Prevalencia y factores asociados al trastorno mental común en asentados rurales
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2019.000379Palabras clave:
Prevalencia, Población rural, Trastornos mentales, Atención primaria de salud.Resumen
OBJETIVO: estimar prevalencia y factores asociados al trastorno mental común en moradores de un asentamiento rural. MÉTODO: estudio transversal realizado en 162 residentes de asentamiento localizado en la región Centro-Oeste de Brasil. Se aplicó un cuestionario semiestructurado, la probabilidad de trastorno mental común obtenida a través del Self-Reporting Questionnaire (SRQ-20) y la funcionalidad familiar fue evaluada por el instrumento APGAR de Familia. Los datos se analizaron en el programa STATA. RESULTADOS: la prevalencia de la probabilidad de trastorno mental común fue estimada con un intervalo de confianza del 95%. Se utilizó el análisis de regresión de Poisson con varianza robusta para evaluar la asociación entre el trastorno mental común y los potenciales predictores. La prevalencia de trastorno mental fue de 24,1%. Las variables "sexo femenino", "exposición a la violencia" y "uso de hipnóticos / sedantes" se asociaron. CONCLUSIÓN: se verificó que tales predictores deben ser considerados en la atención a la salud de esa población, en lo que se refiere a las prácticas de prevención y promoción de la salud, además de reflejar la necesidad de articulación de políticas públicas que acerquen a la población rural y al sector salud, independientemente de las barreras territoriales.
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Referencias
Baxter AJ, Patton G, Scott KM, Degenhardt L, Whiteford HA. Global epidemiology of mental disorders: what are we missing? PLoS One. [Internet]. 2013;8(6):e65514. [cited May 9 2016]. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3691161/pdf/pone.0065514.pdf>.
American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders DSM-V. 5th ed. Washington, DC: APA; 2013.
Costa AG, Ludermir AB. Common mental disorders and social supportin a rural community in Zona da Mata, Pernambuco State, Brazil. Cad Saúde Pública. [Internet] 2005;21(1):73-9. [cited May 10 2016]. Available from: <http://www.scielo.br/pdf/csp/v21n1/09.pdf>.
Costa MGSG, Dimenstein MDB, Leite JF. Condições de vida, gênero e saúde mental entre trabalhadoras rurais assentadas. Estud Psicol. [Internet]. 2014; 19(2):145-54. [cited May 6 2016]. Available from: <http://www.scielo.br/pdf/epsic/v19n2/07.pdf>.
Costa MG, Dimenstein M, Leite J. Estratégias de Cuidado e Suporte em Saúde Mental Entre Mulheres Assentadas. Reva Colombiana Psicol. [Internet]. 2015; 24(1):13-27. [cited May 2 2016]. Available from: <https://revistas.unal.edu.co/index.php/psicologia/article/view/41968/61911>.
Jackson JC, Pandharipande PP, Girard TD, Brummel NE, Thompson JL, Hughes CG, et al. Depression, Posttraumatic Stress Disorder, and Functional Disability in Survivors of Critical Illness: results from the BRAIN ICU (Bringing to light the Risk Factors And Incidence of Neuropsychological dysfunction in ICU survivors) Investigation: A Longitudinal Cohort Study. Lancet Respir Med. [Internet]. 2014;2(5):369-79. [cited Apr 27 2016]. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107313/pdf/nihms595830.pdf>.
Jenkis R, Njenga F, Okonji M, Kigamwa P, Makheti B, Ayuyo J, et al. Prevalence of Common Mental Disorders in a Rural District of Kenya, and Socio-Demographic Risk Factors. Int J Environ Res Public Health [Internet]. 2012;9(5):1810-9. [cited May 25 2016]. Available from: <http://www.mdpi.com/1660-4601/9/5/1810/htm>.
Paffer AT, Ferreira AS, Cabral Júnior CR, Miranda CT. Prevalence of common mental disorders in mothers in the semiarid region of Alagoas and its relationship with nutritional status. Sao Paulo Med J. [Internet]. 2012;130(2):84-91. [cited May 13 2016]. Available from: <http://www.scielo.br/pdf/spmj/v130n2/03.pdf>.
Fekadu A, Medhin G, Selamu M, Hailemariam M, Alem A, Giorgis TW, et al. Population level mental distress in rural Ethiopia. BMC Psychiatry. [Internet]. 2014;14:194. [cited 13 Apr 27 2016]. Available from: <https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-14-194>.
Gonçalves DM, Stein AT, Kapczinski F. Performance of the Self-Reporting Questionnaire as a psychiatric screening questionnaire: a comparative study with Structured Clinical Interview for DSM-IV-TR. Cad Saúde Pública. [Internet]. 2008;24(2):380-90. [cited May 4 2016]. Available from: <http://www.scielo.br/pdf/csp/v24n2/16.pdf>.
World Health Organization (WHO). Latino families and youth: a compendium of assessment tools. [Internet] Geneva: WHO; 2012. [cited Apr 18 2016]. Available from: <http://www.rehueong.com.ar/sites/default/files/Binder-orpinas%20meassurement.pdf>.
