@article{ref1,
title="Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela",
journal="Ciencia e Saude Coletiva",
year="2017",
author="Athié, Karen and Dowrick, Christopher and Menezes, Alice Lopes do Amaral and Cruz, Luanda and Lima, Ana Cristina and Delgado, Pedro Gabriel Godinho and Favoretto, Cesar and Fortes, Sandra",
volume="22",
number="1",
pages="75-86",
abstract="Taking into consideration issues such as stigma and the mental health gap, this study explores narratives of anxious and depressed women treated in a community-based primary care service in a Rio de Janeiro favela about their suffering and care. We analysed 13 in-depth interviews using questions from Kadam's study. Framework analysis studied Access, Gateway, Trust, Psychosocial Issues, and Primary Mental Health Care, as key-concepts. Vulnerability and accessibility were the theoretical references. Thematic analysis found &quot;suffering category&quot;, highlighting family and community problems, and &quot;help seeking category&quot;, indicating how these women have coped with their emotional problems and addressed their needs through health services, community resources and self-help. Women's language patterns indicated links between implicit social rules and constraints to talk about suffering, especially if related to local violence. High medical turnover and overload are barriers for establishing a positive relationship with family physicians and continuity of care is a facilitator that promotes trust, security and adherence. Concluding, to plan community-based primary mental health care of this population, cultural and social factors must be comprehended as well as the work health teams conditions.<p /> <p>Language: en</p>",
language="en",
issn="1413-8123",
doi="10.1590/1413-81232017221.11732016",
url="http://dx.doi.org/10.1590/1413-81232017221.11732016"
}