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1.
Braz. j. oral sci ; 22: e239237, Jan.-Dec. 2023. tab
Article in English | LILACS, BBO | ID: biblio-1399762

ABSTRACT

Aim: To estimate the prevalence and associated factors of self-reported depressive symptoms in undergraduate and graduate dental students. Methods: The Depression, Anxiety and Stress Scale (DASS-21) was applied, and only the depression domain was verified. A structured questionnaire was used to collect sociodemographic, behavioral, and COVID-19 pandemic-related fear variables. Academic performance was assessed based on academic records, ranging from 0 (worst possible grade) to 10 (best possible grade). Respondents included 408 regularly enrolled dental students. Bi- and multivariate analyses were performed using Poisson regression with robust variance to verify the association between at least moderate depressive symptoms and independent variables. Results: The prevalence of at least moderate depression was 40.5% among undergraduate students and 26% among graduate students. The prevalence of fear and anxiety due to the COVID-19 pandemic was 96.1% among undergraduate students and 93.5% among graduate students. In the final multivariate analysis, being female (prevalence ratio [PR]:2.01; 95% confidence interval [95%CI]:1.36­2.96) was associated with a higher PR for depression. Conversely, no exposure to smoking (PR:0.54; 95%CI:0.36­0.82) and a final academic performance average ≥7.0 (PR:0.56; 95%CI:0.41­0.76) was associated with a lower PR for depression. Finally, among graduate students, a non-heterosexual orientation was associated with a higher PR for depression (PR:6.70; 95%CI:2.21­20.29). Conclusion: Higher rates of depression symptoms were observed in female undergraduates, students with lower academic performance and smoking exposure, and graduate dental students with a non-heterosexual orientation


Subject(s)
Humans , Male , Female , Adolescent , Students, Dental , Tobacco Use Disorder , Mental Health , Depression/epidemiology , Academic Performance
2.
Braz. j. oral sci ; 22: e237397, Jan.-Dec. 2023. tab
Article in English | LILACS, BBO | ID: biblio-1413361

ABSTRACT

Aim: This study aimed to assess the prevalence of temporomandibular disorders (TMD) and psychosocial comorbidities in undergraduate dental students in a southern Brazilian university, during the COVID-19 pandemic. Also, it aimed to verify the association between psychosocial factors and TMD. Methods: Fonseca Anamnestic Index, Depression Anxiety Stress Scale (DASS-21), a socioeconomic questionnaire, and questions about academic performance and social distancing were applied. Poisson regression analysis was used to assess the association of predictive variables with TMD. Results: The prevalence of TMD was found to be 82.4%, and more than half of the students had some degree of stress, anxiety, and depression. Students who had symptoms of stress (RR 1.11; 95% CI 1.04-1.19), anxiety (RR 1.19; 95% CI 1.12-1.27) and reported academic performance worsening (RR 1.12; 95% CI 1.07-1.19) had higher TMD scores. Conclusion: The findings suggest that TMD was highly prevalent among dental students at a federal university in southern Brazil during the pandemic, being associated with high levels of stress, anxiety, poor academic performance, and greater social distancing


Subject(s)
Humans , Male , Female , Adult , Anxiety , Students, Dental , Temporomandibular Joint Disorders/epidemiology , Depression , COVID-19
3.
Rev. psiquiatr. Urug ; 86(2): 55-61, dic. 2022. ilus
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1412357

ABSTRACT

Se realiza una revisión de estudios de resonancia magnética integral y funcional, así como estudios bioquímicos en pacientes con y sin ideas suicidas. Estos estudios en pacientes con alto riesgo de suicidio presentan una disminución de volúmenes corticales en la corteza prefrontal dorso y ventrolateral. Lo importante de estos estudios es que resultan de la comparación con pacientes deprimidos con bajo riesgo de suicidio. Los estudios de resonancia magnética funcional mostraron una hipofuncionalidad del lóbulo prefrontal en los pacientes depresivos con ideas suicidas severas, que se observa como una disminución del flujo sanguíneo cerebral en las áreas lateral y ventral. Se observa una disminución del metabolismo de serotonina, en clara relación con la severidad de las ideas de muerte, también con un foco en la región lateroventral prefrontal. Dado que las funciones de la corteza prefrontal afirman al individuo en su perspectiva vital, disfunciones como las descritas debilitan la coordinación y organización del apego a la vida, quedando, por el contrario, la posibilidad de la búsqueda de la muerte. Se concluye que los pacientes depresivos con ideas suicidas tienen una alta vulnerabilidad para el intento de suicidio por la afectación de las zonas prefrontales.


A review of functional integral magnetic resonance and biochemical data from patients with and without suicidal ideation is presented. Patients with high suicidal risk show a decrease in cortical volume in ventrolateral and dorsal prefrontal cortex. These studies are compared to those of depressed patients with low suicidal risk. Functional magnetic resonance in depressed patients with severe suicidal ideation show an hypo functional prefrontal lobe, seen as a decrease in blood flow in lateral and ventral areas. There is a decrease in serotonin metabolism, clearly related to the severity of suicidal ideation, also in ventrolateral prefrontal cortex. As prefrontal cortex functions enhance vital perspectives, such dysfunctions weaken coordination and organization of attachment to life, making search for death a possibility. Authors conclude that depressed patients with suicidal ideation have a high vulnerability for suicidal intent due to changes in prefrontal areas.


