FUNCIONALIDAD FAMILIAR Y DEPRESIÓN EN ADULTOS EN LA ATENCIÓN PRIMARIA
DOI:
https://doi.org/10.29105/respyn16.4-3Abstract
Introducción: La depresión es un trastorno emocional con estado de abatimiento e infelicidad, predominan síntomas afectivos. La Funcionalidad Familiar es la dinámica interactiva y sistemática que se da entre los miembros de una familia. Objetivo: Determinar la funcionalidad familiar y depresión en adultos en la atención primaria. Material y Métodos: Estudio transversal en 176 adultos de 20 a 60 años de edad seleccionados a conveniencia, en el período noviembre 2015 a mayo 2016. Las variables evaluadas fueron sexo, estado civil, edad, funcionalidad familiar con el Test de Percepción del Funcionamiento Familiar y el grado de depresión con el Test Mayor Depresión. Se utilizó estadística descriptiva y prueba de chi cuadrada con el programa Statistical Package for the Social Sciences 21. Resultados:Las Familias Funcionales fueron el 38.6% y las Familias Moderadamente Funcionales el 23.3% sin depresión. La depresión severa predominó en las Familias Moderadamente Funcionales en el 7.3%, seguidas de las Familias Disfuncionales 3.9% y en las Severamente disfuncionales 3.9%. Se observó relación estadísticamente significativa entre la funcionalidad familiar y la depresión (p=0.001). Conclusiones: La funcionalidad familiar está relacionada con el grado de depresión; influye en presencia o ausencia de depresión en los adultos en etapa productiva.
Palabras clave: familia, depresión, adulto
ABSTRACT
Introduction: Depression is an emotional disorder that presents itself as a state of dejection and unhappiness where affective symptoms predominate. Family Functionality is the interactive and systematic dynamics that occurs among the members of a family. Objective: To determine the family functionality and adult depression in primary. Methods: Transversal study, in 176 adults between the ages of 20 and 60 years, selected by convenience in the period from November 2015 to May 2016. The variables evaluated were gender, marital status, age, family functionality with the Perception of Family Functioning Test and the degree of depression with the Major Depression Test. They were analyzed with descriptive and inferential statistics with chi-square test with the Statistical Package for the Social Sciences 21. Results: Functional families were 38.6% and Moderately Functional Families were 23.3% without depression. Severe depression predominated Moderately Functional Families 7.3% followed by the Dysfunctional Families 3.9% and in the Severely Dysfunctional 3.9%. There was a statistically significant relationship between family function and depression (p=0.001). Conclusions: Family functionality is related with the degree of depression; influences the presence or absence of depression in productive adults.
Key words: family, depression, adult.
Downloads
References
Bech P, Timmerby N, Martiny K, Lunde M, Soendergaard S. 2015.Psychometric evaluation of the Major Depression Inventory (MDI) as depression severity scale using the LEAD (Longitudinal Expert Assessment of All Data) as index of validity. BMC Psychiatry; 15:190. DOI: https://doi.org/10.1186/s12888-015-0529-3
Black DW. 2015, Manual diagnóstico y estadístico de los trastornos mentales DSM-V. 5ta Ed. Barcelona España, Masson,
Castellón S, Ledesma A. Julio 2012 El funcionamiento familiar y su relación con la socialización infantil. CCCSS. [Consultado el 14 de mayo de 2017]. Disponible en: www.eumed.net/rev/cccss/21/
Fuentes Aguilar AP, Merino Escobar JM. 2016. Validación de un instrumento de funcionalidad familiar [tesis]. Universidad de Concepción.
Keeler AN, Siegel J. 2016. Depression, help-seeking perceptions, and perceived family functioning among Spanish-Dominant Hispanics and Non-Hispanic Whites. Journal of Affective Disorders ; 202:236-246. DOI: https://doi.org/10.1016/j.jad.2016.05.017
Leyva Jiménez R, Hernández Juárez AM, Nava Jiménez G, López Gaona V.2007. Depresión en adolescentes y funcionamiento familiar. Revista Médica del Instituto Mexicano del Seguro Social; 45(3):225-232.
Lu C, Yuan L, Lin W, Zou Y, Pan S.2017. Depression and resilience mediates the effect of family function on quality of life of the elderly. Archives of Gerontology and Geriatrics. 71:34-42. DOI: https://doi.org/10.1016/j.archger.2017.02.011
Nama B, Kim J, De Vylder JE, Song A. 2016. Family functioning, resilience, and depression among North Korean refugees. Psychiatry Res.245:451-7. DOI: https://doi.org/10.1016/j.psychres.2016.08.063
Olsen LR, Jensen DV, Noerholm V, Martiny K, Bech P.2003 The internal and external validity of the Major Depression Inventory in measuring severity of depressive states Psychol Med; 33(2):351-356. DOI: https://doi.org/10.1017/S0033291702006724
Ortiz Gómez MT, Padilla Torres MA, Ortiz Padilla E.2005. Diseño de intervención en funcionamiento familiar. Psicol Am Lat. No.3. [consultado el 14 de abril de 2017]. Disponible en: pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1870-350X
Pérez E, De la Cuesta D, Louro I, Bayarre H1997 Funcionamiento familiar Construcción y validación de un instrumento. Ciencias de la Salud Humana; 4(1)63-66.
Saavedra González AG, Rangel Torres SL, García de León A, Duarte Ortuño A, Bello Hernández YE, Infante Sandoval A.2016. Depresión y funcionalidad familiar en adultos mayores de una unidad de medicina familiar de Guayalejo, Tamaulipas, México. Atención Familiar. (23):24-28. DOI: https://doi.org/10.22201/facmed.14058871p.2016.1.53421
Salinas A, Alonso S, Quintero O, Hernández M, Molina L, Lozada R et al.2013. Relación entre depresión y funcionalidad familiar en adolescentes de instituciones educativas públicas y privadas. Academia. 12(28):317-24.
Vihang N. 2013. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing. DOI: https://doi.org/10.1176/appi.books.9780890425596
Downloads
Published
How to Cite
Issue
Section
License
The rights of the work belong to the author or authors, however, by sending it for publication in the Public Health and Nutrition Magazine of the Faculty of Public Health and Nutrition of the Autonomous University of Nuevo León, they grant the right for its first publication in between electronic, and possibly, in print to the Public Health and Nutrition Magazine. The license used is the Creative Commons attribution, which allows third parties to use what is published whenever the authorship of the work is mentioned and the first publication that is in the Public Health and Nutrition Magazine. Likewise, the author or authors will take into account that it will not be allowed to send the publication to any other journal, regardless of the format. The authors will be able to make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in the Public Health and Nutrition Magazine (e.g., institutional repository or publication in a book) provided they clearly state that The work was published for the first time in the Public Health Magazine, Magazine of the Faculty of Public Health and Nutrition of the Autonomous University of Nuevo León.
