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- Folic Acid Levels in a Sample of Portuguese Psychiatric OutpatientsPublication . Abreu-Lopes, JINTRODUCTION: There is substantial evidence of the association between mental disorders and low folic acid levels. The aim of this study was to evaluate the prevalence of folic acid deficiency in a sample of Portuguese psychiatric outpatients. METHODS: The study was retrospective and included 428 psychiatric outpatients with a diagnosis of depression or non-affective psychosis, for whom folic acid levels had been measured as part of routine blood tests. Folic acid levels from other hospital patients from the same time period were also registered. RESULTS AND DISCUSSION: The prevalence of folic acid deficiency in this sample is 18%. Non-psychiatric hospital patients with risk factors for folic acid deficiency have a prevalence of 15% of folic acid deficiency. Men and younger patients have lower folic acid levels, with statistical significance, and the prevalence of deficit reached 26%. CONCLUSION: The elevated frequency of folic acid deficiency in this sample of patients shows that folic acid levels should be routinely assessed in every patient with depression or psychosis, in order to avoid maintenance of symptoms and treatment resistance
- Inpatient Profile of Patients with Major Depression in Portuguese National Health System Hospitals, in 2008 and 2013: Variation in a Time of Economic CrisisPublication . Rodrigues, DF; Nunes, CThe economic crisis has placed Portugal in a situation of budgetary constraints with repercussions on mental health, since 2009. This study analyses the association between economic crisis and the inpatient profile of major depression in the working-age population in Portuguese National Health System hospitals. This was an observational, descriptive and cross-sectional study. An individual analysis of hospitalisation and an ecological analysis at district level, were performed before 2008 and during the crisis (2013). Data on the hospitalisation episodes, working-age population and psychiatric inpatient beds were analysed. An increase in hospitalisation rates for major depression were observed, and across country, high spatial variations were perceived: districts with lower rates of urbanisation and population density had higher hospitalisation rates for major depression. Hospitalisation rates were positively influenced by the available inpatient beds. The results for 2013 were more critical (higher hospitalisation rates, less beds). Further research is needed to understand all patterns, considering other individual and contextual information.