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Original article
DOI: 10.1016/j.rcpeng.2017.05.016
Common mental disorders and associated factors in dental students from Cartagena, Colombia
Trastornos mentales comunes y factores asociados en estudiantes de Odontología en Cartagena, Colombia
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Katherine Arrieta-Vergaraa, Natalia Fortich-Mesab, Lesbia Tirado-Amadorc, Miguel Simancas-Pallaresd,
Corresponding author
msimancasp@unicartagena.edu.co

Corresponding author.
a Departamento de Odontología Preventiva y Social, Facultad de Odontología, Universidad de Cartagena, Cartagena, Colombia
b Área de Investigación, Programa de Odontología, Corporación Universitaria Rafael Núñez, Cartagena, Colombia
c Área de Investigación, Escuela de Odontología, Universidad del Sinú-Elías Bechara Zainúm, Seccional Cartagena, Cartagena, Colombia
d Departamento de Investigación, Facultad de Odontología, Universidad de Cartagena, Cartagena, Colombia
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Tables (3)
Table 1. Occurrence of factors and their relationship with common mental disorders.
Table 2. Log-binomial regression model between the occurrence of common mental disorders and related factors.
Table 3. Probability prediction for factors related to the occurrence of common mental disorders.
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Abstract
Introduction

Psychological morbidity assessments are of interest since mental health is part of a person's overall health and early detection promotes emotional well-being.

Aim

To determine the association between common mental disorders and related factors in dental students from Cartagena, Colombia.

Methods

We conducted a cross-sectional study in 858 dental students from Cartagena, Colombia; who answered a structured anonymous self-report questionnaire to assess the presence of common mental disorders (CMD) (General Health Questionnaire-12), problematic alcohol consumption (CAGE), sociodemographic and other related variables. Data were analysed using descriptive statistics and bivariate analysis was conducted later using χ2 tests. The strength of association was obtained with prevalence ratios (PR) and 95% confidence intervals (95%CI). Finally adjusted PRs, and 95%CIs were obtained using a log-binomial regression model. Statistical analysis was performed using Stata v.13.2 for Windows (Stata Corp.; TX, USA).

Results

The average age was 20.8±3.01 years of age, and more than half were females. CMD overall prevalence was 30.3% (95%CI, 27.3–33.5). The regression model suggested as associated factors: sex (PR, 1.54; 95%CI, 1.21–1.96), recent economic changes (PR, 1.70; 95%CI, 1.37–2.12), family conflicts [PR, 2.29; 95%CI, 1.89–2.77), abandonment (PR, 1.58; 95%CI, 1.23–2.03), history of abuse (PR, 2.05; 95%CI, 1.27–3.31), and problematic alcohol consumption (PR, 1.35; 95%CI, 1.02–1.78).

Conclusions

CMD prevalence was high. Being female, family conflicts, history of abuse and problematic alcohol consumption are considered as risk factors for CMD development and should be carefully assessed to predict emotional well-being.

Keywords:
Anxiety
Depression
Dental students
Mental disorders
Resumen
Introducción

La valoración de morbilidad psicológica resulta de interés porque la salud mental hace parte de la salud integral de un individuo, y la detección precoz de casos propende al bienestar emocional.

Objetivo

Estimar la asociación entre trastornos mentales comunes y factores relacionados en estudiantes de Odontología de Cartagena, Colombia.

Métodos

Estudio de corte transversal en 858 estudiantes de Odontología de Cartagena, Colombia, que respondieron a un cuestionario estructurado anónimo autoaplicado para evaluar la presencia de TMC (Cuestionario General de Salud-12), consumo problemático de alcohol (CAGE), variables sociodemográficas y otras relacionadas. Se realizó estadística descriptiva y análisis bivariable con pruebas de la χ2. La fuerza de asociación se computó con razones de prevalencia (RP) e intervalos de confianza del 95% (IC95%). Con regresión log-binomial, se obtuvieron RP e IC95% ajustados. El análisis se realizó empleando Stata v.13.2 para Windows (Stata Corp.; College Station, Texas, Estados Unidos).

Resultados

El promedio de edad fue 20,8±3,01 años y más de la mitad eran mujeres. La prevalencia de TMC fue del 30,3% (IC95%, 27,3–33,5). El modelo de regresión indicó como factores asociados: sexo (RP, 1,54; IC95%, 1,21–1,96), cambios económicos recientes (RP, 1,70; IC95%, 1,37-2,12), conflictos familiares (RP, 2,29; IC95%, 1,89-2,77)], abandono (RP, 1,58; IC95%, 1,23-2,03), historia de abuso (RP, 2,05; IC95%, 1,27-3,31) y consumo problemático de alcohol (RP, 1,35; IC95%, 1,02-1,78).

Conclusiones

La prevalencia de TMC fue alta. Ser mujer y tener conflictos familiares, historia de abuso y consumo problemático de alcohol son factores de riesgo de TMC y deben ser cuidadosamente evaluados para la predicción del bienestar emocional.

Palabras clave:
Ansiedad
Depresión
Estudiantes de Odontología
Trastornos mentales

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