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Minor psychiatric disorders and the work context of Civil Police: a mixed method study 轻微精神障碍与民警工作环境:一项混合方法研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.1590/0047-2085000000390
Juliana Petri Tavares, Viviane Gallon Mendonça, Lizandra Santos Vieira, Roberta Sofia Wiebling Guimarães, Tânia Solange Bosi de Souza Magnago, W. Machado, D. D. Pai
ABSTRACT Objective: To analyze the association between the work context and the presence of Minor Psychiatric Disorders (MPD) in Civil Police officers from Porto Alegre, Brazil. Methods: This is a mixed, sequential and exploratory study. The sample was constituted by 237 police officers for the quantitative stage, and 20 for the qualitative stage. General worker's data, lifestyle and information about the work were asked, and the Self-Report Questionnaire-20 instrument was applied. In the qualitative stage, semi-structured interviews and thematic analysis were carried out. For quantitative data, descriptive and inferential statistics were used. Results: The prevalence of minor psychiatric disorders was 26.2% (n = 62). Accelerated work pace (PR = 1.535; 95%CI = 0.911-2.605), health treatment (PR = 1.752; 95%CI = 0.987-3.010) and psychological treatment (PR = 2.704; 95%CI = 1.604-4.516) were associated with a higher prevalence of MPD. While, police officers with the following characteristics: most motivation at work (PR = 0.721; 95%CI = 0.579-0.897), more eight hours of sleep per day (PR = 0.747; 95%CI = 0.574-0.971), healthy eating (PR = 0.545; 95%CI = 0.320-0.946) and having children (PR = 0.731; 95%CI = 0.523-0.986) were associated with a lower prevalence of MPD. In the qualitative stage, two categories and four subcategories emerged related to the work context and the psychiatric changes in the police officers: “Work context of the Civil Police” and “Work and psychiatric changes”. Conclusion: A high prevalence of MPDs was evidenced, as well as their association with the work context.
摘要目的:分析巴西阿雷格里港民警工作环境与轻度精神障碍(MPD)存在的关系。方法:这是一项混合、顺序和探索性研究。定量阶段的样本为237名,定性阶段的样本为20名。采用自我报告问卷-20问卷,询问员工的一般资料、生活方式和工作情况。在定性阶段,进行了半结构化访谈和专题分析。定量数据采用描述统计和推理统计。结果:轻度精神障碍患病率为26.2% (n = 62)。加速工作节奏(PR = 1.535;95%CI = 0.911-2.605)、健康治疗(PR = 1.752;95%CI = 0.987-3.010)和心理治疗(PR = 2.704;95%CI = 1.604-4.516)与较高的MPD患病率相关。而具有以下特征的警察:工作动机最高(PR = 0.721;95%CI = 0.579-0.897),每天睡眠时间超过8小时(PR = 0.747;95%CI = 0.574-0.971),健康饮食(PR = 0.545;95%CI = 0.320-0.946)和有孩子(PR = 0.731;95%CI = 0.523-0.986)与MPD患病率较低相关。在定性阶段,出现了民警工作环境与心理变化相关的两个类别和四个子类别:“民警工作环境”和“工作与心理变化”。结论:MPDs的高患病率被证明,以及它们与工作环境的关系。
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引用次数: 1
A tribute to Juliano Moreira on his birth sesquicentennial 纪念朱利亚诺·莫雷拉诞辰一百周年
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.1590/0047-2085000000393
M. M. Gomes, C. Mathias, Monica Moraes, A. Nardi
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引用次数: 0
Disordered eating behaviors among CrossFit athletes 混合健身运动员的饮食行为失调
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.1590/0047-2085000000389
Maria Carolina Belo da Cunha, Alessandra Costa Pereira Junqueira, Pedro Henrique Berbert de Carvalho, Maria Fernanda Laus
ABSTRACT Objective: Evaluate differences in disordered eating symptoms between men and women who practice CrossFit and to evaluate its predictors in this population. Methods: A cross-sectional study (April to June 2019) was carried out with 194 adults (103 women and 91 men) enrolled in private CrossFit boxes in Brazil, with a mean age of 30.19 years (SD = 5.34). Participants answered a sociodemographic questionnaire, the Eating Attitudes Test-26 (disordered eating), the Sociocultural Attitudes Towards Appearance Questionnaire-3 (body-ideal internalization), and the Drive for Muscularity Scale (drive for