Correlation between depressive symptoms and quality of life in users
					of psychoactive substances

Marcon, Samira Reschetti; Xavier, Jéssica Saraiva; Barcelon, Ariane Aguillar; Espinosa, Mariano Martinez; Barbosa, Dulce Aparecida

doi:10.1590/S0080-623420140000400013

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Original Article • Rev. esc. enferm. USP 48 (04) • Aug 2014 • https://doi.org/10.1590/S0080-623420140000400013 copy

Correlation between depressive symptoms and quality of life in users of psychoactive substances

Relación entre los síntomas depresivos y la calidad de vida en los usuarios de sustancias psicoactivas

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objectives: To evaluate the correlation between the presence of depressive symptoms and quality of life in users of psychoactive substances from Psychosocial Attention Centers in Mato Grosso. Method: A cross-sectional analytical study, conducted in Psychosocial Attention Centers, with 109 users. The instruments used were: Medical Outcomes Study 36, Beck Depression Inventory, socio-demographic variables and the use of psychoactive substances. A Tukey analysis and a Spearman correlation were conducted with a significance level of α<0,05. Results: The most affected domains of quality of life were emotional, social and mental health aspects, besides the strong correlation between depressive symptoms and quality of life. Conclusion: The use of psychoactive substances and the presence of symptoms significantly interfere in the life of users, which can compromise the motivation to the treatment, negatively affecting the quality of life in this population.  

Substance-related disorders; Depression; Quality of life; Mental Health Services; Psychiatric nursing

User’s characteristics		(n =109)	%
Age (x±DP)	29.8±7.8
Gender	Male	92	84.4
	Female	17	15.6
Marital Status	Single	60	55.0
	Married	38	34.9
	Divorced	11	10.1
Education Level	Incomplete basic education	30	27.5
	Complete basic education	46	42.2
	Complete high school	30	27.5
	Complete higher education	3	2.8
Occupation	Possess	72	66.1
	Do not possess	37	33.9

Psychoactive Substance		(n =109)	*%^ * The percentages do not totalize 100% due to the fact that users reported the use of more than one PAS in all categories**
Use in life	Marijuana	93	85,3
	Base paste	84	77,0
	Cocaine	77	70,6
	Inhalants	32	29,4
	Crack	17	15,6
	Ecstasy	6	5,5
	LSD	3	2,7
Current use	Base paste	34	31,2
	Marijuana	33	30,3
	Cocaine	9	8,3
First use in life	Marijuana	81	74,3
	Cocaine	13	11,9
	Base paste	10	9,2
	Solvent	5	4,6

SF36 Domains	x¯ ± EPM
Functional capacity	86.47 ± 1.64 A^ The capital letters (A, B and C) indicate the domains which presented in average differences statistically significant, through the Tukey test at a 0,05 level
Physical aspect	66.06 ± 3.33 B^ The capital letters (A, B and C) indicate the domains which presented in average differences statistically significant, through the Tukey test at a 0,05 level
Pain	62.23 ± 2.66 B^ The capital letters (A, B and C) indicate the domains which presented in average differences statistically significant, through the Tukey test at a 0,05 level
General health status	65.59 ± 2.06 B^ The capital letters (A, B and C) indicate the domains which presented in average differences statistically significant, through the Tukey test at a 0,05 level
Vitality	66.19 ± 2.17 B^ The capital letters (A, B and C) indicate the domains which presented in average differences statistically significant, through the Tukey test at a 0,05 level
Social aspects	60.72 ± 2.85 B^ The capital letters (A, B and C) indicate the domains which presented in average differences statistically significant, through the Tukey test at a 0,05 level
Emotional aspects	44.32 ± 3.99 C^ The capital letters (A, B and C) indicate the domains which presented in average differences statistically significant, through the Tukey test at a 0,05 level
Mental health	60.22 ± 2.25 B^ The capital letters (A, B and C) indicate the domains which presented in average differences statistically significant, through the Tukey test at a 0,05 level

Beck Depression Inventory	(n=109)	%
Depression	41	37.6
Dysphoria	14	12.8
Normal	54	49.6
Total	109	100.00

Dimension	*Beck Depression Inventory^ * Spearman correlation coefficient (ρ)**	p^ p = p-value associated to the Spearman correlation test (ρ)
Functional capacity	-0.463	<0.001
Physical aspect	-0.465	<0.001
Pain	-0.446	<0.001
General health status	-0.557	<0.001
Vitality	-0.596	<0.001
Social aspects	-0.541	<0.001
Emotional aspects	-0.301	0.001
Mental health	-0.714	<0.001

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Correspondence: Samira Reschetti Marcon.  Avenida Fernando Corrêa da Costa, n. 2367 – Bairro Boa Esperança.  CEP 78060-900 – Cuiabá, MT, Brazil.  E-mail: samira.marcon@gmail.com