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Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(6): 530-534, Nov.-Dec. 2019. tab
Article in English | LILACS (Americas) | ID: biblio-1055330


Objective: The current study aimed to examine the latent structure of a web-based, Brazilian Portuguese version of the Young Schema Questionnaire-Short Form (YSQ-SF). Method: The sample consisted of 15,557 adult participants - 4,702 men and 10,855 women - with age ranging from 18 to 60 years. Confirmatory factor analysis was used to test the a priori conceptual 15-factor model presumed to underlie the YSQ-SF item set. Results: Most items displayed high levels of reliability (factor loadings greater than 0.7) and low liability to random measurement error (residual variances below 0.02), indicating that the a priori YSQ-SF factor structure is adequate. Discussion: These findings offer empirical evidence supporting YSQ-SF construct validity and, consequently, its application in adults.

Humans , Male , Female , Adolescent , Adult , Young Adult , Personality Disorders/psychology , Adaptation, Psychological , Adjustment Disorders/psychology , Self Report/standards , Psychometrics , Brazil , Reproducibility of Results , Middle Aged
Article in English | WPRIM (Western Pacific) | ID: wprim-763567


OBJECTIVE: This study aimed to investigate the effectiveness and safety of bupropion extended-release for the treatment of depressive disorder in children and adolescents. METHODS: This was a 12-week, retrospective chart review of bupropion, which included 127 youth (age, 15.3 ± 2.3 years; 66 boys) with depressive disorders (105 with major depressive disorder, 14 with dysthymia, 11 with adjustment disorder with depressed mood, and seven with depressive disorder not otherwise specified). Illness severity at baseline and at the 4th, 8th, and 12th weeks was retrospectively scored using the Clinical Global Impressions-Depression-Severity (CGI-Depression-S) and/or Clinical Global Impressions-Depression-Improvement (CGI-Depression-I). RESULTS: The mean dose of bupropion was 180.0 ± 52.6 (range, 75–300) mg/day and the mean duration 33.9 ± 53.1 (range, 7–295) weeks. The CGI-Depression-S scores were significantly decreased over 12 weeks (F = 132.125, p < 0.001, partial η² = 0.508). Fifty-eight subjects (45.7%) were determined to be responders at 12 weeks (defined by a CGI-Depression-I score ≤ 2). Forty-six patients (36.2%) discontinued bupropion before the 12 weeks (19 due to adverse events, 15 due to poor effectiveness, three due to referral to other clinics, and nine due to follow-up loss for unknown reasons). Overall, bupropion was well tolerated. The most common adverse event was irritability (n = 12, 9.4%), which resolved spontaneously in eight subjects or after drug discontinuation in four subjects. CONCLUSION: Our results provide preliminary evidence of the effectiveness and safety of bupropion in children and adolescents with depressive episodes. Large, prospective, placebo-controlled studies are needed to confirm these findings.

Adjustment Disorders , Adolescent , Bupropion , Child , Depressive Disorder , Depressive Disorder, Major , Drug-Related Side Effects and Adverse Reactions , Follow-Up Studies , Humans , Prospective Studies , Referral and Consultation , Retrospective Studies , Treatment Outcome
Article in English | WPRIM (Western Pacific) | ID: wprim-763539


OBJECTIVE: Posttraumatic embitterment disorder (PTED), a subgroup of an adjustment disorder, is a feeling with anger and helplessness. Hemodialysis may be a trigger event leading to PTED. We investigated the prevalence of PTED in patients with each categorized stages of chronic kidney disease (CKD) and the association between PTED and depression and functional impairment. METHODS: Patients were categorized into three groups according to the stages of CKD (stage I–II, III–IV, and V). CKD (I–II) group was defined as estimated glomerular filtration rate (eGFR) >60 ml/min/1.73 m², CKD (III–IV) group as eGFR <60 ml/min/1.73 m², and CKD (V) group as CKD stage V including patients ongoing hemodialysis. Patients were assessed for the prevalence of PTED, depression, and decreased quality of life by using the scale of PTED, Patient Health Questionnaire-9 (PHQ-9), and EuroQol Five Dimensional Questionnaires, Visual Analogue Scale (EQ-5D-VAS), respectively. RESULTS: A total of 445 patients were analyzed. The number of patients in CKD (I–II) was 166, CKD (III–IV) was 172, and CKD (V) was 107. Multivariate analysis by binomial logistic regression demonstrated that CKD (V) was significantly associated with the prevalence of PTED (odds ratio, 4.13; 95% confidence interval, 1.56–15.6; p=0.006) after adjustment for age, gender, and diabetes mellitus. Also, a significant correlation existed between PTED and EQ-5D-VAS in all stages, but the correlation was nonsignificant between PTED and PHQ-9 score in group CKD (V). CONCLUSION: The findings suggest that PTED is underdiagnosed in CKD patients. Acknowledgment and diagnosis of PTED in CKD patients may lead to a better quality of life.

