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Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica

Processo: 03/00204-3
Linha de fomento:Auxílio à Pesquisa - Temático
Vigência: 01 de maio de 2004 - 30 de abril de 2009
Área do conhecimento:Ciências da Saúde - Medicina - Psiquiatria
Pesquisador responsável:Laura Helena Silveira Guerra de Andrade Burdmann
Beneficiário:Laura Helena Silveira Guerra de Andrade Burdmann
Instituição-sede: Instituto de Psiquiatria Doutor Antonio Carlos Pacheco e Silva (IPq). Hospital das Clínicas da Faculdade de Medicina da USP (HCFMUSP). Secretaria da Saúde (São Paulo - Estado). São Paulo , SP, Brasil
Bolsa(s) vinculada(s):08/53818-2 - Estudo epidemiológico dos transtornos psiquiátricos na Região Metropolitana de São Paulo: prevalência, fatores de risco e sobrecarga social e econômica, BP.PD
Assunto(s):Transtornos mentais  Distúrbios psicológicos  Epidemiologia 
Publicação FAPESP:https://media.fapesp.br/bv/uploads/pdfs/Opportunities...medicine_6_7.pdf

Resumo

O presente projeto tem como proposta identificar as taxas de prevalência de transtornos psiquiátricos, avaliar o grau de incapacidade associada a eles, estudar a sua história natural e determinar possíveis fatores associados, na população residente na região metropolitana de São Paulo. É a extensão de um estudo realizado na área de captação do Hospital das Clínicas da FMUSP (dois bairros da zona oeste da cidade de São Paulo) e visa sanar algumas lacunas existentes em nosso meio, em relação a informações sobre o grau de sobrecarga social, econômica e familiar associadas a esses transtornos. O principal objetivo é fornecer subsídios ao estabelecimento de novas estratégias de prevenção e tratamento, bem como direcionar a elaboração de políticas de saúde mais adequadas à realidade da região e auxiliar no planejamento de serviços de saúde que atendam à demanda da população. É parte de um estudo que vem sendo realizado em vários países, coordenado pela Organização Mundial de Saúde, o World Mental Health Survey, que contará com um banco de dados de mais de 170 mil entrevistas, o que permitirá comparações transculturais entre sociedades com diferentes níveis de desenvolvimento. Segue a tendência dos estudos atuais de morbidade psiquiátrica na população geral: identificar as possíveis causas, conseqüências, estratégias para a prevenção e populações específicas em risco a determinados transtornos, além de direcionar a atenção à saúde em função da demanda conhecida. A relevância desse empreendimento pode ser enfatizada a partir de recentes publicações de organismos internacionais. No estudo The Global Burden of Disease, realizado pela Organização Mundial de Saúde e por pesquisadores da Escola de Saúde Pública da Universidade de Harvard (WHO; Ed. Murray & Lopez, 1996), foi demonstrado que os transtornos mentais e o uso de álcool e outras substâncias estão entre as principais causas de sobrecarga global, medida através do número anos vividos com incapacitações e número de anos perdidos por morte prematura como conseqüência da doença. No Brasil, existem poucos dados disponíveis acerca dos custos diretos e indiretos dos transtornos mentais o que dificulta a alocação planejada dos recursos direcionados as serviços de saúde mental. Serão entrevistados 5500 indivíduos com 18 anos ou mais de idade, residentes na região metropolitana de São Paulo. O instrumento utilizado foi desenvolvido pela OMS para o estudo mundial a partir do CIDI (Composite International Diagnostic Interview), numa versão ampliada e expandida. Essa entrevista diagnóstica será suplementada por módulos para