Comorbidade de sintomas ansiosos e depressivos em pacientes com dor crônica e o impacto sobre a qualidade de vida

Resumo Contexto: A depressão é um importante problema de saúde global e vem causando impacto negativo na vida dos indivíduos e na de suas famílias, além de elevar a demanda dos serviços de saúde. Objetivo: Verificar a prevalência de depressão e de fatores associados em indivíduos com idade superior a 14 anos que buscaram atendimento na atenção primária. Métodos: Estudo transversal em três Unidades Básicas de Saúde vinculadas à Universidade Católica de Pelotas. A depressão, os transtornos de ansiedade e o risco de suicídio foram avaliados por meio da Mini International Neuropsychiatric Interview (MINI), enquanto os fatores associados, como idade, gênero, vive ou não com o/a companheiro/a, escolaridade e uso de substâncias psicoativas, foram avaliados por meio de questionário sociodemográfico. Resultados: A prevalência de depressão foi de 23,9% (n = 256), apresentando-se mais evidente nas mulheres, com 4 a 7 anos de escolaridade, de classe socioeconômica D ou E, que abusam ou são dependentes de álcool, com algum transtorno de ansiedade e com risco de suicídio (p < 0,050). Conclusão: Diante de tais resultados, salientamos a inserção de cuidados em saúde mental por meio de avaliações diagnósticas e de protocolos de atendimento que abarquem a depressão e suas comorbidades na atenção primária.Molina MRAL, et al. / Rev Psiq Clín. 2012;39(6):194-7 Palavras-chave: Depressão, transtorno depressivo, atenção primária à saúde, atenção básica, epidemiologia. AbstractBackground: Depression, an important global health problem, negatively impacts the lives of individuals and their families beyond simply increasing the demand for health services. Objective: To assess the prevalence of depression and associated mental health issues in individuals older than 14 years of age seeking primary care. Methods: A cross-sectional study was conducted in three primary care units involved with the Catholic University of Pelotas. Depression, anxiety disorders, and suicide risk were assessed using the Mini International Neuropsychiatric Interview (MINI). Factors such as age, gender, solitary living, education, and psychoactive substance use were evaluated using a sociodemographic questionnaire. Results: The overall prevalence of depression was 23.9% (n = 256). Depression was more prevalent in women with only 4-7 years of education, in women who belong to socioeconomic class D or E, in those who abuse or are dependent on alcohol, or in women who showed an anxiety disorder or suicide risk (p < 0.050). Discussion: Based on these findings, we emphasize the integration of mental health care into primary care through diagnostic evaluations and treatment protocols that cover depression and its comorbidities.

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“…Da mesma forma, usuários frequentes dos serviços de saúde apresentam comorbidades de doenças físicas e mentais 5,[38][39][40] .…”

Section: Discussionunclassified

Prevalência de depressão em usuários de unidades de atenção primária

Molina¹,

Wiener²,

Branco³

et al. 2012

Rev. psiquiatr. clín.

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“…Around 80% of people with chronic pain report that it interferes in their activities of daily living, while about two-thirds of such individuals indicate that pain negatively impacts their personal relationships 2 . Chronic pain also has biopsychosocial consequences, emphasizing the magnitude of the problem, especially among elderly persons with a greater prevalence of such pain.…”

Section: Introductionmentioning

confidence: 99%

Anxiety disorder in elderly persons with chronic pain: frequency and associations

Santos

Cendoroglo

Santos

2017

Rev. bras. geriatr. gerontol.

