Transtornos psiquiátricos menores em familiares cuidadores de usuários de Centros de Atenção Psicossocial: prevalência e fatores associados

Abstract

With the psychiatric reform movements and the establishment of community mental health services, the family that before were considered as an observator of the health care process is seen in a new perspective, becoming incorporated into the therapeutic process and contributing to patient rehabilitation. In this sense, in the context of communitary health care, the family is considered as an object of study in this field. Several studies have emphasized their approach as a need and have documented different repercussions of this scenario among the relatives. These repercussions include those related to psychosomatics aspects as the manifestation of minor psychiatric disorders. Taking into account that identifying characteristics that contribute to occurrence of these disorders may be an important step towards establishing practices that prevent or interfere in this outcome, this study sought to identify the prevalence and the associated factors with the manifestation of minor psychiatric disorders among 537 family caregivers of In psychic suffering attended at 16 Psychosocial Care Centers (CAPS) located in the 21st health region of the state of Rio Grande do Sul. Using a hierarchical theoretical model, Poisson regression was used to track the Prevalence ratio. The prevalence of Minor Psychiatric Disorders found in the study was 42.1%. The associated factors with these disorders were: female gender (PR: 1.54); strong bond with the user, especially fathers / mothers (PR: 2.00); low educational level, especially in the lowest stratum (PR: 1.85); Have health problems (PR: 1.24); Refer problems of nerves (PR: 3.02); low performance of evaluation in the quality of life in the physical aspect (RP: 1.84) and environment aspect (PR: 1.95); dissatisfaction with family relationships (PR: 1.56); lack of family support (PR: 1.25) and feelings of burden, especially when intense (PR: 2,61). Taking into account that in the multivariate analysis the aspects that effectively influenced the outcome in the studied sample are related to situational conditions, family support and organization, it is suggested the implementation by the services of measures that favor the improvement in social support and inclusion of all members of the family group of its users in the processes of care.