Patterns of Emergency Care for Depressive and Anxiety Disorders by Age and Sex

Authors

  • Alberto Guevara Tirado Author

DOI:

https://doi.org/10.68178/dqtjyx36

Keywords:

Depresión; Ansiedad; Servicios Médicos de Urgencia; Salud Mental; Odds Ratio

Abstract

Objective: To describe the frequency of emergency care for depressive and anxiety disorders and to estimate the associations of sex and age with these emergency visits in the Peruvian population.

Methods: Observational, retrospective, cross-sectional study based on records from the Peruvian Ministry of Health between January 2021 and November 2022. A total of 3,423 emergency visits for depressive disorders and 8,792 for anxiety disorders were identified. Associations with sex and age were assessed using Pearson’s chi-square test and odds ratios (ORs) with 95% confidence intervals.

Results: Women accounted for 74.2% of emergency visits for depression and 65.8% of visits for anxiety. Compared with men, women had an OR of 2.14 for depression and 1.44 for anxiety. Individuals younger than 18 years had an OR of 3.15 for emergency visits due to depression, whereas adults had an OR of 2.06 for emergency visits due to anxiety.

Conclusions: Differences by sex and age were observed in the distribution of emergency visits for depression and anxiety in the analyzed records. These findings describe associations between demographic characteristics and diagnoses recorded in emergency care and should not be interpreted as causal effects.

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References

1. Cavieres Á, López SP. La depresión como enfermedad: en defensa del

modelo biomédico en psiquiatría. Rev Med Chil. 2021;149(2):274–80. DOI: https://doi.org/10.4067/s0034-98872021000200274

Disponible en: https:/ / www.scielo.cl/ scielo.php?pid=S0034- 988720210002002

74&script=sci_arttext

2. Christensen MC, Wong CMJ, Baune BT. Symptoms of major depressive

disorder and their impact on psychosocial functioning in the different phases of

the disease: Do the perspectives of patients and healthcare providers differ?

Front Psychiatry.2020;11:280. Disponible en:

http:/ / dx.doi.org/ 10.3389/ fpsyt.2020.00280

3. Tolentino JC, Schmidt SL. DSM-5 criteria and depression severity:

Implications for clinical practice. Front Psychiatry. 2018;9:450. Disponible en:

http:/ / dx.doi.org/ 10.3389/ fpsyt.2018.00450

4. Paykel ES. Basic concepts of depression. Dialogues Clin Neurosci.

2008;10(3):279–89. Disponible en:

http:/ / dx.doi.org/ 10.31887/ dcns.2008.10.3/ espaykel

5. Bains N, Abdijadid S. Major Depressive Disorder. StatPearls

Publishing;2022. Disponible en:

https:/ / www.ncbi.nlm.nih.gov/ books/ NBK559078/

6. Németh R, Sik D, Katona E. The asymmetries of the biopsychosocial model

of depression in lay discourses - Topic modelling online depression forums.

SSM Popul Health. 2021;14(100785):100785. Disponible en: DOI: https://doi.org/10.1016/j.ssmph.2021.100785

https:/ / www.sciencedirect.com/ science/ article/ pii/ S2352827321000604

7. COVID-19 Mental Disorders Collaborators. Global prevalence and burden of

depressive and anxiety disorders in 204 countries and territories in 2020 due to

the COVID-19 pandemic. Lancet.2021;398(10312):1700–12. Disponible en: htt

ps:/ / www.thelancet.com/ journals/ lancet/ article/ PIIS0140- 6736(21)02143- 7/ fullt

ext

8. Martina M, Ara MA, Gutiérrez C. Depresión y factores asociados en la

población peruana adulta mayor según la ENDES 2014-2015. An Fac Med

(Lima Peru : 1990). 2018;78(4):393. Disponible en: http:/ / www.scielo.org.pe/ sc

ielo.php?script=sci_arttext&pid=S1025- 55832017000400004

9. Crocq MA. The history of generalized anxiety disorder as a diagnostic

category. Dialogues Clin Neurosci. 2017;19(2):107–16. Disponible en: DOI: https://doi.org/10.31887/DCNS.2017.19.2/macrocq

http:/ / dx.doi.org/ 10.31887/ dcns.2017.19.2/ macrocq

10. Pelissolo A. Trastornos de ansiedad y fóbicos. EMC - Tratado Med.

2019;23(2):1–8. Disponible en:

https:/ / www.sciencedirect.com/ science/ article/ pii/ S1636541019419983

11. Deutscher Ärzteverlag GmbH. The diagnosis and treatment of anxiety

disorders. Deutsches Arzteblatt. Disponible en:

