TY - JOUR
PY - 2018//
TI - Factors associated with psychiatric comorbidity in depression patients in primary health care in Chile
JO - Depression research and treatment
A1 - Cancino, Alfredo
A1 - Leiva-Bianchi, Marcelo
A1 - Serrano, Carlos
A1 - Ballesteros-Teuber, Soledad
A1 - Cáceres, Cristian
A1 - Vitriol, Veronica
SP - e1701978
EP - e1701978
VL - 2018
IS -
N2 - OBJECTIVE: To identify the clinical and psychosocial factors associated with psychiatric comorbidity in patients consulting for depression in Primary Health Care (PHC) in Chile.
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).
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.
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. Language: en
LA - en
SN - 2090-1321
UR - http://dx.doi.org/10.1155/2018/1701978
ID - ref1
ER -