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1.
Ciênc. Saúde Colet ; 27(3): 1119-1131, mar. 2022. tab, graf
Article in English | LILACS | ID: biblio-1364682

ABSTRACT

Abstract The study aimed to investigate the association between social capital indicators and depressive symptoms among university students from Brazil. The study drew on a sample of 579 randomly selected university students, from a greater crossnational study conducted in 2018. Students completed a self-administered questionnaire assessing depressive symptoms, indicators of social capital and lifestyle behaviors. Data were analyzed using multivariate logistic regression models. Indicators of social capital included trust, group membership and frequency of meeting friends. Four social capital indicators were significantly associated with clinically relevant depressive symptoms. Students who agreed that people are likely to take advantage of one another were more likely to report depressive clinically relevant symptoms (OR: 1.80, 95%CI: 1.00 - 3.23) as well as students who agreed that people are not willing to help in case needed (OR: 2.11, 95%CI: 1.02 - 4.36). Perceived stress, smoking and hazardous alcohol consumption were not associated with clinically relevant depressive symptoms. Social capital plays an important role in explaining depressive symptoms among Brazilian university students. The study suggests that creating trust and enhancing participation in social networks can be an important strategy for promoting mental health among university students investigated in this study.


Resumo O estudo investigou a associação entre indicadores de capital social e sintomas depressivos entre estudantes universitários do Brasil. Um estudo transversal foi conduzido com uma amostra de 579 estudantes universitários selecionados randomicamente em 2018. Os estudantes completaram questionários auto-administrados para avaliar sintomas depressivos, indicadores de capital social e comportamentos de estilos de vida. Os dados foram analisados usando modelos de regressão logística multivariada. Indicadores de capital social incluíam confiança, associações em grupos, frequência de encontrar com os amigos, entre outros. Quatro indicadores de capital social se associaram significativamente com relevantes sintomas clínicos de depressão. Estudantes que disseram que as pessoas tendem a tirar mais vantagens umas das outras eram mais propensas a relatar sintomas clínicos relevantes de depressão (OR: 1.80, 95%CI: 1.00 - 3.23), assim como estudantes que relataram que as pessoas não estão dispostas a ajudar caso precise de ajuda (OR: 2.11, 95%CI: 1.02 - 4.36). A autopercepção de estresse, o consumo de álcool e o fumo não se associaram aos sintomas clínicos de depressão. O capital social desempenha um papel importante na explicação dos sintomas depressivos entre os universitários brasileiros. O estudo sugere que promover confiança e aumentar a participação nas redes sociais pode ser uma estratégia importante para a promoção da saúde mental entre os universitários investigados neste estudo.


Subject(s)
Humans , Social Capital , Students/psychology , Universities , Brazil/epidemiology , Depression/diagnosis , Depression/epidemiology
2.
Rev. medica electron ; 43(5): 1383-1394, 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1352118

ABSTRACT

RESUMEN Introducción: la covid-2019 es una de las grandes pandemias que ha azotado la humanidad, ocasionando millones de infectados y la muerte de miles de personas. Ecuador está entre los ocho primeros países de América Latina y el Caribe más afectados por la enfermedad, que ha generado un colapso en el sistema de salud y otras consecuencias dañinas, como la afectación de la salud mental de los profesionales que atienden a los pacientes infectados. Objetivo: identificar la presencia de conductas ansiógenas y depresivas en el personal de salud de Ecuador ante la emergencia sanitaria por covid-2019. Materiales y métodos: se realizó un estudio descriptivo, transversal de 400 profesionales de diversas áreas de la salud en Ecuador. Se utilizó una ficha sociodemográfica y la Escala Hospitalaria de Ansiedad y Depresión. Se estudiaron las variables edad, sexo, especialidad y sintomatología de ansiedad y depresión. Resultados: del total de profesionales estudiados, el 46,40 % presentó ansiedad, y en el 34,50 % se identificó sintomatología depresiva. Las puntuaciones más altas de ansiedad y depresión se reportaron en el personal de enfermería. Conclusiones: el estudio descriptivo mostró la presencia de conductas ansiógenas y depresivas en los trabajadores sanitarios, en especial en el personal de enfermería, seguido de médicos y psicólogos. Se demostró que los trabajadores de salud se encuentran en el grupo vulnerable a presentar afectaciones psicológicas derivadas del enfrentamiento a la pandemia covid-19 (AU).


ABSTRACT Introduction: COVID-2019 is one of the great pandemics that have struck humanity, causing millions of infected people and the deaths of thousands. Ecuador is among the top eight countries in Latin America and the Caribbean most affected by the disease, which has led to a collapse in the health system and other harmful consequences, such as affecting the mental health of professionals who care for infected patients. Objective: to identify the presence of anxiogenic and depressive behaviors in the health personnel of Ecuador in the face of the health emergency by COVID-2019. Materials and methods: a descriptive, cross-sectional study of 400 professionals from various health areas in Ecuador was carried out. A socio-demographic chart and the Hospital Scale of Anxiety and Depression were used. The variables age, sex, specialty and symptoms of anxiety and depression were studied. Results: of the total number of professionals studied, 46.40 % had anxiety, and in 34.50 % depressive symptoms were identified. The highest anxiety and depression scores were reported in the nursing staff. Conclusions: the descriptive study showed the presence of anxiogenic and depressive behaviors in health workers, especially in the nursing staff, followed by doctors and psychologists. It was shown that health workers are in the group vulnerable to having psychological effects arising from the confrontation with the COVID-19 pandemic (AU).


