Mayor morbilidad y uso de servicios médicos en atención primaria en pacientes con trastorno depresivo mayor y sus familiares: un estudio de cohorte retrospectivo

Translated title of the contribution: Increased morbidity and use of Primary Care medical services in patients with major depressive disorder and their families: A retrospective cohort study

Diego García-Huidobro, Tomás León, Guillermo Vidal, Fernando Poblete, Patricio Rojas

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Objective: To study the impact of non-psychiatric medical visits by patients with Major Depressive Disorder (MDD) and their family members, compared to healthy people and their relatives in Primary Care. Design: Retrospective cohort observational study. Location: San Alberto Hurtado Primary Care Clinic, Santiago-Chile. Participants: Patients diagnosed with MDD during 2008 were paired by gender, age, and educational level with 2 healthy controls. We followed-up 206 patients with 310 family members and 412 controls with 588 relatives. Main measurements: During 1 year after the diagnosis, all health visits were assessed in patients and their family members and compared with healthy controls and their relatives. For statistical analysis we used U-Mann-Whitney, considering statistical significance with p values ≤0.05. Results: The relative risk of making a non-psychiatric medical visit in depressed patients was 1.43 (95% CI: 1.19-1.67) and in their family members was 1.37 (95% CI: 1.16-1.58). The most frequent health complaints in patients were trauma, respiratory, and neurological problems. Family members visited physicians due trauma, psychiatric and endocrinological complaints. Conclusions: The patients with MDD and their family members have a higher rate of medical visits in Primary Care. A family-oriented treatment of these patients could improve clinical outcomes and reduce the patient overload in this setting.

Translated title of the contributionIncreased morbidity and use of Primary Care medical services in patients with major depressive disorder and their families: A retrospective cohort study
Original languageSpanish
Pages (from-to)471-477
Number of pages7
JournalAtencion Primaria
Volume44
Issue number8
DOIs
StatePublished - Aug 1 2012

Keywords

  • Family
  • Major depressive disorder
  • Primary Care

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