Subject(s)
Humans , Suicide, Attempted , Prefrontal Cortex/physiopathology , Neurotransmitter Agents/metabolism , Depression/physiopathology , Suicidal Ideation , Magnetic Resonance Imaging , Prefrontal Cortex/metabolism , Prefrontal Cortex/diagnostic imaging , Depression/metabolism
5.
MHSalud ; 19(2)dic. 2022.
Article in Spanish | LILACS-Express | LILACS, SaludCR | ID: biblio-1405529

ABSTRACT

Resumen Introducción. Como medida preventiva para limitar el contagio ante la pandemia por COVID-19, se implementó el confinamiento. Este evento limitó la disponibilidad de alimentos y favoreció el consumo de alimentos procesados y no perecederos, menos saludables; estas conductas que se pueden ver relacionadas con trastornos de la salud mental como estrés, ansiedad y depresión. Métodos. Estudio cuantitativo, descriptivo, transversal, con muestreo no probabilístico por conveniencia realizado entre agosto-octubre, 2020, con una participación de 1657 personas latinoamericanas de población general. Se aplicó el cuestionario Depression, Anxiety and Stress Scales-21 y el de conductas alimentarias asociadas a estrés, ansiedad y depresión-17. Se empleó regresión logística ordinal para valorar la asociación entre variables. Resultados. El 62 % presentó algún grado de depresión, 55.9 % ansiedad y 55.2 % estrés. Se encontró asociación entre estrés con actividad física (p 0.048), consumo de pescado (p 0.041), agua (p 0.003), panes/postres (p 0.005), comidas rápidas (p <0.001), bebidas azucaradas (p 0.035), té e infusiones (p 0.023) y cacao y sus derivados (p 0.018). Ansiedad con actividad física (p 0.006), ingesta de verduras (p 0.022), pescado (p 0.031), aceites (p 0.008), panes/postres (p 0.026), comidas rápidas (p <0.001), té e infusiones (p 0.018), cacao y derivados (p 0.038) y suplementos vitamínicos (p 0.016). Depresión con la actividad física (p 0.037), consumo de frutas (p 0.012), agua (p 0.012), café (p 0.045), panes/postres (p 0.003), comidas rápidas (p <0.001). Conclusiones. Se encontró asociación entre el consumo de ciertos alimentos y los elevados niveles de estrés, ansiedad y depresión.


Abstract Introduction. Confinement was implemented as a preventive measure to limit contagion in the face of the COVID-19 pandemic. This measure limited food availability and favored the consumption of less healthy processed and non-perishable foods. These behaviors can be seen as related to mental health disorders, such as stress, anxiety, and depression. Methods. It is a quantitative, descriptive, cross-sectional study with non-probabilistic convenience sampling carried out between August-October 2020, with the participation of 1657 Latin American people from the general population. The Depression, Anxiety and Stress Scales-21 questionnaire and the eating behaviors questionnaire associated with stress, anxiety, and depression-17 were applied. Ordinal logistic regression was used to assess the association between variables. Results. The 62% of participants presented some degree of depression; 55.9%, anxiety; and 55.2%, stress. An association was found between stress with physical activity (p 0.048) and consumption of fish (p 0.041), water (p 0.003), breads / desserts (p 0.005), fast foods (p <0.001), sugary drinks (p 0.035), tea and infusions (p 0.023), and cocoa and its derivatives (p 0.018). Another association was also found between anxiety with physical activity (p 0.006) and intake of vegetables (p 0.022), fish (p 0.031), oils (p 0.008), breads / desserts (p 0.026), fast foods (p <0.001), tea and infusions (p 0.018), cocoa and derivatives (p 0.038), and vitamin supplements (p 0.016). Depression was also found as associated with physical activity (p 0.037) and consumption of fruits (p 0.012), water (p 0.012), coffee (p 0.045), breads / desserts (p 0.003), and fast foods (p <0.001). Conclusions. An association was found between consuming certain foods and high levels of stress, anxiety, and depression.


Resumo Introdução. Como medida preventiva para limitar o contágio em face da pandemia COVID-19, o confinamento foi implementado. Esse evento limitou a disponibilidade de alimentos e favoreceu o consumo de alimentos industrializados menos saudáveis e não perecíveis, comportamentos que podem ser vistos relacionados a transtornos mentais como estresse, ansiedade e depressão. Métodos. Estudo quantitativo, descritivo, transversal, com amostragem não probabilística por conveniência, realizado no período de agosto a outubro de 2020 com a participação de 1.657 latino-americanos da população geral. Foram aplicados o questionário Depression, Anxiety and Stress Scales-21 e o questionário de comportamentos alimentares associados ao estresse, ansiedade e depressão-17. A regressão logística ordinal foi utilizada para avaliar a associação entre as variáveis. Resultados. 62% apresentavam algum grau de depressão, 55,9% ansiedade e 55,2% estresse. Foi encontrada associação entre estresse com atividade física (p 0,048), consumo de peixe (p 0,041), água (p 0,003), pães / sobremesas (p 0,005), fast food (p <0,001), bebidas açucaradas (p 0,035), chá e infusões (p 0,023) e cacau e seus derivados (p 0,018); ansiedade com atividade física (p 0,006), ingestão de vegetais (p 0,022), peixes (p 0,031), óleos (p 0,008), pães / sobremesas (p 0,026), fast food (p <0,001), chá e infusões (p 0,018), cacau e derivados (p 0,038) e suplementos vitamínicos (p 0,016); depressão com atividade física (p 0,037), consumo de frutas (p 0,012), água (p 0,012), café (p 0,045), pães / sobremesas (p 0,003), fast food (p <0,001). Conclusões. Foi encontrada associação entre o consumo de determinados alimentos e altos níveis de estresse, ansiedade e depressão.


Subject(s)
Humans , Male , Female , Anxiety , Depression , Feeding Behavior , COVID-19 , Latin America , Motor Activity
6.
Braz. j. oral sci ; 21: e226321, jan.-dez. 2022. ilus
Article in English | LILACS, BBO | ID: biblio-1354787

ABSTRACT

Aim: This cross-sectional observational study aimed to evaluate the influence of the Universities lockdown measures on academic perspectives and psychosocial aspects of Brazilian finalyear dental students. Methods: 268 undergraduate students regularly enrolled in a Dentistry course at public universities were asked about anxiety, depression, stress sensitivity, and their academic perspectives by using an online survey. The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression, while the Perceived Stress Scale (PSS) evaluated stress levels. The academic perspective was evaluated by five affirmatives regarding possible difficulties that will be faced when school reopens and after graduation. The possible association between fear of having COVID-19 with psychosocial outcomes and COVID-19 association with academic perspectives were analyzed by ANOVA and chisquare tests, respectively, considering a significance level of 5%. Results: Considering possible associations between the fear of having COVID-19 and psychosocial aspects, significant values were found for anxiety (P = 0.018) and stress sensitivity (P = 0.002). Regarding students' academic perspectives, COVID-19 had significant impact on less opportunity to perform procedures (P = 0.023), additional expenses with personal protective equipment (P = 0.007), and concerns of consulting elderly people (P = 0.012). Conclusion: The COVID-19 pandemic led to increased psychological impairments and enlarged concerns with learning and biosecurity, which might impact academic perspectives. Thus, being aware of these apprehensions, university professors and staff can improve the clinical training of final-year dental students in an empathetic way


