Gonçalves Daniel Maffasioli, Kapczinski Flavio
Programa de Pós-graduação em Epidemiologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil.
Cad Saude Publica. 2008 Sep;24(9):2043-53. doi: 10.1590/s0102-311x2008000900010.
Among the ten leading causes of disability-adjusted life years, seven are mental disorders. Primary health care centers are crucial to public mental health policies, according to the World Health Organization. This study aimed to verify the prevalence of mental disorders among individuals seeking care at the referral center for a Family Health Program (FHP) team in Santa Cruz do Sul, Rio Grande do Sul State, Brazil, and the influence of psychiatric diagnosis on utilization of the health system. Of the 754 participants, 51.1% had a psychiatric diagnosis. Subjects with a psychiatric diagnosis showed significantly higher use of the health system in the previous 12 months. Mental disorders have a negative impact on well-being and quality of life, besides increasing the use of health resources due to untreated symptoms and because mental disorders contribute negatively to the prognosis of non-psychiatric medical conditions. These results show the importance of including mental health care in the FHP in Brazil.
在导致伤残调整生命年的十大主要原因中，有七种是精神障碍。世界卫生组织认为，初级卫生保健中心对公共精神卫生政策至关重要。本研究旨在核实巴西南里奥格兰德州南圣克鲁什市家庭健康计划（FHP）团队转诊中心的就诊者中精神障碍的患病率，以及精神科诊断对卫生系统利用情况的影响。在754名参与者中，51.1%有精神科诊断。有精神科诊断的受试者在前12个月中对卫生系统的利用率显著更高。精神障碍除了因症状未得到治疗以及精神障碍对非精神科疾病的预后产生负面影响而增加卫生资源的使用外，还会对幸福感和生活质量产生负面影响。这些结果表明了在巴西的家庭健康计划中纳入精神卫生保健的重要性。
