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Brazilian multicentric study of psychiatric morbidity

Methodological features and prevalence estimates

Published online by Cambridge University Press:  02 January 2018

Naomar Almeida-Filho ,
Jair De Jesus Mari ,
Evandro Coutinho ,
Josimar Farias França ,
Jefferson Fernandes ,
Sérgio Baxter Andreoli  and
Ellis D'Arrigo Busnello
Naomar Almeida-Filho*
Affiliation:
Instituto de Saúde Coletiva at the Federal University of Bahia and the National Research Council of Brazil (CNPq)
Jair De Jesus Mari
Affiliation:
Department of Psychiatry and Medical Psychology at the Medical School of the Federal University of São Paulo, and the CNPq
Evandro Coutinho
Affiliation:
Department of Epidemiology, National School of Public Health, Fundação Oswaldo Cruz
Josimar Farias França
Affiliation:
Department of Clinical Medicine, University of Brasília
Jefferson Fernandes
Affiliation:
Department of Neurology of the Federal University of Rio Grande do Sul
Sérgio Baxter Andreoli
Affiliation:
Department of Psychiatry and Medical Psychology, Medical School of the Federal University of São Paulo
Ellis D'Arrigo Busnello
Affiliation:
Department of Psychiatry, Faculty of Medicine at the Federal University of Rio Grande do Sul
*
Professor N. Almeida-Filho, Instituto de Saúde Coletiva, Universidade Federal da Bahia, Rua Padre Feijo 29-4. Andar, Campus Canela, Salvador-Bahia, Brazil 40210-270
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Abstract

Background

Psychiatric morbidity studies in developing countries have used diagnostic procedures of low reliability, without a clinical definition of caseness, producing descriptive data with limited application for mental health planning.

Method

A two-stage cross-sectional design (with a sample size of 6476) was conducted to estimate the prevalence of DSM–III psychiatric diagnoses in three metropolitan areas of Brazil (Brasília, São Paulo and Porto Alegre). All subjects were screened for the presence of psychopathology with a 44-item instrument (the QMPA) and a subsample was selected for a psychiatric interview.

Results

Age-adjusted prevalence of cases potentially in need of care ranged from 19% (São Paulo) to 34% (Brasília and Porto Alegre). Anxiety disorders comprised the highest prevalences (up to 18%). Alcoholism yielded the most consistent prevalence levels, around 8% in all sites. Depression showed great variation between areas: from less than 3% (São Paulo and Brasília) to 10% (Porto Alegre)

Conclusions

Overall prevalences were high in comparison with previous studies conducted in Brazil. A female excess of non-psychotic disorders (anxiety, phobias, somatisation and depression) and a male excess for alcoholism were consistently found.

Information

Type
Papers
Information
The British Journal of Psychiatry , Volume 171 , Issue 6 , December 1997 , pp. 524 - 529
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

Almeida-Filho, N., Santana, V., Coutinho, D. M., et al (1983) Prevalência de desordens mentais em uma área industrial da Região Metropolitana de Salvador. Universitas, 32, 59–72.Google Scholar
Almeida-Filho, N., & Mari, J. (1989) Principios de Epidemiologia para Profissionais de Saúde Mental p. 89. Brasília, Ministério da Saúde.Google Scholar
Almeida-Filho, N., Mari, J., Moreira, E. C., et al (1992) Mental disorders in primary care in a health district of Bahia, Brazil. In Primary Health Care and Psychiatric Epidemiology (eds Cooper, B. & Eastwood, R.), pp. 133–141. London: Tavistock/Routledge.Google Scholar
Andreoli, S. B., Mari, J. J., Almaida-Filho, N., et al (1994) Estrutura fatorial do questionário de morbidade psiquiátrica de adultos aplicado em amostras populacionais de cidades brasileiras. Revista de Saúde Pública, 28, 249–260.Google Scholar
Caetano, R. (1982) Admisiones de primer ingreso a los servicios psiquiatricos en Brasil, 1960–1974. Boletin de la Oficina Sanitaria Panamericana, 92, 103–114.Google Scholar
Canino, G., Bird, H., Rubio-Stipec, M., et al (1987) The prevalence of specific psychiatric disorders in Puerto Rico. Archives of General Psychiatry, 44, 727–733.Google Scholar
Coutinho, E. F., Almeida-Filho, N., Mari, J. J., et al (1996) Minor psychiatric morbidity and internal migration in Brazil. Social Psychiatry and Psychiatric Epidemiology, 31, 173–179.Google Scholar
Fleiss, J. L. (1981) Statistical Methods for Rates and Proportions. New York: Wiley.Google Scholar
Gallegos, C. & Miguez, H. A. (1984) Prevalencia de alteraciones psiquiatricas: estudio piloto. Revista Costarricense de Ciencias Medicas, 5, 3–5.Google Scholar
González, V., Yamhure, A., Garcia, R., et al (1978) Epidemiologia de los trastornos mentales en Bogota. Acta Psiquiatrica y Psicologica de America Latina, 24, 93–99.Google Scholar
Kleinbaum, D., Kupper, L. & Morgenstern, H. (1982) Epidemiological Research. Principles and Quantitative Methods. New York: Van Nostrand Reinhold.Google Scholar
Mari, J. J. (1987) Psychiatric morbidity in three primary medical care clinics in the city of Sao Paulo. Issues on the mental health of the urban poor. Social Psychiatry, 22, 129–138.Google Scholar
Miranda, C., Mari, J. J., Jorge, M., et al (1987) Versão Brasileira do Inventário de Sintomas do DSM–III, p. 47. São Paulo, Escola Paulista de Medicina.Google Scholar
Penayo, U., Caldera, T. & Jacobsson, L. (1992) Prevalencia de trastornos mentales en adultos de Subtiava. León, Nicarágua, Boletin de la Oficina Sanitaria Panamericana, 113, 137–149.Google Scholar
Reichenheim, M. & Harpham, T. (1991) Maternal mental health in a squatter settlement in Rio de Janeiro. British Journal of Psychiatry, 159, 683–690.Google Scholar
Robins, L. & Regier, D. (eds) (1991) Psychiatric Disorders in America. New York: The Free Press.Google Scholar
Santana, V. (1977) Transtornos mentais em um centro de saúde Salvador-Bahia. Revista Baiana de Saúde Pública, 4, 160–167.CrossRefGoogle Scholar
Santana, V. (1982) Estudo epidemiológica das doencas mentais em um bairro de Salvador. Série de Estudos em Saúde, 3 (suppl. 2), 122.Google Scholar
Tarnopolsky, A., Caetano, R., Levav, I., et al (1977) Prevalence of psychiatric morbidity in an industrial suburb of Buenos Aires. Social Psychiatry, 12, 75–88.Google Scholar
Thornicroft, G. (1991) Social deprivation and rates of treated mental disorders – developing statistical models to predict psychiatric service utilisation, British Journal of Psychiatry, 158, 475–484.Google Scholar

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