The study aimed to characterize a sample of depressive patients who attend to Community Mental Health Centres (COSAM) in Santiago, regarding their sociodemographic and clinical characteristics and the associations among these variables. Method: 88 patients treated at 5 different COSAM in Santiago were assessed with self-report questionnaires regarding sociodemographic variables, severity of depressive symptoms (BDI), general and social functioning (OQ-45) and health-related quality of life . Descriptive and correlational analyses were performed to describe sociodemographic and clinical features of the participants, and to address the associations between depressive symptomatology, general functioning and quality of life. Results: Participants were mostly women, with chronic and severe depressive symptoms and high frequency of comorbid physical illnesses, they presented reduced quality of life and impairments in general and social functioning. Female gender and a history of physical illness were significant predictors of the severity of depressive symptoms. The latter, in turn, showed moderate to high correlations with the different dimensions of general functioning and quality of life, especially with lack of vitality, impact of health and emotional problems in social life, work and daily activities and, the perception of an impaired mental health. Conclusion: Depressive disorders in patients treated at COSAM are highly limiting and are associated with low quality artículo de investigación Recibido: 27/08/2016 Aceptado: 16/03/2017 Fuentes de apoyo financiero (Subsidio de investigación): FONDECYT, CONICYT. Proyecto Postdoctorado # 3140317. Instituto Milenio para la Investigación en Depresión y Personalidad IS130005. Ninguna de estas fuentes de apoyo financiero tuvo influencia en diseño del estudio, ni en la recolección, análisis o interpretación de los datos, ni en la preparación, revisión o aprobación del manuscrito.
Introduction: OPD (Operationalized Psychodynamic Diagnosis) is a recently introduced semistructured and operationalized method of personality evaluation and diagnosis in developing countries. This preliminary report assess the impact of intensive training on OPD's criterion validity and inter rater reliability. Method: 15 psychotherapists recently introduced to OPD's theory and scoring procedures, rated a clinical interview during an 120 hours intensive training. Three months after training, they were asked to rate the same interview. Results: Concerning criterion validity, training doesn't impact on agreement with expert judgment, but it does on psychotherapeutic relevant items. Concerning inter-rater reliability our data matched already published studies, e.gr. inter-rater reliability of Axis I and IV improves significatively after training.
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