Subject(s)
Humans , Male , Female , Anxiety , Students, Dental , Depression , Pandemics , COVID-19
7.
Subj. procesos cogn ; 26(2): 58-79, nov. 28, 2022.
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1401880

ABSTRACT

La presente investigación tiene como objetivo analizar desde dos métodos de análisis de discurso (Indicadores de Cambio Genérico y el Algoritmo David Liberman-AH) los momentos de cambio y estancamiento en extractos de entrevista de una persona con intento suicida que acudió a un proceso de psicoterapia. Se analizaron en los fragmentos los intercambios entre paciente y terapeuta. El primer fragmento corresponde a un episodio de cambio terapéutico y el segundo a uno de estancamiento. En los resultados se muestra la calificación de los fragmentos mediante los dos métodos y se destacan semejanzas en cuanto a los criterios para delimitar el cambio y el estancamiento. En la discusión se precisa la importancia del uso de ambos métodos para una detección detallada de procesos de pensamiento, sensopercepción y afecto relacionados con el intento suicida, así como sobre el surgimiento y sostenimiento de sentimientos de bienestar en los episodios de cambio, además se valora la diferencia que ofrece el ADL, dado que proporciona la detección de defensas(AU)


Two fragments of a psychotherapy process with a patient with a suicide attempt were analyzed from two discourse analysis methodologies. The first corresponds to an episode of therapeutic change and the second to one of stagnation. Similarities were observed in both methods in terms of the criteria for delimiting change and stagnation, as well as the importance of using both methods for a detailed detection of thought processes, sensory perception and affect related to the suicide attempt, as well as the emergence and maintenance of feelings of well-being in episodes of change;in addition, the difference offered by the ADL is valued, since it provides the detection of defenses(AU)


Subject(s)
Humans , Female , Young Adult , Psychology, Social , Suicide, Attempted/psychology , Psychotherapeutic Processes , Countertransference , Depression/psychology
8.
Arq. ciências saúde UNIPAR ; 26(3)set-dez. 2022.
Article in Portuguese | LILACS | ID: biblio-1399128

ABSTRACT

A pandemia de COVID-19 e as medidas de controle para conter a disseminação do vírus, como o distanciamento social, trouxeram mudanças à rotina das pessoas, mundialmente. Esse contexto pode gerar impactos adversos para a saúde mental dos indivíduos, especialmente, àqueles em maior vulnerabilidade, os idosos. O objetivo desse estudo foi analisar na literatura os impactos reais e/ou potenciais da pandemia de COVID-19 na saúde mental de idosos. Trata-se de uma revisão integrativa de literatura com buscas realizadas na Biblioteca Virtual em Saúde, que utilizou a seguinte estratégia de busca: (Coronavírus OR "Infecções por Coronavirus" OR "Coronavirus Infections" OR COVID-19) AND (idoso OR elderly OR aged) AND ("Saúde Mental" OR "Mental Health"). Foram critérios de inclusão: artigos acessados na íntegra, sem distinção de ano e idioma, indexados até o dia 11 de novembro de 2020; e os critérios de exclusão: artigos com fuga do escopo da pesquisa, revisões de literatura, arquivos multimídia e duplicados. Foram encontrados 241 registros, e após a aplicação dos critérios de elegibilidade estabelecidos restaram 27 artigos para discussão. Dentre os impactos reais/potenciais da pandemia de COVID-19 na saúde mental dos idosos, abordados nos estudos, destaca-se a ansiedade, depressão, solidão, estresse, sensação de medo ou pânico, tristeza, suicídio/ideação suicida e insônia. Apesar disso, considera-se que há uma quantidade ainda escassa de estudos voltados especificamente para a população idosa que permitam aprofundar as discussões sobre esse tema.


The COVID-19 pandemic and control measures to contain the spread of the virus, such as social detachment, have brought changes to people's routine, worldwide. This context can generate adverse impacts on the mental health of individuals, especially those most vulnerable, the older adults. The aim of this study was to analyze in the literature the real and / or potential impacts of the COVID-19 pandemic on the mental health of the older adults. It is an integrative literature review with searches performed in the Virtual Health Library, which used the following search strategy: (Coronavírus OR "Infecções por Coronavirus" OR "Coronavirus Infections" OR COVID- 19) AND (idoso OR elderly OR aged) AND ("Saúde Mental" OR "Mental Health"). Inclusion criteria were: articles accessed in full, without distinction of year and language, indexed until November 11, 2020; and exclusion criteria: articles with escape the scope of the research, literature reviews, multimedia and duplicate files, 241 records were found, and after applying the established eligibility criteria, 27 articles remained for discussion, among the actual / potential impacts of the COVID-19 pandemic on older people, addressed in the studies, anxiety, depression, loneliness, stress, feeling of fear or panic, sadness, suicide / suicidal ideation and insomnia stand out. Despite this, there is still a small amount studies specifically aimed at the older population that allow further discussions on this topic.


La pandemia de covid-19 y las medidas de control para contener la propagación del virus, como el distanciamiento social, han supuesto cambios en la rutina de las personas en todo el mundo. Este contexto puede generar impactos adversos a la salud mental de los individuos, especialmente a los más vulnerables, los ancianos. El objetivo de este estudio fue analizar en la literatura los impactos reales y/o potenciales de la pandemia de COVID-19 en la salud mental de los ancianos. Se trata de una revisión bibliográfica integradora con búsquedas realizadas en la Biblioteca Virtual de Salud, que utilizó la siguiente estrategia de búsqueda: (Coronavirus OR "Coronavirus Infections" OR "Coronavirus Infections" OR COVID-19) AND (elderly OR aged) AND ("Mental Health" OR "Mental Health"). Los criterios de inclusión fueron: artículos accedidos en su totalidad, independientemente del año y el idioma, indexados hasta el 11 de noviembre de 2020; y los criterios de exclusión: artículos que estuvieran fuera del ámbito de la investigación, revisiones bibliográficas, archivos multimedia y duplicados. Se encontraron un total de 241 registros, y tras aplicar los criterios de elegibilidad establecidos, quedaron 27 artículos para su discusión. Entre los impactos reales/potenciales de la pandemia de COVID-19 en la salud mental de los ancianos, abordados en los estudios, destacan la ansiedad, la depresión, la soledad, el estrés, la sensación de miedo o pánico, la tristeza, la ideación suicida/suicida y el insomnio. A pesar de ello, se considera que todavía hay una escasa cantidad de estudios dirigidos específicamente a la población de edad avanzada que permitan profundizar en las discusiones sobre este tema.


