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1.
Rev. psicol. (Fortaleza, Online) ; 13(1): 44-58, 01/01/2022.
Article in English | LILACS, INDEXPSI | ID: biblio-1357838

ABSTRACT

Normative masculinity and alexithymia may negatively affect sexual life and men's well-being. In this study, the endorsement of traditional male norms, alexithymia and sexual behavior were assessed through an online survey directed to Brazilian men. Relationship status and religion were also addressed, and associations and correlations between variables were carried out. The survey presented 66 items, including standardized questionnaires, such as Meanings of Adolescent Masculinity Scale, Toronto Alexithymia Scale and Male Sexual Quotient. The sample consisted in 528 Brazilian men with high socioeconomic and educational levels. Alexithymia was negatively correlated with sexual satisfaction. The endorsement of traditional male norms was positively correlated with pornography use and was also associated with sharing of pornographic material through social media. Married men had the lowest levels of alexithymia, with significant difference when compared with men who are not currently in a relationship. Furthermore, having a religion was associated with greater endorsement of traditional male norms. These findings suggest that alexithymia may have greater influence on behaviors associated with interpersonal relations, including sexual satisfaction and relationship status. Conversely, normative masculinity was linked to personal variables, which did not involve a partner, including pornography consumption and religion.


A masculinidade normativa e alexitimia podem afetar negativamente a vida sexual e o bem-estar dos homens. Neste estudo, a concepção de masculinidade, alexitimia e comportamento sexual foram avaliados por meio de uma pesquisa online dirigida aos homens brasileiros. O status de relacionamento e religião também foram abordados, efetivando-se associações e correlações entre as diferentes variáveis. A pesquisa apresentou 66 itens, incluindo questionários estandardizados, como a Escala de Concepções de Masculinidade, Escala de Alexitimia de Toronto e Quociente Sexual - versão masculina. A amostra consistiu em 528 homens brasileiros com altos níveis socioeconômicos e educacionais. Alexitimia foi negativamente correlacionada com a satisfação sexual. O endosso das normas tradicionais masculinas foi positivamente correlacionado com o uso de pornografia, bem como associado ao compartilhamento de material pornográfico por meio das mídias sociais. Os homens casados obtiveram os níveis mais baixos de alexitimia, com diferença significativa quando comparados com homens que não mantém atualmente um relacionamento. Além disso, ter uma religião foi associado a uma maior percepção de importância das normas tradicionais masculinas. Os achados sugerem que a alexitimia pode possuir maior influência sobre os comportamentos associados às relações interpessoais, incluindo satisfação sexual e status de relacionamento. Por outro lado, a masculinidade normativa foi ligada a variáveis pessoais, que não envolviam um parceiro, incluindo o consumo de pornografia e a religião.


Subject(s)
Sexuality , Affective Symptoms , Masculinity , Men
2.
Rev. bras. ginecol. obstet ; 43(11): 826-833, Nov. 2021. tab, graf
Article in English | LILACS | ID: biblio-1357077

ABSTRACT

Abstract Objective The psychosocial burden of infertility among couples can be one of the most important reasons for women's emotional disturbance. The goal of the present study was to investigate the effect of counseling on different emotional aspects of infertile women. Methods The present randomized clinical trial was performed on 60 couples with primary infertility who were referred for treatment for the first time and did not receive psychiatric or psychological treatment. Samples were allocated to an intervention group (30 couples) and a control group (30 couples) by simple randomization. The intervention group received infertility counseling for 6 45-minute sessions twice a week, and the control group received routine care. The Screening on Distress in Fertility Treatment (SCREENIVF) questionnaire was completed before and after the intervention. Samples were collected from November to December 2016 for 3 months. For the data analysis, we used the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 19.0, and the paired t-test, the independent t-test, the Mann-Whitney test, the Wilcoxon test, and the Chi-squared test. Results The mean age of the participants was 33.39±5.67 years. All studied couples had primary infertility and no children. The mean duration of the couples' infertilitywas 3 years. There was a significant difference regarding depression (1.55±1.92; p<0.0001), social support (15.73±3.41; p<0.0001), and cognitions regarding domains of fertility problems (26.48±3.05; p=0.001) between the 2 groups after the intervention, but there was no significant difference regarding anxiety (25.03±3.09; p=0.35). Conclusion The findings showed that infertility counseling did not affect the total score of infertile women' emotional status, but improved the domains of it except, anxiety.


Resumo Objetivo A carga psicossocial da infertilidade entre casais pode ser uma das razões mais importantes para os distúrbios emocionais emmulheres. O objetivo deste estudo foi investigar o efeito do aconselhamento em diferentes aspectos emocionais de mulheres inférteis. Métodos Este ensaio clínico randomizado foi realizado com 60 casais com infertilidade primária indicados para tratamento pela primeira vez mas que não receberam tratamento psiquiátrico ou psicológico. As amostras foram alocadas em um grupo de intervenção (30 casais) e um grupo de controle (30 casais) por randomização simples. O grupo de intervenção recebeu aconselhamento sobre infertilidade por 6 sessões de 45 minutos 2 vezes por semana e o grupo controle recebeu cuidados de rotina. O questionário de Triagem por Aflição no Tratamento da Infertilidade (Screening on Distress in Fertility Treatment SCREENIVF em inglês) foi preenchido antes e após a intervenção. As amostras foramcoletadas de novembro a dezembro de 2016 durante 3 meses. Para a análise dos dados usamos o programa Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows IBMCorp. Armonk NY Estados Unidos) versão 19.0 e os testes-t pareado e independente e os testes de Mann-Whitney de Wilcoxon e do qui quadrado. Resultados A média de idade dos participantes foi de 33 39 ± 5 67 anos. Todos os casais estudados tinham infertilidade primária e não tinham filhos. A duraçãomédia da infertilidade dos casais era de 3 anos. Houve diferença significativa quanto à depressão (1 55±1 92; p<0 0001) ao apoio social (15 73±3 41; p <0 0001) e às cognições em relação aos campos dos problemas de fertilidade (26 48±3 05; p=0 001) entre dois grupos após a intervenção mas não houve diferença significativa com relação à ansiedade (25 03±3 09; p=0 35). Conclusão Os achados mostraram que o aconselhamento sobre infertilidade não afetou a pontuação total do estado emocional de mulheres inférteis mas melhorou seus campos exceto a ansiedade.


