| dc.contributor | Elsevier | es_CL |
| dc.contributor.author | Jimenez, M. I. [Universidad de Chile] | es_CL |
| dc.contributor.author | Igor, Mirko A. [Universidad de Chile] | es_CL |
| dc.contributor.author | Fores, G. A. [Chile. Universidad Mayor] | es_CL |
| dc.contributor.author | Correa, M. O. [Chile.Universidad de Los Andes] | es_CL |
| dc.contributor.author | Sullivan, M. C. [Estados Unidos. Tufts Medical Center] | es_CL |
| dc.contributor.author | Holtzman, N. S. [Estados Unidos. Tufts Medical Center] | es_CL |
| dc.date.accessioned | 2018-09-07T13:04:11Z | |
| dc.date.available | 2018-09-07T13:04:11Z | |
| dc.date.issued | 2013 | es_CL |
| dc.identifier.citation | Vöhringer, P. A., Jimenez, M. I., Igor, M. A., Forés, G. A., Correa, M. O., Sullivan, M. C., ... & Logvinenko, T. (2013). A clinical predictive score for mood disorder risk in low-income primary care settings. Journal of affective disorders, 151(3), 1125-1131. | es_CL |
| dc.identifier.issn | ISSN 0165-0327 | es_CL |
| dc.identifier.issn | ESSN 1573-2517 | es_CL |
| dc.identifier.uri | https://ac.els-cdn.com/S016503271300551X/1-s2.0-S016503271300551X-main.pdf?_tid=63aced98-1ec4-4a6c-96c8-86ad07791770&acdnat=1535999849_576e54c2bca1ffdd268d13a9e856a30e | es_CL |
| dc.identifier.uri | https://doi.org/10.1016/j.jad.2013.06.056 | es_CL |
| dc.identifier.uri | http://repositorio.umayor.cl/xmlui/handle/sibum/2624 | |
| dc.description.abstract | BACKGROUND: Despite availability of validated screening tests for mood disorders, busy general practitioners (GPs) often lack the time to use them routinely. This study aimed to develop a simplified clinical predictive score to help screen for presence of current mood disorder in low-income primary care settings. METHODS: In a cross-sectional study, 197 patients seen at 10 primary care centers in Santiago, Chile completed self-administered screening tools for mood disorders: the Patient Health questionnaire (PHQ-9) and the Mood Disorder Questionnaire (MDQ). To determine participants' current-point mood disorder status, trained clinicians applied a gold-standard diagnostic interview (SCID-I). A simplified clinical predictive model (CM) was developed based on clinical features and selected questions from the screening tools. Using CM, a clinical predictive score (PS) was developed. Full PHQ-9 and GP assessment were compared with PS. RESULTS: Using multivariate logistic regression, clinical and demographic variables predictive of current mood disorder were identified for a simplified 8-point predictive score (PS). PS had better discrimination than GP assessment (auROC-statistic=0.80 [95% CI 0.72, 0.85] vs. 0.58 [95% CI 0.52, 0.62] p-value <0.0001), but not as good as the full PHQ-9 (0.89 [95% CI 0.85, 0.93], p-value=0.03). Compared with GP assessment, PS increased sensitivity by 50% at a fixed specificity of 90%. Administered in a typical primary care clinical population, it correctly predicted almost 80% of cases. LIMITATIONS: Further research must verify external validity of the PS. CONCLUSION: An easily administered clinical predictive score determined, with reasonable accuracy, the current risk of mood disorders in low-income primary care settings. | es_CL |
| dc.description.sponsorship | Este trabajo fue financiado por: CONICYT, Chile. | es_CL |
| dc.format.extent | COMUNICACIÓN BREVE | es_CL |
| dc.language.iso | en | es_CL |
| dc.publisher | CIENCIAS | es_CL |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Chile | es_CL |
| dc.subject | PSIQUIATRÍA | es_CL |
| dc.title | A clinical predictive score for mood disorder risk in low-income primary care settings | es_CL |
| dc.type | Artículo o Paper | es_CL |
| umayor.indizador | COT | es_CL |
| umayor.politicas.sherpa/romeo | Licencia color: VERDE C/R (Se puede archivar el pre-print y el post-print o versión de editor/PDF, el autor no puede archivar la versión del editor/PDF)--Pre-print del autor: el autor puede archivar la versión pre-print (ie la versión previa a la revisión por pares) Post-print del autor: el autor puede archivar la versión post-print (ie la versión final posterior a la revisión por pares) Versión de editor/PDF: el autor no puede archivar la versión del editor/PDF. Condiciones generales: Authors pre-print on any website, including arXiv and RePEC, Author's post-print on author's personal website immediately, Author's post-print on open access repository after an embargo period of between 12 months and 48 months, Permitted deposit due to Funding Body, Institutional and Governmental policy or mandate, may be required to comply with embargo periods of 12 months to 48 months, Author's post-print may be used to update arXiv and RepEC, La versión de editor/PDF no puede utilizarse, Debe enlazar a la versión de editor con DOI, Author's post-print must be released with a Creative Commons Attribution Non-Commercial No Derivatives License// Disponible en: http://www.sherpa.ac.uk/romeo/issn/0165-0327/es/ | es_CL |
| umayor.indexado | WOS | es_CL |
| umayor.indexado | SCOPUS | es_CL |
| dc.identifier.doi | 10.1016/j.jad.2013.06.056 | es_CL] |
| umayor.indicadores.wos-(cuartil) | Q1 | es_CL |
| umayor.indicadores.scopus-(scimago-sjr) | sin información | es_CL |