Association of depressive symptoms and social functioning in primary care service, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31532 |
Resumo: | OBJECTIVE: Depressive disorders represent a major public health problem due to their high prevalence and psychosocial impact. Depressed patients are assiduous users of primary care services, although their depression is very often misdiagnosed. The objective of the study is to evaluate the association between depressive symptoms and social functioning in individuals that seek primary care services in a Brazilian capital. METHODS: The study included 2,201 primary care users in the city of Porto Alegre, Brazil. The participants' physical and emotional health was assessed through an interview using a questionnaire including 2 general questions from the World Health Organization's Quality of Life instrument (WHOQOL - brief); other questions from the Medical Outcomes Study Short-Form 12 (SF-12), MHI 5 (MHI-5), Centers for Epidemiologic Studies - Depression (CES-D), and additional questions about work loss days and health care utilization. RESULTS: Of all individuals, 79.5% were women aged on average 40 years. The intensity of depressive symptoms (measured by CES-D) was 20.2 for women and 16.2 for men. All parameters studied had an inverse relationship with the intensity of depressive symptoms. CONCLUSIONS: This study reinforce the findings that depressive symptoms have a strong association with poor social functioning and quality of life and a higher utilization of health resources in primary care patients. |
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Association of depressive symptoms and social functioning in primary care service, Brazil Associação entre sintomas depressivos e funcionamento social em cuidados primários à saúde DepressãoCuidados primários de saúdeEfeitos psicossociais da doençaAvaliaçãoQualidade de vidaSaúde mentalDepressionPrimary health careCost of illnessEvaluationQuality of lifeMental health OBJECTIVE: Depressive disorders represent a major public health problem due to their high prevalence and psychosocial impact. Depressed patients are assiduous users of primary care services, although their depression is very often misdiagnosed. The objective of the study is to evaluate the association between depressive symptoms and social functioning in individuals that seek primary care services in a Brazilian capital. METHODS: The study included 2,201 primary care users in the city of Porto Alegre, Brazil. The participants' physical and emotional health was assessed through an interview using a questionnaire including 2 general questions from the World Health Organization's Quality of Life instrument (WHOQOL - brief); other questions from the Medical Outcomes Study Short-Form 12 (SF-12), MHI 5 (MHI-5), Centers for Epidemiologic Studies - Depression (CES-D), and additional questions about work loss days and health care utilization. RESULTS: Of all individuals, 79.5% were women aged on average 40 years. The intensity of depressive symptoms (measured by CES-D) was 20.2 for women and 16.2 for men. All parameters studied had an inverse relationship with the intensity of depressive symptoms. CONCLUSIONS: This study reinforce the findings that depressive symptoms have a strong association with poor social functioning and quality of life and a higher utilization of health resources in primary care patients. OBJETIVO: Os transtornos depressivos constituem um problema de saúde pública devido a sua alta prevalência e impacto psicossocial. Pacientes deprimidos são freqüentadores assíduos de serviços de atendimento primário, porém, muitas vezes, não são diagnosticados como tais. O objetivo do estudo é avaliar a associação entre sintomas depressivos e funcionamento social numa amostra de pacientes que procuraram um serviço de cuidados primários em uma capital brasileira. MÉTODOS: Foram avaliados 2.201 usuários de serviços de cuidados de saúde primários de Porto Alegre quanto à saúde física e emocional. Foi aplicado questionário em entrevista única, com duas questões genéricas de avaliação de qualidade de vida do World Health Organization Quality of Life (WHOQOL-Breve), mais itens do Medical Outcomes Study Short-Forms 12 (SF-12) e MHI 5 (MHI-5), do Centers for Epidemiologic Studies -- Depression (CES-D), além de outras questões referentes a busca de atendimento médico e faltas ao trabalho. Foram realizados testes de Kruska-Wallis e de comparações múltiplas de Tambane. RESULTADOS: Dos indivíduos estudados, 79,5% eram do sexo feminino, com média de idade de 40 anos. A intensidade da sintomatologia depressiva medida pelo CES-D foi de 20,2 para as mulheres e de 16,2 para os homens. Todos os parâmetros avaliados tiveram relação inversa com a intensidade dos sintomas depressivos. CONCLUSÕES: Os resultados reforçam a afirmativa de que a sintomatologia depressiva tem uma alta associação com pior funcionamento social e qualidade de vida e maior utilização de recursos de saúde em