Subject(s)
Humans , Female , Adult , Infertility, Female/therapy , Anxiety , Counseling , Affective Symptoms , Emotions
3.
Dolor ; 31(74): 18-24, sept. 2021. tab
Article in Spanish | LILACS | ID: biblio-1362788

ABSTRACT

Introducción: El dolor crónico de la espalda forma parte de los síntomas que afectan la salud musculoesquelética. Las estrategias de afrontamiento van a determinar la experiencia del dolor actuando como mediador de las emociones. Objetivo General: Caracterizar las estrategias de afrontamiento y las alteraciones emocionales en pacientes con dolor crónico de la espalda, Cienfuegos 2020. Material y Método: Se realizó un estudio descriptivo, de serie de casos, en el Hospital Provincial Dr. Gustavo Aldereguía Lima de la provincia de Cienfuegos, Cuba, en los meses de septiembre de 2019 a enero de 2020. Se realizó un muestreo no probabilístico casual o a conveniencia de participantes voluntarios, con los pacientes que fueron atendidos en consulta de Ortopedia durante el periodo de investigación declarado. El análisis estadístico de la información se realizó en el paquete estadístico SPSS. Resultados: Se obtuvo un predominio de estrategias de afrontamiento pasivas, así como alteraciones emocionales donde predomina la ansiedad y la depresión en niveles moderado-alto, mientras que en la ira se obtuvieron valores inferiores. Conclusión: Las estrategias de afrontamiento utilizadas por los pacientes de estudio se caracterizan por ir dirigidas fundamentalmente a la modificación de las reacciones emocionales que genera el dolor, pero no a lograr una adaptación a las nuevas circunstancias impuestas por la enfermedad, ni a un control instrumental del mismo.


Introduction: Chronic back pain is one of the symptoms that affect musculoskeletal health. Coping strategies will determine the experience of pain acting as a mediator of emotions. General aim: To characterize coping strategies and the emotional alterations in patients with chronic back pain, Cienfuegos 2020. Material and method: It was carried out a descriptive study, series of cases, in the University Hospital "Dr. GustavoAldereguía Lima", Cienfuegos municipality, Cuba, from September, 2019 to January, of 2020. It was done a non-probabilistic sampling to convenience. The patients who were treated at the outpatient orthopedics consulting office and voluntarily accepted to participate in the study during the declared period of investigation were chosen. The statistical analysis of the information was carried out in the statistical package SPSS. Results: A prevalence of passive coping strategies was obtained, so much in the interview semiestructurada as in the Coping Reduced Questionnaire to the pain. Regarding the negatives emotional states prevailed the anxiety and depression in moderate-high levels, while in anger lower values were obtained. Conclusions: The most frequent coping strategies in the studied patients were the passive ones, aimed to regulate emotional states, but not to control pain.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Young Adult , Adaptation, Psychological , Back Pain/psychology , Affective Symptoms/diagnosis , Chronic Pain/psychology , Anxiety/diagnosis , Surveys and Questionnaires , Affective Symptoms/psychology , Cuba , Depression/diagnosis
4.
Rev. bras. med. esporte ; 27(3): 299-302, July-Sept. 2021. tab, graf
Article in English | LILACS | ID: biblio-1288575

ABSTRACT

ABSTRACT Introduction The paper investigates burnout causes and relevant affecting factors of juvenile trampolinists. Objective With 93 participants aged U10-16 of 2019 National Juvenile Trampoline Championship as investigation objects, to improve the current situation of juvenile burnout, exploring the methodology to alleviate and eliminate it, enhancing the sense of achievement in training and competition and providing a theoretical basis for coaches to train and cultivate athletes. Methods Questionnaire survey, semi-structured interview, mathematical statistics. Results The burnout level of the trampolinists is below the moderate level, and the overall burnout level of athletes is not high; the sense of achievement decrease> negative evaluation of sports>emotional/physical exhaustion; the correlation between the overall level of burnout of athletes and different genders, training age, education stage and athlete level is not significant; in terms of burnout, there are very significant positive correlations(P<0.01) between overload factor, personal factor, and situational factor, and emotional/physical exhaustion, sense of achievement decrease and negative evaluation of sports respectively. Conclusions Strengthen the communication with trampolinists, improve their self-regulation ability in various ways, master the methods to alleviate burnout, and increase social support for them. Level of evidence II; Therapeutic studies - investigation of treatment results.


RESUMO Introdução O artigo investiga as causas do burnout e os fatores que afetam os jovens trampolinistas. Objetivo Ter como objeto de pesquisa 93 participantes de U10-16 do Campeonato Nacional Juvenil de Trampolim 2019, para melhorar a situação atual do burnout juvenil, explorando a metodologia para amenizá-lo e eliminá-lo, potencializando a sensação de realização em treinamentos e competições e proporcionando uma base para os treinadores trabalharem com os atletas. Métodos Questionário de levantamento, entrevista semiestruturada, estatística matemática. Resultados O nível de burnout dos trampolinistas está abaixo do nível moderado e o nível geral de burnout dos atletas não é alto; diminuição da sensação de realização> avaliação negativa de esportes> burnout emocional/físico; a correlação entre o nível geral de burnout dos atletas e os diferentes gêneros, a idade de treinamento, o estágio educacional e o nível do atleta não é significativa; Em termos de burnout, existem correlações positivas altamente significativas (P <0,01) entre o fator de sobrecarga, o fator pessoal e o fator situacional, e burnout emocional/físico, a diminuição do senso de realização e a avaliação negativa dos esportes, respectivamente. Conclusões Fortalecer a comunicação com os trampolinistas, melhorar sua capacidade de autorregulação de várias maneiras, dominar os métodos para aliviar o burnout e aumentar o apoio social para eles. Nível de evidência II; Estudos terapêuticos: investigação dos resultados do tratamento.


RESUMEN Introducción El artículo investiga las causas del burnout y los factores que afectan a los trampolinistas juveniles. Objetivo Con 93 participantes de edades U10-16 del Campeonato Nacional Juvenil de Trampolín 2019 como objetos de investigación, mejorar la situación actual del burnout juvenil, explorando la metodología para aliviarlo y eliminarlo, potenciando el sentido de logro en entrenamientos y competencias y brindando un base para que los entrenadores trabajen con los atletas. Métodos Encuesta por cuestionario, entrevista semiestructurada, estadística matemática. Resultados El nivel de burnout de los trampolinistas está por debajo del nivel moderado y el nivel de burnout general de los atletas no es alto; disminución del sentido de logro> evaluación negativa de los deportes> burnout emocional / físico; la correlación entre el nivel general de burnout de los atletas y los diferentes géneros, la edad de entrenamiento, la etapa educativa y el nivel del atleta no es significativa; en términos de burnout, existen correlaciones positivas muy significativas (P <0,01) entre el factor de sobrecarga, el factor personal y el factor situacional, y el burnout emocional / físico, la disminución del sentido de logro y la evaluación negativa de los deportes, respectivamente. Conclusiones Fortalecer la comunicación con los trampolinistas, mejorar su capacidad de autorregulación de diversas formas, dominar los métodos para aliviar el burnout y aumentar el apoyo social a ellos. Nivel de evidencia II; Estudios terapéuticos: investigación de los resultados del tratamiento.


