RESUMO
OBJECTIVE: To determine the prevalence of depression and associated factors in hospitalized seniors. MATERIALS AND METHODS: A prospective and transversal study was made in female and male seniors at General Hospital number 16 of the Mexican Institute of Social Security in Torreón, Coahuila, México between June and December of 2003. There were applied Yesavage, Katz, Lawton and Folstein scales. RESULTS: There were included 320 patients with a mean age of 72 years. Ten patients with dementia (prevalence of 3.1%) were excluded. Depression was found in 50% and dependence in 62% according to Katz index, and 75% of the patients had dependence in daily life activity according to the Lawton scale. In the bivariate analysis, the following variables were associated with depression: age over 80, female gender, patients that have been hospitalized in the internal medicine department, living alone, to be dependent, and to have a chronic illness. In the multivariate analysis using logistic regression four former variables (female sex, living alone, dependence, and to be hospitalized in Internal Medicine department) had a significant association. CONCLUSIONS: The prevalence of depression among hospitalized older patients is high. The strongest factors associated were dependence of other people and to have chronic disease.
Assuntos
Depressão/epidemiologia , Hospitalização , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Estudos Prospectivos , Fatores de Risco , Inquéritos e QuestionáriosRESUMO
INTRODUCTION: the burnout syndrome (BS) is common among physicians, affecting their behavior, personality and professional goals; thus deteriorating the quality of their performance. OBJECTIVE: to determine the BS prevalence among physicians affiliated to a tertiary care hospital and its associated risk factors. MATERIAL AND METHODS: The study was conducted through a cross-sectional design. The sampling was nonprobabilistic. Participating physicians were interviewed using the Maslach Burnout Inventory and the Beck's depression inventory. The analysis included ascertainment of the BS prevalence and use of chi(2) and logistic regression analysis. The local Internal Review Board and the Ethics Committee approved the project and all participants gave their informed consent. RESULTS: 166 physicians participated; the average age was 42 years, most were men. The response rate was 87.4 %. The prevalence of depression with more than 10 points in the Beck inventory was 18.6 % (95 % CI: 12-24). Depression in the last two years was 38.6%; the prevalence of BS was 26%; 15. 2 % scored above 27 in emotional exhaustion and 19.3 % scored more than 10 points in depersonalization. The risk of being depressed due to BS was five times higher (OR 5.163; 95 % CI 2.130-12.5). Working in the night shift, living without a permanent couple and being depressed were the main risk factors for BS. CONCLUSIONS: BS is common among physicians and is associated with organizational and personal variables.