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18.12.2017 | Original Paper

Mental Health Needs and Psychoactive Drug Use in a User Population of the Family Health Strategy (FHS) in Ribeirão Preto, São Paulo, Brazil

verfasst von: Margarita Antonia Villar Luis, Sara Pinto Barbosa, Jacqueline de Souza, Kelly Graziani Giacchero Vedana, Ana Carolina Guidorizzi Zanetti, João Mazzoncini de Azevedo Marques

Erschienen in: Community Mental Health Journal | Ausgabe 5/2018

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Abstract

This cross-sectional study was conducted in Family Health Care's field of Ribeirão Preto city, São Paulo, Brazil to identify the prevalence of substance-related disorders and mental distress among patients with mental disorders. We also aimed to identify sociodemographic and social support risk factors. The data collection was done using medical records, the Social Support Questionnaire (SSQ-6), Self Report Questionnaire (SRQ-20) and home visits. Of the 272 families studied, 211 contained individuals with mental disorders, and 61 included individuals who had substance-related disorders, or both. The mental disorders recorded in these families were most frequently mood disorders, followed by neurotic disorders, stress-related disorders and somatoform disorders. Women received twice as many psychotropic prescriptions associated with non-psychiatric medication. A significant relationship was established between education and mental distress as measured using the SRQ-20 (p = 0.024). The SSQ-6 revealed a family presence of social support in all of the conditions established by the six questions.

Azevedo-Marques, J. M., & Zuardi, A. W. (2011). COOP/WONCA charts as a screen for mental disorders in primary care. Annals of Family Medicine, 9(4), 359–365.CrossRefPubMedPubMedCentral

Babor, T. F., et al. (2001). AUDIT the alcohol use disorders identification test. Guidelines for use in primary care (2 ed.). Geneva: WHO/MSD/MSB/01.6, World Health Organization.

Beusenberg, M., & Orally, J. (1994). A user’s guide to self-reporting questionnaire (SRQ). Geneva, Switzerland: World Health Organization.

Borim, F. S. A., Barros, M. B. A., & Botega, N. J. (2013). Transtorno mental comum na população idosa: pesquisa de base populacional no Município de Campinas, São Paulo, Brasil. Cadernos de Saúde Pública, 29(7), 1415–1426. https://doi.org/10.1590/S0102-311X2013000700015.CrossRefPubMed

Coutinho, L. M., Matijasevich, A., Scazufca, M., & Menezes, P. R. (2014). Prevalence of common mental disorders and the relationship to the social context:Multilevel analysis of the São Paulo Ageing & Health Study (SPAH). Cadernos de Saude Pública, 30(9), 1875–1883.CrossRefPubMed

Drummond, C., et al. (2009). Effectiveness and cost-effectiveness of a stepped care intervention for alcohol use disorders in primary care: Pilot study. The British Journal of Psychiatry, 195(5), 448–456.CrossRefPubMed

Goldberg, D., & Huxley, P. (1992). Common mental disorders: A biosocial model (p. 194). Londres/Nova York: Tavistock/Routledge.

Gonçalves, D. A., et al. (2014). Estudo multicêntrico brasileiro sobre transtornos mentais comuns na atenção primária:prevalência e fatores sociodemográficos relacionados. Cad. Saúde Pública [online], 30(3), 623–632. https://doi.org/10.1590/0102-311X00158412.CrossRef

Gonçalves, D. M., Stein, A. T., & Kapczinski, F. (2008). Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR,2007. Cadernos de Saúde Pública, 24(2), 380–390.CrossRefPubMed

Kelly, B. J., Perkins, D. A., Fuller, J. D., & Parker, S. M. (2011). Shared care in mental illness: Arapid review to inform implementation. International Journal of Mental Health Systems (IJMHS), 5(31), 1–12.

Kessler, R. C., et al. (2009). The global burden of mental disorders: An update from the WHO world Mental Health(WMH) surveys. Epidemiologia e psichiatria sociale, 18(1), 23–33.CrossRefPubMedPubMedCentral

Lewis, G., et al. (1992). Measuring psychiatric disorder in the community: A standardized assessment for use by lay interviewers. Psychological Medicine, 22(2), 465–486.CrossRefPubMed

Lucchese, R., Sousa, K., Bonfin, S. P., Vera, I., & Santana, F. R. (2014). Prevalência de transtorno mental comum na atenção primária. Acta Paulista de Enfermagem, 27(3), 200–207. https://doi.org/10.1590/1982-0194201400035.CrossRef

Ludemir, A. B., & Lewis, G. (2005). Investigating the effect of demographic and socioeconomic variables on misclassification by the SRQ-20 compared with a psychiatric interview. Social Psychiatry Psychiatr Epidemiol, 40(1), 36–41. https://doi.org/10.1007/s00127-005-0840-2.CrossRef

Maestre, N. P., et al. (2015). Prevalencia y factores asociados a la hiperfrecuentación en la consulta de medicina de familia. SEMERGEN - Medicina de Familia. Retrieved July 15, 2015. https://doi.org/10.1016/j.semerg.2015.05.011. ISSN 1138-3593.