Subject(s)
Humans , Male , Female , Child , Adolescent , Affective Symptoms/psychology , Athletes/psychology , Youth Sports/psychology , Burnout, Psychological/psychology , Surveys and Questionnaires , Risk Factors , Models, Theoretical
5.
Cambios rev. méd ; 20(1): 39-43, 30 junio 2021. tabs.
Article in Spanish | LILACS | ID: biblio-1292790

ABSTRACT

INTRODUCCIÓN. Los trastornos mentales y por consumo de sustancias causan el 19% de todos los años de vida ajustados por discapacidad y el 36% de todos los años vividos con discapacidad. Representan un tercio de la carga total de enfermedades en la población con edades comprendidas entre 10 y 45 años. OBJETIVO. Analizar el trastorno mental y el consumo de alcohol en estudiantes universitarios. MATERIALES Y MÉTODOS. Estudio analítico transversal, de campo. Población y muestra conocida de 125 estudiantes universitarios de primero a quinto semestre de la carrera rediseñada de Pedagogía de la Actividad Física y del Deporte de la Universidad Nacional de Chimborazo, noviembre 2019. La técnica empleada para la recolección de datos fue el Reactivo Psicológico. Se aplicaron: Test de Identificación de los Trastornos Debidos al Consumo de Alcohol - AUDIT y Cuestionario de Salud General GHQ-28. Se calculó frecuencia y porcentaje de niveles de alteración de la salud mental y de consumo de alcohol. Se tabuló datos y analizó la asociación con el estadístico Chi cuadrado χ². RESULTADOS. El 79,2% (99; 125) presentaron un nivel de alteración de la salud mental leve; el 72,8% (91; 125) no reflejaron problemas relacionados con el consumo de alcohol; se encontró asociación significativa entre niveles de alteración de la salud mental y consumo de alcohol. CONCLUSIÓN. Se determinó asociación significativa entre el trastorno mental y el consumo de alcohol, con bajo nivel de alteración de la salud mental y ausencia de problemas relacionados con el alcohol.


INTRODUCTION. Mental and substance use disorders cause 19% of all disability-adjusted life years and 36% of all years lived with disability. They account for one-third of the total burden of disease in the population aged 10-45 years. OBJECTIVE. To analyze mental disorders and alcohol consumption in university students. MATERIALS AND METHODS. Cross-sectional, analytical, field study. Population and known sample of 125 university students from first to fifth semester of the redesigned career of Pedagogy of Physical Activity and Sport of the National University of Chimborazo, November 2019. The technique used for data collection was the Psychological Reactive. The following were applied: Alcohol Use Disorders Identification Test - AUDIT and General Health Questionnaire GHQ-28. Frequency and percentage of mental health and alcohol consumption disorders were calculated. Data were tabulated and the association was analyzed with the Chi-square χ² statistic. RESULTS. 79,2% (99; 125) had a mild level of mental health disturbance; 72,8% (91; 125) did not reflect problems related to alcohol consumption; significant association was found between levels of mental health disturbance and alcohol consumption. CONCLUSION. An significant association was found between mental disorder and alcohol consumption, with low levels of mental health impairment and absence of alcohol-related problems.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Alcohol Drinking , Mental Health , Alcohol-Related Disorders/psychology , Alcoholism , Alcohol Drinking in College , Mental Disorders , Anxiety , Stress, Psychological , Student Health Services , Substance-Related Disorders , Affective Symptoms , Depression , Resilience, Psychological
6.
Rev. inf. cient ; 100(2): e3387, mar.-abr. 2021. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1251815

ABSTRACT

RESUMEN Introducción: La alta contagiosidad de la COVID-19, el crecimiento de casos confirmados, las muertes y el aislamiento social han ocasionado que las emociones y pensamientos negativos se extiendan, con amenaza a la salud mental de la población adulta mayor. Objetivo: Identificar los estados emocionales de adultos mayores en aislamiento social durante la COVID-19. Método: Se realizó un estudio descriptivo, transversal, entre mayo y junio de 2020, en el área de salud perteneciente al Policlínico Universitario "Dr. Rudesindo Antonio García del Rijo", Sancti Spíritus. La población de estudio fue de 100 adultos mayores. Se evaluaron las variables: edad, sexo, estado civil, convivencia, ocupación, comorbilidad, ansiedad, depresión, irritabilidad, estrés. La información se obtuvo mediante la entrevista semiestructurada, la observación y test psicológicos. Resultados: El 61,0 % correspondió al sexo femenino; el 57,0 % pertenecía al grupo de 70-79 años; la mayoría de los ancianos vivía acompañado con su pareja, un menor de edad o un discapacitado (64,0 %), solo el 36,0 % vivía efectivamente solo. El 65,0 % no tenía vínculo laboral. El 89,0 % presentaba patologías consideradas de riesgo para la COVID-19. Predominó un nivel de irritabilidad normal, tanto externa (68,0 %) como interna (70,0 %), un nivel leve de ansiedad (73,0 %) y un nivel leve de depresión (50,0 %). El 47,0 % mostró alteración en los niveles de estrés. Conclusiones: El aislamiento social como medida para evitar el contagio por COVID-19 ha repercutido en la salud mental de los adultos mayores.


ABSTRACT Introduction: The high contagiousness of COVID-19, the increase of confirmed cases and deaths, and the social isolation have caused negative emotions and thoughts, threatening the mental health of the elderly population. Objective: To identify the emotional states of seniors in social isolation during COVID-19. Method: A descriptive, cross-sectional study was carried out between May to June 2020, in the health area part of the Policlínico Universitario "Dr. Rudesindo Antonio García del Rijo", in Sancti Spíritus. The study population was made of 100 seniors. The variables evaluated were: age, gender, marital status, coexistence, occupation, comorbidity, anxiety, depression, irritability, stress. The information was obtained through semi-structured interview, observation and psychological tests. Results: 61.0% were female; 57.0% in the 70-79 age group; most of them lived with their partner, a minor or a disabled person (64.0%), only 36.0% actually lived alone. 65.0% had no employment relationship. 89.0% had pathologies considered risky for COVID-19. A normal level of irritability prevailed, both external (68.0%) and internal (70.0%), a mild level of anxiety (73.0%) and a mild level of depression (50.0%). 47.0% showed alteration in stress levels. Conclusions: Social isolation as a measure to avoid contagion by COVID-19 has had an impact on the mental health of the elderly.


RESUMO Introdução: a alta contagiosidade do COVID-19, o crescimento de casos confirmados, mortes e isolamento social têm causado a disseminação de emoções e pensamentos negativos, ameaçando a saúde mental da população idosa. Objetivo: identificar os estados emocionais de idosos em isolamento social durante o COVID-19. Método: estudo descritivo, transversal, realizado entre maio e junho de 2020, na área de saúde pertencente ao Policlínico Universitario "Dr. Rudesindo Antonio García del Rijo", Sancti Spíritus. A população do estudo foi de 100 idosos. As variáveis avaliadas foram: idade, sexo, estado civil, convivência, ocupação, comorbidade, ansiedade, depressão, irritabilidade, estresse. As informações foram obtidas por meio da entrevista semiestruturada, observação e testes psicológicos. Resultados: 61,0% corresponderam ao sexo feminino; 57,0% pertenciam à faixa dos 70-79 anos; A maioria dos idosos morava com o companheiro, menor de idade ou com deficiência (64,0%), apenas 36,0% morava realmente sozinho. 65,0% não tinham vínculo empregatício. 89,0% tinham patologias consideradas de risco para COVID-19. Prevaleceu nível normal de irritabilidade, tanto externa (68,0%) quanto interna (70,0%), nível leve de ansiedade (73,0%) e nível leve de depressão (50,0%). 47,0% apresentaram alteração nos níveis de estresse. Conclusões: o isolamento social como medida para evitar o contágio pelo COVID-19 tem repercussões na saúde mental dos idosos.