Adjustment Disorders , Anger , Depression , Diabetes Mellitus , Diagnosis , Dialysis , Glomerular Filtration Rate , Humans , Logistic Models , Multivariate Analysis , Prevalence , Quality of Life , Renal Dialysis , Renal Insufficiency, Chronic
Psychiatry Investigation ; : 249-253, 2019.
Article in English | WPRIM (Western Pacific) | ID: wprim-760911


“Comfort women” are survivors of sexual slavery by the Imperial Japanese Army during World War II, who endured extensive trauma including massive rape and physical torture. While previous studies have been focused on the trauma of the survivors themselves, the effects of the trauma on the offspring has never been evaluated before. In this article, we reviewed the first study on the offspring of former “comfort women” and aimed to detect the evidence of transgenerational transmission of trauma. In-depth psychiatric interviews and the Structured Clinical Interview for DSM-5 Axis I Disorders were conducted with six offspring of former “comfort women.” Among the six participants, five suffered from at least one psychiatric disorder including major depressive disorder, panic disorder, posttraumatic stress disorder, adjustment disorder, insomnia disorder, somatic symptom disorder, and alcohol use disorder. Participants showed similar shame and hyperarousal symptoms as their mothers regarding stimuli related to the “comfort woman” issue. Increased irritability, problems with aggression control, negative worldview, and low self-esteem were evident in the children of mothers with posttraumatic stress disorder. Finding evidence of transgenerational transmission of trauma in offspring of “comfort women” is important. Future studies should include more samples and adopt a more objective method.

Adjustment Disorders , Aggression , Asian Continental Ancestry Group , Child , Depressive Disorder, Major , Humans , Methods , Military Personnel , Mothers , Panic Disorder , Rape , Shame , Enslavement , Sleep Initiation and Maintenance Disorders , Stress Disorders, Post-Traumatic , Survivors , Torture , World War II
Article in English | WPRIM (Western Pacific) | ID: wprim-760889


PURPOSE: There is increasing prevalence of psychiatric disorders among inflammatory bowel Disease (IBD) population. Further, presence of psychiatric disorders has been shown as an independent predictor of quality of life among patients with IBD. We intended to explore the prevalence of various psychiatric disorders among pediatric and young adult population with IBD as a population-based analysis. METHODS: We did a retrospective case control analysis using a deidentified cloud-based database including health care data across 26 health care networks comprising of more than 360 hospitals across USA. Data collected across different hospitals were classified and stored according to Systematized Nomenclature of Medicine-Clinical Terms. We preidentified 10 psychiatric disorders and the queried the database for the presence of at least one of the ten psychiatric disorders among IBD patients between 5 and 24 years of age and compared with controls. RESULTS: Total of 11,316,450 patients in the age group between 5 and 24 years and the number of patients with a diagnosis of IBD, Crohn's disease or ulcerative colitis were 58,020. The prevalence of psychiatric disorders was 21.6% among IBD mainly comprising of depression and anxiety disorder. Multiple logistic regression analysis showed, IBD is 5 times more likely associated with psychiatric disorders than controls, p<0.001). We showed a steady increasing trend in the incidence of psychiatric disorders among IBD patients (2% in 2006 to 15% in 2017). CONCLUSION: Largest population-based analysis demonstrated an increased prevalence of psychiatric disorders among IBD patients. Our study emphasizes the need for psychological and mental health services to be incorporated as a part of the routine IBD clinic.

Adjustment Disorders , Anxiety , Anxiety Disorders , Case-Control Studies , Colitis, Ulcerative , Crohn Disease , Delivery of Health Care , Depression , Diagnosis , Humans , Incidence , Inflammatory Bowel Diseases , Logistic Models , Mental Health Services , Prevalence , Quality of Life , Retrospective Studies , Young Adult
Article in English | WPRIM (Western Pacific) | ID: wprim-765144


BACKGROUND: Two hundred and fifty 11th grade students and teachers from Danwon High School drowned, during a school trip, in the Sewol Ferry Disaster. The goal of this study was to investigate the experiences of the psychiatrists who volunteered and provided psychiatric services to the students at Danwon High School. METHODS: From the second day to the 138th day after the disaster, pro bono psychiatrists provided post-disaster interventions to the 10th and 12th-grade Danwon High School students who did not attend the trip. Officially, 167 psychiatrists conducted outreach in approximately 550 encounters. The study questionnaires were distributed retrospectively to psychiatric volunteers who conducted outreach at Danwon High School. We surveyed the pro bono psychiatrists about their experiences, including the students' chief complaints, psychiatric problems, clinical diagnoses, and psychiatrists' treatment recommendations. RESULTS: We reached 72 (43.1%) of the 167 volunteers, and they reported on 212 (38.6%) of the 550 encounters. The common chief complaints were mental health problems, companion problems, and family problems. The most frequent psychiatric symptoms were anxiety (76.89%), depressive mood (51.42%), and concentration difficulty (50.94%). The most frequent clinical diagnoses of the students were normal reaction (41.04%), acute stress disorder (24.53%), adjustment disorder (17.92%), anxiety disorders (9.43%), and posttraumatic stress disorder (6.60%). More than half of the students needed “additional counseling/therapy” (41.04%) or “referral to psychiatric treatment” (14.15%). CONCLUSION: During the acute aftermath of the Sewol Ferry Disaster, volunteer psychiatrists were able to provide services. These services included psychiatric assessments, crisis counseling, psychological first aid, and referrals for ongoing care. More than half of the students were perceived to have a psychiatric diagnosis, and a substantial proportion of students needed further treatment. Future research should focus on the short- and long-term effects of psychiatric interventions and the characterization of post-disaster mental health needs and service provision patterns.

