Psychiatric morbidity and quality of life of primary care attenders in two cities in Brazil

Abstract

Objective: To identify the associations among quality of life (QoL), social determinants and psychological distress in primary care in two cities in Brazil. Methods: A cross-sectional study with 1,466 patients from 2009 to 2010. The statistical analysis used the t-test to compare the variables of interest to the study. Results: The prevalence of Common Mental Disorders (CMD3), severe forms of Common Mental Disorders (CMD5), anxiety and depression were 20.5%, 32%, 37% and 25.1% respectively. Thes presence of psychological distress is associated with worse QoL among the patients studied, especially those older than 40 years of age. In cases of CMD3, those with higher income and educational levels presented higher QoL in the psychical and psychological domains. For the cases of probable anxiety, those with higher educational levels presented lower scores on the physical and social relationship scores. Conclusion: Psychological distress can be associated with a worse QoL among those studied and can be influenced by socioeconomic conditions. Therefore, it is important to structure patient-centered help, which should also include patients’ social contexts.

Relação do uso de álcool e transtornos mentais comuns com a qualidade de vida de pacientes na atenção primária em saúde

“…Alcohol abuse is a major public health problem and is associated with increased rates of mortality and morbidity due to its potential to cause disease and relationship with loss of quality of life (QoL) 1 . In 2008, alcohol abuse/dependence was the second, third, and sixth leading cause of Disability Adjusted Life Years or DALYs -years of life lost due to premature mortality and due to disability -among Brazilian men aged between [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44], and 45-59 years, respectively 2 . The second National Alcohol and Drugs Survey conducted in 2012 showed that the prevalence of the harmful use of alcohol and alcohol dependence was 16% and 6.8%, respectively 3 , while a multicentric study conducted in the same year reported that alcohol abuse (9.8%) and alcohol dependence (3.3%) were the second and third most prevalent lifetime disorders, respectively 4 .…”

Padrões de Apoio Social na Atenção Primária à Saúde: diferenças entre ter doenças físicas ou transtornos mentais

“…In a survey on life events that produced stress and quality of life, Portugal et al 40 found a negative influence of health problems in the physical domain and in social relationships, with hospitalization and illness influencing social interaction.…”

“…In order to construct the support network's variables, data were collected through the general questionnaire plus a block of questions about the support network developed for the Pró-Saúde study by Chor et al 4 and adapted from the Berkman & Syme tool 38,39 . The Social Network Index (SNI) was used, a social integration indicator structured by Correia et al 39 applied in other Brazilian studies 39,40 . This index is calculated from the sum of the variables: with a partner (no = 0, yes = 1); number of friends and close relatives (0-2 relatives and 0-2 close friends = 0, any other combination = 1), participation in religious services and activities (twice/month or more = 1, others = 0) and participation in group activities (no = 0, yes = 1).…”

“…The following categories were established to measure users' level of social integration: isolation (SNI = 0 or 1) and integration (SNI = 3 or 4), taking into account the studied population's lack of opportunities to participate in group activities and also considering the social vulnerability to which it is submitted. Following the pattern used in previous research 40 , the score (SNI = 2) was not considered in any of the categories established because it is a group that is not very differentiated in the support network composition aspect, and can thus affect the proposed analyses.…”

Saúde mental na rede de atenção à saúde em um município do interior de São Paulo

“…Acrescenta-se que independente da presença de um diagnóstico, o sofrimento psíquico afeta a qualidade de vida (PORTUGAL et al, 2014).…”