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Social Isolation/psychology , Comprehensive Health Care/trends , Affective Symptoms/etiology , COVID-19/etiology , Anxiety, Separation , Epidemiology, Descriptive , Cross-Sectional Studies , Depression
7.
Arch. argent. pediatr ; 119(2): 106-113, abril 2021. tab
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1151490

ABSTRACT

Introducción. En estudios anteriores, el uso excesivo o la exposición temprana a pantallas se asoció con atención deficiente, falta de control de la conducta, retraso del lenguaje y déficit en la función ejecutiva. El objetivo de este estudio fue investigar la relación entre el tiempo de uso de pantallas y la regulación emocional, que afecta las relaciones sociales de los niños de 2 a 5 años.Población y métodos. Estudio descriptivo transversal en un hospital universitario del 1.º de enero al 1.º de marzo de 2018. Se incluyó a madres de niños sanos de 2 a 5 años con un uso de pantallas inferior a 1 hora o superior a 4 horas. A quienes aceptaron participar se les administró una encuesta estructurada y la Emotion Regulation Checklist para padres.Resultados. De los 240 niños participantes, 98 (el 40,8 %) tenían un uso de pantallas ≥ 4 horas. Ser cuidado por la madre, tener 12 meses o más durante la primera exposición y no estar acompañado por los padres al usarlas se asociaron con ≥ 4 horas de uso de pantallas (p = 0,002; p = 0,002; p = 0,012, respectivamente). La proporción de participantes con una puntuación alta de labilidad/negatividad (L/N) fue significativamente mayor entre los niños con ≥ 4 horas de uso de pantallas y que no estaban acompañados por sus padres al usarlas (p = 0,004; p = 0,033, respectivamente).Conclusiones. Este estudio determinó que un uso excesivo de pantallas se asocia con labilidad emocional durante esta etapa temprana de la infancia.


Introduction. Previous studies have found that excessive screen time or early screen exposure is associated with poor attention, lack of behavioral control, delayed language and deficit in executive functions. The aim of this study was to investigate the relationship between screen time and emotion regulation skills, which is one of the important life components affecting the social relations of children aged 2 to 5 years.Population and methods.This cross-sectional descriptive study was carried out in a university hospital between January 1, 2018 and March 1, 2018. Mothers of healthy children aged 2-5 years with a daily screen time of less than 1 hour or over 4 hours were included in the study. A structured survey and the Emotion Regulation Checklist for parents were applied to the mothers who agreed to participate.Results. Of 240 children participating in the study, 98 (40.8 %) had ≥4 hours of screen time. Caring by mother, age at first screen exposure 12 months and older, not co-viewing with parents were found to be associated with ≥ 4 hours of screen time (p = 0.002, p = 0.002, p = 0.012, respectively). The ratio of participants with high-lability/negativity (L/N) score was significantly higher in children with screen time of ≥ 4 hours and not co-viewing with parents (p = 0.004, p = 0.033, respectively).Conclusions. This study investigating the relationship between the emotion regulation skill and screen time revealed that excessive screen time is associated with emotional lability in this early childhood period.


Subject(s)
Humans , Male , Female , Child, Preschool , Screen Time , Emotional Regulation , Turkey , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Affective Symptoms/psychology , Interpersonal Relations
8.
Univ. salud ; 23(1): 30-39, ene.-abr. 2021. tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1157006

ABSTRACT

Resumen Introducción: El Agotamiento Emocional (AE) es la disminución de energía, sentimiento de desgaste emocional y físico, asociados a una sensación de frustración y fracaso. Los estudiantes universitarios experimentan situaciones que conjugan diversos elementos estresores. Objetivo: Describir el AE en estudiantes universitarios del área de la salud en instituciones de educación superior (IES) de la ciudad de Bucaramanga - Colombia. Materiales y métodos: Estudio cualitativo que siguió un diseño flexible de tipo descriptivo interpretativo, articulado al análisis de contenido. Se realizaron 175 entrevistas abiertas de forma consentida y voluntaria. Resultados: Se encontraron tres categorías con sus respectivas subcategorías: agotamiento emocional (consecuencias fisiológicas y psicológicas), dificultades asociadas (académicas, socio-familiares), estrategias de afrontamiento (activas y resolutivas, pasivas y negativas). Conclusiones: Los estudiantes experimentan el AE, hecho que repercute en su salud física y mental, disminución del desempeño académico y afectación en la vida familiar y social. Las estrategias de afrontamiento para algunos de ellos, son de carácter resolutivo, mientras que para otros son de tipo negativo. El AE puede ser mitigado con estrategias de prevención y apoyo psicosocial.


Abstract Introduction: Emotional exhaustion (EE) is a state of emotional and physical burnout and energy depletion that are associated with feelings of frustration and failure. University students experience situations that combine various stressful elements. Objective: To describe EE health field students from universities of the city of Bucaramanga - Colombia. Materials and methods: A qualitative study with a flexible, descriptive and interpretative design was carried out, which included 175 open interviews conducted in a consensual and voluntary manner. Results: Three categories and respective subcategories were revealed: (i) emotional exhaustion (physiological and psychological consequences); (ii) associated difficulties (academic, social and familiar); and (iii) coping strategies (active and decisive or passive and negative). Conclusions: Students experience EE, which affects their physical and mental health, decreases their academic performance and disturbs their familiar and social interactions. Some students apply decisive coping strategies, while others use negative ones. EE can be mitigated through prevention strategies and psychosocial support.


Subject(s)
Students , Burnout, Psychological , Adaptation, Psychological , Affective Symptoms
9.
Article in English | LILACS, BBO | ID: biblio-1250460

ABSTRACT

ABSTRACT Objective: To evaluate the emotional and social experiences of parents or caregivers of children with cleft lip and/or palate (CL/P) in a city in the Northeastern of Brazil. Material and Methods: A quantitative and cross-sectional study was conducted among parents or caregivers of children with CL/P by interviews based on a questionnaire. Interviews were conducted during the First Smile Project in Sobral, Ceará, Brazil. All participants (n=41) agreed to participate in the interview and signed an informed consent. The data was analyzed in SPSS software version 22.0. Results: The majority of participants were female (87.2%), with a mean age of 37 years, with a low level of education and low family income. The great majority (90.2%) of the parents were not prenatally diagnosed to have CL/P babies. Of those interviewed, 56.1% mentioned that the first diagnosis of cleft lip and palate was not presented by the professionals in a clarifying way to the family. Fear (36.6%) and sadness (19.5%) were the main feelings experienced when the child was diagnosed with fissure. Feeding (48.8%) was pointed out as the main concern in caring for a child with CL/P. Conclusion: The parents and caregivers interviewed faced important emotional and social problems that must be addressed by the professional team that assists the child with CL/P.


