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

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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
    Programa de Doctorado en Ciencias Médicas, Facultad de Medicina, Universidad de Colima, Av. Universidad 333, Col. Las Víboras, CP 28040 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
    Instituto Mexicano del Seguro Social, Unidad de Investigación en Epidemiología Clínica, Av. de los Maestros 148, Col. Centro, CP 28000 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)

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.

Suggested Citation

  • Efrén Murillo-Zamora & Oliver Mendoza-Cano & Benjamín Trujillo-Hernández & Xóchitl Trujillo & Miguel Huerta & José Guzmán-Esquivel & Martha Alicia Higareda-Almaraz & Agustin Lugo-Radillo & Ignacio Mor, 2018. "Screening for Depressive Mood During Acute Chikungunya Infection in Primary Healthcare Settings," IJERPH, MDPI, vol. 15(11), pages 1-9, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2552-:d:182742
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