1
|
Anbesaw T, Kassa MA, Yimam W, Kassaw AB, Belete M, Abera A, Abebe G, Yimer N, Melkam M, Ayano G. Factors associated with depression among war-affected population in Northeast, Ethiopia. BMC Psychiatry 2024; 24:376. [PMID: 38773453 PMCID: PMC11106904 DOI: 10.1186/s12888-024-05812-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Accepted: 05/03/2024] [Indexed: 05/23/2024] Open
Abstract
BACKGROUND Depression is the most common mental health outcome of exposure to war-related traumatic stressors. Due to inter-communal conflict, Dessie City residents have experienced prolonged armed conflict in 2021. This conflict leads to widespread violence, negative impact on mental health, and large-scale forced migration. However, the problem is not properly addressed in Ethiopia. Therefore, this study aimed to assess the prevalence and risk factors of depression in the war-affected area in Dessie City, Ethiopia. METHOD A cross-sectional study design was conducted among 785 participants in 2022. The study subjects were selected using a multi-stage cluster sampling technique. The outcome measures used in the study were validated with the Patient Health Questionnaire (PHQ-9). Data was entered using Epi-data version 3.1 and SPSS version 25 was used to analyze data. Bivariate and multivariable logistic regressions were done to identify factors related to depression. In multivariable logistic regression variables with a p-value less than 0.05 were considered significant and, adjusted OR (AOR) with 95% CI was used to present the strength of the association. RESULT The prevalence of depression among participants was found to be 24.5% (95% CI,21.7, 27.5). In multivariable analysis, post-traumatic stress disorder (AOR = 2.79, 95% CI 1.76-4.43), middle-perceived life threats (AOR = 8.25, 95% CI 2.47-17.49), low social support (AOR = 1.90, 95% CI 1.23-2.96) were variables significantly associated with depression. CONCLUSION This study found a high prevalence of depression among Dessie City residents. post-traumatic stress disorder, middle-perceived life threats, and low social support were associated with depression. Interventional strategies should be implemented to promote healing, resilience, and the overall well-being of individuals and communities. However, the findings underscore the need to address the current lack of mental health care resources in post-conflict populations.
Collapse
Affiliation(s)
- Tamrat Anbesaw
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, P.O. Box 1145, Dessie, Ethiopia.
| | - Mulat Awoke Kassa
- Department of Nursing, College of Health Sciences, Woldia University, Woldia, Ethiopia
| | - Wondossen Yimam
- Department of Comprehensive Nursing, College of Medicine and Health Sciences (CMHS), Wollo University (WU), P.O. Box 1145, Dessie, Ethiopia
| | - Altaseb Beyene Kassaw
- College of Medicine and Health Science, Department of Biomedical Science, Wollo University, P.O. Box 1145, Dessie, Ethiopia
| | - Mekonnen Belete
- College of Medicine and Health Science, School of Medicine, Department of Physiology, Wollo University, P.O. Box 1145, Dessie, Ethiopia
| | - Amare Abera
- College of Medicine and Health Science, School of Medicine, Department of Physiology, Wollo University, P.O. Box 1145, Dessie, Ethiopia
| | - Gashaw Abebe
- College of Medicine and Health Science, School of Medicine, Department of Biochemistry, Wollo University, P.O. Box 1145, Dessie, Ethiopia
| | - Nega Yimer
- Department of Adult Health Nursing, College of Medicine and Health Sciences (CMHS), Wollo University (WU), P.O. Box 1145, Dessie, Ethiopia
| | - Mamaru Melkam
- Department of Psychiatry, University of Gondar College of Medicine and Health Sciences, PO. Box 196, Gondar, Ethiopia
| | - Getinet Ayano
- School of Population Health, Faculty of Health Sciences, Curtin University, Kent Street, Bentley, WA, Australia
| |
Collapse
|
2
|
de Mendonça JMT, Eshriqui I, de Almeida LY, Gomes VV, Schunk L, de Sousa AAF, Santos LKDO, Fortes S. The knowledge of primary health care professionals regarding mental health: diagnosis by mhGAP. Rev Saude Publica 2024; 57Suppl 3:4s. [PMID: 38629668 PMCID: PMC11037900 DOI: 10.11606/s1518-8787.2023057005272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 11/03/2023] [Indexed: 04/19/2024] Open
Abstract
OBJECTIVE To analyze knowledge about priority topics in mental health care of strategic actors who work in regions where the Health Care Planning (PAS) methodology is used. METHODS This is a quantitative, descriptive, cross-sectional, and observational study carried out with professionals from six health regions, distributed in three Brazilian states (Goiás, Rondônia and Maranhão) and linked to the project "Saúde mental na APS" (Mental health in PHC) of the Programa de Apoio ao Desenvolvimento Institucional do Sistema Único de Saúde (Proadi-SUS - Institutional Development Support Program of the Brazilian Unified Health System). The sample was made up of professionals who participated in the intervention guide multiplier training stage for mental, neurological and alcohol and other drug use disorders in the primary health care network, from July to September 2022. Data collection was through a self-administered instrument, in electronic format, consisting of a block with socioeconomic items and a structured questionnaire to assess participants' knowledge about priority topics in mental health. Descriptive analyses and comparison of proportions were conducted to analyze the data. RESULTS A total of 354 health professionals participated in the study. Regarding the percentage of correct answers in the questionnaire on priority topics in mental health, the highest medians were identified in the "Depression" module. On the other hand, the content referring to the modules "Essential care and practices" and "Other important complaints" presented the lowest values. Furthermore, some participant characteristics were found to be associated with the percentage of correct answers in the questionnaire modules. CONCLUSIONS The findings reveal opportunities for improvement, mainly in knowledge related to communication skills and the approach to emotional and physical distress without diagnostic criteria for a specific disease, offering support for planning actions aimed at intensifying the consideration of these themes during the operational stages of PAS.
