Pub Date : 2010-01-01DOI: 10.1590/S0101-81082010000100004
C. R. Martins, Andreia Pelegrini, S. Matheus, E. L. Petróski
Objetivos: Identificar a prevalencia de insatisfacao com a imagem corporal e de sintomas de anorexia e bulimia em adolescentes do sexo feminino da cidade de Santa Maria (RS) e verificar a associacao da insatisfacao com a imagem corporal com estado nutricional, adiposidade corporal e sintomas de anorexia e bulimia. Metodo: Foram analisadas 258 adolescentes do sexo feminino (11 a 13 anos), estudantes de escolas publicas. Aplicou-se o Body Shape Questionnaire e o Teste de Atitudes Alimentares (EAT-26). Foram calculados o indice de massa corporal e o percentual de gordura. Foram utilizados o teste qui-quadrado e a regressao logistica. Resultados: A prevalencia de insatisfacao com a imagem corporal foi de 25,3% e a de sintomas de anorexia e bulimia foi de 27,6%. A insatisfacao com a imagem corporal apresentou associacao com o estado nutricional, sendo que as adolescentes com excesso de peso apresentaram maior insatisfacao (razao de chances = 2,64; IC95%= 1,02-6,83). Conclusao: As prevalencias de insatisfacao corporal e sintomas de anorexia e bulimia foram elevadas. O estado nutricional parece ser o melhor preditor da insatisfacao corporal.
{"title":"Insatisfação com a imagem corporal e relação com estado nutricional, adiposidade corporal e sintomas de anorexia e bulimia em adolescentes","authors":"C. R. Martins, Andreia Pelegrini, S. Matheus, E. L. Petróski","doi":"10.1590/S0101-81082010000100004","DOIUrl":"https://doi.org/10.1590/S0101-81082010000100004","url":null,"abstract":"Objetivos: Identificar a prevalencia de insatisfacao com a imagem corporal e de sintomas de anorexia e bulimia em adolescentes do sexo feminino da cidade de Santa Maria (RS) e verificar a associacao da insatisfacao com a imagem corporal com estado nutricional, adiposidade corporal e sintomas de anorexia e bulimia. Metodo: Foram analisadas 258 adolescentes do sexo feminino (11 a 13 anos), estudantes de escolas publicas. Aplicou-se o Body Shape Questionnaire e o Teste de Atitudes Alimentares (EAT-26). Foram calculados o indice de massa corporal e o percentual de gordura. Foram utilizados o teste qui-quadrado e a regressao logistica. Resultados: A prevalencia de insatisfacao com a imagem corporal foi de 25,3% e a de sintomas de anorexia e bulimia foi de 27,6%. A insatisfacao com a imagem corporal apresentou associacao com o estado nutricional, sendo que as adolescentes com excesso de peso apresentaram maior insatisfacao (razao de chances = 2,64; IC95%= 1,02-6,83). Conclusao: As prevalencias de insatisfacao corporal e sintomas de anorexia e bulimia foram elevadas. O estado nutricional parece ser o melhor preditor da insatisfacao corporal.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"71 1","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77833506","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 : 2010-01-01DOI: 10.1590/S0101-81082010000100003
V. Gonçalves, R. Candiago, Sergio da Silva Saraiva, M. I. Lobato, P. Belmonte-de-Abreu
Introduction: Analysis of the results of the ongoing expansion of the Brazilian public mental health care network has used the indicator of coverage offered by Psychosocial Care Centers (Centros de Atencao Psicossocial, CAPS), which considers the rate of one CAPS per 100,000 inhabitants to be adequate, as its outcome measure. The state of Rio Grande do Sul ranks third in nationwide CAPS coverage standings, with 0.7 centers per 100,000 inhabitants. The present study sought to assess the variability of coverage in different regions in order to verify the representativeness of the overall coverage rate. Method: We used data collected from the National Database of Health Facilities (Cadastro Nacional de Estabelecimentos de Saude, CNES) and 2009 population data made available at the website of the Ministry of Health Department of Information Technology. We calculated 19 coverage indicators, one for each health region, and computed a coverage rate based on the ratio between the actual indicator and the expected indicator according to the population of each region. Results: Analysis of the variability of coverage for each region showed that seven regions had inadequate coverage, with 49% of the state population receiving inadequate coverage. Conclusion: This study showed that the use of an overall rate for mental health care coverage can be considered a fallacy, as it fails to represent regional realities; roughly half of the regions with excessive coverage masked the regions with poor coverage. This finding suggests that analysis of care coverage must be broken down into geographic areas, in order to identify regional needs and provide support for equal expansion of the community mental health care network for users living in different geographic areas.
