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Assessment of depression in medical patients: a systematic review of the utility of the beck depression inventory-II

Wang, Yuan-Pang; Gorenstein, Clarice
Fonte: Hospital das Clínicas, Faculty of Medicine, University of São Paulo; São Paulo Publicador: Hospital das Clínicas, Faculty of Medicine, University of São Paulo; São Paulo
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.6%
To perform a systematic review of the utility of the Beck Depression Inventory for detecting depression in medical settings, this article focuses on the revised version of the scale (Beck Depression Inventory-II), which was reformulated according to the DSM-IV criteria for major depression. We examined relevant investigations with the Beck Depression Inventory-II for measuring depression in medical settings to provide guidelines for practicing clinicians. Considering the inclusion and exclusion criteria seventy articles were retained. Validation studies of the Beck Depression Inventory-II, in both primary care and hospital settings, were found for clinics of cardiology, neurology, obstetrics, brain injury, nephrology, chronic pain, chronic fatigue, oncology, and infectious disease. The Beck Depression Inventory-II showed high reliability and good correlation with measures of depression and anxiety. Its threshold for detecting depression varied according to the type of patients, suggesting the need for adjusted cut-off points. The somatic and cognitive-affective dimension described the latent structure of the instrument. The Beck Depression Inventory-II can be easily adapted in most clinical conditions for detecting major depression and recommending an appropriate intervention. Although this scale represents a sound path for detecting depression in patients with medical conditions...

Identificação da depressão em mulheres no sistema prisional; Depression among women in prison.

Pinese, Carmen Silvia Vilela
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 11/08/2008 PT
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36.61%
Introdução: As mulheres que vivem em confinamento num sistema penitenciário necessitam de condições para que cumpram suas penas com dignidade. No contexto da reclusão, os transtornos mentais são freqüentes, especialmente a depressão, com fatores de risco associados à história familiar, adversidade na infância, aspectos da personalidade, isolamento social e exposição a experiências estressantes. Objetivos: O objetivo deste trabalho foi identificar o perfil da população de mulheres detentas, suas características sóciodemográficas, clínicas, condição penal e os sinais indicativos de depressão correlacionando estes indicadores. Metodologia: Da capacidade de detenção da Penitenciária de Ribeirão Preto/ SP (310), foram entrevistadas 100 mulheres. Utilizou-se um questionário com informações sociodemográficas, clínicas, situação penal e o Inventário de Beck. Para a apreciação conjunta das possíveis influências das variáveis independentes com relação à depressão optou-se por uma regressão logística multinomial, com a variável desfecho tendo categorias 0,1, 2 e 3. As variáveis independentes foram transformadas em dicotômicas e o elemento de comparação foi a Razão de Risco Relativa. Resultados: Das 100 mulheres entrevistadas no sistema prisional...

Qualidade de vida relacionada à saúde, depressão e senso de coerência de pacientes, antes e seis meses após revascularização do miocárdio; Patients health-related quality of life, depression and sense of coherence before myocardial revascularization and six months after it.

Gois, Cristiane Franca Lisboa
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 24/06/2009 PT
Relevância na Pesquisa
36.6%
A cirurgia de revascularização do miocárdio (CRVM) é um procedimento indicado para pacientes com angina pectoris não controlada com o tratamento clínico e para pacientes com elevado grau de obstrução das artérias principais. A cirurgia visa a melhorar a qualidade de vida relacionada à saúde (QVRS) dos pacientes, aliviar os sintomas da angina e aumentar a sobrevida, sobretudo dos pacientes de maior risco. No contexto do paciente coronariopata, a depressão tem sido relacionada como um preditor de pior QVRS, enquanto o senso de coerência (SC) tem sido associado a melhor QVRS e menor depressão. Objetivos: Avaliar a QVRS, depressão e SC, antes e seis meses após a CRVM e investigar as associações entre essas variáveis. Casuística e método: Estudo observacional e prospectivo, realizado em um hospital-escola no interior do Estado de São Paulo, desenvolvido entre os meses de setembro de 2006 e abril de 2008. A amostra foi constituída por 54 pacientes que fizeram parte das duas avaliações. Foram utilizados três instrumentos de medida: para avaliação da QVRS, o Medical Outcomes Study 36 - item Short-Form (SF-36), para a depressão, o Inventário de Depressão de Beck (IDB) e para o SC, o Questionário de Senso de Coerência de Antonovsky de 29 itens (QSCA). Os dados foram coletados por meio de entrevistas. Posteriormente...

