Prevalência de transtornos mentais comuns e fatores associados em moradores da área urbana de São Paulo, Brasil

Santos, Gustavo de Brito Venâncio Dos; Alves, Maria Cecília Goi Porto; Goldbaum, Moisés; César, Chester Luiz Galvão; Gianini, Reinaldo José

doi:10.1590/0102-311x00236318

Cited by 38 publications

(44 citation statements)

References 20 publications

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“…According to the World Health Organization (WHO), this number has been increasing worldwide, especially in low-income countries, in females, the poorest and the unemployed, precisely those in which the symptoms of anxiety and depression are more frequent 9 -11 . In Brazil, the prevalence of CMDs, according to several authors, ranges from 19.7% to 43.7%, which represents a significant portion of the population that may require specialized care 12,13 . Among the different social groups, university students are more vulnerable to the development of anxiety and depression disorders, and there have been studies that used different instruments, such as the Self-Reporting Questionnaire (SRQ-20) 14 , the Beck Anxiety Inventory (BAI) 15 , and the Beck Depression Inventory (BDI) 16 , which demonstrated its high prevalence, especially among medical students in several continents 16,17 .…”

Section: Introductionmentioning

confidence: 99%

Symptoms of anxiety and depression among medical students: study of prevalence and associated factors

Sacramento

Anjos

Barbosa

et al. 2021

Rev. bras. educ. med.

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Introduction: Common Mental Disorders (CMDs) imply psychological distress, interfering with daily activities, interpersonal relationships and quality of life. It is estimated that CMDs affect 9% to 12% of the world’s population and 12% to 15% of the Brazilian population in all age groups. Among different social groups, university students are more vulnerable to the development of anxiety and depression disorders. Objective: Therefore, this study proposed to estimate the prevalence rates and factors associated with symptoms of anxiety and depression in medical students in a capital city of northeast Brazil. Methods: This is a prevalence study, with a probabilistic sample of 1,339 students who regularly attended the 12 semesters of medical school in January 2018. Data were collected by applying a socioeconomic, behavioral and demographic survey and Beck Anxiety and Depression Inventories. The chi-square test was used to check for differences between anxiety and depression symptoms and socioeconomic and behavioral variables. The prevalence rates (total and by level of severity) and the crude and adjusted prevalence ratio (PR) were used as an association measure. Linear trend analysis was used to verify the existence of an association between anxiety and depression symptoms and semesters of the medical school. The variables that showed a crude PR with p <0.20 were incorporated into the multivariate analysis, using the robust Poisson regression model, to determine the adjusted PR. Results: The prevalence of symptoms of anxiety was 30.8%, whereas depression was 36.0%. The crude and adjusted PR for anxiety symptoms showed a statistically significant association with gender, age and sexual orientation. The crude and adjusted PR for symptoms of depression showed a statistically significant association with gender, ethnicity/skin color and sexual orientation. The correlation analyses between the semesters of the course and the presence of anxiety and depression symptoms indicated a weak coefficient of determination, with a descending characteristic and without statistical significance. Conclusions: As this is a prevalence study, this investigation does not allow conclusions on causality. Additional follow-up studies are needed to elucidate the course of anxiety and depression throughout the school semesters.

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Section: Introductionmentioning

confidence: 99%

Symptoms of anxiety and depression among medical students: study of prevalence and associated factors

Sacramento

Anjos

Barbosa

et al. 2021

Rev. bras. educ. med.

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“…Partindo dessa premissa, constatamos que a frequência de sofrimento mental (61%) prévio ao ingresso na universidade na amostra por nós analisada foi superior às taxas de transtornos depressivos (5,8%) e de ansiedade (9,3%) estimadas pela Organização Mundial da Saúde para a população geral do Brasil 21 , bem como superior às taxas descritas para o "transtorno mental comum" na nossa população (variação entre 17% e 35%) 22 . Também elevado foi o percentual de alunos que relataram uso de medicamentos psicoativos, resultados que nos parecem compatíveis com pesquisas que indicam o alto consumo de psicotrópicos na atualidade 19,20 .…”

Section: Discussionunclassified

Tratamento Psíquico Prévio ao Ingresso na Universidade: Experiência de um Serviço de Apoio ao Estudante

Rocha

Carvalho

Cypriano

et al. 2020

Rev. bras. educ. med.

