{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T03:44:49Z","timestamp":1767066289429},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:p>Aim: Describe levels of depression, anxiety and stress among users of an urban\/rural health centre, analyse sex differences and comorbidity between depression, anxiety and stress. Method: Descriptive co-relational study with a Portuguese version of DASS-21; consecutive sample (n=343). Results: 40.52%, 43.48% and 45.06% of individuals present some degree of depression, anxiety and of stress, respectively. Severe or very severe levels of disturbance were found in 20.87% (anxiety), 22.38% (stress) and 12.24% (depression) of individuals. Women present higher levels of depression, anxiety and stress. Depression, Anxiety and Stress are strongly and positively associated. Conclusion: These results show high point prevalence - higher than in other countries - and reveal differences in sex as well as comorbidity. They may allow for the development of a local and community intervention strategy for mental health promotion and disease prevention, particularly for women.<\/jats:p>","DOI":"10.1590\/s0104-11692011000200017","type":"journal-article","created":{"date-parts":[[2011,5,12]],"date-time":"2011-05-12T14:52:54Z","timestamp":1305211974000},"page":"348-353","source":"Crossref","is-referenced-by-count":16,"title":["Depression, anxiety and stress in primary health care users"],"prefix":"10.1590","volume":"19","author":[{"given":"Jo\u00e3o Lu\u00eds Alves","family":"Ap\u00f3stolo","sequence":"first","affiliation":[{"name":"Escola Superior de Enfermagem de Coimbra,  Portugal; Unidade de Investiga\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade,  Portugal"}]},{"given":"Maria Henriqueta","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto,  Portugal"}]},{"given":"Aida Cruz","family":"Mendes","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem de Coimbra,  Portugal; Unidade de Investiga\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade,  Portugal"}]},{"given":"Manuel Alves","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem de Coimbra,  Portugal; Unidade de Investiga\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade,  Portugal"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Mental health: facing the challenges, building solutions: report from the WHO European Ministerial Conference","year":"2005"},{"key":"ref2","series-title":"Plano nacional de sa\u00fade 2004-2010","year":"2004"},{"key":"ref3","series-title":"Resolu\u00e7\u00e3o do Conselho de Ministros n. 49\/2008 (PT): Disp\u00f5e sobre o Plano Nacional de Sa\u00fade Mental (2007-2016)","year":"2008"},{"key":"ref4","series-title":"The world health report 2001 - Mental Health: new understanding, new hope","year":"2001"},{"key":"ref5","series-title":"The world health report 2008: Primary health care - now more than ever","year":"2008"},{"issue":"2","key":"ref6","first-page":"129","article-title":"O peso das perturba\u00e7\u00f5es depressivas: aspectos epidemiol\u00f3gicos globais e necessidades de informa\u00e7\u00e3o em Portugal","volume":"18","author":"Gusm\u00e3o RM","year":"2005","journal-title":"Acta M\u00e9d Port"},{"key":"ref7","first-page":"24","article-title":"Generalized anxiety and depression in primary care: prevalence, recognition, and management","volume":"63","author":"Wittchen HU","year":"2002","journal-title":"J Clin Psychiatry","ISSN":"http:\/\/id.crossref.org\/issn\/0160-6689","issn-type":"print"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1503\/cmaj.1030823","article-title":"The Canadian Task Force on Preventive Health Care. 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