导言:对巴西公共精神卫生保健网络不断扩大的结果进行分析时，使用了心理社会护理中心(Centros de Atencao Psicossocial, CAPS)提供的覆盖率指标，该指标认为每10万居民中有一个CAPS的比率是足够的，作为其结果衡量标准。南里奥格兰德州在全国cap覆盖率中排名第三，每10万居民中有0.7个中心。本研究试图评估不同区域覆盖率的变异性，以验证总覆盖率的代表性。方法:采用国家卫生设施数据库(Cadastro Nacional de establelecimentos de Saude, CNES)和2009年卫生部信息技术部网站提供的人口数据。我们计算了19个覆盖率指标，每个卫生区域一个，并根据每个区域人口的实际指标与预期指标之比计算出覆盖率。结果:对每个地区覆盖率变异性的分析表明，有7个地区覆盖率不足，该州49%的人口覆盖率不足。结论:本研究表明，精神卫生保健覆盖率的总体比率的使用可以被认为是一个谬论，因为它不能代表区域现实;大约一半覆盖率过高的地区掩盖了覆盖率较低的地区。这一发现表明，必须按地理区域对护理覆盖率进行分析，以便确定区域需求，并为生活在不同地理区域的用户平等扩大社区精神卫生保健网络提供支持。
{"title":"A falácia da adequação da cobertura dos Centros de Atenção Psicossocial no estado do Rio Grande do Sul","authors":"V. Gonçalves, R. Candiago, Sergio da Silva Saraiva, M. I. Lobato, P. Belmonte-de-Abreu","doi":"10.1590/S0101-81082010000100003","DOIUrl":"https://doi.org/10.1590/S0101-81082010000100003","url":null,"abstract":"Introduction: Analysis of the results of the ongoing expansion of the Brazilian public mental health care network has used the indicator of coverage offered by Psychosocial Care Centers (Centros de Atencao Psicossocial, CAPS), which considers the rate of one CAPS per 100,000 inhabitants to be adequate, as its outcome measure. The state of Rio Grande do Sul ranks third in nationwide CAPS coverage standings, with 0.7 centers per 100,000 inhabitants. The present study sought to assess the variability of coverage in different regions in order to verify the representativeness of the overall coverage rate. Method: We used data collected from the National Database of Health Facilities (Cadastro Nacional de Estabelecimentos de Saude, CNES) and 2009 population data made available at the website of the Ministry of Health Department of Information Technology. We calculated 19 coverage indicators, one for each health region, and computed a coverage rate based on the ratio between the actual indicator and the expected indicator according to the population of each region. Results: Analysis of the variability of coverage for each region showed that seven regions had inadequate coverage, with 49% of the state population receiving inadequate coverage. Conclusion: This study showed that the use of an overall rate for mental health care coverage can be considered a fallacy, as it fails to represent regional realities; roughly half of the regions with excessive coverage masked the regions with poor coverage. This finding suggests that analysis of care coverage must be broken down into geographic areas, in order to identify regional needs and provide support for equal expansion of the community mental health care network for users living in different geographic areas.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"9 1","pages":"16-18"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79356684","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 : 2010-01-01DOI: 10.1590/S0101-81082010000200006
Breno de Castro Ferreira Junior, Marilourdes do Amaral Barbosa, Izabela Guimarães Barbosa, Cláudia Hara, F. L. Rocha
Cognitive dysfunctions are among the core features of schizophrenia. They remain relatively stable throughout the course of the disease, and are secondary neither to other symptoms nor to side effects of psychotropic drugs. Cognitive deficits are directly associated with functional impairment and poor quality of life. Many studies have been conducted to describe the main cognitive abnormalities observed in schizophrenia, to identify their neurobiological bases, and to standardize research instruments, which are of paramount importance for the identification of new targets for pharmacological interventions in schizophrenia. The main objective of this paper was to provide an updated review of the subject.
