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

Overview of attention for article published in Ciência & Saúde Coletiva, January 2017
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Title
Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela
Published in
Ciência & Saúde Coletiva, January 2017
DOI 10.1590/1413-81232017221.11732016
Pubmed ID
Authors

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

Abstract

Taking into consideration issues such as stigma and the mental health gap, this study explores narratives of anxious and depressed women treated in a community-based primary care service in a Rio de Janeiro favela about their suffering and care. We analysed 13 in-depth interviews using questions from Kadam's study. Framework analysis studied Access, Gateway, Trust, Psychosocial Issues, and Primary Mental Health Care, as key-concepts. Vulnerability and accessibility were the theoretical references. Thematic analysis found "suffering category", highlighting family and community problems, and "help seeking category", indicating how these women have coped with their emotional problems and addressed their needs through health services, community resources and self-help. Women's language patterns indicated links between implicit social rules and constraints to talk about suffering, especially if related to local violence. High medical turnover and overload are barriers for establishing a positive relationship with family physicians and continuity of care is a facilitator that promotes trust, security and adherence. Concluding, to plan community-based primary mental health care of this population, cultural and social factors must be comprehended as well as the work health teams conditions.

Mendeley readers

The data shown below were compiled from readership statistics for 119 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 <1%
Unknown 118 99%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 29 24%
Student > Ph. D. Student 13 11%
Student > Master 10 8%
Student > Doctoral Student 10 8%
Student > Postgraduate 7 6%
Other 21 18%
Unknown 29 24%
Readers by discipline Count As %
Medicine and Dentistry 25 21%
Psychology 23 19%
Nursing and Health Professions 22 18%
Social Sciences 4 3%
Materials Science 2 2%
Other 8 7%
Unknown 35 29%