Collapse
Affiliation(s)
- Joana Moscoso Teixeira de Mendonça
- Hospital Israelita Albert EinsteinCentro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e RedesSão PauloSPBrazil Hospital Israelita Albert Einstein. Centro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e Redes. São Paulo, SP, Brazil
| | - Ilana Eshriqui
- Universidade do Estado do Rio de JaneiroDepartamento de Especialidades MédicasRio de JaneiroRJBrazil Universidade do Estado do Rio de Janeiro. Departamento de Especialidades Médicas. Rio de Janeiro, RJ, Brazil
| | - Leticia Yamawaka de Almeida
- Hospital Israelita Albert EinsteinCentro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e RedesSão PauloSPBrazil Hospital Israelita Albert Einstein. Centro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e Redes. São Paulo, SP, Brazil
| | - Valmir Vanderlei Gomes
- Hospital Israelita Albert EinsteinCentro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e RedesSão PauloSPBrazil Hospital Israelita Albert Einstein. Centro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e Redes. São Paulo, SP, Brazil
| | - Lívia Schunk
- Hospital Israelita Albert EinsteinCentro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e RedesSão PauloSPBrazil Hospital Israelita Albert Einstein. Centro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e Redes. São Paulo, SP, Brazil
| | - Ana Alice Freire de Sousa
- Hospital Israelita Albert EinsteinCentro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e RedesSão PauloSPBrazil Hospital Israelita Albert Einstein. Centro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e Redes. São Paulo, SP, Brazil
| | - Larissa Karollyne de Oliveira Santos
- Hospital Israelita Albert EinsteinCentro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e RedesSão PauloSPBrazil Hospital Israelita Albert Einstein. Centro de Estudos, Pesquisa e Prática em Atenção Primária à Saúde e Redes. São Paulo, SP, Brazil
| | - Sandra Fortes
- Universidade do Estado do Rio de JaneiroDepartamento de Especialidades MédicasRio de JaneiroRJBrazil Universidade do Estado do Rio de Janeiro. Departamento de Especialidades Médicas. Rio de Janeiro, RJ, Brazil
| |
Collapse
|
3
|
Duarte WBA, Silva EP, Ludermir AB. The effect of common mental disorders on suicidal attempts by women, during pregnancy and six to nine years after birth. CIENCIA & SAUDE COLETIVA 2024; 29:e03742023. [PMID: 38324825 DOI: 10.1590/1413-81232024292.03742023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 06/13/2023] [Indexed: 02/09/2024] Open
Abstract
There is scarcity of global data on suicide attempts (SA). The higher frequency of mental disorders places women at a higher risk for SA. Mental disorders (MD) are ranked first in the Global Burden of Diseases (GBD) in terms of years lived with disability (YLD) and common mental disorders (CMD) affect women the most. IN this light, the present study aimed to investigate the impact of CMD during pregnancy, as well as 6 to 9 years after birth, on SA in women who were registered in the Family Health Strategy from the town of Recife, Pernambuco, Brazil. This study consisted of two stages of a prospective cohort. 643 adult women were included. The prevalence of CMD in stage I (pregnancy) and in stage III (six to nine years after birth) were, respectively, 19.3% and 12.6%. The incidence of SA was 10.9%. The multivariate analysis demonstrated a cumulative effect of CMD for SA: only during pregnancy (OR 5.4; 95%CI 2.2-13.3); only in the third stage (OR 5.8; 95%CI 2.3-14.9); and in both stages (OR 6.0; 95%CI 2.5-14.4). The increase of CMD in women increases the chances of SA, hence the importance of implementing public policies for women's health, especially for those with a history of mental disorders and unhealthy habits, and those who suffer violence.
Collapse
Affiliation(s)
- Wellington Bruno Araujo Duarte
- Programa Pós-Graduação em Saúde Coletiva, Centro de Ciências Médicas, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
| | - Elisabete Pereira Silva
- Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Centro de Ciências Médicas, Universidade Federal de Pernambuco. Recife PE Brasil
| | - Ana Bernarda Ludermir
- Programa Pós-Graduação em Saúde Coletiva, Centro de Ciências Médicas, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitária. 50670-901 Recife PE Brasil.
| |
Collapse
|
4
|
Anbesaw T, Zenebe Y, Asmamaw A, Shegaw M, Birru N. Post-traumatic stress disorder and associated factors among people who experienced traumatic events in Dessie town, Ethiopia, 2022: A community based study. Front Psychiatry 2022; 13:1026878. [PMID: 36386993 PMCID: PMC9644990 DOI: 10.3389/fpsyt.2022.1026878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 10/06/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Posttraumatic stress disorder (PTSD) may develop as a serious long-term consequence of traumatic experiences, even many years after trauma exposure. Dessie town residents have experienced prolonged armed conflict due to inter-communal conflict in 2021. Those people are exposed to different kinds of trauma, and violence, making them more prone to psychological disorders. Despite the highest number of people affected due to conflict and its negative impact on mental health, post-traumatic stress disorders among people are overlooked in Ethiopia. This study aimed to assess the prevalence and associated factors of post-traumatic stress disorder among people who experienced traumatic events in Dessie town, Ethiopia, 2022. MATERIALS AND METHODS Community based cross-sectional study was conducted on June 8-July 7, 2022, by using a multi-stage cluster sampling with a total sample of 785. Pretested, structured questionnaires and face-to-face interviews were used for data collection. PTSD was assessed by the Post-traumatic stress disorder Checklist for DSM-5 (PCL-5). Data was entered using Epi-data version 3.1 and, then exported to SPSS version 26 for analysis. The association between outcome and independent variables was analyzed with bi-variable and multivariable logistic regression. P-values less than 0.05 was considered statistically significant. RESULT The prevalence of PTSD among Dessie town residents was found to be 19.4% (95% CI, 16.7, 22.0). In multivariable analysis, being females (AOR = 1.63, 95% CI 1.10-2.44), previous history of mental illness (AOR = 3.14, 95% CI 1.14-7.06) depressive symptoms (AOR = 3.12, 95% CI 1.92-5.07), witnessing a serious physical injury of a family member or friend (AOR = 2.82, 95% CI 1.18-6.70) and high perceived life threats (AOR = 5.73, 95% CI 3.05-10.78) were found to be significant predictors of PTSD. CONCLUSION The prevalence of PTSD among Dessie town residents was found to be huge. Being female, having a previous history of mental illness, depressive symptoms, witnessing a serious physical injury of a family member or friend, and high perceived life threats were variables that are independent predictors of PSTD. People who have experienced such a severe traumatic event require psychosocial support to aid in their recovery from the terrible experiences.
