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Transtornos mentais comuns e uso de psicofármacos: impacto das condições socioeconômicas; Common mental disorders and the use of psychoactive drugs: the impact of socioeconomic conditions; Trastornos mentales comunes y uso de psicofármacos: impacto de las condiciones socioeconómicas

LIMA, Maria Cristina Pereira; MENEZES, Paulo Rossi; CARANDINA, Luana; CESAR, Chester Luiz Galvão; BARROS, Marilisa Berti de Azevedo; GOLDBAUM, Moisés
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
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OBJETIVO: Avaliar a influência das condições socioeconômicas na associação entre transtornos mentais comuns, uso de serviços de saúde e de psicofármacos. MÉTODOS: Estudo transversal populacional conduzido na cidade de Botucatu, SP, com amostragem probabilística, estratificada e por conglomerados. Foram realizadas entrevistas domiciliares com 1.023 sujeitos de 15 anos ou mais de idade, entre 2001 e 2002. Transtorno mental comum foi avaliado utilizando o Self Reporting Questionnaire (SRQ-20). O uso de serviços foi investigado com relação à quinzena anterior à entrevista e uso de psicotrópicos, nos três dias anteriores. Utilizou-se regressão logística para análise multivariável, considerando o efeito do desenho. RESULTADOS: No total da amostra, 13,4% (IC 95%: 10,7;16,0) procuraram serviços de saúde na quinzena anterior à entrevista. A procura de serviços de saúde se associou ao sexo feminino (OR=2,0) e à presença de transtorno mental comum (OR=2,2). Na amostra 13,3% (IC 95%: 9,2;17,5) referiram ter usado ao menos um psicotrópico, destacando-se os antidepressivos (5,0%) e os benzodiazepínicos (3,1%). Na análise multivariável, sexo feminino e presença de transtorno mental comum mantiveram-se associados ao uso de benzodiazepínicos. Renda per capita mostrou-se direta e independentemente associada ao uso de psicofármacos...

Prevalência de transtornos mentais em indivíduos de uma unidade de referência para Programa Saúde da Família em Santa Cruz do Sul, Rio Grande do Sul, Brasil; Prevalence of mental disorders at a referral center for the Family Health Program in Santa Cruz do Sul, Rio Grande do Sul State, Brazil

Gonçalves, Daniel Maffasioli; Kapczinski, Flávio Pereira
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
Português
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Entre as dez primeiras causas de anos vividos com incapacidade no mundo, sete são transtornos mentais. Centros de atendimento primário são fundamentais para as políticas de saúde mental, conforme a Organização Mundial da Saúde. Este estudo tem por objetivo verificar a prevalência de transtornos mentais entre indivíduos que buscaram atendimento médico na unidade de referência de uma equipe do Programa Saúde da Família (PSF) em Santa Cruz do Sul, Rio Grande do Sul, Brasil, e verificar a influência de diagnóstico psiquiátrico na utilização de recursos da saúde. Dos 754 indivíduos que participaram do estudo, 51,1% (IC95%: 47,5-54,7) foram diagnosticados como portadores de diagnóstico psiquiátrico, sendo que estes utilizaram de forma significativamente mais freqüente recursos da saúde nos últimos 12 meses. Transtornos mentais representam impacto negativo na qualidade de vida e bem-estar dos portadores, assim como aumento de uso dos recursos da saúde por sintomas não tratados e por ser fator de mau prognóstico para outras doenças nãopsiquiátricas. Esses resultados reforçam a necessidade da inclusão efetiva do tema saúde mental nas metas e intervenções dos PSFs no Brasil.; Among the ten leading causes of disability-adjusted life years...

