ABSTRACT
RESUMO Objetivos: O transtorno depressivo maior (TDM) é muito prevalente e incapacitante, sendo comum a persistência de prejuízos funcionais após a remissão clínica. Pesquisas que se proponham a estudar a reabilitação em TDM são necessárias. Há carência de instrumentos que avaliem a funcionalidade em sujeitos com TDM. Objetiva-se observar as propriedades psicométricas da escala FAST em amostra brasileira, casos (n = 44) e não casos (n = 44) de TDM. Métodos: a) Questionários com informações socioeconômicas e escala Mini International Neuropsychiatric Interview 5.0.0 para rastrear em sala de espera de serviços ambulatoriais de duas universidades públicas do Estado de São Paulo; b) entrevistas face a face com os instrumentos FAST, Avaliação Global de Funcionamento e Escala de Hamilton para Depressão. Resultados: Houve fortes correlações entre FAST e AGF (rho = −0,85) e entre cada subescala e a escala total (rho = 0,86), boa consistência interna (alfa de Cronbach 0,98) e confiabilidade teste-reteste (Kappa ponderado >0,84). O estudo de validade discriminativa evidenciou que a FAST discrimina os casos de não casos de TDM, assim como moderados/graves dos demais. Conclusão: As propriedades psicométricas da FAST em 88 sujeitos mostraram boa confiabilidade e validade para aferir o impacto da depressão na funcionalidade em brasileiros com TDM. Recomendam-se estudos futuros com amostras maiores.
ABSTRACT Objectives: Major depressive disorder (MDD) is very prevalent and incapacitating and there is a common persistence of functional impairment after clinical remission. Research that proposes to study rehabilitation in TDM is necessary. There is a lack of instruments that evaluate the functionality in subjects with TDM. We aim to observe the psychometric properties of the FAST scale in Brazilian sample, cases (n = 44) and not cases (n = 44) of MDD. Methods: a) Questionnaires with socioeconomic information and Mini International Neuropsychiatric Interview 5.0.0 scale for screening in outpatient waiting room of two public universities of the State of São Paulo; b) face-to-face interviews with the FAST, Global Functional Assessment and Hamilton Depression Scale instruments. Results: Strong correlations between FAST and AGF (rho = −0.85) and between each subscale and total scale (rho = 0.86), good internal consistency (Cronbach's alpha 0.98) and test-retest reliability weighted >0.84). The discriminative validity study evidenced that the FAST discriminates the cases of non-cases of MDD, as well as moderate/severe cases of the others. Conclusion: The psychometric properties of FAST in 88 subjects showed good reliability and validity to assess the impact of depression on functionality in Brazilians with MDD. Future studies with larger samples are recommended.
ABSTRACT
As part of the GENACIS project, this paper sought to assess the prevalence of depression in an urban sample in the city of São Paulo, Brazil, as well as the association between depression and alcohol abuse according to gender. To achieve this, an epidemiological survey was conducted using a stratified probability sample, including 2,083 adults. CIDI SF was used to identify depression. The Rao Scott test and multivariate logistic regression were used for statistical analysis. The response rate was 74.9%. Females (58.3%) under 40 years of age (52%) were predominant. The prevalence of depression was 28.3% for women and 12.7% for men. Most men declared being drinkers (61.1%) in the last year. Depression was associated with an alcohol drinking pattern, mostly binge drinking, in addition to the occurrence of problems derived from alcohol use. Most women declared being abstainers (69.5%). Depression was associated with cohabiting with spouses with alcohol-related problems. Results reveal that the association between depression and alcohol consumption is distinct between genders.
Subject(s)
Alcoholism/epidemiology , Depression/epidemiology , Adult , Alcoholism/complications , Brazil/epidemiology , Depression/complications , Female , Humans , Male , Sex Factors , Urban HealthABSTRACT
As part of the GENACIS project, this paper sought to assess the prevalence of depression in an urban sample in the city of São Paulo, Brazil, as well as the association between depression and alcohol abuse according to gender. To achieve this, an epidemiological survey was conducted using a stratified probability sample, including 2,083 adults. CIDI SF was used to identify depression. The Rao Scott test and multivariate logistic regression were used for statistical analysis. The response rate was 74.9%. Females (58.3%) under 40 years of age (52%) were predominant. The prevalence of depression was 28.3% for women and 12.7% for men. Most men declared being drinkers (61.1%) in the last year. Depression was associated with an alcohol drinking pattern, mostly binge drinking, in addition to the occurrence of problems derived from alcohol use. Most women declared being abstainers (69.5%). Depression was associated with cohabiting with spouses with alcohol-related problems. Results reveal that the association between depression and alcohol consumption is distinct between genders.
Como parte do projeto GENACIS, este artigo visou estimar a prevalência de depressão em amostra urbana de São Paulo, Brasil, assim como a associação entre depressão e padrão de uso de álcool segundo gênero. Para tanto, foi realizado inquérito epidemiológico com amostra probabilística e por conglomerados, com um total de 2083 adultos. Utilizou-se o CIDI SF para identificação de depressão. A análise estatística utilizou o teste de Rao Scott e regressão logística multivariada. A taxa de resposta foi de 74,9%. Predominaram mulheres (58,8%), menores de 40 anos de idade (52%). A prevalência de depressão foi de 28,3% para as mulheres e 12,7% para os homens. Entre os homens, 61,1% são de bebedores no último ano e a depressão esteve associada ao padrão de consumo de álcool, à maior frequência de binge drinking e à presença de problemas decorrentes do álcool. Entre as mulheres, 69,5% são abstinentes e a depressão se associou à convivência com cônjuge com problemas devidos ao álcool. Os resultados ressaltam que a associação entre depressão e consumo de álcool é distinta entre os gêneros.