Assessment of depression in medical patients: A systematic review of the utility of the Beck Depression Inventory-II

Wang,Yuan-Pang; Gorenstein,Clarice
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 EN
Relevância na Pesquisa
36.6%
To perform a systematic review of the utility of the Beck Depression Inventory for detecting depression in medical settings, this article focuses on the revised version of the scale (Beck Depression Inventory-II), which was reformulated according to the DSM-IV criteria for major depression. We examined relevant investigations with the Beck Depression Inventory-II for measuring depression in medical settings to provide guidelines for practicing clinicians. Considering the inclusion and exclusion criteria seventy articles were retained. Validation studies of the Beck Depression Inventory-II, in both primary care and hospital settings, were found for clinics of cardiology, neurology, obstetrics, brain injury, nephrology, chronic pain, chronic fatigue, oncology, and infectious disease. The Beck Depression Inventory-II showed high reliability and good correlation with measures of depression and anxiety. Its threshold for detecting depression varied according to the type of patients, suggesting the need for adjusted cut-off points. The somatic and cognitive-affective dimension described the latent structure of the instrument. The Beck Depression Inventory-II can be easily adapted in most clinical conditions for detecting major depression and recommending an appropriate intervention. Although this scale represents a sound path for detecting depression in patients with medical conditions...

Association entre la dépression et les comportements reliés aux habitudes de vie et aux soins du diabète dans la population diabétique du Québec

Messier, Lyne C.
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
36.65%
Les personnes atteintes de diabète sont plus à risque de développer la dépression, un fardeau additionnel dans leurs activités quotidiennes. Notre étude auprès d’adultes diabétiques résidant au Québec vise à en déterminer les caractéristiques lorsque la dépression fait partie du tableau clinique. Hypothèse 1: Les adultes québécois atteints de diabète et de dépression (dépression majeure et mineure) seront plus prédisposés à avoir des indicateurs reliés aux habitudes de vie, aux soins du diabète et à l’efficacité personnelle vis-à-vis du contrôle du poids et de la quantité d’aliments consommés, moins favorables que les sujets diabétiques sans dépression. Hypothèse 2: Chez les Québécois atteints de diabète de type 2, l’association entre la dépression et l’obésité sera affectée par les indicateurs de la Variation Cyclique du Poids (VCP) et de l’efficacité personnelle. Hypothèse 3: Chez les Québécois atteints de diabète de type 2, ceux qui auront développé ou maintenu une dépression au cours de 12 mois, seront plus susceptibles de détériorer les indicateurs reliés à leurs habitudes de vie et à leur efficacité personnelle. Des personnes diabétiques au Québec ont été recrutées à l’aide d’un sondage téléphonique. Des adultes...

Multimodal analysis of verbal and nonverbal behaviour on the example of clinical depression

Alghowinem, Sharifa
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Thesis (PhD)
EN
Relevância na Pesquisa
36.61%
Clinical depression is a common mood disorder that may last for long periods, vary in severity, and could impair an individual’s ability to cope with daily life. Depression affects 350 million people worldwide and is therefore considered a burden not only on a personal and social level, but also on an economic one. Depression is the fourth most significant cause of suffering and disability worldwide and it is predicted to be the leading cause in 2020. Although treatment of depression disorders has proven to be effective in most cases, misdiagnosing depressed patients is a common barrier. Not only because depression manifests itself in different ways, but also because clinical interviews and self-reported history are currently the only ways of diagnosis, which risks a range of subjective biases either from the patient report or the clinical judgment. While automatic affective state recognition has become an active research area in the past decade, methods for mood disorder detection, such as depression, are still in their infancy. Using the advancements of affective sensing techniques, the long-term goal is to develop an objective multimodal system that supports clinicians during the diagnosis and monitoring of clinical depression. This dissertation aims to investigate the most promising characteristics of depression that can be “heard” and “seen” by a computer system for the task of detecting depression objectively. Using audio-video recordings of a clinically validated Australian depression dataset...

