Presenter of 2 Presentations
PERCEPTION OF PRIMARY HEALTH CARE RESPONSE CAPACITY BY PATIENTS SUFFERING MENTAL HEALTH PROBLEMS AND WITHOUT THEM: QUALITATIVE STUDY.
Abstract
Abstract Body
1.Background and purpose: Health Systems’ Response Capacity (HSRC) is defined as the “ability of the health system to meet the population’s legitimate expectations regarding their interaction with the health system, apart from expectations for improvements in health or wealth”. HSRC is measured through eight domains which are dignity, confidentiality, communication, autonomy of individuals, prompt attention, basic quality of facilities, access to social support networks, and choice of care providers. The objective of this study is to deepen towards Primary Health Care Response Capacity by specifically using patients suffering from a mental disorder, and without these health problems.
2.Methods: Qualitative methodology. For this study, in-depth interviews were conducted with 28 patients with and without mental health disorders. An inductive thematic content analysis by pairs was performed using grounded theory in order to explore, develop and define the analysis.
3.Results: The fundamental domains for patients are dignity, communication, and rapid attention. People with mental health problems also highlight the domain of confidentiality as relevant, while patients who don't have a mental health problem prioritize the domain of autonomy. Patients with mental health disorders report a greater number of negative experiences in relation to the domain of dignity. The interrelationship between domains also appears in the discourses with there being mention of a relationship between clear communication, autonomy, dignity.
4.Conclusions: The prevalence of patients with mental illness who use primary care is quite high; therefore, it is necessary to determine the factors that influence its responsiveness, in order to plan the resources to be offered to this population at this early care level.
ASSOCIATION BETWEEN PROCRASTINATION, DEPRESSION AND LIFESTYLES.
Abstract
Abstract Body
1.Background: Major depression is a highly prevalent pathology that is currently the second most common cause of disease-induced disability in our society. The onset and continuation of depression may be related to a wide variety of biological and psychosocial factors, many of which are linked to different lifestyle aspects. Procrastination is the irrational and voluntary delaying of necessary tasks and it produces serious consequences for mental health and well-being.Our objective was to analyze the relationship of procrastination with depression and lifestyles.
2.Methods: Cross-sectional study. The sample consisted of 140 patients with depression recruited in primary health centers. The variables are: procrastination measured using the Irrational Procrastination Scale; Severity of depression measured using Beck’s Depression Inventory; lifestyles: Physical activity measured using the International Physical Activity Questionnaire-Short Form; adherence to the Mediterranean Diet measured using the 14-item Mediterranean Diet Adherence Screener and Quality and patterns of sleep measured using the Pittsburgh Sleep Quality Index. Correlations and multiple regression analysis were performed.
3.Results: Correlations analysis show that the more procrastination, more depression (-0.333, p = 0.000), less minutes walked (-0.218, p = 0.01), worse sleep quality (0.192, p = 0.023), less adherence to the Mediterranean diet (-0.299 p = 0.000), less age (-0.341, p = 0.000). Taking depression as a dependent variable, procrastination (0.329) and bad sleep quality (0.500) were shown to be predicting coefficients (p = 0.000). The interactions were not significant.
4.Conclusions: These results support the relationship among depression, procrastination and lifestyle.