Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011000200010
J. Gomes, B. Matte, A. Vivan, Ana Cristina Wesner Viana, Cristiane Flôres Bortoncello, G. Salum, Graziela Aline Hartmann Zottis
Obsessive-compulsive disorder (OCD) is a severe mental disorder with serious consequences to family dynamics. Therefore, parental involvement seems to be a key factor for the successful treatment of this psychiatric disorder. The aim of this study was to evaluate the level of evidence available to allow recommendation of cognitive behavioral therapy (CBT) with family intervention for the treatment of children and adolescents with OCD. The systematic search was performed on MEDLINE/PubMed, followed by analysis of abstracts and full-length articles by two independent evaluators. Subsequently, an analysis of the evidence available was conducted using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The effect size of the intervention was calculated using Cohen’s d. We found 77 articles on PubMed, plus 12 articles via cross-reference search. Of these, seven articles were included in this review, according to the following criteria: intervention study, involving only children and/or adolescents, and a having a structured or clinical diagnosis of OCD. The Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS) was used for outcome evaluation in all articles, thus enabling assessment of the effect size of non-controlled interventions (d = 1.43), resulting in a mean difference of 13.11 points (95%CI 11.84-14.39; p < 0.001). Conversely, a high heterogeneity was detected among the studies (I² = 67%). Family-based CBT seems to have an important effect on the reduction of OCD symptoms in children and adolescents. However, the small number of studies available do not allow us to establish an evidence level higher than C for this recommendation. New randomized clinical trials are needed to confirm this recommendation.
{"title":"Terapia cognitivo-comportamental com intervenção familiar para crianças e adolescentes com transtorno obsessivo-compulsivo: uma revisão sistemática","authors":"J. Gomes, B. Matte, A. Vivan, Ana Cristina Wesner Viana, Cristiane Flôres Bortoncello, G. Salum, Graziela Aline Hartmann Zottis","doi":"10.1590/S0101-81082011000200010","DOIUrl":"https://doi.org/10.1590/S0101-81082011000200010","url":null,"abstract":"Obsessive-compulsive disorder (OCD) is a severe mental disorder with serious consequences to family dynamics. Therefore, parental involvement seems to be a key factor for the successful treatment of this psychiatric disorder. The aim of this study was to evaluate the level of evidence available to allow recommendation of cognitive behavioral therapy (CBT) with family intervention for the treatment of children and adolescents with OCD. The systematic search was performed on MEDLINE/PubMed, followed by analysis of abstracts and full-length articles by two independent evaluators. Subsequently, an analysis of the evidence available was conducted using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The effect size of the intervention was calculated using Cohen’s d. We found 77 articles on PubMed, plus 12 articles via cross-reference search. Of these, seven articles were included in this review, according to the following criteria: intervention study, involving only children and/or adolescents, and a having a structured or clinical diagnosis of OCD. The Children’s Yale-Brown Obsessive Compulsive Scale (CY-BOCS) was used for outcome evaluation in all articles, thus enabling assessment of the effect size of non-controlled interventions (d = 1.43), resulting in a mean difference of 13.11 points (95%CI 11.84-14.39; p < 0.001). Conversely, a high heterogeneity was detected among the studies (I² = 67%). Family-based CBT seems to have an important effect on the reduction of OCD symptoms in children and adolescents. However, the small number of studies available do not allow us to establish an evidence level higher than C for this recommendation. New randomized clinical trials are needed to confirm this recommendation.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"595 1","pages":"121-127"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78946343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011000200012
Lizandra Alvares Félix Barros, J. Souza
{"title":"Qualidade de vida na infância e na adolescência: orientações para pediatras e profissionais da saúde mental","authors":"Lizandra Alvares Félix Barros, J. Souza","doi":"10.1590/S0101-81082011000200012","DOIUrl":"https://doi.org/10.1590/S0101-81082011000200012","url":null,"abstract":"","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"1 1","pages":"129-129"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88930124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011000200006