Adjustment Disorders , Adolescent , Anxiety , Anxiety Disorders , Counseling , Diagnosis , Disasters , First Aid , Friends , Humans , Mental Disorders , Mental Health , Psychiatry , Referral and Consultation , Retrospective Studies , Stress Disorders, Post-Traumatic , Stress Disorders, Traumatic, Acute , Volunteers
Neuroscience Bulletin ; (6): 449-456, 2018.
Article in English | WPRIM (Western Pacific) | ID: wprim-777046


Behavioral adjustment plays an important role in the treatment and relapse of drug addiction. Nonetheless, few studies have examined behavioral adjustment and its plasticity following error commission in methamphetamine (METH) dependence, which is detrimental to human health. Thus, we investigated the behavioral adjustment performance following error commission in long-term METH addicts and how it varied with the application of repetitive transcranial magnetic stimulation (rTMS) of the left dorsolateral prefrontal cortex (DLPFC). Twenty-nine male long-term METH addicts (for > 3 years) were randomly assigned to high-frequency (10 Hz, n = 15) or sham (n = 14) rTMS of the left DLPFC during a two-choice oddball task. Twenty-six age-matched, healthy male adults participated in the two-choice oddball task pretest to establish normal performance for comparison. The results showed that 10 Hz rTMS over the left DLPFC significantly decreased the post-error slowing effect in response times of METH addicts. In addition, the 10 Hz rTMS intervention remarkably reduced the reaction times during post-error trials but not post-correct trials. While the 10 Hz rTMS group showed a more pronounced post-error slowing effect than the healthy participants during the pretest, the post-error slowing effect in the posttest of this sample was similar to that in the healthy participants. These results suggest that high-frequency rTMS over the left DLPFC is a useful protocol for the improvement of behavioral adjustment after error commission in long-term METH addicts.

Adjustment Disorders , Therapeutics , Adult , Amphetamine-Related Disorders , Therapeutics , Case-Control Studies , Central Nervous System Stimulants , Choice Behavior , Physiology , Functional Laterality , Humans , Male , Methamphetamine , Middle Aged , Prefrontal Cortex , Physiology , Reaction Time , Physiology , Transcranial Magnetic Stimulation , Methods , Young Adult
Article in Korean | WPRIM (Western Pacific) | ID: wprim-715911


BACKGROUND: Autoantibodies have been detected in patients with psychiatric disorders. However, there is no standard test for the detection of these autoantibodies. In this study, we analyzed autoimmune target (AIT) test results in patients with psychiatric disorders and investigated the clinical utility of the AIT test for psychiatric disorders. METHODS: We retrospectively analyzed data from patients diagnosed with psychiatric disorders between August 1995 and May 2015. Of these, 100 patients assessed using the AIT test were enrolled in this study. Data regarding positive rates, immunofluorescent patterns of AIT results, and the presence of autoimmune diseases in patients with psychiatric disorders were retrospectively collected and analyzed. RESULTS: The autoantibody-positive rate was high in patients with psychiatric disorders (70.0%, 70/100). The positive rates in patients with schizophrenia, depressive disorders, bipolar and related disorders, adjustment disorders, anxiety disorders, and others were 82.9%, 64.7%, 88.9%, 57.1%, 66.7%, and 53.8%, respectively. The most frequent pattern of immunofluorescence was a speckled pattern in 30 cases, followed by microtubule organizing center with microtubule (MTOC-MT) in 17 cases. Twenty-one patients were diagnosed with autoimmune diseases. CONCLUSIONS: In this study, the incidence of autoantibodies was high in patients with psychiatric disorders not specific to schizophrenia. This suggests that the AIT test may therefore have the potential to be a screening test for psychiatric disorders. Further, additional AIT tests in patients with psychiatric disorders may help to clarify the relationships between psychiatric disorders and autoimmune disease.