Subject(s)
Aged/psychology , Mental Health , Coronavirus Infections/etiology , Pandemics/statistics & numerical data , Anxiety/psychology , Panic , Suicide/psychology , Aging/physiology , Depression/psychology , Fear/psychology , Sadness/psychology , Psychological Distress , Sleep Initiation and Maintenance Disorders/etiology , Loneliness/psychology
9.
Notas enferm. (Córdoba) ; (Sept- Edicion especial): 36-40, 26 septiembre 2022.
Article in Spanish | LILACS, BDENF, BINACIS, UNISALUD | ID: biblio-1398305

ABSTRACT

La pandemia por COVID-19 ha demostrado cuán deterioradas se encuentran las áreas sociales, económicas, emocionales y psicológicas en la población mundial. Sin embargo, de toda la sociedad son las personas mayores las que se han visto especialmente afectadas, no sólo por pertenecer al grupo de mayor riesgo de contraer el virus, sino que también por las consecuencias psicológicas que las cuarentenas y el aislamiento social han dejado en ellas. En Chile, se han desarrollado múltiples intervenciones para disminuir las cifras en torno a las patologías de salud mental en este grupo etario, desde la activación de un número telefónico especializado para su atención hasta la reactivación de programas a nivel de atención primaria de salud. Es en este sentido que se genera el presente artículo, que contempla una revisión sistemática de artículos relacionados a las terapias complementarias, en este aspecto se concluyó que la aromaterapia, a través del uso de los aceites esenciales de plantas medicinales se recomienda como una alternativa viable para acompañar el afrontamiento de la soledad, ansiedad y la depresión en las personas mayores, por sobre otras medicinas complementarias como lo es la terapia de luz, ya que que esta última no cuenta con estudios ni información suficiente para ser recomendada[AU]


COVID-19 pandemic has shown how deteriorated the social, economic, emotional and psychological areas are in our population, however, it is the elderly who have bee the most affected, not just because they belong to the group at greatest risk of contracting the virus, but also because of the psychological consequences that quarantines and social isolation have left on they. In Chile, multiple interventions have been developed to reduce the figures around mental health pathologies in this group, from activated a special phone number for their attention to the reactivation of health care programs. This is the reason for this article, which contemplates a systematic review of articles related to complementary therapies, in this aspect it was concluded that aromatherapy, through the use of essential oils of medicinal plants, is considered as an alternative viable to coping the loneliness, anxiety and depression in the elderly, over other complementary medicines such as light therapy, since the latter does not have enough studies or information to be recommended[AU]


A Pandemia de covid-19 demonstra a quão deteriorada se encontram as áreas socais, econômicas, emocionais e psicológicas na população mundial. No entanto, dentre as pessoas mais afetadas, em especifico se encontram as idosas, não somente por pertencer ao grupo de maior risco para a contração do vírus, como também pelas sequelas causadas no âmbito psicológico que a quarentena e o isolamento social ocasionaram. No Chile se desenvolveu múltiplas intervenções para diminuir o nível patológico da saúde mental apontado a este grupo etário, desde a égide telefônica, como a instauração de programas sobretudo voltados à saúde. Neste sentido, o artigo referido contempla uma revisão sistemática de artigos relacionados a terapias complementares, neste aspecto conclui-se que a aromaterapia, através do uso de óleos essenciais de plantas medicinais sobressai-se como uma alternativa viável para acompanhar o afrontamento à solidão, ansiedade e depressão nas pessoas mais velhas; todavia há outros medicamentos complementares, em estrito a terapia da luz, entretanto não há informações suficientes para ser recomendada[AU]


Subject(s)
Humans , Aged, 80 and over , Anxiety , Plants, Medicinal , Social Isolation , Complementary Therapies , Aged , Mental Health , Aromatherapy , Depression , Systematic Review , COVID-19
10.
Rev. peru. med. exp. salud publica ; 39(3): 357-361, jul.-sep. 2022. tab
Article in Spanish | LILACS | ID: biblio-1410015

ABSTRACT

RESUMEN: El objetivo de la investigación fue describir la producción científica sobre estudios psicométricos de instrumentos de tamizaje para la depresión en población peruana. Para ello, se realizó un estudio descriptivo de la literatura científica en Scopus, Web of Science, PubMed y SciELO, con descriptores para depresión, propiedades psicométricas y Perú. Luego del proceso de revisión se incluyeron 22 estudios. Se encontraron validaciones de instrumentos de tamizaje en adultos mayores, adultos, adultos con depresión, mujeres adultas, mujeres embarazadas, profesionales de salud, estudiantes universitarios, estudiantes de secundaria y niños. El Patient Health Questionnaire (PHQ-9) fue el instrumento más estudiado. A pesar de que los estudios psicométricos cubren la mayoría de las poblaciones, quedan pendientes los pueblos originarios y poblaciones clínicas. El PHQ-9, por sus características, podría implementarse en las políticas de salud mental del Perú.


ABSTRACT The aim of the research was to describe the scientific output of psychometric studies on screening instruments for depression in the Peruvian population. We carried out a descriptive study of the scientific literature in Scopus, Web of Science, PubMed and SciELO, with descriptors for depression, psychometric properties, and Peru. After the review process, we included 22 studies. We found validations of screening instruments for older adults, adults, adults with depression, adult women, pregnant women, health professionals, university students, high school students and children. The Patient Health Questionnaire (PHQ-9) was the most widely used instrument. Psychometric studies cover most populations; however, native people and clinical populations remain to be studied. The PHQ-9, due to its characteristics, could be implemented in mental health policies in Peru.


