000117461 001__ 117461
000117461 005__ 20240319081000.0
000117461 0247_ $$2doi$$a10.1016/j.ejpsy.2022.03.001
000117461 0248_ $$2sideral$$a128770
000117461 037__ $$aART-2022-128770
000117461 041__ $$aeng
000117461 100__ $$aBarcones, F.$$uUniversidad de Zaragoza
000117461 245__ $$aDepression in internal medicine inpatients at the time of hospital discharge and referral to primary care
000117461 260__ $$c2022
000117461 5060_ $$aAccess copy available to the general public$$fUnrestricted
000117461 5203_ $$aBackground and objectives: This is the first multi-center study intended to document the prevalence, characteristics, and associations of depression in Medicine patients at the time of hospital discharge and their referral to Primary Care (PC). Methods: Adult patients randomly selected among consecutive admissions to Medicine wards in 8 hospitals in Spain, covering health districts, were examined in a two-phase ''case-finding'' procedure. Standardized, Spanish versions of instruments were used, including the Standardized Polyvalent Psychiatric Interview (SPPI) and Cumulative Illness Rating Scale (CIRS). Cases of depression were diagnosed according to ICD-10 general hospital research criteria. Results: Three hundred and twelve patients with treatable depression and 777 non-depressed controls were identified. In a conservative estimate, the global prevalence of major depression was 7.1%, dysthymia 4.2% and adjustment depression 7.1%, and 51.9% of cases were of moderate/ severe intensity. Depression was more frequent in women, the differences being significant in all categories of depression. The prevalence of depression was lower in individuals aged 85 or more years, the differences being significant in cases of both dysthymia and adjustment depression. A clear pattern of decreasing prevalence with age was observed in women. The depressed had as an average five medical systems affected, and higher CIRS scores compared with the controls, the differences being significant in cases of both major depression and dysthymia. Conclusions: This is the first report showing a considerable prevalence of treatable cases of depression in Medicine patients at the time of hospital discharge and referral to PC. Depression is associated with the severity of the medical condition, and differences observed by age and sex have clinical implications. Paper read at the 3rd Annual Meeting of the European Association of Psychosomatic Medicine, Nuremberg 2015. © 2022 Asociación Universitaria de Zaragoza para el Progreso de la Psiquiatría y la Salud Mental
000117461 536__ $$9info:eu-repo/grantAgreement/ES/DGA-FEDER/B15-17R$$9info:eu-repo/grantAgreement/ES/MEC/PM99-0084
000117461 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000117461 590__ $$a1.8$$b2022
000117461 592__ $$a0.319$$b2022
000117461 591__ $$aPSYCHIATRY$$b109 / 143 = 0.762$$c2022$$dQ4$$eT3
000117461 593__ $$aPsychiatry and Mental Health$$c2022$$dQ3
000117461 594__ $$a1.8$$b2022
000117461 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000117461 700__ $$aBulbena, A.
000117461 700__ $$aCampayo, A.
000117461 700__ $$0(orcid)0000-0002-7197-0907$$aCampos, R.$$uUniversidad de Zaragoza
000117461 700__ $$aLozano, M.
000117461 700__ $$aCebollada, A.
000117461 700__ $$ade Pablo, J.
000117461 700__ $$aFarré, J.
000117461 700__ $$aGarcía-Camba, E.
000117461 700__ $$0(orcid)0000-0002-3797-4218$$aGarcía-Campayo, J.$$uUniversidad de Zaragoza
000117461 700__ $$aGirón, M.
000117461 700__ $$0(orcid)0000-0002-1252-2397$$aLobo, E.$$uUniversidad de Zaragoza
000117461 700__ $$0(orcid)0000-0001-6836-1222$$aMarcos, G.
000117461 700__ $$aMingote, C.
000117461 700__ $$aSalvador-Carulla, L.
000117461 700__ $$0(orcid)0000-0002-7297-6104$$aSantabárbara, J.$$uUniversidad de Zaragoza
000117461 700__ $$0(orcid)0000-0002-7997-3619$$aSaz, P.
000117461 700__ $$0(orcid)0000-0002-9098-655X$$aLobo, A.$$uUniversidad de Zaragoza
000117461 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000117461 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000117461 773__ $$g36, 2 (2022), 120-129$$pEur. j. psychiatry$$tEuropean Journal of Psychiatry$$x0213-6163
000117461 8564_ $$s607084$$uhttps://zaguan.unizar.es/record/117461/files/texto_completo.pdf$$yVersión publicada
000117461 8564_ $$s2026214$$uhttps://zaguan.unizar.es/record/117461/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000117461 909CO $$ooai:zaguan.unizar.es:117461$$particulos$$pdriver
000117461 951__ $$a2024-03-18-14:02:32
000117461 980__ $$aARTICLE