{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T07:27:35Z","timestamp":1770881255427,"version":"3.50.1"},"reference-count":32,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"CIDMA under the FCT (Portuguese Foundation for Science and Technology) Multi-Annual Financing Program for R&amp;D Units","award":["UID\/00006\/2025"],"award-info":[{"award-number":["UID\/00006\/2025"]}]},{"name":"CIDMA under the FCT (Portuguese Foundation for Science and Technology) Multi-Annual Financing Program for R&amp;D Units","award":["UIDB\/00006\/2020"],"award-info":[{"award-number":["UIDB\/00006\/2020"]}]},{"name":"Thematic Line Biomathematics of CIDMA","award":["UID\/00006\/2025"],"award-info":[{"award-number":["UID\/00006\/2025"]}]},{"name":"Thematic Line Biomathematics of CIDMA","award":["UIDB\/00006\/2020"],"award-info":[{"award-number":["UIDB\/00006\/2020"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","award":["UID\/00006\/2025"],"award-info":[{"award-number":["UID\/00006\/2025"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","award":["UIDB\/00006\/2020"],"award-info":[{"award-number":["UIDB\/00006\/2020"]}]},{"name":"national funds (OE)","award":["UID\/00006\/2025"],"award-info":[{"award-number":["UID\/00006\/2025"]}]},{"name":"national funds (OE)","award":["UIDB\/00006\/2020"],"award-info":[{"award-number":["UIDB\/00006\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MCA"],"abstract":"<jats:p>(1) Background: Mental health significantly impacts personal relationships and societal integration. Portugal faces a high prevalence of psychiatric illnesses and psychological distress, which the COVID-19 pandemic might have exacerbated. Therefore, this study aims to study risk factors that lead to psychological problems, using data available in the primary health care centers of the region of Aveiro. (2) Methods: This observational and retrospective study analyzes data from 2009 to 2022 on psychological consultations in the Aveiro municipalities. Variables considered are municipality, International Classification of Primary Care problem, sex, and comorbidities (cancer, obesity, and diabetes). Summary statistics and graphs were employed for data understanding, with R software used for analysis. Regression models, odds ratios, and association tests were calculated. Also, cluster analysis was performed on municipalities. (3) Results: A new, significant increase in the appointment growth rate was observed in 2021 and 2022. Anxiety and depressive disorders contribute to the identified growth. Women reported more problems than men. Cancer was the most present comorbidity. (4) Conclusions: The study reveals increased mental health problems, with primary health care users in Aveiro experiencing worsened psychosocial health, resulting in more medical consultations for psychological reasons. Risk factors included being female and having chronic conditions such as cancer. The findings provide insights into the burden of mental health issues in the region, highlighting the need for effective mental health interventions and resources to address health inequalities and support at-risk groups.<\/jats:p>","DOI":"10.3390\/mca30020028","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T13:07:51Z","timestamp":1741957671000},"page":"28","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Characterization of the Appointment\u2019s Reasons for \u201cP\u2014Psychological\u201d on the ICPC-2 Scale in Primary Health Care Services"],"prefix":"10.3390","volume":"30","author":[{"given":"Filipa","family":"Rocha","sequence":"first","affiliation":[{"name":"Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7238-546X","authenticated-orcid":false,"given":"Cristiana J.","family":"Silva","sequence":"additional","affiliation":[{"name":"Center for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Department of Mathematics, ISTA, Iscte-Instituto Universit\u00e1rio de Lisboa, Avenida das For\u00e7as Armadas, 1649-026 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0654-8117","authenticated-orcid":false,"given":"Sofia J.","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Center for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1051-8084","authenticated-orcid":false,"given":"Vera","family":"Afreixo","sequence":"additional","affiliation":[{"name":"Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Center for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1009-6611","authenticated-orcid":false,"given":"Rui Pedro","family":"Leit\u00e3o","sequence":"additional","affiliation":[{"name":"Public Health Unit, ACES Baixo Vouga, 3800-120 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5450-7374","authenticated-orcid":false,"given":"Miguel","family":"Felgueiras","sequence":"additional","affiliation":[{"name":"Center for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics, University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"ESTG, Polytechnic Institute of Leiria and CEAUL, Faculty of Sciences, University of Lisbon, 1749-016 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"ref_1","unstructured":"United Nations (2024, December 30). 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