Depressive symptoms in users attended in a Matrix Health Unit
DOI:
https://doi.org/10.18554/refacs.v6i0.3131Keywords:
Depressão, Estratégia Saúde da Família, Atenção primária à saúde, Saúde mentalAbstract
This study aimed at conducting a survey about the depressive symptoms of users in the Matrix health service. This was an descriptive and exploratory study, developed in a Matrix Health Unit in a municipality in the countryside of the Triângulo Mineiro region, G, Brazil, from July to November, 2013. The sample was made up of 282 users of the health service. A sociodemographic characterization instrument was used, together with Beck's Depression Inventory to scree for depressive symptoms. Most participants were male, from 18 to 59 years of age, married and with up to 8 years of study. 11.0% of participants presented with dysphoria and approximately 31.0% presented a score that indicated depression. These symptoms were most common among elders (p=0.028). Single, divorced and widow persons also presented statistically relevant correlations to scores that indicate depression (p=0.042). Mental health is still a neglected by the Primary Health, and the professionals who work in the field must improve their work practices, valuing the many ways to investigate the depressive symptoms and their associated factors.
References
Murray CJL, Lopez AD. The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and Project EDTO 2020. Cambridge, MA: Harvard University Press; 1996.
Guo T, Xiang YT, Xiao L, Hu CQ, Chiu HF, Ungvari GS, et al. Measurement-based care versus standard care for major depression: a randomized controlled trial with blind raters. Am J Psychiatr. [Internet]. 2015 Oct [citado em: 19 jun 2018];172(10):1004-13. Disponível em: https://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.2015.14050652
Fleck MP, Lafer B, Sougey EB, Del Porto JA, Brasil MA, Juruena MF. Guidelines of the Brazilian Medical Association for the treatment of depression (complete version). Rev Bras Psiquiatr. 2003; 25(2):114-22.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders – DSM-5. 5thed. Washington: APA; 2013.
Barros MBA, Lima MG, Azevedo RCS, Medina LBP, Lopes CS, Menezes PR, et al. Depressão e comportamentos de saúde em adultos brasileiros – PNS 2013. Rev Saúde Pública [Internet]. 2017 [citado em: 19 jun 2018]; 51(Supl1):8s. DOI: http://dx.doi.org/10.1590/s1518-8787.2017051000084
Garcia MIH, Oliveira AMN, Sedrez JP, Santos MEL, Silva PA. Realidade dos profissionais da estratégia de saúde da família em relação à detecção dos transtornos mentais comuns. Vitalle [Internet]. 2014 [citado em: 19 jun 2018]; 26:37-44. Disponível em: https://periodicos.furg.br/vittalle/article/view/6058
Campos Junior A, Amarante PDC. Estudo sobre práticas de cuidado em saúde mental na Atenção Primária: o caso de um município do interior do estado do Rio de Janeiro. Cad Saúde Colet. [Internet]. 2015 [citado em: 19 jun 2018]; 23(4):425-35. DOI: http://dx.doi.org/10.1590/1414-462X201500040226
Ministério da Saúde (Br). Coordenação Geral da Saúde Mental. Coordenação de Gestão da Atenção Básica. Saúde mental e atenção básica: o vínculo e o diálogo necessários. Brasília, DF: Ministério da Saúde; 2003.
Carlotto MS. Transtornos mentais comuns em trabalhadores de Unidades Básicas de Saúde: prevalência e fatores associados. Psicol Argum. [Internet]. 2016 [citado em: 19 jun 2018]; 34(85):133-46. DOI: http://dx.doi.org/10.7213/psicol.argum.34.085.AO04
Bromet E, Andrade LH, Hwang I, Sampson NA, Alonso J, Girolamo G, et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Med. [Internet]. 2011 [citado em: 19 jun 2018]; 9:90. DOI: https://doi.org/10.1186/1741-7015-9-90
Peytremann-Bridevaux I, Voellinger R. Le mille pertuis dans letraitement de la depression majeure: revue Cochrane pour le praticien. Rev Med Suisse [Internet]. 2009 [citado em: 19 jun 2018]; 5(196):692. Disponível em: https://serval.unil.ch/resource/serval:BIB_97D9CEAA4408.P001/REF
Olfson M, Amos TB, Benson C, McRae J, Marcus SC. Prospective service use and health care costs of medicaid beneficiaries with treatment-resistant depression. J Manag Care Spec Pharm [Internet]. 2018 [citado em: 19 jun 2018]; 24(3):226-36. DOI: https://doi.org/10.18553/jmcp.2018.24.3.226
Ronalds C, Creed F, Stone K, Webb S, Tomenson B. Outcome of anxiety and depressive disorders in primary care. Br J Psychiatr. 1997; 171:427-33.
