Transtornos mentais em comunidade atendida pelo Programa Saúde da Família

Daniel Maffasioli Gonçalves,Flavio Kapczinski

doi:10.1590/s0102-311x2008000700019

Abstract

The first objective of this study was to estimate the prevalence of mood, anxiety, and somatoform disorders (MASD) using the screening tool Self-Reporting Questionnaire-20 Items (SRQ-20) in a community assisted by the Family Health Program (FHP) in Santa Cruz do Sul, Rio Grande do Sul, Brazil. The second goal was to verify associations between demographic variables and MASD. We invited all residents>14 years of age to participate. The total sample consisted of 1,122 subjects. MASD prevalence was 38% (95%CI: 35.12-40.88). Female gender, low schooling, and unemployment were independently associated with MASD. The high prevalence of MASD observed in this study confirms the relevance of these disorders for public health planning, and could also help explain the high suicide rate in Santa Cruz do Sul in the last decade (4.66 times the national rate). Finally, the study highlights the importance of including mental health in the FHP priority agenda in Brazil.

Highlights

Estudos epidemiológicos têm demonstrado prevalências de transtornos mentais ao longo da vida entre 12,2% e 48,6%, dependendo da população estudada e das características do instrumento de rastreamento ou diagnóstico utilizadas
The first objective of this study was to estimate the prevalence of mood, anxiety, and somatoform disorders (MASD) using the screening tool Self-Reporting Questionnaire-20 Items (SRQ-20) in a community assisted by the Family Health Program (FHP) in Santa Cruz do Sul, Rio Grande do Sul, Brazil
The high prevalence of MASD observed in this study confirms the relevance of these disorders for public health planning, and could help explain the high suicide rate in Santa Cruz do Sul in the last decade (4.66 times the national rate)

Summary

Preparação e suporte aos aplicadores

As quatro agentes comunitárias de saúde foram treinadas em dez encontros de três horas cada, para sensibilização e capacitação em saúde mental, sendo cinco encontros antes do início do estudo e cinco no decorrer do estudo. Participaram de encontros quinzenais realizados pelo primeiro autor a fim de receberem suporte técnico e emocional

Análise estatística

Aspectos éticos

Aposentados por tempo de serviço

Etnia Negro Branco Pardo

Findings

OR ajustadas