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
Artigo
em Espanhol
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Telefone
/
Cooperação do Paciente
/
Depressão
/
Antidepressivos
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2007
Tipo de documento:
Artigo
/
Documento de projeto
País de afiliação:
Chile
/
Estados Unidos
/
Reino Unido
Instituição/País de afiliação:
Columbia University/US
/
Universidad de Chile/CL
/
University of Bristol/GB
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