Subject(s)
Humans , Male , Female , Anxiety/diagnosis , Depression/diagnosis , Stress, Psychological , Health Personnel/psychology , Coronavirus Infections/psychology , Nursing Staff/psychology
3.
Nursing (Säo Paulo) ; 24(280): 6179-6190, set.-2021.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1343825

ABSTRACT

Objetivo: rastrear indícios de depressão em idosos residentes em instituições de longa permanência (ILPI's). Método: estudo quantitativo, exploratório e descritivo, realizado em duas ILPI's, situadas no estado de São Paulo, no ano de 2017. Para a coleta de dados, empregou dois instrumentos, sendo: um para traçar o perfil dos idosos e o outro, a Escala de Depressão Geriátrica (EDG-15) pelas propriedades psicométricas e facilidade de aplicação. O tratamento e análise dos dados foram realizados pela estatística descritiva. Aprovado pelo CEP sob CAAE 65985917.2.0000.5431. Resultados: participaram 31 idosos, detectou-se que: 16 (94%) residentes na ILPI A e seis (43%) da ILPI B apresentaram escore igual ou superior a seis pontos, caracterizando-se assim, indícios para depressão, e tendo como maior predisposição, os idosos do sexo masculino (68%) e os divorciados (36%). Conclusão: torna-se necessário o desenvolvimento de estratégias no enfrentamento dos indícios de depressão e melhoria da qualidade de vida nas ILPI's. (AU)


Objective: to track depression in institutionalized older adults. Method: quantitative, exploratory and descriptive study, carried out in two nursing home, located in the state of São Paulo, in the year 2017. For data collection, two instruments were used: one to trace the profile of the elderly and the other, the Geriatric Depression Scale (GDS-15), for its psychometric properties and ease of application. Data treatment and analysis were performed using descriptive statistics. Approved by CEP under CAAE 65985917.2.0000.5431. Results: 31 elderly people participated, it was found that: 16 (94%) residents in nursing home A and six (43%) of B had a score equal to or greater than six points, thus characterizing signs of depression, and having male (68%) and divorced (36%) older adults were more likely to be predisposed. Conclusion: it is necessary to develop strategies to deal with signs of depression and improve the quality of life in nursing homes.(AU)


Objetivo: detectar indicativos de depresión en ancianos institucionalizados. Método: estudio cuantitativo, exploratorio y descriptivo, realizado en dos asilos de ancianos, ubicados en el estado de São Paulo, en el año 2017. Para la recolección de datos se utilizaron dos instrumentos: uno para trazar el perfil del anciano y otro, la Escala de Depresión Geriátrica (GDS-15), por sus propiedades psicométricas y facilidad de aplicación. El tratamiento y análisis de los datos se realizó mediante estadística descriptiva. Aprobado por CEP bajo CAAE 65985917.2.0000.5431. Resultados: participaron 31 ancianos, se encontró que: 16 (94%) residentes del asilo A y seis (43%) del B tenían una puntuación igual o superior a seis puntos, caracterizando así signos de depresión, y tener (68%) y los adultos mayores divorciados (36%) tenían más probabilidades de estar predispuestos. Conclusión: es necesario desarrollar estrategias para enfrentar los signos de depresión y mejorar la calidad de vida en los hogares de ancianos.(AU)


Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Mass Screening , Depression/diagnosis , Homes for the Aged , Psychometrics , Quality of Life/psychology , Adaptation, Psychological , Data Collection , Health of Institutionalized Elderly
5.
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
6.
Säo Paulo med. j ; 139(5): 489-495, May 2021. tab
Article in English | LILACS | ID: biblio-1290259

ABSTRACT

ABSTRACT BACKGROUND: 2020 was a challenging year for all healthcare professionals worldwide. In São Paulo, Brazil, the virus SARS-CoV-2 took 47,222 lives up to December 29, 2020. The front line of medical professionals in São Paulo was composed of many residents, who were transferred from their rotations to cover the needs of the pandemic. OBJECTIVE: To identify medical residents' mental health and clinical issues, regarding symptoms of burnout, depression and anxiety during the pandemic, and to compare them among specialties. DESIGN AND SETTING: Quantitative study using a convenience sample of medical resident volunteers who responded to an anonymous online survey that was available during April 2020. METHODS: This investigation collected sociodemographic information and used the Oldenburg Burnout Inventory (OLBI) to measure burnout, the Patient Health Questionnaire (PHQ-9) to measure depression and the General Anxiety Disorder (GAD-7) scale to measure anxiety symptoms. This study also developed a COVID-19 Impact Questionnaire (CIQ-19) to assess the residents' beliefs and clinical practices relating to COVID-19 patients. RESULTS: The sample comprised 1,392 medical residents in São Paulo, Brazil. Clinical specialty physicians showed the highest rates of anxiety symptoms (52.6%) and burnout (51.2%), among the specialties. CONCLUSION: Clinical specialty residents are at higher risk of anxiety, depression and burnout. The symptoms of anxiety and depression have worsened during the COVID-19 pandemic. There is a general need for mental health support interventions for medical resident physicians, which requires reinforcement during this worldwide crisis.


Subject(s)
Humans , COVID-19 , Internship and Residency , Anxiety/epidemiology , Brazil/epidemiology , Mental Health , Cross-Sectional Studies , Surveys and Questionnaires , Depression/diagnosis , Depression/epidemiology , Pandemics , SARS-CoV-2
7.
Article in Chinese | WPRIM | ID: wpr-921830

ABSTRACT

This paper analyzed literatures on the specificity study of electroencephalogram (EEG) in the diagnosis of depression since 2010 to 2020, summarized the recent research directions in this field and prospected the future research hotspots at home and abroad. Based on databases of China National Knowledge Infrastructure (CNKI) and the core collection of Web of Science (WOS), CiteSpace software was used to analyze the relevant literatures in this research field. The number of relevant literatures, countries, authors, research institutions, key words, cited literatures and periodicals related to this research were analyzed, respectively, to explore research hotspots and development trends in this field. A total of 2 155 articles were included in the WOS database. The most published institution was the University of Toronto, the most published country was the United States, China occupied the third place, and the hot keywords were anxiety, disorder, brain and so on. A total of 529 literatures were included and analyzed in CNKI database. The institution with the most publications was the Mental Health Center of West China Hospital of Sichuan University, and the hot keywords were EEG signal, event-related potential, convolutional neural network, schizophrenia, etc


Subject(s)
Databases, Factual , Depression/diagnosis , Electroencephalography , Humans , Publications , Software , United States
9.
Article in Portuguese | LILACS | ID: biblio-1359372

ABSTRACT

RESUMO: Objetivo do estudo: Analisar a autopercepção do sofrimento psíquico em indivíduos com sintomatologia depressiva e sua relação com comportamento suicida em população geral adulta. Metodologia: Pesquisa exploratória, descritiva, qualitativa, com o uso da Análise de Conteúdo temático. Realizadas entrevistas por questionário semiestruturado com 200 participantes acima de 18 anos, domiciliados em Poços de Caldas/MG, entre janeiro de 2017 a outubro de 2018. Resultados: Participantes apresentaram não percepção do quadro depressivo e desejo de morte como saída frente ao sofrimento mental ocasionado pela depressão; justificaram para o desenvolvimento da depressão as perdas afetivas, medo, desespero, ausência de apoio familiar, ruminação de ideias, relações familiares conflituosas, perda da autoestima e solidão. Conclusões: Autopercepção da sintomatologia depressiva esteve relacionada a não ter percepção de depressão ou admissão do transtorno e tristeza pelas lembranças despertadas. Relação entre sintomatologia depressiva e comportamento suicida se fez presente. (AU)