Adjustment Disorders , Anxiety Disorders , Autoantibodies , Autoimmune Diseases , Bipolar and Related Disorders , Depressive Disorder , Fluorescent Antibody Technique , Humans , Incidence , Mass Screening , Microtubule-Organizing Center , Microtubules , Retrospective Studies , Schizophrenia
Article in Korean | WPRIM (Western Pacific) | ID: wprim-738887


OBJECTIVES: Effects of multiple trauma are complex and extend beyond core PTSD symptoms. However, few psychological instruments for trauma assessment address this issue of symptom complexity. The Trauma Symptom Checklist-40 (TSC-40) is a self-report scale that assesses wide range of symptoms associated with childhood or adult traumatic experience. The purpose of the present study was to evaluate the validity of the Korean Version of the TSC-40 in a sample of psychiatric outpatients. METHODS: Data of 367 treatment-seeking patients with DSM-IV diagnoses were obtained from an outpatient department of psychiatric unit at a university hospital. The diagnoses were anxiety disorder, posttraumatic stress disorder, depressive disorder, adjustment disorder and others. Included in the psychometric data were the TSC-40, the Life events checklist, the Impact of Event Scale-Revised, the Zung's Self-report Depression Scale, and the Zung's Self-report Anxiety Scale. Cronbach's α for internal consistency were calculated. Convergent and concurrent validity was approached with correlation between the TSC-40 and other scales (PTSD, anxiety and depression). RESULTS: Exploratory factor analysis of the Korean Version of TSC-40 extracted seven-factor structure accounted for 59.55% of total variance that was contextually similar to a six-factor structure and five-factor structure of the original English version. The Korean Version of TSC-40 demonstrated a high level of internal consistency. (Cronbach's α=0.94) and good concurrent and convergent validity with another PTSD scale and anxiety and depression scales. CONCLUSIONS: Excellent construct validity of The Korean Version of TSC-40 was proved in this study. And subtle difference in the factor structure may reflect the cultural issues and the sample characteristics such as heterogeneous clinical population (including non-trauma related disorders) and outpatient status. Overall, this study TSCdemonstrated that the Korean version of TSC-40 is psychometrically sound and can be used for Korean clinical population.

Adjustment Disorders , Adult , Anxiety , Anxiety Disorders , Checklist , Depression , Depressive Disorder , Diagnosis , Diagnostic and Statistical Manual of Mental Disorders , Humans , Multiple Trauma , Outpatients , Psychometrics , Stress Disorders, Post-Traumatic , Weights and Measures
Rev Rene (Online) ; 18(6): 712-719, nov. - dez 2017.
Article in English | LILACS (Americas), BDENF | ID: biblio-877434


Objetivo: avaliar a autoestima de indivíduos com doença arterial coronariana. Métodos: estudo transversal, realizado com 77 participantes. Foram utilizados os instrumentos: Escala Hospitalar de Ansiedade e Depressão e Escala de Autoestima de Rosenberg. Resultados: a maioria dos participantes obteve autoestima moderada 48 (62,3%), seguida de baixa 29 (37,7%), sendo influenciada pelas variáveis: sexo (p=0,040), escolaridade (p=0,009), sintomas ansiosos (p=0,010) e depressivos (p=0,030). Conclusão: pacientes com doença arterial coronariana apresentaram médios e baixos escores de autoestima. Níveis mais elevados de autoestima foram associados ao sexo feminino, maior escolaridade e à presença de sintomas de ansiedade e depressão. (AU)

Adjustment Disorders , Coronary Disease , Self Concept
Medisan ; 21(8)ago. 2017. ilus, tab
Article in Spanish | LILACS (Americas) | ID: biblio-894646


Se realizó una investigación descriptiva y transversal de 64 pacientes mayores de 18 años, de los cuales 31 presentaban neurosis (estrés crónico) y 33 reacción situacional (estrés agudo), quienes fueron diagnosticados y atendidos en la consulta de Psiquiatría del Hospital General Docente Dr Juan Bruno Zayas Alfonso de Santiago de Cuba, en el período de mayo a noviembre del 2013, con vistas a determinar las variables bioquímicas e inmunológicas del tejido sanguíneo. Luego de efectuados los exámenes de sangre en todos los integrantes de la serie y el procesamiento estadístico de la información mediante el cálculo porcentual, la media y la desviación estándar, se pudo concluir que desde los puntos de vista bioquímico e inmunológico, la inmunoglobulina G aumenta en pacientes con reacción situacional, mientras que el cortisol se incrementa en los que padecen neurosis

A descriptive and cross-sectional investigation of 64 patients older than 18 years, of which 31 presented neurosis (chronic stress) and 33 situational reaction (acute stress) who were diagnosed and assisted in the Psychiatry Department of Dr Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba was carried out in the period of May to November, 2013, with the objective of determining the biochemical and immunologic variables of the blood tissue. After obtaining blood tests in all the members of the series and of the statistical processing of the information by means of the percentage calculation, the mean and the standard deviation, it could be concluded that from the biochemical and immunologic points of view, immunoglobulinG increases in patients with situational reaction, while cortisol is increased in those that suffer from neurosis

Humans , Male , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Epidemiologic Factors , Adjustment Disorders , Multivariate Analysis , Immunologic Factors , Neurotic Disorders , Anxiety Disorders , Stress, Physiological , Secondary Care , Biomarkers/chemistry , Cross-Sectional Studies
Medisan ; 21(2)feb. 2017.
Article in Spanish | LILACS (Americas), CUMED | ID: biblio-1015898