https:/ / www.aerzteblatt.de/ int/ archive/ article/ 200319

12. Chand SP, Marwaha R. Anxiety. StatPearls Publishing; 2022. Disponible

en: https:/ / www.ncbi.nlm.nih.gov/ books/ NBK470361/

13. Szuhany KL, Simon NM. Anxiety disorders: A review. JAMA.

2022;328(24):2431–45. Disponible en:

https:/ / jamanetwork.com/ journals/ jama/ article- abstract/ 2799904

14. Saramago P, Gega L, Marshall D, Nikolaidis GF.Digital interventions for

generalized anxiety disorder (GAD): Systematic review and network

meta-analysis. Front Psychiatry. 2021;12:726222. Disponible en:

http:/ / dx.doi.org/ 10.3389/ fpsyt.2021.726222

15. Preti A, Demontis R, Cossu G, Kalcev G, Cabras F, Moro MF, et al. The

lifetime prevalence and impact of generalized anxiety disorders in an

epidemiologic Italian National Survey carried out by clinicians by means of

semi-structured interviews. BMC Psychiatry. 2021;21(1):48. Disponible en:

http:/ / dx.doi.org/ 10.1186/ s12888- 021- 03042- 3

16. Ruscio AM, Hallion LS, Lim CCW, Aguilar-Gaxiola S, Al-Hamzawi A,

Alonso J, et al. Cross-sectional comparison of the epidemiology of DSM-5

generalized anxiety disorder across the globe. JAMA Psychiatry.

2017;74(5):465. Disponible en:

https:/ / jamanetwork.com/ journals/ jamapsychiatry/ fullarticle/ 2608757

17. Álvarez BJ, Meza PC. Anxiety and adaptation to pandemic in Mexico: A

cross-sectional study. Interacciones Rev Av Psicol. 2022;8:e242. Disponible en: DOI: https://doi.org/10.24016/2022.v8.242

http:/ / www.scielo.org.pe/ scielo.php?script=sci_arttext&pid=S2413- 446520220

00100002

18. Rivas RG. Mental disorders in patients of external doctor’s offices of

medicine of the hospital “Jose Agurto Tello”. MLS Psychology Research.

2020;3(2):27–42. Disponible en:

https:/ / www.mlsjournals.com/ Psychology- Research- Journal/ article/ view/ 516

19. Vásquez M, Antonio D. Ansiedad y depresión asociado a rendimiento

académico y deserción estudiantil universitaria. Revisión sistemática.

Universidad César Vallejo;2022. Disponible en:

https:/ / repositorio.ucv.edu.pe/ handle/ 20.500.12692/ 87933

20. Lee MJ, Nho WY, Jung H, Cho JW. High prevalence of depression and

sleep-wake disorders among female emergency medicine residents in South

Korea. Ann Med. 2022;54(1):846–55. Disponible en: DOI: https://doi.org/10.18356/27887154-2021-102-8

http:/ / dx.doi.org/ 10.1080/ 07853890.2022.2053568

21. Hill T, Jiang Y, Friese CR, Darbes LA, Blazes CK, Zhang X. Analysis of

emergency department visits for all reasons by adults with depression in the

United States. BMC Emerg Med. 2020;20(1):51. Disponible en:

http:/ / dx.doi.org/ 10.1186/ s12873- 020- 00347- 6

22. Barboza JJ, Soriano AN, Copez LA, Pacheco MJ. Disability and severe

depression among Peruvian older adults: analysis of the Peru Demographic and

Family Health Survey, ENDES 2017. BMC Psychiatry. 2020;20(1):253. DOI: https://doi.org/10.1186/s12888-020-02521-3

Disponible en: http:/ / dx.doi.org/ 10.1186/ s12888- 020- 02664- 3

23. Cavanagh A, Wilson CJ, Kavanagh DJ, Caputi P. Differences in the

expression of symptoms in men versus women with depression: A systematic

review and meta-analysis. Harv Rev Psychiatry. 2017;25(1):29–38. Disponible DOI: https://doi.org/10.1097/HRP.0000000000000128

en: https:/ / journals.lww.com/ hrpjournal/ Abstract/ 2017/ 01000/ Differences_in_t

he_Expression_of_Symptoms_in_Men.4.aspx

24. Ranney ML, Locci N, Adams EJ, Betz M. Gender-specific research on

mental illness in the emergency department: current knowledge and future

directions. Acad Emerg Med. 2014;21(12):1395–402. Disponible en: DOI: https://doi.org/10.1111/acem.12524

http:/ / dx.doi.org/ 10.1111/ acem.12524

emergencias depresion ansiedad

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Published

2026-09-16

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