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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Use of mental health services by community-resident adults with DSM-IV anxiety and mood disorders in a violence-prone area: Sao Paulo, Brazil

Texto completo
Autor(es):
Fillenbaum, Gerda G. [1] ; Blay, Sergio L. [2] ; Mello, Marcelo F. [2] ; Quintana, I, Maria ; Mari, Jair J. [3] ; Bressan, Rodrigo A. [3] ; Andreoli, Sergio B. [3]
Número total de Autores: 7
Afiliação do(s) autor(es):
[1] Duke Univ, Med Ctr, Ctr Study Aging & Human Dev, Box 3003, Durham, NC 27710 - USA
[2] Univ Fed Sao Paulo, Dept Psychiat, Escola Paulista Med UNIFESP, Sao Paulo, SP - Brazil
[3] Quintana, Maria, I, Univ Fed Sao Paulo, Dept Psychiat, Escola Paulista Med UNIFESP, Sao Paulo, SP - Brazil
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: Journal of Affective Disorders; v. 250, p. 145-152, MAY 1 2019.
Citações Web of Science: 0
Resumo

Background: While under-use of mental health services by adults with anxiety and/ or depression is well established, use in a violence-prone area, and as a function of diagnosis and personality characteristics such resilience, is little known. We examine the sociodemographic and personality characteristics (specifically resilience), associated with use of mental health services in a violence-prone city by those with anxiety, depression, and their comorbidity. Methods: The structured Composite International Diagnostic Interview was used to identify 12-month DSM-IV and ICD-10-defined anxiety and depression in a cross-sectional, representative, community-resident sample age 15-75y (N=2536) in Sao Paulo, Brazil, and their use of mental health services. Resilience was determined by the Wagnild and Young scale. Analyses, using weighted, design-corrected statistical tests, included frequency measures and multivariable logistic regression. Results: Mental health services were used by 10% with only anxiety, 22% with only depression, and 34% with comorbidity, with odds of use in controlled analyses doubling from anxiety to depression to comorbidity. Use was significantly higher among those who were white, older (age > 30 years, with substantial social support, low resilience, living in low homicide rate areas; use was not affected by experience of traumatic events. Psychiatrists, general practitioners, and psychologists were the primary providers. Limitations: Cross-sectional design Conclusions: Contrary to expectation, use was greater among residents of lower homicide areas, and was not associated with personal traumatic experience. This may reflect increased immunity to violence in higher homicidal rate areas, lower resilience, and poorer access to services. Increased access to mental health services is needed. (AU)

Processo FAPESP: 16/02246-5 - Estudo dos padrões de conectividade cerebral relacionadas à experiências psicóticas ao longo da infância e adolescência e sua modulação por fatores genéticos e ambientais
Beneficiário:Rodrigo Affonseca Bressan
Linha de fomento: Bolsas no Exterior - Pesquisa
Processo FAPESP: 04/15039-0 - Transtorno do estresse pós-traumático: epidemiologia, fisiopatologia e tratamento
Beneficiário:Jair de Jesus Mari
Linha de fomento: Auxílio à Pesquisa - Temático