Abstract
Background. Worldwide, anxiety and depression have been reported as common comorbid conditions in patients cared for in emergency departments. However, little has been published within the Mexican context in recent years. Objective. This study aimed to identify the frequency of anxiety and depression symptoms in patients admitted to a Mexican emergency department. Method. This was a retrospective study conducted in the emergency department of a general hospital in Mexico City. A total of 117 records of admitted patients between February and October in 2017 were reviewed. Participants responded to the Hospital Anxiety and Depression Scale (HADS), the Mini International Neuropsychiatric Interview, and a socio-demographic questionnaire. Results. The HADS results showed that 42.7% of participants tested positive for anxiety based on the cut-off point. In comparison, 46.2% tested positive for depression. According to the MINI and the frequency of Major Depressive Episodes among patients was 39.3%. In contrast, the frequency of Generalized Anxiety Disorder was 22.2%. Discussion. The findings show slightly higher data than those reported earlier in other studies, including some in Latin America, positioning them as common mental health problems in patients in the emergency area. It is possible to conclude that anxiety and depression are frequent disorders in patients hospitalized in the emergency service of a public Mexican hospital. However, more research is needed to verify these results under various specific situations.
References
Abar, B., Holub, A., Lee, J., DeRienzo, V. y Nobay, F. (2017). Depression and anxiety among emergency department patients: utilization and barriers to care. Academic Emergency Medicine, 24(10), 1286-1289. Doi: 10.1111/acem.13261.
Baker, C. (2015). Accident and emergency statistics. House of Commons Library Briefing Paper, 6964, 1-34.
Ballou, S., Mitsuhashi, S., Sankin, L.S., Petersen, T.S., Zubiago, J., Lembo, C., Takazawa, E., Katon, J., Sommers, T., Hirsch, W., Rangan, V. y Jones, M. (2019). Emergency department visits for depression in the United States from 2006 to 2014. General Hospital Psychiatry, 59, 14-19. Doi: 10.1016/j.genhosppsych.2019.04.015.
Beard, C., Weisberg, R.B. y Keller, M.B. (2010). Health-related quality of life across the anxiety disorders: Findings from a sample of primary care patients. Journal of Anxiety Disorders, 24(6), 559-564. Doi: 10.1016/j.janxdis.2010.03.015.
Blakemore, A., Dickens, C., Guthrie, E., Bower, P., Kontopantelis, E., Afzal, C. y Coventry, P. (2014). Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 9, 501-512. Doi: 10.2147/COPD.S58136.
Castilla P., R.C., Secin, R., Grau, A., Galeno, R., Feijo de M., M., Penňa, N. y Sanchez R., C.A. (2008). A multicenter study of major depressive disorder among emergency department patients in Latin-American countries. Depression and Anxiety, 25(12), 199-204. Doi: 10.1002/da.20380.
Castilla P., R., Secin, R., Grau, A., Galeno, R., De Mello, M.F., Castilla P., S., Castilla P., W. y Sanchez R., C.A. (2011). A multicenter study of bipolar disorder among emergency department patients in Latin-American countries. International Journal of Psychiatry in Medicine, 42(1), 49-67. Doi: 10.2190/PM.42.1.d.
Dark, T., Flynn, H.A., Rust, G., Kinsell, H. y Harman, J.S. (2017). Epidemiology of emergency department visits for anxiety in the United States: 2009-2011. Psychiatric Services, 68(3), 238-244. Doi: 10.1176/appi.ps.201600148.
Downey, L.V.A. y Zun, L.S. (2015). Reasons for readmissions: What are the reasons for 90-day readmissions of psychiatric patients from the ED? American Journal of Emergency Medicine, 33(10), 1489-1491. Doi: 10.1016/j.ajem.2015.06.056.
Downey, L.V.A., Zun, L.S. y Burke, T. (2012). Undiagnosed mental illness in the emergency department. The Journal of Emergency Medicine, 43(5), 876-882. Doi: 10.1016/j.jemermed.2011.06.055.