Common mental disorders and intimate partner violence in pregnancy

Ludermir,Ana Bernarda; Valongueiro,Sandra; Araújo,Thália Velho Barreto de
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2014 Português
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OBJECTIVE : To investigate the association between common mental disorders and intimate partner violence during pregnancy. METHODS : A cross sectional study was carried out with 1,120 pregnant women aged 18-49 years old, who were registered in the Family Health Program in the city of Recife, Northeastern Brazil, between 2005 and 2006. Common mental disorders were assessed using the Self-Reporting Questionnaire (SRQ-20). Intimate partner violence was defined as psychologically, physically and sexually abusive acts committed against women by their partners. Crude and adjusted odds ratios were estimated for the association studied utilizing logistic regression analysis. RESULTS : The most common form of partner violence was psychological. The prevalence of common mental disorders was 71.0% among women who reported all form of violence in pregnancy and 33.8% among those who did not report intimate partner violence. Common mental disorders were associated with psychological violence (OR 2.49, 95%CI 1.8;3.5), even without physical or sexual violence. When psychological violence was combined with physical or sexual violence, the risk of common mental disorders was even higher (OR 3.45; 95%CI 2.3;5.2). CONCLUSIONS : Being assaulted by someone with whom you are emotionally involved can trigger feelings of helplessness...

Social inequality and common mental disorders

Marín-León,Letícia; Oliveira,Helenice Bosco de; Barros,Marilisa Berti de Azevedo; Dalgalarrondo,Paulo; Botega,Neury José
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/09/2007 Português
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OBJECTIVE: To analyze the association between the socioeconomic characteristics of individuals and common mental disorders. METHOD: A cross-sectional survey of a representative sample of the urban population, 14 years and older, in Campinas (Brazil) (n = 515) was conducted using a multipurpose instrument that included the Self-Reporting Questionnaire (SRQ-20) to assess common mental disorders in the previous 3 months. Weighted prevalence of common mental disorders was calculated for each independent variable. Crude and adjusted prevalence ratios were estimated using Poisson regression. RESULTS: The overall prevalence was 17% (95% CI 12.8-22.3), 8.9% in males and 24.4% in females. An inverse association was found between common mental disorders and the socioeconomic characteristics (schooling and employment) even after controlling for all the other variables. Higher common mental disorders prevalence was observed in those with less than 5 years of schooling (PR = 5.5) and unemployed or underemployed (PR = 2.0). CONCLUSIONS: As in other studies, common mental disorders were unevenly distributed; it was significantly more frequent in socially disadvantaged individuals. Specific actions to reduce inequalities in the general and mental health system should be studied.

Nosological profile and prevalence of common mental disorders of patients seen at the Family Health Program (FHP) units in Petrópolis, Rio de Janeiro

Fortes,Sandra; Villano,Luiz Augusto Brites; Lopes,Claudia S
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2008 Português
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OBJECTIVES: This study aims to detect the prevalence of common mental disorders among patients seen by doctors at family health program units in Petrópolis-RJ, and to establish their nosological profile. METHOD: The population of the study included all 18 to 65-year-old patient who attended any family health program units included in the study during a 30-day period, between August and December 2002 (n = 714). The prevalence of common mental disorders was assessed using the General Health Questionnaire, 12 item version. In order to establish the nosological profile, the Composite International Diagnostic Interview was administered to all common mental disorders positive patients who accepted to return (n = 215). RESULTS: At the cut-off point of 2/3 the common mental disorders prevalence was 56% and for 4/5, it was 33%. The most frequent nosological categories found among common mental disorders positive patients were depression and anxiety categories along with posttraumatic stress disorder, somatoform pain disorder and dissociative disorders. There was a high frequency of comorbidity, especially between anxiety, depression, somatoform and dissociative disorders. CONCLUSIONS: The common mental disorders prevalence and the nosological profile found in FHP were similar to those of other primary care studies in Brazil...