ABSTRACT: Objective of the study: To analyze the self-perception of psychological distress in individuals with depressive symptoms and its relationship with suicidal behavior in the general adult population. Methodology: Exploratory, descriptive, qualitative research, using thematic Content Analysis. Interviews were carried out through a semi-structured questionnaire with 200 participants over 18 years old, domiciled in Poços de Caldas, MG, between January 2017 and October 2018. Results: Participants showed no perception of depression and death wish as a way out of suffering mental illness caused by depression; justified the loss of affection, fear, despair, lack of family support, rumination of ideas, conflicting family relationships, loss of self-esteem, and loneliness for the development of depression. Conclusions: Self-perception of depressive symptoms was related to not having a perception of depression or admission of the disorder, and sadness for the memories aroused. An association between depressive symptoms and suicidal behavior was present. (AU)


Subject(s)
Humans , Male , Female , Perception , Risk Factors , Depression/diagnosis , Family Conflict , Family Relations , Suicidal Ideation , Mental Disorders
10.
Acta Paul. Enferm. (Online) ; 34: eAPE03364, 2021. tab, graf
Article in Portuguese | LILACS, BDENF | ID: biblio-1349838

ABSTRACT

Resumo Objetivo Comparar a prática de atividade física habitual e sintomas de depressão, ansiedade e estresse entre estudantes adolescentes de escolas públicas de tempo integral e parcial. Métodos Estudo transversal, analítico, com amostragem estratificada proporcional por conglomerados, realizado em Goiânia, GO, em 2018. A amostra incluiu 516 estudantes adolescentes, sendo 277 de escola de tempo parcial e 239 de escola de tempo integral. Para avaliar o nível de atividade física, foi aplicado o International Physical Activity Questionnaire. O rastreio de sintomas de depressão, ansiedade e estresse foi avaliado pela Escala de Depressão, Ansiedade e Estresse para Adolescentes. Foi utilizado para avaliar as variáveis categóricas o Teste Qui-Quadrado ou Teste Exato de Fisher. Adotou-se o General Linear Model (GLM) univariado para comparação entre as variáveis contínuas. A correção da homogeneidade foi realizada pelo Teste de Levene. O nível de significância adotado foi de 5%. Resultados A média de idade foi de 15,95 ± 1,15 anos. A prevalência de adolescentes estudantes do tempo parcial que relataram ser independentes e responsáveis parcialmente pelas despesas foi de 13,4%(p<0,005). A prevalência geral de sedentarismo foi de 93,5%. A frequência de alunos de tempo integral que afirmaram que a vida não tinha sentido foi de 13%(p<0,05). Os alunos das escolas de tempo integral apresentaram menor frequência de atividade física moderada a vigorosa quando comparados aos de tempo parcial (4,10 ±3,60 versus 4,80 ±3,70 dias por semana)(p<0,05). Conclusão Os estudantes adolescentes do sistema público de ensino demonstraram alto índice de inatividade física, com maior proporção de inativos nas escolas de período integral. Além disso, esses estudantes vivenciam aspectos negativos de ansiedade, estresse e depressão.


Resumen Objetivo Comparar la práctica de actividad física habitual y síntomas de depresión, ansiedad y estrés entre estudiantes adolescentes de escuelas públicas de jornada completa y simple. Métodos Estudio transversal, analítico, con muestreo estratificado proporcional por grupos, realizado en Goiânia, estado de Goiás, en 2018. La muestra incluyó 516 estudiantes adolescentes, de los cuales 277 asistían a la escuela en jornada simple y 239 en jornada completa. Para evaluar el nivel de actividad física, se aplicó el International Physical Activity Questionnaire. La investigación de síntomas de depresión, ansiedad y estrés fue analizada mediante la Escala de Depresión, Ansiedad y Estrés para Adolescentes. Para evaluar las variables categóricas, se utilizó la prueba χ2 de Pearson o la prueba exacta de Fisher. El General Linear Model (GLM) univariado fue utilizado para la comparación entre las variables continuas. La corrección de la homogeneidad fue realizada mediante la prueba de Levene. El nivel de significación adoptado fue del 5 %. Resultados El promedio de edad fue de 15,95 ±1,15 años. La prevalencia de estudiantes adolescentes en jornada simple que relataron ser independientes y parcialmente responsables por los gastos fue del 13,4 % (p<0,005). La prevalencia general del sedentarismo fue del 93,5 %. La frecuencia de alumnos en jornada completa que afirmaron que la vida no tenía sentido fue del 13 % (p<0,05). Los alumnos de las escuelas de jornada completa presentaron menor frecuencia de actividad física moderada a fuerte en comparación con los de jornada simple (4,10 ±3,60 versus 4,80 ±3,70 días por semana) (p<0,05). Conclusión Los estudiantes adolescentes del sistema público de educación demostraron un alto índice de inactividad física, con una mayor proporción de inactivos en las escuelas de jornada completa. Además, estos estudiantes sufren aspectos negativos de ansiedad, estrés y depresión.


Abstract Objective To compare habitual physical activity and symptoms of depression, anxiety and stress among adolescent students of full-time and part-time public schools. Methods A cross-sectional analytical study with stratified proportional sampling by clusters, conducted in Goiânia, GO, in 2018. The sample included 516 adolescent students, 277 from part-time school and 239 from full-time school. To assess the level of physical activity, the International Physical Activity Questionnaire was applied. Screening for symptoms of depression, anxiety and stress was assessed by the Depression Anxiety Stress Scale. The chi-square test or Fisher's exact test was used to assess the categorical variables. The univariate General Linear Model (GLM) was adopted to compare continuous variables. Homogeneity correction was performed using the Levene test. The level of significance adopted was 5%. Results The mean age was 15.95 ± 1.15 years old. The prevalence of adolescent part-time students who reported being independent and partially responsible for expenses was 13.4% (p <0.005). The general prevalence of physical inactivity was 93.5%. The frequency of full-time students who stated that life was meaningless was 13% (p <0.05). Students in full-time schools had a lower frequency of moderate to vigorous physical activity when compared to part-time students (4.10 ± 3.60 versus 4.80 ± 3.70 days a week (p<0.05). Conclusion Adolescent students in the public school system showed a high rate of physical inactivity, with a higher proportion of inactive in full-time schools. Moreover, these students experience negative aspects of anxiety, stress and depression.


