ABSTRACT
OBJECTIVES: To assess sleep characteristics of adolescents infected by HIV, and to ascertain whether psychosocial aspects are associated to the quality of sleep. METHODS: A cross-sectional study assessing 102 HIV-infected adolescents of both genders, aged between 10 and 20 years-old and 120 Controls. Data collection was performed by applying the Sleep Disturbance Scale for Children, the Epworth Sleepiness Scale, and the Pediatric Quality of Life Inventory. RESULTS: A sleep disturbance prevalence of 77.4% was found in patients, and a 75% prevalence in controls, and there was correlation between quality of sleep and of life. HIV-infected adolescents scored higher for sleep breathing disorders and had higher prevalence of excessive daytime sleepiness. CONCLUSIONS: HIV-infected adolescents had similar quality of sleep compared to healthy adolescents. This may be explained by the steady improvements in daily living as a result of successful anti-retroviral therapy, and by the vulnerability that affects Brazilian adolescents living in major urban centers.
OBJETIVOS: Avaliar as características do sono de adolescentes infectados pelo HIV e estudar se os aspectos psicossociais estão associados à qualidade do sono. MÉTODOS: Estudo transversal, que avaliou 102 adolescentes, com idades entre 10 e 20 anos, infectados pelo HIV, e 120 controles, de ambos os gêneros. Para a coleta de dados, aplicaram-se: a Sleep Disturbance Scale for Children, a Epworth Sleepiness Scale, e o Pediatric Quality of Life Inventory. RESULTADOS: Verificou-se prevalência de distúrbios do sono em 77,4% dos pacientes e em 75% nos controles, e houve correlação entre qualidade do sono e de vida. Adolescentes HIV-positivos apresentaram maior pontuação nos distúrbios respiratórios do sono e maior prevalência de sonolência diurna excessiva. CONCLUSÕES: Adolescentes infectados pelo HIV apresentaram qualidade de sono semelhante à da população saudável. Isso provavelmente decorre pela melhora de suas condições de vida resultante do sucesso da terapia antirretroviral em pacientes HIV-positivos e pelas vulnerabilidades que afetam adolescentes brasileiros de grandes centros urbanos.
Subject(s)
Adolescent , Child , Female , Humans , Young Adult , Disorders of Excessive Somnolence/physiopathology , HIV Infections/physiopathology , Quality of Life , Case-Control Studies , Cross-Sectional Studies , Disorders of Excessive Somnolence/diagnosis , Socioeconomic FactorsABSTRACT
Objective: Fibromyalgia syndrome is often accompanied by chronic insomnia. The objective of this study is to analyze the adaptive efficacy of patients with fibromyalgia syndrome and chronic insomnia and to correlate with chief psychodynamic aspects. Methods: For this purpose the Preventive Clinical Interview and the Ryad Simon Operational Adaptive Diagnostic Scale (Escala Diagnóstica Adaptativa Operacionalizada- EDAO) was utilized. Twenty-one patients with a mean age of 47.4 years (2 males; 19 females) were studied. Results: Two (10) were diagnosed with Severe Adaptive Inefficacy; ten (47) with High Adaptive Inefficacy; five (24) with Moderate Adaptive Inefficacy; and four (19) with Mild Adaptive Inefficacy. Impairment occurred mainly in two sectors: productivity and affective relationships. Conclusions: Adaptive efficacy indicated that in these 21 patients studied the adaptive solutions were impaired, with solutions that are not gratifying and that also result in conflicts, severe impairment of interpersonal and social relationships and limitations with pain and chronic insomnia.
Subject(s)
Humans , Male , Female , Middle Aged , Rheumatic Diseases/psychology , Fibromyalgia , Pain , Sleep , Sleep Initiation and Maintenance Disorders , Sleep Wake DisordersABSTRACT
Teve como objetivo investigar possíveis relações entre a insônia e o dinamismo psíquico, a partir das concepções de W.R. Bion acerca do funcionamento mental. Foram estudados dois casos de insônia, sendo o de um homem de 34 anos e de uma mulher de 25 anos. Utilizou-se para avaliaçäo o Teste das Relações Objetais de H. Phillipson. Foram aplicadas e avaliadas as treze lâminas do teste, com especial atençäo para a lâmina branca. O estudo mostrou que é possível relacionar a queixa ao funcionamento da parte psicótica da personalidade e ao uso excessivo de mecanismos característicos da posiçäo esquizo-paranóide. O uso do teste de Phillipson, à par das idéias de Bion possibilitou a compreensäo da dinâmica emocional desses pacientes insones