Study of a primary care depression relapse prevention program: "keeping the blues away".

Howell, Cate Adele
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2010
Relevância na Pesquisa
36.63%
Depression is a serious and often relapsing problem, and the primary care relapse rate is reported to be 37-44.5%. The majority of patients with depression will present to their general practitioner (GP), who will often continue to play a central management role. It is therefore important that GPs are able to access to effective long-term management programs aiming to prevent relapse. However, practical well-researched models for delivering long-term care in the primary care setting are limited. The desire to develop an evidence-based depression relapse prevention program (RPP) stemmed from caring for individuals with depression in primary care settings. A scholarship provided the opportunity to go overseas in the year 2000 to investigate the management of depression, and to speak with a number of leaders in the primary care mental health field. There was consensus that depression relapse was an important area to research. This combination of thesis and publications is the summation of eight years of work, related to the conceptualisation, development, and study of a primary care depression RPP called ‘Keeping the Blues Away’ (KBA). The overall aim of this research was to develop and implement a primary care depression RPP and to evaluate its acceptability and effectiveness. An action research approach involving enquiry...

Depression, anxiety and morbidity outcomes after cardiac surgery.

Tully, Phillip John
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2011
Relevância na Pesquisa
36.63%
Depression and heart disease are among the top ten causes of an estimated 56 million deaths throughout the world (Lopez, Mathers, Ezzati, Jamison, & Murray, 2006). Projections by the World Health Organisation indicate that depression and cardiac disorders will indeed remain among the top ten leading causes of disease burden by the year 2020 (Lopez et al., 2006; Murray & Lopez, 1997). The extant literature describes a prognostic association between depressive symptoms and adverse coronary artery disease (CAD) outcomes (Barth, Schumacher, & Herrmann-Lingen, 2004; Rugulies, 2002; Suls & Bunde, 2005; Van der Kooy et al., 2007). These findings extend to persons having undergone cardiac revascularisation surgery (Connerney, Shapiro, McLaughlin, Bagiella, & Sloan, 2001) and have prompted various consensus panels to call for routine depression assessment among heart disease patients (Ballenger et al., 2001; Davidson et al., 2006; Lichtman et al., 2008). By comparison to depression, anxiety has attracted a smaller share of empirical investigation and consensus panel support with respect to heart disease morbidity outcomes. This is particularly the case with regard to heart disease patients who have undergone cardiac surgery. In fact, one unanswered question to date is whether or not anxiety is related to morbidity after cardiac surgery to the same degree as has been described for depression. Notwithstanding substantial interrelation...

A study of depression in attempted suicide: initial assessment, short-term follow-up and prediction of persistent depression.

Davis, Anthony T.
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2012
Relevância na Pesquisa
36.64%
Depression, no matter how it is categorized, is the most common psychiatric disorder in patients who attempt suicide. However, there are conflicting views about the nature, extent and significance of depression in this group. Further-more, there is minimal information available concerning the short term course of depression following attempted suicide and therefore the optimal clinical management of depressed suicidal patients. These patients carry a high risk for repeated attempted suicide or suicide. The study aimed to provide a detailed analysis of several conceptualizations of depression in adults who have attempted suicide and to examine short-term changes in mood state following the suicide attempt. It further aimed to identify predictors of depression one week following attempted suicide, with a view to assisting clinicians in the initial identification of patients who could be at risk for ongoing suicidal behaviour. To achieve these aims a three year multi-phasic study was designed, utilizing a range of measures of depression. Initially, the extent of the problem of attempted suicide at the Royal Adelaide Hospital was established and then, according to self-report measures of depression, the frequency and type of depression in the patients who had attempted suicide was defined. Having identified a cohort of suicidal patients with a depressive disorder...

