Epidemiology of Mental Disorders in Primary Care Settings

Aim: Describe levels of depression, anxiety and stress among users of an urban/rural health centre, analyse sex differences and comorbidity between depression, anxiety and stress.Method: Descriptive co-relational study with a Portuguese version of DASS-21; consecutive sample (n=343). Results: 40.52%, 43.48% and 45.06% of individuals present some degree of depression, anxiety and of stress, respectively. Severe or very severe levels of disturbance were found in 20.87% (anxiety), 22.38% (stress) and 12.24% (depression) of individuals. Women present higher levels of depression, anxiety and stress. Depression, Anxiety and Stress are strongly and positively associated. Conclusion: These results show high point prevalence -higher than in other countries -and reveal differences in sex as well as comorbidity. They may allow for the development of a local and community intervention strategy for mental health promotion and disease prevention, particularly for women. forte e positivamente associados. Esses resultados apontam para elevada prevalência -mais alta que em outros países -e revelam diferenças de sexo e comorbilidade. Com base neles, poder-se-á desenvolver estratégia de intervenção local e comunitária para a promoção da saúde mental e prevenção da doença, particularizando as mulheres.Descritores: Depression; Anxiety; Primary Health Care. Depresión, ansiedad y estrés en usuarios de cuidados primarios de saludLos objetivos de este estudio fueron: describir niveles de depresión, ansiedad y estrés de los usuarios de un centro de salud urbana/rural, analizar diferencias de género y la comorbilidad entre depresión, ansiedad y estrés. Se trata de un estudio descriptivo correlacional aplicando una versión portuguesa de la DAS-21 en una muestra consecutiva (n=343). Se constató algún grado de depresión, ansiedad y estrés en 40,52%, 43,48% y 45,06% de los individuos, respectivamente. Se identificaron niveles graves o muy graves de ansiedad en 20,87% de los individuos, de estrés en 22,38% y de depresión en 12,24%. Las mujeres presentaron niveles promedios de depresión, ansiedad y de estrés más elevados. La depresión, la ansiedad y el estrés están fuertemente y positivamente asociados. Se concluye que estos resultados apuntan para una elevada prevalenciamás alta que en otros países -y revelan diferencias de género y comorbilidad. Con base en los hallazgos, se podrá desarrollar una estrategia de intervención local y comunitaria para la promoción de la salud mental y prevención de la enfermedad, particularmente de las mujeres.

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“…Different filters occur before the patient has access to specialized health care and one of the most important is at the level of PHC (9) .…”

Section: Introductionmentioning

confidence: 99%

Depression, anxiety and stress in primary health care users

Apóstolo

Figueiredo

Mendes

et al. 2011

Rev. Latino-Am. Enfermagem

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“…9,45 The prevalence of patients with depressive symptoms that fall short of meeting the criteria for a diagnosis of major depression is at least 2-3 times that of those who receive a diagnosis of major depression. Young adults are the most affected, with the elderly showing lower prevalence rates than would be expected.…”

Section: Other Populationsmentioning

confidence: 99%

“…Goldberg and Huxley provide extensive evidence that common mental disorders in the community level account for enormous suffering, severe disability and elevated financial costs. 45 From the perspective of public mental health, it is essential to keep this framework in mind. Since most cases occur in the first levels of the model (that is, to up primary health care), the bulk of disability in the population will occur here, even though more severe cases will be found in the specialty sector.…”

Section: Pathways To Mental Health Carementioning

confidence: 99%

Depression in late life: a hidden public health problem for Mexico?

1999

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“…If tobacco dependence and pathological gambling were included, the overall prevalence was 29.1%. Since most people with mental disorders will show up in primary healthcare, although largely for somatic discomforts, primary healthcare theoretically may play a pivotal role in the community psychiatry framework [3,4].…”

Section: Introductionmentioning

confidence: 99%

A Survey of Mental Health of New Patients at Traditional Chinese Medical Clinic

Ng¹,

Fong²,

Wang³

2011

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In Chinese society, traditional Chinese medical clinics are popular and play a significant role in primary healthcare. The current study aimed to examine the mental health of new patients at Chinese medical clinics. A cross-sectional questionnaire survey was conducted. Subjects were new patients of a Chinese medical clinic recruited through 100% consecutive sampling during a 5-week period. A response rate of 84.2% and a sample size of 367 were achieved. Samples included 111 (30.2%) men and 256 (69.8%) women. Mean age was 44.0 (SD = 17.1). Presenting problems were all somatic, with 68.3% lasted over 1 month and 37.1% lasted over 1 year. In the month prior to the first consultation, 26.4%, 33.2% and 19.3% patients consulted other public, private and Chinese medical clinics on average 1.5, 1.9 and 3.0 times respectively. Besides, 7.4% and 6.5% patients self-administered Western and Chinese drugs on average 1.3 and 2.4 times respecttively. Using a cut-off of ≥ 5 on GHQ-12, prevalence of common mental disorders was estimated at 21.0%. In conclusion, findings revealed that common mental disorders were prevalent among new Chinese medicine patients although presenting problems of subjects were all somatic. Many of these presenting medical conditions were chronic, with 68.3% lasting over 1 month and 37.1% lasting over 1 year. Over 70% patients had been seeking various forms of treatment in the month prior to first consultation. Mental health and illness behavior of Chinese medicine patients warrants further research and attention.

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Epidemiology of Mental Disorders in Primary Care Settings

Cited by 109 publications

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Depression, anxiety and stress in primary health care users

Depression, anxiety and stress in primary health care users

Depression in late life: a hidden public health problem for Mexico?

A Survey of Mental Health of New Patients at Traditional Chinese Medical Clinic

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