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

Efrén Murillo-Zamora, Oliver Mendoza-Cano, Benjamín Trujillo-Hernández, Xóchitl Trujillo, Miguel Huerta, José Guzmán-Esquivel, Martha Alicia Higareda-Almaraz, Agustin Lugo-Radillo, Ignacio Moreno-Gutiérrez, Enrique Higareda-Almaraz and Mónica Ríos-Silva
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Efrén Murillo-Zamora: Instituto Mexicano del Seguro Social, Departamento de Epidemiología, Unidad de Medicina Familiar No. 19, Av. Javier Mina 301, Col. Centro, CP 28000 Colima, Mexico
Oliver Mendoza-Cano: Facultad de Ingeniería Civil, Universidad de Colima, Km. 9 Carretera Colima-Coquimatlán, CP 28400 Coquimatlán, Colima, Mexico
Benjamín Trujillo-Hernández: Facultad de Medicina, Universidad de Colima, Av. Universidad 333, Col. Las Víboras, CP 28040 Colima, Mexico
Xóchitl Trujillo: Centro Universitario de Investigaciones Biomédicas, Universidad de Colima, Av. 25 de julio 965, Col. Villas San Sebastián, CP 28045 Colima, Mexico
Miguel Huerta: Centro Universitario de Investigaciones Biomédicas, Universidad de Colima, Av. 25 de julio 965, Col. Villas San Sebastián, CP 28045 Colima, Mexico
José Guzmán-Esquivel: Facultad de Medicina, Universidad de Colima, Av. Universidad 333, Col. Las Víboras, CP 28040 Colima, Mexico
Martha Alicia Higareda-Almaraz: Instituto Mexicano del Seguro Social, Jefatura de Servicios de Prestaciones Médicas, Álvaro Obregón 184, Col. Centro, CP 28000 Colima, Mexico
Agustin Lugo-Radillo: CONACYT—Universidad Autónoma Benito Juárez de Oaxaca. Ex Hacienda de Aguilera S/N, Carretera Oaxaca-San Felipe del Agua, CP 68020 Oaxaca, Mexico
Ignacio Moreno-Gutiérrez: Instituto Mexicano del Seguro Social, Jefatura de Servicios de Prestaciones Médicas, Álvaro Obregón 184, Col. Centro, CP 28000 Colima, Mexico
Enrique Higareda-Almaraz: Independent Researcher. Manuel Payno 601, Col. Jardines de Vista Hermosa, CP 28017 Colima, Mexico
Mónica Ríos-Silva: Universidad de Colima-Cátedras CONACyT, Centro Universitario de Investigaciones Biomédicas, Av. 25 de julio 965, Col. Villas San Sebastián, CP 28045 Colima, Mexico

IJERPH, 2018, vol. 15, issue 11, 1-9

Abstract: 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.

Keywords: depression; primary health care; chikungunya fever; acute disease; patient health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
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