Collapse
Affiliation(s)
- Tamrat Anbesaw
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| | - Yosef Zenebe
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| | - Amare Asmamaw
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| | - Maregu Shegaw
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| | - Nahom Birru
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
| |
Collapse
|
5
|
Bezerra HDS, Alves RM, Nunes ADD, Barbosa IR. Prevalence and Associated Factors of Common Mental Disorders in Women: A Systematic Review. Public Health Rev 2021; 42:1604234. [PMID: 34692182 PMCID: PMC8419231 DOI: 10.3389/phrs.2021.1604234] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 08/06/2021] [Indexed: 11/20/2022] Open
Abstract
Objectives: To identify the prevalence and factors associated with common mental disorders in adult women. Methods: Searches were carried out in the PubMed, Web of Science, Science Direct, Scopus, Cinahl, Google Scholar and Open Gray databases. The study protocol was registered with PROSPERO under number CRD42020168231. Cross-sectional studies showing the prevalence of common mental disorders in women over 18 years were included. Studies with men, children and pregnant women of another age group and with other mental disorders and other types of studies were excluded. The Joanna Briggs Institute checklist was used to assess the risk of bias. Results: Nineteen studies were included in this review. The prevalence of CMD ranged from 9.6% to 69.3%. The main associated factors were unemployment, indebtedness, low income, being a housewife, smoking, low education, poor self-rated health, being single, divorced or widowed. The risk of bias in the studies was classified as low and moderate. Conclusion: This review revealed a variable prevalence rate of CMD in adult women. Public policies are needed to create strategies to prevent the mental illness of these women.
Collapse
|
6
|
Madoro D, Mengistu N, Molla W. Association of Conflict-Affected Environment on Ethiopian Students' Mental Health and Its Correlates During COVID-19 Era. Neuropsychiatr Dis Treat 2021; 17:3283-3292. [PMID: 34785898 PMCID: PMC8579870 DOI: 10.2147/ndt.s338073] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 10/22/2021] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Ethiopia has seen the largest number of conflict-induced displacement. Mental disturbance has been identified as a major public health concern among conflict-affected people, including students. Due to the effect of continuous unfold of the COVID-19 epidemic in the conflicted affected setting, the mental health problem tends to be increased. This creates a double burden for students from conflict affected setting after school re-opening. As a result, the goal of this research was to evaluate the mental health impact and its correlates in students from conflict affected setting, Ethiopia. OBJECTIVE To assess the association of conflict-affected environment on Ethiopian students' mental health and its correlates during COVID-19 era. METHODS From April 1 to 30, 2021, an institutional-based cross-sectional survey was undertaken. A total sample of 795 students were participated through a systematic random sampling technique. The Kessler Psychological Distress Scale was used to assess mental distress (K10). The correlation between outcome and explanatory variables was investigated using bivariate and multivariate logistic regression analyses. RESULTS A total of 795 people were examined, with a 100% response rate. Mental distress was reported about 59.4% with a 95% CI of 57% to 62.9%. Conflicted related sexual abuse (AOR = 4.1, 95% CI 2.37 to 6.94), witnessed shooting (AOR = 3.49, 95% CI 2.7 to 5.89), threat to security and safety (AOR = 2.23, 95% CI 1.29 to 3.87), being female (AOR = 3.01, 95% CI 1.61 to 5.44), and poor academic performance (AOR = 2.1, 95% CI 1.08 to 4.08) were found to be substantially correlated. CONCLUSION Students from conflict-affected areas are at high risk of mental distress. Therefore, the ministry of health, ministry of education of Ethiopia and humanitarian organizations should work collaboratively in providing consistent school-based psychosocial support and appropriate intervention for students.
Collapse
Affiliation(s)
- Derebe Madoro
- Dilla University, College of Medicine and Health Science, Department of Psychiatry, Dilla, Ethiopia
| | - Nebiyu Mengistu
- Dilla University, College of Medicine and Health Science, Department of Psychiatry, Dilla, Ethiopia
| | - Wondwosen Molla
- Dilla University, College of Medicine and Health Science, Department of Midwifery, Dilla, Ethiopia
| |
Collapse
|
7
|
Saraiva S, Bachmann M, Andrade M, Liria A. Bridging the mental health treatment gap: effects of a collaborative care intervention (matrix support) in the detection and treatment of mental disorders in a Brazilian city. Fam Med Community Health 2020; 8:fmch-2019-000263. [PMID: 32958519 PMCID: PMC7507894 DOI: 10.1136/fmch-2019-000263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Objective To analyse temporal trends in diagnosis and treatment of mental disorders in primary care following implementation of a collaborative care intervention (matrix support). Design Dynamic cohort design with retrospective time-series analysis. Structured secondary data on medical visits to general practitioners of all study clinics were extracted from the municipal electronic records database. Annual changes in the odds of mental disorders diagnoses and antidepressants prescriptions were estimated by multiple logistic regression at visit and patient-year levels with diagnoses or prescriptions as outcomes. Annual changes during two distinct stages of the intervention (stage 1 when it was restricted to mental health (2005–2009), and stage 2 when it was expanded to other areas (2010–2015)) were compared by adding year–period interaction terms to each model. Setting 49 primary care clinics in the city of Florianópolis, Brazil. Participants All adults attending primary care clinics of the study setting between 2005 and 2015. Results 3 131 983 visits representing 322 100 patients were analysed. At visit level, the odds of mental disorder diagnosis increased by 13% per year during stage 1 (OR 1.13, 95% CI 1.11 to 1.14, p<0.001) and decreased by 5% thereafter (OR 0.95, 95% CI 0.94 to 0.95, p<0.001). The odds of incident mental disorder diagnoses decreased by 1% per year during stage 1 (OR 0.99, 95% CI 0.98 to 1.00, p=0.012) and decreased by 7% per year during stage 2 (OR 0.93, 95% CI 0.92 to 0.93, p<0.001). The odds of antidepressant prescriptions in patients with a mental disorder diagnosis increased by 7% per year during stage 1 (OR 1.07, 95% CI 1.05 to 1.20, p<0.001); this was driven by selective serotonin reuptake inhibitor prescriptions which increased 14% per year during stage 1 (OR 1.14, 95% CI 1.12 to 1.18, p<0.001) and 9% during stage 2 (OR 1.09, 95% CI 1.08 to 1.10, p<0.001). The odds of incident antidepressant prescriptions did not increase during stage 1 (OR 1.00, 95% CI 0.97 to 1.02, p=0.665) and increased by 3% during stage 2 (OR 1.03, 95% CI 1.00 to 1.04, p<0.001). Changes per year were all significantly greater during stage 1 than stage 2 (p values for interaction terms <0.05), except for antidepressant prescriptions during visits (p=0.172). Conclusion The matrix support intervention may increase diagnosis and treatment of mental disorders when inter-professional collaboration is adequately supported. Competing demands to the primary care teams can subsequently reduce these effects. Future studies should assess clinical outcomes and identify active components and factors associated with successful implementation.
