Transtorno mental comum em indivíduos com LER/DORT e Covid-19 em um município do interior mineiro: estudo transversal

Abstract

Artigo 1: Descriptive, cross-sectional, exploratory study with quantitative methodology, in order to investigate the associations between the presence of common mental disorder (CMT) and quality of life (QOL) in workers with RSI/WRMD. The WHOQOL-bref questionnaire was used to assess QOL, the Nordic Musculoskeletal Questionnaire (NMQ) to assess the intensity of symptoms and the Self-Reporting Questionnaire for the probability of presence of CMD. Sixty-eight workers with RSI/WMSDs participated, 52 (76.5%) of whom were women, with a mean 14 age of 50.1±7.25 years, most of them in a stable relationship (52.9%). The mean for CMT was 9.72±4.23. The means in the QOL domains indicated greater impairment in the physical domain (39.60±18.59), followed by the environmental domain (49.54±13.55). The psychological domain presented a mean of 53.49±20.02 and the social domain, 62.62±17.66. Greater impairment in all domains of QOL were associated with a higher probability of the presence of CMD (p<0.05). Greater impairment in the physical (β = -0.235; p = 0.044) and psychological (β = -0.571; p <0.091) domains were predictors of higher probability of CMD, even after adjusting for symptom intensity and sociodemographic variables. In addition to physical assessments and working conditions, widely defended in the specific legislation to establish the causal nexus of RSI/WMSDs, the assessment of QOL and mental health should be considered, since they can provide subsidies for more assertive and appropriate actions, regarding to the health-work binomial.

Artigo 2: O presente estudo tem como objetivo investigar as associações entre a probabilidade de presença de transtorno mental comum (TMC) e sequelas na população acometida pela COVID – 19 em um município do interior mineiro. Participaram 280 indivíduos, com idade a partir de 18 anos, com média de 41,24± 14,03 anos, a maioria mulheres (57,9%), sendo que 217 (77,5%) relatou a presença de pelo menos uma sequela. A média da pontuação do TMC foi de 5±5,34. As sequelas as mais relatadas pelos indivíduos, foram diminuição do condicionamento físico (45%), queda de cabelo (42,5%), ansiedade (40,7%), fraqueza (37,1%) e dor no corpo (30%). Maior probabilidade de presença de TMC foi significativamente associado às mulheres, indivíduos que apresentaram sintomas gripais e respiratórios durante a infecção e a todas as sequelas relatadas. O número total de sequelas foi preditor de maior probabilidade da presença de TMC. O modelo final mostrou que apresentar maior número de sequelas e ser mulher foi fator relacionados à maior probabilidade da presença de TMC. Com a diminuição de casos graves por todo o mundo é importante que continuemos olhando para os que foram afetados, entendendo-os de forma biopsicossocial e estabelecendo estratégias e programas adequados de reabilitação que levem em conta sua condição física e emocional.

Artigo 2: The present study aims to investigate the associations between the probability of the presence of common mental disorder (CMD) and sequelae in the population affected by COVID-19 in a municipality in the interior of Minas Gerais. 280 individuals participated, aged from 18 years, with a mean of 41.24± 14.03 years, most of them women (57.9%), and 217 (77.5%) reported the presence of at least one sequel. The mean 29 TMC score was 5±5.34. The sequelae most reported by individuals were decreased physical conditioning (45%), hair loss (42.5%), anxiety (40.7%), weakness (37.1%) and body pain (30%). Higher probability of presence of CMD was significantly associated with women, individuals who had flu and respiratory symptoms during infection and all reported sequelae. The total number of sequelae was a predictor of greater probability of the presence of CMD. The final model showed that having a greater number of sequelae and being a woman was a factor related to a greater probability of having CMD. With the decrease in serious cases around the world, it is important that we continue to look at those affected, understand them in a biopsychosocial way and establish appropriate strategies and rehabilitation programs that take into account their physical and emotional condition.