Subject(s)
Humans , Male , Female , Adolescent , Anxiety/diagnosis , Stress, Psychological/diagnosis , Students , Depression/diagnosis , Sedentary Behavior , Cluster Analysis , Cross-Sectional Studies , Education, Primary and Secondary
11.
Acta Paul. Enferm. (Online) ; 34: eAPE01113, 2021. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1278067

ABSTRACT

Resumo Objetivo: Identificar a relação da autoeficácia percebida com a autoestima e a presença de sintomas de ansiedade e depressão de estudantes no início do curso de graduação em Enfermagem. Métodos: Estudo transversal, desenvolvido em duas Instituições de Ensino Superior públicas. A amostra foi constituída por 82 participantes. Utilizaram-se três instrumentos validados para mensuração das variáveis: Escala de Autoestima Rosenberg, Escala de Autoeficácia Geral e Percebida e Escala Hospitalar de Ansiedade e Depressão. Resultados: A maioria dos estudantes apresentou sintomas ansiosos (73,2%) e níveis moderados de autoestima (89,0%) e de percepção de autoeficácia. Os universitários com sintomas de ansiedade e depressão apresentaram escores de autoeficácia percebida inferiores àqueles sem ansiedade e sem depressão (p<0,001). Conclusão: A presença de ansiedade e depressão compromete a percepção de autoeficácia de graduandos de enfermagem. Esses resultados adequam-se como um estímulo para a implementação de programas de ajuda em saúde mental nas universidades, que, em médio e longo prazos, poderão propiciar enfermeiros mais saudáveis, satisfeitos e que proporcionarão a seus clientes uma assistência competente e segura.


Resumen Objetivo: Identificar la relación de la autoeficacia percibida con la autoestima y la presencia de síntomas de ansiedad y depresión de estudiantes al inicio de la carrera de grado de Enfermería. Métodos: Estudio transversal, llevado a cabo en dos instituciones públicas de educación superior. La muestra estuvo compuesta por 82 participantes. Se utilizaron tres instrumentos validados para la medición de las variables: Escala de Autoestima Rosenberg, Escala de Autoeficacia General y Percibida y Escala Hospitalaria de Ansiedad y Depresión. Resultados: La mayoría de los estudiantes presentó síntomas ansiosos (73,2 %) y niveles moderados de autoestima (89,0 %) y de percepción de autoeficacia. Los universitarios con síntomas de ansiedad y depresión presentaron una puntuación de autoeficacia percibida inferior a aquellos sin ansiedad ni depresión (p<0,001). Conclusión: La presencia de ansiedad y depresión compromete la percepción de autoeficacia de estudiantes universitarios de enfermería. Estos resultados se presentan como un estímulo para la implementación de programas de ayuda en salud mental en las universidades que, en el medio y largo plazo, podrán proporcionar enfermeros más saludables, satisfechos y que ofrecerán a sus clientes una atención competente y segura.


Abstract Objective: To identify the relationship between perceived self-efficacy and self-esteem and the presence of anxiety and depression symptoms in students at the beginning of the undergraduate nursing course. Methods: Cross-sectional study developed in two public Higher Education Institutions. The sample consisted of 82 participants. Three validated instruments were used to measure the variables: Rosenberg Self-Esteem Scale, General Self-Efficacy Scale and Hospital Anxiety and Depression Scale. Results: Most students showed anxious symptoms (73.2%) and moderate levels of self-esteem (89.0%) and perceived self-efficacy. College students with anxiety and depression symptoms had lower scores of perceived self-efficacy than those without anxiety and depression (p<0.001). Conclusion: The presence of anxiety and depression compromises undergraduate nursing students' perceived self-efficacy. These results are adequate stimulus for the implementation of mental health care programs at universities, which, in the medium and long term, may provide healthier, more satisfied nurses that will offer competent and safe care to their clients.


Subject(s)
Humans , Male , Female , Adult , Anxiety/diagnosis , Students, Nursing , Mental Health , Self Efficacy , Depression/diagnosis , Self Concept , Cross-Sectional Studies , Correlation of Data
12.
Acta Paul. Enferm. (Online) ; 34: eAPE01173, 2021. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1278066

ABSTRACT

Resumo Objetivo: Identificar associação entre qualidade de vida e manifestações clínicas e sintomas de depressão em indivíduos com Lúpus Eritematoso Sistêmico. Métodos: Estudo quantitativo, realizado com 141 indivíduos com lúpus em acompanhamento no ambulatório de reumatologia de um hospital universitário. Os dados foram coletados mediante entrevistas, utilizando o WHOQOL- bref , a Escala Cognitiva de Depressão e o questionário de caracterização sociodemográfica. Para análise, os dados foram digitados em planilha no Microsoft Excel® e analisados no Statistical Analysis Software, utilizando o Odds Ratio para medida de estimativa do risco e ajustes de modelos de regressão logística binária para cada uma das covariáveis de interesse. A significância estatística foi estabelecida quando p<0,05. Resultados: Dos 141 participantes, 135 (95,7%) era do sexo feminino, 81 (57,9%) tinha mais de 40 anos e 89 (63,1%) tinha diagnóstico de lúpus há mais de cinco anos. A presença de algumas manifestações clínicas relacionadas à exacerbação da doença aumenta as chances de uma percepção insatisfatória da qualidade de vida em todos os domínios do WHOQOL- bref , sendo que o maior número de manifestações associadas à percepção insatisfatória da qualidade de vida foi observado no domínio saúde física, seguida pelo domínio saúde psicológica. A presença de sintomas de depressão também apresentou associação com percepção insatisfatória em todos os domínios do WHOQOL- bref Conclusão: As manifestações clínicas que caracterizam a atividade da doença, bem como a presença de complicações aumentam as chances de uma percepção insatisfatória da qualidade de vida e esta, por sua vez, aumenta as chances de o indivíduo apresentar sintomas depressivos.