Collapse
Affiliation(s)
- Sonia Saraiva
- Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
| | - Max Bachmann
- Norwich Medical School, University of East Anglia, Norwich, Norfolk, UK
| | - Matheus Andrade
- Secretaria Municipal de Saúde (Municipal Health Department), Florianópolis, Brazil
| | - Alberto Liria
- Departamento de Especialidades Médicas, Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá, Alcalá de Henares, Spain
| |
Collapse
|
8
|
Madoro D, Kerebih H, Habtamu Y, G/Tsadik M, Mokona H, Molla A, Wondie T, Yohannes K. Post-Traumatic Stress Disorder and Associated Factors Among Internally Displaced People in South Ethiopia: A Cross-Sectional Study. Neuropsychiatr Dis Treat 2020; 16:2317-2326. [PMID: 33116530 PMCID: PMC7548318 DOI: 10.2147/ndt.s267307] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 08/28/2020] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Displaced people experience different traumatic events. This can have serious and long-lasting consequences in terms of physical and mental health outcome. Post-traumatic stress disorder (PTSD) is the most frequent mental disorder following traumatic exposure. In 2018 Ethiopia saw the highest number of internal displacement, despite this, less attention has been given to mental health among internally displaced people in the country. This study aims to determine the estimated prevalence and associated factors of PTSD among internally displaced people in the Gede'o zone, south Ethiopia. PARTICIPANTS AND METHODS A community-based cross-sectional study was conducted between 1 and 30, May 2019 among 636 participants, who were selected using a simple random sampling technique. PTSD was measured by the Post-Traumatic Stress Disorder Checklist for DSM-5 (PCL-5). The association between outcome and independent variables was identified by bi-variable and multivariate logistic regression. Finally, variables with P-value less than 0.05 were considered statistically significant at 95% CI. RESULTS A total of 625 participants were interviewed with a response rate of 98.3%. The estimated prevalence of PTSD was 58.4% with 95% CI 55 to 61.9. In the multivariate logistic regression, being female (AOR=2.4, 95% CI 1.6 to 3.4), depression (AOR=2.6, 95% CI 1.2 to 3.9), displaced more than once (AOR=3.7, 95% CI 2.4 to 5.8), destruction of personal property (AOR=1.6, 95% CI 1.04 to 2.44), witness the murder of family (AOR=2, 95% CI 1.2, 3.9), and cumulative trauma (AOR=4, 95% CI 1.7 to 9.6) were significantly associated factors. CONCLUSION In the current study, the estimated prevalence of PTSD was high. Ministry of health should plan routine screening and management of PTSD, depression and linking with available mental health service is recommended.
Collapse
Affiliation(s)
- Derebe Madoro
- Department of Psychiatry, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia
| | - Habtamu Kerebih
- Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gonidar, Ethiopia
| | - Yodit Habtamu
- Research and Training Department, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia
| | - Meseret G/Tsadik
- Research and Training Department, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia
| | - Hirbaye Mokona
- Department of Psychiatry, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia
| | - Alemayehu Molla
- Department of Psychiatry, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia
| | - Tirusew Wondie
- Department of Psychiatry, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia
| | - Kalkidan Yohannes
- Department of Psychiatry, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia
| |
Collapse
|
9
|
Santos MVFD, Campos MR, Fortes SLCL. Relationship of alcohol consumption and mental disorders common with the quality of life of patients in primary health care. CIENCIA & SAUDE COLETIVA 2019; 24:1051-1063. [PMID: 30892525 DOI: 10.1590/1413-81232018243.01232017] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2016] [Accepted: 05/12/2017] [Indexed: 11/22/2022] Open
Abstract
The objective was to measure the Quality of Life (QoL) of the patients treated in Primary Health Care in the city of Rio de Janeiro and its own association with CMD, alcohol consumption and socio-demographic aspects. This is a cross-sectional study involving 624 patients in 2012/2013, using: General Health Questionnaire, Hospital Anxiety and Depression Scale, Screening for Somatoform Symptoms, Alcohol Use Disorder Identification Test e World Health Organization Quality of Life Instrument (bref version). There were conducted a bivariate analysis and a multiple linear regressions for each domain of QOL. The QoL score for the domains, physical, psychological, social relationships and environment were: 61,2; 62,6; 66 and 50,9. In multivariate analysis, the QOL was negatively associated to the CMD, especially in the psychological domain (β = -15,75; p-value = 0,00), and the dependence on physical (β = -5,38; p-value = 0,05). There was a positive and significant association of the QoL with the risk consumption (β = 5,77) and the harmful consumption (β = 6,15) in the environment domain, and with the first in the psychological domain (β = 7,08). CMD and alcohol dependence are associated with the loss of QOL, but other patterns of consumption, even being harmful are associated with higher QOL.
Collapse
Affiliation(s)
| | - Mônica Rodrigues Campos
- Escola Nacional de Saúde Pública, Fiocruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
| | | |
Collapse
|
10
|
Denur M, Tesfaw G, Yohannis Z. The magnitude and correlates of common mental disorder among outpatient medical patients in Ethiopia: an institution based cross-sectional study. BMC Res Notes 2019; 12:360. [PMID: 31238959 PMCID: PMC6593598 DOI: 10.1186/s13104-019-4394-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Accepted: 06/18/2019] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE Common mental disorder has a high prevalence in the general population worldwide. One in four patients visiting any health services has at least one mental disorders and negatively impacts quality of life, physical wellbeing, poor level of functioning, and poor medication adherence. However, research into common mental illness and associated factors among people with outpatient medical patients in low and meddle-income countries is limited. Therefore, this study aimed to explore common mental disorder and associated factors among persons with outpatient medical illness in Ethiopia. RESULT The prevalence of common mental disorder was found to be 39.2% with [95% CI 34.2%, 44.1%]. In the multivariate logistic regression, female sex [AOR: 2.03, 95% CI 1.28, 3.22], poor social support [AOR: 3.56 (95% CI 2.21, 5.73)], Diabetes mellitus [AOR: 5.25, 95% CI 2.35, 11.73], and substance use [AOR: 1.93, 95% CI 1.23, 3.04] were factors significantly associated with common mental disorder.
