Aplicação Do Método "Cage" Para Estudo Da Prevalência E Detecção Precoce Do Alcoolismo Em Enfermariasgerais E Especializadas De Um Hospital Universitário

IntroduçãoO estudos têm sistematicamente demonstrado que saúde mental é crucial para o bem-estar geral dos indivíduos, sociedades e países. Os transtornos mentais representam algo em torno de 13% da sobrecarga de doenças no mundo. Apesar dessas constatações, a lacuna entre oferta e demanda de assistência em saúde mental é robusta, com estimativas de até 70% para transtornos de humor e 90% para transtornos por uso de álcool em países desenvolvidos. Os dados para países em desenvolvimento são escassos 1 .Um dos principais fatores para essa lacuna é o subdiagnóstico de transtornos mentais. De 25% a 50% dos pacientes que procuram assistên-cia médica em centros de atendimento primário têm pelo menos um transtorno psiquiátrico ou neurológico. Destes, a não detecção dos casos pode ser de 55% para diagnóstico de depressão e até 77% para transtorno de ansiedade generalizada 1 .Entre as estratégias para modificação desse contexto está a utilização de instrumentos de rastreamento psiquiátrico, que preferencialmente devem ser de fácil aplicação e baixo custo. Essas características são de grande relevância para seu emprego em larga escala na prática clínica e nos estudos de epidemiologia psiquiátrica 2 .Na

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Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR

Gonçalves

2008

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Avaliação do desempenho do CAGE com pacientes psiquiátricos ambulatoriais

Corradi-Webster

Laprega

Furtado

2005

Rev. Latino-Am. Enfermagem

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Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Botega¹,

Mitsuushi²,

Azevedo³

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: To determine prevalence rates and identify patient characteristics associated with depression, alcohol use disorders and nicotine dependence among individuals admitted to a general teaching hospital. Method: Using the Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test, we assessed 4,352 consecutive medical and surgical patients admitted over a 13-month period. The patients were also asked to report their daily cigarette smoking habits during the last month. Multiple logistic regression analyses were performed, and odds ratios (ORs) were calculated. Results: The mean age of the sample was 49.3 years, and 56.6% were male. Prevalence rates of depression, alcohol use disorders and nicotine dependence were, respectively, 14%, 9.8% and 16.9%. In the multivariate analysis, depression was associated with previous suicide attempts (OR = 8.7), lower level of education (OR = 3.6), prior use of psychotropic medications (OR = 3.1), cancer (OR = 1.7) and pain (OR = 1.7). Alcohol use disorders were associated with male sex (OR = 6.3), smoking (OR = 3.5), admission for an external cause of injury, such as a traffic accident (OR = 2.4), and previous suicide attempts (OR = 2.3). Nicotine dependence was associated with alcohol use disorders (OR = 3.4), young adulthood (OR = 2.3), widowhood (OR = 2.2) and previous suicide attempts (OR = 1.8). Conclusion: This is the largest sample of medical and surgical patients ever surveyed with standardized screening instruments in a general hospital in Brazil. The high prevalence rates of psychiatric disorders and the profiles of the patients evaluated in this study underscore the need to develop methods that are more effective for detecting and managing such disorders. Hospital admission should be considered a major opportunity for the detection of psychiatric disorders and the subsequent implementation of the appropriate specific treatment strategies. Descriptors

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Aplicação Do Método "Cage" Para Estudo Da Prevalência E Detecção Precoce Do Alcoolismo Em Enfermariasgerais E Especializadas De Um Hospital Universitário

Cited by 3 publications

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Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR

Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR

Avaliação do desempenho do CAGE com pacientes psiquiátricos ambulatoriais

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

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