Bruno Gonçalves^[1], Teresa Fagulha^[2], Ana Ferreira^[3]

Resumo: É estudada a prevalência de perturbações depressivas numa amostra de mulheres com idades compreendidas entre os 35 e os 65 anos, utentes dos cuidados de saúde primários. Todas as mulheres (n ₌ 179) responderam à versão portuguesa da Center for Epidemiologic Studies Depression Scale (CES­‑D) e, as que aceitaram (n ₌ 127), participaram numa entrevista clínica estruturada adaptada do módulo de avaliação das perturbações do humor da Structured Clinical Interwiew for DSM­‑IV Axis I Disorders (SCID­‑I), a fim de avaliar a presença de várias formas de depressão segundo os critérios do DSM­‑IV. Verificou­‑se que 13% destas mulheres satisfaziam os critérios para o diagnóstico de episódio depressivo major, 19% satisfaziam os critérios para perturbação distímica e 5,5% satisfaziam os critérios propostos para episódio depressivo minor. São analisadas as relações da idade, nível de instrução, estatuto conjugal, ter filhos, ter filhos em casa, ter filhos a cargo e outras variáveis sociodemográficas com a ocorrência de perturbações depressivas.

Palavras‑chave: mulheres, meia­‑idade, depressão, cuidados de saúde primários, variáveis sociodemográficas

Depression in midlife woman: A study with users of primary health services

Abstract: This study is based on the data collected in an investigation regarding Primary Health Care patients. The prevalence of depressive disorders is studied in a sample of women with ages ranging between 35 and 65 years. All women (n ₌ 179) responded to the Center for Epidemiologic Studies Depression Scale (CES‑D), and 127 agreed to participate in a structured clinical interview adapted from the evaluation of mood disorders section of the Structured Clinical Interwiew for DSM‑IV Axis I Disorders (SCID‑I) in order to evaluate the presence of various forms of depression according to the DSM‑IV criteria. It was verified that 13% of these women met the criteria for the diagnosis of a Major Depressive Episode, 19% met the criteria for Dysthymic Disorder and 5,5% met the criteria proposed for a Minor Depressive Episode. The relation of age, education level, marital status, work for pay, having children, children at home, dependent children and other socio­‑demographic variables with the rate of depressive disorders is studied.

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^[2]  Professora Associada da Faculdade de Psicologia e de Ciências da Educação da Universidade de Lisboa, Centro de Psicologia Clínica e Experimental.

^[3]  Professora Auxiliar da Faculdade de Psicologia e de Ciências da Educação da Universidade de Lisboa, LEAD, Centro de Estatística e Aplicações da Universidade de Lisboa, linha de investigação de Análise de Dados Multivariados.