muscularity). A series of Student's t-tests was applied to test differences in disordered eating symptoms between men and women. Multiple linear regressions were conducted to evaluate predictors of disordered eating for both sexes. Results: Women showed greater disordered eating symptoms, dietary restrictions and excessive concern about thinness than men. Moreover, younger women with a higher BMI are more likely to have disordered eating symptoms. Higher drive for muscularity and greater general body-ideal internalization were also associated with disordered eating among women. In men, muscularity-oriented behavior was the only predictor of disordered eating. Conclusion: These findings are relevant, as they point out that women who practice CrossFit seem to be a high risk group for the development of eating disorders. In addition, muscularity-oriented behaviors in men and the drive for muscularity, internalization of the ideal body, BMI and age in women are predictors of disordered eating in CrossFit practitioners.
【摘要】目的:评估进行混合健身的男性和女性饮食失调症状的差异,并评估其在该人群中的预测因素。方法:对194名成年人(103名女性和91名男性)进行横断面研究(2019年4月至6月),这些成年人在巴西的私人CrossFit健身房里注册,平均年龄为30.19岁(SD = 5.34)。参与者回答了一份社会人口学调查问卷、饮食态度测试-26(饮食失调)、社会文化对外貌的态度调查问卷-3(身体理想内化)和肌肉动力量表(肌肉动力)。采用一系列学生t检验来检验男性和女性饮食失调症状的差异。采用多元线性回归来评估男女饮食失调的预测因素。结果:女性比男性表现出更大的饮食失调症状、饮食限制和对瘦的过度关注。此外,身体质量指数较高的年轻女性更容易出现饮食失调症状。在女性中,对肌肉的强烈欲望和对整体理想身材的强烈内化也与饮食失调有关。在男性中,以肌肉为导向的行为是饮食失调的唯一预测因素。结论:这些发现是相关的,因为他们指出,练习混合健身的女性似乎是饮食失调的高风险群体。此外,男性以肌肉为导向的行为,以及女性对肌肉的追求、对理想身材的内化、BMI和年龄,都是混合健身练习者饮食失调的预测因素。
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引用次数: 1
Policies to the police – mental health issues among police officers 对警察的政策——警察的心理健康问题
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.1590/0047-2085000000395
L. Vilete, M. Luz
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引用次数: 0
Famílias, gênero e hospitalizações psiquiátricas compulsórias 家庭、性别和强制精神住院
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.1590/0047-2085000000392
R. Horta, Thaís Caroline Guedes Lucini, Laura de Brizola Perdonssini, Talia Greici Sette, Dalton Guimarães, Natacha Rocha Guterres, Gabriela Roldo Tieppo, Ana Laura Eggers, Luíza de Souza Dalpiaz, Marlene Neves Strey
RESUMO Objetivo: Os papéis relacionados a cuidados nos grupos familiares têm sido, historicamente, uma atribuição de mulheres. Este artigo aborda as especificidades de gênero no cuidado com pacientes no contexto de avaliações por demandas de hospitalizações psiquiátricas compulsórias, a fim de verificar se, nesse contexto, as tarefas de cuidado são, ainda, atribuídas predominantemente a mulheres. Métodos: Este é um estudo observacional, descritivo, de casos múltiplos, que acompanhou 80 atendimentos de famílias em avaliações em processos de hospitalização psiquiátrica compulsória de junho de 2020 a fevereiro de 2022, no município de Alvorada-RS. Resultados: Mulheres estiveram diretamente envolvidas, como requerentes, em 78% dos casos. Em apenas 18 atendimentos não havia mulheres presentes como acompanhantes, mas 14 desses casos não tiveram qualquer rede familiar ou social identificada. A participação predominante de mulheres não pode ser associada à renda do familiar e nem a características dos pacientes ou de sua condição clínica. Em análise de entrevistas de seguimento com familiares, reitera-se que o ato de cuidar se mantém atribuído às mulheres. O acúmulo de papéis a serem desempenhados também foi evidenciado. Conclusões: A delegação do cuidado gera sobrecarga nas mulheres, gerando sentimentos como medo, apreensão e insegurança. Capacitação e sensibilização de equipes para um olhar sistêmico e de gênero, propondo ativamente a inclusão de demais familiares e redistribuição de tarefas, parece fazer parte das possibilidades de cuidado com quem cuida também nesse contexto.
