Adesão e não adesão ao tratamento psiquiátrico para depressão

• Autor(a) principal: Cunha, Marines de Fátima
• Data de Publicação: 2006
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFU
• Texto Completo: https://repositorio.ufu.br/handle/123456789/17170
• topic: Adesão ao tratamento; Não adesão ao tratamento; Depressão; Saúde mental; Psicologia; Depressão mental; Treatment adhesion; Non-treatment adhesion; Depression; Mental health; Psychology; CNPQ::CIENCIAS HUMANAS::PSICOLOGIA

Considering the adhesion to the medical treatment as fundamental to the handling of depression, and stating that non-adhesion to this treatment can occur with an important frequency, this study aimed at understanding the phenomena related to the adhesion and nonadhesion to the psychiatric treatment for depression, under the perspective of users and former users of a Mental Health Public Service of Araguari MG, a city in Triângulo Mineiro. The sample consisted of 24 patients, 12 of them considered adherent to the treatment for depression and 12 considered non-adherent to it, according to the criterion of frequency to the medical appointment. Semi-directive interviews were conducted individually with each participant, and content analysis on theme analysis perspective was done from the transcribed reports. It was verified that adhesion and non-adhesion to the medical treatment for depression consists of multifactoral phenomena. It was identified threes big aspects or perspectives to be considered on the behavior of adhesion and non-adhesion to this type of treatment. On the perspective of Intrapersonal Aspects , it was conceived the participation of factors related to the patient that could facilitate and also make difficult the adhesion to the treatment, according to its polarity. On this way, the presence of factors as patient s motivation for the treatment, the positive interpretation in relation to the treatment results and the acknowledgment of depression as a disease, are considered as adhesion facilitators. Complementary, the negative form or absence of factors that composed the same aspect prejudice the adhesion behavior, in a way that the patient s lack of motivation to the treatment/improvement, the negative interpretation in relation to the treatment results, nonacknowledgment of depression as a disease, plus the depression s symptomatology, were associated to the intrapersonal aspects that favor non-adhesion. The second aspect identified to the behavior of adhesion/ non-adhesion denominated importance to the interpersonal relationship with the Mental Health team and the presence of familiar support constituted the facilitator pole of adhesion to the treatment on the perspective of Interpersonal Aspects . In opposition, when these relations are understood or lived negatively they can work as barriers to the treatments adhesion, associated to these two situations, it was present the social prejudice as interfering to this behavior. The Context of the Treatment was also considered as an important interfering on the adhesion/ non-adhesion to the therapeutic, as it revealed the importance to the accessibility and non-accessibility to the treatment on the evaluation of the adhesion to the treatment and also estimated the importance to the psychological treatment as a facilitator to the depressive patients adhesion to the therapeutical. The results suggest a reflection about the role of the mental health teams on the formulation of practices directed to the improvements of adhesion to the treatment considering: the individual and the relation that he/she makes with his/her disease and treatment; the family and the community, and their representations of depression, mental disease, treatment, and about the mental health unity; the capacity and qualification of mental health professionals; and also the influence to the construction of mental health policies that support the needy patient by subsidizing his/her treatment completely.