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Mental Disorders Among People With Heart Disease. Results From the Mental Health National Study, Colombia 2003

dc.creatorMoreno, José
dc.creatorPosada Villa, José
dc.descriptionThe objectives of this article are to present the estimated prevalence of mood, anxiety and alcohol abuse/dependence disorders in people with heart disease in Colombia, and to identify the specific mental disorders more strongly associated with heart disease. A population survey of household-residing adults was carried out in Colombia. Disorders considered in this study include anxiety disorders (generalized anxiety disorder, panic disorder/agoraphobia, posttraumatic stress disorder, and social phobia), mood disorders (dysthymia and major depressive disorder), and substance use disorders (alcohol abuse and dependence). Heart disease was ascertained by self-report. The association level between these disorders and the cardiac disease was evaluated using ODDS ratios adjusted by age and sex. After adjusting for age and sex, specific mood and anxiety disorders were more prevalent in persons with heart disease.The estimates of the adjusted OR´s (95% CI) were 2.6 (1.5, 4.8) for major depressive disorder, 5.6 (1.8, 17.4) for dysthymia, 1.6 (0.4, 6.3) for generalized anxiety disorder, 2.5 (1.0, 6.3) for panic disorder/agoraphobia and 1.5 (0.3, 7.3) for alcohol abuse/dependence among people with versus people without heart disease. Later to the adjustment by age and sex, the estimated prevalence of the mood and anxiety disorders is bigger in persons with heart disease. The strength of association of specific mood and anxiety disorders with heart disease is consistent across disorders.en-US
dc.descriptionEste artículo tiene como objetivos presentar la prevalencia estimada de trastornos del estado de ánimo, ansiedad y por consumo de alcohol en personas con enfermedad cardiaca en Colombia; e identificar los trastornos mentales específicos más fuertemente asociados con enfermedad cardiaca. Se aplicó una encuesta de hogares en personas entre 18 y 65 años en Colombia (n=4.426). Los trastornos mentales fueron evaluados con el WMH-CIDI, una entrevista diagnóstica estructurada. Los trastornos considerados en este estudio incluyen trastornos de ansiedad (trastorno de ansiedad generalizada, trastorno de angustia/agorafobia, trastorno por estrés post traumático y fobia social), trastornos del estado de ánimo (trastorno distímico y trastorno depresivo mayor) y trastornos por consumo de sustancias (abuso de alcohol y dependencia del alcohol). La enfermedad cardiaca fue determinada por auto reporte. El nivel de asociación entre estos trastornos y la enfermedad cardiaca fue evaluado usando razones de Odds ajustadas por edad y sexo. Después de ajustar por edad y sexo, los trastornos específicos de ansiedad y del estado de ánimo fueron significativamente más prevalentes en personas con enfermedad cardiaca (p>0.000?).Los valores de los OR´s ajustados (95% intervalo de confianza) fueron 2.6 (1.5, 4.8) para trastorno depresivo mayor, 5.6 (1.8, 17.4) para trastorno distímico, 1.6 (0.4, 6.3) para trastorno de ansiedad generalizada, 2.5 (1.0, 6.3) para trastorno de angustia con agorafobia y 1.5 (0.3, 7.3) para abuso/dependencia del alcohol en personas con enfermedad cardiaca versus personas sin enfermedad cardiaca. Posterior al ajuste por edad y sexo, la prevalencia estimada de los trastornos del estado de ánimo y de ansiedad resulta mayor en personas con enfermedad cardiaca. La fuerza de la asociación de trastornos específicos del estado de ánimo y de ansiedad es consistente a través de estos
dc.publisherUniversidad Colegio Mayor de Cundinamarcaes-ES
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dc.rightsCopyright (c) 2007 NOVA Publicación en Ciencias Biomédicases-ES
dc.sourceNOVA Biomedical Sciences Journal; Vol. 5, Núm. 8 (2007); 127-134en-US
dc.sourceNova; Vol. 5, Núm. 8 (2007); 127-134es-ES
dc.sourceNOVA Ciências Biomédicas Publicação; Vol. 5, Núm. 8 (2007); 127-134pt-BR
dc.subjectCiencias Médicas y de la Salud,Medicina Clínica,Otros Temas de Medicina Clínicaes-ES
dc.subjectagorafobia; angustia; depresión; enfermedad cardiaca; fobia sociales-ES
dc.subjectanxiety; agoraphobia; depression; heart disease; social phobia.en-US
dc.titleMental Disorders Among People With Heart Disease. Results From the Mental Health National Study, Colombia 2003en-US
dc.titleTrastornos mentales entre personas con enfermedad cardiaca. Resultados del Estudio Nacional de Salud Mental, Colombia 2003es-ES

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