Depression and 5-year mortality in patients with acute myocardial infarction: Analysis of the IDACC database

Wheeler, A.; Beltrame, J.; Tucker, G.; Air, T.; Ling, L.; Schrader, G.
Fonte: Blackwell Publishing Asia Publicador: Blackwell Publishing Asia
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
36.59%
Objective: Symptoms of depression are highly prevalent and persistent following myocardial infarction (MI). Whether depression is a risk factor for long-term mortality following MI remains controversial. The present study aimed to determine whether depression during hospitalisation for acute MI (AMI) predicted 5-year all-cause or cardiac mortality. Method: This study utilised the Identifying Depression as a Comorbid Condition (IDACC) database of 337 hospitalised patients with AMI. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression scale (CES-D). Data were linked to a government administrative death registry to determine 5-year mortality. Survival data were analysed using Cox’s proportional hazards model. Results: The mean age during AMI hospitalisation was 59 years ± 12, 74% of patients were men and depression (CES-D ≥ 16) was present in 132 patients (39.3%). The 5-year all-cause mortality rate was 10.4% (35 deaths) and the cardiac mortality rate was 6.5% (22 deaths). When depression was defined as a dichotomous variable, moderate to severe depression (defined by CES-D ≥ 27) at the time of AMI was associated with all-cause mortality (hazard ratio 2.54, 95% confidence interval 1.03 to 6.28; p = 0.04) but not cardiac mortality. However...

An exploration of the prevalence, diagnosis and treatment of depression in patients with multiple chronic conditions.

Stanners, Melinda Nicole
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2013
Relevância na Pesquisa
36.63%
Introduction: The likelihood of developing two or more chronic illnesses (‘multimorbidity’) increases with age. Depression is common with chronic physical illness, but may not be detected or treated in multimorbid patients. This thesis is comprised of a series of related studies designed to explore the prevalence, diagnosis and management of depression in patients with multiple chronic conditions using an explanatory mixed methods design. Data and participants were sourced from a multidisciplinary outpatient clinic in metropolitan Adelaide. Study One: Clinic Database Analysis. The study estimated the prevalence of a) depression diagnoses and b) depressive symptoms using the Geriatric Depression Scale (GDS) in an outpatient clinic population, exploring agreement between clinician diagnoses of depression and GDS scores. Doctor-diagnosed depression was recorded for 15% of patients. Based on GDS scores, 50% of patients reported threshold-level depression symptoms, although many had no corresponding depression diagnosis. This suggests that whilst many multimorbid patients experience depressive symptoms, these may not be detected. Study Two: Comparing the GDS, HADS and CIDI. Study Two compared GDS scores with Hospital Anxiety and Depression Scale (HADS) scores and Composite International Diagnostic Interview (CIDI) diagnoses. The GDS identified more depression-positive cases than the HADS and the CIDI...

How do palliative medicine specialists conceptualize depression? Findings from a qualitative in-depth interview study

Ng, F.; Crawford, G.B.; Chur-Hansen, A.
Fonte: Mary Ann Liebert Publicador: Mary Ann Liebert
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
Relevância na Pesquisa
36.6%
BACKGROUND AND OBJECTIVE: Different professional conceptualizations of depression may complicate the clinical approach to depression in the palliative care setting. This study aimed to explore and characterize how palliative medicine specialists conceptualize depression. METHODS: Palliative medicine specialists (i.e., consultants/attending physicians in palliative medicine) practicing in Australia were recruited. Participants were purposively sampled. Individual semi-structured, in-depth interviews were conducted to explore their conceptualizations of depression. Nine participants were interviewed to reach data saturation. Interview transcripts were analyzed for themes. RESULTS: Four main themes were identified in relation to the conceptualization of depression: (1) depression is a varied concept--it was variously considered as abnormal, a medical problem, an emotional experience, a social product, and an action-oriented construct; (2) depression has unclear boundaries, with differentiation between depression and sadness being especially challenging; (3) depression is different in the palliative care setting--it was seen as more understandable, and distinct from depression that predates life-limiting illnesses; and (4) depression is a challenging issue. CONCLUSIONS: Depression is conceptualized by palliative medicine specialists in divergent...