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Resumo: Introdução: Dados da literatura apontam para um aumento da frequência de sofrimento mental entre estudantes de Medicina. Entretanto, os fatores responsáveis ou que têm contribuído para isso ainda não estão completamente esclarecidos. Conhecê-los é fundamental para o planejamento de um serviço de apoio que acolha, identifique, acompanhe e, se necessário, encaminhe o estudante com sofrimento mental. Método: Avaliamos, neste trabalho, o relato de tratamento psíquico, anterior ao ingresso na universidade, de estudantes do curso de Medicina da Universidade Federal de Minas Gerais que buscaram atendimento no Núcleo de Apoio Psicopedagógico aos Estudantes da Faculdade de Medicina (Napem). Os relatos, os dados sociodemográficos e os motivos que levaram o aluno a procurar o serviço foram obtidos de uma ficha de inscrição preenchida pelo estudante. Resultados: No ano avaliado, 87 estudantes (47 homens, média de idade 23,3 anos) procuraram os serviços do Napem. Desses alunos, 42 (48,3%) cursavam os dois primeiros anos; 24 (27,6%), o terceiro e quarto anos; e 21 (24,1%), o quinto e sexto anos. Tratamento psíquico antes do ingresso na universidade foi relatado por 53 (60,9%) alunos: 37 (42,5%) declararam ter feito uso de medicamentos psicoativos e 16 relataram tratamento com psicoterapia sem medicação. Os relatos de tratamento psíquico e de uso de medicamentos psicoativos antes do ingresso na universidade foram significativamente mais frequentes (p = 0,04 e p = 0,04, respectivamente) entre os estudantes que cursavam os dois primeiros anos do curso do que entre os dos demais anos. Não se observaram diferenças estatisticamente significativas em relação à média de idade (p = 0,06), à distribuição por sexo (p = 0,87), à procedência (p = 0,68) ou ao tipo de moradia em Belo Horizonte (p = 0,96) quando se compararam os grupos com e sem relato de tratamento psíquico. Dentre os motivos apontados para a busca de atendimento no Napem, “ansiedade”, “depressão/sintomas depressivos” e “instabilidade de humor” foram relatados por 59 (67,8%) estudantes. Problemas relacionados ao curso foram declarados por cinco (5,7%) alunos. Conclusão: Os resultados do estudo sugerem que o tratamento psíquico prévio ao ingresso na universidade pode ser um dos fatores que contribuem para o sofrimento mental do estudante de Medicina durante o curso.

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“…The second form contains a scale consisting of a mental health research instrument called Self Report Questionnaire (SRQ-20), recommended by the World Health Organization for community studies and PHC. In Brazil, the SRQ-20 version was duly validated in previous studies (6)(7)(8)(9)(10) . This instrument consists of 20 items (yes/no); and we used a score of 7 (or more) to indicate positive screening for CMD in male participants and a score of 8 (or more) to track the condition in girls, as proposed by the author of the scale (7) .…”

Section: Data Collection Instrumentsmentioning

confidence: 99%

Factors associated with common mental disorder in school teenagers

et al. 2020

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Objective: To identify the prevalence of common mental disorders and associated factors in school adolescents. Method: Cross-sectional study with 230 adolescents from a public school in Salvador, Bahia, Brazil. We used a questionnaire and an assessment scale for common mental disorders. The data were processed in STATA, version 12. Results: The prevalence of common mental disorders in schoolchildren was 52.2%. Multivariate analysis identified a positive association with statistical significance between the condition and the variables:female gender (PR = 3.06; 95% CI: 1.77-5.4), black race (PR = 2.08; 95% CI: 1.04-4.16),having a boyfriend (PR = 2.07; 95% CI: 1.06-4.03) and smoking cigarettes once in a lifetime (PR = 2.88; 95% CI : 1.31 - 6.31). The school increase (OR = 0.52; 95% CI: 0.29-0.91) was identified as a protective factor. Conclusion: Female gender, black race, having a relationship, and having smoked cigarettes are factors that increase the chances of adolescents having common mental disorders.

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Prevalência de transtornos mentais comuns e fatores associados em moradores da área urbana de São Paulo, Brasil

Cited by 38 publications

References 20 publications

Symptoms of anxiety and depression among medical students: study of prevalence and associated factors

Symptoms of anxiety and depression among medical students: study of prevalence and associated factors

Tratamento Psíquico Prévio ao Ingresso na Universidade: Experiência de um Serviço de Apoio ao Estudante

Factors associated with common mental disorder in school teenagers

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