{"title":"Alterações cognitivas na esquizofrenia: atualização","authors":"Breno de Castro Ferreira Junior, Marilourdes do Amaral Barbosa, Izabela Guimarães Barbosa, Cláudia Hara, F. L. Rocha","doi":"10.1590/S0101-81082010000200006","DOIUrl":"https://doi.org/10.1590/S0101-81082010000200006","url":null,"abstract":"Cognitive dysfunctions are among the core features of schizophrenia. They remain relatively stable throughout the course of the disease, and are secondary neither to other symptoms nor to side effects of psychotropic drugs. Cognitive deficits are directly associated with functional impairment and poor quality of life. Many studies have been conducted to describe the main cognitive abnormalities observed in schizophrenia, to identify their neurobiological bases, and to standardize research instruments, which are of paramount importance for the identification of new targets for pharmacological interventions in schizophrenia. The main objective of this paper was to provide an updated review of the subject.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"76 1","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87043965","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 : 2010-01-01DOI: 10.1590/S0101-81082010000300008
A. O. Silva, A. Nardi
OBJECTIVE: To describe the case of a patient treated for grief and bereavement for a child using a cognitive-behavioral treatment protocol. CASE DESCRIPTION: Female patient, 28 years old, married, who had lost her older son in an accident 6 weeks prior to the first treatment session. The protocol comprised 12 sessions and involved treatment of cognitive and emotional symptoms, the learning of new abilities, development of strategies to deal with the main somatic complaints and training aimed at the handling of behavioral problems. Results were evaluated using the following instruments: Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Beck Hopelessness Scale (BHS), concentrated and sustained attention tests, and Goldberg's General Health Questionnaire (GGHQ). COMMENTS: The patient presented an improvement of depression, anxiety and hopelessness symptoms. All the factors assessed by the GGHQ decreased, whereas concentrated and sustained attention presented an increase in measurements. The treatment protocol adopted proved to be effective based on the factors assessed.
{"title":"Luto pela morte de um filho: utilização de um protocolo de terapia cognitivo-comportamental","authors":"A. O. Silva, A. Nardi","doi":"10.1590/S0101-81082010000300008","DOIUrl":"https://doi.org/10.1590/S0101-81082010000300008","url":null,"abstract":"OBJECTIVE: To describe the case of a patient treated for grief and bereavement for a child using a cognitive-behavioral treatment protocol. CASE DESCRIPTION: Female patient, 28 years old, married, who had lost her older son in an accident 6 weeks prior to the first treatment session. The protocol comprised 12 sessions and involved treatment of cognitive and emotional symptoms, the learning of new abilities, development of strategies to deal with the main somatic complaints and training aimed at the handling of behavioral problems. Results were evaluated using the following instruments: Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Beck Hopelessness Scale (BHS), concentrated and sustained attention tests, and Goldberg's General Health Questionnaire (GGHQ). COMMENTS: The patient presented an improvement of depression, anxiety and hopelessness symptoms. All the factors assessed by the GGHQ decreased, whereas concentrated and sustained attention presented an increase in measurements. The treatment protocol adopted proved to be effective based on the factors assessed.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"184 1","pages":"113-116"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80508732","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 : 2010-01-01DOI: 10.1590/S0101-81082010000300007
J. Gomes, Lisa Calvocoressi, B. V. Noppen, M. Pato, E. Meyer, D. Braga, C. H. Kristensen, A. Cordioli
OBJETIVO: Descrever o processo de traducao e adaptacao para o portugues do Brasil da Family Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FAS-IR). METODO: O processo de traducao e adaptacao da escala envolveu quatro profissionais de saude bilingues. A escala foi inicialmente traduzida de forma independente para o portugues do Brasil por dois profissionais. A seguir, as duas versoes foram comparadas, resultando em uma versao inicial em portugues que foi aplicada a 15 familiares de pacientes com transtorno obsessivo-compulsivo (TOC), com diferentes niveis de instrucao, deliberadamente escolhidos para coletar as sugestoes de ajuste linguistico. Subsequentemente, a escala foi retrotraduzida independentemente por outros dois profissionais da saude. Depois de comparar as duas retrotraducoes, uma nova versao da escala foi gerada em ingles. Essa versao foi revisada e aprovada pelos autores da escala original. RESULTADOS: A versao em portugues do Brasil da escala FAS-IR mostrou ser facilmente compreendida e pode ser usada em familiares de pacientes com TOC de diferentes niveis socioeconomicos. CONCLUSAO: A FAS-IR adaptada ao portugues do Brasil fara com que profissionais de saude possam avaliar o nivel de acomodacao em familiares de pacientes com TOC e permitira a realizacao de futuros estudos com os objetivos de 1) estudar a influencia da acomodacao familiar na manutencao e, possivelmente, na facilitacao dos sintomas do TOC e 2) examinar o efeito da acomodacao familiar sobre os resultados do tratamento em populacoes de paises de lingua portuguesa.
