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Revista chilena de neuro-psiquiatría

On-line version ISSN 0717-9227

Abstract

NAVARRETE R., Gonzalo; SALDIVIA B., Sandra; VICENTE P., Benjamín  and  BUSTOS N., Claudio. Evaluation of the results of the actions of detection, diagnosis and treatment of the Depressive Episode carried out in patients attended in primary care from the Province of Concepción, Chile. Rev. chil. neuro-psiquiatr. [online]. 2017, vol.55, n.3, pp.160-169. ISSN 0717-9227.  http://dx.doi.org/10.4067/s0717-92272017000300160.

The Chilean Ministry of Health implemented since 2001 the program for treating depression in primary health care (PCH).

General objective:

To evaluate the result of detection, diagnostic and treatment of depressive episodes performed by consultants of the first level of care in the Province of Concepción, Chile.

Method:

Follow-up of six months of a random sample of users consulting for general morbidity in PHC of the Province of Concepción, Chile. A total of 307 users with positive diagnosis of depression (DSM-IV) using the psychiatric structured Composite International Diagnostic Interview 2.1 (CIDI) were admitted to the study. Regression analyses, binary and ordinal logistic were performed to predict the detection of the disorder, the type of treatment applied and the course of the disease, from sociodemographic, clinical and structure variables.

Results:

The prevalence of six months of depression reached 16.5% (n=431), prior to exclusion criteria. Doctors detected the 31.6% of the cases, with significant differences per center. Most of the interventions were of the psychosocial type (18.6%), followed by pharmacological interventions (9.4%) and 3.6% of both types. After six months, the diagnosis had remitted in 60-7% of the users. However, this evolution was not linked to the interventions received or previous diagnosis, but to personal variables of the users.

Conclusions:

The detection capacity of the professionals in PHC is low, interventions are scarce and probably, the evolution of the diagnosis is not affected by the intervention.

Keywords : Evaluation; depression; primary care health; treatment.

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