Análisis comparativo entre los sujetos que acuden y no acuden a una Unidad de Salud Mental de Adultos diagnosticados previamente de códigos Z en la Unidad de Salud Mental de la Infancia y la Adolescencia del área de Santiago de Compostela

  1. Lucía Varela Reboiras 1
  2. Antía Diéguez Quintairos 1
  3. Julio Brenlla González 1
  4. José Alfredo Mazaira Castro 1
  5. María Dolores Domínguez Santos 1
  1. 1 Complejo Hospitalario Universitario de Santiago de Compostela
Revista:
Revista de Psiquiatría Infanto-Juvenil

ISSN: 2660-7271 1130-9512

Ano de publicación: 2014

Volume: 31

Número: 3

Páxinas: 30-36

Tipo: Artigo

Outras publicacións en: Revista de Psiquiatría Infanto-Juvenil

Resumo

Introduction: Has the demand for care in Mental Health Units, being due, in large part, to what are called Z codes (ICD-10) (1). Objectives: 1. To determine profiles of subjects previously diagnosed Z codes in Child and Adolescent Mental Health Unit (CAMHU), who come to the Adults Mental Health Unit (AMHU) and not in relation to variables socio-demographic and clinical-evolutionary. 2. Study the most common diagnoses changes in these subjects attending in AMHU. Material and Methods: Descriptive comparative study in which randomly selected 91 patients diagnosed with Z codes in CAMHU of Santiago de Compostela (2000-2012). Descriptive statistics of the current cross chronological age (mean: 21.38 years) with the sex and assistance to AMHU, using T-Student; other socio-demographic and clinical variables evolutionary intersect with the above variables using the Chi-squared (IBM SPSS Statistics 21). Conclusions: 12.5% of children diagnosed with Z codes in CAMHU are then treated at AMHU; of which 12% remains the Z code and 50% are diagnosed with Personality and behavioral disorders in adult and Neurotic, secondary to stressors and somatoform disorders.

Referencias bibliográficas

  • Organización Mundial de la Salud. Guía de Bolsillo de la Clasificación CIE-10, Clasificación de los Trastornos Mentales y del Comportamiento. Madrid: Editorial Médica Panamericana; 2008.
  • Lozano C, Ortiz A, González R. Análisis comparativo de los pacientes con y sin trastorno mental diagnosticable. Rev Asoc Esp Neuropsiq. 2011; 31 (111): 421-435.
  • Retolaza A. ¿Salud mental o psiquiatría?: entre la atención primaria y el estigma del manicomio. Norte de Salud Mental. 2004; 19: 49-57.
  • Kessler RC, Demler O, Frank RG, Ofson M, Pincus HA, Walters EE, Wang MP, Wells KB, Zaslavsky AM. Prevalence and Treatment of Mental Disorders, 1990 to 2003. N Engl J Med. 2005; 352 (24): 2515-23.
  • Angst J, Gamma A, Neuenschawander M, Ajdacic-Gross V, Eich D, Rossler W, Merikangas KR. Prevalence of mental disorders in the Zurich Cohort Study: a twenty year prospective study. Epidemiol Psychiatr Soc. 2005; 14 (2): 68-75.
  • Ortiz-Lobo A, García-Moratalla B, Lozano Serrano C, De la Mata-Ruiz I, Rodríguez-Salvanés F. Conditions that do not reach the threshold for mental disorder in Spanish psychiatric outpatients: prevalence, treatment and management. Int J Soc Psychiatry. 2011; 57 (5): 471-9.
  • Mezzich JE, Zapata MI, Schwartz K. La nueva clasificación internacional de enfermedades y el diagnóstico multiaxial en medicina general. Rev Med Hered. 1995; 6 (4): 187-192.
  • Asociación Americana de Psiquiatría, Guía de consulta de los criterios diagnósticos del DSM-5. Arlington, VA: Asociación Americana de Psiquiatría; 2013.
  • Márquez S, Meneu R. La medicalización de la vida y sus protagonistas. Ges Clínica y Sanitaria. 2003; 5 (2): 47-53.
  • Langsley DG. The community mental health centre: does it treat patients? Hosp Community Psychiatry. 1980; 31: 815-819.
  • Winslow WW. Changing trends in CMHCs: Key to survival in the eighties. Hosp Community Psychiatry. 1982; 33: 273-277.
  • Goldman HH, Regier DA, Taube CA, Redick RW, Bass RD. Community mental health centers and the treatment of severe mental disorders. Am J Psychiatry. 1980; 137 (1): 83-86.
  • Jerrel JM, Larsen JK. Community mental health services in transition: who is benefiting? Am J Orthopsychiatry. 1986; 56: 78-88.
  • Klerman Gl. Trends in utilization of mental health services: perspectives for health services research. Medical Care. 1985; 23: 584-597.
  • Dowell DA, Ciarlo JA. Overview of the community mental health centres program from an evaluation perspective. Community Ment Health J. 1983; 19: 95-125.
  • Okin RL. How Community mental health centers are coping. Hosp Community Psychiatry. 1984; 35: 1118-1125.
  • Windle C, Thompson JW, Goldman HH, Naierman N. Treatment of patients with no diagnosable mental disorders in CHMCs. Hosp Community Psychiatry. 1988; 39: 753-758.
  • De Figueiredo JM, Boerstler H, O´Conell L. Conditions not attributable to a mental disorder: an epidemiologic study of family problems. Am J Psychiatry. 1991; 148: 780-783.
  • Mazzoli M. Conditions not attributable to a mental disorder. Am J Psychiatry. 1992; 149 (3): 423.
  • Patmore C, Weaver T. Missing the CMHC bus?Nurs Times. 1991; 87: 32-34.
  • Wasylenki D, Goering P, Machaughton E. Planning mental health services: I. Background and Key issues. Can J Psychiatry. 1992; 37: 199-206.
  • Rachils M, Kushner C. Second opinion: what’s wrong with Canada´s health care-system and how to fix it. Toronto: Collins Publisher; 1989.
  • Pita S. Determinación del tamaño muestral. Cad Aten Primaria. 1996; 3: 138-14.