{"title":"Translation and adaptation into Brazilian Portuguese of the Family Accommodation Scale for Obsessive-Compulsive Disorder - interviewer-Rated (FAS-IR)","authors":"J. Gomes, Lisa Calvocoressi, B. V. Noppen, M. Pato, E. Meyer, D. Braga, C. H. Kristensen, A. Cordioli","doi":"10.1590/S0101-81082010000300007","DOIUrl":"https://doi.org/10.1590/S0101-81082010000300007","url":null,"abstract":"OBJETIVO: Descrever o processo de traducao e adaptacao para o portugues do Brasil da Family Accommodation Scale for Obsessive-Compulsive Disorder - Interviewer-Rated (FAS-IR). METODO: O processo de traducao e adaptacao da escala envolveu quatro profissionais de saude bilingues. A escala foi inicialmente traduzida de forma independente para o portugues do Brasil por dois profissionais. A seguir, as duas versoes foram comparadas, resultando em uma versao inicial em portugues que foi aplicada a 15 familiares de pacientes com transtorno obsessivo-compulsivo (TOC), com diferentes niveis de instrucao, deliberadamente escolhidos para coletar as sugestoes de ajuste linguistico. Subsequentemente, a escala foi retrotraduzida independentemente por outros dois profissionais da saude. Depois de comparar as duas retrotraducoes, uma nova versao da escala foi gerada em ingles. Essa versao foi revisada e aprovada pelos autores da escala original. RESULTADOS: A versao em portugues do Brasil da escala FAS-IR mostrou ser facilmente compreendida e pode ser usada em familiares de pacientes com TOC de diferentes niveis socioeconomicos. CONCLUSAO: A FAS-IR adaptada ao portugues do Brasil fara com que profissionais de saude possam avaliar o nivel de acomodacao em familiares de pacientes com TOC e permitira a realizacao de futuros estudos com os objetivos de 1) estudar a influencia da acomodacao familiar na manutencao e, possivelmente, na facilitacao dos sintomas do TOC e 2) examinar o efeito da acomodacao familiar sobre os resultados do tratamento em populacoes de paises de lingua portuguesa.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"23 1","pages":"102-112"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74614148","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 : 2010-01-01DOI: 10.1590/S0101-81082010000200001
G. R. Fries, P. V. Magalhães
A Revista de Psiquiatria do Rio Grande do Sul traz nes-te volume um trabalho cientifi co original utilizando animais de laboratorio. O artigo “Lithium and methylphenidate: op-posite effects on perirenal brown fat” descreve, em ratos, os efeitos do litio e do metilfenidato sobre o tecido adiposo marrom e branco
{"title":"Basic research in Revista de Psiquiatria do Rio Grande do Sul","authors":"G. R. Fries, P. V. Magalhães","doi":"10.1590/S0101-81082010000200001","DOIUrl":"https://doi.org/10.1590/S0101-81082010000200001","url":null,"abstract":"A Revista de Psiquiatria do Rio Grande do Sul traz nes-te volume um trabalho cientifi co original utilizando animais de laboratorio. O artigo “Lithium and methylphenidate: op-posite effects on perirenal brown fat” descreve, em ratos, os efeitos do litio e do metilfenidato sobre o tecido adiposo marrom e branco","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"31 10","pages":"33-34"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72487527","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 : 2009-12-01DOI: 10.1590/S0101-81082009000300003
Elisabeth Kuhn Deakin, M. L. Nunes
OBJECTIVE: To compare a sample of 24 children who completed 12 months of psychoanalytical psychotherapy with a sample of 38 children who dropped out from treatment before 12 months of intervention. METHOD: Quantitative study involving two groups of children. Quasi-experimental treatment of single measure before the beginning of individual psychoanalytical psychotherapy. RESULTS: Statistically significant differences were found in the following variables: gender, symptoms, frequency of sessions, child's impulse and emotion control (measured using the Rorschach test and sociability scales), somatic complaints and internalizing behaviors, such as anxiety and depression (measured using the Child Behavior Checklist). CONCLUSIONS: CThe results revealed that child psychoanalytical psychotherapy is effective in the treatment of female children with internalizing disorders, such as anxiety and depression, who have little control of impulses and emotions and attend at least 12 months of psychoanalytical psychotherapy twice a week.