avaliação de comorbidades com doenças físicas, uso de serviços e tratamentos, níveis de incapacitação resultante de doença física e/ou mental, e fatores de risco para transtornos mentais. É o primeiro estudo a ser realizado em toda a Região Metropolitana de São Paulo, em uma amostra probabilística da população geral domiciliada, com posterior avaliação clínica de uma sub-amostra. A análise dos dados obtidos facilitará o planejamento das reformas na assistência psiquiátrica e permitirá a proposição de novas hipóteses acerca da etiologia e determinantes destes transtornos. (AU)

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Publicações científicas (107)
(Referências obtidas automaticamente do Web of Science e do SciELO, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores)
HARRIS, MEREDITH G.; KAZDIN, ALAN E.; MUNTHALI, RICHARD J.; VIGO, DANIEL V.; HWANG, IRVING; SAMPSON, NANCY A.; AL-HAMZAWI, ALI; ALONSO, JORDI; ANDRADE, LAURA HELENA; BORGES, GUILHERME; BUNTING, BRENDAN; FLORESCU, SILVIA; GUREJE, OYE; KARAM, ELIE G.; LEE, SING; NAVARRO-MATEU, FERNANDO; NISHI, DAISUKE; RAPSEY, CHARLENE; SCOTT, KATE M.; STAGNARO, JUAN CARLOS; VIANA, MARIA CARMEN; WOJTYNIAK, BOGDAN; XAVIER, MIGUEL; KESSLER, RONALD C. Perceived helpfulness of service sectors used for mental and substance use disorders: Findings from the WHO World Mental Health Surveys. INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS, v. 16, n. 1 JAN 29 2022. Citações Web of Science: 0.
FRANCA, MARIANE HENRIQUES; PEREIRA, FLAVIA GARCIA; WANG, YUAN-PANG; ANDRADE, LAURA HELENA; ALONSO, JORDI; VIANA, MARIA CARMEN. Individual and population level estimates of work loss and related economic costs due to mental and substance use disorders in Metropolitan Sao Paulo, Brazil. Journal of Affective Disorders, v. 296, p. 198-207, JAN 1 2022. Citações Web of Science: 0.
DEGENHARDT, LOUISA; BHARAT, CHRIANNA; CHIU, WAI TAT; HARRIS, MEREDITH G.; KAZDIN, ALAN E.; VIGO, DANIEL V.; SAMPSON, NANCY A.; ALONSO, JORDI; ANDRADE, LAURA HELENA; BRUFFAERTS, RONNY; BUNTING, BRENDAN; CARDOSO, GRACA; DE GIROLAMO, GIOVANNI; FLORESCU, SILVIA; GUREJE, OYE; HARO, JOSEP MARIA; HU, CHIYI; KARAM, AIMEE N.; KARAM, ELIE G.; KOVESS-MASFETY, VIVIANE; LEE, SING; MAKANJUOLA, VICTOR; MCGRATH, JOHN J.; ELENA MEDINA-MORA, MARIA; MOSKALEWICZ, JACEK; NAVARRO-MATEU, FERNANDO; POSADA-VILLA, JOSE; RAPSEY, CHARLENE; CARLOS STAGNARO, JUAN; TACHIMORI, HISATERU; TEN HAVE, MARGREET; TORRES, YOLANDA; WILLIAMS, DAVID R.; ZARKOV, ZAHARI; KESSLER, RONALD C.; COLLA, WHO WORLD MENTAL HLTH SURVEY. Perceived helpfulness of treatment for alcohol use disorders: Findings from the World Mental Health Surveys. DRUG AND ALCOHOL DEPENDENCE, v. 229, n. B DEC 1 2021. Citações Web of Science: 0.
ROEST, ANNELIEKE M.; DE VRIES, YMKJE ANNA; AL-HAMZAWI, ALI; ALONSO, JORDI; AYINDE, OLATUNDE O.; BRUFFAERTS, RONNY; BUNTING, BRENDAN; CALDAS DE ALMEIDA, JOSE MIGUEL; DE GIROLAMO, GIOVANNI; DEGENHARDT, LOUISA; FLORESCU, SILVIA; GUREJE, OYE; MARIA HARO, JOSEP; HU, CHIYI; KARAM, ELIE G.; KIEJNA, ANDRZEJ; KOVESS-MASFETY, VIVIANE; LEE, SING; MCGRATH, JOHN J.; MEDINA-MORA, MARIA ELENA; NAVARRO-MATEU, FERNANDO; NISHI, DAISUKE; PIAZZA, MARINA; POSADA-VILLA, JOSE; SCOTT, KATE M.; CARLOS STAGNARO, JUAN; STEIN, DAN J.; TORRES, YOLANDA; VIANA, MARIA CARMEN; ZARKOV, ZAHARI; KESSLER, RONALD C.; DE JONGE, PETER; COLLA, WHO WORLD MENTAL HLTH SURVEY. Previous disorders and depression outcomes in individuals with 12-month major depressive disorder in the World Mental Health surveys. EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES, v. 30, NOV 11 2021. Citações Web of Science: 0.
