Ribeirão Preto Nursing College, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
School of Collective Health, Ceilândia College, University of Brasília, Brasília, Brazil.
PLoS One. 2024 Sep 6;19(9):e0308274. doi: 10.1371/journal.pone.0308274. eCollection 2024.
To describe the profile of individuals with depression who received assistance at CAPS in Brazil between 2013 and 2019, focusing on their clinical and demographic characteristics, and to calculate the estimated coverage of CAPS across the national territory and its constituent federal units.
Descriptive, ecological, time-series study with secondary data from national databases, referring to care provided at CAPS in the country for adults aged 18 years or over-diagnosed with depression (F32-32.9 and F33-F33.9). The estimated coverage of CAPS was calculated for 2013 and 2019 using registered and active services.
There was a 107% increase in the number of patients with depression receiving treatment at CAPS between 2013 and 2019. Women accounted for 77% of the patients, with the majority falling within the age range of 41 to 61years (49%). The predominant racial demographics were white (38%) and brown (34%). The diagnosis of depressive episodes was prevalent among 65% of the patients, and individual care was administrated to 75% of them. The presumed CAPS coverage was 71% in 2013 and increased to 87% in 2019 nationwide, although significant discrepancies were observed among different states.
Progress was evident in the implementation of CAPS across Brazil during the period spanning 2013 to 2019. Nonetheless, disparities persist among the federative units, and there remains an underutilization of group and family care within CAPS services.
描述 2013 年至 2019 年间在巴西接受 CAPS 治疗的抑郁症患者的特征，重点关注他们的临床和人口统计学特征，并计算 CAPS 在全国范围内及其组成联邦单位的覆盖范围。
这是一项描述性、生态性、时间序列研究，使用国家数据库中的二级数据，涉及该国 CAPS 为年龄在 18 岁及以上的成年人提供的抑郁症（F32-32.9 和 F33-F33.9）治疗服务。使用注册和活跃服务，计算了 2013 年和 2019 年 CAPS 的覆盖范围。
2013 年至 2019 年间，接受 CAPS 治疗的抑郁症患者数量增加了 107%。女性占患者的 77%，其中大多数年龄在 41 岁至 61 岁之间（49%）。主要的种族特征是白种人（38%）和棕色人种（34%）。65%的患者被诊断为抑郁发作，其中 75%的患者接受了个体治疗。2013 年 CAPS 的预估覆盖率为 71%，2019 年全国覆盖率增加到 87%，尽管不同州之间存在显著差异。
在 2013 年至 2019 年期间，巴西各地 CAPS 的实施取得了明显进展。然而，各联邦单位之间仍存在差异，并且 CAPS 服务中仍未充分利用小组和家庭护理。
