Prevalence of minor psychiatric disorders in socio-educational agents in
               the state of Rio Grande do Sul

Greco, Patrícia Bitencourt Toscani; Magnago, Tânia Solange Bosi de Souza; Urbanetto, Janete de Souza; Luz, Emanuelli Mancio Ferreira da; Prochnow, Andrea

doi:10.1590/0034-7167.2015680113p

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RESEARCH • Rev Bras Enferm 68 (1) • Jan-Feb 2015 • https://doi.org/10.1590/0034-7167.2015680113p copy

Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

to determine the prevalence and factors associated with minor psychiatric disorders (MPD) in socio-educational agents.

Method:

it is a cross-sectional study with 381 socio-educational agents the Centers for Socio-Educational Services in the State of Rio Grande do Sul, Brazil. The Brazilian versions of the Scale of Demand-control-social support at work and the Self Reporting Questionnaire-20 have been applied.

Results:

the results showed a prevalence of suspicion MPD of 50.1%. They showed to be related to suspicion of MPD : being female (55.7%), having age up to 44 years old (58.5%), no physical activity (57.4%), do not have time for leisure (75%), make use of medication (61.4%), require medical attention (56.9%) and psychological counseling (72.7%), not being satisfied with the workplace (61.7%) and need for time off from work (65.6%).

Conclusion:

the study provides important data about the mental health of agents, showing the need for the involvement of managers and of the health service of worker’s health in planning actions to promote health of these workers.

Group of symptoms	*Questions SRQ-20^ * Mean = 6.86 (±4.28) and Median = 7**	YES
Group of symptoms	*Questions SRQ-20^ * Mean = 6.86 (±4.28) and Median = 7**		%
Depressive-anxious mood	Do you feel nervous, tense or worried?	261	68.5
	Are you easily frightened?	114	29.9
	Have you felt sad lately?	169	44.4
	Have you cried more than usual?	80	21.0
Somatic symptoms	Do you have frequent headaches?	182	47.8
	Do you sleep badly?	250	55.6
	Do you have uncomfortable feelings in the stomach?	170	44.6
	Is your digestion poor?	166	43.6
	Is your appetite poor?	54	14.2
	Do your hands shake?	65	17.1
Decreased vital energy	Do you get tired easily?	196	51.4
	Do you find it difficult to make decisions?	82	21.5
	Do you find it difficult to enjoy your daily activities?	192	50.4
	Do you have difficulties at work (your job is painful, causes suffering)?	170	44.6
	Do you feel tired all the time?	169	44.4
	Do you have trouble thinking clearly?	101	26.5
Depressive thoughts	Are you unable to play a useful part in your life?	33	8.7
	Have you lost interest in things?	115	30.2
	Have you had the thought of ending your life?	25	6.6
	Do you feel that you are a useless, worthless person?	21	5.5

Sociodemographic variables	DPM
Sociodemographic variables	No		Yes		*p^ * Chi-square test**
Gender (N = 380)	n	%	n	%	*p^ * Chi-square test**
Male	95	56.5	73	43.5	0.018
Female	94	44.3	118	55.7
Age group (N = 372)
Up to 44 years	80	41.5	113	58.5	0.001
≥ 45 years	105	58.7	74	41.3
Race (N = 380)
White	136	47.6	150	52.4	0.137
Others	53	56.4	41	43.6
Education (N = 363)
Secondary school	86	51.8	80	48.2	0.558
Tertiary education	75	48.4	80	51.6
Post-graduation	18	42.9	24	57.1
Marital status (N = 379)
Married/with partner	122	50.0	122	50.0	0.945
Single/no partner	67	49.6	68	50.4
Number of children (N = 380)
No child	40	52.6	36	47.4	0.900
1 child	62	50.8	60	49.2
2 children	55	47.8	60	52.2
3 or more children	32	47.8	35	52.2

