Trastornos mentales entre personas con enfermedad cardiaca. Resultados del Estudio Nacional de Salud Mental, Colombia 2003

José Moreno; José Posada Villa

doi:10.22490/24629448.381

Vol. 5 No. 8 (2007)

Published 2007-12-15

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Research Article (before OJS)

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

DOI: https://doi.org/10.22490/24629448.381

José Moreno Universidad Colegio Mayor de Cundinamarca

José Posada Villa Universidad Nacional de Colombia

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Abstract
References

The 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.

keywords: anxiety, agoraphobia, depression, heart disease, social phobia.

Murray C, Lopez A. Alternative projections of mortality and disability by cause 1990-2020. Global Burden of Disease Study. Lancet 1997;349:1498-1504.

Insel TR, Charney DS. Research on Major Depression. Strategies and priorities. JAMA 2003;289:3167 3168.

Ormel J, VonKorff M, Ustun TB, Pini S, Korten A, Oldehinkel AJ. Common mental disorders and disability across cultures. Results from the WHO Collaborative Primary Care Study. JAMA 1994;272:1741-1748.

Penninx BW, Beekman AT, Honig A, Deeg, DJ, Schoevers RA, van Eijk JT, van Tilburg W. Depression and cardiac mortality: results from a community-based longitudinal study. Arch Gen Psychiatry 2001;58:221 227.

Evans DL, Charney DS, Lewis L, Golden RN, Gorman JM, Rama Krishnan KR, et al. Mood disorders in the medically ill: Scientific Review and Recommendations. Biol Psychiatry 2005;58:175-189.

Rudisch B, Nemeroff CB. Epidemiology of comorbid coronary artery disease and depression. Biol Psychiatry 2003;54:227-240.

Van Melle JP, de Jonge P, Spijkerman TA, Tijssen JG, Ormel J, van Veldhuisen DJ et al. Prognostic association of depression following myocardial infarction with mortality and cardiovascular events: a meta analysis. Psychosom Med 2004;66:814-822.

Berkman LF, Blumenthal J, Burg M, Carney RM, Catellier D, Cowan MJ et al. Effects of treating depression and lowperceived social support on clinical events after myocardial infarction - The enhancing recovery in coronary heart disease patients (ENRICHD) randomized trial. JAMA 2003;289:3106-3116.

Glassman AH, O’Connor CM, Califf RM, Swedberg K, Schwartz P, Bigger JT, Jr. et al. Sertraline treatment of major depression in patients with acute MI or unstable angina. JAMA 2002;288:701-709.

Baune BT, Adrian I, Arolt V, Berger K. Associations between major depression, bipolar disorders, dysthymia and cardiovascular diseases in the general adult population. Psychother Psychosom. 2006;75:319 326.

Kessler R, Berglund P, Chiu WT, Demler O, Heeringa S, Hiripi E, Jin R, Pennell B-P, Walters EE, Zaslavsky A, Zheng H. The US National Comorbidity Survey Replication (NCS-R): design and field procedures. Int J Methods Psychiatr Res. 2004;13:69-92.

Wittchen HU. Reliability and validity studies of the WHO Composite International Diagnostic Interview (CIDI): a critical review. J Psychiatr Res. 1994;28:57-84.

Kessler RC, Ustun TB. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res. 2004;13: 93-121.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth ed. Washington, DC: American Psychiatric Association; 1994.

National Center for Health Statistics. Evaluation of National Health Interview Survey diagnostic reporting. Vital and Health Statistics 2 1994;120:1-116.

Kriegsman DM, Penninx BW, van Eijk JT, Boeke AJ, Deeg DJ. Self-reports and general practioner information on the presence of chronic diseases in communiting dwelling elderly. J Clin Epidemiol. 1996;12:1407-1417.

Kehoe R, Wu S-Y, Leske MC, Chylack LT. Comparing selfreported and physician-reported medical history. Am J Epidemiol 1994;139:813-818.

Tretli S, Lund-Larsen PG, Foss, OP. Reliability of questionnaire information on cardiovascular disease and diabetes: cardiovascular disease study in Finnmark county. J Epidemiol Comm Health 1982;36:269-273.

Wolter KM. Introduction to Variance Estimation. New York, NY: Springer-Verlag; 1985.

SUDAAN [computer program] Version 8.0.1. Research Triangle Park, NC: Research Triange Institute; 2002.

Kolk AM, Hanewald GJ, Schagen S, Gijsbers van Wijk CM. Predicting medically unexplained physical symptoms and health care utilization. A symptom-perception approach. J Psychosom Res 2002;52:35-44.

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Moreno, J., & Posada Villa, J. (2007). Mental Disorders Among People With Heart Disease. Results From the Mental Health National Study, Colombia 2003. NOVA Biomedical Sciences Journal, 5(8), 127-134. https://doi.org/10.22490/24629448.381

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

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