Use of Psychotherapy in a Representative Adult Community Sample in São Paulo, Brazil

Use of Psychotherapy in a Representative Adult Community Sample in São Paulo, Brazil

Author Blay, Sergio L. Autor UNIFESP Google Scholar
Fillenbaum, Gerda G. Google Scholar
Silva, Paula Freitas R. da Autor UNIFESP Google Scholar
Peluso, Erica T. Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Duke Univ
Univ Bandeirantes
Abstract Little is known about the use of psychotherapy to treat common mental disorders in a major city in a middle-income country. Our data come from in-home interviews with a stratified random sample of 2000 community residents aged 18 to 65 years in the city of São Paulo, Brazil. the information obtained included sociodemographic characteristics; psychotropic drugs; mental status; and lifetime, previous 12 months, and current use of psychotherapy. Logistic regression was used to examine determinants of use of psychotherapy. of the sample, 22.7% met General Health Questionnaire-12 criteria for common mental disorders. Lifetime, previous 12 months, and current use of psychotherapy were reported by 14.6%, 4.6%, and 2.3% of the sample, respectively. Users typically were women, were more educated, had higher income, were not married, were unemployed, and had common mental disorders. Further analysis found that 47% (with higher education and income) paid out-of-pocket, and 53% used psychotropic medication. Psychotherapy does not seem to be the preferred treatment of common mental disorders.
Keywords Prevalence
common mental disorders
psychotropic medications
epidemiological survey
community sample
Brazil
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Bolsista de Produtividade em Pesquisa
National Institute on Aging
Grant number Bolsista de Produtividade em Pesquisa: 306156/2011-3
National Institute on Aging: 1P30 AG028716
Date 2014-09-01
Published in Journal of Nervous and Mental Disease. Philadelphia: Lippincott Williams & Wilkins, v. 202, n. 9, p. 688-694, 2014.
ISSN 0022-3018 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 688-694
Origin http://dx.doi.org/10.1097/NMD.0000000000000181
Access rights Closed access
Type Article
Web of Science ID WOS:000341703700009
URI http://repositorio.unifesp.br/handle/11600/38188

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