Veçoso Marcos C, Bagatin Edileia, Fonseca Fernando L A, Andreo-Filho Newton, Lopes Patrícia S, Leite-Silva Vânia R
Departamento de Medicina, Programa de Pós-Graduação Em Medicina Translacional, Escola Paulista de Medicina, Universidade Federal de São Paulo, Sao Paulo, Brazil.
Departamento de Dermatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, Alameda Irae. 184, ap. 111, Sao Paulo, SP, 04075-000, Brazil.
Dermatol Ther (Heidelb). 2023 May;13(5):1083-1097. doi: 10.1007/s13555-023-00911-5. Epub 2023 Mar 2.
The increased prevalence of depression is a global phenomenon, with an estimated 320 million cases worldwide. In Brazil, the World Health Organization (WHO) estimated that there are about 12 million cases or more, mainly among adult women with lower socioeconomic status, leading to a high consumption of health resources. Studies suggest a positive association of measures related to appearance care on depressive symptoms, but usually with no objective methodology. This study aimed to estimate the prevalence of depressive symptoms in adult Brazilian women with lower purchasing power and to verify the association between the intensity of symptoms and the use of makeup.
A national sample of 2400 cases from all regions of the country, drawn randomly from an online panel representative of the Brazilian population, was studied using an online questionnaire accessible via computer or smartphone, from which the frequency of use of makeup was surveyed, and the Zung Depressive Self-Rating Scale was applied for the inventory of symptoms.
A prevalence of 61.4% (0.59-0.63) of depressive symptoms was identified. The association between frequent use of makeup and a lower prevalence of cases with a Zung index suggestive of mild depression was confirmed. Association between frequent use of makeup and lower intensity of depressive symptoms was also identified among cases with a Zung index suggestive of absence of depression. Additionally, an association was identified between the habit of frequent use of makeup and higher economic class as well as the younger age group.
The results suggest the hypothesis that use of makeup may contribute both to a lower prevalence of mild depression and less expressive symptoms when index of absence of depression is observed.
抑郁症患病率上升是一个全球现象，全球估计有3.2亿病例。在巴西，世界卫生组织（WHO）估计约有1200万病例或更多，主要集中在社会经济地位较低的成年女性中，导致卫生资源的高消耗。研究表明，与外表护理相关的措施与抑郁症状之间存在正相关，但通常没有客观的方法。本研究旨在估计巴西购买力较低的成年女性中抑郁症状的患病率，并验证症状强度与化妆使用之间的关联。
从代表巴西人口的在线面板中随机抽取来自该国所有地区的2400例病例作为全国样本，使用可通过计算机或智能手机访问的在线问卷进行研究，从中调查化妆使用频率，并应用zung抑郁自评量表进行症状清查。
确定抑郁症状的患病率为61.4%（0.59 - 0.63）。频繁使用化妆与zung指数提示轻度抑郁的病例患病率较低之间的关联得到证实。在zung指数提示无抑郁的病例中，也发现频繁使用化妆与抑郁症状强度较低之间存在关联。此外，还发现频繁使用化妆的习惯与较高的经济阶层以及较年轻的年龄组之间存在关联。
结果提示了这样一种假设，即当观察到无抑郁指数时，使用化妆可能有助于降低轻度抑郁症的患病率并减轻症状表现。