Brasil. Ministério da Saúde. Secretária de Atenção à Saúde. Departamento de Atenção Básica. Envelhecimento e saúde da pessoa idosa. [Internet]. Brasília, DF: Ministério da Saúde; 2007. [cited June 10 2016]. Available from: <http://bvsms.saude.gov.br/bvs/publicacoes/abcad19.pdf>.
Dahlberg LL, Krug EG. Violence: a global public health problem. Ciênc Saúde Coletiva. [Internet]. 2007;11(Sup):1163-78. [cited May 2 2016]. Available from: <http://www.scielo.br/pdf/csc/v11s0/a07v11s0.pdf>.
World Health Organization (WHO). Global recommendations on physical activity for health. [Internet]. Geneva: WHO; 2010. [cited May 18 2016]. Available from: <http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdf>.
Gonçalves DM, Mari JJ, Bower P, Gask L, Dowrick C, Tófoli LF, et al. Brazilian multicentre study of common mental disorders in primary care: rates and related social and demographic factors. Cad Saúde Pública. [Internet]. 2014;30(3):623-32. [cited Apr 29]. Available from: <http://www.scielo.br/pdf/csp/v30n3/0102-311X-csp-30-3-0623.pdf>.
Silva MT, Galvão TF, Martins SS, Pereira MG. Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis. Rev Bras Psiquiatr. [Internet]. 2014;36(3):262-70. [cited May 7 2016]. Available from: <http://www.scielo.br/pdf/rbp/v36n3/1516-4446-rbp-2014-36-3-262.pdf>.
Steel Z, Marnane C, Iranpour C, Chey T, Jackson J, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol. [Internet]. In2014;43(2):476-93. [cited May 24 2016]. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997379/pdf/dyu038.pdf>.
Angst J, Paksarian D, Cui L, Merikangas KR, Hengartner MP, Ajdacic-Gross V, et al. The epidemiology of common mental disorders from age 20 to 50: results from the prospective Zurich cohort Study. Epidemiol Psychiatr Sci. [Internet]. 2015:1-9. [cited Apr 28 2016]. Available from: <https://www.cambridge.org/core/services/aop-cambridge-core/content/view/BD574C83A6E08925E95D51DE2C43819B/S204579601500027Xa.pdf/epidemiology_of_common_mental_disorders_from_age_20_to_50_results_from_the_prospective_zurich_cohort_study.pdf>.
Ribeiro WS, Andreoli SB, Ferri CP, Prince M, Mari JJ. Exposure to violence and mental health problems in low and middle-income countries: a literature review. Rev Bras Psiquiatr. [Internet]. 2009; 31(Supl II):S49-57. [cited May 18 2016]. Available from: <http://www.scielo.br/pdf/rbp/v31s2/en_v31s2a03.pdf>.
Costa Neto MC. Cuidado Psicossocial em Saúde Mental: Estudo em Assentamentos Rurais do Rio Grande do Norte [dissertação]. Rio Grande do Norte (RN): Universidade Federal do Rio Grande do Norte; 2016. 177p.
Blanco C, Rafful C, Wall MM, Jin CJ, Kerridge B, Schwartz RP. The latent structure and predictors of non-medical prescription drug use and prescription drug use disorders: a national study. Drug Alcohol Depend. [Internet]. 2013;133(2):473-9. [cited June 2 2016]. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3818293/pdf/nihms-517015.pdf>.
Swendsen J, Conway KP, Degenhardt L, Glantz M, Jin R, MeriKangas KR, et al. Mental disorders as risk factors for substance use, abuse and dependence: results from the 10- year follow-up of the National Comorbidity Survey. Addiction. [Internet]. 2010;105(6):1117-28. [cited June 2 2016]. Available from: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2910819/pdf/nihms188508.pdf>.
Souza RA, Costa GD, Yamashita CH, Amendola F, Gaspar JC, Alvarenga MRM, et al. Family functioning of elderly with depressive symptoms. Rev Esc Enferm USP. [Internet]. 2014;48(3):469-76. [cited May 18 2016]. Available from: <http://www.scielo.br/pdf/reeusp/v48n3/0080-6234-reeusp-48-03-469.pdf>.
Cabral L, Duarte J, Ferreira M, Santos C. Anxiety, stress and depression in family caregivers of the mentally ill. Aten Primaria. [Internet]. 2014;46(Suppl 5):S176-9. [cited May 23 2016]. Available from: <https://ac.els-cdn.com/S0212656714700873/1-s2.0-S0212656714700873-main.pdf?_tid=b39be582-d3e2-49fa-8572-0c7f17ee91fa&acdnat=1536584048_6758b609c096aca8c7591332e9936e1c>.
Gonçalves AMS, Santos MA, Pillon SC. Uso de álcool e/ou drogas: avaliação dos aspectos da espiritualidade e religiosos. SMAD, Rev Eletrônica Saúde Mental Álcool Drog. [Internet]. 2014; 10(2): 61-9. [cited May 26 2016]. Available from: <http://pepsic.bvsalud.org/pdf/smad/v10n2/en_03.pdf>.
