[Psychological evaluations of operation of patients with mental disorders].

UNLABELLED: The severe and chronic mental illnesses such as schizophrenia are associated with very complex problems that are not confined to the symptoms but also affect psychosocial functioning and community integration. OBJECTIVE: To evaluate the reliability (in terms of internal consistency) of the WHODAS 2.0 for analyzing the psychosocial functioning of people with schizophrenia living in the community and using mental health services, and report the WHODAS 2.0 results from the same sample. METHODS: The sample comprised 100 users diagnosed with schizophrenia (F20 to F29 of ICD 10) living in the community and in contact with mental health services in Córdoba, Buenos Aires and San Luis in Argentina. Interviewers were trained in the use of the WHODAS 2.0. RESULTS: For the overall internal consistency of the WHODAS 2.0: Cronbach's alpha = 0.78. WHODAS 2.0 results for these service users were: Domain 1, 57% none, 19.4% mild, 20.4% moderate, 3.2% severe. Domain 2, 60.2% none, 18.3% mild, 17.2% moderate, 3.2% severe. Domain 3, 54.9% none, 23.7% mild, 19.4% moderate, 2.2% severe. Domain 4, 74.2% none, 18.3% mild, 6.5% moderate, 1.1% severe. Domain 5, 82.8% none, 1.8% mild, 4.3% moderate, 1.1% severe. Domain 6, 81.7% none, 15.1% mild, 3.2% moderate. CONCLUSIONS: WHODAS 2.0 showed high internal consistency in this population. Most of the service users had no disability or mild disability in all 6 domains. A substantial minority had moderate disability in some domains (D1, D3). In all domains, <5% had severe disability.

Hospitalización por trastornos mentales y consumo de sustancias en adolescentes: 2005-2006 / Hospitalization due to mental disorders and substance consumption in argentine adolescents: 2005-2006

Objetivo: Determinar la prevalencia de trastornos mentalesy del comportamiento como causadehospitalización en lapoblación adolescente de 10 a 19 años en Argentina en elperíodo 2005 -2006.Metodología: estudio observacional, analítico ytransversal, se utilizaron las Bases de Datos delosInformesEstadísticos de Egresos Hospitalarios (IEH) de la DireccióndeEstadística e Información de Salud del Ministerio deSalud de la Nación, años 2005-2006. Los datos fueronanalizados según sexo, edad y causa de egreso hospitalario. Elprocesamiento estadístico de los datos consistió en test dechi–cuadrado, Mantel Haenzel o test de Fisher,p<0,05.Resultados: el 2% de los egresos hospitalarios fueron porTrastornos Mentales y del Comportamiento (TMyC).LosTMyC de mayor frecuencia para el grupo de 10-14 años fueron:trastornos neuróticos (29,89%), consumo de sustancias(23,49%) (p<0,001) y trastornos del comportamiento deinicio en la infancia (15,40%) y para el grupo de 15-19años fueron: consumo de sustancias (30,94%) (p<0,001),alcohol la más frecuente, trastornos neuróticos (21,04%) yesquizofrenia (17,34%) (p<0,001). La distribución por sexosy edad mostró al consumo de sustancias (p< 0,0001) comolapatología más frecuente en varones y trastornos neuróticos(p< 0,0001) en mujeres de ambos grupos de edad.

Objective: To determine the prevalence of behavioral and mental disorders as the causeof hospitalization in adolescent population from age 10 to 19 in Argentina in the period2005-2006.Method: Observational, analytical and transversal study. The databases of StatisticalRecords of Hospital Discharge from the Department of Health Statistics and Information ofthe National Ministry of Health, years 2005-2006, were used. Data were analyzed accordingto sex, age and cause of hospital discharge. The statistical processing of data was done withthe chi-squared test, Mantel Haenzel or Fisher’s test,p<0.05.Results: 2% of hospital discharges were for Behavioral and Mental Disorders. The mostfrequent of these disorders for the age group 10-14 were: neurotic disorders (29.89%),substance consumption (23.49%) (p<0.001), and behavioral diseases starting in childhood(15.40%). For the age group 15-19 the most frequent were: substance consumption(30.94%) (p<0,001) -alcohol the most frequent-, neurotic disorders (21.04%) andschizophrenia (17.34%) (p<0.001). Distribution according to sex and age showed drugconsumption (p< 0.0001) as the most frequent pathology among boys and neuroticdisorders (p< 0.0001) among girls of both age groups.

Hospitalización por trastornos mentales y consumo de sustancias en adolescentes: 2005-2006 / Hospitalization due to mental disorders and substance consumption in argentine adolescents: 2005-2006

Objetivo: Determinar la prevalencia de trastornos mentalesy del comportamiento como causadehospitalización en lapoblación adolescente de 10 a 19 años en Argentina en elperíodo 2005 -2006.Metodología: estudio observacional, analítico ytransversal, se utilizaron las Bases de Datos delosInformesEstadísticos de Egresos Hospitalarios (IEH) de la DireccióndeEstadística e Información de Salud del Ministerio deSalud de la Nación, años 2005-2006. Los datos fueronanalizados según sexo, edad y causa de egreso hospitalario. Elprocesamiento estadístico de los datos consistió en test dechiûcuadrado, Mantel Haenzel o test de Fisher,p<0,05.Resultados: el 2% de los egresos hospitalarios fueron porTrastornos Mentales y del Comportamiento (TMyC).LosTMyC de mayor frecuencia para el grupo de 10-14 años fueron:trastornos neuróticos (29,89%), consumo de sustancias(23,49%) (p<0,001) y trastornos del comportamiento deinicio en la infancia (15,40%) y para el grupo de 15-19años fueron: consumo de sustancias (30,94%) (p<0,001),alcohol la más frecuente, trastornos neuróticos (21,04%) yesquizofrenia (17,34%) (p<0,001). La distribución por sexosy edad mostró al consumo de sustancias (p< 0,0001) comolapatología más frecuente en varones y trastornos neuróticos(p< 0,0001) en mujeres de ambos grupos de edad.(AU)

Objective: To determine the prevalence of behavioral and mental disorders as the causeof hospitalization in adolescent population from age 10 to 19 in Argentina in the period2005-2006.Method: Observational, analytical and transversal study. The databases of StatisticalRecords of Hospital Discharge from the Department of Health Statistics and Information ofthe National Ministry of Health, years 2005-2006, were used. Data were analyzed accordingto sex, age and cause of hospital discharge. The statistical processing of data was done withthe chi-squared test, Mantel Haenzel or FisherÆs test,p<0.05.Results: 2% of hospital discharges were for Behavioral and Mental Disorders. The mostfrequent of these disorders for the age group 10-14 were: neurotic disorders (29.89%),substance consumption (23.49%) (p<0.001), and behavioral diseases starting in childhood(15.40%). For the age group 15-19 the most frequent were: substance consumption(30.94%) (p<0,001) -alcohol the most frequent-, neurotic disorders (21.04%) andschizophrenia (17.34%) (p<0.001). Distribution according to sex and age showed drugconsumption (p< 0.0001) as the most frequent pathology among boys and neuroticdisorders (p< 0.0001) among girls of both age groups.(AU)