Collapse
Affiliation(s)
- Mehbub Denur
- Worabe Comprehensive Specialized Hospital in SNNPR, Worabe, Ethiopia
| | - Getachew Tesfaw
- Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
| | - Zegeye Yohannis
- Research and Training Department, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia
| |
Collapse
|
11
|
Araujo JA, Campos MR, Santos MVFD, Gonçalves DA, Mari JDJ, Tófoli LF, Ballester D, Fortes S. Dor lombar e transtornos mentais comuns na Estratégia Saúde da Família: uma associação pouco reconhecida. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2018. [DOI: 10.5712/rbmfc13(40)1740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Objetivo: Descrever o perfil sociodemográfico dos pacientes atendidos na Estratégia Saúde da Família de quatro capitais brasileiras (Rio de Janeiro, São Paulo, Porto Alegre e Fortaleza) com dor lombar e investigar a associação entre dor lombar e depressão, ansiedade e somatização. Métodos: Estudo de corte transversal com 1857 pacientes atendidos nos anos de 2009 (setembro a novembro) e 2010 (junho a agosto). Instrumentos: rastreio de somatização (SOMS-2), avaliação de ansiedade e depressão (HAD), Questionário Geral do Paciente, para dados sociodemográficos e o Formulário do Profissional Assistente, com as informações referentes as consultas. A dor lombar foi analisada a partir da frequência de três diferentes formas de apresentação: queixa autorreferida pelo paciente, sintoma registrado pelo médico e diagnóstico de lombalgia confirmado pelo médico. Resultados: 77,3% eram mulheres com mais de quatro anos de estudo e renda per capita inferior a um salário mínimo e meio. Encontramos associação significativa de queixa de dor lombar com ansiedade (OR=1,5, 95% IC 1,02-2,16) e somatização (OR=1,8, 95% IC 1,12-2,88), mas não com depressão. Pacientes que apresentavam queixa de dor lombar, porém sem registro do sintoma pelo médico, apresentaram associações ainda mais fortes com ansiedade (OR=1,6, 95% IC 1,03-2,63) e somatização (OR=2,3, 95% IC 1,33-3,99). A confirmação do diagnóstico de dor lombar pelo médico não se associou significativamente com nenhum transtorno. Conclusão: Considerando a dor lombar como uma das queixas de maior prevalência na Atenção Primária e sua associação significativa com ansiedade e somatização, recomenda-se a abordagem da ansiedade e somatização em pacientes com queixa de dor lombar.
Collapse
|
12
|
Aragão EIS, Campos MR, Portugal FB, Gonçalves DA, Mari JDJ, Fortes SLCL. Social Support patterns in Primary Health Care: differences between having physical diseases or mental disorders. CIENCIA & SAUDE COLETIVA 2018; 23:2339-2350. [PMID: 30020386 DOI: 10.1590/1413-81232018237.21012016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Accepted: 08/06/2016] [Indexed: 11/22/2022] Open
Abstract
The social support network is a health protective factor involving physical, mental and psychological aspects, providing a better quality of life, favoring better adaptation to adverse conditions, promoting resilience and mobilizing resources for a more effective coping with negative life events that can lead to illness. We aimed to analyze the association between physical diseases, common mental disorders and the social support network of patients serviced at primary care facilities in the cities of Rio de Janeiro and São Paulo through a cross-sectional study with 1,466 patients in the 18-65 years age group. We used the Social Network Index (SNI) to assess the support network through the categories of isolation and integration. The doctor/nurse completed the questionnaire to evaluate the physical disease diagnosis, while the Hospital Anxiety and Depression Scale was used to detect mental disorders. We found that the pattern of social support was different depending on the presence of physical diseases or mental disorders. Negative associations were found between diabetes and isolation; integration and anxiety; integration and depression. Positive associations were identified between isolation and anxiety and isolation and depression.
Collapse
Affiliation(s)
- Ellen Ingrid Souza Aragão
- Universidade do Estado do Rio de Janeiro. R. Vinte e Oito de Setembro 77, Maracanã. 22000-000 Rio de Janeiro RJ
| | | | | | | | - Jair de Jesus Mari
- Departamento de Psiquiatria, Universidade Federal de São Paulo. São Paulo SP Brasil
| | | |
Collapse
|
13
|
Borges TL, Vedana KGG, Castilho ECD, Miasso AI. Factors Associated with Potential Drug-Drug Interactions in Patients Attended in Primary Health Care: A Focus on Mental Health. Issues Ment Health Nurs 2017; 38:769-774. [PMID: 28766975 DOI: 10.1080/01612840.2017.1350771] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
UNLABELLED There were no Brazilian studies regarding potential drug-drug interactions (DDIs) in primary health care (PHC) analysing common mental disorders (CMDs) and psychotropic medication. OBJECTIVES To identify DDI prevalence in that setting; to classify DDI; to verify correlations with demographics, pharmacotherapeutics, psychotropic medication and CMDs. Among 430 patients interviewed 190 had more than two medications prescribed, 58.4% had DDI. Factors associated were age and number of medications. Nine types of severe DDI composed 28% patients' prescriptions, 71.9% involving psychotropic medication. Only the number of types of drugs contributed to the regression model. Results raise important aspects regarding patient safety in PHC units in Brazil are where patients with psychological complaints have to seek for health care firstly.
