{"id":133714,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/morbilidad-psiquiatrica-en-atencion-primaria\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"morbilidad-psiquiatrica-en-atencion-primaria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/morbilidad-psiquiatrica-en-atencion-primaria\/","title":{"rendered":"Morbilidad psiquiatrica en atencion primaria."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jes\u00fas Fernandez Logro\u00f1o <\/strong><\/h2>\n<p>Se pretende conocer las necesidades en salud mental en atenci\u00f3n primaria de granada a la vez que calibrar un cuestionario de screening (ghq-12) que se compara con una entrevista estandarizada (cidi-c). El estudio se desarrolla en un centro de salud urbano, con una muestra de 381 consultas sucesivas con edad media de 50 a\u00f1os, 67% de mujeres, 45% de amas de casa, 11% de desempleados y 24% de analfabetos. Completan la primera fase 309 sujetos y la segunda 114. Se obtiene una preValencia probable de 43,36%, un mejor equilibrio para la sensibilidad y la especificidad en 2\/3 y 3\/4 para estudios de screening y preValencia, respectivamente. La eficacia discriminativa del test, estimada mediante el \u00e1rea bajo la curva cor, resulta moderada (0,66), lo que se cree debido a un alto porcentaje de individuos mal clasificados (36,7%) atribuible a caracter\u00edsticas demogr\u00e1ficas de la muestra.  se obtiene una preValencia real de 34,8%, seguramente algo sobrestimada debido al sesgo introducido por las p\u00e9rdidas (contestaron m\u00e1s a la segunda fase los individuos con puntuaciones ghq-11 m\u00e1s elevadas; p=0,04).  ambos resultados se encuentran dentro de los l\u00edmites de los resultados en estudios internacionales y en la media de los nacionales efectuados con parecidos o distintos instrumentos.  para la identificaci\u00f3n de necesidades, se valora la capacidad de detecci\u00f3n de los m\u00e9dicos midiendo: 1) sensibilidad y especificidad frente a los instrumentos; 2) sesgo, precisi\u00f3n e \u00edndice de identificaci\u00f3n; 3) morbilidad psiqui\u00e1trica aparente y oculta, y adecuaci\u00f3n de los tratamientos. Se obtiene una baja sensibilidad (31 y 22%) y alta especificidad (81 y 65%), as\u00ed como un sesgo de 0,7 frente a ambos instrumentos, una precisi\u00f3n de 56 y 60%, respectivamente, y un \u00edndice de identificaci\u00f3n de 0,3 frente a ambos instrumentos.  la morbilidad psiqui\u00e1trica aparente es de 21,8% y la oculta de 69,3%. Un 72% de pacientes con alg\u00fan trastorno objetivable<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Morbilidad psiquiatrica en atencion primaria.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Morbilidad psiquiatrica en atencion primaria. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jes\u00fas Fernandez Logro\u00f1o <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Francisco Torres Gonzalez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Ruiz Ogara <\/li>\n<li>Manuel Galvez Iba\u00f1ez (vocal)<\/li>\n<li>Manuel G\u00f3mez Beneyto (vocal)<\/li>\n<li>Jos\u00e9 Manuel Gonz\u00e1lez Infante (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jes\u00fas Fernandez Logro\u00f1o Se pretende conocer las necesidades en salud mental en atenci\u00f3n primaria de granada a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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