Management of common mental disorders should take place in primary health or specialized care? Clinical decisions of psychiatrists from Latin American countries
Autor:
Haddad, Michel
; Rojas Vistorte, Angel O.
; Guerra Haddad, Glenda
; Ribeiro, Wagner
; Ziebold, Carolina
; Asevedo, Elson
; Evans-Lacko, Sara
; Ulloa Guerra, Óscar
; de Jesus Mari, Jair
Fecha:
2022Palabra clave:
Revista / editorial:
PLoS ONECitación:
Haddad M, Vistorte AOR, Haddad GG, Ribeiro W, Ziebold C, Asevedo E, et al. (2022) Management of common mental disorders should take place in primary health or specialized care? Clinical decisions of psychiatrists from Latin American countries. PLoS ONE 17(4): e0265308. https://doi.org/10.1371/journal.pone.0265308Tipo de Ítem:
Articulo Revista IndexadaResumen:
Objective
The objective of our study was to explore clinical decisions of psychiatrists regarding the management of common mental disorders in primary care (PC) in four Latin Americans countries, through the application of clinical vignettes.
Methods
Using a cross-sectional design, we conducted a self-administered online questionnaire survey of psychiatrists from Bolivia, Brazil, Cuba, and Chile. The questionnaire covered sociodemographic and professional information. The psychiatrists’ clinical decisions were assessed through three clinical vignettes representing typical PC cases of depression, anxiety, and somatization.
Results
230 psychiatrists completed the online survey. Psychiatrists from Brazil were less likely to recognize depression as a mental disorder than those from Cuba (odds ratio (OR) = 0.30, 95% confidence interval (CI), 0.10 to 0.91, p < 0.04). Female gender (OR = 0.19, 95% CI, 0.04 to 0.91, p < 0.02) and older age (OR = 0.92, 95% CI, 0.87 to 0.97, p < 0.01) reduced the likelihood of agreement that depression cases should be treated by a Primary Care Physician (PCP). In the somatoform symptoms vignette, longer training duration increased the likelihood of agreement that treatment should be done by a psychiatrist instead of a PCP (OR = 1.19, 95% CI, 1.04 to 1.37, p < 0.01). In the anxiety vignette, females (OR = 2.38, 95% CI, 1.10 to 5.13, p < 0.01) and participants from Bolivia (compared with Cubans, OR = 4.19, 95% CI, 1.22 to 14.42, p < 0.02) were more likely to consider that these patients should be treated by a psychiatrist instead of a PCP.
Discussion
Most psychiatrist respondents agreed that patients with depression should be treated by PCPs and that somatoform and anxiety cases should be treated by psychiatrists. These results show that psychiatrists consider that they, and not PCPs, should treat patients with common mental disorders, regardless of the evidence showing that common mental disorders can be treated by primary care physicians in PC.
Ficheros en el ítem
Nombre: management_of_common_mental_disorders.pdf
Tamaño: 468.5Kb
Formato: application/pdf
Este ítem aparece en la(s) siguiente(s) colección(es)
Estadísticas de uso
Año |
2012 |
2013 |
2014 |
2015 |
2016 |
2017 |
2018 |
2019 |
2020 |
2021 |
2022 |
2023 |
2024 |
Vistas |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
20 |
51 |
Descargas |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
7 |
16 |
Ítems relacionados
Mostrando ítems relacionados por Título, autor o materia.
-
Adaptation to Brazilian Portuguese and Latin-American Spanish and psychometric properties of the Mental Illness Clinicians’ Attitudes Scale (MICA v4)
Rojas Vistorte, Angel O.; Ribeiro, Wagner; Ziebold, Carolina; Asevedo, Elson; Evans-Lacko, Sara; Varas, Denisse Jaen; Gutierrez, Nataly; Haddad, Michel; Ulloa Guerra, Óscar; Martínez, Ricel; Sartor-Harada, Andresa; de Jesus Mari, Jair (Trends in Psychiatry and Psychotherapy, 2023)Objective: To describe translation to Spanish and Portuguese and adaptation of the Mental Illness Clinicians’ Attitudes Scale version 4 (MICA v4). Methods: The questionnaire was administered to primary care physicians ... -
Oportunidades pedagógicas del portafolio de aprendizaje reflexivo
Sartor-Harada, Andresa; Ulloa Guerra, Óscar; Deroncele-Acosta, Angel; Pérez-Ochoa, Maria Elena (Revista de Filosofia (Venezuela), 2022)La investigación analiza las oportunidades pedagógicas que presenta el portafolio de aprendizaje reflexivo como herramienta educativa. Se realiza un estudio de caso donde las constataciones empíricas se reflexionan ... -
Aplicación del portafolio digital en una estrategia metodológica para el aprendizaje reflexivo en estudiantes de maestría
Sartor-Harada, Andresa; Ulloa Guerra, Óscar; Deroncele-Acosta, Angel; Pérez-Ochoa, Maria Elena (Perfiles Educativos, 2023)Existen pocas evidencias científicas del uso del portafolio más allá de los límites curriculares de una asignatura. Se presenta un estudio realizado para evaluar una estrategia metodológica de utilización del portafolio ...