2024-03-28T13:02:34Zhttps://www.tdx.cat/oai/requestoai:www.tdx.cat:10803/46542017-09-01T20:21:47Zcom_10803_120col_10803_139
TDX (Tesis Doctorals en Xarxa)
author
Sordia Hernández, Luis Humberto
authoremail
lsordi@prodigy.net.mx
authoremailshow
true
director
Cabero i Roura, Lluís
2011-04-12T14:33:14Z
2011-03-23
2010-07-16
9788469373378
http://www.tdx.cat/TDX-0323111-165034http://hdl.handle.net/10803/4654
B-16225-2011
La presente tesis incluye una revisión de la relación que tienen los síntomas relacionados con la menopausia y la depresión. Asi mismo contiene una revisión de los estados que han sido asociados con una alta prevalencia de depresion durante la vida de una mujer. También incluye un estudio de investigación en el que se demuestra la realción que existe entre la severidad de los síntomas relacionados con la menopausia y la depresión. <br/>La prevalencia de depresión es dos veces más frecuente en mujeres que en hombres, ésta es independiente del estado socioeconómico y la raza. Factores de tipo genético, biológico y neuroendocrino han sido asociados a la depresión. La prevalencia de depresión es mas frecuente en mujeres posmenopáusicas que en mujeres en edad reproductiva. La escala de Blatt Kupperman (BK) es una herramienta que ayuda a evaluar la severidad de los síntomas relacionados con la menopausia. El objetivo de este estudio es evaluar la utilidad de la escala de Blatt Kupperman para inferir un estado depresivo en mujeres posmenopáusicas. Material y métodos: Los síntomas relacionados con la menopausia fueron evaluados en un total de 865 pacientes utilizando la escala de Blatt Kupperman. El grado de depresión fué evaluado utilizando el cuestionario clínico para el diagnóstico de depresión del Dr. Guillermo Calderón Narváez, y de acuerdo a éste las pacientes se clasificaron con depresión, con reacción de ansiedad o sanas, es decir sin depresión. El análisis estadístico fué evaluado con la prueba de ANOVA. Resultados: El diagnóstico de depresión se efectuó en 251 pacientes (29.0%), el de reacción de ansiedad en 212 pacientes (24.5%) y 402 pacientes (46.5%) se diagnosticaron como normales. Al agrupar a la pacientes de acuerdo al resultado de la evaluación de la escala de Blatt Kupperman se encontró que no se diagnosticó depresión en aquellas pacientes que no presentaban síntomas relacionados con la menopausia, en cambio, se diagnosticó depresión en el 10.0 % cuando se encontraron síntomas mínimos, (BK menor a 15), 17.3% si se presentaban síntomas mínimos, 40.5% si presentaban síntomas moderados y 51.7% sí los síntomas de menopausia fueron severos (BK mayor a 36). Esta diferencia fué estadísticamente significativa (p < 0.001). Conclusiones: Todas las pacientes con un resultado de la escala de Blatt Kupperman por arriba de 36 deben de ser específicamente monitorizadas para descartar depresión. Más del 50 % de las pacientes con síntomas severos de depresión presentaron un cuadro depresivo concomitante.The present includes a description of the menopausal associated symptoms and its relationship with depresive mood in postmenopausal women.<br/>Prevalence of depressive illness is twice as high in women than in men, regardless of race and social or economic status. Several factors are linked to depression including genetic, biologic and neuroendocrine. Depression during menopause is twice as frequent than in reproductive age women. Blatt Kupperman (BK) scale is a tool to help evaluate the severity of menopausal symptoms. The objective of this study is to evaluate its usefulness in inferring postmenopausal depression. Material and methods: Symptoms related to post menopause were evaluated in 865 patients using BK and the grade of depression was later measured using a modified Hamilton Scale, rating patient conditions as depression, anxiety reaction and normal (without depression). The statistic analysis was by ANOVA test. Results: 251 (29.0%) patients were diagnosed as depressed, 212 (24.5%) as anxiety reaction and 402 (46.5%) as without depression. By grouping the results according to BK scale, we found that the prevalence of depression was 0% when menopause symptoms were absent, 10.0% when minimal symptoms (BK under 15), 17.3% with mild symptoms, 40.5 with moderate symptoms and 51.7% if symptoms were severe (BK over 36) (p < 0.001.). Conclusion: All menopausal patients with a BK over <br/>symptoms have over 50% probability of also presenting an underlying depression case.<br/>The present includes a description of the menopausal associated symptoms and its relationship with depresive mood in postmenopausal women.<br/>Prevalence of depressive illness is twice as high in women than in men, regardless of race and social or economic status. Several factors are linked to depression including genetic, biologic and neuroendocrine. Depression during menopause is twice as frequent than in reproductive age women. Blatt Kupperman (BK) scale is a tool to help evaluate the severity of menopausal symptoms. The objective of this study is to evaluate its usefulness in inferring postmenopausal depression. Material and methods: Symptoms related to post menopause were evaluated in 865 patients using BK and the grade of depression was later measured using a modified Hamilton Scale, rating patient conditions as depression, anxiety reaction and normal (without depression). The statistic analysis was by ANOVA test. Results: 251 (29.0%) patients were diagnosed as depressed, 212 (24.5%) as anxiety reaction and 402 (46.5%) as without depression. By grouping the results according to BK scale, we found that the prevalence of depression was 0% when menopause symptoms were absent, 10.0% when minimal symptoms (BK under 15), 17.3% with mild symptoms, 40.5 with moderate symptoms and 51.7% if symptoms were severe (BK over 36) (p < 0.001.). Conclusion: All menopausal patients with a BK over <br/>symptoms have over 50% probability of also presenting an underlying depression case.
spa
Depresión
Menopausia
Bochornos
Menopausia: La severidad de su sintomatología y depresión
info:eu-repo/semantics/doctoralThesis info:eu-repo/semantics/publishedVersion
URL
https://www.tdx.cat/bitstream/10803/4654/1/lhsh1de1.pdf
File
MD5
281c15f686a328b7c19a7e3cdcd5ee9f
507693
application/pdf
lhsh1de1.pdf
URL
https://www.tdx.cat/bitstream/10803/4654/2/lhsh1de1.pdf.txt
File
MD5
39329a16bf831427fe2065a609c682dd
157892
text/plain
lhsh1de1.pdf.txt