Subject(s)
Humans , Male , Female , Adult , Parents , Child , Cleft Lip/pathology , Cleft Palate/pathology , Caregivers , Affective Symptoms , Social Problems , Brazil/epidemiology , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, Statistical , Interview , Emotions
10.
Article in Portuguese | LILACS, CONASS | ID: biblio-1292007

ABSTRACT

Introdução: A Lesão Medular (LM) é uma condição que afeta homens e mulheres, podendo ser traumática ou não, sendo ela grave e incapacitante. Objetivos: Compreender determinadas alterações emocionais para o indivíduo após receber esse diagnóstico. Participantes: 10 pacientes que passaram pelo Centro Estadual de Reabilitação e Readaptação Dr. Henrique Santillo (CRER) e que atualmente estão, ou já estiveram, em acompanhamento ambulatorial. Análise de dados: Análise de Conteúdo de Laurence Bardin. Resultados: Revelaram-se as seguintes categorias relacionadas à lesão medular: humor (subcategoria: irritabilidade), autoestima, tristeza, esperança, reação ao diagnóstico, coping (subcategoria: dificuldade de aceitação do diagnóstico, adaptação e espiritualidade) e dependência do outro. Discussão e considerações finais: Dentro da população pesquisada, os participantes conseguiram desenvolver estratégias de enfrentamento funcionais e adaptativas, sendo a sintomatologia, em sua maioria, reativa


Introduction: Spinal cord injury is a condition that affects men and women, and it can be traumatic or not, being severe and disabling. Objectives: To understand certain emotional changes for the individual after receiving this diagnosis. Participants: 10 patients who went through the Dr. Henrique Santillo Rehabilitation and Readaptation post and who are currently or have been under outpatient follow-up. Data analysis: Content Analysis by Laurence Bardin. Results: The following categories related to spinal cord injury were revealed: mood (subcategory: irritability), self-esteem, sadness, hope, reaction to the diagnosis, coping (subcategory: difficulty in accepting the diagnosis, adaptation and spirituality) and dependence on the other. Discussion and conclusion: Within the researched population, the participants were able to develop functional and adaptive coping strategies, the symptoms being mostly reactive


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Spinal Cord Injuries/psychology , Depression , Self Concept , Spinal Cord Injuries/therapy , Adaptation, Psychological , Affective Symptoms , Spirituality , Hope , Sadness
11.
Psicol. ciênc. prof ; 41(spe3): e203883, 2021. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1340440

ABSTRACT

Este estudo teve como objetivo analisar a associação entre práticas educativas parentais e problemas emocionais de comportamento em adolescentes com altas habilidades/superdotação (AH/SD). Buscou-se também verificar o poder preditivo das variáveis sociodemográficas e das práticas educativas parentais percebidas em relação aos problemas emocionais e de comportamento, além de investigar diferenças entre os sexos. Trata-se de um estudo de delineamento observacional e explicativo, com corte transversal, do qual participaram 14 adolescentes com AH/SD intelectiva, aferidos pela Escala de Inteligência Wechsler Abreviada (WASI), sendo 10 meninos (71,4%) e quatro meninas (28,6%) com idade entre 12 e 16 anos (M = 13,2; DP = 1,4). Todos responderam ao Questionário de Dados Sociodemográficos, às Escalas de Práticas Parentais e ao Inventário de Comportamentos Autorreferidos para jovens de 11 a 18 anos. Os resultados indicaram predominância de práticas educativas maternas, como cobrança de responsabilidade, apoio emocional e incentivo à autonomia. Os meninos apresentaram mais indicadores de problemas internalizantes e total de problemas, superando em cerca de 30% a média das meninas. O total de problemas identificados foi explicado em 17,4% pelo menor incentivo à autonomia por parte da mãe. Por outro lado, os indicadores de aspectos positivos foram explicados em 24,9% pela menor presença de controle punitivo, também da mãe. Os dados apontam para uma maior incidência de indicadores de problemas emocionais e de comportamento em meninos com AH/SD e sua associação com características da família, especialmente as práticas educativas maternas, sugerindo a importância de atentar-se para tais questões.(AU)


This study aimed to examine the association between parental educational practices and emotional/behavioral problems in adolescents with high abilities/giftedness (HA/G), besides verifying the predictive power of these practices and sociodemographic variables on emotional and behavioral problems and differences between genders. This is a cross-sectional, observational and explanatory study conducted with 14 adolescents aged between 12 and 16 years (M = 13.2, SD = 1.4), of whom 10 were boys (71.4%) and four girls (28.6%), considered as presenting with HA/G according to the Wechsler Intelligence Abbreviated Scale (WASI). Data were collected using the sociodemographic variables questionnaire, the Parental Practice Scales, and the Youth Self-Report Behavior Inventory for Age 11-18. The results indicate a predominance of maternal educational practices such as responsibility demands, emotional support, and autonomy encouragement. Boys presented more internalizing problems indicators and total score problems about 30% higher than the mean value found for girls. Lower maternal autonomy encouragement explained 17.4% of the total problems identified. On the other hand, lower maternal punitive control explained 24.9% of positive aspects indicators. These data indicate that HA/G boys present a higher incidence of indicators of emotional and behavioral problems and that these problems are associated with family characteristics, especially maternal educational practices, point to the need for further looks at such issues.(AU)


Este estudio pretendió identificar la relación entre las prácticas educativas parentales y los problemas emocionales y de comportamiento de adolescentes con altas habilidades/superdotados (AH/SD). También se verificó el poder predictivo de las variables sociodemográficas y de las prácticas educativas parentales percibidas en relación a los problemas emocionales y de comportamiento, además de las diferencias entre los sexos. Este es un estudio observacional y explicativo, con cohorte transversal, en el que participaron 14 adolescentes con AH/SD evaluados por la Escala de Inteligencia Wechsler Abreviada (WASI), siendo 10 niños (71,4%) y cuatro niñas (28,6%), con edades de entre 12 y 16 años (M = 13,2, DE = 1,4). Todos respondieron al Cuestionario de Datos Sociodemográficos, a las Escalas de Prácticas Parentales y al Inventario de Comportamientos Autorreferidos para jóvenes de 11 a 18 años. Los resultados indicaron predominio de las prácticas educativas maternas, como cobranza de responsabilidad, apoyo emocional e incentivo a la autonomía. Los niños presentaron más indicadores de problemas internalizantes y del total de problemas, superando cerca del 30% la media de las niñas. El total de problemas identificados fue explicado en el 17,4% por el menor incentivo a la autonomía por parte de la madre. Por otro lado, los indicadores de aspectos positivos fueron explicados en el 24,9% por la menor presencia de control punitivo también por la madre. Los datos muestran una mayor incidencia de indicadores de problemas emocionales y de comportamiento en niños con AH/SD y su asociación con características de la familia, especialmente las prácticas educativas maternas, lo que evidencia la importancia de considerar estas cuestiones.(AU)


Subject(s)
Humans , Male , Female , Adolescent , Behavior , Child, Gifted , Adolescent , Affective Symptoms , Education , Aptitude , Teaching , Family , Family Characteristics , Personal Autonomy , Minors , Emotions , Control , Problem Behavior , Intelligence
12.
Rev. odontol. UNESP (Online) ; 50: e20210018, 2021. tab
Article in English | LILACS, BBO | ID: biblio-1341587

ABSTRACT

Abstract Introduction Orofacial pain is a critical TMD symptom that can influence physical and social capacity. Objective To evaluate the association of temporomandibular disorders (TMD) symptoms with affective relationships and demographic variables in young adults. Material and method A cross-sectional study involving 395 young adults was developed. Diagnostic Criteria for TMD, anxiety, and depression were collected from questionnaires. The Dental Health Component of the Index of Orthodontic Treatment Need measures the orthodontic treatment need. Questionnaires also contained questions related to the previous orthodontic treatment. Logistic regression models were adjusted, estimating crude odds ratio with the 95% confidence intervals. The variables with p<0.20 in the analyses were assessed in a multiple logistic regression model, remaining with p≤0.10. Result There was no significant association of TMD symptoms with sex, age, medication use for pain, previous orthodontic treatment, orthodontic treatment need, anxiety, and depression (p>0.05). Individuals without an affective relationship are 1.78 (95%CI: 0.99-3.17) times more likely to report TMD symptoms. Conclusion Affective relationships showed an association with TMD symptoms in young adults.


