Programa colaborativo a distancia para el tratamiento de la enfermedad depresiva

Abstract

) in the BDI-I and 38% of them had a high suicide risk. There were no statistically significant baseline differences between active and control group. In the intervention group, the BDI-I score changed from 30.0 (95% CI 27.0 to 32.8) to 15.3 (95% CI 11.8 to 18.8). In the control group the score changed from . The decrease was significantly higher in the intervention groups. Conclusions: A program of this kind may be useful to assist primary care teams in remote areas of the country to improve treatment outcomes for depression. (Rev Med Chile 2014; 142: 1142-1149

Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature

“…15 In Chile, an online platform facilitated collaborative care by giving primary care providers remote access to a psychiatrist, which contributed to improved outcomes for care of people with depression. 16 In one study, 17 primary care providers from district hospitals in India sent patient reports to consulting psychiatrists at a tertiary medical centre to obtain treatment recommendations, whereas in another study from Pakistan, 18 reports on children or adolescents with complex presentations of mental illness were sent to psychiatrists in the UK for clinical guidance and feedback. Use of email to seek remote consultation from specialists is referred to as asynchronous or so-called store-and-forward telepsychiatry, 17,18 however, this approach seems to be an extension of existing practices of sending paper copies to consultants rather than an application of technology with potential for population-level impact.…”

The effectiveness and cost-effectiveness of integrating mental health services in primary care in low- and middle-income countries: systematic review

“…63,64 Strategic intervention option 5 is essential in this model. A study in Chile 36 compared the effectiveness of treatment delivered by general physicians with access to online psychiatric consultation services with that of those without access to this support in the management of urban women diagnosed with depression. Patients in the intervention arm had a statistically significant reduction in their depression scores compared with those in the control arm at 3 months of the intervention.…”

Comorbilidad en personas con depresión que consultan en centros de la atención primaria de salud en Santiago, Chile

“…La proporción de casos con antecedentes claros de depresión es elevada si se compara con estudios nacionales del mismo grupo poblacional [22][23][24] . En la literatura internacional, la historia de depresión se ha asociado con una mayor recurrencia del cuadro 25 , observándose que la patología tiene un desarrollo crónico en un tercio de los pacientes deprimidos del nivel primario [26][27][28] , incrementando el riesgo de padecer un peor estado de salud y discapacidad funcional por períodos prolongados 25,29 .…”

“…En la muestra analizada, se evidenciaron niveles moderados a graves de síntomas depresivos, replicando hallazgos previos [22][23][24]30 . También se detectó una frecuencia de riesgo suicida superior a 70%, cifra cercana a la reportada en hospitales comunitarios de la X región 24 , pero más alta que la señalada en el extranjero [31][32] .…”

“…También se detectó una frecuencia de riesgo suicida superior a 70%, cifra cercana a la reportada en hospitales comunitarios de la X región 24 , pero más alta que la señalada en el extranjero [31][32] . Estos indicadores de compromiso del cuadro clínico son predictores de mala respuesta y recurrencia/cronicidad 27,28,33,34 , y parecieran influirse recíprocamente en pacientes depresivos de APS 31,32 .…”