{"id":"https://openalex.org/W2188791300","doi":null,"title":"Revista Brasileira de Psiquiatria","display_name":"Revista Brasileira de Psiquiatria","publication_year":2012,"publication_date":"2012-01-01","ids":{"openalex":"https://openalex.org/W2188791300","mag":"2188791300"},"language":"es","primary_location":{"id":"mag:2188791300","doi":null,"is_oa":false,"landing_page_url":"http://scielo.br/pdf/rbp/v34n4/v34n4a04.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037100462","display_name":"Beatrice Alinka Lepine","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Beatrice Alinka Lepine","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087989748","display_name":"Ricardo Alberto Moreno","orcid":"https://orcid.org/0000-0001-9843-3442","observed_orcids":["https://orcid.org/0000-0001-9843-3442","https://orcid.org/0000-0001-6840-988X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ricardo Alberto Moreno","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068146520","display_name":"Rodolfo Nunes Campos","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rodolfo Nunes Campos","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5025200412","display_name":"Bernard F. Couttolenc","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bernard F. Couttolenc","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11071","display_name":"Treatment of Major Depression","score":0.6279000043869019,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11071","display_name":"Treatment of Major Depression","score":0.6279000043869019,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.35109999775886536,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.010099999606609344,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/major-depressive-disorder","display_name":"major depressive disorder","score":0.8650000095367432},{"id":"https://openalex.org/keywords/treatment-resistant-depression","display_name":"treatment-resistant depression","score":1.0},{"id":"https://openalex.org/keywords/healthcare-resource-utilization","display_name":"healthcare resource utilization","score":0.7889999747276306},{"id":"https://openalex.org/keywords/costs-of-care","display_name":"costs of care","score":0.7409999966621399},{"id":"https://openalex.org/keywords/psychiatric-hospitalization","display_name":"psychiatric hospitalization","score":0.8629999756813049},{"id":"https://openalex.org/keywords/medication-use","display_name":"medication use","score":0.6710000038146973},{"id":"https://openalex.org/keywords/public-mental-health-system","display_name":"public mental health system","score":0.7459999918937683},{"id":"https://openalex.org/keywords/brazil","display_name":"Brazil","score":0.4790000021457672}],"concepts":[{"id":"https://openalex.org/C2780051608","wikidata":"https://www.wikidata.org/wiki/Q42844","display_name":"Major depressive disorder","level":3,"score":0.767317533493042},{"id":"https://openalex.org/C2777342061","wikidata":"https://www.wikidata.org/wiki/Q7836891","display_name":"Treatment-resistant depression","level":4,"score":0.720373272895813},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.7025436162948608},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.637293815612793},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.5264946818351746},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4936996400356293},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.4476197063922882},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4345957934856415},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3233218789100647},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22328394651412964},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.08862000703811646},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:2188791300","doi":null,"is_oa":false,"landing_page_url":"http://scielo.br/pdf/rbp/v34n4/v34n4a04.