Associação entre transtorno depressivo maior e qualidade de vida em domiciliados de um bairro vulnerável de uma capital do Nordeste

Abstract

The aim of this study was to analyze the association between major depressive disorder, its subtypes (recurrent or melancholic) and quality of life in a neighborhood in the Northeast capital. A cross-sectional study, conducted in a population domiciled in a neighborhood of a capital of the Northeast, the sample was non-stratified probabilistic, by clusters, composed of 872 participants, using the following instruments: Sociodemographic Data Questionnaire; Classification of Socioeconomic Stratum by the Economic Classification Criteria Brazil; World Health Organization quality of life assessment instrument - Bref; and Mini International Neuropsychiatric Interview Brazilian version 5.0.0 - DSM IV, we considered a 95% confidence interval and p value <0.05 were considered. It was identified a prevalence of depressive disorder greater than 21% and its recurrent subtypes 29.5% and melancholic 68.9%; Being female was considered as a risk factor for major depressive disorder (OR = 1.99), having income as protection (OR = 0.58); there was a significant association between major depressive disorder and quality of life in the physical (p = 0.04), psychological (p = 0.00), environmental (p = 0.03) and total (p = 0.00) domains; (p = 0.05), appetite and physical domain (p = 0.05), apathy and social domain (p = 0.02), death ideas and psychological domain (p = 0.05), ideas of death and social domain ce (p = 0.03), worse in the morning and physical domain (p = 0.04); (p = 0.04), apathy and social domain (p = 0.01), guilt / loss and social domain, ideas of death and depression, and depressive symptoms and quality of life with major depressive disorder with melancholic characteristics in psychomotricity and physical domain psychological domain (p value = 0.05). This research provides unprecedented information on the association between major depressive disorder and its subtypes recurrent major depressive disorder or major depressive disorder with melancholic characteristics and quality of life, as well as the association between depressive symptoms and quality of life in a population domiciled in a vulnerable neighborhood and populous of a capital of the Northeast.