Maragno, L., Goldbaum, M., Gianini, R. J., Novaes, H. M. D., & César, C. L. G. (2006). Prevalência de transtornos mentais comuns em populações atendidas pelo Programa Saúde da Família (QUALIS) no Município de São Paulo, Brasil. Cadernos de Saúde Pública, 22(8), 1639–1648.CrossRefPubMed

Mari, J. J., & Williams, P. (1986). A validity study of a psychiatric screening questionnaire (SRQ-20) in primary care in the city of Sao Paulo. The British Journal of Psychiatry, 148, 23–26. https://doi.org/10.1192/bjp.148.1.23.CrossRefPubMed

Matsukura, T. S., Marturano, E. M., & Oishi, J. (2002). O questionário de suporte social (SSQ): estudos de adaptação para o português. Revista Latino-Americana de Enfermagem, 10(5), 675–681.CrossRefPubMed

Moreira, J. K. P., Bandeira, M., Cardoso, C. S., & Scalon, J. D. (2011). Prevalência de transtornos mentais comuns e fatores associados em uma população assistida por equipes do Programa Saúde da Família. Jornal Brasileiro de Psiquiatria, 60(3), 221–226.CrossRef

Paim, J., Travassos, C., Almeida, C., Bahia, L., & Macinko, J. (2011). The Brazilian health system: History, advances, and challenges. The Lancet, 377(9779), 1778–1797.CrossRef

Patel, V., et al. (2007). Treatment and prevention of mental disorders in low-income and middle-income countries. Lancet, 370(9591), 991–1005. https://doi.org/10.1016/S0140-6736(07)61240-9.CrossRefPubMed

Pinheiro, M. R. M., & Ferreira, J. A. G. (2000). O questionário de suporte social: Adaptação e validação da versão portuguesa do Social Support Questionnaire (SSQ6). Psychologica, 30, 315–333.CrossRef

Prince, M., et al. (2007). No health without mental health. Lancet, 370, 859–877.CrossRefPubMed

Rocha, S. V., Almeida, M. M. G., Araújo, T. M., & Virtuoso Júnior, J. S. (2010). Prevalência de transtornos mentais comuns entre residentes em áreas urbanas de Feira de Santana, Bahia. Revista Brasileira de Epidemiologia, 13(4), 630–640. https://doi.org/10.1590/S1415-790X2010000400008.CrossRefPubMed

Room, R., Babor, T., & Rehm, J. (2005). Alcohol and public health. Lancet, 365(9458), 519–530.CrossRefPubMed

Santos, K. O. B., Araújo, T. M., & Oliveira, N. F. (2009). Estrutura fatorial e consistência interna do Self-Reporting Questionnaire (SRQ-20)em população urbana. Cadernos de Saúde Pública, 25(1), 214–222. https://doi.org/10.1590/S0102-311X2009000100023.CrossRefPubMed

Saraceno, B., et al. (2007). Barriers to improvement of mental health services in low-income and middle-income countries. Lancet, 370(9593), 1164–1174.CrossRefPubMed

Sarason, I. G., et al. (1983). Assessing social support: The Social Support Questionnaire. Journal of Personality and Social Psychology, 44, 127–139.CrossRef

Scazufca, M., Menezes, P. R., Vallada, H., & Araya, R. (2009). Validity of the self-reporting questionnaire-20 in epidemiological studies with older adults: Results from the Sao Paulo Ageing & Health Study. Social Psychiatry and Psychiatric Epidemiology, 44(3), 247–254. https://doi.org/10.1007/s00127-008-0425-y.CrossRefPubMed

Shield, K. D., & Rehm, J. (2015). Global risk factor rankings: The importance of age-based health loss inequities caused by alcohol and other risk factors. BMC Research Notes, 8, 231. https://doi.org/10.1186/s13104.CrossRefPubMedPubMedCentral

Skapinakis, P., et al. (2013). Prevalence and sociodemographic associations of common mental disorders in a nationally representative sample of the general population of Greece. BMC psychiatry, 13, 163. https://doi.org/10.1186/1471-244X-13-163.CrossRefPubMedPubMedCentral

Souza, I. C. W., & Ronzani, T. M. (2012). Álcool e drogas na atenção primária: avaliando estratégias de capacitação. Psicologia em Estudo, 17(2), 237–246. https://doi.org/10.1590/S1413-73722012000200007.CrossRef

Tanaka, O. Y., & Ribeiro, E. L. (2009). Ações de saúde mental na atenção básica: caminho para ampliação da integralidade da atenção. Ciência & Saúde coletiva, 14(2), 477–486. https://doi.org/10.1590/S1413-81232009000200016.CrossRef

World Health Organization (WHO). (2008). Integrating mental health into primary health care: A global perspective. Geneva: World Health Organization.

WORLD HEALTH ORGANIZATION (WHO) [Internet]. (2001). The world health report 2001—Mental Health: New Understanding, New Hope. Retrieved June 5, 2015, from http://www.who.int/whr/2001/en/.

Titel: Mental Health Needs and Psychoactive Drug Use in a User Population of the Family Health Strategy (FHS) in Ribeirão Preto, São Paulo, Brazil
verfasst von: Margarita Antonia Villar Luis
Sara Pinto Barbosa
Jacqueline de Souza
Kelly Graziani Giacchero Vedana
Ana Carolina Guidorizzi Zanetti
João Mazzoncini de Azevedo Marques
Publikationsdatum: 18.12.2017
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 5/2018
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-017-0205-9

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