Subject(s)
Humans , Psychometrics , Mass Screening , Depression , Peru , Mental Health , Validation Study , Depressive Disorder , Evaluation Studies as Topic
11.
Rev. Hosp. Ital. B. Aires (2004) ; 42(3): 163-167, sept. 2022.
Article in Spanish | LILACS, BINACIS, UNISALUD | ID: biblio-1396921

ABSTRACT

El siguiente trabajo presenta la historia de una paciente de 19 años oriunda de China, que cursó una internación en una sala de psiquiatría de un hospital general por un cuadro de características depresivas. El caso es notable por el polimorfismo en la sintomatología clínica que presentó. El objetivo es analizar, a partir de él, la necesidad de un enfoque interdisciplinario que trate a la cultura como una variable significativa en la construcción de una enfermedad, entendiendo que los modelos fisiopatológicos resultan necesarios pero no suficientes para comprender de qué modo se constituye. Para dicho fin se hará un breve recorrido por los estudios efectuados en la década del 80 en China por el psiquiatra y antropólogo Arthur Kleiman y se desarrollará la perspectiva de la psicoanalista Helena Lunazzi, quien en su libro Alexitimia desarrolla cómo la cultura influye en la expresión verbal de las emociones. (AU)


The following work presents the history of a 19-year-old patient from China who was hospitalized in a psychiatric ward of a general hospital due to a depressive illness, being the case remarkable for the polymorphism in the clinical symptoms that she presented. The objective is to analyze the need for an interdisciplinary approach that treats culture as a significant variable in the construction of a disease, understanding that pathophysiological models are necessary but not sufficient to comprehend how they are constituted. For this purpose, a brief review will be made of the studies carried out in the 1980s in China by the psychiatrist and anthropologist Arthur Kleiman and the perspective of the psychoanalyst Lunazzi Helena, who in her book "Alexithymia" develops how culture influences the verbal expression of emotions. (AU)


Subject(s)
Humans , Female , Adult , Young Adult , Psychophysiologic Disorders/complications , Cross-Cultural Comparison , Depression/complications , Psychotherapy , Translating , Ethnicity , China/ethnology , Mental Health/ethnology , Interdisciplinary Communication , Emigration and Immigration
12.
Rev. Soc. Argent. Diabetes ; 56(suple. 2): 19-22, may. - ago. 2022. ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-1396186

ABSTRACT

La aparición de una enfermedad crónica, como la diabetes mellitus (DM), pone a prueba la respuesta del universo físico y psíquico de un individuo. Como objetivo general, se propone evaluar el estado emocional de las personas con DM en la consulta ambulatoria. Como objetivo particular, detectar y monitorear las necesidades psicológicas que deben formar parte integral del cuidado de la DM mediante el uso de métodos validados. El cuestionario WHO-5 se incluye como índice de bienestar general, el PAID-5 revela la existencia de una posible angustia emocional vinculada a la enfermedad, y el PHQ- 9 como índice de depresión. Ante esta situación, el Comité de Aspectos Psicosociales recomienda explorar estos aspectos para optimizar el control y el tratamiento de la enfermedad, proponiendo estas herramientas para que el equipo de salud las emplee en la detección y el reconocimiento del estado emocional de las personas con DM


Occurrence of a chronic disease, such as diabetes, prove the response of the physical and psychic universe of individuals. As a general objective, is proposed to evaluate emotional state of people with diabetes in the outpatient clinic. As principal objective, detection and monitoring the psychological needs should be a main part of diabetes care, using validated tools to evaluate this aspect. WHO-5 questionnaire is included as an index of general well-being, PAID-5, reveals the existence of a possible emotional distress linked to disease, and PHQ-9 is used as an index of depression. At this situation, the Committee on Psycho-Social Aspects recommends explore these psychological aspects, as a way to optimize the control and treatment of disease, and propose the cited tools, to be used by the health team, in detection and recognition of emotional state in people with diabetes.


Subject(s)
Diabetes Mellitus , Psychology , Depression , Psychological Distress
13.
Anon.
Int. j. cardiovasc. sci. (Impr.) ; 35(4): 562-562, July-Aug. 2022.
Article in English | LILACS | ID: biblio-1385266
14.
Int. j. cardiovasc. sci. (Impr.) ; 35(4): 537-545, July-Aug. 2022. tab, graf
Article in English | LILACS | ID: biblio-1385268

ABSTRACT

Abstract The prevalence of depression varies from 1 to 17% in different geographic regions, and its incidence is 70% higher in women than men. Today, depression affects more than 300 million people worldwide, affecting twice as many women from adolescence to adulthood. In addition to this earlier onset, depression in women tends to be more severe. Cardiovascular disease and depression are chronic diseases that have a major impact on cardiovascular and all-cause morbidity and mortality, with evidence of a two-way relationship between them, in which depression is a predictor of cardiovascular disease and vice versa. In females, the degree of illness and prognosis are more severe when both diseases are present, than when diagnosed alone. In patients with acute or chronic cardiovascular disease, especially women, a systematic screening for depression should be considered as a preventive strategy of cardiovascular events, aiming to reduce the risk of future events. There are still no clinical studies designed to assess the impact of antidepressant treatment on cardiovascular outcomes in women.


Subject(s)
Humans , Female , Cardiovascular Diseases/complications , Depression/complications , Prognosis , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/epidemiology , Depression/diagnosis , Depression/epidemiology
15.
Univ. salud ; 24(2): 144-153, mayo-ago. 2022. tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1377463

ABSTRACT

Introducción: La depresión es una problemática de salud pública responsable de alta carga de mortalidad, afecta principalmente a jóvenes universitarios. La evidencia sugiere que la participación en actividad física genera beneficios en salud mental. Resulta importante estudiar esta asociación teniendo en cuenta otra serie de factores como variables sociodemográficas y el tipo de carrera universitaria. Objetivo: Estimar la prevalencia de sintomatología depresiva y evaluar si el nivel de actividad física podría ser un factor protector en estudiantes de una universidad con enfoque deportivo. Materiales y métodos: Estudio transversal con muestra representativa de 291 estudiantes. Se aplicó cuestionario Beck II y versión larga del International Physical Activity Questionnaire (IPAQ). Se realizó análisis univariado y bivariado con razones de prevalencia para depresión, según nivel de actividad física ajustadas mediante modelos de regresión generalizados con vínculo logarítmico de distribución binomial. Resultados: Las prevalencias de síntomas de depresión e inactividad física son respectivamente 27% y 22%. La prevalencia de síntomas de depresión es 46% mayor en quienes no son suficientemente activos (RP: 1,46 IC95%:0,95-2,25). Conclusiones: La prevalencia de síntomas de depresión e inactividad física más bajas comparadas con poblaciones similares, probablemente se relacionan con el enfoque deportivo de la institución.