{"title":"Abandono de psicoterapia com crianças","authors":"Elisabeth Kuhn Deakin, M. L. Nunes","doi":"10.1590/S0101-81082009000300003","DOIUrl":"https://doi.org/10.1590/S0101-81082009000300003","url":null,"abstract":"OBJECTIVE: To compare a sample of 24 children who completed 12 months of psychoanalytical psychotherapy with a sample of 38 children who dropped out from treatment before 12 months of intervention. METHOD: Quantitative study involving two groups of children. Quasi-experimental treatment of single measure before the beginning of individual psychoanalytical psychotherapy. RESULTS: Statistically significant differences were found in the following variables: gender, symptoms, frequency of sessions, child's impulse and emotion control (measured using the Rorschach test and sociability scales), somatic complaints and internalizing behaviors, such as anxiety and depression (measured using the Child Behavior Checklist). CONCLUSIONS: CThe results revealed that child psychoanalytical psychotherapy is effective in the treatment of female children with internalizing disorders, such as anxiety and depression, who have little control of impulses and emotions and attend at least 12 months of psychoanalytical psychotherapy twice a week.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"205 1","pages":"145-151"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83573230","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 : 2009-12-01DOI: 10.1590/S0101-81082009000300005
A. C. Silva, A. Nardi
INTRODUCAO: A Fear of Negative Evaluation Scale (FNE) apresenta como proposta avaliar o medo referente a avaliacoes sociais em populacao adulta. Sua adaptacao transcultural apresenta-se como primeiro passo para futuras comparacoes relativas ao construto medido pelo instrumento em diferentes amostras. O presente estudo tem como objetivo a adaptacao semântica da FNE para o portugues do Brasil. METODO: Processo realizado por meio de duas traducoes e retrotraducoes elaboradas por avaliadores independentes e sem conhecimentos previos da escala a ser traduzida; elaboracao de versao sintetica realizada conjuntamente por dois diferentes especialistas bilingues em saude mental; posterior aplicacao em grupo experimental para avaliacao dos itens formados na versao sintetica, buscando melhor adequacao deles a populacao a qual a escala se destina. RESULTADOS: Para cada um dos 30 itens do instrumento sao apresentadas as quatro etapas do processo. A utilizacao de duas traducoes e retrotraducoes permitiu realizar uma discussao mais ampla para a construcao da versao sintetica. A participacao de especialistas em saude mental colaborou para a adequacao dos termos utilizados em relacao ao construto medido. Pela aplicacao experimental foi possivel identificar pontos de potencial dificuldade para o entendimento de itens especificos por determinados estratos da populacao, bem como realizar ajustes nesses itens posteriormente. CONCLUSOES: Por esse metodo foi possivel elaborar a versao para o portugues do Brasil da FNE.