摘要目的:历史上,家庭群体中与照顾有关的角色一直是女性的任务。本文讨论了在强制性精神住院需求评估的背景下病人护理中的性别特殊性,以验证在这种背景下,护理任务是否仍然主要分配给女性。方法:这是一项观察性、描述性、多病例研究,随访了80个家庭在2020年6月至2022年2月期间对阿尔沃拉达-RS市强制精神住院过程的评估。结果:78%的病例中,女性作为申请人直接参与。在18个案例中,没有女性陪同,但其中14个案例没有确定家庭或社会网络。妇女的主要参与不能与家庭收入或患者的特点或临床状况有关。在对家庭成员的后续访谈分析中,重申照顾行为仍然分配给妇女。要扮演的角色的积累也很明显。结论:委派照顾会给女性带来负担,产生恐惧、忧虑和不安全感等感觉。对团队进行培训和提高认识,以系统和性别的观点,积极建议包括其他家庭成员和重新分配任务,这似乎也是在这种情况下照顾那些照顾者的可能性的一部分。
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引用次数: 0
Physical exercise and eating disorders: together or apart? 体育锻炼和饮食失调:一起还是分开?
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.1590/0047-2085000000394
J. C. Appolinario, A. Deslandes
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引用次数: 0
Prevalência de transtornos mentais em profissionais de saúde durante a pandemia da COVID-19: revisão sistemática COVID-19大流行期间卫生专业人员精神障碍患病率:系统综述
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.1590/0047-2085000000391
Fabrício Emanuel Soares de Oliveira, Samuel Trezena Costa, V. O. Dias, Hercílio Martelli Júnior, Daniella Reis Barbosa Martelli
RESUMO Objetivo: Realizar uma revisão sistemática da literatura avaliando a prevalência de transtornos mentais em profissionais da saúde durante a pandemia da COVID-19. Métodos: Trata-se de revisão sistemática conduzida com base no checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). As bases de dados usadas foram a Biblioteca Virtual de Saúde (BVS) e os serviços da United States National Library of Medicine (NLM) via PubMed, com as estratégias de busca: “COVID-19” AND “Saúde mental”; “COVID-19” AND “Saúde mental” AND “pessoal de saúde”, em português e inglês, selecionando artigos observacionais e/ou de prevalência publicados a partir de 2020. Resultados: A busca resultou na identificação de 18.643 artigos, e a amostra final foi composta por 9 artigos. Os sintomas mais frequentes foram os de depressão, ansiedade e insônia em profissionais que atuaram no período da pandemia da COVID-19, predominantemente do sexo feminino e idade média de 34,5 anos. A média da prevalência de ansiedade, depressão e insônia foi, respectivamente, de 40,3%, 39,9% e 36,1%, aferidas em 8.866 profissionais da saúde. Os profissionais atuantes na linha de frente no combate à COVID-19 apresentaram maiores prevalências de transtornos mentais comuns em relação a outros profissionais de saúde. Conclusões: Mostraram-se associadas a maiores prevalências de sintomas de TMC: sexo feminino, atuação na linha de frente, maior jornada de trabalho, histórico de uso de medicamentos psicotrópicos, condições inadequadas de trabalho, uso de álcool e tabaco e atuação na área de enfermagem. Observa-se a importância de estratégias de atenção à saúde mental dos profissionais de saúde.