The bidirectionality of the relationship between insomnia, anxiety and depression in adolescents: a longitudinal study.

Alvaro, Pasquale Kristian
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2014
Relevância na Pesquisa
36.63%
Bidirectionality refers to whether variable x predicts and/or is predicted by variable y. This thesis identified and accounted for gaps within the literature on the bidirectionality of the relationship between insomnia, depression, and anxiety during adolescence. Namely, bidirectionality was assessed across different subtypes of anxiety, using continuous variables. The independent effect of chronotype on the bidirectionality of the relationship between insomnia and depression, and insomnia and subtypes of anxiety were also considered. Study one systematically reviewed the literature of the bidirectional associations between sleep disturbances, anxiety and depression across all age groups. In total, the systematic review contained nine independent studies. Best available evidence indicates that insomnia is bidirectionally related to anxiety and depression. The limited data available suggests that bidirectionality may extend beyond insomnia to other sleep disturbances, although additional research is needed to further clarify this notion. Study two assessed the cross-sectional independent relationships between insomnia and depression, and insomnia and various subtypes of anxiety during adolescence. The predictive effect of chronotype on insomnia...

Medical concepts of depression in the palliative care setting: perspectives from palliative medicine specialists and psychiatrists.

Ng, Felicity Wai-Yan
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2014
Relevância na Pesquisa
36.62%
Depression is one of the focus areas within the scope of palliative care, but its conceptual ambiguity poses many challenges for clinicians. This ambiguity is arguably more pronounced in the palliative care setting, given the confluence of advanced illness and potential psychosocial, existential and spiritual ramifications at the end-of-life. The existing literature indicates that clinicians hold various notions about depression, which could impact on the diagnosis and treatment of depression. Similarly, conceptual diversity is evident in the palliative care research literature on depression and precludes meaningful meta-synthesis of their findings. This core problem of concept forms the topic of this thesis, which reports on research that explored medical concepts of depression in the palliative care setting. This thesis is comprised of three studies and is presented in publication format. Study 1 was an exploratory study and a prelude to the other studies. Through the use of a questionnaire, it explored broad concepts of depression that were held by medical practitioners practising in palliative care. In addition to demonstrating conceptual variations, it identified some areas of conceptual differences specific to depression in the palliative care setting...

Depression nach Schlaganfall. Das misst die Geriatrische Depressionsskala: Schwellenwerte, Faktoren, Zusammenhänge; Post-stroke depression. That’s measured by the Geriatric Depression Scale: cut-offs, factors, correlations

Pfeiffer, Klaus
Fonte: Universidade de Tubinga Publicador: Universidade de Tubinga
Tipo: Dissertação
DE_DE
Relevância na Pesquisa
36.6%
Der Schlaganfall zählt zu den häufigsten Erkrankungen in Deutschland. Die Entwicklung einer Depression ist die häufigste psychiatrische Komplikation nach Schlaganfall und wirkt sich negativ auf den gesamten Rehabilitationsverlauf der Betroffenen aus. In den letzten 25 Jahren wurden neben unterschiedlichen Erklärungen zur Ätiologie der Depression nach Schlaganfall, auch unterschiedliche diagnostische Ansätze diskutiert. In dieser kontroversen Diskussion scheint jedoch häufig unklar, was wir wirklich meinen, wenn wir von einer sogenannten „Post Stroke Depression“ sprechen und welche Rolle die Art und der Zeitpunkt der jeweiligen diagnostischen oder symptomatischen Datenerhebung spielen. Die vorliegende Arbeit diskutiert diese Problematik exemplarisch am Beispiel der bei dieser Zielgruppe häufig verwendeten Geriatrischen Depressionsskala. Hierfür werden Schwellenwerte, Faktorenstrukturen und Symptome in Bezug auf bedeutsame Hintergrundvariablen und Messzeitpunkte untersucht. Die prospektive Datenerhebung erfolgte an 205 geriatrischen Rehabilitations-Patienten mit einem maximal sechs Wochen zurückliegenden Schlaganfall zu drei Messzeitpunkten: am Beginn (T1) und Ende (T2) der Rehabilitation sowie drei Monate nach Entlassung (T3). Über verschiedene Subgruppen betrachtet...