Resumo Introdução A dor orofacial é um sintoma crítico da DTM que pode influenciar a capacidade física e social. Objetivo Avaliar a associação dos sintomas das desordens têmporomandibulares (DTM) com as relações afetivas e variáveis demográficas em adultos jovens. Material e método Estudo transversal envolvendo 395 adultos jovens foi realizado. Os critérios diagnósticos para DTM, ansiedade e depressão foram coletados a partir de questionários. O Componente de Saúde Bucal do Índice de Necessidade de Tratamento Ortodôntico mensurou a necessidade de tratamento ortodôntico. Os questionários também continham questões relacionadas ao tratamento ortodôntico anterior. Modelos de regressão logística foram ajustados, estimando odds ratio bruto com os intervalos de confiança de 95%. As variáveis com p<0.20 nas análises foram avaliadas em modelo de regressão logística múltipla, permanecendo as variáveis com p≤0.10. Resultado Não houve associação significativa dos sintomas de DTM com sexo, idade, uso de medicamentos para dor, tratamento ortodôntico prévio, necessidade de tratamento ortodôntico, ansiedade e depressão (p>0.05). Indivíduos sem relacionamento afetivo têm 1.78 (IC95%:0.99-3.17) vezes mais chance de relatar sintomas de DTM. Conclusão Os relacionamentos afetivos mostraram associação com os sintomas de DTM em adultos jovens.


Subject(s)
Humans , Male , Female , Adult , Temporomandibular Joint Disorders/prevention & control , Affective Symptoms , Young Adult , Anxiety , Facial Pain , Logistic Models , Demography , Oral Health , Cross-Sectional Studies , Surveys and Questionnaires , Depression , Index of Orthodontic Treatment Need , Malocclusion
14.
aSEPHallus ; 15(30): 18-25, maio.2020-out.2020.
Article in Portuguese | LILACS | ID: biblio-1152243

ABSTRACT

Este artigo constituiu-se com base nas experiências com a psicanálise aplicada na assistência aos colaboradores de uma instituição hospitalar ao longo da construção de um projeto de pesquisa coordenado pela Profa. Dra. Tania Coelho dos Santos e financiado pelo CNPq. Consiste numa abordagem dos impasses psíquicos de funcionários e dos consequentes fenômenos clínicos-institucionais encontrados. A atenção psicológica aos colaboradores recebeu maior destaque durante a pandemia Covid-19. Em resposta ao medo do desamparo e ameaça de morte recolhemos reações emocionais intensas e comportamentos disruptivos no ambiente de trabalho. Como consequência o serviço de psicologia organizou-se para tratar das urgências subjetivas deflagradas no âmbito institucional


Cet article a été basé sur les expériences de la psychanalyse appliquée à l'assistance des employés d'un hôpital développées lors de la construction d'un projet de recherche coordonné pour la Prof. Tania Coelho dos Santos et financé par le Conseil national pour le développement scientifique et technologique. Il consiste en une approche des impasses psychiques des employés et des phénomènes cliniques-institutionnels qui en découlent. L'attention psychologique offerte aux employés a gagné de l' importance pendant la pandémie de Covid-19. Nous avons observé des réactions émotionnelles intenses et des comportements perturbateurs sur le lieu de travail en réponse à la peur causée par l'impuissance et la menace de mort. C'est pourquoi le service de psychologie a été réorganisé pour faire face aux urgences subjectives déclenchées à l'intérieur de l' institution


This article was based on the experience assisting employees of a hospital through applied psychoanalysis, developed during the construction of a research project coordinated by ProfessorTania Coelho dos Santos and financed by the National Council for Scientific and Technological Development. It consists of an approach to the psychic impasses of employees and the consequent clinical-institutional phenomena encountered. Psychological attention to the employees gained greater prominence during the Covid-19 pandemic. In response to the fear of helplessness and the threat of death, we observed intense emotional reactions and disruptive behaviors in the workplace. As a consequence, the psychology service was organized to deal with the subjective emergencies triggered inside the institution


Subject(s)
Psychoanalysis , Psychology, Applied , Research Design , Coronavirus Infections , Affective Symptoms/therapy , Pandemics , Hospitals
15.
Rev. chil. neuro-psiquiatr ; 58(3): 230-239, set. 2020. tab
Article in Spanish | LILACS | ID: biblio-1138577

ABSTRACT

Resumen Introducción: Los trastornos de la esfera mental son cada vez más frecuentes, estos deben ser medidos en los estudiantes que están sometidos a gran presión y según el lugar de influencia. Objetivos: Determinar las características y factores asociados a trastornos de la esfera mental en estudiantes de medicina de la costa, sierra y selva peruana. Metodología: Se realizó un estudio transversal analítico preliminar, a través de la aplicación del Inventario Clínico Multiaxial de Millon (MCMI-II), a 105 estudiantes, dicha encuesta midió los distintos trastornos de la esfera mental; a los cuales se les asoció con variables socio-educativas. Resultados: Grandes porcentajes de encuestados tuvieron compulsividad (29%) y narcisismo elevado (28%). En el análisis multivariado se encontró que las mujeres tuvieron menor frecuencia de trastorno esquizoide (p=0,027); conforme aumentó la edad también hubo mayor frecuencia de trastornos evitativo (p=0,049) y ansiedad (p= 0,043); a mayor año académico se encontró menor frecuencia de trastorno dilusional (p=0,010); los estudiantes de la universidad de la sierra tuvieron más narcisismo (p=0,011), compulsividad (p=0,018) y paranoide (p=0,041); los estudiantes de la universidad de la selva tuvieron más agresividad-sádica (p=0,021), narcisismo (p=0,020) y compulsividad (p=0,005); estas dos últimas fueron comparados versus los que estudiaban en la costa. Conclusión: Se encontró gran frecuencia de algunos trastornos, así como algunos factores asociados, lo que puede ser útil como análisis situacional, lo que debería generar mayores trabajos en la materia.