Lafer B, Nierenberg AA, Rosenbaum JF, Fava M. Outpatients with DSM-III-R versus DSM-IV melancholic depression. Compr Psychiatry [Internet]. 1996 [citado em: 19 jun 2018]; 37(1):37-9. DOI: https://doi.org/10.1016/S0010-440X(96)90048-6
Coyne JC, Schwenk TL, Fechner-Bates S. Non detection of depression by primary care physicians reconsidered. Gen Hosp Psychiatr. [Internet]. 1995 [citado em: 19 jun 2018]; 17(1):3-12. DOI: https://doi.org/10.1016/0163-8343(94)00056-J
Schonfeld WH, Verboncoeur CJ, Fifer SK, Lipschutz RC, Lubeck DP, Buesching DP. The functioning and well-being of patients with unrecognized anxiety disorders and major depressive disorder. J Affect Disord. [Internet]. 1997 [citado em: 19 jun 2018]; 43(2):105-19. DOI: https://doi.org/10.1016/S0165-0327(96)01416-4
Gandini RC, Martins MCF, Ribeiro MP, Santos DTG. Inventário de Depressão de Beck – BDI: validação fatorial para mulheres com câncer. Psico USF. [Internet]. 2007 [citado em: 22 jun 2018]; 12(1):23-31. DOI: http://dx.doi.org/10.1590/S1413-82712007000100004
Kendall PC, Hollon SD. Beck AT, Hammen CL, Ingram RE. Issues and recommendations regarding use of the Beck Depression Inventory. Cognit Ther Res. 1987; 11(3):289-99.
Molina MRAL, Wiener CD, Branco JC, Jansen K, Souza LDM, Tomasi E, et al. Prevalência de depressão em usuários de unidades de atenção primária. Rev Psiquiatr Clin. [Internet]. 2012 [citado em: 26 jun 2018]; 39(6):194-7. DOI: http://dx.doi.org/10.1590/S0101-60832012000600003
Viana MC, Andrade LH. Lifetime prevalence, age and gender distribution and age-of-onset of psychiatric disorders in the São Paulo Metropolitan Area, Brazil: results from the São Paulo Megacity Mental Health Survey. Rev Bras Psiquiatr. [Internet]. 2012 [citado em: 26 jun 2018]; 34(3):249-60. DOI: http://dx.doi.org/10.1016/j.rbp.2012.03.001
Gonçalves AMC, Teixeira MTB, Gama JRA, Lopes CS, Silva GA, Gamarra CJ. Prevalência de depressão e fatores associados em mulheres atendidas pela Estratégia de Saúde da Família. J Bras Psiquiatr. [Internet]. 2018 [citado em: 25 jun 2018]; 67(2):101-9. DOI: http://dx.doi.org/10.1590/0047-2085000000192
Yan XY, Huang SM, Huang CQ, Wu WH, Qin Y. Marital status and risk for late life depression: a meta-analysis of the published literature. J Int Med Res. [Internet]. 2011 [citado em: 25 jun 2018]; 39(4):1142-54. DOI: http://dx.doi.org/10.1177/147323001103900402
González ACT, Ignácio ZM, Jornada LK, Réus GZ, Abelaira HM, Santos MA, et al. Depressive disorders and comorbidities among the elderly: a population-based study. Rev Bras Geriatr Gerontol. [Internet]. 2016 [citado em: 25 jun 2018]; 19(1):95-103. DOI: http://dx.doi.org/10.1590/1809-9823.2016.14210
Cohen R, Paskulin LMG, Prieb RGG. Prevalência de sintomas depressivos entre idosos em um serviço de emergência. Rev Bras Geriatr Gerontol. [Internet]. 2015 [citado em: 25 jun 2018]; 18(2):307-17. DOI: http://dx.doi.org/10.1590/1809-9823.2015.14052
Nogueira EL, Rubin LL, Giacobbo SS, Gomes I, Cataldo Neto A. Rastreamento de sintomas depressivos em idosos na Estratégia Saúde da Família, Porto Alegre. Rev Saúde Pública [Internet]. 2014 [citado em: 25 jun 2018]; 48(3):368-77. DOI: http://dx.doi.org/10.1590/S0034-8910.2014048004660
Daré PK, Caponi SN. Cuidado ao indivíduo com depressão na atenção primária em saúde. ECOS [Internet]. 2017 [citado em: 25 jun 2018]; 7(1):12-24. Disponível em: http://www.periodicoshumanas.uff.br/ecos/article/view/1858/1419
Published
How to Cite
Issue
Section
License
Each of the authors of the manuscript must complete and sign a copy of Statement of Responsibility and Copyright Transfer Agreement, which must be attached, by the submitting author, in step 4 of the submission process in the journal system (Click on the "Browse" option, select the file that should be inserted in pdf format, click on the "Download" button, in the "Title" field type: Declaration of responsibilities, then click the "Save and Continue" button and proceed with the submission process.
Note: Including scanned signature will not be accepted. Each author of the manuscript must complete a declaration individually.
REFACS de Universidade Federal do Triângulo Mineiro está licenciado com uma Licença Creative Commons - Atribuição-NãoComercial 4.0 Internacional.
Baseado no trabalho disponível em www.uftm.edu.br.
Podem estar disponíveis autorizações adicionais às concedidas no âmbito desta licença em http://www.uftm.edu.br/refacs.
