Tesis doctoral de Lili Sperry Dopino
Objectives: the main objective of this study is to determine and describe the prevalence of undiagnosed and untreated depression in medical inpatients and evaluate outcome after a six-month follow-up. subjects and methods: this is a longitudinal, observational, blind, comparative case/non-case study with a baseline hospital two-stage screening phase and a six-month follow-up phase. A consecutive series of adult patients admitted to the internal medical inpatient ward were recruited. Selected patients were assessed in two phases; screened after admission and administered a psychiatric interview prior to discharge. A follow-up interview was administered at six months to evaluate outcome. Instruments used were standardized spanish versions of the mini-mental state examination, cage questionnaire, hospital anxiety and depression scale (hads), cumulative illness rating scale, the standardized polyvalent psychiatric interview (sppi), quality of life sf-36 survey, euroqol-5d questionnaire and a modification of the client receipt service interview (ceus). Measures include prevalence of depression, comparisons between cases and controls and outcome measures including prevalence of depression at six-month, chronicity rates for each diagnostic category and comparisons between remitted cases and chronic cases. Predictive values for the hads questionnaire are calculated. results: during the hospitalization phase 425 patients were selected for the study and 224 included and interviewed. The total prevalence of depression found was 19.4%. Major depression was the most frequent diagnosis and represented 8.3%, dysthimia 5.5% and adjustment disorder with depressed mood 5%. The total prevalence of psychiatric disorders was 26.9%, mainly composed of adjustment disorder with mixed anxiety and depression mood (6.7% of total). No significant differences were found between groups for socio-demographic or medical data. The case group did show a number of more severe psychiatric and somat
Datos académicos de la tesis doctoral «Chronic outcome of depression in medical patients: a six-month follow-up study«
- Título de la tesis: Chronic outcome of depression in medical patients: a six-month follow-up study
- Autor: Lili Sperry Dopino
- Universidad: Autónoma de barcelona
- Fecha de lectura de la tesis: 03/03/2008
Dirección y tribunal
- Director de la tesis
- Antonio Bulbena Vilarrasa
- Tribunal
- Presidente del tribunal: Antonio Lobo satué
- inmaculada Ruiz ripoll (vocal)
- Martín lópez Luis miquel (vocal)
- José Manuel Menchon magriña (vocal)