Common mental disorders in Petrópolis-RJ: a challenge to integrate mental health into primary care strategies

Fortes,Sandra; Lopes,Claudia S.; Villano,Luiz A. B.; Campos,Mônica R.; Gonçalves,Daniel A.; Mari,Jair de Jesus
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2011 Português
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OBJECTIVE: Common mental disorders are present in more than 50% of patients attending primary care clinics. The main objectives of this study were to detect whether there is any special group of patients within the Family Health Strategy that should be considered to be in greater risk for common mental disorders and to recommend alternative interventions to aid these patients. METHOD: In 2002, a cross-sectional study on common mental disorders seen at Family Health Strategy centers was conducted in Petrópolis, State of Rio de Janeiro. RESULTS: Common mental disorders were associated with women (OR = 2.90; 95% CI 1.82-4.32), younger than 45 years of age (OR = 1.43; 95% CI 1.02-2.01), with a monthly per capita family income of less than US$40.00 (OR = 1.68; 95% CI 1.20-2.39), and without a partner (OR = 1.71; 95% CI 1.22-2.39). Illiteracy was associated with common mental disorders among patients who were not extremely poor. Social support networks such as going often to church (OR = 0.62; 95% CI 0.43-0.89); participating in artistic and sporting activities (OR = 0.42; 95% CI 0.26-0.70) and having at least four trusted relatives or friends (OR = 0.53; 95% CI 0.31-0.91) was inversely associated with common mental disorders. DISCUSSION: Poor women with little social support represent a special group at risk for common mental disorders in the primary care setting. Some countries have developed special interventions to treat patients with common mental disorders in primary care. CONCLUSION: Mental health care programs could include evidence-based psychosocial interventions to assist women in overcoming the vicious circle of poverty and dealing with their mental disorders.

Using electronic medical records to determine prevalence and treatment of mental disorders in primary care: a database study

Gleeson, M; Hannigan, Ailish; Jamali, R; Su Lin, K; Klimas, Jan; Mannix, M; Nathan, Yoga; O'Connor, R; O'Gorman, Clodagh; Dunne, Colum; Meagher, David; Cullen, Walter
Fonte: Cambridge University Press Publicador: Cambridge University Press
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
Português
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peer-reviewed; Objectives: With prevention and treatment of mental disorders a challenge for primary care and increasing capability of electronic medical records (EMRs) to facilitate research in practice, we aim to determine the prevalence and treatment of mental disorders by using routinely collected clinical data contained in EMRs. Methods: We reviewed EMRs of patients randomly sampled from seven general practices, by piloting a study instrument and extracting data on mental disorders and their treatment. Reslllts: Data were collected on 690 patients (age range 18-95, 52% male, 52% GMS-eligible). A mental disorder (most commonly anxiety I stress, depression and problem alcohol use) was recorded in the clinical records of 139 (20%) during the two year study period. While most patients with the common disorders had been prescribed medication (I.e. antidepressants or benzodiazepines), a minority had been referred to other agencies or received psychological interventions. 'Free text' consultation notes and 'prescriptions' were how most patients with disorders were identified. Diagnostic coding alone would have failed to identify 92% of patients with a disorder. Conclllsions: Although mental disorders are common in general practice...

COOP/WONCA Charts as a Screen for Mental Disorders in Primary Care

AZEVEDO-MARQUES, Joao Mazzoncini de; ZUARDI, Antonio Waldo
Fonte: ANNALS FAMILY MEDICINE Publicador: ANNALS FAMILY MEDICINE
Tipo: Artigo de Revista Científica
Português
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PURPOSE most people with mental disorders receive treatment in primary care. The charts developed by the Dartmouth Primary Care Cooperative Research Network (COOP) and the World Organization of National Colleges, Academies, and Academic Associations of General Practitioners/Family Physicians (WONCA) have not yet been evaluated as a screen for these disorders, using a structured psychiatric interview by an expert or considering diagnoses other than depression. We evaluated the validity and feasibility of the COOP/WONCA Charts as a mental disorders screen by comparing them both with other questionnaires previously validated and with the assessment of a mental health specialist using a structured diagnostic interview. METHODS We trained community health workers and nurse assistants working in a collaborative mental health care model to administer the COOP/WONCA Charts, the 20-item Self-Reporting Questionnaire (SRQ-20), and the World Health Organization Five Well-Being Index (WHO-5) to 120 primary care patients. A psychiatrist blinded to the patients' results on these questionnaires administered the SCID, or Structured Clinical Interview for the DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition). RESULTS The area under the receiver operating characteristic curve was at least 0.80 for single items...