COELHO, BRUNO M.; SANTANA, GEILSON L.; VIANA, MARIA C.; WANG, YUAN-PANG; ANDRADE, LAURA H. `I don't need any treatment'' - barriers to mental health treatment in the general population of a megacit. Revista Brasileira de Psiquiatria, v. 43, n. 6, p. 590-598, NOV-DEC 2021. Citações Web of Science: 0.
FERNANDEZ, DANIEL; VIGO, DANIEL; SAMPSON, NANCY A.; HWANG, IRVING; AGUILAR-GAXIOLA, SERGIO; AL-HAMZAWI, ALI O.; ALONSO, JORDI; ANDRADE, LAURA HELENA; BROMET, EVELYN J.; DE GIROLAMO, GIOVANNI; DE JONGE, PETER; FLORESCU, SILVIA; GUREJE, OYE; HINKOV, HRISTO; HU, CHIYI; KARAM, ELIE G.; KARAM, GEORGES; KAWAKAMI, NORITO; KIEJNA, ANDRZEJ; KOVESS-MASFETY, VIVIANE; MEDINA-MORA, MARIA E.; NAVARRO-MATEU, FERNANDO; OJAGBEMI, AKIN; O'NEILL, SIOBHAN; PIAZZA, MARINA; POSADA-VILLA, JOSE; RAPSEY, CHARLENE; WILLIAMS, DAVID R.; XAVIER, MIGUEL; ZIV, YUVAL; KESSLER, RONALD C.; HARO, JOSEP M.; HLTH, WORLD HLTH ORG WORLD MENTAL. Patterns of care and dropout rates from outpatient mental healthcare in low-, middle- and high-income countries from the World Health Organization's World Mental Health Survey Initiative. PSYCHOLOGICAL MEDICINE, v. 51, n. 12, p. 2104-2116, SEP 2021. Citações Web of Science: 1.
NIERENBERG, ANDREW A.; HARRIS, MEREDITH G.; KAZDIN, ALAN E.; PUAC-POLANCO, VICTOR; SAMPSON, NANCY; VIGO, DANIEL V.; CHIU, WAI TAT; ZIOBROWSKI, HANNAH N.; ALONSO, JORDI; ALTWAIJRI, YASMIN; BORGES, GUILHERME; BUNTING, BRENDAN; CALDAS-DE-ALMEIDA, JOSE MIGUEL; HARO, JOSEP MARIA; HU, CHI-YI; KIEJNA, ANDRZEJ; LEE, SING; MCGRATH, JOHN J.; NAVARRO-MATEU, FERNANDO; POSADA-VILLA, JOSE; SCOTT, KATE M.; STAGNARO, JUAN C.; VIANA, MARIA C.; KESSLER, RONALD C.; C, WHO WORLD MENTAL HLTH SURVEY. Perceived helpfulness of bipolar disorder treatment: Findings from the World Health Organization World Mental Health Surveys. BIPOLAR DISORDERS, v. 23, n. 6, p. 565-583, SEP 2021. Citações Web of Science: 0.
