Prescripción prolongada de antidepresivos en atención primaria. Impacto en la salud pública

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2025-02-12 DOI:10.1016/j.aprim.2025.103234

Antonio José Madueño-Caro , Gonzalo Berro-Ramírez , Luis Chávez-Gata , Rubén Torrescusa-Camisón , José Antonio Climent-Rodríguez , Yolanda Navarro-Abal , Juan Gómez-Salgado

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引用次数: 0

Abstract

Objective

To determine the variables associated with the prescription of long-term antidepressants (more than three years) to patients in a primary health area.

Design

Descriptive observational study.

Site

Basic health area of primary care.

Participants

A sample of 315 participants assigned to a basic health area, who have been prescribed at least one antidepressant during a calendar year.

Interventions

Institutional information sources.

Main measurements

Those variables that can be associated with a prolonged prescription of antidepressants. The selection of the patients was carried out by simple random sampling. Analysis using Chi-Square contrast for the comparison of proportions. Multivariate binary logistic regression to observe possible associations in the set of variables.

Results

The study analyzed a majority of women (75.2%) with a mean age of 61.7 years (SD = 38.18). SSRIs (Selective Serotonin Reuptake Inhibitors) were the most commonly used antidepressants (50.5%), especially sertraline. Dysthymia was the main diagnosis (17%). Prolonged duration of treatment was associated with SSRIs and dysthymia. Logistic regression showed relevant factors: dysthymia, age, number of antidepressants, and SSRI use.

Conclusion

There is a high prevalence of prescription beyond three years. It is observed how dysthymic disorder is associated with a prolonged duration of treatment, as well as age, SSRI use, antidepressant change, and the total number of antidepressants prescribed.

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.