Introduction: The disorders of the mental sphere are increasingly frequent, these should be measured in students who are under great pressure and according to the place of influence. Objectives: To determine the characteristics and factors associated with disorders of the mental sphere in medical students of the coast, mountains and Peruvian jungle. Methodology: A preliminary analytical cross-sectional study was carried out, through the application of the Millon Multiaxial Clinical Inventory (MCMI-II), to 105 students, said survey measured the different disorders of the mental sphere; to which they were associated with socio-educational variables. Results: Large percentages of respondents had compulsivity (29%) and high narcissism (28%). In the multivariate analysis it was found that women had a lower frequency of schizoid disorder (p = 0.027); as age increased there was also a higher frequency of avoidance disorders (p = 0.049) and anxiety (p = 0.043); the higher the academic year, the lower the frequency of dilution disorder (p = 0.010); the students of the Universidad de la Sierra had more narcissism (p = 0.011), compulsivity (p = 0.018) and paranoid (p = 0.041); the students of the jungle university had more aggressive-sadistic (p = 0.021), narcissism (p = 0.020) and compulsivity (p = 0.005); These last two were compared versus those studying on the coast. Conclussion: We found a high frequency of some disorders, as well as some associated factors, which can be useful as a situational analysis, which should generate more work in the field.


Subject(s)
Humans , Male , Female , Students, Medical , Universities , Mental Health , Affective Symptoms , Peru , Cross-Sectional Studies
16.
Arch. latinoam. nutr ; 70(3): 164-173, sept. 2020. tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1150984

ABSTRACT

La obesidad es un problema de salud pública. La comprensión de factores tanto emocionales como dietéticos relacionados a su desarrollo es fundamentales para abordar este problema. El objetivo del presente estudio fue analizar por sexo y edad la relación de la grasa corporal con la alimentación emocional (AE) y la calidad de la dieta (CD) en población universitaria. Se realizó un estudio transversal en el que participaron 367 estudiantes universitarios de medicina (65 % mujeres). El porcentaje de grasa se midió a través de bioimpedancia eléctrica. La alimentación emocional (AE) (emoción, familia, indiferencia, cultura y efecto del alimento) se obtuvo de la escala de AE y la calidad de la dieta (CD)a partir de índice de calidad de la dieta mexicana (ICMX) (suficiente, balanceada, completa, variada e inocua), mediante un cuestionario semicuantitativo de frecuencia de consumo de alimentos. Para identificar qué variables independientes explican el porcentaje de grasa corporal se utilizó la regresión lineal múltiple. Se encontraron diferencias estadísticamente significativas entre sexos, los hombres presentaron valores superiores a las mujeres en edad, peso, altura e IMC (kg/m2), mientras que las mujeres presentaron un mayor porcentaje de grasa corporal respecto a los hombres. La cultura (p=,001) y efecto del alimento (p=,006), factores de la AE, predijeron menor porcentaje de grasa corporal en hombres mayores de 20 años. Resulta necesario implementar programas de salud, que vayan encaminados a un consumo saludable de alimentos mediante actividades recreativas y con el acompañamiento de profesionales de la salud durante la universidad(AU)


Obesity is a public health problem. Understanding both emotional and dietary factors related to its development are essential to address this problem. The objective of this study was to analyze by sex and age the relationship of body fat with emotional eating (EE) and diet quality (DQ) in university population. A cross-sectional study was carried out in which 367 university medical students participated (65% women). Body fat percentage was measured through electrical bioimpedance. Emotional eating (EE) (emotion, family, indifference, culture and effect of food) was obtained from the EE scale and diet quality (DQ) from the Mexican Diet Quality Index (MDQI) (sufficient, balanced, complete, varied and innocuous), using a semi-quantitative food consumption frequency questionnaire. Multiple linear regression was used to identify which independent variables explain body fat percentage. Statistically significant differences were found between sexes, men had higher values than women in age, weight, height, and BMI (kg/m2), while women had a higher body fat percentage compared to men. Culture (p = .001) and effect of food (p = .006), factors of EE, predicted lower body fat percentage in men older than 20 years. It is necessary to implement health programs that are aimed at a healthy consumption of food through recreational activities and with the accompaniment of health professionals during university(AU)


Subject(s)
Humans , Male , Female , Adult , Food Quality , Body Mass Index , Affective Symptoms , Overweight , Body Fat Distribution , Feeding Behavior , Obesity/physiopathology , Universities , Cardiovascular Diseases , Public Health , Student Health
17.
Bol. méd. postgrado ; 36(1): 48-55, jul.2020. tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1119382

ABSTRACT

El bienestar en niños hospitalizados constituye un reto para las ciencias médicas. Con el objetivo de determinar los factores de riesgo psicosocial que afectan el comportamiento en escolares hospitalizados en la Unidad de Cuidados Intermedios del Servicio Desconcentrado Hospital Pediátrico Dr. Agustín Zubillaga, se realizó un estudio descriptivo transversal en 60 pacientes durante el mes de febrero del 2019. Se observó un predominio de escolares femeninos, con una edad alrededor de los 11 años, con enfermedad aguda y un tiempo de hospitalización > 7 días, con temperamento suelto que no cambió durante la hospitalización, nivel medio de autocontrol y con comportamiento de dependencia expresado en temor a la separación filial y a personas desconocidas. Predominó la sobreprotección a pesar del bajo porcentaje de estrés parenteral. Se observó buena interacción con el personal de salud y colaboración durante los procedimientos médicos aunque se mantuvo la reacción de temor; en general, los padres refieren haber recibido suficiente información acerca de la enfermedad de su hijo. Los factores de riesgo psicosocial debes ser reconocidos por los servicios prestadores de salud por su potencial efecto negativo sobre el comportamiento, salud física y mental de los menores hospitalizados(AU)


Welfare in hospitalized children is a challenge for medical sciences. With the aim to determine psychosocial risk factors that affect behavior in schoolchildren hospitalized in the Intermediate Care Unit of the Servicio Desconcentrado Hospital Pediatrico Dr. Agustin Zubillaga, a descriptive transversal study was carried out in 60 schoolchildren hospitalized in February 2019. The sample consisted of predominantly female schoolchildren with an average age of 11 years old, with acute disease and a hospital stay > 7 days, with easy temperament that did not change during hospitalization, medium level of self-control and a dependency behavior expressed as separation anxiety and fear of unknown people. Overprotection with low parental stress was observed. A good interaction with health personnel as well as collaboration (with fear) during medical procedures was present in most children. Parents manifested to be well informed about the health of their child. The presence of psychosocial risk factors during hospitalization should be recognized by health care services for its potential negative effect on behavior, mental and physical health of children(AU)


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Physician-Patient Relations , Adaptation, Psychological , Child, Hospitalized , Parenting , Affective Symptoms , Social Environment , Child Behavior
18.
Rev. bras. ginecol. obstet ; 42(4): 194-199, Apr. 2020. tab
Article in English | LILACS | ID: biblio-1137820