STEIN, DAN J.; KAZDIN, ALAN E.; RUSCIO, AYELET MERON; CHIU, WAI TAT; SAMPSON, NANCY A.; ZIOBROWSKI, HANNAH N.; AGUILAR-GAXIOLA, SERGIO; AL-HAMZAWI, ALI; ALONSO, JORDI; ALTWAIJRI, YASMIN; BRUFFAERTS, RONNY; BUNTING, BRENDAN; DE GIROLAMO, GIOVANNI; DE JONGE, PETER; DEGENHARDT, LOUISA; GUREJE, OYE; HARO, JOSEP MARIA; HARRIS, MEREDITH G.; KARAM, AIMEE; KARAM, ELIE G.; KOVESS-MASFETY, VIVIANE; LEE, SING; MEDINA-MORA, MARIA ELENA; MOSKALEWICZ, JACEK; NAVARRO-MATEU, FERNANDO; NISHI, DAISUKE; POSADA-VILLA, JOSE; SCOTT, KATE M.; VIANA, MARIA CARMEN; VIGO, DANIEL V.; XAVIER, MIGUEL; ZARKOV, ZAHARI; KESSLER, RONALD C.; COLLA, WHO WORLD MENTAL HLTH SURVEY. Perceived helpfulness of treatment for generalized anxiety disorder: a World Mental Health Surveys report. BMC Psychiatry, v. 21, n. 1 AUG 9 2021. Citações Web of Science: 0.
BIVANCO-LIMA, DANIELLE; SANTOS, ITAMAR DE SOUZA; WANG, YUAN-PANG; VIANA, MARIA CARMEN; ANDRADE, LAURA HELENA; LOTUFO, PAULO ANDRADE; BENSENOR, ISABELA JUDITH MARTINS. Cardiovascular risk factors and major depressive disorder: a cross-sectional study in Sao Paulo, Brazil. São Paulo Medical Journal, v. 139, n. 4, p. 364-371, JUL-AUG 2021. Citações Web of Science: 0.
DE VRIES, YMKJE ANNA; HARRIS, MEREDITH G.; VIGO, DANIEL; CHIU, WAI TAT; SAMPSON, NANCY A.; AL-HAMZAWI, ALI; ALONSO, JORDI; ANDRADE, LAURA H.; BENJET, CORINA; BRUFFAERTS, RONNY; BUNTING, BRENDAN; DE ALMEIDA, JOSE MIGUEL CALDAS; DE GIROLAMO, GIOVANNI; FLORESCU, SILVIA; GUREJE, OYE; HARO, JOSEP MARIA; HU, CHIYI; KARAM, ELIE G.; KAWAKAMI, NORITO; KOVESS-MASFETY, VIVIANE; LEE, SING; MOSKALEWICZ, JACEK; NAVARRO-MATEU, FERNANDO; OJAGBEMI, AKIN; VILLA, JOSE PUSADA; SCOTT, KATE; TORRES, YOLA; ZARKOV, ZAHARI; NIERENBERG, ANDREW; KESSLER, RONALD C.; DE JONGE, PETER; COLLA, WHO WORLD MENTAL HLTH SURVEY. Perceived helpfulness of treatment for specific phobia: Findings from the World Mental Health Surveys. Journal of Affective Disorders, v. 288, p. 199-209, JUN 1 2021. Citações Web of Science: 0.
MOREIRA, TIANA C. L.; POLIZE, JEFFERSON L.; BRITO, MARCELI; DA SILVA FILHO, DEMOSTENES F.; CHIAVEGATO FILHO, ALEXANDRE D. P.; VIANA, MARIA CARMEM; ANDRADE, LAURA HELENA; MAUAD, THAIS. Assessing the impact of urban environment and green infrastructure on mental health: results from the Sao Paulo Megacity Mental Health Survey. JOURNAL OF EXPOSURE SCIENCE AND ENVIRONMENTAL EPIDEMIOLOGY, JUN 2021. Citações Web of Science: 0.
CHAIM, CAROLINA HANNA; SANTANA, GEILSON LIMA; DE VRIES ALBERTIN, PAULA; SILVEIRA, CAMILA MAGALHAES; SIU, ERICA ROSANNA; VIANA, MARIA CARMEN; PANG, WANG YUAN; ANDRADE, LAURA HELENA. Alcohol use patterns and disorders among individuals with personality disorders in the Sao Paulo Metropolitan Area. PLoS One, v. 16, n. 3 MAR 23 2021. Citações Web of Science: 1.