Avaliação da qualidade de vida e transtornos mentais comuns de residentes em áreas rurais; Assessment of quality of life and common mental disorders in the population of rural areas

Paulo Junior Paz de Lima
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 21/08/2014 Português
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A precariedade do acesso à educação, dos serviços de saúde e de segurança no trabalho, de moradias, do saneamento básico e abastecimento de água potável, no contexto rural brasileiro, instiga a reflexão sobre os impactos de tais condições na saúde física e mental e na qualidade de vida (QV), além dos efeitos destas condições em relação à prevalência de transtornos mentais comuns (TMC), em comunidade rural no Brasil. A discussão sobre qualidade de vida e TMC não são recentes. No entanto, o contexto rural tem ficado fora do debate, principalmente, no contexto nacional, na área da saúde pública. A discussão sobre a concepção de QV e TMC no contexto do rural é importante. Estes temas têm assumido um aspecto secundário, dada a urgência cotidiana pela garantia da própria sobrevivência, da empregabilidade ainda que em condições precárias e de outras demandas mais urgentes no campo. OBJETIVOS: O presente estudo tem como objetivo principal avaliar a qualidade de vida e transtornos mentais comuns, bem como avaliar a qualidade de vida relacionada a aspectos do estado de saúde de residentes em áreas rurais, em Atibaia/SP. Também se propõe a identificar alteração dos domínios da QV entre os residentes da área de estudo; avaliar os domínios da qualidade de vida em relação à função desempenhada no campo; identificar diferenças nos domínios da QV em relação ao sexo; identificar a relação entre sobrecarga (quantidade de horas) de trabalho semanal e alteração dos domínios da QV e identificar a prevalência de alcoolismo e de tabagismo entre a população rural. MÉTODOS: Trata-se de um estudo...

Common Mental Disorders: socio-demographic and pharmacotherapy profile

Gomes,Viviane Ferrari; Miguel,Tatiana Longo Borges; Miasso,Adriana Inocenti
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2013 Português
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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.

Mental health literacy: Public knowledge and beliefs about mental disorders

Jorm, Anthony F
Fonte: Royal College of Psychiatrists Publicador: Royal College of Psychiatrists
Tipo: Artigo de Revista Científica
Português
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Background. Although the benefits of public knowledge of physical diseases are widely accepted, knowledge about mental disorders (mental health literacy) has been comparatively neglected. Aims. To introduce the concept of mental health literacy to a wider audience, to bring together diverse research relevant to the topic and to identify gaps in the area. Method. A narrative review within a conceptual framework. Results. Many members of the public cannot recognise specific disorders or different types of psychological distress. They differ from mental health experts in their beliefs about the causes of mental disorders and the most effective treatments. Attitudes which hinder recognition and appropriate help-seeking are common. Much of the mental health information most readily available to the public is misleading. However, there is some evidence that mental health literacy can be improved. Conclusions. If the public's mental health literacy is not improved, this may hinder public acceptance of evidence-based mental health care. Also, many people with common mental disorders may be denied effective self-help and may not receive appropriate support from others in the community. Declaration of Interest. None.

Transtornos mentais comuns e uso de psicofármacos: impacto das condições socioeconômicas; Trastornos mentales comunes y uso de psicofármacos: impacto de las condiciones socioeconómicas; Common mental disorders and the use of psychoactive drugs: the impact of socioeconomic conditions

