RESUMO
O novo coronavírus (Sars-Cov-2) impôs novos desafios para a adoção e a manutenção de uma alimentação saudável que, na presença de transtornos mentais, como a depressão, poderão desempenhar um papel deletério na interação entre as necessidades impostas pela pandemia e a capacidade de adotar estratégias de enfrentamento adequadas, e na incorporação de medidas protetivas, como hábitos de vida saudáveis. Dentre a sintomatologia para diagnóstico de depressão incluem-se sintomas específicos que podem impactar diretamente hábitos de vida, como alteração de peso, apetite, mudanças no padrão habitual de sono, além de fadiga e redução da energia. Assim, o presente estudo tem como objetivo discursar sobre a relação entre depressão e consequências alimentares. No contexto atual a vigência de depressão impacta negativamente a saúde geral, a capacidade de autocuidado e a manutenção de estilos de vida saudáveis, e pode, ainda, amplificar as dificuldades de adaptação às demandas impostas pelo distanciamento social e pela necessidade de prevenção da disseminação e da infecção pelo Sars-Cov-2..(Au)
The new coronavirus (Sars-Cov-2) imposed new challenges for the adoption and maintenance of a healthy diet that in the presence of mental disorders, such as depression, may play a deleterious role in the interaction between the needs imposed by the pandemic and the ability to adopt appropriate coping strategies, and the incorporation of protective measures, such as healthy lifestyle habits. The diagnosis of depression includes specific symptoms that can directly impact lifestyle habits, such as changes in weight, apetite and in the usual sleep pattern, besides that fatigue and decresead energy. Thus, this study aimed to present the relationship between depression and eating consequences. In the current context, the presence of depression impacts negatively the general health, the ability to self-care and the maintenance of healthy lifestyles, and can also amplify the difficulties of adapting to the demands imposed due to social distancing and the need to prevent spread and infection by Sars-Cov-2..(Au)
RESUMO
BACKGROUND: Few studies have investigated symptomatic subtypes of depression and their correlates by gender. METHODS: Data are from the São Paulo Megacity Mental Health Survey. Symptom profiles of 1207 subjects (864 women; 343 men) based upon symptoms of the worst depressive episode in lifetime were examined through latent class analysis. Correlates of gender-specific latent classes were analyzed by logistic regression. RESULTS: For both men and women, a 3-class model was the best solution. A mild class was found in both genders (41.1% in women; 40.1% in men). Gender differences appeared in the most symptomatic classes. In women, they were labeled melancholic (39.3%) and atypical (19.5%), differing among each other in somatic/vegetative symptoms. The melancholic class presented inhibition and eating/sleeping symptoms in the direction of decreasing, whereas the atypical class had increased appetite/weight, and hypersomnia. For men, symptoms that differentiate the two most symptomatic classes were related to psychomotor activity: a melancholic/psychomotor retarded (40.4%) and agitated depression (19.6%). The highest between-class proportion of agitation and racing thoughts was found among men in the agitated class, with similarity to bipolar mixed state. LIMITATIONS: Analyses were restricted to those who endorsed questions about their worst lifetime depressive episode; the standardized assessment by lay interviewers; the small male sample size. CONCLUSIONS: The construct of depression of current classifications is heterogeneous at the symptom level, where gender different subtypes can be identified. These symptom profiles have potential implications for the nosology and the therapeutics of depression.