Impact of different approaches of primary care mental health on the prevalence of mental disorders

Moscovici, Leonardo; Marques, João Mazzoncini de Azevedo; Bolsoni, Lívia Maria; Rodrigues-Júnior, Antônio Luiz; Zuardi, Antônio Waldo

doi:10.1017/s1463423617000743

Cited by 3 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another study of the general adult population in 21 countries reported a 12-month prevalence rate of depression ranging from 2.4 to 10.1% and suggested that only a minority of depressed patients receive treatment [14]. However, specific educational programmes for family physicians [15][16][17], providing information on Internet [18] and electronic health [19] can improve diagnostics of depression in primary care settings and decrease the prevalence of mental disorders over the long term [16].…”

mentioning

confidence: 99%

Prevalence and associated factors of mental disorders in the nationwide primary care population in Latvia: a cross-sectional study

et al. 2020

View full text Add to dashboard Cite

Background: Mental disorders are common amongst patients in primary care. There are no published studies on the prevalence of mental disorders in primary care patients in Latvia. The purpose of the study was to evaluate the current prevalence of mental disorders in the nationwide Latvian primary care population and to study possible associated factors and comorbidity of mental disorders. Methods: A cross-sectional study within the framework of the National Research Program BIOMEDICINE 2014-2017 was performed at 24 primary care settings across Latvia. Adult patients seen over a 1-week time period at each facility were invited to participate in the study. Sociodemographic variables (age, sex, education, employment and marital status, place of residence, and ethnicity) were assessed onsite. A Mini-International Neuropsychiatric Interview assessment was conducted over the telephone within 2 weeks after the visit to the general practitioner (GP). Results: Overall, 1485 individuals completed the interview. The current prevalence of any mental disorder was 37.2% and was significantly greater in women. Mood disorders (18.4%), suicidality (18.6%) and anxiety disorders (15.8%) were the most frequent diagnostic categories. The current prevalence of any mood disorder was associated with being 50-64 years of age, female sex, economically inactive status, divorced or widowed marital status and urban place of residence, whilst any current anxiety disorder was associated with female sex, lower education, and single marital status; however, being of Russian ethnicity and residing in a small city were protective factors. Suicidality was associated with female sex, lower education, unemployment or economically inactive status, being divorced or widowed and residing in a small city. The comorbidity rates between mental disorders varied from 2.9 to 53.3%. Conclusions: High prevalence rates of mental disorders, comorbidity and certain associated socio-demographic factors were found in primary care settings in Latvia. This highlights the importance of screening for depression and anxiety disorders and suicidal risk assessment by GPs. The results are fundamentally important for integrative medicine, monitoring and promotion of mental healthcare at the primary care level, as well as for healthcare policy and development of strategic plans in Latvia.

show abstract

mentioning

confidence: 99%

Prevalence and associated factors of mental disorders in the nationwide primary care population in Latvia: a cross-sectional study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Phase 1, described in a previous publication, 15 involved 1,545 subjects randomly selected on the basis of a household geographical information system covering the three areas (FHS, FHS+SC, and TC). 16 A random sample – involving 50% of Phase 1 participants – was contacted and invited to participate in Phase 2.…”

Section: Methodsmentioning

confidence: 99%

Associations between primary health care strategies and outcomes of mental disorders

Moscovici

Balco

Degani

et al. 2020

Braz. J. Psychiatry

Self Cite

View full text Add to dashboard Cite

Objective: To investigate associations between the percentage and severity of mental disorders (MD) and three different primary health care (PHC) strategies in Brazil: traditional care (TC), the Family Health Strategy (FHS), and FHS with shared mental health care (FHS+SC). Methods: Random samples were selected from three different areas of a Brazilian city. Each area was served by a different PHC strategy (TC, FHS, or FHS+SC). Five mental health professionals, blinded to the type of PHC strategy delivered in each area, conducted interviews using the Mini International Neuropsychiatric Interview (MINI) and other specific instruments to assess the prevalence and severity of MD. Results: 530 subjects were interviewed. The TC strategy was significantly associated with a higher percentage of MD when compared to FHS and FHS+SC. These results were not affected by adjustment for sociodemographic variables. The difference in prevalence of MD between the two FHS areas (with and without SC) was not statistically significant. No significant differences in MD severity were observed across the three PHC strategies. Conclusion: Areas covered by FHS showed a lower percentage of MD than those covered by TC. Presence of SC did not influence the prevalence of MD, suggesting that mental-health training of FHS teams may have minimized the influence of SC.

show abstract

“…No entanto, estudos mostram que as equipes da APS fazem a detecção de aproximadamente 50% das pessoas com problemas de saúde mental dentro no seu território e que, mesmo quando o problema é detectado, a taxa de tratamento adequado é baixa (6) Os referenciais teórico-práticos para essas ações de cuidado integrado em saúde mental foram experiências britânicas, canadenses e norte-americanas de consultoria e ligação em saúde mental na APS (9)(10)(11)(12) . psicólogos, médicos ou assistentes sociais (6,9,11,(13)(14)(15) .…”

Section: Descriptoresunclassified

Consultoria e ligação em saúde mental na perspectiva da equipe da Estratégia de Saúde da Família

Zanetti

Galera

Souza

et al. 2019

SMAD Rev Eletr Saúde Mental Álcool Drog

View full text Add to dashboard Cite

Objetivo: analisar as atividades de consultoria e ligação, realizadas pelos profissionais especializados em Saúde Mental, na perspectiva dos profissionais da ESF. Método: estudo exploratório, realizado em cinco núcleos de Saúde da Família, em um município do interior paulista, em 2010. Os dados foram obtidos por meio de entrevistas, os quais foram submetidos à Análise de Conteúdo. Resultados: as atividades de consultoria e ligação mostraram-se como um espaço de aprendizado mútuo entre especialistas de Psiquiatria e Saúde Mental e equipes da ESF. Conclusão: recomenda-se a ampliação do número de atividades que articulem as ações de saúde mental com a ESF, como a consultoria e ligação, a fim favorecer a sensibilidade das equipes para as demandas de saúde mental na ESF e consolidação da integralidade do cuidado.

show abstract

Impact of different approaches of primary care mental health on the prevalence of mental disorders

Cited by 3 publications

References 23 publications

Prevalence and associated factors of mental disorders in the nationwide primary care population in Latvia: a cross-sectional study

Prevalence and associated factors of mental disorders in the nationwide primary care population in Latvia: a cross-sectional study

Associations between primary health care strategies and outcomes of mental disorders

Consultoria e ligação em saúde mental na perspectiva da equipe da Estratégia de Saúde da Família

Contact Info

Product

Resources

About