DETERMINANTS of COMMON MENTAL DISORDERS DETECTION BY GENERAL PRACTITIONERS in the PRIMARY HEALTH CARE in BRAZIL

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dc.contributor.authorGoncalves, Daniel A. [UNIFESP]
dc.contributor.authorFortes, Sandra
dc.contributor.authorTofoli, Luis Fernando
dc.contributor.authorCampos, Monica Rodrigues
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionKings Coll London
dc.contributor.institutionMed Univ Estado Rio de Janeiro
dc.contributor.institutionUniv Fed Ceara
dc.date.accessioned2016-01-24T14:06:02Z
dc.date.available2016-01-24T14:06:02Z
dc.date.issued2011-01-01
dc.description.abstractCommon Mental Disorders (CIVIC) are highly prevalent among patients attending primary care. Many of these disorders remain unrecognized by general practitioners (GPs), with the detection rates varying from 30 to 60%. This study aims to evaluate the CMD detection rates by Primary Heath Care (PHC) practitioners in Brazil-and factors that affect CMD detection. Methods: A cross sectional study was conducted with users of five PHC units in the city of Petropolis. the CMD prevalence of psychiatric morbidity was estimated by the General Health Questionnaire-12, and the physician's CMD detection was evaluated by a questionnaire completed by GPs after each consultation. Results: Seven hundred and fourteen subjects participated of the study, and 400 (56%) were screened positive using GHQ-12 cut-off point of 2/3. GPs diagnosed 379 people with CMD (53.1%), and 256(36%) subjects were detected by both GHQ and the GPs with an OR of 3.04 (95%CI 2.23-4.13). CMD detection accuracy by GPs was 65%. There was a strong association between the detection of CMD and the report of medically unexplained physical symptoms by GPs. Being female, married, and a frequent service user was also related to higher detection rates. Conclusion: CMD detection rate was similar to those reported worldwide, but contrary to other studies, the presence of MUS increased detection rates. the high frequency of CMD in Primary Health Care highlights the need for improving GP and health worker's training in order to enable them to accurately recognize and treat psychological distress with evidence-based interventions. (Int'l. J. Psychiatry in Medicine 2011;41:3-13)en
dc.description.affiliationUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationKings Coll London, London WC2R 2LS, England
dc.description.affiliationMed Univ Estado Rio de Janeiro, Rio de Janeiro, Brazil
dc.description.affiliationUniv Fed Ceara, Sch Med, Fortaleza, Ceara, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, EPM, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipPan-American Health Organization
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.format.extent3-13
dc.identifierhttp://ijp.sagepub.com/content/41/1/3.abstract
dc.identifier.citationInternational Journal of Psychiatry in Medicine. Amityville: Baywood Publ Co Inc, v. 41, n. 1, p. 3-13, 2011.
dc.identifier.doi10.2190/PM.41.1.b
dc.identifier.issn0091-2174
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/33342
dc.identifier.wosWOS:000288182800002
dc.language.isoeng
dc.publisherBaywood Publ Co Inc
dc.relation.ispartofInternational Journal of Psychiatry in Medicine
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectprimary health careen
dc.subjectfamily healthen
dc.subjectgeneral practitioneren
dc.subjectmental disorders/diagnosisen
dc.subjectprimary preventionen
dc.titleDETERMINANTS of COMMON MENTAL DISORDERS DETECTION BY GENERAL PRACTITIONERS in the PRIMARY HEALTH CARE in BRAZILen
dc.typeinfo:eu-repo/semantics/article
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