Mental Health Needs and Psychoactive Drug Use in a User Population of the Family Health Strategy (FHS) in Ribeirão Preto, São Paulo, Brazil

Abstract

This cross-sectional study was conducted in Family Health Care's field of Ribeirão Preto city, São Paulo, Brazil to identify the prevalence of substance-related disorders and mental distress among patients with mental disorders. We also aimed to identify sociodemographic and social support risk factors. The data collection was done using medical records, the Social Support Questionnaire (SSQ-6), Self Report Questionnaire (SRQ-20) and home visits. Of the 272 families studied, 211 contained individuals with mental disorders, and 61 included individuals who had substance-related disorders, or both. The mental disorders recorded in these families were most frequently mood disorders, followed by neurotic disorders, stress-related disorders and somatoform disorders. Women received twice as many psychotropic prescriptions associated with non-psychiatric medication. A significant relationship was established between education and mental distress as measured using the SRQ-20 (p = 0.024). The SSQ-6 revealed a family presence of social support in all of the conditions established by the six questions.

Hospitalizations due to psychoactive substances usage: a psychiatric hospital study

“…In this sense, the data obtained may indicate that some cases, due to their complexity and severity, require recurrent hospital care in addition to the usual monitoring of the Family Health Strategy. 12 In a survey carried out in the Minas Gerais State, hospital admissions due to disorders caused by substance abuse were identified, of which, as observed in the present study, there were episodes of readmission. In New York city, a study revealed a predominance of hospitalizations for depressive episodes for those patients with a history of abuse of psychoactive substances.…”

Descrição do consumo de psicofármacos na atenção primária à saúde de Ribeirão Preto, São Paulo, Brasil

“…Foi observado que fluoxetina, sertralina, diazepam e fenobarbital foram os medicamentos com o maior consumo no município estudado, considerando o consumo total, medido pela DDD/1.000PD e DDD75%/1.000PD, no ano de 2012. Luis et al 15 verificaram que mais da metade dos pacientes com doenças mentais atendidos em unidades da Estratégia Saúde da Família (ESF) da região oeste de Ribeirão Preto apresentaram transtornos de humor (42,2%) e ansiedade (16,2%), dos quais, 77,2% receberam prescrição de ansiolíticos, anticonvulsivantes ou antiepiléticos (55,5%), antidepressivos (19,2%) e estabilizador de humor (2,5%). Esses achados corroboraram o levantamento nacional realizado pela PNAUM, em que os antidepressivos e ansiolíticos estavam entre as classes farmacológicas mais utilizadas na atenção primária no Brasil 2 .…”