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Objectives: to evaluate the frequency of anxiety disorders in older elderly persons with chronic pain and identify associated factors. Method: a descriptive, analytical and cross section study of the "Projeto Longevos" ("Long-Lived Elderly Persons Project") was carried out, featuring elderly persons living in the community who were aged 80 or over. Older elderly persons with chronic pain were selected, and data regarding their sociodemographic characteristics and factors related to pain was gathered, especially with regard to the multidimensional nature of pain, according to the "Geriatric Pain Measure-p" (GPM-p). Self-perception of health was also recorded and functionality assessments were carried out, along with the screenings for depression and anxiety disorders, according to the Geriatric Depression Scale and the State-Trait Anxiety Inventory, respectively. Associations were analyzed by Pearson correlation, the ANOVA Test and Tukey multiple comparisons. Results: the sample was composed of 41 elderly persons with a mean age of 85.7 years, most of whom were female, white, widowed and had a low education. A high prevalence of anxiety disorders was observed, being 53.6% and 68.3%, respectively, for trait and state anxiety. A significant, but not high, correlation was found between the anxiety trait and chronic pain according to the GPM-p (r=31.5%; p=0.048), and there was a significant and high correlation between the same type of anxiety and depression (r=61.3%; p<0.001). Conclusion: anxiety disorders were very prevalent in older elderly persons with chronic pain, and these correlated significantly with pain and depression, which could justify the need for varied multidisciplinary therapeutic measures against the persistent pain conditions of the elderly.

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“…Sea agudo o crónico, el dolor puede inducir en el individuo la manifestación de distintos sínto-mas como fatiga, disminución de la concentración, sueño irregular o insomnio, irritabilidad y problemas sociales en el ejercicio de sus funciones profesionales (Castro et al, 2011).…”

Section: Introductionunclassified

Evaluación de las diferencias de género en las estrategias de afrontamiento del dolor lumbar

Zavarize

Wechsler

2016

Act.Colom.Psicol.

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ResumenEl dolor lumbar puede ser visto como un gran problema de salud pública. Las diferencias de género son importantes factores que influyen en los síntomas y en las respuestas del comportamiento. El objetivo de este estudio fue investigar las diferencias de género en los comportamientos de dolor y en el manejo del dolor lumbar crónico. La muestra estuvo conformada por 158 participantes (66,5% mujeres), con edades entre los 30 y 88 años que fueron diagnosticados con artrosis lumbar. Los instrumentos utilizados fueron: la Escala Visual Analógica, el Cuestionario de Calidad de Vida y un cuestionario para evaluar las actividades de ocio y distracción del dolor. Los resultados del MANOVA demostraron que las mujeres presentaron mayor percepción del dolor que los hombres. También fue posible observar frecuencias más altas de actividades sociales en las mujeres, así como correlaciones significativas entre las actividades sociales y los dominios psicológicos, sociales y medio ambientales. En conclusión, las mujeres presentan un mayor número de estrategias de afrontamiento para el dolor, lo cual puede influir positivamente en su calidad de vida. Palabras clave: dolor, dolor lumbar, género, optimismo, afrontamiento. ASSESSMENT OF GENDER DIFFERENCES IN COPING STRATEGIES FOR LOW BACK PAIN AbstractLow-back pain is considered a serious public health problem. Gender differences are important factors that influence symptoms and behavioral responses. This research aimed to investigate gender differences in pain behaviors and pain management of chronic low back pain. The sample consisted of 158 participants (66.5% female), aged 30-88 who were diagnosed with Lumbar Osteoarthritis. The instruments used were the Visual Analogue Scale, the Quality of Life Questionnaire and a questionnaire to assess leisure and distraction activities from pain. Results of MANOVA showed that women have significant greater pain perception than men. Higher frequencies of social activities were also observed for women as well as significant correlations between social activities and psychological, social and environmental domains. In conclusion, women presented a greater number of coping strategies for pain than men, which probably tend to have a positive influence in their life quality.

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Comorbidade de sintomas ansiosos e depressivos em pacientes com dor crônica e o impacto sobre a qualidade de vida

Cited by 39 publications

References 27 publications

Prevalência de depressão em usuários de unidades de atenção primária

Prevalência de depressão em usuários de unidades de atenção primária

Anxiety disorder in elderly persons with chronic pain: frequency and associations

Evaluación de las diferencias de género en las estrategias de afrontamiento del dolor lumbar

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