Introduction: Depression is a public health problem that has a burden of high mortality, mainly affecting the young university student population. The evidence suggests that participation in physical activity generates mental health benefits. It is important to study this association as well as the relationship between depression and sociodemographic variables and university program. Objective: To estimate the prevalence of depressive symptomatology and assess whether physical activity levels can be a Protective factor in university students enrolled in sports programs. Materials and methods: Cross-sectional study with a representative sample of 291 students. The Beck II questionnaire and long version of the International Physical Activity Questionnaire (IPAQ) were applied. Univariate and bivariate analyses were performed with prevalence ratios for depression, according to the level of physical activity adjusted by generalized regression models with logarithmic link of binomial distribution. Results: The prevalence rates of depression symptoms and physical inactivity were 27% and 22%, respectively. The prevalence of depression symptoms is 46% higher in those who are not sufficiently active (RP: 1.46 IC95%:0.95-2.25). Conclusions: Prevalence of depressive symptoms and physical inactivity were lower compared to similar populations and are probably related to the sport focus of the institution.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Exercise , Public Health , Health , Mental Health , Depression , Energy Metabolism , Movement
16.
Oncología (Ecuador) ; 32(2): 169-179, 2 de Agosto del 2022.
Article in Spanish | LILACS | ID: biblio-1391898

ABSTRACT

ntroducción: El diagnóstico de cáncer genera una inestabilidad emocionaly en muchos casos esto im-posibilita unafrontamiento adecuado.El afrontamiento es el esfuerzocognitivoy conductualconstan-temente cambiantes que se desarrollan para manejar las demandas específicas como el diangóstico oncológico. El objetivo de la presente investigación fue identificar las estrategias de afrontamiento en un grupo de pacientes con cáncer, en un Hospital de referencia nacional. Metodología: Este estudio transversal, se realizó en el Hospital Eugenio Espejo de Quito, Ecuador, período enero a junio del 2018, con una muestra no probabilística, de pacientes con neoplasias, se registraron variables demográficas, clínicas, y el test de afrontamiento de 40 preguntas CSI "El inventario de estrategias de afrontamiento (CSI). Se utiliza estadística descriptiva invariada y bivariado. Resultados: Se analizan 47 casos, 74% mujeres, de edad promedio 55 años. De instrucción secundaria completa en el 38%de los casos. Las Estrategias de Afrontamiento que se presentaron en el 70% de los pacientes fueron: Reestructuración Cognitiva (REC) y Evitación de problemas (EVP), en el 15% se presentó "Resolución de problemas" (REP). Las Estrategias de Afrontamiento en hombres fueron REP con el 57%, mientras que la Expresión Emocional (EEM) se presentó en mujeres en el 86%.En los prime-ros 6 meses el 77% usa la EEM; de 7 a 12 meses el 19% a la estrategia de Autocrítica (AUC); de 1 a 2 años con un 17% estrategia de Pensamiento Desiderativo (PSD); de 3 o más años con un 14% corresponde a Resolución de Problemas (REP).Conclusión: Las estrategias de afrontamientos utilizan en gran proporción en los primeros 6 meses del diagnóstico del cáncer, luego de lo cual las estrategias disminuyen por debajo del 20%


Introduction:The cancer diagnosis generates emotional instability, which precludes adequate coping in many cases. Coping is the constantly changing cognitive and behavioral effort that develops to handle specific demands such as cancer diagnosis. This research aimed to identify coping strategies in a group of cancer patients in a national reference hospital.Methodology: This cross-sectional study was carried out at the Eugenio Espejo Hospital in Quito, Ecua-dor, from January to June 2018, with a non-probabilistic sample of patients with neoplasms,demo-graphic and clinical variables were recorded, and the coping test of 40 CSI questions "The Coping Strat-egies Inventory (CSI). Univariate and bivariate descriptive statistics are used.Results: 47 cases were analyzed, 74% women, with an average age of 55. Complete secondary education in 38% of cases. The Coping Strategies that appeared in 70% of the patients were: Cognitive Restructur-ing (REC) and Problem Avoidance (EVP); in 15%, "Problem Resolution" (REP) was presented. Coping Strategies in men were REP with 57%, while Emotional Expression (EEM) was presented in women with 86%. In the first six months, 77% use the EEM; from 7 to 12 months, 19% to the Self-criticism strategy (AUC); from 1 to 2 years with 17% Wishful Thinking Strategy (PSD); of 3 or more years with 14% corre-sponds to Resolution of Problems (REP).Conclusion: Coping strategies are significantly used in the first six months after the cancer diagnosis, after which the strategies decrease below 20%


Subject(s)
Neoplasms , Practice, Psychological , Adaptation, Psychological , Dysthymic Disorder , Depression
17.
Aquichan ; 22(3): e2234, jul. 28, 2022.
Article in English, Spanish | LILACS, BDENF, COLNAL | ID: biblio-1382363

ABSTRACT

Objective: To determine the effect of loneliness, anxiety, and depression on adopting the role of caregiver of older adults with chronic conditions in a sample of Mexican caregivers during the COVID-19 pandemic. Materials and method: Predictive and correlational design. The study was conducted with 157 caregivers through the dyad characterization scale, the HADS scale, the UCLA scale, and the Caregiver role adoption scale. The analysis used descriptive and inferential statistics. Results: Most participants were female, with a mean care time of seven months. Mostly, the caregivers have anxiety as a clinical problem (27 %), doubtful depression (14.9 %), profound loneliness (66.2 %), and satisfactory adoption of the role (71.2 %). We found that the more significant the role of adoption, the lower the anxiety, depression, and loneliness levels (p < .05). The psychosocial factors, the age of the person cared for, the age of the informal caregiver, and the care time explained 36 % of the variance in role adoption (F = 13.12; p < .01), with loneliness as a predictive variable. Conclusion: The COVID-19 pandemic has impacted the caregivers' mental health and caused profound loneliness, the latter being a predictor for adopting the role.


