RESUMO
El objetivo de esta investigación fue identificar el grado de validación de la narrativa prototipo de la depresión de un grupo de adultos intermedios y tardíos, clasificados como depresivos y otro grupo clasificado como no depresivo de la ciudad de Bucaramanga, diferenciándolos en el grado de su atribución de relación; por medio de una escala de validación convergente de la narrativa prototipo y su patología. Dicha muestra estuvo compuesta por 600 adultos intermedios y tardíos, hombres y mujeres entre los 40 y 75 años de edad, seleccionados de acuerdo con el SCID (Entrevista estructurada de trastornos mentales basada en el DSM-IV), que se utilizó para descartar otras patologías relacionadas con la depresión, y el test de Hamilton (Hamilton Depressión Rating Scale, o HRSD) para identificar el grado de gravedad de la depresión. A su vez, el SCID y el test de Hamilton constituyen los instrumentos de evaluación, así como la narrativa prototipo de la depresión, el instrumento de prueba. Los resultados de los análisis del Chi-cuadrado y el Gamma indicaron que los sujetos depresivos difieren de los no depresivos, atribuyendo a la narrativa prototipo de la depresión un mayor grado de relación con su vida que los sujetos no depresivos; por lo tanto, a mayor grado de identificación con la narrativa prototipo de la depresión del grupo clasificado como depresivo, menor será el grado de identificación con la narrativa prototipo de la muestra clasificada como no depresiva.
The objective of the present investigation work was to identify the validation degree of the narrative prototype of the depression of a group of depressive intermediate and delayed adults classified as a depressive and another group classified as non depressive of the city of Bucaramanga, differentiating them by the attribution of relation degree through a convergent validation scale from the narrative prototype and its pathology. This sample was composed by 600 intermediate and delayed adults, men and women between the 40 and 75 years old, which were selected according to the SCID (structured interview of mental upheavals based on the DSM-IV), that was used to discard other pathologies related to the depression and, the test of Hamilton (Hamilton Depression Scale Rating, or HRSD) to identify the degree of gravity of the depression, the SCID and the test of Hamilton as well constitute the instruments of evaluation, and the narrative prototype of the depression, the instrument of test. The results of the analyses of the Chi-square, and the Gamma, indicated that the depressive subjects differ from the nondepressive ones, attributing to the narrative prototype of the depression a greater degree of relation with their life that the nondepressive subjects, therefore, to greater degree of identification with the narrative prototype of the depression of the classified group as depressive minor will be the degree of identification with the narrative prototype of the sample classified like nondepressive.
RESUMO
BACKGROUND: Depressive symptoms are common in the medically ill patients although depressive disorders are considerably underdiagnosed and undertreated. Therefore, we examined the characteristics of depressive tendency in medical inpatients. METHODS: The patient group-144 subj.cts(90 males, 54 females) were selected from medical inpatients of Kae Jung hospital. 158 subjects(106 male, 52 females) with no prior history of diseases were selected for the control group. The Beck Depression Inventory(BDI) and Hamilton Rating Scale for Depression(HRSD) was used for both groups from June to December 1997. RESULTS: The patient group had a significant higher BDI and HRSD score than controls(p<0.01). In the patients, 31.3% had scores on the BDI greater than the cutting score of 21, and 26.4% had scores on the HRSD greater than the cutting score of 22. In the patients, demographic and medical variables were evaluated with respect to depression. those in their 60's, with education level of elementary school and below. the divorced, bereaved and separated, and having duration of illness more than one year were statistically more depressed, but depression was not associated with sex, religion and medical diagnosis. CONCLUSIONS: This study indicates that depressive tendency may be a common phenomena in medically ill patients. Therefore, we should suspect depression in the management of these patients.