Life and last year prevalence of psychiatric disorders in primary level of care in a region of southern Chile
Keywords:
Trastornos mentales y epidemiología, atención primaria de salud, médicos de familia, prevalencia, consultantes, Chile.Abstract
Background: Primary health care treats approximately 90% of all health problems worldwide. Health service care is high among people with mental disorders; likewise, it has been established that mental disorders represent around 6% of all disability-adjusted life years lost worldwide.
Objective: To identify the lifetime and last-year prevalence of mental disorders in the population assisted at the primary health care level in a city in southern Chile.
Methodology: Cross-sectional study of the results of the first application of interviews to a prospective cohort carried out on a sample of 2839 patients between 18 and 75 years old treated in 10 Primary Care Centers in the Province of Concepción, Chile.
Results: The life time prevalence of any disorder was 65%. 53.7% of these disorders are between the age ranges of 35 to 54 years. It is observed that female consultants present a statistically significant higher proportion of affective disorders compared to the male population (37.2% vs 18.7%, p<0.001).
Conclusions: Considering the high prevalence of different mental health disorders, in spontaneous consultations in Primary Care, it is relevant to develop more and better health policies to increase access to adequate treatment, generating an expeditious and timely referral to secondary level.Downloads
References
1. Burrone MS, Enders JE, Alvarado R, Valencia E, Abeldaño AR, Susser E, Fernández AR. La brecha de cobertura de atención de trastornos de salud mental en el primer nivel de atención de la ciudad de Córdoba, Argentina. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2015 [citado 22 Dic 2023];72(4):309-13. Disponible en: https://revistas.unc.edu.ar/index.php/med/article/view/13839/13971
2. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990- 2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet [Internet]. 2018 [cited 2023 Dec 22]392(10159):1789-858. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30496104/
3. Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol [Internet]. 2014 [cited 2023 Dec 22];43(2):476-93. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997379/pdf/dyu038.pdf
4. Sepúlveda R, Zitko P, Ramírez J, Markkula N, Alvarado R. Primary care consultation liaison and the rate of psychiatric hospitalizations: a countrywide study in Chile. Rev Panam Salud Public [Internet]. 2018 [cited 2023 Dec 22];42. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/49514/v42e1382018.pdf?sequence=1&isAllowed=y
5. Baxter S, Johnson M, Chambers D, Sutton A, Goyder E, Booth A. The effects of integrated care: a systematic review of UK and international evidence. BMC Health Serv Res [Internet]. 2018 [cited 2023 Dec 22];18(1). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5946491/pdf/12913_2018_Article_3161.pdf
6. Moscovici L, Balco EM Degani NC, Bolsoni LM, Marques JMA, Zuardi AW. Associations between primary health care strategies and outcomes of mental disorders. Braz J Psychiatry [Internet]. 2020 [cited 2023 Dec 23];42(4):360-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272126/pdf/bmjopen-2021-054250.pdf
7 Hohls JK, KonigHH, Raynik YI,Hajek A. A systematic review of the association of anxiety with health care utilization and costs in people aged 65 years and older. J Affect Disord [Internet]. 2018 [cited 2023 Dec 22];232:163-76. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0165032717321602?via%3Dihub
8. Svenningsson I, Björkelund C, Hange D, Wiegner L, Ariai N, Petersson EL. Symptom patterns in patients newly sick listed for common mental disorders and associations with work-related and socioeconomic factors: a cross-sectional study in Swedish primary care. BMJ Open [Internet]. 2022 [cited 2023 Dec 22];12(7). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272126/pdf/bmjopen-2021-054250.pdf
9. World Health Organization. Depression and Other Common Mental Disorders Global Health Estimates [Internet]. Geneva: WHO; 2017. [cited 2023 Dec 22]. Disponible en: https://www.afro.who.int/publications/depression-and-other-common-mental-disorders-global-health-estimates-2017
10. Fowler D, French P, Banerjee R, Barton G, Berry C, Byrne R, et al. Prevention and treatment of long-term social disability amongst young people with emerging severe mental illness with social recovery therapy (The PRODIGY Trial): study protocol for a randomised controlled trial. Trials [Internet]. 2017 [cited 2023 Dec 22];18(1). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5504604/pdf/13063_2017_Article_2062.pdf.
