@article{ref1,
title="Factors associated with psychiatric comorbidity in depression patients in primary health care in Chile",
journal="Depression research and treatment",
year="2018",
author="Cancino, Alfredo and Leiva-Bianchi, Marcelo and Serrano, Carlos and Ballesteros-Teuber, Soledad and Cáceres, Cristian and Vitriol, Veronica",
volume="2018",
number="",
pages="e1701978-e1701978",
abstract="OBJECTIVE: To identify the clinical and psychosocial factors associated with psychiatric comorbidity in patients consulting for depression in Primary Health Care (PHC) in Chile. <br><br>METHODS: 394 patients with a diagnosis of major depression being treated in a Chilean PHC were evaluated using a sociodemographic and clinical interview, the mini-international neuropsychiatric interview (MINI), a childhood trauma events (CTEs) screening, the intimate partner violence (IPV) scale, the Life Experiences Survey (LES), and the Hamilton Depression Rating Scale (HDRS). <br><br>RESULTS: Positive correlations were established between higher number of psychiatric comorbidities and severity of depressive symptoms (r = 0.358), frequency of CTEs (r = 0.228), frequency of IPV events (r = 0.218), frequency of recent stressful life events (r = 0.188), number of previous depressive episodes (r = 0.340), and duration of these (r = 0.120). Inverse correlations were determined with age at the time of the first consultation (r = -0.168), age of onset of depression (r = -0.320), and number of medical comorbidities (r = -0.140). Of all associated factors, early age of the first depressive episode, CTEs antecedents, and recent stressful life events explain 13.6% of total variability in psychiatric comorbidities. <br><br>CONCLUSIONS: A higher prevalence of psychiatric comorbidity among subjects seeking help for depression in Chilean PHCs is associated with early onset of depression, clinical severity, chronicity, and interpersonal adversity experienced since childhood.<p /> <p>Language: en</p>",
language="en",
issn="2090-1321",
doi="10.1155/2018/1701978",
url="http://dx.doi.org/10.1155/2018/1701978"
}