Resumen Objetivo: Identificar la relación entre calidad de vida y manifestaciones clínicas y síntomas de depresión en individuos con lupus eritematoso sistémico. Métodos: Estudio cuantitativo, llevado a cabo con 141 individuos con lupus que realizan seguimiento en consultorios externos de reumatología de un hospital universitario. Los datos fueron recopilados mediante entrevistas, utilizando el WHOQOL- bref , la Escala Cognitiva de Depresión y el cuestionario de caracterización sociodemográfica. Para el análisis, los datos fueron digitalizados en planilla de Microsoft Excel® y analizados en Statistical Analysis Software , utilizando el Odds Ratio para la medida estimativa del riesgo y ajustes de modelos de regresión logística binaria para cada una de las covariables de interés. La significación estadística fue establecida cuando p<0,05. Resultados: De los 141 estudiantes, 135 (95,7 %) eran de sexo femenino, 81 (57,9 %) tenían más de 40 años y 89 (63,1 %) tenían diagnóstico de lupus hace más de cinco años La presencia de algunas manifestaciones clínicas relacionadas con la exacerbación de la enfermedad aumenta las chances de una percepción insatisfactoria de la calidad de vida en todos los dominios del WHOQOL- bref , donde el mayor número de manifestaciones relacionadas con la percepción insatisfactoria de la calidad de vida fue observado en el dominio salud física, seguido del dominio salud psicológica. La presencia de síntomas de depresión también presentó relación con la percepción insatisfactoria en todos los dominios del WHOQOL- bref. Conclusión: Las manifestaciones clínicas que caracterizan la actividad de la enfermedad, así como la presencia de complicaciones, aumentan las chances de una percepción insatisfactoria de la calidad de vida, que por su parte aumenta las chances de que el individuo presente síntomas depresivos.


Abstract Objective: To identify an association between quality of life and clinical manifestations and symptoms of depression in individuals with systemic lupus erythematosus. Methods: This is a quantitative study conducted with 141 individuals with lupus under follow-up at the rheumatology outpatient clinic of a university hospital. Data were collected through interviews using the WHOQOL-bref, the Cognitive Depression Scale and a sociodemographic characterization questionnaire. For analysis, data were entered in a spreadsheet in Microsoft Excel®and analyzed in Statistical Analysis Software, using Odds Ratio to measure risk estimation and adjustments of binary logistic regression models for each of the covariates of interest. Statistical significance was set at p < 0.05. Positive and negative predictive values were calculated for the diagnostic variables that presented statistical significance. Results: Of the 141 participants, 135 (95.7%) were female, 81 (57.9%) were over 40 years old and in 89 (63.1%) lupus had been diagnosed for more than five years. The presence of some clinical manifestations related to exacerbation of the disease increases the chances of an unsatisfactory perceived quality of life in all WHOQOL-bref domains, and the highest number of manifestations associated with unsatisfactory perceived quality of life was observed in the physical health domain, followed by the psychological health domain. The presence of symptoms of depression was also associated with unsatisfactory perception in all WHOQOL-bref domains. Conclusion: The clinical manifestations that characterize the activity of the disease, as well as the presence of complications, increase the chances of an unsatisfactory perceived quality of life and this, in turn, increases the chances of individuals presenting depressive symptoms.


Subject(s)
Humans , Male , Female , Adult , Quality of Life , Depression/diagnosis , Lupus Erythematosus, Systemic/diagnosis , Cross-Sectional Studies , Interviews as Topic/methods , Evaluation Studies as Topic
13.
Rev. méd. hondur ; 89(1, supl): 47-52, 2021.
Article in Spanish | LILACS | ID: biblio-1281204

ABSTRACT

La prevalencia de la depresión ha aumentado en las últimas décadas debido al enfoque en la detección de enferme- dades psiquiátricas. El propósito de esta revisión bibliográfica fue definir la depresión y exponer el impacto que causa a nivel global. Se iniciará definiendo la depresión, se enlistará los principales factores predisponentes, se expondrá la posible sintomatología que se encontrará en los diferentes grupos etarios y se continuará con el impacto en la economía mundial. Se revisó diversos artí- culos encontrados en las bases de datos de la Biblioteca Virtual de Salud de Honduras (BVS), PubMed, ResearchGate, JAMA, ElServier, SciELO; concomitantemente se utilizaron actas de con- gresos, reportes técnicos, tesis, normas y estándares donde se define el trastorno depresivo mayor, para el periodo 2000 ­ 2021. Se concluye que la depresión mantiene alta prevalencia global- mente, afectando principalmente a la población en situaciones de subdesarrollo socioeconómico, con sintomatología variable de- pendiendo diferentes factores de riesgo, generando incapacidad laboral e impactando negativamente la economía mundial...(AU)


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Public Health , Depression/diagnosis , Bipolar Disorder , Mental Disorders
14.
Rev. bras. educ. méd ; 45(1): e021, 2021. tab, graf
Article in English | LILACS | ID: biblio-1155920

ABSTRACT

Abstract: Introduction: Common Mental Disorders (CMDs) imply psychological distress, interfering with daily activities, interpersonal relationships and quality of life. It is estimated that CMDs affect 9% to 12% of the world's population and 12% to 15% of the Brazilian population in all age groups. Among different social groups, university students are more vulnerable to the development of anxiety and depression disorders. Objective: Therefore, this study proposed to estimate the prevalence rates and factors associated with symptoms of anxiety and depression in medical students in a capital city of northeast Brazil. Methods: This is a prevalence study, with a probabilistic sample of 1,339 students who regularly attended the 12 semesters of medical school in January 2018. Data were collected by applying a socioeconomic, behavioral and demographic survey and Beck Anxiety and Depression Inventories. The chi-square test was used to check for differences between anxiety and depression symptoms and socioeconomic and behavioral variables. The prevalence rates (total and by level of severity) and the crude and adjusted prevalence ratio (PR) were used as an association measure. Linear trend analysis was used to verify the existence of an association between anxiety and depression symptoms and semesters of the medical school. The variables that showed a crude PR with p <0.20 were incorporated into the multivariate analysis, using the robust Poisson regression model, to determine the adjusted PR. Results: The prevalence of symptoms of anxiety was 30.8%, whereas depression was 36.0%. The crude and adjusted PR for anxiety symptoms showed a statistically significant association with gender, age and sexual orientation. The crude and adjusted PR for symptoms of depression showed a statistically significant association with gender, ethnicity/skin color and sexual orientation. The correlation analyses between the semesters of the course and the presence of anxiety and depression symptoms indicated a weak coefficient of determination, with a descending characteristic and without statistical significance. Conclusions: As this is a prevalence study, this investigation does not allow conclusions on causality. Additional follow-up studies are needed to elucidate the course of anxiety and depression throughout the school semesters.