11. Gómez-Dantés O, Frenk J. Neither myth nor stigma: Mainstreaming mental health in developing countries. Salud Publica Mex [Internet]. 2018 [cited 2023 Dec];60(2):212-7. Disponible en: https://www.medigraphic.com/pdfs/salpubmex/sal-2018/sal182k.pdf
12. Díaz-Castro L, Cabello-Rangel H, Medina-Mora ME, Berenzon-Gorn S, Robles-García R, Madrigal-de León EA. Necesidades de atención en salud mental y uso de servicios en población mexicana con trastornos mentales graves. Salud Publica Mex [Internet]. 2020 [citado 22 Dic 2023];62(1):72-9. Disponible en: https://www.scielo.org.mx/pdf/spm/v62n1/0036-3634-spm-62-01-72.pdf
13. Vicente B, Kohn R, Rioseco P, Saldivia S, Levav I, Torres S. Lifetime and 12-month prevalence in the Chile Psychiatric Prevalence Study. Am J Psychiat [Internet]. 2006 [cited 2023 Dec 22];163(8):1362-70. Disponible en: https://ajp.psychiatryonline.org/doi/10.1176/ajp.2006.163.8.1362?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed&
14. Stagnaro JC, Cía AH, Aguilar Gaxiola S, Vázquez N, Sustas S, Benjet C, et al. welve-month prevalence rates of mental disorders and service use in the Argentinean Study of Mental Health Epidemiology. Soc Psychiatry Psychiatr Epidemiol [Internet]. 2018 [cited 2023 Dec 22];53(2):121-9. Disponible en: https://link.springer.com/article/10.1007/s00127-017-1475-9
15. Burrone MS, Alvarado R, Colantonio LD, Enders JE, Abeldaño Zuñiga RA, Valencia E, et al. Prevalence of Mood and Anxiety Disorders Among Adults Seeking Care in Primary Healthcare Centers in Cordoba, Argentina. Front Psychiatry [Internet]. 2020 [cited 2023 Dec 22];11. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118212/pdf/fpsyt-11-00232.pdf
16. WHO. The CIE-10 Classification of Mental and Behavioural Disorders [Internet]. Geneva: WHO; 1992. [cited 2023 Dec 22]. Disponible en: https://cdn.who.int/media/docs/default-source/classification/other-classifications/9241544228_eng.pdf?sfvrsn=933a13d3_1&
17. American Psychiatric Association (APA). DSMIV. Barcelona: Masson. 1996.
18. R-Project-O [Internet]. European Union's: R The R Project for Statistical Computing. [updated 2022; cited 2023 Dec 22]. Disponible en: https://www.r-project.org/
19. Pérez-Martínez de Arrieta P, Gaviña AJ. Affective disorders and gender differences. In. Sáenz-Herrero M. Psychopathology in women: Incorporating gender perspective into descriptive psychopathology [Internet]. Switzerland: Springer; 2019. p 611-638. [cited 2023 Dec 22]. Disponible en: https://link.springer.com/chapter/10.1007/978-3-030-15179-9_26
20. Grapiglia CZ, Costa JSDD, Pattussi MP, Paniz VMV, Olinto MTA. Factors associated with common mental disorders: a study based on clusters of women. Rev Saude Publica [Internet]. 2021 [cited 2023 Dec 22];55:77. Disponible en: https://www.scielo.br/j/rsp/a/NhsVDpQmvbcLRKJhCTH4mhJ/
21 Hallers-Haalboom E, Maas J, Kunst L, Bekker M. Chapter 22 The role of sex and gender in anxiety disorders: Being scared “like a girl”?. Handbook of Clinical Neurology [Internet]. 2020 [cited 2023 Dec 22];175:359-368. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/B9780444641236000242
22. Medina-Mora ME, Borges G, Lara C, Benjet C, Blanco J, Fleiz C, et al. Prevalence, service use, and demographic correlates of 12-month DSM-IV psychiatric disorders in Mexico: results from the Mexican National Comorbidity Survey. Psychol Med [Internet]. 2005 [cited 2023 Dec 22];35(12):1773-83. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16300691/
23. Andrade LH, Wang YP, Andreoni S, Silveira CM, Alexandrino-Silva C, Siu ER, et al. Mental disorders in megacities: findings from the São Paulo megacity mental health survey, Brazil. PLoS One [Internet] 2012 [cited 2023 Dec 22];7(2). Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0031879
24. Minoletti A, Galea S, Susser E. Community Mental Health Services in Latin America for People with Severe Mental Disorders. Public Health Rev [Internet]. 2012 [cited 2023 Dec 22];34(2). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203441/pdf/nihms-490987.pdf
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