Disability and perceived stress in primary care patients with major depression

  1. Jesús Santolaya Prego de Oliver 1
  2. Roger Muñoz-Navarro 2
  3. César González-Blanch 3
  4. Ana Llorca-Mestre 4
  5. Elisabeth Malonda 4
  6. Leonardo Medrano 5
  7. Paloma Ruiz-Rodríguez 6
  8. Juan Antonio Moriana 7
  9. Antonio Cano-Vindel 8
  1. 1 Universidad Europea de Valencia
    info

    Universidad Europea de Valencia

    Valencia, España

  2. 2 Universidad de Zaragoza
    info

    Universidad de Zaragoza

    Zaragoza, España

    ROR https://ror.org/012a91z28

  3. 3 Hospital Universitario “Marqués de Valdecillas” (Santander)
  4. 4 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  5. 5 Pontificia Universidad Católica Madre y Maestra (República Dominicana)
  6. 6 Servicio Madrileño de Salud
    info

    Servicio Madrileño de Salud

    Madrid, España

  7. 7 Universidad de Córdoba
    info

    Universidad de Córdoba

    Córdoba, España

    ROR https://ror.org/05yc77b46

  8. 8 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

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Revista:
Psicothema

ISSN: 0214-9915,  1886-144X

Año de publicación: 2020

Volumen: 32

Número: 2

Páginas: 167-175

Tipo: Artículo

DOI: 10.7334/PSICOTHEMA2019.319 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Psicothema

Resumen

Antecedentes: el Trastorno Depresivo Mayor (TDM) es muy prevalente en la atención primaria (AP) española y es la principal causa de discapacidad en España. En este trabajo se estudiaron algunas propiedades psicométricas de la Escala de Discapacidad de Sheehan (SDS) en pacientes con o sin TDM y con varios niveles de severidad de síntomas, usando el Patient Health Questionnaire-9 (PHQ-9). Método: 1.704 pacientes de AP que participaron en el ensayo clínico PsicAP cumplimentaron la SDS y el PHQ-9. Se estudió la estructura factorial, medida de invarianza de género, consistencia interna, validez discriminativa y la validez predictiva. Resultados: el análisis factorial confirmatorio mostró un modelo unifactorial con 4 ítems (SDS-4) con un buen ajuste (CFI: .99; GFI: .99; TLI: 96; RMSEA: .10). Este modelo contenía los tres ítems de esferas de la vida (trabajo, familia y vida social) más el ítem de estrés percibido con cargas significativas. La consistencia interna de la SDS-4 fue aceptable en pacientes con MDD y con diferente severidad de síntomas depresivos. También se halló una buena validez discriminativa y aceptable validez predictiva. Conclusiones: nuestros hallazgos respaldan el uso de la SDS-4 cuando se evalúe la discapacidad relacionada con la depresión en centros de AP españoles.

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Información de financiación

This work has been supported by the Fundación Española para la Promoción y el Desarrollo Científico y Profesional de la Psicología to Antonio Cano-Vindel; by the Agencia Estatal de Investigación (PSI2012-36589) to Antonio Cano-Vindel; by the IDIVAL, INNVAL (ref.: 16/08) and PRIMVAL (ref.: 18/03) to César González-Blanch; and by the Agencia Estatal de Investigación (SI2014-56368-R) to Juan A. Moriana We thank all the PsicAP Research Group members who kindly participated in this large project.

Financiadores

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Fuente de los datos: Dialnet