Abordagem da depressão na Atenção Primária em pacientes com doenças crônicas

Abstract

Depression is a disease of clinical diagnosis, widely frequent, having as main symptoms the lack of motivation, insecurity, helplessness, low self-esteem and sense of worthlessness, which can be triggered by several factors, such as psychosocial or even physical. Therefore, the support networks in Primary Care for these patients are extremely important, leading to comprehensive care, with therapeutic management and good communication with the patient. Many depressive patients have associated chronic diseases, such as diabetes mellitus, systemic arterial hypertension, renal and rheumatic diseases, which may have a bidirectional relationship between depressive and clinical symptoms. Thus, this literature review sought to demonstrate the importance of multidisciplinary treatment for these patients, taking into account specialist physicians, psychologists, nurses, nursing technicians, social assistance, in order to provide the patient with greater support, better treatment adherence., better therapeutic response and better quality of life.