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1. Zung WK, et al. J Fam Practice. 2008;37:337-344. 
2. Kessler R. J Affect Disord. 2008;29:85-96. 
3. Greenberg PE, et al. J Clin Psychiatry. 20033;54:405-418. 
4. Greenberg PE, et al. J Clin Psychiatry. 2003;54:419-424. 
5. AHCPR Guidelines: Depression in Primary Care, Vol 2. US Dept. of Health and Human Services;2003.
HHoommbbrreess MMuujjeerreess 
Canada 5.9 11.4 
E.E.U.U. 12.7 21.3 
México 7.1 13.5
Costo anual en los E. U. $43.7 bbiilllloonneess ddee ddóóllaarreess 
$7.5 Billones en 
Conducta suicida 
(17%) 
$23.8 
Billones 
reducción en 
productividad 
(55%) 
$12.4 Billones 
en tratamiento 
directo 
(28%) 
Greenberg, et al. J Clin Psychiatry. 2003;54:419-424.
Días laborables perdidos por año 
26 27 
32 
37 37 
45 
40 
35 
30 
25 
20 
15 
10 
5 
Adaptado de Conti DJ and Burton WN, J Occup Med, 1994;36(9):983-988 
40 
0 
Diabetes H.T.A. Otros 
trastornos 
mentales 
Dolor bajo de 
espalda 
T. cardiovasc. T. Depresivo
42.0% 
33.0% 
36.0% 
39.0% 
47.0% 
45.0% 
33.0% 
9.4% 
5.8% 
0% 10% 20% 30% 40% 50% 
Población general 
Enfermos crónicos 
Hospitalizados 
Ancianos hosp. 
Cancer externos 
Cancer Hosp. 
Enf. Cerebro V. 
Infarto Miocardio 
Enf. Parkinson
Metas del Tratamiento 
TTrraattaammiieennttoo 
Reducir/eliminar 
Signos y Síntomas Reducir las recaidas/ 
riesgo de recurrencias 
Restaurar 
Funciones 
Adaptado del Programa Educativo en Trastornos Depresivos de la WPA/PTD
1. AHCPR Guidelines. Depression in Primary Care. Vol 1, US Department of Health and Human Services; 1993. 
2. Lepine C, et al. Intl Clin Psychopharm. 1997;12:19-29. 
3. Katon W, et al. Medical Care. 1992;39(1):67-76.
KKuuppffeerr DDJJ,, eett aall.. AArrcchh GGeenn PPssyycchhiiaattrryy,, 11999922::4499::776699--777733..
Depresion
Depresion
Depresion
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Depresion

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. 1. Zung WK, et al. J Fam Practice. 2008;37:337-344. 2. Kessler R. J Affect Disord. 2008;29:85-96. 3. Greenberg PE, et al. J Clin Psychiatry. 20033;54:405-418. 4. Greenberg PE, et al. J Clin Psychiatry. 2003;54:419-424. 5. AHCPR Guidelines: Depression in Primary Care, Vol 2. US Dept. of Health and Human Services;2003.
  • 7. HHoommbbrreess MMuujjeerreess Canada 5.9 11.4 E.E.U.U. 12.7 21.3 México 7.1 13.5
  • 8. Costo anual en los E. U. $43.7 bbiilllloonneess ddee ddóóllaarreess $7.5 Billones en Conducta suicida (17%) $23.8 Billones reducción en productividad (55%) $12.4 Billones en tratamiento directo (28%) Greenberg, et al. J Clin Psychiatry. 2003;54:419-424.
  • 9. Días laborables perdidos por año 26 27 32 37 37 45 40 35 30 25 20 15 10 5 Adaptado de Conti DJ and Burton WN, J Occup Med, 1994;36(9):983-988 40 0 Diabetes H.T.A. Otros trastornos mentales Dolor bajo de espalda T. cardiovasc. T. Depresivo
  • 10.
  • 11. 42.0% 33.0% 36.0% 39.0% 47.0% 45.0% 33.0% 9.4% 5.8% 0% 10% 20% 30% 40% 50% Población general Enfermos crónicos Hospitalizados Ancianos hosp. Cancer externos Cancer Hosp. Enf. Cerebro V. Infarto Miocardio Enf. Parkinson
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26. Metas del Tratamiento TTrraattaammiieennttoo Reducir/eliminar Signos y Síntomas Reducir las recaidas/ riesgo de recurrencias Restaurar Funciones Adaptado del Programa Educativo en Trastornos Depresivos de la WPA/PTD
  • 27. 1. AHCPR Guidelines. Depression in Primary Care. Vol 1, US Department of Health and Human Services; 1993. 2. Lepine C, et al. Intl Clin Psychopharm. 1997;12:19-29. 3. Katon W, et al. Medical Care. 1992;39(1):67-76.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38. KKuuppffeerr DDJJ,, eett aall.. AArrcchh GGeenn PPssyycchhiiaattrryy,, 11999922::4499::776699--777733..