Screening for Depressive Mood During Acute Chikungunya Infection in Primary Healthcare Settings

International Journal of Environmental Research and Public Health

Agustin Lugo-Radillo¹  Miguel Huerta²  Xóchitl Trujillo²  Oliver Mendoza-Cano³  José Guzmán-Esquivel⁴  Benjamín Trujillo-Hernández⁴  Enrique Higareda-Almaraz⁵  Efrén Murillo-Zamora⁶  Ignacio Moreno-Gutiérrez⁷  MarthaAlicia Higareda-Almaraz⁷  Mónica Ríos-Silva⁸ 

[1] CONACYT—Universidad Autónoma Benito Juárez de Oaxaca. Ex Hacienda de Aguilera S/N, Carretera Oaxaca-San Felipe del Agua, CP 68020 Oaxaca, Mexico;Centro Universitario de Investigaciones Biomédicas, Universidad de Colima, Av. 25 de julio 965, Col. Villas San Sebastián, CP 28045 Colima, Mexico;Facultad de Ingeniería Civil, Universidad de Colima, Km. 9 Carretera Colima-Coquimatlán, CP 28400 Coquimatlán, Colima, Mexico;Facultad de Medicina, Universidad de Colima, Av. Universidad 333, Col. Las Víboras, CP 28040 Colima, Mexico;Independent Researcher. Manuel Payno 601, Col. Jardines de Vista Hermosa, CP 28017 Colima, Mexico;Instituto Mexicano del Seguro Social, Departamento de Epidemiología, Unidad de Medicina Familiar No. 19, Av. Javier Mina 301, Col. Centro, CP 28000 Colima, Mexico;Instituto Mexicano del Seguro Social, Jefatura de Servicios de Prestaciones Médicas, Álvaro Obregón 184, Col. Centro, CP 28000 Colima, Mexico;Universidad de Colima-Cátedras CONACyT, Centro Universitario de Investigaciones Biomédicas, Av. 25 de julio 965, Col. Villas San Sebastián, CP 28045 Colima, Mexico;

关键词: depression;    primary health care;    chikungunya fever;    acute disease;    patient health;   

DOI  :  10.3390/ijerph15112552

来源: DOAJ

【 摘 要 】

Background: We aimed to screen for depressive mood experienced during acute chikungunya (CHIKV) infection, and to evaluate the association of several exposures with the risk of depressive symptoms. Methods: A cross-sectional analysis of a multicenter cohort study took place and data from 354 adult individuals with confirmed CHIKV infection were analyzed. Participants were recruited in primary health care settings and the Patient Health Questionnaire-2 (PHQ-2) was used. Prevalence odds ratios (OR) and 95% confidence intervals (CIs) estimated by means of logistic models were used. Results: Depressive mood (PHQ-2 score 3 or higher) was reported by 44.1% of individuals. Subjects with articular effusion (OR = 3.37, 95% CI 1.77⁻8.11), gastrointestinal manifestations (diarrhea, vomiting or abdominal pain, OR = 1.97, 95 CI 1.21⁻3.19), and higher length of severe arthralgia (reference ≤ 14 days: 15⁻30 days, OR = 3.38, 95% CI 1.78⁻6.41; ≥ 30 days, OR = 1.69, 95% CI 0.95⁻3.01) were more likely to self-report depressive mood. Increasing age (≥ 40 years old, OR = 0.55, 95% CI 0.31⁻0.95) and rash (OR = 0.54, 95% CI 0.30⁻0.98) were associated with a decreased risk of depressive mood. Conclusions: Depressive mood seemed to be a frequent event among analyzed individuals, and markers associated with its risk were identified.

【 授权许可】

Unknown