L. Rios, Maura Maria Guimarães de Almeida, Saulo Vasconcelos Rocha, T. Araújo, Paloma de Sousa Pinho
INTRODUCTION: Common mental disorders (CMD) are disorders commonly found in the population. They are a consequence of modern lifestyle. Leisure physical activities can reduce tension and therefore help prevent CMDs. OBJECTIVE: To estimate the prevalence of CMDs among youths who engage and those who do not engage in leisure physical activities in Feira de Santana (BA), Brazil. METHODS: A cross-sectional, epidemiological study was conducted with 3,597 individuals, including 1,400 young people aged 15-29 years, living in the urban area of Feira de Santana. Leisure physical activities were assessed using a structured questionnaire covering the frequency, type, reason and effort involved in each activity. The Self-Reporting Questionnaire (SRQ-20) was used to assess CMDs. RESULTS: The prevalence of CMD was 19.2% among adolescents (15-17 years old), 26.6% among youths (18-24 years), and 27.8% among young adults (25-29 years). In the assessment of leisure activities, 89.9% of the youths reported to regularly engage in some kind of activity; however, engagement in leisure physical activities was observed to reduce with age. A negative association was found between leisure physical activities and CMD (prevalence ratio: 0.59, 95% confidence interval: 0.51-0.67). CONCLUSION: Healthcare programs should include actions that encourage leisure physical activities, in view of the contribution of active behavior toward improving mental health.
{"title":"Atividades físicas de lazer e transtornos mentais comuns em jovens de Feira de Santana, Bahia","authors":"L. Rios, Maura Maria Guimarães de Almeida, Saulo Vasconcelos Rocha, T. Araújo, Paloma de Sousa Pinho","doi":"10.1590/S0101-81082011000200006","DOIUrl":"https://doi.org/10.1590/S0101-81082011000200006","url":null,"abstract":"INTRODUCTION: Common mental disorders (CMD) are disorders commonly found in the population. They are a consequence of modern lifestyle. Leisure physical activities can reduce tension and therefore help prevent CMDs. OBJECTIVE: To estimate the prevalence of CMDs among youths who engage and those who do not engage in leisure physical activities in Feira de Santana (BA), Brazil. METHODS: A cross-sectional, epidemiological study was conducted with 3,597 individuals, including 1,400 young people aged 15-29 years, living in the urban area of Feira de Santana. Leisure physical activities were assessed using a structured questionnaire covering the frequency, type, reason and effort involved in each activity. The Self-Reporting Questionnaire (SRQ-20) was used to assess CMDs. RESULTS: The prevalence of CMD was 19.2% among adolescents (15-17 years old), 26.6% among youths (18-24 years), and 27.8% among young adults (25-29 years). In the assessment of leisure activities, 89.9% of the youths reported to regularly engage in some kind of activity; however, engagement in leisure physical activities was observed to reduce with age. A negative association was found between leisure physical activities and CMD (prevalence ratio: 0.59, 95% confidence interval: 0.51-0.67). CONCLUSION: Healthcare programs should include actions that encourage leisure physical activities, in view of the contribution of active behavior toward improving mental health.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"366 1","pages":"98-102"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75506228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011000100011
Ana Cristina Lages, Carlos Eduardo Nórte, Ana Lúcia Pedrozo, R. Goncalves, Carla Marques-Portella, Gabriela Guerra Leal de Souza, Ana Carolina Mendonça-de-Souza, P. Ventura
INTRODUCAO: O transtorno de estresse pos-traumatico (TEPT) tem sido associado a desregulacao de diversos parâmetros psicofisiologicos e pode apresentar comorbidade com diversas psicopatologias, inclusive a dissociacao, podendo dificultar o tratamento. O objetivo do presente trabalho foi investigar os efeitos da terapia cognitivo-comportamental em um paciente com TEPT e sintomas dissociativos com base em medidas psicofisiologicas e psicometricas em diferentes momentos do tratamento. DESCRICAO DO CASO: O paciente e um homem de 38 anos, com diagnosticos de TEPT e transtorno depressivo maior recorrente com sintomas dissociativos e resistencia ao tratamento farmacologico. O tratamento psicoterapico teve duracao de 4 meses, sendo composto por uma