Psychiatric morbidity and quality of life of primary care attenders in two cities in Brazil

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dc.contributor.authorPortugal, Flávia Batista
dc.contributor.authorCampos, Mônica Rodrigues
dc.contributor.authorGonçalves, Daniel Almeida [UNIFESP]
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.authorGask, Linda
dc.contributor.authorBower, Peter
dc.contributor.authorDowrick, Christopher
dc.contributor.authorFortes, Sandra
dc.contributor.institutionOswaldo Cruz Foundation Sergio Arouca National School of Public Health
dc.contributor.institutionFiocruz ENSP Social Sciences Department
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionKing?s College Institute of Psychiatry Health Services and Population Research Department
dc.contributor.institutionUniversity of Manchester Manchester Academic Health Science Centre NIHR School for Primary Care Research
dc.contributor.institutionCommunity and Behavioral Sciences School of Population Primary Medical Care
dc.contributor.institutionRio de Janeiro State University
dc.date.accessioned2015-06-14T13:46:59Z
dc.date.available2015-06-14T13:46:59Z
dc.date.issued2014-03-01
dc.description.abstractObjective: To identify the associations among quality of life (QoL), social determinants and psychological distress in primary care in two cities in Brazil. Methods: A cross-sectional study with 1,466 patients from 2009 to 2010. The statistical analysis used the t-test to compare the variables of interest to the study. Results: The prevalence of Common Mental Disorders (CMD3), severe forms of Common Mental Disorders (CMD5), anxiety and depression were 20.5%, 32%, 37% and 25.1% respectively. Thes presence of psychological distress is associated with worse QoL among the patients studied, especially those older than 40 years of age. In cases of CMD3, those with higher income and educational levels presented higher QoL in the psychical and psychological domains. For the cases of probable anxiety, those with higher educational levels presented lower scores on the physical and social relationship scores. Conclusion: Psychological distress can be associated with a worse QoL among those studied and can be influenced by socioeconomic conditions. Therefore, it is important to structure patient-centered help, which should also include patients’ social contexts.en
dc.description.abstractObjetivo: Identificar as associações entre qualidade de vida (QV), determinantes sociais e sofrimento psíquico na Atenção Primária (AP) em dois municípios do Brasil. Métodos: Estudo transversal com 1.466 pacientes atendidos na AP de São Paulo e Rio de Janeiro nos anos de 2009 e 2010. Resultados: As prevalências de Transtorno Mental Comum (TMC-3), Transtorno Mental Comum de intensidade grave (TMC-5), casos sugestivos de ansiedade e de depressão foram de 20,5%, 32%, 37% e 25,1%, respectivamente. Observou-se a associação entre as variáveis socioeconômicas e a presença de sofrimento psíquico, em especial para aqueles com idade superior a 40 anos. Nos casos de TMC-3, aqueles com maior renda e nível educacional apresentaram maiores escores nos domínios físico e psicológico. Para os casos sugestivos de ansiedade, maior nível educacional apresentou menores escores nos domínios físico e relações sociais. Conclusão: Entre os pesquisados, o sofrimento psíquico associou-se a menores escores de qualidade de vida, podendo ser influenciado pelas condições socioeconômicas. Dessa forma, é importante estruturar uma assistência centrada no paciente, que também deve incluir o contexto social dos pacientes.pt
dc.description.affiliationOswaldo Cruz Foundation Sergio Arouca National School of Public Health
dc.description.affiliationFiocruz ENSP Social Sciences Department
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP)
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Department of Psychiatry
dc.description.affiliationKing?s College Institute of Psychiatry Health Services and Population Research Department
dc.description.affiliationUniversity of Manchester Manchester Academic Health Science Centre NIHR School for Primary Care Research
dc.description.affiliationCommunity and Behavioral Sciences School of Population Primary Medical Care
dc.description.affiliationRio de Janeiro State University
dc.description.affiliationUnifespUNIFESP, Department of Psychiatry
dc.description.sourceSciELO
dc.format.extent23-32
dc.identifierhttp://dx.doi.org/10.1590/0047-2085000000004
dc.identifier.citationJornal Brasileiro de Psiquiatria. Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro, v. 63, n. 1, p. 23-32, 2014.
dc.identifier.doi10.1590/0047-2085000000004
dc.identifier.fileS0047-20852014000100023.pdf
dc.identifier.issn0047-2085
dc.identifier.scieloS0047-20852014000100023
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/8288
dc.language.isoeng
dc.publisherInstituto de Psiquiatria da Universidade Federal do Rio de Janeiro
dc.relation.ispartofJornal Brasileiro de Psiquiatria
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMental healthen
dc.subjectprimary health careen
dc.subjectquality of lifeen
dc.subjectmental disordersen
dc.subjectsocioeconomic factorsen
dc.subjectSaúde mentalpt
dc.subjectatenção primária à saúdept
dc.subjectqualidade de vidapt
dc.subjecttranstornos mentaispt
dc.subjectfatores socioeconômicospt
dc.titlePsychiatric morbidity and quality of life of primary care attenders in two cities in Brazilen
dc.title.alternativeSofrimento psíquico e qualidade de vida em pacientes da atenção primária de duas cidades do Brasilpt
dc.typeinfo:eu-repo/semantics/article
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