Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

Athié, Karen; Dowrick, Christopher; Menezes, Alice Lopes do Amaral; Cruz, Luanda; Lima, Ana Carolina da Cruz; Delgado, Pedro Gabriel Godinho; Favoretto, Cesar; Fortes, Sandra

doi:10.1590/1413-81232017221.11732016

Cited by 13 publications

(21 citation statements)

References 41 publications

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“…Since it is unfavorable to communication, this environment does not offer a space for dialog and safety that supports the development of a salutary therapeutic alliance between physicians and patients, based on which patients are able to express themselves and find new ways of confronting their ED 27 . On the contrary, this tumultuous context undermines patients' trust on their physicians and disturbs the PPR 28,29 . This restricts physicians' ability to listen to patients and inhibits the expression of ED, reiterating patients' conviction that physicians are not there to discuss ED and that it is not worthy of being shared, which may accentuate the stigma 25 surrounding mental health and even worsen patients' illnesses.…”

Section: Discussionmentioning

confidence: 99%

Narrativas de sofrimento emocional na Atenção Primária: contribuições para uma abordagem integral culturalmente sensível em Saúde Mental Global

Menezes

Athié

Favoreto

et al. 2019

Interface (Botucatu)

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Autores da Saúde Mental Global defendem, de um lado, o aumento do acesso aos cuidados de saúde mental, inclusive com o uso de intervenções padronizadas. De outro lado, na Atenção Primária à Saúde no Brasil, a apresentação sintomatológica do sofrimento emocional pelos pacientes dificulta sua identificação pelos profissionais, comprometendo o cuidado e exigindo uma abordagem culturalmente sensível. Objetivando conhecer a percepção de pacientes sobre o sofrimento emocional e seu cuidado na Atenção Primária, adotou-se método qualitativo de abordagem narrativa, com coleta de dados em grupos em salas de espera e roteiro baseado no instrumento McGill Ilness Narrative Interview. As narrativas foram tratadas por Análise de Conteúdo e revelaram que limitar a comunicação do sofrimento é negar o acesso ao cuidado. Contrapondo tal limitação, apontaram-se estratégias para nortear a estruturação de um cuidado que seja integral e culturalmente sensível.

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Section: Discussionmentioning

confidence: 99%

Narrativas de sofrimento emocional na Atenção Primária: contribuições para uma abordagem integral culturalmente sensível em Saúde Mental Global

Menezes

Athié

Favoreto

et al. 2019

Interface (Botucatu)

Self Cite

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“…With low accountability of healthcare administration and inadequate patient safety standards in the country (Jafree, Zakar, Zakar, & Fischer, 2015), the findings highlight the mental distress of women who, as chronically ill people, are dependent on healthcare practitioner service quality. International literature also confirms that improvement in healthcare services and healthcare practitioner support are known to have a role in alleviating depression in suffering women (Athié et al, 2017). To compound problems, the budget allocation for mental health in the country is estimated at a critically low rate of 0.4%, which may contribute to practitioner quality and service delivery for women (Irfan, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Healthcare service provider disrespect is known to be a predictor for depression in women and other vulnerable populations (Grissinger, 2017). Women with chronic disease may suffer greater depression if they face the following difficulties with provider: (a) lack of trust, (b) high case load and lack of time, and (c) inability to communicate and cultural incompatibility (Athié et al, 2017; Knickman et al, 2016). Many people may choose not to seek or continue to seek healthcare due to bad service quality of healthcare practitioners (Javed, Liu, Mahmoudi, & Nawaz, 2019).…”

Section: Theoretical Framework For Studymentioning

confidence: 99%

Determinants of depression in women with chronic disease: Evidence from a sample of poor loan takers from Pakistan

Jafree

2020

Journal Community Psychology

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Depression is one of the most common mental health problems in Pakistani women, with prevalence rates estimated to be above 30%. Identification of the determinants of depression in chronically ill, poor, and debt‐ridden women of the country is a neglected area. A quantitative survey using standardized tools was used to sample women from across Pakistan. It was found that women had higher odds of depression when they (a) perceived unfavorable self‐health, (b) had less health decision‐making power, (c) encountered difficulties in healthcare services, and (d) faced food insecurity. Key reforms are recommended to improve state protection policies, mental healthcare services, and cultural support for disadvantaged women in the country.

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“…In addition to instability between the individual and the environment, Athié et al 21 recognized vulnerability as being associated with the links of interpersonal dependence that permeate the relations of power and coercion, from the perspective of Oviedo and Czeresnia. 37 Vulnerability would represent an inherent characteristic of the human being, considering the vulnerable character of life and the duality between life and death that accompanies human existence.…”

Section: Methodsmentioning

confidence: 99%

Vulnerability and Primary Health Care: An Integrative Literature Review

Ferreira

Santos

Ribeiro

et al. 2021

J Prim Care Community Health

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The objective was to analyze the evidence available in the scientific literature on the concept of vulnerability, in theoretical perspectives and its use, in Primary Health Care. An integrative literature review was carried out with the inclusion criteria: articles in English, full text, peerreviewed, related to vulnerability and primary health care, with the explicit concept of vulnerability, and published until July 31, 2020. The electronic databases accessed were by crossing the descriptors “vulnerability,” “vulnerabilities,” “primary health care,” “primary healthcare,” and “primary care.” The final sample consisted of 19 articles. The thematic analysis produced 2 themes: “Theoretical foundations of the concept of vulnerability” and “The use of the concept of vulnerability in PHC.” In the second theme, 2 sub-themes emerged: Evaluation of health policies, programs, and services and Classification of individuals, groups, and families. There was a plurality of theoretical foundations for the concept of vulnerability and a smaller scope of its use in Primary Health Care. It is expected that the study will subsidize public policymakers and health teams in the design of services and actions aimed at vulnerable populations and in situations of vulnerability.

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Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

Abstract: Experiências de mulheres ansiosas e deprimidas sobre sofrimento emocional e busca de cuidado em uma favela do Rio de Janeiro

Cited by 13 publications

References 41 publications

Narrativas de sofrimento emocional na Atenção Primária: contribuições para uma abordagem integral culturalmente sensível em Saúde Mental Global

Narrativas de sofrimento emocional na Atenção Primária: contribuições para uma abordagem integral culturalmente sensível em Saúde Mental Global

Determinants of depression in women with chronic disease: Evidence from a sample of poor loan takers from Pakistan

Vulnerability and Primary Health Care: An Integrative Literature Review

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