Variables: habits and health	DPM
	No		Yes		*p^ * Teste Qui-quadrado**
	n	%	n	%	*p^ * Teste Qui-quadrado**
Smoking (N = 379)
Never smoked	102	46.4	118	53.6	0.180
Smoked, but quit	50	58.1	36	41.9
Yes, I smoke	36	50.0	36	50.0
Suspicion for alcoholism (CAGE)(N = 337)
No	160	53.2	141	46.8	0.053
Yes	13	36.1	23	63.9
Sleep hours
0 to 4 hours	5	31.3	11	68.8	0.311
5 to 8 hours	173	50.6	169	49.4
9 to 12 hours	12	52.2	11	47.8
Physical activity
No	109	42.6	147	57.4	<0.0001
Yes	81	64.8	44	35.2
Leisure time (N = 378)
No	21	25.0	63	75.0	<0.0001
Yes	78	75.0	26	25.0
Sometimes	90	47.4	100	52.6
Medication use (N = 376)					<0.0001
No	97	69.3	43	30.7
Yes	91	38.6	145	61.4
Need for medical care (N = 373)
No	57	75.0	19	25.0	<0.0001
Yes	128	43.1	169	56.9
Psychological counseling (N = 372)
No	150	62.5	90	37.5	<0.0001
Yes	36	27.3	96	72.7

Labor variables	DPM
	No		Yes		*p^ * Chi-square test;**
	N	%	N	%	*p^ * Chi-square test;**
Working time in the institution
Up to 10 years	96	45.7	114	54.3	0.072
More than 10 years	94	55.0	77	45.0
Working time as an agent
Up to 12 years	126	46.7	144	53.3	0.051
More than 12 years	64	57.7	47	42.3
Work shift
Day	89	46.1	104	53.9	0.137
Night	101	53.7	87	46.3
Working time in the shift (N= 380)
Up to 8 years	102	50.0	102	50.0	>0.999
More than 8 years	88	50.0	88	50.0
Weekly working hours
Up to 40 hours	125	48.6	132	51.4	0.489
More than 40 hours	65	52.4	59	47.6
Other employment
No	173	50.0	173	50.0	0.872
Yes	17	48.6	18	51.4
Work hours in the other job (N = 35)
Up to 20 hours	13	52.0	12	48.0	0.521^† † Fisher's exact test.
More than 20 hours	4	40.0	6	60.0
Working time in the other job (N = 35)
Up to 6 years	11	57.9	8	42.1	0.229
More than 6 years	6	37.5	10	62.5
Workers in the work schedule (N = 366)
Sufficient	41	56.9	31	43.1	0.156
Insufficient	140	47.6	154	52.4
Satisfaction with the workplace (N = 369)
No	74	38.3	119	61.7	<0.0001
Yes	112	63.6	64	36.4
Receive training (N = 362)
No	101	50.8	98	49.2	0.204
Yes	9	69.2	4	30.8
Sometimes	68	45.3	82	54.7
Days on leave (N= 374)
None	74	61.7	46	38.3	0.011
Up to 9 days	67	49.6	68	50.4
10 to 24 days	25	40.3	37	59.7
25 to 99 days	11	34.4	21	65.6
100 to 365 days	10	40.0	15	60.0

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[1] CORRESPONDING AUTHOR Patrícia Bitencourt Toscani Greco. E-mail: pbtoscani@hotmail.com

Social Support		CDM	DPM
			No	Yes	*p^ * Chi-square test**
			n(%)	n(%)	*p^ * Chi-square test**
Low social support CDM		Low strain	16 (53.3)	14(46.7)	0.145
		Passive work	16(40.0)	24(60.0)
		Active work	20(31.7)	43(68.3)
		High strain	15(30.0)	35(70.0)
	Total		67(36.6)	116(63.4)
High social support CDM		Low strain	60(70.6)	25(29.4)	0.079
		Passive work	25(62.5)	15(37.5)
		Active work	28(56.0)	22(44.0)
		High strain	10(43.5)	13(56.5)
	Total		123(62.1)	75(37.9)