La enfermedad situacional es una categoría nosográfica poco analizada en la bibliografía médica. En este artículo se abordan aspectos importantes relacionados con su valor clasificatorio y práctico, así como la importancia que reviste en el plan de formación del médico general integral, debido a las potencialidades de desarrollo en la comunidad. Además, se enfatiza en las posibilidades prácticas de aplicar los procedimientos psicoterapéuticos de apoyo, que son oportunos y facilitadores para evitar la sobresaturación de la demanda asistencial secundaria, resultante del envío o remisión

The situational disease is a nosographic category little analyzed in the medical literature. In this work important aspects related to its classificatory and practical value are approached, as well as the importance that it has in the training plan of the comprehensive general doctor, due to the development potentialities in the community. It is also emphasized on the practical possibilities of implementing the support psychotherapeutic procedures that are opportune and facilitators to avoid the overflood of secondary assistance demand, resulting from referral.

Humans , Male , Female , Stress, Physiological , Burnout, Professional , Adjustment Disorders , Physicians, Primary Care/psychology , Physicians, Family/psychology , General Practitioners
Rio de Janeiro; s.n; 2017. 95 p.
Thesis in Portuguese | LILACS (Americas), BDENF | ID: biblio-908596


O propósito dessa pesquisa é estudar a influência do trabalho no turno noturno e sua relação com as variáveis sócio-demográficas e fisiológicas no contexto da saúde do trabalhador de enfermagem, considerando as necessidades biopsicossociais do ser humano. A pesquisa tem como objeto de estudo a adaptação do trabalhador de enfermagem ao trabalho noturno e suas repercussões na saúde destes profissionais, visando aprofundar a compreensão desta temática e subsidiar as discussões sobre a regulamentação do descanso noturno de modo adequado durante os plantões. O sono não é simplesmente um descanso, pois segundo Medeiros et al. (2009) dormir é um processo ativo em que algumas regiões do cérebro continuam com as mesmas atividades como durante o estado de alerta. Quando a privação do sono é excessiva e persistente, pode gerar fadiga, diminuição do nível de alerta, irritabilidade, dentre outros sintomas. Os objetivos dessa pesquisa são: Objetivo Geral Avaliar as influências do serviço noturno em relação aos problemas de saúde e bem-estar, dos trabalhadores de enfermagem no turno noturno auto-percebido por esses profissionais em um hospital de grande porte. Objetivos Específicos: Identificar os aspectos sócio-economico, fisiológico e legais dos profissionais de enfermagem que atuam no turno noturno por categoria profissional; Verificar as condições do descanso noturno dos trabalhadores de enfermagem; c) Discutir os sinais e sintomas percebidos pelos trabalhadores sobre os aspectos relacionados ao trabalho noturno. O Método utilizado para essa pesquisa, foi um estudo descritivo-exploratório com abordagem quantitativa composto de 89 profissionais de enfermagem do serviço noturno, distribuídos entre 36 enfermeiros, 19 técnicos de enfermagem e 34 auxiliares de enfermagem. Empregou-se um questionário semiestruturado, com a coleta de dados realizada entre agosto e setembro de 2016. Os Resultados revelam que os enfermeiros sentem-se exaustos após o plantão, pelo tempo dedicado ao serviço de enfermagem e a familiar e apresentaram maior ganho de peso durante o período de tempo de trabalho noturno. O local de repouso foi considerado adequado para a maioria dos participantes das três categorias, porque possibilitou um sono compensatório durante as horas permitidas de descanso pela Organização. Conclui-se que sendo o descanso noturno em local adequado, este é considerado uma das estratégias ergonomicamente eficaz, para adaptação cognitiva dos trabalhadores de enfermagem no turno noturno. Contudo, supõe-se ser insuficiente e inadaptado à outras estratégias de garantia de qualidade de vida essenciais ao trabalhador como a alimentação, lazer e convívio familiar saudável. Sugere-se que outras estratégias são impresisdíveis para enfrentar os efeitos do trabalho noturno, devendo envolver dois níveis básicos: individual e organizacional. Só assim o trabalho noturno será saudável para o trabalhador e proporcionar mais qualidade de assistência aos clientes, e evitar acidentes para o trabalhador e para os clientes, porque somente ceder tempo de descanso noturno não é suficiente.