BRUNO M. COÊLHO; GEILSON L. SANTANA; MARIA C. VIANA; YUAN-PANG WANG; LAURA H. ANDRADE. “I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity. Revista Brasileira de Psiquiatria, n. ahead, p. -, 2021.
HARRIS, MEREDITH G.; KAZDIN, ALAN E.; CHIU, WAI TAT; SAMPSON, NANCY A.; AGUILAR-GAXIOLA, SERGIO; AL-HAMZAWI, ALI; ALONSO, JORDI; ALTWAIJRI, YASMIN; ANDRADE, LAURA HELENA; CARDOSO, GRACA; CIA, ALFREDO; FLORESCU, SILVIA; GUREJE, OYE; HU, CHIYI; KARAM, ELIE G.; KARAM, GEORGES; MNEIMNEH, ZEINA; NAVARRO-MATEU, FERNANDO; OLADEJI, BIBILOLA D.; O'NEILL, SIOBHAN; SCOTT, KATE; SLADE, TIM; TORRES, YOLANDA; VIGO, DANIEL; WOJTYNIAK, BOGDAN; ZARKOV, ZAHARI; ZIV, YUVAL; KESSLER, RONALD C.; HLTH, WHO WORLD MENTAL. Findings From World Mental Health Surveys of the Perceived Helpfulness of Treatment for Patients With Major Depressive Disorder. JAMA PSYCHIATRY, v. 77, n. 8, p. 830-841, AUG 2020. Citações Web of Science: 1.
STEIN, DAN J.; HARRIS, MEREDITH G.; VIGO, DANIEL V.; CHIU, WAI TAT; SAMPSON, NANCY; ALONSO, JORDI; ALTWAIJRI, YASMIN; BUNTING, BRENDAN; CALDAS-DE-ALMEIDA, JOSE MIGUEL; CIA, ALFREDO; CIUTAN, MARIUS; DEGENHARDT, LOUISA; GUREJE, OYE; KARAM, AIMEE; KARAM, ELIE G.; LEE, SING; MEDINA-MORA, MARIA ELENA; MNEIMNEH, ZEINA; NAVARRO-MATEU, FERNANDO; POSADA-VILLA, JOSE; RAPSEY, CHARLENE; TORRES, YOLANDA; VIANA, MARIA CARMEN; ZIV, YUVAL; KESSLER, RONALD C.; COLLA, WHO WORLD MENTAL HLTH SURVEY. Perceived helpfulness of treatment for posttraumatic stress disorder: Findings from the World Mental Health Surveys. DEPRESSION AND ANXIETY, JUL 2020. Citações Web of Science: 0.
PEREIRA, DEBORA COSTA SENA; COUTINHO, EVANDRO SILVA FREIRE; CORASSA, RAFAEL BELLO; ANDRADE, LAURA HELENA; VIANA, MARIA CARMEN. Prevalence and psychiatric comorbidities of intermittent explosive disorders in Metropolitan Sao Paulo, Brazil. Social Psychiatry and Psychiatric Epidemiology, v. 56, n. 4 APR 2020. Citações Web of Science: 0.