Collapse
Affiliation(s)
- Tatiana Longo Borges
- a Psychiatric Nursing and Human Sciences Department , University of Sao Paulo at Ribeirao Preto Nursing School , Ribeirao Preto , Brazil
| | | | | | | |
Collapse
|
14
|
Haile YG, Alemu SM, Habtewold TD. Common mental disorder and its association with academic performance among Debre Berhan University students, Ethiopia. Int J Ment Health Syst 2017; 11:34. [PMID: 28473869 PMCID: PMC5415756 DOI: 10.1186/s13033-017-0142-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2016] [Accepted: 04/21/2017] [Indexed: 11/28/2022] Open
Abstract
Background Common mental disorder (CMD) is prevalent in industrialized and non-industrialized countries. The prevalence of CMD among university students was 28.8–44.7% and attributed to several risk factors, such as schooling. The aim of this study was to assess the prevalence and risk factors of CMD. In addition, the association between CMD and academic performance was tested. Methods Institution based cross-sectional study was conducted with 422 students at Debre Berhan university from March to April 2015. CMD was the primary outcome variable whereas academic performance was the secondary outcome variable. Kessler psychological distress (K10) scale was used to assess CMD. Bivariate and multiple logistic regression analysis were performed for modeling the primary outcome variable; independent samples T test and linear regression analysis were carried out for modeling the secondary outcome variable. The strength of association was interpreted using odds ratio and regression coefficient (β) and decision on statistical significance was made at a p value of 0.05. Data were entered using EPI-data version 3.1 software and analyzed using the Statistical Package for the Social Sciences (SPSS) version 20.01 software. Results The prevalence of CMD was 63.1%. Field of study (p = 0.008, OR = 0.2, 95% CI 0.04–0.61), worshiping (p = 0.04, OR = 1.8, 95% CI 1.02–3.35), insomnia (p < 0.001, OR = 3.8, 95% CI 2.21–6.57), alcohol drinking (p = 0.006, OR = 2.7, 95% CI 1.33–5.66), and headache (p = 0.02, OR = 2.1, 95% CI 1.10–3.86) were identified risk factors for CMD. The mean cumulative grade point average of students with CMD was lower by 0.02 compared to those without CMD, but not statistically significant (p = 0.70, β = −0.02, 95% CI −0.15 to 0.10). CMD explained only 0.8% (r2 = 0.008) of the difference in academic performance between students. Conclusions At least three out of five students fulfilled CMD diagnostic criteria. The statistically significant risk factors were field of study, worshiping, insomnia, alcohol drinking, and headache. Moreover, there was no statistically significant association between CMD and academic performance. Undertaking integrated evidence-based intervention focusing on students with poor sleep quality, poor physical health, and who drink alcohol is essential if the present finding confirmed by a longitudinal study.
Collapse
Affiliation(s)
| | - Sisay Mulugeta Alemu
- Mental Health and Psychosocial Support Program, International Medical Corps, Dolo Ado, Ethiopia
| | - Tesfa Dejenie Habtewold
- Department of Epidemiology and Rob Giel Research Center, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| |
Collapse
|
15
|
Moraes RSMD, Silva DAS, Oliveira WFD, Peres MA. Social inequalities in the prevalence of common mental disorders in adults: a population-based study in Southern Brazil. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2017; 20:43-56. [DOI: 10.1590/1980-5497201700010004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Accepted: 08/19/2016] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT: Objective: This study aimed to investigate the prevalence and factors associated with Common Mental Disorders (CMD) in adults in a capital city in Southern Brazil. Methods: Population-based survey conducted on 1,720 adults aged 20 - 59 years from Florianópolis, Southern Brazil. The CMD were investigated through the Self-Reporting Questionnaire (SRQ-20). The independent variables were demographic, socioeconomic, health-related behaviors, health conditions and use of health services. Multivariable Poisson regression was used for the estimation of prevalence ratios (PR) and 95%CI. Results: The prevalence of CMD was 14.7%. Adjusted analyses showed that the prevalence was higher among women, those self-reported as blacks, with lower educational level, poor, divorced/separated/widowed, inactive in leisure time, heavy smokers, people with chronic diseases, those who reported negative health self-rating, those who had medical appointments and who were hospitalized before the interview. Conclusion: CMD is relatively high among population subgroups most vulnerable to social inequalities and with worse conditions related to health indicators.
Collapse
Affiliation(s)
| | | | | | - Marco Aurélio Peres
- Universidade Federal de Santa Catarina, Brazil; University of Adelaide, Australia
| |
Collapse
|
16
|
Miasso AI, Telles Filho PCP, Borges TL, Pereira Junior ADC, Vedana KGG, Shasanmi RO, Gimenes FRE. Quality of Life in Brazil's Family Health Strategy: Common Mental Disorders, Use of Psychotropic Drugs and Sociodemographic Factors. Arch Psychiatr Nurs 2017; 31:68-72. [PMID: 28104061 DOI: 10.1016/j.apnu.2016.08.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2016] [Revised: 07/29/2016] [Accepted: 08/15/2016] [Indexed: 11/18/2022]
Abstract
The aim of the study was to evaluate the patients' quality of life in Brazil's Family Health Strategy and its association with sociodemographic factors, presence of common mental disorders, and use of psychotropic drugs. Were interviewed 442 patients. Tools were: World Health Organization Quality of Life Assessment-Bref and Self Reporting Questionnaire. Male and low education were strongly associated with higher quality of life. Use of psychotropic drugs and the presence of CMD were strongly associated with poor quality of life. There is a pressing need for primary health care professionals to invest in tracking, and in holistic interventions that are able to cover the healthcare needs of these vulnerable groups.
Collapse
Affiliation(s)
- Adriana Inocenti Miasso
- University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto - WHO Collaborating Centre for Nursing Research Development, São Paulo, Brazil
| | | | - Tatiana Longo Borges
- University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto - WHO Collaborating Centre for Nursing Research Development, São Paulo, Brazil.
| | | | - Kelly Graziani Giacchero Vedana
- University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto - WHO Collaborating Centre for Nursing Research Development, São Paulo, Brazil
| | | | - Fernanda Raphael Escobar Gimenes
- University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto - WHO Collaborating Centre for Nursing Research Development, São Paulo, Brazil
| |
Collapse
|
17
|
Athié K, Dowrick C, Menezes ALDA, Cruz L, Lima AC, Delgado PGG, Favoretto C, Fortes S. Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela. CIENCIA & SAUDE COLETIVA 2017; 22:75-86. [PMID: 28076531 DOI: 10.1590/1413-81232017221.11732016] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2016] [Accepted: 08/12/2016] [Indexed: 12/14/2022] Open
Abstract
Taking into consideration issues such as stigma and the mental health gap, this study explores narratives of anxious and depressed women treated in a community-based primary care service in a Rio de Janeiro favela about their suffering and care. We analysed 13 in-depth interviews using questions from Kadam's study. Framework analysis studied Access, Gateway, Trust, Psychosocial Issues, and Primary Mental Health Care, as key-concepts. Vulnerability and accessibility were the theoretical references. Thematic analysis found "suffering category", highlighting family and community problems, and "help seeking category", indicating how these women have coped with their emotional problems and addressed their needs through health services, community resources and self-help. Women's language patterns indicated links between implicit social rules and constraints to talk about suffering, especially if related to local violence. High medical turnover and overload are barriers for establishing a positive relationship with family physicians and continuity of care is a facilitator that promotes trust, security and adherence. Concluding, to plan community-based primary mental health care of this population, cultural and social factors must be comprehended as well as the work health teams conditions.
