| dc.contributor | ROYAL SOC MEDICINE PRESS LTD. | es_CL |
| dc.contributor.author | Jimenez, Mirtha I. [Universidad de Chile] | es_CL |
| dc.contributor.author | Igor, Mirko A. [Universidad de Chile] | es_CL |
| dc.contributor.author | Fores, Gonzalo A. [Chile. Universidad Mayor] | es_CL |
| dc.date.accessioned | 2018-09-07T13:04:15Z | |
| dc.date.available | 2018-09-07T13:04:15Z | |
| dc.date.issued | 2013 | es_CL |
| dc.identifier.citation | Vöhringer, P. A., Jimenez, M. I., Igor, M. A., Fores, G. A., Correa, M. O., Sullivan, M. C., ... & Logvinenko, T. (2013). Detecting mood disorder in resource-limited primary care settings: comparison of a self-administered screening tool to general practitioner assessment. Journal of medical screening, 20(3), 118-124. | es_CL |
| dc.identifier.issn | ISSN 0969-1413 | es_CL |
| dc.identifier.issn | ESSN 1475-5793 | es_CL |
| dc.identifier.uri | http://journals.sagepub.com/doi/pdf/10.1177/0969141313503954 | es_CL |
| dc.identifier.uri | https://doi.org/10.1177/0969141313503954 | es_CL |
| dc.identifier.uri | http://repositorio.umayor.cl/xmlui/handle/sibum/2664 | |
| dc.description.abstract | Objectives: Although efficacious treatments for mood disorders are available in primary care, under-diagnosis is associated with under-treatment and poorer outcomes. This study compares the accuracy of self-administered screening tests with routine general practitioner (GP) assessment for detection of current mood disorder. Methods: 197 consecutive patients attending primary care centres in Santiago, Chile enrolled in this cross-sectional study, filling out the Patients Health Questionnaire-9 (PHQ-9) for depression and the Mood Disorder Questionnaire (MDQ) for bipolar disorder, after routine GP assessment. Diagnostic accuracy of these self-administered tools was compared with GP assessment, with gold standard diagnosis established by a structured diagnostic interview with trained clinicians (SCID-I). Results: The sample was 75% female, with a mean age of 48.5 (SD 16.8); 37% had a current mood disorder (positive SCID-I result for depression or bipolar disorder). Sensitivity of the screening instruments (SI) was substantially higher than GP assessment (SI: 0.8, [95% CI 0.71, 0.81], versus GP: 0.2, [95% CI 0.12, 0.25]: p-value < 0.0001), without sacrifice in specificity (SI: 0.9, [95% CI 0.86, 0.96], versus GP: 0.9, [95% CI 0.88, 0.97]: p-value = 0.7). This led to improvement in both positive predictive value (SI: 0.8, [95% CI 0.82, 0.90], versus GP: 0.6, [95% CI 0.50, 0.64]: p-value < 0.001) and negative predictive value (SI: 0.9, [95% CI 0.78, 0.91] versus GP: 0.7, [95% CI 0.56, 0.72]: p-value < 0.01). Conclusion: Self-administered screening tools are more accurate than GP assessment in detecting current mood disorder in low-income primary care. Such screening tests may improve detection of current mood disorder if implemented in primary care settings. | es_CL |
| dc.description.sponsorship | Este trabajo fue financiado por:Grants de Pfizer y Takeda. | es_CL |
| dc.format.extent | ARTÍCULO ORIGINAL | 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 | Detecting mood disorder in resource-limited primary care settings: Comparison of a self-administered screening tool to general practitioner assessment | 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: Los autores conservan el copyright, Pre-print on any website, Author's post-print on author's personal website, departmental website, institutional website or institutional repository, On other repositories including PubMed Central after 12 months embargo, Deben reconocerse el copyright y la fuente editorial, La versión de editor/PDF no puede utilizarse, Puede utilizarse la versión post-print con los cambios derivados de los comentarios de los revisores, no puede archivarse la versión final "como la publicada" con cambios de aspecto y de copia-edición pero puede utilizarse en una intranet intitucional segura, Debe enlazar a la versión de editor con DOI// Disponible en: http://www.sherpa.ac.uk/romeo/issn/0969-1413/es/ | es_CL |
| umayor.indexado | WOS | es_CL |
| umayor.indexado | SCOPUS | es_CL |
| dc.identifier.doi | 10.1177/0969141313503954 | es_CL] |
| umayor.indicadores.wos-(cuartil) | Q2 | es_CL |
| umayor.indicadores.scopus-(scimago-sjr) | sin información | es_CL |