ABSTRACT

Abstract Objective Changes in bleeding patterns could influence the decisions of healthcare professionals to change the levonorgestrel-releasing intrauterine system (LNG-IUS) before 7 years of use, the recommended period of extended use. We evaluated changes in the bleeding patterns of users of the 52 mg LNG-IUS at the end of use of the first (IUS-1) and during the second device (IUS-2) use. Methods We performed an audit of the medical records of all women who used two consecutive LNG-IUSs at the Family Planning clinic. We evaluated the sociodemographic/gynecological variables, the length of use, and the bleeding patterns reported in the reference periods of 90 days before removal of the IUS-1 and at the last return in use of IUS-2. We used the McNemar test to compare bleeding patterns. Statistical significance was established at p < 0.05. Results We evaluated 301 women aged (mean ± SD) 32 (±6.1) years, with lengths of use of 68.9 (±16.8) and 20.3 (±16.7) months for the IUS-1 and IUS-2, respectively. No pregnancies were reported. Bleeding patterns varied significantly among women who used the IUS-2 for ≥ 7 months to 6 years when compared the bleeding patterns reported in IUS-1 use. Eighty-nine out of 221 (40%) women maintained amenorrhea and infrequent bleeding; 66 (30%) evolved to bleeding patterns with light flow, and 66 (30%) maintained or evolved to heavy flow patterns (p = 0.012). No differences were observed among the 80 women with ≤ 6 months of use. Conclusion Changes in bleeding patterns occur during the use of LNG-IUS and should not be decisive for the early replacement of the device.


Resumo Objetivo Variações no padrão de sangramento podem afetar a decisão de troca do sistema intrauterino de levonorgestrel (SIU-LNG) antes do período de uso estendido recomendado de 7 anos. Nós avaliamos mudanças no padrão de sangramento de usuárias ao final do uso do primeiro SIU-LNG 52 mg (SIU-1) e durante o uso do segundo dispositivo (SIU-2). Métodos Revisamos os prontuários de todas as mulheres que inseriram consecutivamente o SIU-LNG no ambulatório de Planejamento Familiar. Foram avaliadas as variáveis sociodemográficas/ginecológicas, o tempo de uso, e os padrões de sangramento relatados nos períodos de referência de 90 dias antes da remoção do SIU-1 e no último retorno em uso do SIU-2. Usamos o teste de McNemar para comparar os padrões de sangramento. A significância estatística foi estabelecida em p < 0,05. Resultados Analisamos os dados de 301 mulheres com idade (média ± desvio padrão [DP]) de 32 (±6,1) anos e tempo de uso de 68,9 (±16,8) e 20,3 (±16,7) meses para o SIU-1 e SIU-2, respectivamente. Nenhuma gravidez foi relatada. Os padrões de sangramento variaram significativamente durante o uso do SIU-2 (≥ 7 meses a 6 anos) em relação ao padrão relatado no SIU-1. Oitenta e nove das 221 (40%) mulheres mantiveram amenorreia e sangramento infrequente; 66 (30%) evoluíram para padrões de sangramento com fluxo leve e 66 (30%) mantiveram ou evoluíram para padrões de fluxo intenso (p = 0,012). Não foram observadas diferenças entre as 80 mulheres que utilizavam o SIU-2 há ≤ 6 meses. Conclusão Mudanças nos padrões de sangramento ocorrem durante o uso do LNG-IUS e não devem ser decisivas para a troca precoce do dispositivo.


Subject(s)
Humans , Female , Adult , Young Adult , Levonorgestrel/administration & dosage , Levonorgestrel/adverse effects , Levonorgestrel/therapeutic use , Contraceptive Agents, Female/administration & dosage , Contraceptive Agents, Female/adverse effects , Contraceptive Agents, Female/therapeutic use , Affective Symptoms/epidemiology , Intrauterine Devices, Medicated/adverse effects , Intrauterine Devices, Medicated/statistics & numerical data , Menstruation/physiology , Retrospective Studies , Medical Audit
19.
Medicina (B.Aires) ; 80(supl.2): 7-11, mar. 2020. tab
Article in Spanish | LILACS | ID: biblio-1125098

ABSTRACT

Los trastornos del espectro autista (TEA) son trastornos del neurodesarrollo que afectan la comunicación social y que presentan patrones de conducta repetitiva, estereotipada o/y inflexible. Un tercio de los casos diagnosticados de TEA tienen discapacidad intelectual y 2/3 una capacidad intelectual dentro de la norma. Los síntomas nucleares de autismo y otros asociados pueden afectar el desarrollo afectivo-sexual. En este artículo se expone qué dificultades en el desarrollo afectivo-sexual pueden presentar las personas con TEA y cuáles son las más frecuentemente descritas. Se propone de una manera breve, guías dirigidas a la evaluación y a la ayuda para un desarrollo afectivo-sexual satisfactorio en las personas con autismo-TEA.


Autistic spectrum disorders (ASD) are neurodevelopmental disorders that affect social communication and present repetitive, stereotyped and inflexible behaviour. A third of the people with a diagnosis of ASD also have intellectual disability associated and two thirds present an intellectual capacity within the average range. The nuclear autistic and others associated symptoms can affect the affective and sexual development. This article exposes which are the problems people with ASD present in the affective and sexual development, the most frequently described and brief guides for evaluation and support for an adequate affective-sexual development in people with ASD.


Subject(s)
Humans , Male , Female , Affective Symptoms/physiopathology , Sexual Development/physiology , Autism Spectrum Disorder/physiopathology , Sex Factors , Affective Symptoms/psychology , Interpersonal Relations , Intellectual Disability/physiopathology
20.
Revista Digital de Postgrado ; 9(1): e202, 2020.
Article in Spanish | LILACS, LIVECS | ID: biblio-1095048

ABSTRACT

La diabetes mellitus (DM) se considera como un conjunto de trastornos metabólicos relacionados con la hiperglucemia, que requiere cambios en estilos de vida, en virtud de que no solo se afecta el estado físico, sino que requiere cambios que pueden influir en el estado emocional y psicosocial. Las personas con diabetes requieren de cuidados continuos orientados al control metabólico centrados en el empoderamiento, autocuidado y en la educación terapéutica para alcanzar metas y resultados orientados a minimizar la aparición de las complicaciones crónicas. Objetivo: analizar la importancia de la educación terapéutica en los pacientes con trastornos afectivos como depresión y ansiedad, asociados a la diabetes. Conclusión: la educación terapéutica como parte integral del tratamiento de la DM ha demostrado mejorar los síntomas asociados a depresión y ansiedad, lo cual podría adquirir un valor importante en el manejo de este grupo de pacientes(AU)


Diabetes mellitus (DM) is considered as a set of metabolic disorders related to hyperglycemia, which requires changes in lifestyle, because not only physical condition is affected, but it also requires changes that can influence emotional state and psychosocial. People with diabetes require continuous care oriented to metabolic control focused on empowerment, self-care and therapeutic education to achieve goals and results aimed at minimizing the occurrence of chronic complications. Objective: to analyze the importance of therapeutic education in patients with affective disorders such as depression and anxiety, associated with diabetes. Conclusion: therapeutic education as an integral part of the treatment of DM has been shown to improve symptoms associated with depression and anxiety, which could acquire an important value in the management of this group of patients(AU)


Subject(s)
Humans , Diabetes Mellitus/pathology , Diabetes Mellitus/prevention & control , Diabetes Mellitus/drug therapy , Diabulimia/pathology , Hypoglycemia/etiology , Anxiety , Therapeutics , Affective Symptoms , Depression
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