Articlegold2002

Associação entre sintomas depressivos e funcionamento social em cuidados primários à saúde

Marcelo Pio de Almeida Fleck · Ana Flávia Barros da Silva Lima · Sérgio Louzada · Gustavo Schestasky · Alexandre Annes Henriques · Vivian Roxo Borges +1 more

121 citations0/0 files storedRevista de Saúde Pública

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Mental Health Treatment and Access Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Health and Well-being Studies

Abstract

OBJECTIVE: Depressive disorders represent a major public health problem due to their high prevalence and psychosocial impact. Depressed patients are assiduous users of primary care services, although their depression is very often misdiagnosed. The objective of the study is to evaluate the association between depressive symptoms and social functioning in individuals that seek primary care services in a Brazilian capital. METHODS: The study included 2,201 primary care users in the city of Porto Alegre, Brazil. The participants' physical and emotional health was assessed through an interview using a questionnaire including 2 general questions from the World Health Organization's Quality of Life instrument (WHOQOL-brief); other questions from the Medical Outcomes Study Short-Form 12 (SF-12), MHI 5 (MHI-5), Centers for Epidemiologic Studies-Depression (CES-D), and additional questions about work loss days and health care utilization. RESULTS: Of all individuals, 79.5% were women aged on average 40 years. The intensity of depressive symptoms (measured by CES-D) was 20.2 for women and 16.2 for men. All parameters studied had an inverse relationship with the intensity of depressive symptoms. CONCLUSIONS: This study reinforce the findings that depressive symptoms have a strong association with poor social functioning and quality of life and a higher utilization of health resources in primary care patients.

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References

1977The CES-D Scale 1992The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.1992The MOS 36-ltem Short-Form Health Survey (SF-36)1998Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment 1995Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes 1995Linking Clinical Variables With Health-Related Quality of Life 1989The functioning and well-being of depressed patients. Results from the Medical Outcomes Study 1994Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study

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