The purpose of this research is to study the influence of night shift work and its relations with sociodemographic and physiological variables in the context of the health of a Nursing professional, considering a human being's biopsychosocial needs. The research has as a study object the adaptation of the nursing workers to nocturnal work and its repercussions in the health of said professionals, aiming to deepen the understanding of the theme and subsidize the discussions about regulamentation of nocturnal rest in an adequate fashion while on duty. Sleep is not simply rest, seeing as according to Medeiros et al. (2009) sleeping is an active process during which some parts of the brain display the same activities as when in an alert state. When sleep deprivation is excessive and persistent, it can cause fatigue, decrease in mental alertness, irritability, amongst other symptoms. The objectives of this research are: General Objetive: Assess the influences of night shit work in relation to health and well-being problems, of the night shift workers as noticed by said professionals in a large-scale hospital. Specific Objectives: Identify the socioeconomic, physiological and legal aspects of nursing professionals who are active in night shifts as professional categories; Verify the conditions of nocturnal rest of nursing workers; discuss the signals and symptoms perceived by said workers about the aspects of night shift work. The utilized method for this research was that of a descriptive exploratory study, with a quantitative approach made up of 89 night shift nursing professionals, distributed between 36 nurses, 19 nursing technicians and 34 nursing assistants. The results reveal that the nurses feel exhausted after the shift, because of the time dedicated to both nursing and family responsibilities, and they show a greater weight gain during periods of night shift work. The rest site was considered adequate by most of the participants of the three categories, for it made possible for them to compensate for the lost sleep during rest hours allowed by the Organization. In conclusion, being the nocturnal rest held in an adequate place, it is considered one of the most effective ergonomic strategies for cognitive adaptation of night shift nursing professionals. However, the nocturnal rest is assumed to be insufficient and inadaptive to other strategies of warranting essential quality of life for the professional such as nourishment, leisure (recreation) and healthy time with the family. It suggests that other strategies are essential to face the effects of nocturnal work, involving two basic levels: individual and organizational. Only then will nocturnal work be healthy for professionals, provide better quality assistance for clients and avoid accidents for both workers and patients, for the concession of nocturnal rest time during night shifts is not enough.

Humans , Male , Female , Adult , Middle Aged , Adjustment Disorders/nursing , Ergonomics , Occupational Health , Occupational Health Nursing , Rest , Shift Work Schedule
Psychiatry Investigation ; : 900-903, 2017.
Article in English | WPRIM (Western Pacific) | ID: wprim-126363


OBJECTIVE: The goal of this study was to describe the psychiatric symptoms in the teachers from Danwon High School who were exposed to the sinking of the Motor Vessel Sewol. METHODS: Data were collected from 32 teachers who underwent psychiatric interventions by 16 volunteer psychiatrists for 3 months after the sinking of the Motor Vessel Sewol. RESULTS: The most commonly diagnosed clinical diagnosis in the teachers were normal reaction, acute stress disorder and adjustment disorder. Psychiatric symptoms including anxiety, depressed mood and sleep disturbances were also observed. CONCLUSION: In the acute aftermath of the Sewol Ferry sinking on April 16, 2014, psychiatrists volunteered to provide professional psychiatric interventions to Danwon High School teachers. These results suggest the importance of crisis intervention focused on the teachers who are exposed to disasters. The implications for future research and interventions are discussed.

Adjustment Disorders , Anxiety , Crisis Intervention , Diagnosis , Disasters , Humans , Psychiatry , Stress Disorders, Post-Traumatic , Stress Disorders, Traumatic, Acute , Volunteers
Article in Korean | WPRIM (Western Pacific) | ID: wprim-121669


PURPOSE: This study was conducted to analyze the features of poisoning in individuals aged 0-18 years to understand the characteristics of potential victims and eventually prevent poisoning. METHODS: We retrospectively analyzed poisoned children and adolescents (0–18 years) who visited the emergency department of one tertiary hospital from January 2003 through December 2013. We collected data including their age, sex, reason for poisoning, components and dose of poison, results of treatment, and psychiatric diagnosis. RESULTS: During the study period, there were 436 cases of poisoning (male 47.2% (n=206); female 52.8% (n=230)). Subjects were classified into four groups (0–1 years, 2–5 years, 6–12 years, 13–18 years). The most common cause of poisoning in all age groups was accidental poisoning (72.9%), but intentional poisoning increased as age increased (p < 0.001). Moreover, females were more often subject to intentional poisoning than males (p < 0.001). The most common poisoning material was drugs (41.7%). Among intentional poisoning patients, 62.7% patients had consulted a psychiatrist, and their most common diagnosis was adjustment disorder (44.6%). CONCLUSION: The most common cause of poisoning in individuals aged 0–18 years was accidental poisoning, while intentional poisoning was most common among adolescents. Guardians should take care to prevent accidental poisoning, while psychiatric consultation and national moderation will be needed to prevent intentional poisoning.