pacientes de cuidados primários. Universidade de São Paulo. Faculdade de Saúde Pública2002-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/.pdfhttps://www.revistas.usp.br/rsp/article/view/3153210.1590/S0034-89102002000400008Revista de Saúde Pública; Vol. 36 No. 4 (2002); 431-438 Revista de Saúde Pública; Vol. 36 Núm. 4 (2002); 431-438 Revista de Saúde Pública; v. 36 n. 4 (2002); 431-438 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31532/33417Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFleck, Marcelo Pio de AlmeidaLima, Ana Flávia Barros da SilvaLouzada, SérgioSchestasky, GustavoHenriques, AlexandreBorges, Vivian RoxoCamey, Suzi2012-07-08T14:39:14Zoai:revistas.usp.br:article/31532Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:39:14Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Association of depressive symptoms and social functioning in primary care service, Brazil Associação entre sintomas depressivos e funcionamento social em cuidados primários à saúde |
title |
Association of depressive symptoms and social functioning in primary care service, Brazil |
spellingShingle |
Association of depressive symptoms and social functioning in primary care service, Brazil Fleck, Marcelo Pio de Almeida Depressão Cuidados primários de saúde Efeitos psicossociais da doença Avaliação Qualidade de vida Saúde mental Depression Primary health care Cost of illness Evaluation Quality of life Mental health |
title_short |
Association of depressive symptoms and social functioning in primary care service, Brazil |
title_full |
Association of depressive symptoms and social functioning in primary care service, Brazil |
title_fullStr |
Association of depressive symptoms and social functioning in primary care service, Brazil |
title_full_unstemmed |
Association of depressive symptoms and social functioning in primary care service, Brazil |
title_sort |
Association of depressive symptoms and social functioning in primary care service, Brazil |
author |
Fleck, Marcelo Pio de Almeida |
author_facet |
Fleck, Marcelo Pio de Almeida Lima, Ana Flávia Barros da Silva Louzada, Sérgio Schestasky, Gustavo Henriques, Alexandre Borges, Vivian Roxo Camey, Suzi |
author_role |
author |
author2 |
Lima, Ana Flávia Barros da Silva Louzada, Sérgio Schestasky, Gustavo Henriques, Alexandre Borges, Vivian Roxo Camey, Suzi |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Fleck, Marcelo Pio de Almeida Lima, Ana Flávia Barros da Silva Louzada, Sérgio Schestasky, Gustavo Henriques, Alexandre Borges, Vivian Roxo Camey, Suzi |
dc.subject.por.fl_str_mv |
Depressão Cuidados primários de saúde Efeitos psicossociais da doença Avaliação Qualidade de vida Saúde mental Depression Primary health care Cost of illness Evaluation Quality of life Mental health |
topic |
Depressão Cuidados primários de saúde Efeitos psicossociais da doença Avaliação Qualidade de vida Saúde mental Depression Primary health care Cost of illness Evaluation Quality of life Mental health |
description |
OBJECTIVE: Depressive disorders represent a major public health problem due to their high prevalence and psychosocial impact. Depressed patients are assiduous users of primary care services, although their depression is very often misdiagnosed. The objective of the study is to evaluate the association between depressive symptoms and social functioning in individuals that seek primary care services in a Brazilian capital. METHODS: The study included 2,201 primary care users in the city of Porto Alegre, Brazil. The participants' physical and emotional health was assessed through an interview using a questionnaire including 2 general questions from the World Health Organization's Quality of Life instrument (WHOQOL - brief); other questions from the Medical Outcomes Study Short-Form 12 (SF-12), MHI 5 (MHI-5), Centers for Epidemiologic Studies - Depression (CES-D), and additional questions about work loss days and health care utilization. RESULTS: Of all individuals, 79.5% were women aged on average 40 years. The intensity of depressive symptoms (measured by CES-D) was 20.2 for women and 16.2 for men. All parameters studied had an inverse relationship with the intensity of depressive symptoms. CONCLUSIONS: This study reinforce the findings that depressive symptoms have a strong association with poor social functioning and quality of life and a higher utilization of health resources in primary care patients. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31532 10.1590/S0034-89102002000400008 |
url |
https://www.revistas.usp.br/rsp/article/view/31532 |
identifier_str_mv |
10.1590/S0034-89102002000400008 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31532/33417 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/.pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 36 No. 4 (2002); 431-438 Revista de Saúde Pública; Vol. 36 Núm. 4 (2002); 431-438 Revista de Saúde Pública; v. 36 n. 4 (2002); 431-438 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221780640530432 |