Collapse
Affiliation(s)
- Karen Athié
- Laboratório Interdisciplinar de Pesquisa em Atenção Primária à Saúde, Pós-Graduação em Ciências Médicas, Universidade do Estado do Rio de Janeiro. Boulevard Vinte e Oito de Setembro 77, Vila Isabel. 20551-030 Rio de Janeiro RJ Brasil.
| | - Christopher Dowrick
- Institute of Psychology Health and Society, University of Liverpool. Liverpool Inglaterra
| | - Alice Lopes do Amaral Menezes
- Laboratório Interdisciplinar de Pesquisa em Atenção Primária à Saúde, Pós-Graduação em Ciências Médicas, Universidade do Estado do Rio de Janeiro. Boulevard Vinte e Oito de Setembro 77, Vila Isabel. 20551-030 Rio de Janeiro RJ Brasil.
| | - Luanda Cruz
- Laboratório Interdisciplinar de Pesquisa em Atenção Primária à Saúde, Pós-Graduação em Ciências Médicas, Universidade do Estado do Rio de Janeiro. Boulevard Vinte e Oito de Setembro 77, Vila Isabel. 20551-030 Rio de Janeiro RJ Brasil.
| | - Ana Cristina Lima
- Laboratório Interdisciplinar de Pesquisa em Atenção Primária à Saúde, Pós-Graduação em Ciências Médicas, Universidade do Estado do Rio de Janeiro. Boulevard Vinte e Oito de Setembro 77, Vila Isabel. 20551-030 Rio de Janeiro RJ Brasil.
| | - Pedro Gabriel Godinho Delgado
- Núcleo de Políticas Públicas em Saúde Mental (NUPPSAM), Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ Brasil
| | - Cesar Favoretto
- Laboratório Interdisciplinar de Pesquisa em Atenção Primária à Saúde, Pós-Graduação em Ciências Médicas, Universidade do Estado do Rio de Janeiro. Boulevard Vinte e Oito de Setembro 77, Vila Isabel. 20551-030 Rio de Janeiro RJ Brasil.
| | - Sandra Fortes
- Laboratório Interdisciplinar de Pesquisa em Atenção Primária à Saúde, Pós-Graduação em Ciências Médicas, Universidade do Estado do Rio de Janeiro. Boulevard Vinte e Oito de Setembro 77, Vila Isabel. 20551-030 Rio de Janeiro RJ Brasil.
| |
Collapse
|
18
|
Portugal FB, Campos MR, Correia CR, Gonçalves DA, Ballester D, Tófoli LF, Mari JDJ, Gask L, Dowrick C, Bower P, Fortes S. Social support network, mental health and quality of life: a cross-sectional study in primary care. CAD SAUDE PUBLICA 2016; 32:e00165115. [PMID: 28001210 DOI: 10.1590/0102-311x00165115] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 03/11/2016] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to identify the association between emotional distress and social support networks with quality of life in primary care patients. This was a cross-sectional study involving 1,466 patients in the cities of São Paulo and Rio de Janeiro, Brazil, in 2009/2010. The General Health Questionnaire, the Hospital Anxiety and Depression Scale and the brief version of the World Health Organization Quality of Life Instrument were used. The Social Support Network Index classified patients with the highest and lowest index as socially integrated or isolated. A bivariate analysis and four multiple linear regressions were conducted for each quality of life outcome. The means scores for the physical, psychological, social relations, and environment domains were, respectively, 64.7; 64.2; 68.5 and 49.1. In the multivariate analysis, the psychological domain was negatively associated with isolation, whereas the social relations and environment domains were positively associated with integration. Integration and isolation proved to be important factors for those in emotional distress as they minimize or maximize negative effects on quality of life.
Collapse
Affiliation(s)
| | - Mônica Rodrigues Campos
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | | | | | | | - Linda Gask
- University of Manchester, Manchester, U.K
| | | | | | - Sandra Fortes
- Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil
| |
Collapse
|
19
|
Borges TL, Miasso AI, Reisdofer E, Dos Santos MA, Vedana KGG, Hegadoren KM. Common Mental Disorders in Primary Health Care Units: Associated Factors and Impact on Quality of Life. J Am Psychiatr Nurses Assoc 2016; 22:378-86. [PMID: 27358346 DOI: 10.1177/1078390316655207] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Considering the high worldwide prevalence of common mental disorders (CMDs), characterizing the association between CMD and quality of life (QoL) constitute a valuable measure to gauge patient's functional impairment due to CMD symptoms. OBJECTIVE To investigate factors associated with the incidence of CMD and its impact on the QoL in primary health care (PHC) patients. DESIGN Cross-sectional study completed in a municipality in Brazil. Standardized tools included the Self-Reporting Questionnaire-20 to detect CMDs and the WHOQOL-brief to assess QoL, in addition to a sociodemographic and treatment-related questionnaire. RESULTS A total of 41.4% of the patients met cutoff scores for a CMD, and the presence of a CMD was associated with female gender and marital status. Patients with CMDs had lower QoL scores than patients who were negative for a CMD. CONCLUSIONS CMDs are highly prevalent in PHC settings and affect patients' QoL. The high frequency of CMD in those that seek care through PHC necessitate incorporating mental health services into the range of available services.
Collapse
Affiliation(s)
- Tatiana Longo Borges
- Tatiana Longo Borges, RN, PhD, Universidade de São Paulo, São Paulo, Brazil; Centro Universitário Estácio UniSeb, Ribeirão Preto, Brazil
| | | | - Emilene Reisdofer
- Emilene Reisdofer, RN, PhD, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | | | | | | |
Collapse
|
20
|
Structure of the Social Support Network of Patients with Severe and Persistent Psychiatric Disorders in Follow-Ups to Primary Health Care. Arch Psychiatr Nurs 2016; 30:70-6. [PMID: 26804504 DOI: 10.1016/j.apnu.2015.10.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2015] [Revised: 09/29/2015] [Accepted: 10/13/2015] [Indexed: 10/22/2022]
Abstract
The objective of this study is to analyze the characteristics of social support networks of patients with psychiatric disorders at follow-up to primary care. This is a cross-sectional qualitative research study. Forty-five interviews were held with patients and their supporters. The results showed small and dense networks, with a strong emphasis on the bonds with formal supporters and a scant network of informal supporters. It is recommended to develop strategies to improve social support networks and use this as an outcome indicator related to social integration of these patients and to the quality of services involved with outpatient healthcare.