Objetivo: determinar el efecto de la soledad, la ansiedad y la depresión sobre la adopción del rol cuidador de adultos mayores con enfermedad crónica en una muestra de cuidadores mexicanos durante la pandemia de la covid-19. Materiales y método: diseño correlacional predictivo. Se realizó el estudio en 157 cuidadores mediante la encuesta de caracterización de la diada, escala HADS, escala UCLA y escala adopción del cuidador. El análisis fue con estadística descriptiva e inferencial. Resultados: la mayoría de los participantes fueron mujeres, con un tiempo medio de cuidados de siete meses. Los cuidadores en su mayoría tienen ansiedad como problema clínico en un 27 %, depresión dudosa con un 14,9 %, soledad severa con un 66,2 % y adopción satisfactoria del rol en el 71,2 %. Se encontró que a mayor adopción del rol, menor ansiedad, depresión y soledad (p < 0,05). Los factores psicosociales, la edad de la persona receptora de cuidado, la edad del cuidador informal y el tiempo de cuidado explicaron un 36 % de la varianza de la adopción del rol (F = 13,12; p < 0,01), siendo variable predictora la soledad. Conclusión: la pandemia de la covid-19 ha ocasionado un impacto en la salud mental y la soledad severa de los cuidadores, siendo esta última un predictor de la adopción del cuidador.


Objetivo: determinar o efeito da solidão, ansiedade e depressão na adoção do papel de cuidador de idosos com doença crônica em uma amostra de cuidadores mexicanos durante a pandemia de COVID-19. Material e método: desenho correlacional preditivo. O estudo foi realizado com 157 cuidadores utilizando a pesquisa de caracterização da díade, a escala HADS, a escala UCLA e a escala de Adoção do papel de cuidador. A análise realizou-se com estatística descritiva e inferencial. Resultados: a maioria dos participantes era do sexo feminino, sendo o tempo médio de atendimento de sete meses. A maioria dos cuidadores apresentou ansiedade como problema clínico (27 %), depressão duvidosa (14,9 %), solidão severa (66,2 %) e adoção satisfatória do papel (71,2 %). Constatou-se que quanto maior a adoção do papel, menor o índice de ansiedade, depressão e solidão (p < 0,05). Os fatores psicossociais, a idade da pessoa que recebe os cuidados, a idade do cuidador informal e o tempo de cuidado explicaram 36 % da variância na adoção do papel (F = 13,12; p < 0,01), sendo a solidão variável preditora. Conclusão: a pandemia da COVID-19 tem impactado a saúde mental e a solidão severa dos cuidadores, sendo esta última uma variável preditora da adoção do papel de cuidador.


Subject(s)
Anxiety , Caregivers , Coronavirus Infections , Depression , Loneliness
18.
Nursing (Säo Paulo) ; 25(290): 8127-8136, julho.2022.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1379895

ABSTRACT

Objetivo. Identificar a associação entre as necessidades, ansiedade e depressão em familiares de pacientes internados em Unidade de Terapia Intensiva. Método. Revisão integrativa da literatura, utilizando bases de dados, LILACS, MedLine, BDENF, PubMed, EMBASE, SCOPUS, CINAHL e Web of Science, no período de 2007 a 2019, nos idiomas português, inglês e espanhol. Resultado. A amostra final foi composta por 15 artigos. Desses, a maioria oriundos de pesquisas quantitativas 60% (9) e os demais 40% (6) de pesquisas qualitativas. Ansiedade e depressão foram abordadas em 66,7% (10) dos artigos, enquanto as necessidades em 33,3% (5) deles. Conclusão. Foi possível identificar a falta de comunição sobre o estado do familiar internado em uma Unidade de Terapia Intensiva gerada nos familiares sintomas de medo, angustia, ansiedade e consequentemente depressão. Portanto, é imperativo o norteamento de ações e intervenções acolhedoras, proporcionando melhor atenção ao familiar e contribuindo com a saúde desses familiares.(AU)


Objective. To identify the association between needs, anxiety and depression in family members of patients hospitalized in the Intensive Care Unit. Method. Integrative literature review, using databases LILACS, MedLine, BDENF, PubMed, EMBASE, SCOPUS, CINAHL and Web of Science, from 2007 to 2019, in Portuguese, English and Spanish. Result. The final sample consisted of 15 articles. Of these, the majority came from quantitative research, 60% (9) and the remaining 40% (6) from qualitative research. Anxiety and depression were addressed in 66.7% (10) of the articles, while needs were addressed in 33.3% (5) of them. Conclusion. It was possible to identify the lack of communication about the state of the family member hospitalized in an Intensive Care Unit generated in the family members with symptoms of fear, anguish, anxiety and consequently depression. Therefore, it is imperative to guide welcoming actions and interventions, providing better care for the family member and contributing to the health of these family members.(AU)


Objetivo. Identificar la asociación entre necesidades, ansiedad y depresión en familiares de pacientes internados en la Unidad de Cuidados Intensivos. Método. Revisión integrativa de la literatura, utilizando las bases de datos LILACS, MedLine, BDENF, PubMed, EMBASE, SCOPUS, CINAHL y Web of Science, de 2007 a 2019, en portugués, inglés y español. Resultado. La muestra final estuvo compuesta por 15 artículos. De estos, la mayoría provino de investigación cuantitativa, el 60% (9) y el 40% restante (6) de investigación cualitativa. La ansiedad y la depresión fueron abordadas en el 66,7% (10) de los artículos, mientras que las necesidades fueron abordadas en el 33,3% (5) de ellos. Conclusión. Se pudo identificar la falta de comunicación sobre el estado del familiar internado en una Unidad de Cuidados Intensivos generada en los familiares con síntomas de miedo, angustia, ansiedad y consecuentemente depresión. Por lo tanto, es imperativo orientar acciones e intervenciones de acogida, brindando una mejor atención al familiar y contribuyendo a la salud de estos familiares.(AU)


Subject(s)
Anxiety , Patients , Family , Depression , Intensive Care Units
19.
Rev. colomb. obstet. ginecol ; 73(2): 194-202, Apr.-June 2022. tab, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1394963

