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

Jornal Brasileiro de Psiquiatria

Flávia Batista Portugal¹  Mônica Rodrigues Campos¹  Daniel Almeida Gonçalves¹  Jair De Jesus Mari¹  Linda Gask¹  Peter Bower¹  Christopher Dowrick¹  Sandra Fortes¹ 

关键词: Mental health;    primary health care;    quality of life;    mental disorders;    socioeconomic factors;    Saúde mental;    atenção primária à saúde;    qualidade de vida;    transtornos mentais;    fatores socioeconômicos;   

DOI  :  10.1590/0047-2085000000004

来源: SciELO

【 摘 要 】

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.

【 授权许可】

CC BY   
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