Collapse
|
21
|
Portugal FB, Campos MR, Gonçalves DA, Mari JDJ, Fortes SLCL. Qualidade de vida em pacientes da atenção primária do Rio de Janeiro e São Paulo, Brasil: associações com eventos de vida produtores de estresse e saúde mental. CIENCIA & SAUDE COLETIVA 2016; 21:497-508. [DOI: 10.1590/1413-81232015212.20032015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2014] [Accepted: 05/17/2015] [Indexed: 11/21/2022] Open
Abstract
Resumo A qualidade de vida (QV) é um constructo subjetivo, que pode ser associado negativamente a fatores como os transtornos mentais e os eventos de vida produtores de estresse (EVPE). O objetivo deste artigo é identificar a associação entre variáveis demográficas, socioeconômicas, transtorno mental comum, sintomas sugestivos de ansiedade e depressão, EVPE com QV na Atenção Primária (AP). Estudo transversal realizado com 1.466 pacientes atendido na AP, nos munícipios de São Paulo e Rio de Janeiro, em 2009 e 2010. Realizou-se análise bivariada por meio do Teste-t e regressão linear múltipla para cada domínio de QV. Os escores de QV para os domínios físico, psicológico, relações sociais e meio ambiente foram, respectivamente de, 64,7, 64,2, 68,5 e 49,1. Pela análise multivariada foram encontradas associações do domínio físico com os problemas de saúde e discriminação, do psicológico com discriminação, das relações sociais com problemas financeiros/estruturais, causas externas e problemas de saúde, e do meio ambiente com problemas financeiros/estruturais, causas externas e discriminação. As variáveis de saúde mental, os problemas de saúde e os problemas/financeiros estruturais foram os que se associaram negativamente à QV.
Collapse
|
22
|
Gonçalves DA, Mari JDJ, Bower P, Gask L, Dowrick C, Tófoli LF, Campos M, Portugal FB, Ballester D, Fortes S. Brazilian multicentre study of common mental disorders in primary care: rates and related social and demographic factors. CAD SAUDE PUBLICA 2014; 30:623-32. [PMID: 24714951 DOI: 10.1590/0102-311x00158412] [Citation(s) in RCA: 63] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2012] [Accepted: 09/16/2013] [Indexed: 11/22/2022] Open
Abstract
Mental health problems are common in primary health care, particularly anxiety and depression. This study aims to estimate the prevalence of common mental disorders and their associations with socio-demographic characteristics in primary care in Brazil (Family Health Strategy). It involved a multicenter cross-sectional study with patients from Rio de Janeiro, São Paulo, Fortaleza (Ceará State) and Porto Alegre (Rio Grande do Sul State), assessed using the General Health Questionnaire (GHQ-12) and the Hospital Anxiety and Depression Scale (HAD). The rate of mental disorders in patients from Rio de Janeiro, São Paulo, Fortaleza and Porto Alegre were found to be, respectively, 51.9%, 53.3%, 64.3% and 57.7% with significant differences between Porto Alegre and Fortaleza compared to Rio de Janeiro after adjusting for confounders. Prevalence proportions of mental problems were especially common for females, the unemployed, those with less education and those with lower incomes. In the context of the Brazilian government's moves towards developing primary health care and reorganizing mental health policies it is relevant to consider common mental disorders as a priority alongside other chronic health conditions.
Collapse
|
23
|
Lucchese R, Sousa KD, Bonfin SDP, Vera I, Santana FR. Prevalência de transtorno mental comum na atenção primária. ACTA PAUL ENFERM 2014. [DOI: 10.1590/1982-0194201400035] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Objetivo Estimar a prevalência de transtorno mental comum e seus fatores associados em serviço de atenção primária.Métodos Estudo transversal que incluiu 607 indivíduos em serviço de atenção primária. O instrumento de pesquisa foi o questionário Self Report Questionnaire 20.Resultados Dos sujeitos entrevistados, 31,47% apresentaram maior probabilidade para transtorno mental comum. Foram associadas à menor probabilidade de desenvolvimento do Transtorno Mental Comum as variáveis preditoras: gênero, estado civil solteiro, ocupação estudante e com carteira assinada, maior nível de escolaridade e renda acima de quatro salários mínimos. E, à maior probabilidade de desenvolvimento do Transtorno Mental Comum as variáveis referir ocupação autônoma, do lar, ter filhos, menor escolaridade e baixa renda.Conclusão A prevalencia de Transtorno Mental Comum foi alta e os fatores associados foram: no gênero feminino, divorciado ou separado, cor da pele amarela, idade de 18 a 59 anos, ocupação do lar, com filhos, com quatro a sete anos de estudo, renda de até um salário mínimo e residindo em moradia emprestada ou doada.
Collapse
|
24
|
Portugal FB, Campos MR, Gonçalves DA, Mari JDJ, Gask L, Bower P, Dowrick C, Fortes S. Psychiatric morbidity and quality of life of primary care attenders in two cities in Brazil. JORNAL BRASILEIRO DE PSIQUIATRIA 2014. [DOI: 10.1590/0047-2085000000004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Objective: 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.
Collapse
|
25
|
Gomes VF, Miguel TLB, Miasso AI. Common Mental Disorders: socio-demographic and pharmacotherapy profile. Rev Lat Am Enfermagem 2013; 21:1203-11. [DOI: 10.1590/0104-1169.2990.2355] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2012] [Accepted: 08/05/2013] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE: this study reports an association between Common Mental Disorders and the socio-demographic and pharmacotherapy profiles of 106 patients cared for by a Primary Health Care unit in the interior of São Paulo, Brazil. METHOD: this is a cross-sectional descriptive exploratory study with a quantitative approach. Structured interviews and validated instruments were used to collect data. The Statistical Package for Social Science was used for analysis. RESULTS: The prevalence of Common Mental Disorders was 50%. An association was found between Common Mental Disorders and the variables occupation, family income, number of prescribed medications and number of pills taken a day. Greater therapy non-adherence was observed among those who tested positive for Common Mental Disorders. CONCLUSION: this study's results show the importance of health professionals working in PHC to be able to detect needs of a psychological nature among their patients and to support the implementation of actions to prevent the worsening of Common Mental Disorders.
Collapse
|