sessao semanal de terapia e tres sessoes semanais de coterapia. Os parâmetros fisiologicos (frequencia cardiaca, tonus vagal, balanco simpatico e cortisol) e psicometricos (afeto negativo e positivo, resiliencia e sintomas de estresse pos-traumatico, depressao, ansiedade e dissociacao) foram medidos antes, durante (uma vez ao mes) e apos o tratamento. COMENTARIOS: Os resultados mostraram diminuicao do balanco simpatico e aumento do tonus vagal, da frequencia cardiaca e dos niveis de cortisol ao longo do tratamento. O tratamento tambem promoveu reducao no afeto negativo e nos sintomas de estresse pos-traumatico, depressao, ansiedade e dissociacao, alem de um aumento nos escores de resiliencia, apoio social e afeto positivo. Esses resultados sugerem que a terapia cognitivo-comportamental e um tratamento eficaz para o TEPT com sintomas dissociativos. Alem disso, parece promover a normalizacao das alteracoes fisiologicas do sistema nervoso autonomo e neuroendocrino relacionadas ao TEPT.
{"title":"Marcadores neurobiológicos e psicométricos da eficácia da terapia cognitivo-comportamental no transtorno de estresse pós-traumático associado a sintomas dissociativos: relato de caso","authors":"Ana Cristina Lages, Carlos Eduardo Nórte, Ana Lúcia Pedrozo, R. Goncalves, Carla Marques-Portella, Gabriela Guerra Leal de Souza, Ana Carolina Mendonça-de-Souza, P. Ventura","doi":"10.1590/S0101-81082011000100011","DOIUrl":"https://doi.org/10.1590/S0101-81082011000100011","url":null,"abstract":"INTRODUCAO: O transtorno de estresse pos-traumatico (TEPT) tem sido associado a desregulacao de diversos parâmetros psicofisiologicos e pode apresentar comorbidade com diversas psicopatologias, inclusive a dissociacao, podendo dificultar o tratamento. O objetivo do presente trabalho foi investigar os efeitos da terapia cognitivo-comportamental em um paciente com TEPT e sintomas dissociativos com base em medidas psicofisiologicas e psicometricas em diferentes momentos do tratamento. DESCRICAO DO CASO: O paciente e um homem de 38 anos, com diagnosticos de TEPT e transtorno depressivo maior recorrente com sintomas dissociativos e resistencia ao tratamento farmacologico. O tratamento psicoterapico teve duracao de 4 meses, sendo composto por uma sessao semanal de terapia e tres sessoes semanais de coterapia. Os parâmetros fisiologicos (frequencia cardiaca, tonus vagal, balanco simpatico e cortisol) e psicometricos (afeto negativo e positivo, resiliencia e sintomas de estresse pos-traumatico, depressao, ansiedade e dissociacao) foram medidos antes, durante (uma vez ao mes) e apos o tratamento. COMENTARIOS: Os resultados mostraram diminuicao do balanco simpatico e aumento do tonus vagal, da frequencia cardiaca e dos niveis de cortisol ao longo do tratamento. O tratamento tambem promoveu reducao no afeto negativo e nos sintomas de estresse pos-traumatico, depressao, ansiedade e dissociacao, alem de um aumento nos escores de resiliencia, apoio social e afeto positivo. Esses resultados sugerem que a terapia cognitivo-comportamental e um tratamento eficaz para o TEPT com sintomas dissociativos. Alem disso, parece promover a normalizacao das alteracoes fisiologicas do sistema nervoso autonomo e neuroendocrino relacionadas ao TEPT.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"4 1","pages":"55-62"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82555505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011000100001
H. Corrêa, F. Rocha
{"title":"Abuso e negligência na infância e comportamento suicida: pode a epigenética interligá-los?","authors":"H. Corrêa, F. Rocha","doi":"10.1590/S0101-81082011000100001","DOIUrl":"https://doi.org/10.1590/S0101-81082011000100001","url":null,"abstract":"","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"12 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78305294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011000200005
Valeska Martinho Pereira, A. C. Silva, A. Nardi, Lothar A. J. Heinemann
