Depressive symptoms and drug use among nursing staff professionals

Junqueira, Marcelle Aparecida de Barros; Santos, Manoel Antônio dos; Araújo, Lúcio Borges de; Ferreira, Maria Cristina de Moura; Giuliani, Carla Denari; Pillon, Sandra Cristina

doi:10.1590/2177-9465-EAN-2018-0129

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RESEARCH • Esc. Anna Nery 22 (4) • 2018 • https://doi.org/10.1590/2177-9465-EAN-2018-0129 copy

Depressive symptoms and drug use among nursing staff professionals

Síntomas depresivos y uso de drogas entre profesionales del equipo de enfermería

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives:

To evaluate possible relationships between drug abuse, symptoms suggestive of depression and gender in nursing team professionals.

Method:

A cross-sectional study conducted in a general hospital with 416 participants. Used questionnaire with sociodemographic information, ASSIST, AUDIT-C and PHQ-2 tests. Used Fisher's Exact Tests, Chi-Square Test, and Multivariate Logistic Regression Analysis.

Results:

The female gender presented decreased odds ratios for alcohol consumption in the binge pattern and use of marijuana; and double odds ratios for feelings of lack of interest and pleasure. Symptoms suggestive of depression presented potential risks for the use of sedatives.

Conclusion:

Drug abuse and symptoms of depression are associated and manifest differently, according to gender among nursing staff professionals.

Implications for practice:

Social and gender roles influence the mental health conditions of these professionals.

Keywords:
Nursing; Related Disorders Substance Use; Depression; Occupational Health

Drugs Risk Level		Female		Male		Total		p^* * Chi-Square Test (χ2). Value of p < 0,05. value
Drugs Risk Level		n	%	n	%	n	%	p^* * Chi-Square Test (χ2). Value of p < 0,05. value
Alcohol (binge)	Abstemious/Low	235	67,1	29	47,5	264	64,2	0,003^* * Chi-Square Test (χ2). Value of p < 0,05.
Alcohol (binge)	Medium/High	115	32,9	32	52,5	147	35,8	0,003^* * Chi-Square Test (χ2). Value of p < 0,05.
Alcohol	Abstemious/Low	276	78,9	48	78,7	324	78,8	0,976
Alcohol	Medium/High	74	21,1	13	21,1	87	21,2	0,976
Tabacco	Abstemious/Low	261	93,9	52	91,2	313	93,4	0,461
Tabacco	Medium/High	17	6,1	5	8,8	22	6,6	0,461
Marijuana	Abstemious/Low	273	98,6	51	92,7	324	97,6	0,010^* * Chi-Square Test (χ2). Value of p < 0,05.
Marijuana	Medium/High	4	1,4	4	7,3	8	2,4	0,010^* * Chi-Square Test (χ2). Value of p < 0,05.
Sedative	Abstemious/Low	267	97,4	54	100	321	97,9	0,235
Sedative	Medium/High	7	2,6	-	-	7	2,1	0,235
Cocaine, Crack	Abstemious/Low	275	99,3	55	100	330	2	0,527
Cocaine, Crack	Medium/High	2	0,7	-	-	2	0,6	0,527
Amphetamines	Abstemious/Low	275	99,6	56	100	331	99,7	0,204
Amphetamines	Medium/High	1	0,4	-	-	1	0,3	0,204
Opioids	Abstemious/Low	272	2	53	100	327	99,1	0,745
Opioids	Medium/High	3	1,1	-	-	2	0,9	0,745
Others	Abstemious/Low	267	98,9	52	100	322	99,1	0,747
Others	Medium/High	3	1,1	-	-	3	0,9	0,747

Suggestive Symptoms for Depression		Female		Male		Total		p^* * Chi-Square Test (χ2). Value of p < 0,05. value
Suggestive Symptoms for Depression		n	%	n	%	n	%	p^* * Chi-Square Test (χ2). Value of p < 0,05. value
Low interest or pleasure to do things	No time or various days	240	76,4	48	88,9	288	78,3	0,040
Low interest or pleasure to do things	More than half or almost every day	74	23,6	6	11,1	80	21,7	0,040
Feeling sad, depressed and without hope	No time or various days	257	81,3	47	90,4	304	82,6	0,110
Feeling sad, depressed and without hope	More than half or almost every day	59	18,7	5	9,6	64	17,4	0,110
Suggestive signs for depression	No	233	77,1	46	88,5	285	78,7	0,042
Suggestive signs for depression	Yes	71	22,9	6	11,7	77	21,3	0,042

	OR adjusted	CI95%	p^* * Chi-Square Test (χ2). Value of p < 0,05. value
Drugs
Alcohol (binge)	0,44	0,26-0,77	0,003
Alcohol	1,17	0,88-1,55	0,286
Tabacco	0,68	0,24-1,93	0,463
Marijuana	0,19	0,05-0,77	0,020
Suggestive Symptoms for Depression
Have low interest or pleasure to do things	2,47	1,02-5,99	0,046
Feeling sad, depressed and without hope	2,16	0,82-5,66	0,118
Suggestive for Depression	2,28	0,93-5,55	0,070

Drug use (medium or high risk)	Suggestive Symptoms for Depression							Logistic regression model
	Yes		No		Total		p^* * Exact Test of Fisher. value	Logistic regression model
	n	%	n	%	n	%	p^* * Exact Test of Fisher. value	OR	CI95%	p^ Chi-Square Test (χ2). Note: alcohol, tobacco, marijuana, sedatives, cocaine, crack, amphetamines, opioids, inhalants, hallucinogens and others were controlled by the variable suggestive symptoms for depression. value
Alcohol (binge)	27	22,1	95	77,9	122	100	0,787	1,08	0,63-1,83	0,772
Alcohol	18	26,9	49	73,1	67	100	0,467	1,13	0,89-1,43	0,296
Tabacco	6	28,6	15	71,4	22	100	0,409	1,53	0,57-4,12	0,398
Marijuana	1	14,3	6	85,7	7	100	1,000	0,62	0,73-5,25	0,663
Sedative	4	57,1	3	42,9	7	100	0,035	5,40	1,17-24,80	0,030
Opioids	-	-	2	100	2	100	1,00	3,44	0,47-25,21	0,223
Cocaine, Crack	2	100	-	-	2	100	0,211	2,34	0,37-22,36	0,244
Others	-	-	03	100	3	100	1,00	2,44	0,46-12,73	0,289

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[1] Corresponding authors: Marcelle Aparecida de Barros Junqueira. E-mail: marcellebarros@ufu.br