Transtornos mentais comuns associados ao processo de trabalho e qualidade de vida em pÃsgraduandos dos programas de residÃncia na Ãrea de saÃde no Recife

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

Common mental disorders (CMD) express psychopathological phenomena characterized by symptoms such as insomnia, fatigue, irritability, forgetfulness, concentrating difficulty and somatic complaints. Recently, CMD have been investigated in specific groups such as health professionals and interest on its relationship with the working process and quality of life has grown in recent years. This study aimed to determine the prevalence of common mental disorders and their association with sociodemographics variables, characteristics of the training program, drug use, quality of life in post-graduating medicine, nursing, nutrition and public health residency programs from the city of Recife. It was conducted a cross-sectional study, in 2007, involving a random sample of 178 residents responded to a set of questions, including the (JCQ) Job Content Questionnaire and the (SRQ-20) Self Reporting Questionnaire. For the analysis of the data, it was estimated the prevalence of CMD and its association with the variables was measured by simple odds-ratios (OD), and adjusted by logistic regression. The maximum probability of error for rejecting of the null hypothesis was 5%. The overall prevalence of CMD was 51,1% and there were no association to sociodemographics variables (p>0,05). The magnitude of prevalence among resident doctors (56,2%) and resident non-doctors (40,4%) presented a difference with borderline statistical significance (p = 0.05). It is reported residents experiences with the use of amphetamines (9,1%), antidepressants (10,7%) and anxiolytics (14,4%), in addition to cannabis, solvents, tobacco and alcohol. The antidepressants were associated 21 times with CMD, and anxiolytics, five times. From a global point of view, the perception of residents about their quality of life was negative. CMD were associated to the high strain work among residents, overall (OR=11; IC95% 3,44-35,54) , and the active work among medical residents (OR=10; IC 95% 2,58 - 41,42). After adjusting the data for confusing factors, only the training of length over eight hours daily (p=0,00) and the characteristics of low ability working process (p=0,00) and high demand (p=0,00) have been associated with the CMD. The high magnitude of CMD in young professionals in the field of health, belonging to a training program in residence, associated with some characteristics of the work process reveals in this context the existence of factors that producers or that triggers mental suffering. In this sense, it is imperative the need for change in this environment, in addition to strategies for prevention, early detection and appropriate treatment of patients

ASSUNTO(S)

residÃncia mÃdica saÃde mental mental health epidemiology epidemiologia medical residency transtornos mentais psychiatry processo de trabalho mental disorders work process neurologia, eletrofisiologia e comportamento psiquiatria

ACESSO AO ARTIGO

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