Dual burden of chronic physical diseases and anxiety/mood disorders among São Paulo Megacity Mental Health Survey Sample, Brazil

Askari, Melanie S.; Andrade, Laura Helena; Filho, Alexandre Chiavegatto; Silveira, Camila Magalhães; Siu, Erica Rosanna; Wang, Yuan‐Pang; Viana, María Carmen; Martins, Sílvia S.

doi:10.1016/j.jad.2017.05.027

Cited by 15 publications

(13 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A cycle is therefore established, in which one disorder makes the other worse. A depressed patient is less active and restricts his/her social coexistence, which could intensify the situations of pain and worsen the DS, and so on in endless succession 23 .…”

Section: Discussionmentioning

confidence: 99%

Depressive symptoms in the elderly and its relationship with chronic pain, chronic diseases, sleep quality and physical activity level

Silva

Ferretti

Pinto

et al. 2018

Brazilian Journal of Pain

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: Depressive symptoms are often experienced by the elderly, being a public health problem. The objective of this study was to verify the relation between depressive symptoms and the presence and intensity of chronic pain with sleep quality and physical activity level. METHODS: Research with 385 aged residents in a municipality of Santa Catarina. The Morais adapted questionnaire, the numerical visual pain scale, and the International Physical Activity Questionnaire were used to assess the level and volume of physical activity, the Pittsburgh Sleep Quality Index, and the Geriatric Depression Scale. Data analysis by the Mann-Whitney U test, Chi-square (X²) and Spearman's correlation. RESULTS: Of the 385 aged evaluated, 30.6% had depressive symptoms. Older people who had depressive symptoms complained more of pain, poor sleep quality and had less physical activity (p=0.001). The X² values between chronic pain, sleep quality and physical activity level with presence and absence of depression symptoms were 25.078, 27.707 and 9.009, respectively (p<0.05), and the correlation between depressive symptoms and sleep quality was 0.423 (p<0.05). CONCLUSION: Elderly people with depressive symptoms had a higher intensity of pain, worse quality of sleep and lower intensity of physical activity. There was an association between the presence of chronic pain, level of physical activity and quality of sleep with depression symptoms and moderate correlation between depression symptoms and sleep quality RESUMO JUSTIFICATIVA E OBJETIVOS: Os sintomas depressivos são frequentemente vivenciados pelos idosos, constituindo-se um problema de saúde pública. O objetivo deste estudo foi verificar a relação entre sintomas depressivos e a presença e intensidade da dor crônica com a qualidade do sono e o nível de atividade física. MÉTODOS: Pesquisa com 385 idosos residentes em um município catarinense. Utilizou-se o questionário adaptado de Morais, escala visual numérica da dor, questionário Internacional de Atividade Física para avaliação do nível e volume de atividade física, escala de avaliação do índice de qualidade do sono de Pittsburgh e escala de depressão geriátrica. A análise dos dados pelos testes U de Mann-Whitney, Qui-quadrado (X²) e correlação de Spearman. RESULTADOS: Dos 385 idosos avaliados, 30,6% apresentaram sintomas depressivos. Idosos que apresentaram sintomas depressivos possuíam maior queixa de dor, pior qualidade do sono e menor volume de prática de atividades físicas (p=0,001). Os valores do X² entre dor crônica, qualidade do sono e nível de atividade física com presença e ausência de sintomas depressivos foram 25,078, 27,707 e 9,009, respectivamente (p<0,05) e a correlação entre sintomas depressivos e qualidade do sono foi de 0,423 (p<0,05). CONCLUSÃO: Idosos com sintomas depressivos apresentaram maior intensidade da dor, pior qualidade do sono e menor intensidade de atividade física. Houve associação entre a presença de dor crônica, nível de atividade física e qualidade do sono com sintomas depress...

show abstract

Section: Discussionmentioning

confidence: 99%

Depressive symptoms in the elderly and its relationship with chronic pain, chronic diseases, sleep quality and physical activity level

Silva

Ferretti

Pinto

et al. 2018

Brazilian Journal of Pain

View full text Add to dashboard Cite

show abstract

“…One of the comorbidities that must be considered in depression is the chronic pain (DeVeaugh-Geiss et al, 2010;Fishbain et al, 1997;Gambassi, 2009;Knaster et al, 2016;Watson et al, 2009). According to the literature, chronic pain occurs in more than half of the cases of depression (Askari et al, 2017;Bair et al, 2008;Gambassi, 2009), it is related to lower responsiveness to treatment, and a worse prognosis for both disorders (DeVeagh-Geiss et al, 2010). It is difficult to establish whether pain or depression appears first, but studies suggested the influence of psychosocial factors as one of the hypothesis for explaining this interaction (Goesling et al, 2013;Gambassi, 2009;Gatchel, 2004;Campbell et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Child Abuse and Neglect as Risk Factors for Comorbidity Between Depression and Chronic Pain in Adulthood

Macedo¹,

Baes

Menezes

et al. 2019

J Nerv Ment Dis

View full text Add to dashboard Cite

show abstract

“…The higher prevalence of polypharmacy among respondents with self-reported depression is explained by the fact that depression is often accompanied by comorbidities that are treated with accessible drugs 23 . Only 11% of those who reported depression with comorbidities were not on any chronic medication, and the prevalence of polypharmacy among those who reported depression was quite high (22%).…”

Section: Discussionmentioning

confidence: 99%

Nationwide use of psychotropic drugs for treatment of self-reported depression in the Brazilian urban adult population

Ramos

Mari

Fontanella

et al. 2020

Rev. bras. epidemiol.

View full text Add to dashboard Cite

ABSTRACT: Objective: Antidepressant use is increasing worldwide, but national data on psychotropic drug use by depressed patients in Brazil is lacking. Methodology: Between 2013 and 2014, a representative sample of urban adult individuals were asked if they had a diagnosis of chronic disease, had a medical indication for drug treatment, and were taking chronic medications at the time for each reported diagnosis. We analyzed the frequencies of reported depression and the medications related to this disease. Results: Overall, 6.1% of respondents reported depression. The prevalence increased with age - 9.5% among the elders - was higher among women (8.9%) and in the south of the country (8.9%). As a single disease, the prevalence of depression was higher among young people (17.6%). Among those with multimorbidity, the prevalence of depression rose to 25.7%. Of those who reported depression, 81.3% had medical indication for treatment and 90.3% were under treatment - this proportion was lower among young people (84.5%) and those living in the poorest region (78.6%). Antidepressants accounted for 47.2% of psychotropic drugs taken by respondents with depression, with regional differences - only 30% used antidepressants in the North. Polypharmacy was reported by 22% of those with depression and other chronic diseases. Conclusion: Depression in Brazil, is common among young adults as a single chronic disease and highly prevalent among people with chronic multimorbidity, especially the young. The treatment gap was larger among young people and in the less developed regions of the country.

show abstract

Dual burden of chronic physical diseases and anxiety/mood disorders among São Paulo Megacity Mental Health Survey Sample, Brazil

Cited by 15 publications

References 27 publications

Depressive symptoms in the elderly and its relationship with chronic pain, chronic diseases, sleep quality and physical activity level

Depressive symptoms in the elderly and its relationship with chronic pain, chronic diseases, sleep quality and physical activity level

Child Abuse and Neglect as Risk Factors for Comorbidity Between Depression and Chronic Pain in Adulthood

Nationwide use of psychotropic drugs for treatment of self-reported depression in the Brazilian urban adult population

Contact Info

Product

Resources

About