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Screening for common mental disorders using the SRQ-20 in Brazil: what are the alternative strategies for analysis?
Barreto do Carmo, Maria B; Santos, Leticia M Dos; Feitosa, Caroline A; Fiaccone, Rosemeire L; Silva, Nívea B da; Santos, Darci N Dos; Barreto, Maurício L; Amorim, Leila D.
Afiliación
  • Barreto do Carmo MB; Instituto de Humanidades, Artes e Ciências, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
  • Santos LM; Instituto de Humanidades, Artes e Ciências, Universidade Federal da Bahia (UFBA), Salvador, BA, Brazil.
  • Feitosa CA; Instituto de Saúde Coletiva, UFBA, Salvador, BA, Brazil.
  • Fiaccone RL; Departamento de Estatística, Instituto de Matemática e Estatística, UFBA, Salvador, BA, Brazil.
  • Silva NB; Departamento de Estatística, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
  • Santos DN; Instituto de Saúde Coletiva, UFBA, Salvador, BA, Brazil.
  • Barreto ML; Instituto de Saúde Coletiva, UFBA, Salvador, BA, Brazil.
  • Amorim LD; Centro de Integração de Dados de Conhecimentos para Saúde, Instituto Gonçalo Muniz (IGM), Fundação Oswaldo Cruz, Salvador, BA, Brazil.
Braz J Psychiatry ; 40(2): 115-122, 2018.
Article en En | MEDLINE | ID: mdl-28876378
Objective: To analyze the prevalence of common mental disorders (CMD) assessed with the Self Reporting Questionnaire (SRQ-20), using the established cutoff point, and comparing it with the results of a joint correspondence factor analysis (CFA) and cluster analysis and of a latent class analysis (LCA). Methods: A cross-sectional study was carried out in an urban sample of 1,095 women aged 19 to 55 years. Joint CFA-cluster analysis and LCA were used. Results: We found a high prevalence of CMD, regardless of classification method (37.6% when using the cutoff point; 44.4% and 52% for LCA and joint CFA-cluster, respectively). The alternative analysis strategies describe the cases more efficiently when compared to the traditional cutoff method, especially regarding more severe symptoms. Both alternative strategies also provide a description of the SRQ-20 dimensions in their particularities, which may be useful for the planning and implementation of specific actions in a given population. Conclusion: The SRQ-20 cutoff point seems to underestimate the magnitude of CMD among women. The alternative methods of analysis presented herein highlight the different possibilities of using this important instrument of screening for mental health.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Mentales Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Female / Humans / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Braz J Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Mentales Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Female / Humans / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Braz J Psychiatry Asunto de la revista: PSIQUIATRIA Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil