Berenzon Shoshana, Lara María Asunción, Robles Rebeca, Medina-Mora María Elena
Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, DF, México.
Salud Publica Mex. 2013 Jan-Feb;55(1):74-80. doi: 10.1590/s0036-36342013000100011.
Depression is an important public health problem. It is the fourth cause of disease in the world in terms of lost years of healthy life. In Mexico, it ranks first in terms disability for women and ninth for men. There is a high comorbidity between depression and other mental disorders such as anxiety and substance abuse, as well as other serious and chronic physical conditions (e.g. diabetes, and heart disease). Despite the impact of depressive disorders in the quality of life of the population, there is a large proportion of people who don't get treatment, delaying seeking help and thus don't receive adequate assistance. The aim of this paper is to present an analysis of depression status in the Mexican population from a public health perspective; it includes prevalence and associated factors, gaps in care, characteristics of the use of services and treatments available. The paper concludes with a presentation of the implications for research and mental health policy in Mexico.
抑郁症是一个重要的公共卫生问题。就健康生命年损失而言，它是全球第四大致病原因。在墨西哥，就女性残疾情况而言它位列第一，男性位列第九。抑郁症与其他精神障碍（如焦虑症和药物滥用）以及其他严重慢性身体疾病（如糖尿病和心脏病）之间存在高度共病现象。尽管抑郁症对人群生活质量有影响，但仍有很大一部分人未接受治疗，延迟寻求帮助，因此未得到充分救助。本文旨在从公共卫生角度对墨西哥人群的抑郁症状况进行分析；内容包括患病率及相关因素、护理差距、服务使用特点以及现有治疗方法。本文最后阐述了对墨西哥研究和心理健康政策的启示。
