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Minor depression: midway between major depression and euthymia. Ann Intern Med

Annals of internal medicine (Impact Factor: 16.1). 05/2006; 144(7):528-30. DOI: 10.7326/0003-4819-144-7-200604040-00013
Source: PubMed
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    ABSTRACT: Tese (doutorado)—Universidade de Brasília, Faculdade de Ciências da Saúde, 2007. Objetivo: Investigar a prevalência de transtorno depressivo maior em pacientes hipertensos matriculados em um centro de referência universitário para tratamento de hipertensão arterial e outros fatores de risco cardiovasculares. Métodos: estudo transversal, descritivo, em amostra aleatória representativa obtida de forma sistemática de pacientes em atendimento contínuo na Liga de Hipertensão Arterial da Universidade Federal de Goiás. Aplicou-se o Inventário de Depressão de Beck (BDI) para rastreamento de sintomas depressivos e a entrevista estruturada SCID I/P-DSM-IV para avaliação diagnóstica de transtorno depressivo maior. Foram constituídos um grupo com pacientes portadores de depressão maior, denominado grupo estudo (GE) e um grupo com pacientes não portadores de depressão maior, denominado grupo controle (GC). Variáveis sócio-demográficas, pressão arterial e bioquímica sanguínea foram avaliadas no momento da coleta de dados. Resultados: Foram entrevistados 285 pacientes tendo sido encontrada prevalência de 20% de depressão maior na população investigada. A idade média foi significativamente menor para o GE, com predomínio do sexo feminino. A prática de atividade física regular foi também significativamente menor entre os pacientes do GE que também apresentaram valores mais elevados de pressão arterial diastólica e de colesterolemia. Conclusão: Foi encontrada uma prevalência de Transtorno Depressivo Maior em pacientes hipertensos superior àquela encontrada na população geral, além de dados consistentes quanto a maior nível de pressão arterial diastólica, colesterolemia e menor realização de atividade física entre indivíduos do Grupo Estudo. Isso aponta para uma necessidade de maior atenção para o diagnóstico dos transtornos depressivos em pacientes hipertensos em atendimento primário e ambulatorial. _________________________________________________________________________________________ ABSTRACT Objective: Investigating the prevalence of major depression disorders in hypertensive patients enrolled in a university reference center for the treatment of hypertension and other cardiovascular risk factors. Methods: cross-sectional, descriptive study of a representative randomized sample of patients, obtained according to a systematic protocol, among individuals enrolled for continuous treatment at the Hypertension League of the Universidade Federal de Goiás. The Beck Depression Inventory (BDI) was administered for detecting the depressive symptoms, and the SCID I/P-DSM-IV structured interview, for the diagnostic classification of the major depressive disorder. Two groups were formed, one with patients with major depressive disorder, called study group (SG) and another with patients without depression, called control group (CG). Sociodemographic variables, blood pressure and plasma biochemistry were evaluated at the time of the interview. Results: From the two-hundred eighty-five patients who were evaluated the results indicated a 20% prevalence of major depression in the population included in the study. The mean age was significantly lower for the SG, where female individuals were predominant. Regular physical activity was less common among patients in the SG; and higher diastolic blood pressure values as well as cholesterolemia were also found in this group. Conclusion: these results show a higher prevalence of major depressive disorder among these patients, relative to the population as a whole. More attention should be paid to establishing an adequate diagnosis for depressive disorders in hypertensive patients, both in primary care facilities and in outpatient clinics.
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    ABSTRACT: Objective.-This study is focused on people feeling depressed without other depression clinical symptoms (FDWDCS) according to the DSM-IV criterion, and to evaluate the possibilities of using this factors as a detection devices; in 75 primary care unit and in 43 hospitals. Material and methods.- We made a survey to 36,367 persons, older than 39 years old; that came requesting different health services, all of them without depression. Results.- From 12,215 persons WDCS, we identified that 1,505 people were FD-WDCS; in which we found association with major depression factors (family history of depression, adversities, feminine gender, being otherwise sick). Discussion and conclusions.- We found that FD-WDCS is part of the depressive process and it can be a useful indicator for the opportune detection in patients requesting health services. We also found an association with dizziness, arthritis, and visual problems. Different detection strategies were evaluated, the best result were obtained in unhealthy women and/or visual problems, and in unhealthy men older than 69 years old.
    01/2006; 11(2):45-54.
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