[Preclinical horizon of depression in adults].
OBJECTIVE
Identify factors related to preclinical depression in healthy adults, their risk factors and concordance with family doctor diagnostic.


METHODS
Case-control study in adult from family medicine consulting room. Beck inventory for depression was applied. The correlation between depression and the diagnosis by the family physician was evaluated. Odds ratio (OR) was determined.


RESULTS
Involved 138 patients randomly from four family medicine units (FMU) in the Northern Region of Quintana Roo, Mexico. The mean age 34.9 ± 11.4 years, 55.8% women, prevalence for depression was 26.1%. Being male OR: 3.76; 95% CI: 1.69-8.36, under 30 years OR: 2.76; 95% CI: 1.27-5.99, low socioeconomic status (SES) OR: 2.11; 95% CI: 0.97-4.59 and be married OR: 3.22; 95% CI: 1.41.-7.36 had depression risk. Diagnosis by the family physician and inventory Beck. Kappa Index 0.2, 95% CI: -0057-0176; p = 0.05.


CONCLUSIONS
Almost a third of young adults have some depression degree in family medicine consulting room, it is necessary a depression screening for male patients, low SES, married, and under 30 years old, attending medical consultation familiar, for a early diagnosis and improve prognosis.
Medicina Familiar, Jefatura de Servicios de Prestaciones Médicas, IMSS Quintana Roo, México.|Grupo de Investigación Clínico-Epidemiológica (GRICIQ), IMSS Quintana Roo, México.
María Valeria
MV
Jiménez-Báez
Servicio de Cardiopatías Congénitas, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, IMSS, México.|Grupo de Investigación Clínico-Epidemiológica (GRICIQ), IMSS Quintana Roo, México.
Horacio
H
Márquez-González
Servicio de Medicina Familiar y Oftalmología, Hospital General de Zona No. 1, IMSS Yucatán, México.|Grupo de Investigación Clínico-Epidemiológica (GRICIQ), IMSS Quintana Roo, México.
Juan Leonardo
JL
Monsreal-Góngora
Servicio de Psiquiatría, Hospital General de Zona No. 3, Q. Roo, México.|Grupo de Investigación Clínico-Epidemiológica (GRICIQ), IMSS Quintana Roo, México.
Gonzalo
G
Góngora-González
Coordinación de investigación en Salud, IMMS Quintana Roo, México.|Grupo de Investigación Clínico-Epidemiológica (GRICIQ), IMSS Quintana Roo, México.
Luis
L
Sandoval-Jurado
Servicio de Gineco-Obstetricia, Coordinación de Gestión en Salud, IMSS Quintana Roo, México.|Grupo de Investigación Clínico-Epidemiológica (GRICIQ), IMSS Quintana Roo, México.
Rubén
R
Boquer-Hernández
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D017533:Marital Status; D008403:Mass Screening / Q000379:methods*; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D055815:Young Adult