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Epidemiology of psychotropic drug use in Rio de Janeiro, Brazil: gaps in mental illness treatments

Quintana, Maria Ines ; Andreoli, Sergio B ; Moreira, Fernanda G ; Ribeiro, Wagner S ; Feijo, Marcelo M ; Bressan, Rodrigo A ; Coutinho, Evandro S F ; Mari, Jair J Potash, James Bennett

PloS one, 2013-05, Vol.8 (5), p.e62270-e62270 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Epidemiology of psychotropic drug use in Rio de Janeiro, Brazil: gaps in mental illness treatments
Autor: Quintana, Maria Ines ; Andreoli, Sergio B ; Moreira, Fernanda G ; Ribeiro, Wagner S ; Feijo, Marcelo M ; Bressan, Rodrigo A ; Coutinho, Evandro S F ; Mari, Jair J
Potash, James Bennett
Assuntos: Adolescent ; Adult ; Aged ; Alcoholism ; Analysis ; Antidepressants ; Anxiety ; Brazil - epidemiology ; Cities - epidemiology ; Confidence intervals ; Data Collection ; Diagnosis ; Diagnostic systems ; Drug abuse ; Drug Prescriptions - statistics & numerical data ; Drug use ; Drugs ; Epidemiology ; Female ; Females ; Genetics ; Humans ; Male ; Medical diagnosis ; Medical personnel ; Medicine ; Mental depression ; Mental disorders ; Mental Disorders - drug therapy ; Mental Disorders - epidemiology ; Mentally ill ; Mentally ill persons ; Middle Aged ; Mood ; Post traumatic stress disorder ; Posttraumatic stress disorder ; Probabilistic methods ; Psychotropic drugs ; Psychotropic Drugs - therapeutic use ; Regression analysis ; Regression models ; Statistical analysis ; Studies ; Tranquilizers ; Tranquilizing agents ; Tranquilizing drugs ; Workers ; Young Adult
É parte de: PloS one, 2013-05, Vol.8 (5), p.e62270-e62270
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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content type line 23
Competing Interests: The authors have declared that no competing interests exist.
Conceived and designed the experiments: MIQ SBA WSR MMF RAB ESFC JJM. Performed the experiments: MIQ SBA WSR. Analyzed the data: MIQ SBA FGM ESFC JJM. Contributed reagents/materials/analysis tools: MIQ SBA FGM ESFC JJM. Wrote the paper: MIQ SBA ESFC JJM.
Descrição: Estimate the prevalence of psychotropic drugs use in the city of Rio de Janeiro, Brazil, and establish its relationship with the presence of mental disorders. A probabilistic sample of non-institutionalized individuals, from the general population of Rio de Janeiro (n = 1208;turn out:81%), 15 years or older, who were interviewed using the Composite International Diagnostic Interview 2.1 (depression, anxiety-phobia, OCD\PTSD, alcoholism sections), and asked about their psychotropic use during a 12 and one-month period before the interview. Data were collected between June/2007-February/2008.The prevalence was estimated with a confidence interval of 95%. The associations between psychotropics use and mental disorders were analyzed through a logistic regression model (Odds Ration - OR). The one-month prevalence of psychotropic drug use was 6.55%, 3.19% for men and 9.13% for women. Antidepressants were the most frequently used drug (2.78%), followed by anorectics (1.65%), tranquilizers (1.61%) and mood stabilizers (1.23%). General practitioners issued the highest number of prescriptions (46.3%), followed by psychiatrists (29.3%); 86.6% of the psychotropic drugs used were paid for by the patient himself. Individuals with increased likelihood of using psychotropic drugs were those that had received a psychiatric diagnosis during a one-month period before the study (OR:3.93), females (OR:1.82), separated/divorced (OR:2.23), of increased age (OR:1.03), with higher income (OR:2.96), and family history of mental disorder (OR:2.59); only 16% of the individuals with a current DSM IV diagnosis were using a psychotropic drug; 17% among individuals with a depression-related diagnosis and 8% with Phobic Anxiety Disorders-related diagnosis used psychotropics. Approximately 84% of individuals displaying some mental disorder did not use psychotropic drugs, which indicates an important gap between demand and access to treatment. A significant failure is evident in the health system for patients with mental disorders; this could be due to health workers' inability to recognize mental disorders among individuals.
Editor: United States: Public Library of Science
Idioma: Inglês

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Epidemiology of psychotropic drug use in Rio de Janeiro, Brazil: gaps in mental illness treatments

Quintana, Maria Ines ; Andreoli, Sergio B ; Moreira, Fernanda G ; Ribeiro, Wagner S ; Feijo, Marcelo M ; Bressan, Rodrigo A ; Coutinho, Evandro S F ; Mari, Jair J Potash, James Bennett

United States: Public Library of Science

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