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":39,"referenced_works":["https://openalex.org/W70778864","https://openalex.org/W141566299","https://openalex.org/W183123008","https://openalex.org/W1589221672","https://openalex.org/W1605706304","https://openalex.org/W1695539136","https://openalex.org/W1964708433","https://openalex.org/W1969010498","https://openalex.org/W1970080702","https://openalex.org/W1971711167","https://openalex.org/W1991604982","https://openalex.org/W2005410879","https://openalex.org/W2010105132","https://openalex.org/W2010741480","https://openalex.org/W2011003051","https://openalex.org/W2013394767","https://openalex.org/W2027061717","https://openalex.org/W2028042382","https://openalex.org/W2031036006","https://openalex.org/W2043782021","https://openalex.org/W2050839660","https://openalex.org/W2060630072","https://openalex.org/W2078374346","https://openalex.org/W2082857343","https://openalex.org/W2083453232","https://openalex.org/W2092537868","https://openalex.org/W2094575348","https://openalex.org/W2098750661","https://openalex.org/W2103400008","https://openalex.org/W2116825224","https://openalex.org/W2149402043","https://openalex.org/W2149428164","https://openalex.org/W2159061031","https://openalex.org/W2172219833","https://openalex.org/W2405771289","https://openalex.org/W2412105083","https://openalex.org/W2413971723","https://openalex.org/W2515756271","https://openalex.org/W2562101577"],"related_works":["https://openalex.org/W7100967970","https://openalex.org/W1973436532","https://openalex.org/W4200249446","https://openalex.org/W4392540100","https://openalex.org/W4403399640","https://openalex.org/W7120394821","https://openalex.org/W4404206552","https://openalex.org/W3045779896","https://openalex.org/W2810343836","https://openalex.org/W3211811847"],"abstract_inverted_index":{"Objective:":[0],"Major":[1],"Depressive":[2],"Disorder":[3],"(MDD)":[4],"is":[5,27],"a":[6,10],"debilitating":[7],"condition":[8],"with":[9,65,79],"marked":[11],"social":[12],"impact.":[13],"The":[14,30,112],"impact":[15,198],"of":[16,32,42,58,88,115,178,182,196,199],"MDD":[17,46,66],"and":[18,40,85,103,118,180,201],"Treatment-Resistant":[19],"Depression":[20],"(TRD+)":[21],"within":[22],"the":[23,56,69,86,129,176,186,197],"Brazilian":[24],"health":[25,189,212],"system":[26],"largely":[28],"unknown.":[29],"goal":[31],"this":[33],"study":[34,192],"was":[35,83,90],"to":[36,48,68,76,109,138,148,161,185],"compare":[37],"resource":[38],"utilization":[39,82],"costs":[41,159],"care":[43],"for":[44],"treatment-resistant":[45],"relative":[47],"non-treatment-resistant":[49],"depression":[50],"(TRD-).":[51],"Methods:":[52],"We":[53,92],"retrospectively":[54],"analyzed":[55],"records":[57],"212":[59],"patients":[60,78,123,143,153,163],"who":[61],"had":[62],"been":[63],"diagnosed":[64],"according":[67],"ICD-10":[70],"criteria.":[71],"Specific":[72],"criteria":[73],"were":[74,144],"used":[75,124],"identify":[77],"TRD+.":[80],"Resource":[81],"estimated,":[84],"consumption":[87],"medication":[89,104],"annualized.":[91],"obtained":[93],"information":[94],"on":[95],"medical":[96],"visits,":[97],"procedures,":[98],"hospitalizations,":[99],"emergency":[100],"department":[101],"visits":[102],"use":[105],"related":[106],"or":[107],"not":[108,133],"MDD.":[110],"Results:":[111],"sample":[113],"consisted":[114],"90":[116],"TRD+":[117,122,142,152,183,200],"122":[119],"TRD-":[120,139,162],"patients.":[121,140],"significantly":[125,145,155],"more":[126,146],"resources":[127],"from":[128,134],"psychiatric":[130],"service,":[131],"but":[132],"non-psychiatric":[135],"clinics,":[136],"compared":[137,160],"Furthermore,":[141],"likely":[147],"require":[149],"hospitalizations.":[150],"Overall,":[151],"imposed":[154],"higher":[156],"(81.5%)":[157],"annual":[158],"(R$":[164],"5,520.85;":[165],"US$":[166,171],"3,075.34":[167],"vs.":[168],"R$":[169],"3,042.14;":[170],"1,694.60).":[172],"These":[173],"findings":[174],"demonstrate":[175],"burden":[177],"MDD,":[179],"especially":[181],"patients,":[184],"tertiary":[187],"public":[188,210],"system.":[190],"Our":[191],"should":[193,202],"raise":[194],"awareness":[195],"be":[203],"considered":[204],"by":[205],"policy":[206],"makers":[207],"when":[208],"implementing":[209],"mental":[211],"initiatives.":[213]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