Resumo: Introdução: Os transtornos mentais comuns (TMC) implicam sofrimento psíquico e interferem nas atividades diárias, nos relacionamentos interpessoais e na qualidade de vida. Estima-se que os TMC atinjam de 9% a 12% da população mundial e de 12% a 15% da brasileira em todas as faixas etárias. Dentre os diferentes grupos sociais, os estudantes universitários possuem maior vulnerabilidade para desenvolver transtornos de ansiedade e depressão. Objetivo: Diante disso, este estudo se propôs a estimar a prevalência e os fatores associados a sintomas de ansiedade e depressão em estudantes de Medicina de uma capital do Nordeste brasileiro. Métodos: Trata-se de um estudo de prevalência, com uma amostra probabilística dos 1.339 alunos que frequentavam regularmente os 12 semestres do curso de Medicina em janeiro de 2018. Os dados foram coletados por meio da aplicação de questionário socioeconômico, comportamental e demográfico e dos Inventários de Ansiedade e de Depressão de Beck. Utilizou-se o teste de qui-quadrado para verificação de diferenças entre sintomas de ansiedade e depressão e variáveis socioeconômicas e comportamentais e as prevalências (total e por nível de gravidade) e a razão de prevalência (RP) bruta e ajustada como medida de associação. A análise de tendência linear foi empregada para verificar a existência de relação entre sintomas de ansiedade e depressão e semestres do curso. As variáveis que apresentaram RP bruta com p < 0,20 foram incorporadas na análise multivaridada, no modelo de regressão de Poisson robusto, para determinação da RP ajustada. Resultados: Quanto à prevalência de sintomas, constatou-se o seguinte: 30,8% para ansiedade e 36,0% para depressão. A RP bruta e ajustada para sintomas de ansiedade teve associação estatisticamente significante para sexo, idade e orientação sexual. A RP bruta e ajustada para sintomas de depressão teve associação estatisticamente significante para sexo, raça/cor da pele e orientação sexual. As análises de correlação entre os semestres do curso e a presença de sintomas de ansiedade e depressão indicaram fraco coeficiente de determinação, caráter descendente e sem significância estatística. Conclusões: Por se tratar de um estudo de prevalência, esta investigação não possibilita conclusões sobre causalidade. Estudos de acompanhamento adicionais são necessários para elucidar o curso da ansiedade e depressão ao longo dos semestres letivos.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Anxiety/epidemiology , Students, Medical/psychology , Depression/epidemiology , Anxiety/diagnosis , Brazil/epidemiology , Prevalence , Depression/diagnosis
15.
Article in English | LILACS, BBO | ID: biblio-1155009

ABSTRACT

ABSTRACT Objective: To describe the sociodemographic profile of elderly people with temporomandibular disorder and depression in Parkinson's disease cases. Material and Methods: It is a cross-sectional cohort cut study, which used secondary data from 124 elderly people with Parkinson's disease (PD). To diagnose temporomandibular disorder (TMD), the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire was used, and the variables studied were: age, sex, race, education, marital status, family income, stage of the disease, and depression. The statistical analysis performed was descriptive and used absolute numbers and a frequency count. Results: After the application of the eligibility criteria, the patient records of 81 elderly people with Parkinson's disease were selected; 15 presented associated TMD and depression. The average age was 69 years old; 66.67% were male; 46.67% had more than 9 years of schooling; 60% were married or had a partner; 53.33% received between 1 and 2 minimum wages; 33.33% stated they were brown; 80% were in the moderate stage of the disease; 46.66% were in group II according to the RDC/TMD, presenting disk displacement; and 53.33% presented severe depression. Conclusion: It was verified that the elderly people with Parkinson's and associated TMD and depression were male, married or with a partner, on a low income, with nine or more years of schooling, and were in the moderate stage of the disease.


Subject(s)
Parkinson Disease/physiopathology , Behavioral Symptoms , Temporomandibular Joint Disorders/pathology , Depression/diagnosis , Brazil/epidemiology , Aged , Cross-Sectional Studies/methods , Surveys and Questionnaires , Cohort Studies , Data Interpretation, Statistical
16.
Rev. medica electron ; 42(6): 2530-2539, nov.-dic. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1150035

ABSTRACT

RESUMEN Introducción: aquellos países con alto grado de envejecimiento poblacional muestran asociaciones importantes con diferentes enfermedades, por ejemplo, la neumonía adquirida en la comunidad y la depresión en los ancianos. Objetivos: relacionar la depresión con la mortalidad y evaluar efectos de los antidepresivos, en los pacientes con neumonía adquirida en la comunidad, ingresados en la Unidad de Cuidados Intensivos del Hospital Militar Central "Dr. Carlos J. Finlay". Materiales y métodos: se realizó un estudio analítico, longitudinal prospectivo, con todos los pacientes con neumonía adquirida en la comunidad, ingresados en la Unidad de Cuidados Intensivos Emergentes, del Hospital Militar "Dr. Carlos J. Finlay". Periodo correspondiente a enero del 2018 hasta abril del 2019 que cumplieron con los criterios de inclusión. El universo lo constituyó 160 pacientes. Resultados: existieron 55 pacientes con síntomas de depresión previos al ingreso, (34 %). El 78 % de fallecidos presentaron depresión al ingreso. La edad media de los no deprimidos fue de 74, la más alta de los deprimidos fue de 80,80. No presentaron signos de depresión 93 pacientes vivos y 43 que la presentaron y fallecieron con una gran significación estadística p 0,000. RR 6,8. Se observó una marcada relación entre la mortalidad y el no recibir tratamiento para la depresión, (37) p 0,000. Conclusiones: la neumonía y la depresión son enfermedades que tienen una relación íntima. Esta asociación cuenta con una elevada mortalidad, así como el impacto del tratamiento antidepresivo en la evolución del paciente es definitorio en el ámbito de los cuidados intensivos (AU).


ABSTRACT Introduction: those countries with a high level of population ageing show important associations to different diseases, for example, community acquired pneumonia and depression in elder people. Objectives: to establish the relationship of depression with mortality and to evaluate the effect of antidepressants in patients with community-acquired pneumonia admitted in the Intensive Care Unit of the Central Military Hospital "Dr. Carlos J. Finlay". Materials and methods: a prospective, longitudinal, analytic study was carried out with all patients with community-acquired pneumonia, admitted in the Intensive Care Unit of the Central Military Hospital "Dr. Carlos J. Finlay" in the period from January 2018 until April 2019, who fulfilled the inclusion criteria. The universe were 160 patients. Results: there were 55 patients with depression symptoms before the admission. 78 % of the deceased showed depression at the admittance. The medium age of the non-depressed ones was 74 years; the highest age of the depressed ones was 80.80 years. 93 living patients did not present depression signs, and 43 presented them and died with a great statistical significance p: 0.000 RR: 6.8. A remarked relation was observed between mortality and not receiving treatment for depression (37) p 0,000. Conclusions: pneumonia and depression are diseases having a tight relationship. This association yields a high mortality, and the impact of the anti-depression treatment on the patient's evolution is defining in the intensive care settings (AU).