Ferrando, L., Bobes, J., Gibert, J., Soto, M. y Soto, O. (2000). MINIEntrevista Neuropsiquiátrica Internacional. Versión en Español 5.0.0. DSM-IV. Madrid: Instituto de Investigación y Asistencia Psiquiátrica.
Grupp-Phelan, J., Stevens, J., Boyd, S., Cohen, D.M., Ammerman, R.T., Liddy-Hicks, S., Heck, K., Marcus, S.C., Stone, L., Campo, J.V. y Bridge, J.A. (2019). Effect of a motivational interviewing-based intervention on initiation of mental health treatment and mental health after an emergency department visit among suicidal adolescents: a randomized clinical trial. Journal of the American Medical Association Network Open, 2(12), e1917941. Doi: 10.1001/jamanetworkopen.2019.17941.
Hall, A.M., Kamper, S.J., Maher, C.G., Latimer, J., Ferreira, M.L. y Nicholas, M.K. (2011). Symptoms of depression and stress mediate the effect of pain on disability. Pain, 152(5), 1044-1051. Doi: 10.1016/j.pain.2011.01.014.
Hess, D.R. (2004). Retrospective studies and chart reviews. Respiratory Care, 49(10), 1171-1174.
Jaramillo, S., Suffoletto, B., Callaway, C. y Pacella-LaBarbara, M. (2019). Early screening for posttraumatic stress disorder and depression among injured emergency department patients: a feasibility study. Academic Emergency Medicine, 26(11), 1232-1244. Doi: 10.1111/acem.13816.
Larkin, G.L., Beautrais, A.L., Spirito, A., Kirrane, B.M., Lippmann, M.J. y Milzman, D.P. (2009). Mental health and emergency medicine: a research agenda. Academic Emergency Medicine, 16(11), 1110-1119. Doi: 10.1111/j.1553-2712.2009.00545.x.
Larkin, G.L., Claassen, C.A., Emond, J.A., Pelletier, A.J. y Camargo, C.A. (2005). Trends in U.S. emergency department visits for mental health conditions, 1992 to 2001. Psychiatric Services, 56(6), 671-677. Doi: 10.1176/appi.ps.56.6.671.
López A., J.C., Vázquez V., V., Arcila M., D., Sierra O., Á.E., González B., J. y Salin P., R.J. (2002). Exactitud y utilidad diagnóstica del Hospital Anxiety and Depression Scale (HAD) en una muestra de sujetos obesos mexicanos. Revista de Investigación Clínica, 54(5), 403-409. Recuperado de http://europa.sim.ucm.es/compludoc/AA?articuloId=781606.
Marchesi, C., Brusamonti, E., Borghi, C., Giannini, A., Di Ruvo, R., Minneo, F., Quarantelli, C. y Maggini, C. (2004). Anxiety and depressive disorders in an emergency department ward of a general hospital: a control study. Emergency Medicine Journal, 21(2), 175-179. Recuperado de http://www.ncbi.nlm.nih.gov/pubmed/14988342.
Marco, C.A., Anderson, J., McMurray, M., Lovell, M., Naqvi, J. y Seitz, N. (2019). Generalized anxiety disorder among emergency department patients. American Journal of Emergency Medicine, 37(4), 766-767. Doi: 10.1016/j.ajem.2018.08.020.
Ministerio de Sanidad y Politica Social (2010). Unidades de Urgencias Hospitalarias. Estándares y recomendaciones. En Informes, estudios y publicaciones. Madrid: Ministerio de Sanidad y Política Social. Recuperado de http://www.msssi.gob.es/organizacion/sns/planCalidadSNS/docs/UUH.pdf.
Molosankwe, I., Patel, A., Gagliardino, J., Knapp, M. y McDaid, D. (2012). Economic aspects of the association between diabetes and depression: A systematic review. Journal of Affective Disorders, 142, 42-55. Doi: 10.1016/S0165-0327(12)70008-3.