Lima, Maria Cristina Pereira; Menezes, Paulo Rossi; Carandina, Luana; Cesar, Chester Luiz Galvão; Barros, Marilisa Berti de Azevedo; Goldbaum, Moisés
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/08/2008 Português
Relevância na Pesquisa
67.781855%
OBJETIVO: Avaliar a influência das condições socioeconômicas na associação entre transtornos mentais comuns, uso de serviços de saúde e de psicofármacos. MÉTODOS: Estudo transversal populacional conduzido na cidade de Botucatu, SP, com amostragem probabilística, estratificada e por conglomerados. Foram realizadas entrevistas domiciliares com 1.023 sujeitos de 15 anos ou mais de idade, entre 2001 e 2002. Transtorno mental comum foi avaliado utilizando o Self Reporting Questionnaire (SRQ-20). O uso de serviços foi investigado com relação à quinzena anterior à entrevista e uso de psicotrópicos, nos três dias anteriores. Utilizou-se regressão logística para análise multivariável, considerando o efeito do desenho. RESULTADOS: No total da amostra, 13,4% (IC 95%: 10,7;16,0) procuraram serviços de saúde na quinzena anterior à entrevista. A procura de serviços de saúde se associou ao sexo feminino (OR=2,0) e à presença de transtorno mental comum (OR=2,2). Na amostra 13,3% (IC 95%: 9,2;17,5) referiram ter usado ao menos um psicotrópico, destacando-se os antidepressivos (5,0%) e os benzodiazepínicos (3,1%). Na análise multivariável, sexo feminino e presença de transtorno mental comum mantiveram-se associados ao uso de benzodiazepínicos. Renda per capita mostrou-se direta e independentemente associada ao uso de psicofármacos...

Perfil das atitudes de formandos em enfermagem frente aos transtornos mentais no Brasil, Chile e Peru; Actitudes de alumnos de enfermería ante trastornos mentales en Brasil, Chile y Perú; Attitudes of graduate nursing students towards mental disorders in Brazil, Chile and Peru

Pedrão, Luiz Jorge; Galera, Sueli Aparecida Frari; Silva, Maria Concepcion Pezo; Cazenave Gonzalez, Angelica; Costa Júnior, Moacyr Lobo da; Souza, Maria Conceição Bernardo de Mello e; Senmache, Gricelda Uceda
Fonte: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Publicador: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 01/06/2005 Português
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Este estudo teve por objetivo traçar um perfil de atitudes de formandos em enfermagem frente aos transtornos mentais em três culturas diferentes: Brasil, Chile e Peru. Para isso foi utilizada a escala de opiniões sobre a doença mental. Os resultados mostraram diferenças estatisticamente significantes no nível de 5% nos fatores autoritarismo, ideologia de higiene mental, restrição serial e visão minoritária, favoráveis aos estudantes brasileiros. No fator etiologia interpessoal, os resultados foram favoráveis aos estudantes peruanos e no fator etiologia de esforço mental, favoráveis aos chilenos. No fator benevolência não houve evidência estatística que afirmasse diferença. Esses resultados permitem concluir que os formandos brasileiros apresentaram atitudes mais positivas frente aos transtornos mentais, mostrando-se menos autoritários, restritivos e discriminadores que os chilenos e peruanos, portanto, com maiores possibilidades de desenvolverem condutas mais terapêuticas com a pessoa portadora dos transtornos referidos.; Este estudio tuvo como objetivo delinear un perfil de actitudes de alumnos en enfermería ante trastornos mentales en tres culturas diferentes: Brasil, Chile y Perú. Para esto, los autores utilizaron la escala de opiniones respecto a la enfermedad mental. Los resultados evidenciaron diferencias estadísticamente significativas (5%) en factores como autoritarismo...

Particularidades do planejamento familiar de mulheres portadoras de transtorno mental; Particularidades de la planificación familiar de mujeres portadoras de trastorno mental; Particularities of family planning in women with mental disorders

Guedes, Tatiane Gomes; Moura, Escolástica Rejane Ferreira; Almeida, Paulo César de
Fonte: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Publicador: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf; application/pdf; application/pdf
Publicado em 01/10/2009 Português
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Objetivou-se identificar o perfil gineco-obstétrico de mulheres portadoras de transtorno mental, verificar a associação entre diagnóstico médico de transtorno mental e uso correto/incorreto dos métodos anticoncepcionais e verificar diagnósticos, frequência de internações e variedades de medicamentos consumidos. Participaram 255 mulheres atendidas em um Centro de Atenção Psicossocial. Os dados foram coletados por meio de revisão de prontuário e entrevista estruturada. A hereditariedade de alguns transtornos mentais, internação psiquiátrica como causa de interrupção da anticoncepção, uso de anticoncepcionais que independem do controle pessoal, interação medicamentosa entre psicotrópicos e anticoncepcionais orais, participação do parceiro e/ou de familiares na escolha reprodutiva e prática anticonceptiva constituíram particularidades no planejamento familiar desse público-alvo. Não houve associação estatística entre os diagnósticos médicos e uso correto ou incorreto dos métodos anticoncepcionais. Mulheres portadoras de transtorno mental possuem demanda para atendimento de planejamento familiar específico e integral.; Se tuvo como objetivo identificar el perfil ginecológico y obstétrico de mujeres portadoras de trastorno mental...

