Common Mental Disorders: socio-demographic and pharmacotherapy profile

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.

Common mental disorders and associated factors: a study of women from a rural area

“…Therefore, the presence of CMD is closely linked to social disadvantage factors (7) . Low education level is associated with socioeconomic conditions.…”

“…Literature points out that in rural and urban contexts, several social, cultural and behavioral factors may be related to CMD. Results obtained in several national studies involving urban and rural contexts have revealed a higher prevalence of CMD related to: women (5)(6)(7)(8) , low education levels (9) , low income (7) and to separated, divorced, widowed or single women (6,9) . In relation to the rural context, living conditions associated with poverty, stressful events, limited social and economic resources, and other demographic disadvantages pose a greater risk for mental health problems (11) .…”

“…Therefore, articulating mental health with the Family Health Strategy (FHS) is relevant (4) . Gender differences are present in CMD, predominantly affecting women (2,(5)(6)(7)(8) . Some Brazilian studies have shown the prevalence of CMD in women in urban areas to be: 33.8% (8) , 37.9% (6) , 41.7% (3) , 52.1% (7) .…”

“…In studies performed in the urban environment, the authors found a higher prevalence of CMD among women when compared to our study. We emphasize that although the urban environment has different characteristics from the rural environment, women in the cited studies may be similar to the women investigated in our study due to the issue of domestic work and work overload.Other national studies in the urban environment with a general population (of men and women) identified the prevalence of CMD among women attended by the UBS in the city of Ribeirão Preto (44.1%) (23) , in a city in the interior of São Paulo (52.1%) (7) , in the city of Barbacena (41.7%) (3) and in a medium-sized municipality in the Center-West region of Brazil (37.9%) (6) . In a cohort study with 15,105 people from six Brazilian cities, the authors identified that the prevalence of CMD was more frequent among women (33.8%), showing a lower rate than in the present study (8) .…”

“…The present study did not investigate the issue of domestic violence, however a "bad" relationship with their partner was a fact that should be considered and treated with attention. The gender issue associated with the socioeconomic disadvantages of rural women may be associated with CMD, as evidenced in the present study.Therefore, the presence of CMD is closely linked to social disadvantage factors (7) . Low education level is associated with socioeconomic conditions.…”