摘要目的:对COVID-19大流行期间卫生专业人员精神障碍患病率的文献进行系统综述。方法:这是一项基于系统综述和荟萃分析(PRISMA)首选报告项目清单的系统综述。使用的数据库是虚拟健康图书馆(vhl)和美国国家医学图书馆(NLM)通过PubMed的服务,搜索策略为:“COVID-19”和“心理健康”;“COVID-19”、“saude mental”和“pessoal de saude”(葡萄牙语和英语),选择2020年以来发表的观察性和/或流行文章。结果:搜索结果为18643篇文章,最终样本为9篇文章。在COVID-19大流行期间工作的专业人员中,最常见的症状是抑郁、焦虑和失眠,主要是女性,平均年龄34.5岁。在8,866名卫生专业人员中,焦虑、抑郁和失眠的平均患病率分别为40.3%、39.9%和36.1%。与其他卫生专业人员相比,在抗击COVID-19前线工作的专业人员常见精神障碍的患病率更高。结论:与cmd症状的较高患病率相关:女性、前线工作、较长的工作时间、使用精神药物的历史、不适当的工作条件、使用酒精和烟草以及在护理领域的表现。我们注意到卫生专业人员心理健康关注战略的重要性。
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引用次数: 2
Prevalence of burnout syndrome among nursing professionals in an emergency room and in an intensive care unit 急诊室和重症监护室护理专业人员中职业倦怠综合征的患病率
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.1590/0047-2085000000386
Jéssica Loubak Paes, Martina Mesquita Tonon, Z. Ignácio, P. T. Tonin
ABSTRACT Objective: To identify the presence of burnout syndrome among nursing professionals in the emergency room and intensive care unit for adults of the University Hospital of Maringá. Methods: This is an exploratory and descriptive research study with a quantitative approach. It was developed by applying a questionnaire containing 22 questions from the Maslach Burnout Inventory instrument, which identifies the symptomatology dimensions of the burnout syndrome. Data analysis of the Maslach Burnout Inventory instrument was performed by adding up each dimension (Emotional Exhaustion, Depersonalization and Professional Fulfillment) of each questionnaire separately, according to the nursing professional's answers to each question. The values obtained were compared to the reference values of the Nucleus for Advanced Studies on Burnout Syndrome. Results: It was found that 31.36% of the nursing professionals at the University Hospital of Maringá emergency room had high Emotional Exhaustion, 30.92% had low Professional Fulfillment, and 39.25% had high Depersonalization. Regarding the nursing professionals in the Intensive Care Unit for Adults, 36.36% had high Emotional Exhaustion, 36.36% had low Professional Fulfillment, and 22.73% had high Depersonalization. Conclusion: The findings suggest that the Intensive Care Unit for Adults in the morning shift is the highest stressor and with a greater probability of the professionals developing burnout syndrome.