Subject(s)
Humans , Male , Female , Aged , Frail Elderly , Depression/diagnosis , Pneumonia/diagnosis , Pneumonia/mortality , Pneumonia/psychology , Critical Care/methods , Health Services for the Aged/trends , Immunity/physiology
17.
J. coloproctol. (Rio J., Impr.) ; 40(4): 339-344, Oct.-Dec. 2020. tab
Article in English | LILACS | ID: biblio-1143168

ABSTRACT

ABSTRACT Rationale: Inflammatory bowel diseases − Crohn's Disease (CD) and Ulcerative Colitis (UC) − are chronic disorders associated, for several reasons, with psychological symptoms and stigmatization of patients. Aim: To compare individuals with and without inflammatory bowel diseases in relation to the prevalence of anxiety and depression. Method: The psychological aspect was analyzed using two globally validated questionnaires − the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder questionnaire (GAD-7) − in addition to a sociodemographic questionnaire. Data collection was carried out in three groups, each one consisting of 100 individuals; the first comprising outpatients with a diagnosis of inflammatory bowel diseases, the second comprising outpatients without a diagnosis of inflammatory bowel diseases and the third by non-outpatients without a diagnosis of inflammatory bowel diseases. Results: The groups were similar regarding gender, ethnicity, marital status and tobacco use. As for social class, the IBD group showed a predominance of class E (46%), the outpatient group a predominance of class D (44%) and the non-outpatient group, class C (44%) (p < 0.001). The non-outpatient group also had a higher number of young individuals (mean = 36.69 years) (p < 0.001). There was a higher number of individuals with depression and anxiety in the IBD and outpatient control groups when compared to the non-outpatients' group (p < 0.001), but with no difference between the two first groups. There was a higher number of individuals with severe degree anxiety in the IBD group (36%) compared to the non-outpatients' group (8%) (p < 0.001). Conclusion: Greater severity and a prevalence of anxiety and depression were observed in the group with inflammatory bowel diseases.


RESUMO Racional: Doenças inflamatórias intestinais − Doença de Crohn (DC) e Retocolite Ulcerativa (RCU) − são desordens crônicas associadas, por diversos fatores, a sintomas psicológicos e estigmatização dos portadores. Objetivo: Comparar indivíduos portadores e não portadores de doenças inflamatórias intestinais em relação à prevalência de ansiedade e depressão. Método: O aspecto psicológico foi analisado através de dois questionários mundialmente validados − o Questionário sobre Saúde do Paciente (PHQ-9) e o questionário de Transtorno Geral de Ansiedade (GAD-7) - além de um questionário sociodemográfico. A coleta foi realizada em três grupos, cada um composto por 100 indivíduos, sendo o primeiro composto por pacientes ambulatoriais com diagnóstico de doenças inflamatórias intestinais, o segundo por pacientes ambulatoriais sem diagnóstico de doenças inflamatórias intestinais e o terceiro por indivíduos não ambulatoriais sem diagnóstico de doenças inflamatórias intestinais. Resultados: Os grupos foram semelhantes quanto a gênero, etnia, estado civil e uso de tabaco. Quanto à classe social, o grupo doenças inflamatórias intestinais apresentou predominância de classe E (46%), o grupo Controle Ambulatorial predominância de classe D (44%) e o grupo Controle Parque de classe C (44%) (p < 0,001). O grupo controle parque teve também maior número de indivíduos jovens (média = 36,69 anos) (p < 0,001). Observou-se maior número de indivíduos com depressão e ansiedade nos grupos doenças inflamatórias intestinais e Controle ambulatorial em comparação ao grupo Controle parque (p < 0,001), mas sem diferença entre os primeiros. Houve maior número de indivíduos com ansiedade grau severo no grupo DII (36%) em comparação ao grupo Controle parque (8%) (p < 0,001). Conclusão: No grupo portador de doenças inflamatórias intestinais foi observada maior severidade e prevalência de ansiedade e depressão.


Subject(s)
Humans , Male , Female , Anxiety Disorders/diagnosis , Depression/diagnosis , Proctocolitis/psychology , Crohn Disease/psychology
18.
Säo Paulo med. j ; 138(4): 282-286, July-Aug. 2020. tab
Article in English | SES-SP, LILACS, SES-SP | ID: biblio-1139706

ABSTRACT

ABSTRACT BACKGROUND: Very few data are available for evaluating health-related quality of life among people with irritable bowel syndrome (IBS) and even fewer data are available in relation to anxiety and depression status among these patients. OBJECTIVES: To evaluate the quality of life, anxiety and depression status of patients with IBS. DESIGN AND SETTING: Observational cohort study conducted in a tertiary-care university hospital. METHODS: Patients who had recently been diagnosed with IBS and who had been followed up for IBS-specific treatment for at least three months were included. A quality of life (QoL) survey, the Beck Anxiety Index (BAI) and the Hamilton Depression Index (HAM-D) were applied to the patients. RESULTS: In total, 274 patients with IBS were included in the study cohort. These patients presented very high baseline scores for anxiety and depression, and very poor QoL results. CONCLUSION: Our study showed that IBS had a very high impact on these patients, regarding their anxiety and depression levels, alongside very poor results relating to quality of life.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , Young Adult , Anxiety/epidemiology , Quality of Life/psychology , Irritable Bowel Syndrome/psychology , Depression/epidemiology , Anxiety/diagnosis , Psychiatric Status Rating Scales , Psychometrics , Surveys and Questionnaires , Cohort Studies , Irritable Bowel Syndrome/diagnosis , Depression/diagnosis
19.
Rev. medica electron ; 42(3): 1781-1791, mayo.-jun. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1127040

