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1.
Can J Psychiatry ; 69(7): 493-502, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38600892

RESUMO

BACKGROUND: e-Health tools using validated questionnaires to assess outcomes may facilitate measurement-based care for psychiatric disorders. MoodFX was created as a free online symptom tracker to support patients for outcome measurement in their depression treatment. We conducted a pilot randomized evaluation to examine its usability, and clinical utility. METHODS: Patients presenting with a major depressive episode (within a major depressive or bipolar disorder) were randomly assigned to receive either MoodFX or a health information website as the intervention and control condition, respectively, with follow-up assessment surveys conducted online at baseline, 8 weeks and 6 months. The primary usability outcomes included the percentage of patients with self-reported use of MoodFX 3 or more times during follow up (indicating minimally adequate usage) and usability measures based on the System Usability Scale (SUS). Secondary clinical outcomes included the Quick Inventory of Depressive Symptomatology, Self-Rated (QIDS-SR) and Patient Health Questionnaire (PHQ-9). RESULTS: Forty-nine participants were randomized (24 to MoodFX and 25 to the control condition). Of the 23 participants randomized to MoodFX who completed the user survey, 18 (78%) used MoodFX 3 or more times over the 6 months of the study. The mean SUS score of 72.7 (65th-69th percentile) represents good usability. Compared to the control group, the MoodFX group had significantly better improvement on QIDS-SR and PHQ-9 scores, with large effect sizes and higher response rates at 6 months. There were no differences between conditions on other secondary outcomes such as functioning and quality of life. CONCLUSION: MoodFX demonstrated good usability and was associated with reduction in depressive symptoms. This pilot study supports the use of digital tools in depression treatment.


E-health tools may be useful for measuring and tracking symptoms and other outcomes during treatment for depression. This study is a randomized evaluation of MoodFX, a free web-based app that helps patients track their symptoms using validated questionnaires, and also offers depression information and self-management tips. A total of 49 participants with clinical depression were randomized to using MoodFX or a health information website, for 6 months. In a survey, the participants that used MoodFX found it easy and useful to use. In addition, the participants that used MoodFX had greater improvement in depressive symptoms after 6 months, compared to those who used the health information website. These results suggest that MoodFX may be a useful tool to monitor outcomes and support depression treatment.


Assuntos
Transtorno Bipolar , Transtorno Depressivo Maior , Avaliação de Resultados em Cuidados de Saúde , Telemedicina , Humanos , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Transtorno Depressivo Maior/terapia , Projetos Piloto , Transtorno Bipolar/terapia
2.
Rev. argent. dermatol ; 93(1)ene.-mar. 2012. graf, tab
Artigo em Espanhol | BINACIS | ID: bin-129661

RESUMO

El principal objetivo de este trabajo es conocer la prevalencia de la psoriasis en menores de 16 años inclusive, en relación al total de las consultas por dicha patología, en el servicio de dermatología del hospital Pediátrico del Niño Jesús, en el período comprendido entre Julio de 2008 y Agosto de 2009. Durante este período se atendieron 5753 consultas dermatológicas, entre niños y adultos, ya que en dicho servicio se atienden todos los grupos etarios. De 5753 consultas dermatológicas, 115 pacientes correspondieron a psoriasis, de los cuales 26 eran menores de 17 años. Se estudiaron retrospectivamente 26 niños entre los 3 meses y 16 años. Siendo las mujeres las más afectadas con una relación mujer-hombre de 4,2:1. El grupo etario más afectado fue entre los 9 y 13 años. Los factores desencadenantes, tanto externos como sistémicos, pueden inducir la psoriasis en individuos predispuestos genéticamente. En nuestro trabajo las infecciones se observaron en 8 pacientes (30,77%), el estrés psicógeno y los fármacos fueron observados en 2 casos cada uno (7,7%). La forma clínica mas observada fue la vulgar o en placas en 12 pacientes (46,15%) y la "guttata", siendo el prurito el síntoma más común en 18 (69,23%). El 88,46% de los casos fueron tratados exitosamente con terapéuticas tópicas y solo el 11,54%, requirió tratamientos sistémicos específicos para la entidad Se concluye que la prevalencia en relación al total de las consultas de psoriasis, en este lapso y en este hospital, fue del 22,6% para este grupo etario.(AU)


The main objective of this study was to determine the prevalence of psoriasis in children less than 16 years including in relation to the total number of consultations for this disease in the dermatology service at Pediatric Hospital "Niño Jesus", since July 2008 to August 2009. During this period of time 5753 dermatological consultations were attended, children and adults as well. In 5753 dermatological consultations, 115 were for psoriasis patients, of whom 26 were under 17. We studied 26 children between 3 months and 16 years. Women being the most affected with a female man 4,2: 1. The most affected age group was between 9 and 13. The precipitating factors, both external and systemic, may raise psoriasis in predisposed individuals from the genetic standpoint, in this study infections were observed in 8 patients (30.77%), psychogenic stress in 2 of them (7, 7%), and drugs also in 2 (7.7%) The clinical variant most common were the vulgar-plaques and guttate in 12 patients (46.15%) and pruritus the most common symptom in 18 (69.23%). The 88.46% of the cases were successfully treated with topical treatment and only 11.54% required more aggressive treatment. We conclude that this age group is frequently affected by psoriasis with prevalence in relation with total visits for the pathology of 22.6%. In the future, it will be interesting to investigate more deeply childhood psoriasis in our city due it important prevalence and to correlate the findings with other local or international studies.(AU)

