COMMON MENTAL DISORDERS AND CIRCULATORY DISEASES ASSOCIATED PREVALENCE: AGE RELATED DIFFERENCES FROM A HEALTH SURVEY ANALYSIS : COMMON MENTAL DISORDERS AND CIRCULATORY DISEASES

Reinaldo Gianini; Gabriel Salvestro

doi:10.14738/jbemi.91.11873

Authors

Reinaldo Gianini PUCSP
Gabriel Salvestro Pontificia Universidade Católica de São Paulo https://orcid.org/0000-0002-4636-8914

DOI:

https://doi.org/10.14738/jbemi.91.11873

Keywords:

Circulatory diseases, Health System, Common Mental Disroders, Epidemiological Surveys, Mental Health

Abstract

Background: Epidemiological studies reveals that there is a progressive increasing in the incidence of Mental Disorders. Concomitantly, Circulatory Diseases (CD) are a major adult health problem worldwide being the leading causes of death. Aims: This study aims to evaluate aspects related to the prevalence and its association between Common Mental Disorders (CMD) and CD in different age groups. Methods: It has been evaluated data from the 2015 São Paulo City Health Survey, which have classified CMD patients employing the Self Report Questionnaire-20, and have collected information of referred CD. To analyze the association between CMD and CD, Pearson chi-square, Satterthwaite corrected tests, univariate and multivariate Poisson regression has used. Results: Among the elderly, there was a greater strength of association between CMD and all the CD studied: Hypertension, Angina, Acute Myocardial Infarction, Cardiac Arrhythmias and Stroke (all with p<0.01). The CD more strongly associated with CMD was Cardiac Arrhythmias (adjusted PR=2.84; 95%IC=1.75-3.52). For Angina, the CMD was considered important risk factor because their precocious association (PR=5.42 for 15-29 years of age). Conclusion: CMD and CD share biopsychosocial factors and result in higher expenses for the Health System and for those patients. The action of multidisciplinary teams, especially in the sphere of Primary Care, is essential to reduce damage and better meet the specific needs of CMD and CD patients, with special attention to young people with CMD as a risk factor for CD and to elderly people already affected by such association.

References

Tadokoro DC. [Mental disorders in primary care: a reflection on the need to organize and accommodate the demand of SUS users]. Uberaba: Universidade Federal de Minas Gerais; 2012. 22 p. Portuguese.

World Health Organization. The World Health Report 2001. Mental health: new understanding, new hope [Internet]. Lisboa: WHO; 2002. 25 p. Available from: http://www.who.int/whr/2001/en/whr01_po.pdf

Hiany N, Vieira MA, Gusmão ROM, Barbosa SF. Epidemiological profile of mental disorders in the adult population in Brazil: an integrative review. Rev Enferm Atual Derme. 2020;86(24):1–11.

Santos EG, Siqueira MM. Prevalence of mental disorders in the Brazilian adult population: a systematic review from 1997 to 2009. J Bras Psiquiatr. 2010;59(3):238–46.

Santos GB V, Alves MCGP, Goldbaum M, Cesar CLG, Gianini RJ. Prevalence of common mental disorders and associated factors in urban residents of São Paulo, Brazil. Cad Saude Publica. 2019;35(11):e000236318.

Soares PSM, Meucci RD. Epidemiology of common mental disorders among women in the rural zones of Rio Grande, RS, Brazil. Cienc Saude Coletiva. 2020;25(8):3087–95.

Lopes CS, Azevedo Abreu G, Santos DF, Menezes PR, Carvalho KMB, Freitas Cunha C, et al. ERICA: Prevalence of common mental disorders in Brazilian adolescents. Rev Saude Publica. 2016;50(supl 1):1s-9s.

Iacovides A, Siamouli M. Comorbid mental and somatic disorders: An epidemiological perspective. Curr Opin Psychiatry. 2008;21(4):417–21.

Simunovic FI, Filipcic I, Glamuzina L, Devcic S, Bajic Z, Bras M, et al. The effect of chronic physical illnesses on psychiatric hospital admission in patients with recurrent major depression. Psychiatry Res. 2019;272:602–8.

Tomazelli J, Malagris L. Common mental disorders in hypertensive patients: a study in a primary health care unit at Rio de Janeiro. Rev APS [Internet]. 2009;12(3):318–27. Available from: https://aps.ufjf.emnuvens.com.br/aps/article/view/417/231

Souza GNP, Alves RJR, Souza LPS, Rosa AJ. Prevalence of depressive and/or anxious symptoms in people with systemic arterial hypertension and / or diabetes mellitus. Rev Port Enferm Saúde Ment. 2018;20(20):43–50.

