title: [Common mental disorders and use of psychotropic medications in women consulting at primary care units in a Brazilian urban area].
abstract: OBJECTIVE
  To investigate the prevalence of common mental disorders (CMD) in women consulting at primary health care units in a Brazilian urban area, as well as to determine the impact of CMD on quality of life (QoL), the association of sociodemographic factors with CMD and QoL, and the prevalence and pattern of psychotropic medication use in the study sample.
  
  
  METHODS
  In this quantitative, cross-sectional, correlational-descriptive study, a stratified sample of 365 women was interviewed between May 2012 and January 2013 in five primary health care units in Brazil. Data were collected using sociodemographic and drug use questionnaires. The self-reporting questionnaire (SRQ-20) was used to estimate the prevalence of CMD; and the World Health Organization Quality of Life (WHOQOL)-bref instrument was used to assess quality of life. To evaluate the impact of CMD on QoL, the t test and linear regression models were employed. The chi-square test was used to verify associations between CMD and sociodemographic variables. Descriptive analysis was used for psychotropic drug use.
  
  
  RESULTS
  The prevalence of CMD was 44.1%. The prevalence of psychotropic medication use was 27.1%. Only 5.6% of participants had a psychiatric diagnosis recorded in their medical chart. Psychotropic drugs were used by 41.6% of participants with CMD according to the SRQ-20 and by 15.7% of those without CMD. There was no association between CMD and sociodemographic variables, but CMD and QoL were significantly associated. Women with CMD had the worst QoL, without impact of sociodemographic variables.
  
  
  CONCLUSIONS
  Further attention should be given to the pattern of psychotropic medication use and prescription in primary care settings. Women with CMD had functional impairment, as shown by significantly lower QoL scores. The fact that sociodemographic factors did not impact the present results seems to support the notion of a different basis for CMD in women.
authors.affiliation: Departamento de Enfermagem Psiquiátrica, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil, tatilborges@usp.br.
authors.forename: Tatiana Longo
authors.initials: TL
authors.lastname: Borges
authors.affiliation: Faculty of Nursing, University of Alberta, Edmonton, AB, Canadá
authors.forename: Kathleen Mary
authors.initials: KM
authors.lastname: Hegadoren
authors.affiliation: Departamento de Enfermagem Psiquiátrica, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil, tatilborges@usp.br.
authors.forename: Adriana Inocenti
authors.initials: AI
authors.lastname: Miasso
mesh_terms: D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy* / Q000453:epidemiology; D011320:Primary Health Care; D011788:Quality of Life; D011795:Surveys and Questionnaires