Adjustment Disorders , Adolescent , Child , Diagnosis , Emergencies , Emergency Service, Hospital , Female , Humans , Male , Mental Disorders , Poisoning , Psychiatry , Retrospective Studies , Tertiary Care Centers
Article in Korean | WPRIM (Western Pacific) | ID: wprim-68473


PURPOSE: The aim of the current study was to examine the characteristics of suicidal attempters who visited the emergency department (ED) with a psychiatric diagnosis of adjustment disorder. METHODS: Suicidal attempters who had visited the ED were retrospectively selected between January 2015 and December 2015. Sex, age, marital status, psychiatric diagnosis, causes of suicidal attempt, methods of suicidal attempt, influence of alcohol, and results of ED management were reviewed in the medical records. RESULTS: A total of 468 suicide attempters who had visited the ED were interviewed by psychiatrists, and 323 cases were included. Adjustment disorder is the most common diagnosis among these patients (N=202, 62.5%). There was no statistical difference between the adjustment disorder group and the non-adjustment disorder group with respect to marital status, psychiatric diagnosis, causes of suicidal attempt, methods of suicidal attempt, and results of ED management. The number of patients under the influence of alcohol who visited the ED was higher in the adjustment disorder group (p=0.04). CONCLUSION: Adjustment disorder is the most common diagnosis among suicidal attempters who visit the ED. Suicidal attempt in the adjustment disorder group is likely an impulsive decision, but their admission results are just as poor as the non-adjust disorder group.

Adjustment Disorders , Diagnosis , Emergencies , Emergency Service, Hospital , Humans , Marital Status , Medical Records , Mental Disorders , Prognosis , Psychiatry , Retrospective Studies , Suicide
Article in Korean | WPRIM (Western Pacific) | ID: wprim-98041


PURPOSE: Discharge against medical advice (DAMA) carries a risk of increased mortality and readmissions in the emergency department (ED). The aim of the current study was to examine characteristics of suicidal attempters with acute poisoning who were discharged against psychiatric medical advice and other clinical department admission as acute intervention. METHODS: We retrospectively selected a consecutive series of suicidal attempters with acute poisoning who were admitted to the emergency department between 2011 and 2012. Sex, age, admission time, psychiatric DAMA, impressions by the Psychiatrist-in-charge, and psychiatry follow-up after discharge were reviewed in the medical records. DAMA was defined as an unplanned discharge for which the psychiatrist-in-charge documented in the medical record that the patient or one's legally authorized representatives decided to refuse hospitalization against the psychiatrist's medical advice including closed ward admission. RESULTS: A total of 883 patients who had attempted suicide who visited the emergency department were included. Of these, 155 patients were suicidal attempters with acute poisoning for ED ward admission. Among these patients, the rate of psychiatric DAMA was 66.5% (n=103). Psychiatric impressions were 1) adjustment disorder 51.5% (n=53), 2) major depressive disorder 28.2% (29%). The rate of DAMA was higher in the adjustment disorder group than in the major depressive disorder group (82.8% vs 58.7%, p <0.001). The rate of follow-up after hospital discharge to the psychiatric outpatient department was 26.5% (n=27). CONCLUSION: Admission to the emergency department may improve psychiatric outpatient department referral in suicidal attempters with acute poisoning. In addition, customized plans according to psychiatric diagnosis will be considered for effective acute intervention and continuous psychiatric referral.

Adjustment Disorders , Depressive Disorder, Major , Emergencies , Emergency Service, Hospital , Follow-Up Studies , Hospitalization , Humans , Medical Records , Mental Disorders , Mortality , Outpatients , Patient Discharge , Poisoning , Referral and Consultation , Retrospective Studies , Suicide , Suicide, Attempted , Treatment Refusal
Aletheia ; (47/48): 22-34, maio-dez. 2015. tab
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-949835


O presente artigo teve como objetivo investigar as percepções de casais sobre sua relação conjugal diante da transição para a parentalidade em contextos de gestação planejada. Assumindo que o casal que opta por planejar a gestação também escolheu realizar outros desejos antes da maternidade/paternidade e apresentam uma condição tanto de vida profissional quanto conjugal distinta. Diante disso, realizou-se uma pesquisa qualitativa exploratória, através de entrevista semiestruturada com quatro casais que optaram por ter seu primeiro filho de forma planejada. As entrevistas foram gravadas, transcritas, e os dados coletados foram analisados a partir da análise de conteúdo. Os resultados apontam que existem particularidades na transição da conjugalidade para a parentalidade na gestação planejada, que se expressa nas estratégias usadas na resolução dos conflitos. Conclui-se que o tempo de relação conjugal pode ser um fator determinante para o amadurecimento do casal, refletindo na mudança das relações por eles vivenciadas.

This article aimed to investigate the perceptions of couples about their conjugal relationship facing the transition from conjugality to parenting when living planned pregnancy. Knowing that the couple that decides having a child later in life chose to fulfill other wishes before parenthood and show a distinct living and professional situation. An exploratory qualitative research was conduced, through a semi-structured interview with four couple that decided on having their first child late in life. The interviews were recorded, transcript and the data collected was analyzed trough content analysis. The results indicate that there are some singularities in the transition from conjugality to parenting facing planned pregnancies, which presentation is evident in the strategies used for solving problems. It is concluded that the time of a conjugal relationship may be a determinant factor for the couple maturation, what reflects on changes in the relationship.