Knebel IL, Marin AH. Psychosocial factors associated with heart disease and clinical psychological management: perception of psychologists and patients. Rev Soc Bras Psicol Hosp. 2018;21(1):112–31.

Godofredo JF. Use of health services in São Paulo, in the years 2003 and 2008: health surveys of elderly patients [dissertation]. São Paulo: Faculdade de Saúde Pública da Universidade de São Paulo; 2011.

Travassos C, Viacava F, Fernandes C, Almeida CM. Social and geographical inequalities in health services utilization in Brazil. Ciênc Saúde Coletiva. 2000;5(1):133–49.

Universidade Federal do Maranhão UNA-SUS/UFMA. [Health care networks: Health care organized in networks] [Internet]. São Luís: EDUFMA; 2016. 57 p. Portuguese. Available from: http://www.unasus.ufma.br/site/files/livros_isbn/isbn_redes01.pdf

Fortes S, Villano LAB, Lopes CS. Nosological profile and prevalence of common mental disorders of patients seen at the Family Health Program (FHP) units in Petrópolis, Rio de Janeiro. Rev Bras Psiquiatr. 2008;30(1):32–7.

Moraes Júnior E. [Prevalence and risk factors for common mental disorders in the urban population of the metropolitan region of São Paulo] [dissertation]. Botucatu: Universidade Estadual Paulista “Júlio de Mesquita Filho”. Faculdade de Medicina de Botucatu; 2010. Portuguese.

Maragno L, Goldbaum M, Gianini RJ, Novaes HMD, César CLG. Prevalence of common mental disorders in a population covered by the Family Health Program (QUALIS) in São Paulo, Brazil. Cad Saude Publica. 2006;22(8):1639–48.

Lima DP, Leite MTS, Caldeira AP. Health Care Networks: the perception of physicians working in emergency services. Saúde Debate. 2015;39(104):65–75.

Alves MCGP, Escuder MML, Goldbaum M, Barros MBA, Fisberg RM, Cesar CLG. Sampling plan in health surveys, city of São Paulo, Brazil, 2015. Rev Saúde Pública. 2018;52:81.

Nasser FJ, Almeida MM, Silva LS, Almeida RGP, Barbirato GB, Mendlowicz MV, et al. Psychiatric disorders and cardiovascular system: heart-brain interaction. Int J Cardiovasc Sci. 2016;29(1):65–75.

Zaslavsky C, Gus I. [Elderly. Heart disease and comorbidities]. Arq Bras Cardiol. 2002;79(6):635–9. Portuguese.

Lemos C, Gottschall CAM, Pellanda LC, Müller M. Association among depression, anxiety, and quality of life in post acute myocardial infarction patients. Psicol Teor Pesqui. 2008;24(4):471–6.

Bonomo AMS, Araujo TCCF. Psychology applied to cardiology: a study on emotions reported during holter monitoring. Psicol Teor Pesqui. 2009;25(1):65–74.

Ferraz I, Norton A, Silveira C. [Depression and stroke: cause or consequence? ]. Arq Med. 2013;27(4):148–53. Portuguese.

Paula MP, Pinto KO, Lúcia MCS. Relationship between depression and cognitive dysfunction in patients after stroke: A theoretical study. Psicol Hosp (São Paulo). 2008;6(1):21–38.

Sritharan K, Lane TRA, Davies AH. The burden of depression in patients with symptomatic varicose veins. Eur J Vasc Endovasc Surg. 2012;43(4):480–4. http://dx.doi.org/10.1016/j.ejvs.2012.01.008

NHS CHOICES. [Angina pectoris] [Internet]. [cited 2021 Apr 21]. Available from: https://www.nhs.uk/translationportuguese/Documents/Angina_Portuguese_FINAL.pdf. Portuguese

Scirica BM. Chronic angina: definition, prevalence, and implications for quality of life. Rev Cardiovasc Med. 2009;10 Suppl 1:S3-10.

Campos SF. Validity and reproducibility of anthropometric measures, reported morbidity, food and beverage consumption by telephone survey. [dissertation]. Belo Horizonte: Escola de Enfermagem UFMG; 2011. (Master degree in Nursing & Health).

COMMON MENTAL DISORDERS AND CIRCULATORY DISEASES ASSOCIATED PREVALENCE: AGE RELATED DIFFERENCES FROM A HEALTH SURVEY ANALYSIS