Identificação de casos psiquiátricos em estudos epidemiológicos multifásicos: métodos, problemas e aplicabilidade

• Autor(a) principal: Andreoli, Sergio Baxter [UNIFESP]
• Data de Publicação: 2000
• Outros Autores: Almeida Filho, Naomar de, Coutinho, Evandro Sf, Mari, Jair de Jesus [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0034-89102000000500007; http://repositorio.unifesp.br/handle/11600/1035
• topic: Mental disorders; Psychiatric status rating scales; Multicenter studies; Morbidity surveys; Prevalence; Epidemiologic studies; Mental status schedule; Evaluation studies; Transtornos mentais; Escalas de gradação psiquiátrica; Estudos multicêntricos; Inquéritos de morbidade; Prevalência; Estudos epidemiológicos; Entrevista psiquiátrica padronizada; Estudos de avaliação

OBJECTIVE: To discuss methodological aspects of the two stages in the identification of psychiatric cases in epidemiological studies. METHODS: Analyze the methodology used in the Multicentric Psychiatric Morbidity Study, which was conducted in three Brazilian cities (São Paulo, Brasília and Porto Alegre). In the first stage of that study, a random sample (6,740 individuals) of the population was drawn and all the participants were screened with the Questionnaire of Psychiatric Morbidity of the Adult (QMPA). In the second stage, a sample (775 individuals) of this population was drawn and these individuals were submitted to the Inventory of Symptoms of DSM-III, carried out by psychiatrists and trained psychologists. RESULTS: The study procedure for estimating the prevalence is described in details, showing that though the screening scales are a weak tool, they don't interfere with the methodology. CONCLUSION: The advantage of this methodology is to correct any distortions caused by the current tools used in the identification of psychiatric cases.