3.
Rev. argent. dermatol ; 93(1)ene.-mar. 2012. graf, tab
Artigo em Espanhol | BINACIS | ID: bin-127837

RESUMO

El principal objetivo de este trabajo es conocer la prevalencia de la psoriasis en menores de 16 años inclusive, en relación al total de las consultas por dicha patología, en el servicio de dermatología del hospital Pediátrico del Niño Jesús, en el período comprendido entre Julio de 2008 y Agosto de 2009. Durante este período se atendieron 5753 consultas dermatológicas, entre niños y adultos, ya que en dicho servicio se atienden todos los grupos etarios. De 5753 consultas dermatológicas, 115 pacientes correspondieron a psoriasis, de los cuales 26 eran menores de 17 años. Se estudiaron retrospectivamente 26 niños entre los 3 meses y 16 años. Siendo las mujeres las más afectadas con una relación mujer-hombre de 4,2:1. El grupo etario más afectado fue entre los 9 y 13 años. Los factores desencadenantes, tanto externos como sistémicos, pueden inducir la psoriasis en individuos predispuestos genéticamente. En nuestro trabajo las infecciones se observaron en 8 pacientes (30,77%), el estrés psicógeno y los fármacos fueron observados en 2 casos cada uno (7,7%). La forma clínica mas observada fue la vulgar o en placas en 12 pacientes (46,15%) y la "guttata", siendo el prurito el síntoma más común en 18 (69,23%). El 88,46% de los casos fueron tratados exitosamente con terapéuticas tópicas y solo el 11,54%, requirió tratamientos sistémicos específicos para la entidad Se concluye que la prevalencia en relación al total de las consultas de psoriasis, en este lapso y en este hospital, fue del 22,6% para este grupo etario.(AU)


The main objective of this study was to determine the prevalence of psoriasis in children less than 16 years including in relation to the total number of consultations for this disease in the dermatology service at Pediatric Hospital "Niño Jesus", since July 2008 to August 2009. During this period of time 5753 dermatological consultations were attended, children and adults as well. In 5753 dermatological consultations, 115 were for psoriasis patients, of whom 26 were under 17. We studied 26 children between 3 months and 16 years. Women being the most affected with a female man 4,2: 1. The most affected age group was between 9 and 13. The precipitating factors, both external and systemic, may raise psoriasis in predisposed individuals from the genetic standpoint, in this study infections were observed in 8 patients (30.77%), psychogenic stress in 2 of them (7, 7%), and drugs also in 2 (7.7%) The clinical variant most common were the vulgar-plaques and guttate in 12 patients (46.15%) and pruritus the most common symptom in 18 (69.23%). The 88.46% of the cases were successfully treated with topical treatment and only 11.54% required more aggressive treatment. We conclude that this age group is frequently affected by psoriasis with prevalence in relation with total visits for the pathology of 22.6%. In the future, it will be interesting to investigate more deeply childhood psoriasis in our city due it important prevalence and to correlate the findings with other local or international studies.(AU)

4.
Rev. argent. dermatol ; 93(1)ene.-mar. 2012. graf, tab
Artigo em Espanhol | LILACS | ID: lil-634450

RESUMO

El principal objetivo de este trabajo es conocer la prevalencia de la psoriasis en menores de 16 años inclusive, en relación al total de las consultas por dicha patología, en el servicio de dermatología del hospital Pediátrico del Niño Jesús, en el período comprendido entre Julio de 2008 y Agosto de 2009. Durante este período se atendieron 5753 consultas dermatológicas, entre niños y adultos, ya que en dicho servicio se atienden todos los grupos etarios. De 5753 consultas dermatológicas, 115 pacientes correspondieron a psoriasis, de los cuales 26 eran menores de 17 años. Se estudiaron retrospectivamente 26 niños entre los 3 meses y 16 años. Siendo las mujeres las más afectadas con una relación mujer-hombre de 4,2:1. El grupo etario más afectado fue entre los 9 y 13 años. Los factores desencadenantes, tanto externos como sistémicos, pueden inducir la psoriasis en individuos predispuestos genéticamente. En nuestro trabajo las infecciones se observaron en 8 pacientes (30,77%), el estrés psicógeno y los fármacos fueron observados en 2 casos cada uno (7,7%). La forma clínica mas observada fue la vulgar o en placas en 12 pacientes (46,15%) y la "guttata", siendo el prurito el síntoma más común en 18 (69,23%). El 88,46% de los casos fueron tratados exitosamente con terapéuticas tópicas y solo el 11,54%, requirió tratamientos sistémicos específicos para la entidad Se concluye que la prevalencia en relación al total de las consultas de psoriasis, en este lapso y en este hospital, fue del 22,6% para este grupo etario.


The main objective of this study was to determine the prevalence of psoriasis in children less than 16 years including in relation to the total number of consultations for this disease in the dermatology service at Pediatric Hospital "Niño Jesus", since July 2008 to August 2009. During this period of time 5753 dermatological consultations were attended, children and adults as well. In 5753 dermatological consultations, 115 were for psoriasis patients, of whom 26 were under 17. We studied 26 children between 3 months and 16 years. Women being the most affected with a female man 4,2: 1. The most affected age group was between 9 and 13. The precipitating factors, both external and systemic, may raise psoriasis in predisposed individuals from the genetic standpoint, in this study infections were observed in 8 patients (30.77%), psychogenic stress in 2 of them (7, 7%), and drugs also in 2 (7.7%) The clinical variant most common were the vulgar-plaques and guttate in 12 patients (46.15%) and pruritus the most common symptom in 18 (69.23%). The 88.46% of the cases were successfully treated with topical treatment and only 11.54% required more aggressive treatment. We conclude that this age group is frequently affected by psoriasis with prevalence in relation with total visits for the pathology of 22.6%. In the future, it will be interesting to investigate more deeply childhood psoriasis in our city due it important prevalence and to correlate the findings with other local or international studies.

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