Un ensayo clínico aleatorizado de farmacoterapia con monitorización telefónica para mejorar el tratamiento de la depresión en la atención primaria en Santiago, Chile / A randomized trial of pharmacotherapy with telephone monitoring to improve treatment of depression in primary care in Santiago, Chile
Rev. méd. Chile
;
135(5): 587-595, mayo 2007. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-456675
ABSTRACT
Background:
Depression is a public health problem, due to its high prevalence and its associated disability.Aim:
To compare a pharmacological intervention for depression controlled by phone from a central level (TM) and the usual treatment (TH) in a randomized clinical trial. Material andmethods:
Three hundred and forty five women, aged 22 to 59 years were studied. They were randomly assigned to receive the usual therapy or a pharmacological intervention with periodical telephone contacts with medical collaboration personnel, to reinforce compliance with treatment and educate about the disease. Women were blindly evaluated at 3 and 6 months with the Hamilton depression rating score (HDRS) and the SF-36 to assess depressive symptoms and quality of life, respectively.Results:
In both evaluations, improvement was significantly greater in the TM group than the TH group. At 3 months, improvement was higher in the TM group in the subscales of physical function, pain, general health, energy, emotional role, mental health and standardized physical and psychic scales of SF-36. At 6 months, this significant difference in favour of TM was maintained for energy, mental health and the standardized psychic scale.Conclusions:
A telephone reinforcement improves the outcomes of treatments for depression.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Telephone
/
Patient Compliance
/
Depression
/
Antidepressive Agents
Type of study:
Controlled clinical trial
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2007
Type:
Article
/
Project document
Affiliation country:
Chile
/
United States
/
United kingdom
Institution/Affiliation country:
Columbia University/US
/
Universidad de Chile/CL
/
University of Bristol/GB
Similar
MEDLINE
...
LILACS
LIS