TY - JOUR
T1 - Associa̧tiao entre sintomas depressivos e funcionamento social em cuidados primários à saúde
AU - Fleck, Marcelo Pio de Almeida
AU - Barros da Silva Lima, Ana Flávia
AU - Louzada, Sérgio
AU - Schestasky, Gustavo
AU - Henriques, Alexandre
AU - Borges, Vivian Roxo
AU - Camey, Suzi
AU - Patrick, Donald
AU - Buesching, Don
AU - Andrejasich, Carol
AU - Treglia, Michael
AU - Martin, Mona
AU - Bushnell, Don
AU - Jones-Palm, Diane
AU - McKenna, Stephen
AU - Orley, John
AU - Billington, Rex
AU - Simon, Greg
AU - Chisholm, Daniel
AU - Knapp, Martin
AU - Diehr, Paula
AU - Herrman, Helen
AU - Amir, Marianne
AU - Lucas, Ramona
AU - Lomachenkov, Aleksandr
PY - 2002/8/1
Y1 - 2002/8/1
N2 - 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.
AB - 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.
KW - Cost of illness
KW - Depression
KW - Evaluation
KW - Mental health
KW - Primary health care
KW - Quality of life
UR - http://www.scopus.com/inward/record.url?scp=11244320680&partnerID=8YFLogxK
U2 - 10.1590/s0034-89102002000400008
DO - 10.1590/s0034-89102002000400008
M3 - מאמר
C2 - 12364916
AN - SCOPUS:11244320680
SN - 0034-8910
VL - 36
SP - 431
EP - 438
JO - Revista de Saude Publica
JF - Revista de Saude Publica
IS - 4
ER -