Humans , Pregnancy , Marriage , Adjustment Disorders , Parenting , Family Planning (Public Health) , Family Relations , Father-Child Relations , Mother-Child Relations
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 7(4): 3292-3304, out.-dez. 2015.
Article in English, Portuguese | LILACS (Americas), BDENF | ID: biblio-1029874


Objective: check the adaptation methods of mastectomies women; raise the presence of changes in the habits of life of women after mastectomy; correlate the adaptive process outlined by the woman with the theory presented by Roy and investigate the care provided by nurses to women with mastectomies. Method: For carrying out the survey was used to type descriptive qualitative approach. Results: The role of nursing in the care the woman, who had been subjected to breast surgery, encompasses care for maintenance of their bodily functions as well as support to those who are involved in the process, the individual as a whole and family. Conclusion: Roy's theory is the bases for hypotheses that can be tested.

Objetivo: verificar os métodos de adaptação de mulheres mastectomizadas; levantar a presença de mudanças nos hábitos de vida da mulher após a mastectomia; correlacionar o processo adaptativo exposto pela mulher com a teoria apresentada por Roy e averiguar a assistência prestada pelos profissionais de enfermagem às mulheres mastectomizadas. Método: Para a realização da pesquisa foi utilizada a abordagem qualitativa do tipo descritiva. Resultados: O papel da enfermagem no cuidado a mulher que fora submetida à cirurgia mamária, engloba cuidados para manutenção de suas funções orgânicas assim como apoio aos que estão envolvidos no processo, o indivíduo como um todo e familiares. Conclusão: A teoria de Roy constitui as bases para hipóteses que podem ser testadas.

Objetivo: Compruebe los métodos de adaptación de mastectomías mujeres; aumentar la presencia de cambios en los hábitos de vida de las mujeres después de la mastectomía; correlacionar el proceso adaptativo esbozado por la mujer con la teoría presentada por Roy e investigar a la atención proporcionada por enfermeras a las mujeres mastectomizadas. Método: Para llevar a cabo la encuesta se utilizó para el tipo de enfoque cualitativo descriptivo. Resultados: El papel de enfermería en el cuidado de la mujer que había sido sometida a cirugía de mama, abarca la atención para el mantenimiento de sus funciones corporales, así como el apoyo a quienes están involucrados en el proceso, el individuo como un todo y familia. Conclusión: La teoría de Roy son las bases para las hipótesis que pueden ser probadas.

Female , Humans , Adaptation, Psychological , Social Adjustment , Mastectomy/nursing , Adjustment Disorders , Brazil , Habits
Psicol. ciênc. prof ; 35(3): 946-958, jul.-set. 2015. tab
Article in Portuguese | LILACS (Americas) | ID: lil-760475


A presente pesquisa teve como objetivo a busca por evidência de validade com base na relação com variáveis externas para a Escala de Percepção do Suporte Social (versão adulto) - EPSUS-A, por meio da análise de correlação com os instrumentos Inventário de Percepção do Suporte Familiar (IPSF) e a Escala Baptista de Depressão (versão adulta) – EBADEP-A. A amostra do estudo foi composta por 102 universitários, com idade variando entre 18 e 61 anos (M = 26,59, DP = 9,57). Dos resultados, quanto às análises de correlação entre os instrumentos, todas as dimensões da EPSUS-A se correlacionaram de forma positiva e significativa em relação às dimensões do IPSF, assim como todas os fatores da EPSUS-A apresentaram correlações negativas e significativas com a EBADEP-A, evidenciando, dessa forma, validade em relação às variáveis externas da EPSUS-A.

This study aimed to establish evidence regarding the validity (based on the relationship with external variables) of the Scale of Perceived Social Support (Adult Version, EPSUS-A) through a correlation analysis with the Perception Inventory Instruments of Family Support (IPSF) and the Baptista Depression Scale (Adult Version, EBADEP-A). The study sample comprised 102 students aged 18–61 years (M = 26.59, SD = 9.57). The results of the correlation analysis between the instruments show that all the dimensions of the EPSUS-A correlated positively and significantly with that of the IPSF. However, all the factors of the EPSUS correlated negatively and significantly with the EBADEP-A, thus depicting validity in the relationship with the external variables of the EPSUS.

Esta investigación tuvo como objetivo buscar evidencias de validez basada en la relación con las variables externas de la Escala de percepción de Apoyo Social (versión para adultos) - EPSUS-A, a través del análisis de correlación con los instrumentos Inventario de Percepción de Apoyo a la Familia (IPSF) y la Escala Baptista de Depresión (versión para adultos) - EBADEP-A. La muestra del estudio consistió en 102 estudiantes universitarios, con edades entre 18 y 61 años (M = 26.59, SD = 9,57). Los resultados, del análisis de correlación entre los instrumentos, mostraron que todas las dimensiones de EPSUS-A se correlacionaron positiva y significativamente con respecto a las dimensiones de IPSF, así como todos los factores de la EPSUS-A se correlacionaron negativamente y de forma significativa con EBADEP-A, mostrando así. la validez con relación con las variables externas de la EPSUS-A.

Humans , Male , Female , Adjustment Disorders , Depression , Family Relations , Social Support , Social Validity, Research