INTRODUCTION: Despite the important role played by sexual function in quality of life, there is a scarcity of instruments in the Brazilian literature specifically designed to assess this aspect, and especially of instruments that can be used with both men and women. The adaptation of the Scale for Quality of Sexual Function (QSF), a unisex scale, is an important step in the production of instruments that allow to compare results obtained in different populations. OBJECTIVE: To describe the translation and semantic adaptation of the QSF into Brazilian Portuguese. METHODS: Instrument adaptation involved five phases: 1) two independent translations, 2) a consensual version produced by translators and experts, 3) evaluation of this version by a different expert, not involved in the previous phases, 4) back translation with evaluation by the author of the original scale, and, finally, 5) application of the final Brazilian Portuguese version in a experimental group. RESULTS: All stages of the adaptation process are described. The participation of experts from the fields of both mental health and human sexuality since the first stage of the process contributed to broader discussions, which allowed to achieve the best possible adequacy for each item, both conceptually and culturally. The experimental application of the final, adapted version of the scale involved both men and women with different educational backgrounds and levels. No difficulties were faced by this group in understanding the items included in the scale. CONCLUSION: The procedures and process herein described successfully allowed to develop a Brazilian Portuguese version of the QSF.
{"title":"Tradução e adaptação transcultural para o português brasileiro da Scale for Quality of Sexual Function (QSF)","authors":"Valeska Martinho Pereira, A. C. Silva, A. Nardi, Lothar A. J. Heinemann","doi":"10.1590/S0101-81082011000200005","DOIUrl":"https://doi.org/10.1590/S0101-81082011000200005","url":null,"abstract":"INTRODUCTION: Despite the important role played by sexual function in quality of life, there is a scarcity of instruments in the Brazilian literature specifically designed to assess this aspect, and especially of instruments that can be used with both men and women. The adaptation of the Scale for Quality of Sexual Function (QSF), a unisex scale, is an important step in the production of instruments that allow to compare results obtained in different populations. OBJECTIVE: To describe the translation and semantic adaptation of the QSF into Brazilian Portuguese. METHODS: Instrument adaptation involved five phases: 1) two independent translations, 2) a consensual version produced by translators and experts, 3) evaluation of this version by a different expert, not involved in the previous phases, 4) back translation with evaluation by the author of the original scale, and, finally, 5) application of the final Brazilian Portuguese version in a experimental group. RESULTS: All stages of the adaptation process are described. The participation of experts from the fields of both mental health and human sexuality since the first stage of the process contributed to broader discussions, which allowed to achieve the best possible adequacy for each item, both conceptually and culturally. The experimental application of the final, adapted version of the scale involved both men and women with different educational backgrounds and levels. No difficulties were faced by this group in understanding the items included in the scale. CONCLUSION: The procedures and process herein described successfully allowed to develop a Brazilian Portuguese version of the QSF.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"39 1","pages":"87-97"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83252038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011000100007
M. R. D. Carvalho, R. Costa, A. Sardinha, Valfrido Leão de Melo-Neto, A. Nardi
INTRODUCTION: The fear of driving may restrict the life of patients and cause serious personal, social, and occupational problems. It is important to use a suitable tool while assessing patients’ cognitions, once these findings may help formulate the problems observed and may guide the selection of a consistent treatment plan. The objective of this study was to describe the stages of translation and adaptation into Brazilian Portuguese of the Driving Cognitions Questionnaire, designed to measure cognitions that may be present in the fear of driving. METHODS: Three translations and three back translations were conducted by six independent evaluators. Semantic equivalence assessment and evaluation of the different versions were conducted and resulted in a synthesized version of the instrument. Comments made by 10 participants on the preliminary version of the questionnaire were examined. The preliminary Brazilian version of the questionnaire was developed. RESULTS: Most participants understood the cognitions as described in the Brazilian Portuguese version of the questionnaire. CONCLUSION: The use of three different translations and back translations, discussion of a preliminary synthetic version and interaction with the target population contributed to the viability of the process aimed to assess the semantic equivalence of the Brazilian final version.
