Abstract
This study aimed to identify the prevalence of the manifestation of Minor Psychiatric Disorders and its associated factors among 537 family caregivers of people living with psychological distress attended at 16 Psychosocial Care Centers (CAPS) located in the 21st health region of the state of Rio Grande do Sul. Considering a hierarchical theoretical model, the analysis adopted a Poisson regression to calculate the adjusted prevalence ratios. The prevalence of Minor Psychiatric Disorders found in the studied population was 42.1% (N = 226 CI: 38%-46,3%). Factors associated with these disorders were being female (PR: 1.54), having a close relationship with the user, especially fathers/mothers (PR: 2.00), low schooling, within a prevalence ratio of PR: 1.85 in the lowest stratum, presence of health problems (PR: 1.24); reporting neurological problems (PR: 3.02), low performance in the evaluation of the quality of life in the physical (PR: 1.84) and environmental (PR: 1.95) aspects, dissatisfaction with family relationships (PR: 1.56), lack of family support (PR: 1.25) and feeling of burden, with a prevalence ratio of PR: 2.61 among individuals with higher level of burden.
Highlights
When not meeting all the criteria of mental illness, as per the International Classification of Diseases (ICD-10), these anxiety and depression conditions are classified as Minor Psychiatric Disorders (MPD), a process that refers to health conditions including non-psychotic psychiatric symptoms and other symptoms such as insomnia, fatigue, irritability, depression, anxiety, forgetfulness, difficulty concentrating, and somatic problems[4]
National studies on this outcome have evidenced a high prevalence of Minor Psychiatric Disorders among family caregivers of individuals in psychological distress when compared to the results of the general population[5,6,7]
It is hoped that this study may contribute to the increasing understanding of the following research question: What is the prevalence and what are the factors associated with the manifestation of Minor Psychiatric Disorders among family caregivers of individuals in mental distress using Psychosocial Care Centers?. This is a cross-sectional study conducted with relatives of users of Psychosocial Care Centers in the municipalities covered by the 21st health region of the state of Rio Grande do Sul in 2016
Summary
In the reorganization of care practices promoted by the psychiatric reform movements in the country in the 1980s, relatives of users of community mental health services became essential allies in the care and socialization of individuals in psychological distress[1].despite the evidence concerning the contribution of this partnership for a better prognosis among users, several studies[2,3] have documented negative repercussions of routine care in the lives of relatives.The emotional repercussions are highlighted, since the advance of research in this field shows that many relatives end up experiencing feelings of depression and anxiety[2].When not meeting all the criteria of mental illness, as per the International Classification of Diseases (ICD-10), these anxiety and depression conditions are classified as Minor Psychiatric Disorders (MPD), a process that refers to health conditions including non-psychotic psychiatric symptoms and other symptoms such as insomnia, fatigue, irritability, depression, anxiety, forgetfulness, difficulty concentrating, and somatic problems[4].Until national studies on this outcome have evidenced a high prevalence of Minor Psychiatric Disorders among family caregivers of individuals in psychological distress when compared to the results of the general population[5,6,7].In this sense, considering that relatives are a unit whose difficulties must be addressed, it is imperative to identify which characteristics influence the occurrence of these disorders, as this can be an essential step towards establishing practices that prevent or interfere with this outcome. National studies on this outcome have evidenced a high prevalence of Minor Psychiatric Disorders among family caregivers of individuals in psychological distress when compared to the results of the general population[5,6,7]. In this sense, considering that relatives are a unit whose difficulties must be addressed, it is imperative to identify which characteristics influence the occurrence of these disorders, as this can be an essential step towards establishing practices that prevent or interfere with this outcome
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