ABSTRACT

RESUMEN Introducción: la soledad social se define como la experiencia subjetiva de insatisfacción frente a la sociedad en la que se vive; en términos de estilos de vida, de valores y de uso de nuevas tecnologías, entre otros aspectos. Objetivo: caracterizar la soledad social en los adultos mayores hospitalizados. Materiales y método: se realizó un estudio observacional, descriptivo, transversal en pacientes que ingresaron en el servicio de Geriatría del Hospital Clínico Quirúrgico "Comandante Faustino Pérez", provincia Matanzas, desde octubre 2015 - 2016. El universo estuvo constituido por 212 pacientes que vivían en compañía y no padecían de demencia, confusión mental ni enfermedades graves. Para la recogida de la información se aplicó al universo de estudio la Escala ESTE II de soledad social, validada a nivel nacional e internacional para identificar el nivel de soledad social. Se utilizaron métodos de estadística descriptiva. Los resultados se presentaron en tablas. Resultados: alto nivel de soledad social en los ancianos estudiados, en el grupo atareo de 60-70 años, sin pareja, de bajo nivel de escolaridad y con enfermedades crónicas. Insuficiente percepción de apoyo y participación social, así como un limitado uso de las nuevas tecnologías. Conclusiones: predominó alto nivel de sentimiento de soledad en los ancianos, asociado a insuficiente percepción de apoyo y participación social, más un bajo acceso a las nuevas tecnologías (AU).


ABSTRACT Introduction: social loneliness is defined as the subjective experience of dissatisfaction toward society in which one lives, in terms of lifestyles, values ​​and use of new technologies among others. Objective: to characterize social loneliness in hospitalized elder adults. Material and Method: a cross-sectional, observational, descriptive, study was conducted in patients admitted to the Geriatrics Service of the Clinical Surgical Hospital "Comandante Faustino Pérez", province of Matanzas, in the period October 2015 - 2016. The universe was formed by 212 patients who lived accompanied and did not suffer from dementia, mental confusion nor serious illnesses. For collecting the information of the studied universe, the authors used the ESTE II Scale of social loneliness validated at national and international level to identify the level of social loneliness. Descriptive statistical methods were used and the results were shown in tables. Results: high level of social loneliness in studied elder people of the 60-70 years-old group, without a partner, with a low level of scholarship and with chronic diseases. They had an insufficient perception of support and social participation, as well as made a limited use of the new technologies. Conclusions: a high level of the loneliness feeling predominated in elder people, associated to an insufficient perception of support and social participation, plus a low access to the new technologies (AU).


Subject(s)
Humans , Aged , Personal Satisfaction , Mental Health , Risk Factors , Health of Institutionalized Elderly , Geriatrics , Hospitals , Loneliness , Quality of Life , Self Concept , Epidemiology, Descriptive , Cross-Sectional Studies , Depression/diagnosis , Depression/etiology , Social Participation , Observational Study , Drug Misuse , Immune System/physiopathology , Life Style
20.
Rev. chil. pediatr ; 91(2): 190-198, abr. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1098891

ABSTRACT

Resumen: Introducción: Un mal control metabólico en pacientes con Diabetes Mellitus tipo 1 (DM1) se asocia a complica ciones a corto y largo plazo. Los adolescentes con Diabetes tipo 1 presentan peor control metabólico comparado con pacientes de otros grupos etarios. Escasos estudios han demostrado una asociación entre síntomas depresivos de las madres con el control metabólico de sus hijos adolescente. Objetivo: Evaluar la asociación entre síntomas depresivos maternos y control metabólico de adolescentes con DM1. Sujetos y Método: Estudio observacional transversal realizado en adolescentes, edades 10 a 18 años, con diagnóstico de DM1 de más de un año de evolución y sus madres. Se aplicó test de Beck II, cuestionario de depresión infantil, cuestionario SALUFAM y cuestionario de datos sociodemográficos. Se realizó hemoglobina glicosilada capilar, como marcador de control metabólico. Resultados: Se estudiaron 86 parejas (madre-hijo adolescente), adolescentes de edad media 14.04 años y 5.95 años de evolución de DM1. El 25.6% (n 22) de las madres presentó síntomas depresivos, asociándose a peor control metabólico en sus hijos (HbA1c: 7.66% y 8.91%, p < 0.001). El 17.9% de adolescentes presentó síntomas depresivos, no asociándose a síntomas depresivos maternos ni a peor control metabólico. Los síntomas depresivos maternos se asociaron a menor nivel educacional materno y pater no, mayor número de hijos en la familia, presencia de otros hermanos con enfermedades crónicas y a mayor vulnerabilidad en salud (SALUFAM). Conclusiones: La presencia de síntomas depresivos maternos se asocia a peor control metabólico en el adolescente con DM1, siendo fundamental un enfoque multidisciplinario familiar para obtener mejores resultados metabólicos en los adolescentes.


Abstract: Introduction: Poor metabolic control in patients with Type 1 Diabetes Mellitus (T1DM) is associated with short- and long-term complications. Adolescents with T1DM present poorer metabolic control than patients of other age groups. Few studies have shown an association between mothers with depressive symptoms and the metabolic control of their adolescent children. Objective: To evaluate the associa tion between maternal depressive symptoms and metabolic control of their adolescents with T1DM. Subjects and Method: Cross-sectional observational study carried out with adolescents aged between 10 and 18 years, with T1DM diagnosis of at least 1 year ago and their mothers. The Beck Depression Inventory-II and the SALUFAM questionnaire were applied, and sociodemographic data were co llected. Glycosylated hemoglobin from capillary blood was used as a marker of metabolic control. Results: 86 couples (mother-adolescent children) were studied. The average age of the adolescents was 14.04 years and the average evolution time of T1DM was 5.95 years. 27.325.6% of mothers had depressive symptoms, which was associated with worse metabolic control of their children (HbA1c of 7.66% and 8.91%, p-value <0.001). 17.9% of adolescents had depressive symptoms, which was not associated with maternal depressive symptoms or worse metabolic control. Maternal depressive symptoms were also associated with lower maternal and paternal educational levels, high number of children in the family, presence of other siblings with chronic illnesses, and high health vulnera bility (SALUFAM). Conclusions: The mother's depressive symptoms can be associated with worst metabolic control in T1MD adolescents. It is fundamental a multidisciplinary family approach to get better metabolic controls in T1DM adolescents.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Glycated Hemoglobin A/metabolism , Depression/psychology , Diabetes Mellitus, Type 1/psychology , Diabetes Mellitus, Type 1/blood , Mother-Child Relations/psychology , Mothers/psychology , Psychiatric Status Rating Scales , Biomarkers/blood , Cross-Sectional Studies , Depression/diagnosis , Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 1/diagnosis
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