{"title":"Driving Cognitions Questionnaire: estudo de equivalência semântica","authors":"M. R. D. Carvalho, R. Costa, A. Sardinha, Valfrido Leão de Melo-Neto, A. Nardi","doi":"10.1590/S0101-81082011000100007","DOIUrl":"https://doi.org/10.1590/S0101-81082011000100007","url":null,"abstract":"INTRODUCTION: The fear of driving may restrict the life of patients and cause serious personal, social, and occupational problems. It is important to use a suitable tool while assessing patients’ cognitions, once these findings may help formulate the problems observed and may guide the selection of a consistent treatment plan. The objective of this study was to describe the stages of translation and adaptation into Brazilian Portuguese of the Driving Cognitions Questionnaire, designed to measure cognitions that may be present in the fear of driving. METHODS: Three translations and three back translations were conducted by six independent evaluators. Semantic equivalence assessment and evaluation of the different versions were conducted and resulted in a synthesized version of the instrument. Comments made by 10 participants on the preliminary version of the questionnaire were examined. The preliminary Brazilian version of the questionnaire was developed. RESULTS: Most participants understood the cognitions as described in the Brazilian Portuguese version of the questionnaire. CONCLUSION: The use of three different translations and back translations, discussion of a preliminary synthetic version and interaction with the target population contributed to the viability of the process aimed to assess the semantic equivalence of the Brazilian final version.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"os-33 1","pages":"35-47"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87040535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011005000007
Adriana Mozzambani, Rafaela Larsen Ribeiro, Simone Freitas Fuso, José Paulo Fiks, M. Mello
OBJETIVO: Avaliar a presenca de sintomas psicopatologicos em mulheres vitimas de violencia domestica (VD) que procuraram uma delegacia de defesa da mulher. METODO: Foram avaliadas mulheres com idade entre 20 e 50 anos que deram entrada em uma delegacia da mulher com queixa de VD. Durante a entrevista, todas foram submetidas ao Relatorio de Indicadores Sociais e preencheram os seguintes instrumentos de autoaplicacao: Inventario de Depressao de Beck, Inventario de Ansiedade de Beck, Post-Traumatic Stress Disorder Checklist - Civilian Version e o Questionario de Experiencias Dissociativas Peritraumaticas (todos em lingua portuguesa). Foram usadas notas de corte a partir dos estudos de validacao desses instrumentos para categorizar individuos com alta probabilidade de apresentar transtorno depressivo maior, transtorno de ansiedade, transtorno de estresse pos-traumatico, ou alta/baixa dissociacao peritraumatica. RESULTADOS: Foram avaliadas 17 mulheres com idade media de 34,7±7,7 anos. O tempo medio de duracao da violencia foi de 9,1±8,7 anos. Do total de mulheres, 53% eram vitimas de agressao excessiva e 84% eram ameacadas de morte pelo companheiro; em 71% dos casos, os companheiros eram usuarios de drogas. Alem disso, 53% das mulheres afirmaram ter sofrido VD na infância. Do total da amostra, 89% tiveram grande probabilidade de apresentar transtorno depressivo maior, 94% transtorno de ansiedade, 76% transtorno de estresse pos-traumatico e 88% apresentaram elevados niveis de experiencias dissociativas peritraumaticas. CONCLUSAO: As vitimas de VD que dao entrada em delegacias de defesa da mulher tem alta probabilidade de apresentar morbidade psiquiatrica, assim como alteracoes cognitivas que as impossibilitam de sair do ciclo da violencia.
