What challenges does mental and neurological health research face in Latin American countries?

Fiestas, Fabián; Gallo, Carla; Poletti, Giovanni; Bustamante, Inés; Alarcón, Renato D.; Mari, Jair J.; Razzouk, Denise; Mazzotti, Guido

doi:10.1590/s1516-44462008000400005

Cited by 15 publications

(20 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This becomes especially important if we take into account that an important amount of sub-diagnosis of depressive disorders in primary care settings of developing countries has been reported [35] and that very limited resources for independent research have been identified as obstacles to proper mental health policies supported by solid scientific evidence [70], [71]. The amount of reported interventions focusing on prevention, treatment and rehabilitation of important contributors to burden of disease, such as depressive disorders, are still scarce in Latin America [72].…”

Section: Discussionmentioning

confidence: 99%

Validation of the Spanish Center for Epidemiological Studies Depression and Zung Self-Rating Depression Scales: A Comparative Validation Study

et al. 2012

View full text Add to dashboard Cite

BackgroundDepressive disorders are leading contributors to burden of disease in developing countries. Research aiming to improve their diagnosis and treatment is fundamental in these settings, and psychometric tools are widely used instruments to support mental health research. Our aim is to validate and compare the psychometric properties of the Spanish versions of the Center for Epidemiological Studies Depression Scale (CES-D) and the Zung Self-Rating Depression Scale (ZSDS).Methodology/Principal FindingsA Spanish version of the CES-D was revised by 5 native Spanish speaking psychiatrists using as reference the English version. A locally standardized Spanish version of the ZSDS was used. These Spanish versions were administered to 70 patients with a clinical diagnosis of DSM-IV Major Depressive Episode (MDE), 63 without major depression but with clinical diagnosis of other psychiatric disorders (OPD), and 61 with no evidence of psychiatric disorders (NEP). For both scales, Cronbach's alpha (C-α) and Hierarchical McDonald Omega for polychoric variables (MD-Ω) were estimated; and receiver operating characteristics (ROC) analysis performed. For the CES-D and ZSDS scales, C-α was 0.93 and 0.89 respectively, while MD-Ω was 0.90 and 0.75 respectively. The area under the ROC curve in MDE+OPD was 0.83 for CES-D and 0.84 for ZSDS; and in MDE+NEP was 0.98 for CES-D and 0.96 for ZSDS. Cut-off scores (co) for the highest proportions of correctly classified (cc) individuals among MDE+OPD were ≥29 for CES-D (sensitivity (ss) = 77.1/specificity (sp) = 79.4%/(cc) = 78.2%) and ≥47 for ZSDS (ss = 85.7%/sp = 71.4%/cc = 78.9%). In the MDE+NEP, co were ≥24 for the CES-D (ss = 91.4%/sp = 96.7%/cc = 93.9%) and ≥45 for the ZSDS (ss = 91.4%/sp = 91.8%/cc = 91.6%).ConclusionSpanish versions of the CES-D and ZSDS are valid instruments to detect depression in clinical settings and could be useful for both epidemiological research and primary clinical settings in settings similar as those of public hospitals in Lima, Peru.

show abstract

Section: Discussionmentioning

confidence: 99%

Validation of the Spanish Center for Epidemiological Studies Depression and Zung Self-Rating Depression Scales: A Comparative Validation Study

et al. 2012

View full text Add to dashboard Cite

show abstract

“…In 2004, the Global Forum for Health Research and the World Health Organization (WHO) launched an international study aimed at mapping mental health research capacity in 114 LAMIC during the period from 1993 to 2003 [18][19][20]. A central aim of this study was to build a case for action, including the identification of the main barriers to be addressed in the promotion of mental health research (e.g., scarcity, inequity and inefficiency) [21], based on an analysis of mental health publications in the indexed and grey literature as well as survey data on researchers' background and available resources.…”

Section: Introductionmentioning

confidence: 99%

Scarcity and inequity of mental health research resources in low-and-middle income countries: A global survey

et al. 2010

Self Cite

View full text Add to dashboard Cite

“…The reasons for these deficiencies are multifactorial, but the lack of research is mainly due to a lack of provision and funding from government agencies. Fortunately, there is now a drive to increase the training in psychiatric research, as well as greater recognition of local research, which has led to publication and implementation of results (Fiestas et al, 2008).…”

Section: Researchmentioning

confidence: 99%

Mental health training and education in South America: SUD World Project

et al. 2014

View full text Add to dashboard Cite

show abstract

What challenges does mental and neurological health research face in Latin American countries?

Abstract: What challenges does mental and neurological health research face in Latin American countries?¿Qué desafíos enfrenta la investigación en salud mental y neurológica en los países latinoamericanos?

Cited by 15 publications

References 8 publications

Validation of the Spanish Center for Epidemiological Studies Depression and Zung Self-Rating Depression Scales: A Comparative Validation Study

Validation of the Spanish Center for Epidemiological Studies Depression and Zung Self-Rating Depression Scales: A Comparative Validation Study

Scarcity and inequity of mental health research resources in low-and-middle income countries: A global survey

Mental health training and education in South America: SUD World Project

Contact Info

Product

Resources

About