Common mental disorders in clinical practice; Transtornos mentais comuns na prática clínica

Brunoni, André Russowsky
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf
Publicado em 18/12/2008 Português
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Histórico: A prevalência de transtornos mentais comuns na população e nos ambulatórios gerais e de especialidade é elevada, o que faz com que os médicos clínicos sejam os principais responsáveis pela identificação, triagem, tratamento e encaminhamento de grande parte dos pacientes portadores de transtornos psiquiátricos. Desta maneira, o conhecimento destas condições pelo médico clínico é essencial no diagnóstico e tratamento dos transtornos mentais. Objetivo: O objetivo deste artigo é rever os principais tópicos relacionados a três transtornos mentais comuns na prática clínica – os transtornos de humor, os transtornos de ansiedade e os transtornos somatoformes e que são os mais prevalentes na cidade de São Paulo. Resultados: O rastreamento dos transtornos depressivos (prevalência ao longo da vida: 17%) deve ser feito em qualquer consulta clínica através do questionamento de anedonia e humor deprimido. Os transtornos afetivos bipolares (3-5%) devem ser descartados antes do diagnóstico de depressão unipolar, uma vez que o erro diagnóstico pode levar a um aumento da gravidade do quadro. Os transtornos de humor, bem como os transtornos ansiosos (8%), podem ser atualmente manejados de forma bastante segura com vários tipos de antidepressivos. Por outro lado...

Common Mental Disorders in Colombian Women

Campo-Arias,Adalberto; Herazo,Edwin; Barros-Bermúdez,Jaider Alfonso; Rueda-Jaimes,Germán Eduardo; Díaz-Martínez,Luis Alfonso
Fonte: Revista Colombiana de Psiquiatría Publicador: Revista Colombiana de Psiquiatría
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2011 Português
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Objective: To explore the prevalence of common mental disorders and their association with health-related behaviors in Colombian women. Method: A cross-sectional study was carried out with a multi-stage probability sample of women from the general population. Common mental disorders were explored with the General Health Questionnaire (GHQ-12) with a cut-off point of eleven or more. Non conditional logistic regression was computed to adjust associated variables. Results: A total of 1,740 women participated in this research. The mean age of participants was 38.3 years (SD=13.3), mean years of education were 8.8 years (SD=3.9), 59.5% were married, 37.0% were employed, 1.4% reported abusive alcohol consumption, 6.3% daily cigarette smoking, 44.5% daily coffee intake, 17.5% a medical condition, and 15.7% (95% CI 14.0-17.4) scored for a common mental disorder. Abusive alcohol consumption (OR=6.4, 95% CI 2.7-15.2), daily cigarette smoking (OR=3.3, 95% CI 2.1-5.0), medical condition (OR=2.0, 95% CI 1.4-2.8), and daily coffee intake (OR=1.3, 95% CI 1.0-1.8) were associated with common mental disorders, adjusted for age and education. Conclusions: Common mental disorders are frequent in Colombian women. Health risk behaviors and stressful events are strongly related to common mental disorders. It is necessary to identify and treat these mental disorders early on to reduce health risk behaviors in women.

