Carlos Gómez-Restrepo1, Nathalie Tamayo Martínez2, Adriana Bohórquez3, Martín Rondón4, Mauricio Medina Rico5, Hernet Rengifo6, Nubia Bautisa7. 1. MD Psiquiatra, Psiquiatría de Enlace, MSc Epidemiología Clínica, Psicoanalista. Profesor titular Director Departamento Epidemiología Clínica y Bioestadística, Departamento Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia. Electronic address: cgomez_restrepo@yahoo.com. 2. MD Psiquiatra, MSc (cand) Epidemiología Clínica, Psiquiatra de Enlace. Investigadora Departamento Epidemiología Clínica y Bioestadística, Pontifica Universidad Javeriana, Bogotá, Colombia. 3. MD Psiquiatra, MSc Epidemiología Clínica, Profesora Departamento Epidemiología Clínica y Bioestadística, Departamento Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia. 4. Estadístico, Bioestadístico, Coordinador Maestría de Bioestadística. Departamento Epidemiología Clínica y Bioestadística, Departamento Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia. 5. MD Psiquiatra, Estadístico, Bioestadístico, Coordinador Maestría de Bioestadística. Departamento Epidemiología Clínica y Bioestadística, Departamento Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia. 6. Odontólogo, Mágister en Salud Pública, delegado de la Dirección de Epidemiología y Demografía, Bogotá, Colombia. 7. MD Psiquiatra, Coordinadora Grupo de Gestión Integrada para la Salud Mental de la Subdirección de Enfermedades no Trasmisibles Ministerios de Salud y Protección Social, Bogotá, Colombia.
Abstract
INTRODUCTION: Mental disorders are the first causes of disability adjusted life years (DALY), contributing with the 7.4%. This value increases as the DALYs of the transmittable diseases decrease. OBJECTIVES: To determine the prevalence and associated factors of the major depressive and anxious disorders. METHODS: Data obtained from the IV Mental Health Survey with representation from 5 regions. A computerised interview was conducted, focusing on the most frequent anxiety and depressive disorders, using the CIDI CAPI 3.0. A sample of 10,870 adults over 18 years old was obtained. RESULTS: The lifetime prevalence of any of these disorders is 10.1% (95% CI: 8.8-11.5) in the population between 18 and 44 years, and of 7.7% (95% CI: 6.5-9.1) in those older than 45 years. The prevalence in the last 12 months was 5.1% (95% CI: 4.3-6.0) in the younger group, and 2.3% (95% CI: 1.8-3.0) in the older group. Of the people with evaluated mental disorders, 17.6% (95% CI: 13.1-23.4) had 2 or more disorders, a comorbidity that is more common in the female population (20.4%, 95% CI: 14.2-28.3) than in males (13.5%, 95% CI: 7.9-22.0). Major depressive disorder is the most prevalent of the disorders, with a lifetime prevalence of 4.3% (95% CI: 3.7-5.0). After adjusting in a multivariate model, being divorced or widowed (OR=1.3), previous suicide attempt (OR=3.3), and having 6 or more features of border-line personality, were associated with an increased risk of presenting with any of the studied disorders. CONCLUSIONS: Anxiety and depressive mental disorders are an important health burden in Colombia.
INTRODUCTION:Mental disorders are the first causes of disability adjusted life years (DALY), contributing with the 7.4%. This value increases as the DALYs of the transmittable diseases decrease. OBJECTIVES: To determine the prevalence and associated factors of the major depressive and anxious disorders. METHODS: Data obtained from the IV Mental Health Survey with representation from 5 regions. A computerised interview was conducted, focusing on the most frequent anxiety and depressive disorders, using the CIDI CAPI 3.0. A sample of 10,870 adults over 18 years old was obtained. RESULTS: The lifetime prevalence of any of these disorders is 10.1% (95% CI: 8.8-11.5) in the population between 18 and 44 years, and of 7.7% (95% CI: 6.5-9.1) in those older than 45 years. The prevalence in the last 12 months was 5.1% (95% CI: 4.3-6.0) in the younger group, and 2.3% (95% CI: 1.8-3.0) in the older group. Of the people with evaluated mental disorders, 17.6% (95% CI: 13.1-23.4) had 2 or more disorders, a comorbidity that is more common in the female population (20.4%, 95% CI: 14.2-28.3) than in males (13.5%, 95% CI: 7.9-22.0). Major depressive disorder is the most prevalent of the disorders, with a lifetime prevalence of 4.3% (95% CI: 3.7-5.0). After adjusting in a multivariate model, being divorced or widowed (OR=1.3), previous suicide attempt (OR=3.3), and having 6 or more features of border-line personality, were associated with an increased risk of presenting with any of the studied disorders. CONCLUSIONS:Anxiety and depressive mental disorders are an important health burden in Colombia.
Authors: William C Torrey; Magda Cepeda; Sergio Castro; Sophia M Bartels; Leonardo Cubillos; Fernando Suárez Obando; Pablo Martínez Camblor; José Miguel Uribe-Restrepo; Makeda Williams; Carlos Gómez-Restrepo; Lisa A Marsch Journal: Psychiatr Serv Date: 2020-03-10 Impact factor: 3.084
Authors: Lucia C Pérez-Herrera; Sergio Moreno-López; Daniel Peñaranda; Irene C Pérez-García; Elizabeth García; Gloria Corredor-Rojas; Edgardo Chapman; Augusto Peñaranda Journal: Int Forum Allergy Rhinol Date: 2021-06-08 Impact factor: 5.426
Authors: Javier Eslava-Schmalbach; Nathaly Garzón-Orjuela; Nathalie Tamayo Martínez; Lina Gonzalez-Gordon; Eric Rosero; Carlos Gómez-Restrepo Journal: Int J Prev Med Date: 2020-01-24
Authors: Lisa A Marsch; Carlos Gómez-Restrepo; Sophie M Bartels; Kathleen Bell; Pablo Martinez Camblor; Sergio Castro; Maria Paula Cárdenas Charry; Magda Cepeda; Leonardo Cubillos; Deepak John; Maria Paula Jassir; Shea M Lemley; Fernando Suárez-Obando; William C Torrey; José Miguel Uribe; Makeda J Williams Journal: Psychiatr Serv Date: 2021-08-04 Impact factor: 3.084
Authors: David Villarreal-Zegarra; Milagros Cabrera-Alva; Rodrigo M Carrillo-Larco; Antonio Bernabe-Ortiz Journal: BMJ Open Date: 2020-07-19 Impact factor: 2.692