{"title":"Tradução e adaptação transcultural da versão brasileira da Fear of Negative Evaluation Scale (FNE)","authors":"A. C. Silva, A. Nardi","doi":"10.1590/S0101-81082009000300005","DOIUrl":"https://doi.org/10.1590/S0101-81082009000300005","url":null,"abstract":"INTRODUCAO: A Fear of Negative Evaluation Scale (FNE) apresenta como proposta avaliar o medo referente a avaliacoes sociais em populacao adulta. Sua adaptacao transcultural apresenta-se como primeiro passo para futuras comparacoes relativas ao construto medido pelo instrumento em diferentes amostras. O presente estudo tem como objetivo a adaptacao semântica da FNE para o portugues do Brasil. METODO: Processo realizado por meio de duas traducoes e retrotraducoes elaboradas por avaliadores independentes e sem conhecimentos previos da escala a ser traduzida; elaboracao de versao sintetica realizada conjuntamente por dois diferentes especialistas bilingues em saude mental; posterior aplicacao em grupo experimental para avaliacao dos itens formados na versao sintetica, buscando melhor adequacao deles a populacao a qual a escala se destina. RESULTADOS: Para cada um dos 30 itens do instrumento sao apresentadas as quatro etapas do processo. A utilizacao de duas traducoes e retrotraducoes permitiu realizar uma discussao mais ampla para a construcao da versao sintetica. A participacao de especialistas em saude mental colaborou para a adequacao dos termos utilizados em relacao ao construto medido. Pela aplicacao experimental foi possivel identificar pontos de potencial dificuldade para o entendimento de itens especificos por determinados estratos da populacao, bem como realizar ajustes nesses itens posteriormente. CONCLUSOES: Por esse metodo foi possivel elaborar a versao para o portugues do Brasil da FNE.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"82 1","pages":"159-169"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83775798","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 : 2009-12-01DOI: 10.1590/S0101-81082009000300004
David Gonçalves Nordon, Karin Akamine, N. Novo, C. V. Hübner
INTRODUCAO: Benzodiazepinicos sao medicamentos psicotropicos de prescricao restrita utilizados para crises agudas de ansiedade, insonia e convulsoes. Sua utilizacao e muitas vezes inadequada. O objetivo deste trabalho e identificar o perfil da usuaria de benzodiazepinicos na atencao primaria e as caracteristicas de sua utilizacao. METODO: Foram entrevistadas todas as pacientes maiores de 18 anos em espera para atendimento em uma unidade basica de saude de Sorocaba (SP) em 2008. RESULTADOS: Foi encontrada utilizacao de benzodiazepinicos por 13,14% das frequentadoras da unidade basica de saude, sendo maior em mulheres de 50 a 69 anos, em relacionamento estavel e analfabetas. O uso encontrado foi principalmente por insonia (48,14%), de medicamentos de longa meia-vida, cronico (mais de 6 meses, 89,14%), com prescricao inicial principalmente pelo clinico geral (47,82%), com alta taxa de tentativas de interrupcao (91,3%) infrutiferas (69,05%). DISCUSSAO: A utilizacao e 3,3 vezes maior do que a descrita na literatura para mulheres de perfil semelhante, com prescricoes em geral inadequadas, independentemente do prescritor inicial (especialista ou nao). CONCLUSAO: O uso e cronico em mulheres mais idosas, de menor escolaridade, de relacionamento estavel, por motivos corretos, porem de tempo de tratamento inadequado.
