Terapia comunitária integrativa no quadro depressivo de adultos

Abstract

The objective of this study was to implement the Integrative Community Therapy in a basic Family Health Unit, in adults between 18 and 59 years old, of both sexes, diagnosed with depression, using fluoxetine, as a complementary treatment to the medication and to evaluate the effectiveness of the intervention. This is qualitative and quantitative methods, whose investigation scenario was in the metropolitan region of Rio Grande do Sul. The data were collected from the data collection questionnaire, Hamilton Scale (HAM -D21), and Beck Depression Inventory (BDI-II), assessed before and after the intervention (n = 20). The study included women aged between 40 and 59 years, predominantly white (90%), 50% with incomplete elementary education, 85% in treatment for more than 1 year; 75% with a history of previous depression. The intervention was organized in 8 sessions with variable frequency, two of them without participants; the predominant theme was family conflicts; No patient participated in all sessions, 50% did not attend any, 25% participated in 1 to 2 sessions. In the participating group, In the participating group, 10% participated in 5 to 6 sessions. Despite the low adherence to the intervention, 100% of the participants would recommend TCI to other people, although 50% affirm that the therapy contributes little to the improvement of their depressive condition in the period. The emotional support reported during therapy was considered good or excellent by 100% of the group. The symptoms showed a reduction in the classification scores after the intervention; The evaluated efficacy (HAM-D21) was not achieved, and there were no cases of remission.