GLANTZ, MEYER D.; BHARAT, CHRIANNA; DEGENHARDT, LOUISA; SAMPSON, NANCY A.; SCOTTS, KATE M.; LIM, CARMEN C. W.; AL-HAMZAWI, ALI; ALONSO, JORDI; ANDRADE, LAURA HELENA; CARDOSO, GRACA; DE GIROLAMO, GIOVANNI; GUREJE, OYE; HE, YANLING; HINKOV, HRISTO; KARAM, ELIE G.; KARAM, GEORGES; KOVESS-MASFETY, VIVIANE; LASEBIKAN, VICTOR; LEE, SING; LEVINSON, DAPHNA; MCGRATH, JOHN; MEDINA-MORA, MARIA-ELENA; MIHAESCU-PINTIA, CONSTANTA; MNEIMNEH, ZEINA; MOSKALEWICZ, JACEK; NAVARRO-MATEU, FERNANDO; POSADA-VILLA, JOSE; RAPSEY, CHARLENE; STAGNARO, JUAN CARLOS; TACHIMORI, HISATERU; TEN HAVE, MARGREET; TINTLE, NATHAN; TORRES, YOLANDA; WILLIAMS, DAVID R.; ZIV, YUVAL; KESSLER, RONALD C.; COLLA, WHO WORLD MENTAL HLTH SURVEY. The epidemiology of alcohol use disorders cross-nationally: Findings from the World Mental Health Surveys. ADDICTIVE BEHAVIORS, v. 102, MAR 2020. Citações Web of Science: 0.
ANGELA MARIA CAMPANHA; BEATRIZ RAVAGNANI; IGOR ANDRÉ MILHORANÇA; MÁRCIO ANTONINI BERNIK; MARIA CARMEN VIANA; YUAN-PANG WANG; LAURA HELENA ANDRADE. Benzodiazepine use in Sao Paulo, Brazil. Clinics, v. 75, p. -, 2020. Citações Web of Science: 0.
BORGES, G.; AGUILAR-GAXIOLA, S.; ANDRADE, L.; BENJET, C.; CIA, A.; KESSLER, R. C.; OROZCO, R.; SAMPSON, N.; STAGNARO, J. C.; TORRES, Y.; VIANA, MARIA CARMEN; MEDINA-MORA, M. E.; COLLA, WHO WORLD MENTAL HLTH SURVEY. Twelve-month mental health service use in six countries of the Americas: A regional report from the World Mental Health Surveys. EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES, v. 29, 2020. Citações Web of Science: 3.
MCGRATH, J. J.; LIM, C. C. W.; PLANA-RIPOLL, O.; HOLTZ, Y.; AGERBO, E.; MOMEN, N. C.; MORTENSEN, P. B.; PEDERSEN, C. B.; ABDULMALIK, J.; AGUILAR-GAXIOLA, S.; AL-HAMZAWI, A.; ALONSO, J.; BROMET, E. J.; BRUFFAERTS, R.; BUNTING, B.; DE ALMEIDA, J. M. C.; DE GIROLAMO, G.; DE VRIES, Y. A.; FLORESCU, S.; GUREJE, O.; HARO, J. M.; HARRIS, M. G.; HU, C.; KARAM, E. G.; KAWAKAMI, N.; KIEJNA, A.; KOVESS-MASFETY, V.; LEE, S.; MNEIMNEH, Z.; NAVARRO-MATEU, F.; OROZCO, R.; POSADA-VILLA, J.; ROEST, A. M.; SAHA, S.; SCOTT, K. M.; STAGNARO, J. C.; STEIN, D. J.; TORRES, Y.; VIANA, M. C.; ZIV, Y.; KESSLER, R. C.; DE JONGE, P. Comorbidity within mental disorders: a comprehensive analysis based on 145 990 survey respondents from 27 countries. EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES, v. 29, 2020. Citações Web of Science: 0.
SCOTT, K. M.; DE VRIES, Y. A.; AGUILAR-GAXIOLA, S.; AL-HAMZAWI, A.; ALONSO, J.; BROMET, E. J.; BUNTING, B.; CALDAS-DE-ALMEIDA, J. M.; CIA, A.; FLORESCU, S.; GUREJE, O.; HU, C-Y; KARAM, E. G.; KARAM, A.; KAWAKAMI, N.; KESSLER, R. C.; LEE, S.; MCGRATH, J.; OLADEJI, B.; POSADA-VILLA, J.; STEIN, D. J.; ZARKOV, Z.; DE JONGE, P.; COLLABOR, WORLD MENTAL HLTH SURVEYS. Intermittent explosive disorder subtypes in the general population: association with comorbidity, impairment and suicidality. EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES, v. 29, 2020. Citações Web of Science: 0.
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