{"title":"Características do uso de benzodiazepínicos por mulheres que buscavam tratamento na atenção primária","authors":"David Gonçalves Nordon, Karin Akamine, N. Novo, C. V. Hübner","doi":"10.1590/S0101-81082009000300004","DOIUrl":"https://doi.org/10.1590/S0101-81082009000300004","url":null,"abstract":"INTRODUCAO: Benzodiazepinicos sao medicamentos psicotropicos de prescricao restrita utilizados para crises agudas de ansiedade, insonia e convulsoes. Sua utilizacao e muitas vezes inadequada. O objetivo deste trabalho e identificar o perfil da usuaria de benzodiazepinicos na atencao primaria e as caracteristicas de sua utilizacao. METODO: Foram entrevistadas todas as pacientes maiores de 18 anos em espera para atendimento em uma unidade basica de saude de Sorocaba (SP) em 2008. RESULTADOS: Foi encontrada utilizacao de benzodiazepinicos por 13,14% das frequentadoras da unidade basica de saude, sendo maior em mulheres de 50 a 69 anos, em relacionamento estavel e analfabetas. O uso encontrado foi principalmente por insonia (48,14%), de medicamentos de longa meia-vida, cronico (mais de 6 meses, 89,14%), com prescricao inicial principalmente pelo clinico geral (47,82%), com alta taxa de tentativas de interrupcao (91,3%) infrutiferas (69,05%). DISCUSSAO: A utilizacao e 3,3 vezes maior do que a descrita na literatura para mulheres de perfil semelhante, com prescricoes em geral inadequadas, independentemente do prescritor inicial (especialista ou nao). CONCLUSAO: O uso e cronico em mulheres mais idosas, de menor escolaridade, de relacionamento estavel, por motivos corretos, porem de tempo de tratamento inadequado.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"25 1","pages":"152-158"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79122679","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 : 2009-12-01DOI: 10.1590/S0101-81082009000300007
S. Mululo, G. Menezes, Leonardo Franklin Fontenelle, M. Versiani
Objective: To ascertain whether cognitive and/or behavioral treatment of patients with social anxiety disorder is superior in terms of effi cacy than other types of therapeutic interventions, including pharmacotherapy. Method: Systematic analysis of all randomized clinical trials on cognitive and/or behavioral therapy vs. other forms of treatment, published until March 2009, indexed in the following databases: MEDLINE, PsycINFO, Cochrane Controlled Trials Register, LILACS and ISI Web of Science. Results: The reported results do not suggest signifi cant differences in the effi cacy of cognitive and/or behavioral therapy and pharmacotherapy. Such treatments combined did not show higher effi cacy than interventions alone. Compared with the control group, cognitive and/or behavioral therapy was superior in reducing social anxiety disorder, either in the classic model or in the newest propositions. The only exception was the social skills training, which was not effective for patients with social anxiety disorder. Cognitive and/or behavioral therapy was also superior to other psychotherapeutic interventions. Conclusion: Cognitive and/or behavioral therapy is an effective treatment for patients with social anxiety disorder. However, the heterogeneity of the clinical trials evaluated, with reference to treatment features (time of treatment and different protocols) or characteristics of the patients (severity of their clinical picture and how they were recruited) made comparison of results between different treatments diffi cult. More research on cognitive and/or behavioral treatment and new reviews of these interventions are necessary to better assess our fi ndings.
{"title":"Effectiveness of cognitive and/or behavioral therapy for social anxiety disorder","authors":"S. Mululo, G. Menezes, Leonardo Franklin Fontenelle, M. Versiani","doi":"10.1590/S0101-81082009000300007","DOIUrl":"https://doi.org/10.1590/S0101-81082009000300007","url":null,"abstract":"Objective: To ascertain whether cognitive and/or behavioral treatment of patients with social anxiety disorder is superior in terms of effi cacy than other types of therapeutic interventions, including pharmacotherapy. Method: Systematic analysis of all randomized clinical trials on cognitive and/or behavioral therapy vs. other forms of treatment, published until March 2009, indexed in the following databases: MEDLINE, PsycINFO, Cochrane Controlled Trials Register, LILACS and ISI Web of Science. Results: The reported results do not suggest signifi cant differences in the effi cacy of cognitive and/or behavioral therapy and pharmacotherapy. Such treatments combined did not show higher effi cacy than interventions alone. Compared with the control group, cognitive and/or behavioral therapy was superior in reducing social anxiety disorder, either in the classic model or in the newest propositions. The only exception was the social skills training, which was not effective for patients with social anxiety disorder. Cognitive and/or behavioral therapy was also superior to other psychotherapeutic interventions. Conclusion: Cognitive and/or behavioral therapy is an effective treatment for patients with social anxiety disorder. However, the heterogeneity of the clinical trials evaluated, with reference to treatment features (time of treatment and different protocols) or characteristics of the patients (severity of their clinical picture and how they were recruited) made comparison of results between different treatments diffi cult. More research on cognitive and/or behavioral treatment and new reviews of these interventions are necessary to better assess our fi ndings.","PeriodicalId":31894,"journal":{"name":"Boletim Geografico do Rio Grande do Sul","volume":"111 1","pages":"177-186"},"PeriodicalIF":0.0,"publicationDate":"2009-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79293642","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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