ABSTRACT

RESUMEN Objetivos: Describir la prevalencia de los síntomas de depresión y las preocupaciones que afectaron a las gestantes durante la pandemia por COVID-19. Materiales y métodos: Estudio transversal descriptivo, se incluyeron mujeres gestantes, con acceso a un medio tecnológico (celular, computador o tableta) y conectividad a internet, residentes en Antioquia, Colombia. Se excluyeron mujeres con analfabetismo literario y tecnológico. Se encuestaron, en línea, las condiciones sociodemográficas y clínicas basales y las principales preocupaciones generadas por la pandemia, además se aplicó la Escala de Depresión de Edimburgo (EPDS) para medir el riesgo de depresión. Se usó el software Jamovi para el procesamiento y análisis estadístico. Resultados: Se encuestaron 345 mujeres gestantes de 15 a 44 años, se identificó una prevalencia de riesgo de depresión en 30,4 % de las mujeres encuestadas. Se identificó violencia intrafamiliar en el 4,9 % y ausencia de red de apoyo en el 8,4 %. Se encontraron como mayores preocupaciones temor a ser separadas del bebé el día del parto, la posibilidad de no tener acompañante durante el parto, y temor al contagio por los efectos en el bebé in útero o en el recién nacido. Conclusiones: Los síntomas de depresión han sido frecuentes en las mujeres gestantes durante la pandemia del COVID-19. Es importante averiguar por factores de estrés y síntomas de depresión en el control prenatal, el parto y el postparto. Se requieren nuevos estudios locales que evalúen otros trastornos de salud mental que se hayan podido incrementar durante la pandemia por COVID-19.


ABSTRACT Objectives: To describe the prevalence of symptoms of depression and worry affecting pregnant women during the COVID-19 pandemic. Material and methods: Descriptive cross-sectional study that included pregnant women with access to a technological device (mobile phone, computer or tablet) and Internet connection, living in Antioquia, Colombia. Women with literary and technological illiteracy were excluded. An online survey was conducted to gather information about sociodemographic and baseline clinical conditions and the main concerns caused by the pandemic. Additionally, the Edinburg Depression Scale (EPDS) was applied in order to measure the risk of depression. The Jamovi software was used for data processing and statistical analysis. Results: Overall, 345 pregnant women between 15 and 44 years of age were surveyed, with the finding of a 30.4 % prevalence of the risk of depression. Domestic violence and absence of a support network were identified in 4.9 % and 8.4 % of cases. The major sources of worry were the fear of being separated from their babies on the day of birth, the possibility of having to be alone during childbirth, and the fear of contagion due to potential effects on the fetus or the newborn. Conclusions: Depression symptoms have been frequent among pregnant women during the COVID-19 pandemic. It is important to inquire about stress factors and depression symptoms during prenatal visits, childbirth and the postpartum period. Additional local studies are needed to assess other mental health disorders that may have increased during the COVID-19 pandemic.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Pregnant Women , Depression , COVID-19 , Risk-Taking , Pregnancy , Mental Health , Cross-Sectional Studies
20.
Más Vita ; 4(2): 160-177, jun. 2022. tab
Article in Spanish | LILACS, LIVECS | ID: biblio-1392170

ABSTRACT

El internet ha revolucionado la vida de las personas, ha trasformado las relaciones familiares, personales, laborales y sociales; el uso indiscriminado podría tener efectos negativos principalmente en los adolescentes. Objetivo: Estimar la asociación entre la adicción a internet con los trastornos de depresión, insomnio y autoestima en estudiantes de secundaria de la unidad educativa municipal "Quitumbe" y Colegio fiscomisional "María Augusta Urrutia" de fe y Alegría, del distrito metropolitano de Quito, en el año lectivo 2017-2018. Material y método: Se realizó un estudio no experimental de corte transversal a 336 estudiantes; se realizó el cálculo de la muestra con una prevalencia de adición a internet reportada en otros estudios del 26 %, con intervalo confianza del 95 % y probabilidad de error del 5 %, de forma aleatoria simple; los participantes fueron seleccionados al azar dentro de cada clase usando una tabla de números aleatorios para asegurar la representatividad de la muestra. Resultados: Las prevalencias del riesgo de adicción a internet, depresión, insomnio y baja autoestima fueron del 46%, 62 %, 42% y 76% respectivamente. Se estimó que el riesgo de adicción a internet constituyó un factor de riesgo para la presencia de depresión e insomnio (OR = 3.82, IC 95 %: 2.36 ­ 6.18; p < ,000) y (OR = 2.59, IC 95 %: 1.66 ­ 4.04; p < ,000) Conclusiones: El presente estudio encontró que el riesgo de adicción a internet se asoció con síntomas depresivos y con insomnio en cualquiera de sus grados en los adolescentes estudiados(AU)


The internet has revolutionized people's lives, has transformed relationships family, personal, work and social; indiscriminate use could have negative effects mainly in adolescents. Objective: To estimate the association between Internet addiction with depression, insomnia and self-esteem disorders in high school students from the unit "Quitumbe" municipal educational institution and "María Augusta Urrutia" fiscomisional College of Fe y Alegría, of the Metropolitan District of Quito, in the 2017-2018 school year. Material and method: A non-experimental cross-sectional study of 336 students; the sample calculation was performed with a prevalence of Internet addiction reported in other studies of 26%, with interval 95% confidence and 5% probability of error, simple random; participants were randomly selected within each class using a table of random numbers to ensure the representativeness of the sample. Results: Prevalences of addiction risk internet, depression, insomnia and low self-esteem were 46%, 62%, 42% and 76% respectively. It was estimated that the risk of Internet addiction constituted a risk factor for the presence of depression and insomnia (OR = 3.82, 95% CI: 2.36 ­ 6.18; p < .000) and (OR = 2.59, CI 95%: 1.66 ­ 4.04; p < ,000) Conclusions: The present study found that the risk of addiction Internet access was associated with depressive symptoms and with insomnia in any of its degrees in the studied adolescents(AU)


Subject(s)
Humans , Male , Female , Adolescent , Self Concept , Depression , Internet Use , Sleep Initiation and Maintenance Disorders , Students , Education, Primary and Secondary , Internet Addiction Disorder
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