-report in a community sample in psychiatric outpatients. J Nerv Ment Disord 1978; 166: 317-26.CrossRefGoogle Scholar