<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2521-2281</journal-id>
<journal-title><![CDATA[Medicina clínica y social]]></journal-title>
<abbrev-journal-title><![CDATA[Med. clín. soc.]]></abbrev-journal-title>
<issn>2521-2281</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias Médicas, Filial de Santa Rosa del Aguaray, Cátedra de Socioantropología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2521-22812021000300141</article-id>
<article-id pub-id-type="doi">10.52379/mcs.v5i3.223</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Diagnostic Stability of Major Depressive Disorder in hospitalized patients in a University Hospital: a Brief Report]]></article-title>
<article-title xml:lang="es"><![CDATA[Estabilidad diagnóstica del trastorno de depresión mayor en pacientes hospitalizados en el Departamento de Psiquiatría de un Hospital Universitario: un breve informe]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[De Doménico]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castaldelli-Maia]]></surname>
<given-names><![CDATA[João Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ventriglio]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Departamento de Psiquiatría ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundação do ABC Medical School Department of Neuroscience]]></institution>
<addr-line><![CDATA[Santo André SP]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,University of São Paulo Medical School Department of Psychiatry]]></institution>
<addr-line><![CDATA[São Paulo SP]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,University of Foggia Department of Clinical and Experimental Medicine ]]></institution>
<addr-line><![CDATA[Foggia ]]></addr-line>
<country>Italy</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional de Asunción Departamento de Psicología médica ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>5</volume>
<numero>3</numero>
<fpage>141</fpage>
<lpage>144</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2521-22812021000300141&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2521-22812021000300141&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2521-22812021000300141&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  There may be a discordance between diagnoses at admission and discharge of mentally ill patients with major issues regarding their diagnostic stability. The objective of this brief report was to determine the diagnostic stability of major depressive disorder at patients&#8217; discharge and if the diagnosis of their hospital admission had been retained.  Methodology:  This was a pilot, descriptive, cross-sectional, and retrospective observational study. A non-probabilistic sampling of consecutive cases was used. We reviewed the medical records, at admission and discharge, of patients with an initial diagnosis of major depressive disorder, hospitalized in the Department of Psychiatry of the &#8216;Hospital de Clínicas&#8217; of the National University of Asunción, Paraguay, during the months of October to December 2020.  Results:  Fifty-three patients with a diagnosis of major depression on their hospital admission were included in the study (mean age = 35.7 ± 16.5 years). 79.2 % were women, 52.8 % were single, and 37.7 % were from the Central province of Paraguay. The most frequent diagnosis at discharge was borderline personality disorder, in 35.8% of cases. Major depressive disorder was confirmed in 15.1% of cases. No significant relationship was found between any discharge diagnosis and sociodemographic data.  Conclusion:  The results of this study, although preliminary, described the trajectories of diagnoses in the Psychiatry Department of a University hospital, but confirmatory studies are needed.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  puede existir una discordancia entre los diagnósticos al ingreso y al alta de los pacientes con enfermedades mentales, con problemas importantes en cuanto a su estabilidad diagnóstica. El objetivo de este breve informe fue determinar la estabilidad diagnóstica del trastorno depresivo mayor al alta de los pacientes y si se había mantenido el diagnóstico de su ingreso hospitalario.  Metodología:  se trata de un estudio observacional piloto, descriptivo, transversal y retrospectivo. Se utilizó un muestreo no probabilístico de casos consecutivos. Se revisaron las historias clínicas, al ingreso y al alta, de los pacientes con diagnóstico inicial de trastorno depresivo mayor, hospitalizados en el Departamento de Psiquiatría del Hospital de Clínicas de la Universidad Nacional de Asunción, Paraguay, durante los meses de octubre a diciembre de 2020.  Resultados:  se incluyeron en el estudio 53 pacientes con diagnóstico de depresión mayor a su ingreso hospitalario (edad media = 35,7 ± 16,5 años). El 79,2 % eran mujeres, el 52,8 % eran solteros y el 37,7 % eran del Departamento Central del Paraguay. El diagnóstico más frecuente al alta fue el trastorno límite de la personalidad, en el 35,8% de los casos. El trastorno depresivo mayor se confirmó en el 15,1% de los casos. No se encontró relación significativa entre ningún diagnóstico al alta y los datos sociodemográficos.  Conclusiones:  los resultados de este estudio, aunque preliminares, describen las trayectorias de los diagnósticos en el Departamento de Psiquiatría de un hospital universitario, pero son necesarios estudios confirmatorios.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[diagnostic stability]]></kwd>
<kwd lng="en"><![CDATA[major depressive disorder]]></kwd>
<kwd lng="en"><![CDATA[borderline personality disorder]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[estabilidad diagnóstica]]></kwd>
<kwd lng="es"><![CDATA[trastorno depresivo mayor]]></kwd>
<kwd lng="es"><![CDATA[trastorno límite de la personalidad]]></kwd>
</kwd-group>
</article-meta>
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