Common mental disorders and intimate partner violence in pregnancy

Ludermir,Ana Bernarda; Valongueiro,Sandra; Araújo,Thália Velho Barreto de
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/02/2014 Português
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OBJECTIVE : To investigate the association between common mental disorders and intimate partner violence during pregnancy. METHODS : A cross sectional study was carried out with 1,120 pregnant women aged 18-49 years old, who were registered in the Family Health Program in the city of Recife, Northeastern Brazil, between 2005 and 2006. Common mental disorders were assessed using the Self-Reporting Questionnaire (SRQ-20). Intimate partner violence was defined as psychologically, physically and sexually abusive acts committed against women by their partners. Crude and adjusted odds ratios were estimated for the association studied utilizing logistic regression analysis. RESULTS : The most common form of partner violence was psychological. The prevalence of common mental disorders was 71.0% among women who reported all form of violence in pregnancy and 33.8% among those who did not report intimate partner violence. Common mental disorders were associated with psychological violence (OR 2.49, 95%CI 1.8;3.5), even without physical or sexual violence. When psychological violence was combined with physical or sexual violence, the risk of common mental disorders was even higher (OR 3.45; 95%CI 2.3;5.2). CONCLUSIONS : Being assaulted by someone with whom you are emotionally involved can trigger feelings of helplessness...

Cross-national comparisons of the prevalences and correlates of mental disorders

Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2000 Português
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The International Consortium in Psychiatric Epidemiology (ICPE) was established in 1998 by WHO to carry out cross-national comparative studies of the prevalences and correlates of mental disorders. This article describes the findings of ICPE surveys in seven countries in North America (Canada and USA), Latin America (Brazil and Mexico), and Europe (Germany, Netherlands, and Turkey), using a version of the WHO Composite International Diagnostic Interview (CIDI) to generate diagnoses. The results are reported using DSM-III-R and DSM-IV criteria without diagnostic hierarchy rules for mental disorders and with hierarchy rules for substance-use disorders. Prevalence estimates varied widely - from >40% lifetime prevalence of any mental disorder in Netherlands and the USA to levels of 12% in Turkey and 20% in Mexico. Comparisons of lifetime versus recent prevalence estimates show that mental disorders were often chronic, although chronicity was consistently higher for anxiety disorders than for mood or substance-use disorders. Retrospective reports suggest that mental disorders typically had early ages of onset, with estimated medians of 15 years for anxiety disorders, 26 years for mood disorders, and 21 years for substance-use disorders. All three classes of disorder were positively related to a number of socioeconomic measures of disadvantage (such as low income and education...

The burden of mental disorders: a comparison of methods between the Australian burden of disease studies and the Global Burden of Disease study

Vos,T.; Mathers,C.D.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2000 Português
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The national and Victorian burden of disease studies in Australia set out to examine critically the methods used in the Global Burden of Disease study to estimate the burden of mental disorders. The main differences include the use of a different set of disability weights allowing estimates in greater detail by level of severity, adjustments for comorbidity between mental disorders, a greater number of mental disorders measured, and modelling of substance use disorders, anxiety disorders and bipolar disorder as chronic conditions. Uniform age-weighting in the Australian studies produces considerably lower estimates of the burden due to mental disorders in comparison with age-weighted disability-adjusted life years. A lack of follow-up data on people with mental disorders who are identified in cross-sectional surveys poses the greatest challenge in determining the burden of mental disorders more accurately.

Poverty and common mental disorders in developing countries

Patel,Vikram; Kleinman,Arthur
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2003 Português
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A review of English-language journals published since 1990 and three global mental health reports identified 11 community studies on the association between poverty and common mental disorders in six low- and middle-income countries. Most studies showed an association between indicators of poverty and the risk of mental disorders, the most consistent association being with low levels of education. A review of articles exploring the mechanism of the relationship suggested weak evidence to support a specific association with income levels. Factors such as the experience of insecurity and hopelessness, rapid social change and the risks of violence and physical ill-health may explain the greater vulnerability of the poor to common mental disorders. The direct and indirect costs of mental ill-health worsen the economic condition, setting up a vicious cycle of poverty and mental disorder. Common mental disorders need to be placed alongside other diseases associated with poverty by policy-makers and donors. Programmes such as investment in education and provision of microcredit may have unanticipated benefits in reducing the risk of mental disorders. Secondary prevention must focus on strengthening the ability of primary care services to provide effective treatment.