O bem-estar subjetivo de indivíduos com trastorno depressivo identificados na população geral.

Abstract

The objective of this study was to analyze a clinical condition of individuals with depressive disorder in the general population through subjective well-being. It was also sought to verify if the individuals who are in drug treatment have better subjective well-being. METHODS: A household survey was conducted with probabilistic sample (N = 3744) in the cities of São Paulo and Rio de Janeiro between 2007 and 2008. The 'Composite International Diagnostic Interview' (CIDI) and 'Subjetive Well-Being Inventory' were used to obtain a diagnosis of depressive disorder and subjective well-being assessment. The 70 percentile of the worst subjective well-being> 4 (0 to 12) was established as the cut off point. To assess the association between subjective well-being, depressive disorder, other psychiatric diagnoses, and use of medication, poisson regression analyzes were performed by controlling the effect of socio-demographic variables and family history of mental illness. RESULTS: The percentages of depressive disorder and worse subjective well-being in the general population was 11% and 30%. Individuals diagnosed with depressive disorder had the worst subjective well-being when compared as those without diagnosis or with other psychiatric diagnoses. The use of antidepressant medication among individuals with depression was low (4%) and the use of this medication did not influence subjective well-being. CONCLUSION: The unfavorable clinical condition resulting from non-treatment or exclusively drug treatment deserves concern due to the overload of depressive disorder in the life of individuals and society. The care policy, besides being focused on expanding the service offer, should guarantee multidisciplinary care, since the exclusive medical treatment does not guarantee the recovery of the individual.