Understandings of men’s depression in published research, news media portrayals, and men’s accounts of their experiences.

Scholz, Brett David
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2015
Relevância na Pesquisa
36.6%
Within the next two decades, depression is predicted to become the leading cause of disease burden in developed countries, and the second leading cause of disease burden globally. There is a relatively large body of research on women’s experiences of depression, but research on men’s depression, and their experiences with depression, has been fragmented. The aim of this dissertation is to contribute to the understanding of depression in men through the triangulation of three diverse sources of data that deal with men’s experiences of depression. These data sources are: existing published research studies, media portrayals, and in-depth interviews with men. Applying a systematic review methodology, the first study explores current knowledge about the factors associated with depressive symptoms in men. These factors include social and demographic factors, occupational factors, health behavioural factors, and psychological or cognitive factors. I discuss the relevance of these findings in relation to diathesis-stress models of depression, and to theories of pathoplasticity which describe an individual’s vulnerability to potential stressors. In the second study, I extend the theory that ‘softer’ masculinities are becoming increasingly valued in modern society...

The influence of primary care clinic characteristics on the quality of care for depression in patients with different comorbidity profiles

Menear, Matthew
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
EN
Relevância na Pesquisa
36.63%
Dans les services de première ligne, la majorité des personnes atteintes de dépression souffrent également d’autres maladies chroniques comorbides. Offrir des soins de haute qualité à ces patients représente un défi important pour les intervenants en première ligne ainsi que pour le système de santé. Il y a des raisons de croire que les contextes organisationnels dans lesquels les intervenants pratiquent ont une influence importante sur les soins. Cependant, peu d’études ont examiné directement la façon dont les caractéristiques des cliniques facilitent ou entravent les soins offerts aux patients atteints de dépression et de différents types de maladies chroniques comorbides. L’objectif général de ce projet de recherche était donc de mieux comprendre comment différentes caractéristiques des cliniques de première ligne influencent la qualité des soins pour la dépression chez des patients ayant différents profils de comorbidité. La thèse comporte deux études. Tout d'abord, nous avons effectué une revue systématique examinant les relations entre la comorbidité physique chronique et la qualité des soins pour la dépression dans les services de première ligne afin de clarifier la nature de ces relations et d’identifier les facteurs qui pourraient influer sur ces relations. Ensuite...

Des soins de qualité pour la dépression en première ligne : une contribution à l’amélioration de l’état de santé de la population québécoise

Duhoux, Arnaud
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
36.64%
Contexte De nombreuses études, utilisant des indicateurs de qualité variés, ont démontré que la qualité des soins pour la dépression n’est pas optimale en première ligne. Peu de ces études ont examiné les facteurs associés à la réception d’un traitement adéquat, en particulier en tenant compte simultanément des caractéristiques individuelles et organisationnelles. L'association entre un traitement adéquat pour un épisode dépressif majeur (EDM) et une amélioration des symptômes dépressifs n'est pas bien établie dans des conditions non-expérimentales. Les objectifs de cette étude étaient de : 1) réaliser une revue systématique des indicateurs mesurant la qualité du traitement de la dépression en première ligne ; 2) estimer la proportion de patients souffrant d’EDM qui reçoivent un traitement adéquat (selon les guides de pratique clinique) en première ligne ; 3) examiner les caractéristiques individuelles et organisationnelles associées à l’adéquation du traitement pour la dépression ; 4) examiner l'association entre un traitement minimalement adéquat au cours des 12 mois précédents et l'évolution des symptômes dépressifs à 6 et 12 mois. Méthodes La littérature sur la qualité du traitement de la dépression a été examinée en utilisant un ensemble de mots-clés (« depression »...