{"title":"Gravidade psicopatológica em mulheres vítimas de violência doméstica","authors":"Adriana Mozzambani, Rafaela Larsen Ribeiro, Simone Freitas Fuso, José Paulo Fiks, M. Mello","doi":"10.1590/S0101-81082011005000007","DOIUrl":"https://doi.org/10.1590/S0101-81082011005000007","url":null,"abstract":"OBJETIVO: Avaliar a presenca de sintomas psicopatologicos em mulheres vitimas de violencia domestica (VD) que procuraram uma delegacia de defesa da mulher. METODO: Foram avaliadas mulheres com idade entre 20 e 50 anos que deram entrada em uma delegacia da mulher com queixa de VD. Durante a entrevista, todas foram submetidas ao Relatorio de Indicadores Sociais e preencheram os seguintes instrumentos de autoaplicacao: Inventario de Depressao de Beck, Inventario de Ansiedade de Beck, Post-Traumatic Stress Disorder Checklist - Civilian Version e o Questionario de Experiencias Dissociativas Peritraumaticas (todos em lingua portuguesa). Foram usadas notas de corte a partir dos estudos de validacao desses instrumentos para categorizar individuos com alta probabilidade de apresentar transtorno depressivo maior, transtorno de ansiedade, transtorno de estresse pos-traumatico, ou alta/baixa dissociacao peritraumatica. RESULTADOS: Foram avaliadas 17 mulheres com idade media de 34,7±7,7 anos. O tempo medio de duracao da violencia foi de 9,1±8,7 anos. Do total de mulheres, 53% eram vitimas de agressao excessiva e 84% eram ameacadas de morte pelo companheiro; em 71% dos casos, os companheiros eram usuarios de drogas. Alem disso, 53% das mulheres afirmaram ter sofrido VD na infância. Do total da amostra, 89% tiveram grande probabilidade de apresentar transtorno depressivo maior, 94% transtorno de ansiedade, 76% transtorno de estresse pos-traumatico e 88% apresentaram elevados niveis de experiencias dissociativas peritraumaticas. CONCLUSAO: As vitimas de VD que dao entrada em delegacias de defesa da mulher tem alta probabilidade de apresentar morbidade psiquiatrica, assim como alteracoes cognitivas que as impossibilitam de sair do ciclo da violencia.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"8 1","pages":"43-47"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78995682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-01-01DOI: 10.1590/S0101-81082011005000003
Maria Amélia Jaeger, N. Seminotti, O. Falceto
INTRODUCAO: O presente artigo e resultado do trabalho sistematico dos autores com grupos multifamiliares de pacientes com diagnostico de transtorno alimentar (anorexia nervosa, bulimia nervosa e transtorno alimentar nao especificado), conjuntamente com seus familiares. As sessoes sao oferecidas em um hospital publico na cidade de Porto Alegre (RS). METODO: Os registros em video de quatro sessoes de terapia de grupo multifamiliar foram analisados qualitativamente utilizando-se a tecnica de analise de conteudo. RESULTADOS: Grupos multifamiliares assim constituidos nao foram encontrados na revisao da literatura, e sim apenas relatos de grupos multifamiliares com finalidades exclusivamente psicoeducativas, sem a participacao dos pacientes identificados. Na avaliacao final, a modalidade de atendimento multifamiliar revelou-se como positiva para o atendimento dos casos avaliados. CONCLUSOES: A pesquisa demonstrou que esse tipo de abordagem, associado ao tratamento unifamiliar e individual, pode tornar-se uma ferramenta eficaz de tratamento para esses pacientes e suas familias.