摘要目的:了解马林大学医院成人急症室和重症监护病房护理人员中存在的倦怠综合征。方法:采用定量方法进行探索性、描述性研究。它是通过应用一份包含22个问题的调查问卷来开发的,该问卷来自马斯拉克倦怠量表,该量表确定了倦怠综合征的症状学维度。马斯拉克倦怠量表的数据分析是根据护理专业人员对每个问题的回答,分别将每个问卷的每个维度(情绪耗竭、人格解体和职业成就感)相加。将所得值与“倦怠综合征高级研究核”的参考值进行比较。结果:马陵大学医院急诊科护理人员情绪衰竭程度高的占31.36%,职业成就感程度低的占30.92%,人格解体程度高的占39.25%。成人重症监护病房护理人员情绪衰竭程度高、职业成就感程度低、人格解体程度高的分别为36.36%、36.36%和22.73%。结论:早班成人重症监护病房的工作人员压力最大,出现倦怠综合征的可能性较大。
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引用次数: 2
Relationship between levels of mindfulness and substance use pattern 正念水平与物质使用模式的关系
Q4 Medicine Pub Date : 2021-10-01 DOI: 10.1590/0047-2085000000337
Júlia de Souza Baptista, T. H. Leite, V. K. D. L. Ferreira, L.D.S.P.D. Magalhães, M. Cruz, A. C. R. Mathias
ABSTRACT Objective Evaluate the association between levels of mindfulness and sociodemographic characteristics and pattern of drug use of individuals seeking treatment in a University Service Specialized in Substance Use Disorders. Methods This is a cross-sectional study with 164 individuals over 18 years of age seeking treatment for the use of psychoactive substances in the June 2018-December 2019 period, using a questionnaire for sociodemographic data, the Mindful Attention Awareness Scale (MAAS) self-reporting instrument, and the Alcohol, Smoking, and Substance Involvement Screening Test. Results An association was found between low levels of mindfulness mainly with the individual risk of being a medium/high-risk user of sedative-hypnotic drugs (p = 0.020). A borderline association was also found between MAAS and the risk of the individual being a medium/high risk of alcohol (p = 0.053) and with a more severe pattern of substance use (p = 0.065). Conclusion Individuals seeking treatment for substance use presented impairments in the attentional aspect of mindfulness and levels of mindfulness seem to protect against behaviors related to substance use, especially against the use of high/moderate risk of sedative-hypnotics.
摘要目的评估在大学药物使用障碍专业服务中心寻求治疗的个体的正念水平与社会人口学特征和药物使用模式之间的关系。方法这是一项横断面研究,共有164名18岁以上的人在2018年6月至2019年12月期间因使用精神活性物质而寻求治疗,使用社会人口统计数据问卷、正念注意意识量表(MAAS)自我报告工具和酒精、吸烟和物质参与筛查测试。结果低正念水平主要与镇静催眠药物中/高风险使用者的个体风险相关(p=0.020)。MAAS与酒精中/高危险者的风险(p=0.053)和更严重的药物使用模式(p=0.065)之间也存在边界关联药物使用治疗在正念的注意力方面表现出损伤,正念水平似乎可以防止与药物使用相关的行为,尤其是使用高/中等风险的镇静催眠药。
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引用次数: 3
What would be the psychiatric diagnosis of D. Maria I, the “mad queen”? “疯狂女王”D·玛丽亚一世的精神病诊断会是什么?
Q4 Medicine Pub Date : 2021-10-01 DOI: 10.1590/0047-2085000000334
E. Cheniaux, A. Nardi, M. M. Gomes
ABSTRACT Objective D. Maria I, queen of Portugal, was the mother of João VI and grandmother of Pedro IV of Portugal and I of Brazil. She became the first monarch of Brazil, where she became known as “Maria, the madwoman”. We aimed to try to identify the mental disorder she suffered from. Methods We conducted a review of biographies about D. Maria I and scientific articles that discussed her case. Results The sparse information about her mental illness strongly indicates that she had several depressive and manic episodes, which were accompanied by psychotic symptoms. Conclusion Her probable psychiatric diagnosis is that of bipolar disorder.
摘要目的D.葡萄牙女王玛丽亚一世是若昂六世的母亲,也是葡萄牙国王佩德罗四世和巴西国王佩德罗一世的祖母。她成为巴西的第一位君主,在那里她被称为“疯女人玛丽亚”。我们的目的是试图找出她患有的精神障碍。方法我们对D.Maria I的传记和讨论她的案例的科学文章进行了回顾。结果关于她的精神疾病的稀疏信息强烈表明她有几次抑郁和躁狂发作,并伴有精神病症状。结论她可能的精神病诊断为双相情感障碍。
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引用次数: 0
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Jornal Brasileiro de Psiquiatria
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