ABSTRACT
BACKGROUND: In Chile, there are inconsistencies in the management of depression in primary care settings, and the National Depression Program, currently in effect, was implemented without a standardized training program. The objective of this study is to evaluate the acceptability of a training program on the management of depression for primary care health teams. METHODS: The study was a randomized controlled trial, and two primary centers from the Metropolitan Region of Santiago were randomly selected to carry out the intervention training program. Pre-post surveys were applied, to evaluate expectations and satisfaction with the intervention, respectively. Descriptive and content analysis was carried out. RESULT: The sample consisted of 41 health professionals, 56.1% of who reported that their expectations for the intervention were met. All of the training activities were evaluated with scores higher than 6.4 (on a 1-7 scale). The trainers, the methodology, and the learning environment were considered strengths and facilitators of the program, while the limited duration of the training, the logistical problems faced during part of the program, and the lack of educational material were viewed as weaknesses. CONCLUSION: The intervention was well accepted by primary health care teams. However, the clinical impact in patients still has to be evaluated.
ABSTRACT
Background: Chile is receiving immigrant populations coming from other Latin-American countries. Aim: To determine the prevalence of Common Mental Disorders (CMD) among immigrants who live in Independencia, a quarter in Santiago, Chile. Material and Methods: A cross sectional study was carried out in the primary health care clinic and in the state-funded school of Independencia. A representative sample of 282 adults and 341 children were interviewed. Mental disorders were diagnosed using CIS-R and MINI structured interviews. Results: The interviewed immigrants came mostly from Peru. The prevalence of mental disorders in the adult population was 17.8 percent and among children, it was 29.3 percent. Conclusions: The adult immigrants have a lower prevalence of mental disorders than the Chilean population but it increases among children. Barriers of access to health services, that should be solved, were detected.
Subject(s)
Adolescent , Adult , Child , Female , Humans , Male , Middle Aged , Young Adult , Emigrants and Immigrants/psychology , Health Services Accessibility/statistics & numerical data , Mental Disorders/epidemiology , Chile/epidemiology , Cross-Sectional Studies , Mental Disorders/ethnology , Peru/ethnologyABSTRACT
BACKGROUND: Chile is receiving immigrant populations coming from other Latin-American countries. AIM: To determine the prevalence of Common Mental Disorders (CMD) among immigrants who live in Independencia, a quarter in Santiago, Chile. MATERIAL AND METHODS: A cross sectional study was carried out in the primary health care clinic and in the state-funded school of Independencia. A representative sample of 282 adults and 341 children were interviewed. Mental disorders were diagnosed using CIS-R and MINI structured interviews. RESULTS: The interviewed immigrants came mostly from Peru. The prevalence of mental disorders in the adult population was 17.8% and among children, it was 29.3%. CONCLUSIONS: The adult immigrants have a lower prevalence of mental disorders than the Chilean population but it increases among children. Barriers of access to health services, that should be solved, were detected.
Subject(s)
Emigrants and Immigrants/psychology , Health Services Accessibility/statistics & numerical data , Mental Disorders/epidemiology , Adolescent , Adult , Child , Chile/epidemiology , Cross-Sectional Studies , Female , Humans , Male , Mental Disorders/ethnology , Middle Aged , Peru/ethnology , Young AdultABSTRACT
En este estudio doble ciego, controlado con placebo, participaron 11 dependientes al alcohol que reunian los criterios de DSM-III-R. Durante 15 meses, el primer grupo (n=6) recibió captopril 150 mg/dia y el segundo (n=5) recibió los tratamientos convencionales; los dos grupos recibieron además psicoterapia de apoyo. Cuando se comparó con los valores basales, los pacientes de ambos grupos mostraron una mejoría notable que se tradujo en una reducción de alrededor del 90 porciento de la cantidad de tragos standard consumidos y de los días de embriaguez a la semana y en un aumento significativo de los dias de abstinencia. También se observó una dismunución de cerca del 80 porciento en el número de días con apetito y más o menos del 50 porciento de la intensidad de éste. La calidad de vida mejoró significativamente en ambos grupos. Sin embargo, no hubo diferencias significativas cuando se compararon estos resultados con los obtenidos con el placebo ni cuando se compararon los efectos de captopril versus tratamientos convencionales entre sí
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Alcoholism/drug therapy , Captopril/therapeutic use , Double-Blind Method , Follow-Up Studies , Psychotherapy , Quality of Life/psychologyABSTRACT
Se evalúan 30 pacientes afectivos por une quipo de Salud Mental siguiendo criterios diagnósticos CIE-10 y DSM-III-R. Se comparan los resultados. Se analizan aspectos significativos de la CIE-10 y diferencias entre ambas clasificaciones en esta área
Subject(s)
Humans , Male , Female , Adult , Affective Disorders, Psychotic/diagnosis , Age Factors , Sex FactorsABSTRACT
Se evalúan 30 pacientes afectivos por une quipo de Salud Mental siguiendo criterios diagnósticos CIE-10 y DSM-III-R. Se comparan los resultados. Se analizan aspectos significativos de la CIE-10 y diferencias entre ambas clasificaciones en esta área (AU)
Subject(s)
Comparative Study , Humans , Male , Female , Adult , Affective Disorders, Psychotic/diagnosis , Age Factors , Sex FactorsABSTRACT
Se estudia la evolución a 10 años plazo de un grupo de 26 pacientes alcohólicos, hospitalizados en 1978, en la Clínica Psiquiátrica Universitaria. En el transcurso del tiempo se perfilaron dos grupos, uno de buena y otro de mala evolución. Fueron similares en cuanto a: edad promedio, estado civil, cuadro clínico y tratamiento recibido. Encontramos que el grupo de mala evolución era claramente mayoritario y estaba formado principalmente por varones inactivos o jubilados y tenían mejor nivel educacional. Finalmente el hecho más inquietante fue mortalidad encontrada, que alcanzó al 38,5% de los sujetos y con edad promedio de 53 años, datos que ilustran la gravedad de la enfermedad
Subject(s)
Adult , Middle Aged , Humans , Male , Female , Alcoholism/epidemiology , Follow-Up StudiesABSTRACT
Se describe la evolución de la Conciencia de Enfermedad y la permanencia en abstinencia absoluta de un grupo de 12 alcohólicos hombres en rehabilitación. Se describe también las vivencias de las cónyuges. Se efectuó un seguimiento de 2 años