Depressive symptoms have been associated to the Metabolic Syndrome. Nevertheless, only a few studies have evaluated anxiety and depression concomitantly. The objective of the research was to evaluate the intensity of depressive and anxiety symptoms in patients with Metabolic Syndrome and their relation to demographic variables. A unicenter, transversal study was carried out. A social demographic questionnaire was used. Depressive symptoms were measured with Beck Depression Inventory and anxiety symptoms were measured with Hamilton Anxiety Scale Rate. A total of 103 ambulatory patients, 60 of them men, with mean age 55.4 years (±7,6) with a diagnosis of Metabolic Syndrome were included in the study. Anxiety symptoms of very severe intensity were present in 51.5% (n=53) while severe depressive symptoms in only 5.8% (n=6). Anxiety and depressive symptoms were significantly associated. In this sample, anxiety predominated in relation to the depressive symptoms. The anxiety symptoms were more intense in women and that had low level of education.

ResumoBusca-se, no presente estudo, compreender qual a percepção do profissional de saúde sobre o fenômeno da não adesão à medicação, quando está no lugar de paciente. Os participantes foram profissionais da área da saúde de um hospital de referência na cidade de São Paulo que estavam sendo atendidos no Setor de Medicina do Trabalho, e que tinham indicação médica de tratamento com antidepressivos. Utilizou-se o método clínico-qualitativo, sendo a coleta de dados realizada por meio de entrevistas semidirigidas. Os resultados obtidos indicaram que os pacientes percebem a medicação como desencadeadora de efeitos colaterais, relatam medo da dependência à medicação, e, ainda medo da perda do próprio domínio psíquico caso sigam a prescrição, apesar de serem profissionais da saúde. Conclui-se que as crenças prévias dos pacientes, tanto sobre a sua problemática emocional quanto sobre a utilização do antidepressivo influenciam a não adesão à medicação, apesar de serem profissionais da saúde. Palavras-chave: recusa do paciente ao tratamento; depressão; saúde ocupacional; pesquisa qualitativa.

Sharovsky, Lilian Lopes. Análise de sintomas depressivos e ansiosos nas variáveis clínicas da Síndrome Metabólica [tese].

Background: The association between depressive symptoms and adverse outcomes in patients with coronary artery disease (CAD) is well recognized. However, few studies address the patient's perception of his physical and mental condition after a myocardial infarction (MI). The present study was designed to explore the subjective aspects of the psychological conditions in post-MI patients. Method and Results: A subject population of 8 male patients (age 59±5), selected by saturation sampling, with an average of 6 months post-MI, were submitted to an individual semi-structured interview and afterwards participated in 12 psychodynamic group sessions. Conclusion: There was a predominant non-acceptance of MI due to emotional barriers and this attitude has the potential to influence negatively the adherence to a comprehensive cardiovascular treatment, including pharmacological intervention for depression