Moreno K., B., Warnke, I., Nordt, C., Fernandez, G., Ramos, J., Paulino M., P., Rössler, W. y Cardoso, G. (2017). Predictors of repeat visits to hospital psychiatric emergency departments in Malaga (Spain) and in Lisbon (Portugal). Emergency Medicine Journal, 34(10), 665-671. Doi: 10.1136/emermed-2015-205214.
Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V. y Ustun, B. (2007). Depression, chronic diseases, and decrements in health: results from the World Health Surveys. The Lancet, 370(9590), 851-858. Doi: 10.1016/S0140-6736(07)61415-9.
Ngo, Q.M., Eisman, A.B., Walton, M.A., Kusunoki, Y., Chermack, S.T., Singh, V. y Cunningham, R. (2018). Emergency department alcohol intervention: effects on dating violence and depression. Pediatrics, 142(1). Doi: 10.1542/peds.2017-3525.
Owens, P.L., Mutter, R. y Stocks, C. (2010). Mental health and substance abuse-related emergency department visits among adults, 2007: Statistical Brief 92. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Recuperado de http://www.ncbi.nlm.nih.gov/pubmed/21413214.
Perruche, F., Elie, C., d’Ussel, M., Ray, P., Thys, F., Bleichner, G., Roy, P.-M., Schmidt, J., Gayet, A., Pateron, D., Le Joubioux, E., Porcher, N., Gamand, P. y Claessens, Y.-E. (2011). Anxiety and depression are unrecognised in emergency patients admitted to the observation care unit. Emergency Medicine Journal, 28(8), 662-665. Doi: 10.1136/emj.2009.089961.
Rose, M. y Devine, J. (2014). Assessment of patient-reported symptoms of anxiety. Dialogues in Clinical Neuroscience, 16(2), 197-211.
Rui, P. y Kang, K. (2015). National Hospital Ambulatory Medical Care Survey: 2015 Emergency Department Summary Tables. Recuperado de https://www.cdc.gov/nchs/data/nhamcs/web_tables/2015_ed_web_tables.pdf.
Soril, L.J.J., Leggett, L.E., Lorenzetti, D.L., Noseworthy, T.W. y Clement, F.M. (2016). Characteristics of frequent users of the emergency department in the general adult population: A systematic review of international healthcare systems. Health Policy, 120(5), 452-461. Doi: 10.1016/j.healthpol.2016.02.006.
Stein, B., Cox, B., Afifi, T.O., Belik, S. y Sareen, J. (2006). Does co-morbid depressive illness magnify the impact of chronic physical illness? A population-based perspective. Psychological Medicine, 36(05), 587. Doi: 10.1017/S0033291706007239.
Webster, R., Norman, P., Goodacre, S., Thompson, A.R. y McEachan, R.C. (2014). Illness representations, psychological distress and non-cardiac chest pain in patients attending an emergency department. Psychology & Health, 29(11), 1265-1282. Doi: 10.1080/08870446.2014.923885.
Weiss, A.J., Barrett, M.L., Heslin, K.C. y Stocks, C. (2016). Trends in Emergency Department Visits Involving Mental and Substance Use Disorders, 2006-2013. En Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Rockville (MD): Agency for Healthcare Research and Quality.
Wells, K.B., Golding, J.M. y Burnam, M.A. (1988). Psychiatric disorder in a sample of the general population with and without chronic medical conditions. American Journal of Psychiatry, 145(8), 976-981. Doi: 10.1176/ajp.145.8.976.
Whiteford, H.A., Degenhardt, L., Rehm, J., Baxter, A.J., Ferrari, A.J., Erskine, H.E., Charlson, F.J., Norman, R.E., Flaxman, A.D., Johns, N., Burstein, R., Murray, C.J. L. y Vos, T. (2013). Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. Lancet, 382(9904), 1575-1586. Doi: 10.1016/S0140-6736(13)61611-6.
Zigmond, A.S. y Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370.