{"title":"O grupo multifamiliar como recurso no tratamento dos transtornos alimentares","authors":"Maria Amélia Jaeger, N. Seminotti, O. Falceto","doi":"10.1590/S0101-81082011005000003","DOIUrl":"https://doi.org/10.1590/S0101-81082011005000003","url":null,"abstract":"INTRODUCAO: O presente artigo e resultado do trabalho sistematico dos autores com grupos multifamiliares de pacientes com diagnostico de transtorno alimentar (anorexia nervosa, bulimia nervosa e transtorno alimentar nao especificado), conjuntamente com seus familiares. As sessoes sao oferecidas em um hospital publico na cidade de Porto Alegre (RS). METODO: Os registros em video de quatro sessoes de terapia de grupo multifamiliar foram analisados qualitativamente utilizando-se a tecnica de analise de conteudo. RESULTADOS: Grupos multifamiliares assim constituidos nao foram encontrados na revisao da literatura, e sim apenas relatos de grupos multifamiliares com finalidades exclusivamente psicoeducativas, sem a participacao dos pacientes identificados. Na avaliacao final, a modalidade de atendimento multifamiliar revelou-se como positiva para o atendimento dos casos avaliados. CONCLUSOES: A pesquisa demonstrou que esse tipo de abordagem, associado ao tratamento unifamiliar e individual, pode tornar-se uma ferramenta eficaz de tratamento para esses pacientes e suas familias.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"11 1","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90045769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-12-01DOI: 10.1590/S0101-81082010005000004
Simone Fernandes, Maristela Ferigolo, Mariana Canellas Benchaya, Pollianna Sangalli Pierozan, Taís de Campos Moreira, V. Santos, Cláudia Galvão Mazoni, H. M. T. Barros
OBJECTIVES: To describe the social and demographic profile of cannabis users seeking treatment and to compare differences between sex in relation to readiness to behavior change and in relation to associated use of marijuana and other drugs. METHOD: A cross-sectional, descriptive study including a nonprobability sample of individuals who called a chemical dependency hotline. RESULTS: The sample comprised 72% male individuals aged between 12 and 25 years. The sample was composed by 85.5% used other drugs in association with cannabis. The action stage was the most frequent stage of readiness to behavior change observed, in 56% of the callers, with no differences between sex (p = 0.4). Men more frequently sought treatment for the use of cannabis. CONCLUSIONS: Our findings allowed delineating a profile of cannabis users, so as to better guide the provision of adequate information and treatment services.
{"title":"Abuso e dependência de maconha: comparação entre sexos e preparação para mudanças comportamentais entre usuários que iniciam a busca por tratamento","authors":"Simone Fernandes, Maristela Ferigolo, Mariana Canellas Benchaya, Pollianna Sangalli Pierozan, Taís de Campos Moreira, V. Santos, Cláudia Galvão Mazoni, H. M. T. Barros","doi":"10.1590/S0101-81082010005000004","DOIUrl":"https://doi.org/10.1590/S0101-81082010005000004","url":null,"abstract":"OBJECTIVES: To describe the social and demographic profile of cannabis users seeking treatment and to compare differences between sex in relation to readiness to behavior change and in relation to associated use of marijuana and other drugs. METHOD: A cross-sectional, descriptive study including a nonprobability sample of individuals who called a chemical dependency hotline. RESULTS: The sample comprised 72% male individuals aged between 12 and 25 years. The sample was composed by 85.5% used other drugs in association with cannabis. The action stage was the most frequent stage of readiness to behavior change observed, in 56% of the callers, with no differences between sex (p = 0.4). Men more frequently sought treatment for the use of cannabis. CONCLUSIONS: Our findings allowed delineating a profile of cannabis users, so as to better guide the provision of adequate information and treatment services.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"3 1","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89274666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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