The accuracy of diagnosis of major depression in patients with Parkinson's disease: a comparative study among the UPDRS, the geriatric depression scale and the Beck depression inventory; A precisão do diagnóstico de depressão na doença de Parkinson: um estudo comparativo entre a UPDRS, a escala geriátrica de depressão e o inventário de depressão de Beck

TUMAS, Vitor; RODRIGUES, Guilherme Gustavo Ricioppo; FARIAS, Tarsis Leonardo Almeida; CRIPPA, José Alexandre S.
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.59%
OBJECTIVE: Evaluate the accuracy of diagnosis of major depression in patients with Parkinson's disease (PD) using the UPDRS, the 15-item Geriatric Depression Scale (GDS15) and the Beck Depression Inventory (BDI). METHOD: 50 consecutive patients with PD were evaluated. The diagnosis of major depression was made according to the DSM-IV criteria. RESULTS: We found a 24% prevalence of major depression. All depression scales were highly correlated but UPDRS depression item had the lowest diagnostic value. The GDS15 had the more appropriate "receiver operating characteristics" curve. The best cut-off scores for screening depression were 17/18 for BDI and 8/9 for GDS15. We did not find any correlation between the level of depression and intensity of motor symptoms, functional capacity and duration of the disease. CONCLUSION: GDS15 is better than the BDI and the UPDRS for screening depression in PD and depression is not related to the degree of parkinsonian symptoms.; OBJETIVO: Avaliar a precisão do diagnóstico de depressão em pacientes com doença de Parkinson avaliados pela UPDRS, pela Escala Geriátrica de Depressão com 15 itens (EGD15) e pelo Inventário de Depressão de Beck (IDB). MÉTODO: 50 pacientes com DP foram avaliados. O diagnóstico de depressão maior foi feito segundo os critérios do DSM-IV. RESULTADOS: A prevalência de depressão foi 24%. As escalas de depressão tiveram elevada correlação entre si. A UPDRS apresentou a menor sensibilidade para o diagnóstico. A EGD15 mostrou uma curva ROC mais apropriada que o IDB. Os melhores escores-de-corte para diagnóstico de depressão foram 17/18 para o IDB e 8/9 para a EGD15. Não houve correlação entre os níveis de depressão e a intensidade do parkinsonismo...

Exploration des liens entre les attitudes face à la tristesse, la dépression et le bien-être

Dubuc, Catherine
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Travail aux cycles supérieurs / Graduate student work
FR
Relevância na Pesquisa
36.6%
Les attitudes envers les émotions ont été liées théoriquement à la psychopathologie (comme la dépression) et au bien-être. Toutefois, peu d’études empiriques approfondissent ces relations. Il est proposé que l’ensemble des attitudes négatives envers la tristesse sera corrélé positivement avec la dépression et négativement avec le bien-être. L’exploration des différentes attitudes spécifiques envers la tristesse est visée, afin de connaître quel type de lien chaque attitude entretient avec les symptômes dépressifs et le bien-être. Cent trois étudiants du baccalauréat ont rempli quatre questionnaires : un questionnaire pour évaluer leurs attitudes envers la tristesse, un pour évaluer la partie hédonique du bien-être, un autre pour évaluer la partie eudémonique du bien-être et un pour mesurer le niveau de symptômes dépressifs. Les résultats démontrent que les attitudes envers la tristesse, prises dans leur ensemble, sont corrélées de manière cohérente avec la dépression et le bien-être, en accord avec l’hypothèse de départ. Les attitudes individuelles, quant à elles, ont des relations hétérogènes avec la dépression et le bien-être. Les résultats principaux indiquent que deux attitudes non soutenantes envers la tristesse sont corrélés négativement avec le bien-être et positivement avec la dépression (perception de la tristesse comme suscitant de la colère contre soi...