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1.
Psicol. ciênc. prof ; 43: e248738, 2023. tab, graf
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1431135

ABSTRACT

A recuperação de vítimas de queimaduras é longa e dolorosa e afeta diversas esferas da vida do paciente. A resiliência, que se refere à capacidade humana de enfrentar e se adaptar a eventos adversos, exerce grande importância no processo de recuperação da queimadura. Logo, este trabalho objetiva avaliar a capacidade de resiliência de pacientes queimados, no momento da admissão e da alta hospitalar, em um hospital de emergência e urgência de Goiânia. Trata-se de um estudo descritivo, quantitativo e transversal que utiliza a Escala de Resiliência de Connor-Davidson (CD-RISC) como instrumento de mensuração. Na admissão hospitalar, a média da resiliência foi de 71,35, tendo sido observada uma relação significativa entre o fator Amparo da escala CD-RISC e a presença do(a) companheiro(a). O escore de resiliência encontrado nesta pesquisa é consistente com outros achados da literatura científica internacional e nacional referente à expressão da resiliência em vítimas de queimaduras e outros adoecimentos. A relação entre o fator Amparo e a presença de um(a) companheiro(a) enfatiza a importância da rede de apoio familiar na reabilitação do paciente queimado.(AU)


The recovery of burned patients is long and painful and impacts on different areas of people's lives. Resilience, which refers to the human capacity to face and adapt to adverse events, plays a major role in the process of recovery from burns. Therefore, the present study aims to assess the resilience of burned patients, on admission and hospital discharge, in an emergency and urgency hospital in Goiânia. This is a descriptive, quantitative and cross-sectional study that uses the Connor-Davidson Resilience Scale (CD RISC) as a measuring instrument. At hospital admission, the mean resilience was 71.35, with a significant association between the Support factor on the CD RISC scale and the presence of a partner. The resilience score found in the present study is consistent with other findings in the international and national scientific literature regarding the expression of resilience in victims of burns and other illnesses. The relationship between the Support factor and the presence of a partner emphasizes the importance of the family support network in the rehabilitation of the burned patient.(AU)


La recuperación de los pacientes quemados es larga y dolorosa e impacta en diferentes esferas de la vida de las personas. La resiliencia, que se refiere a la capacidad humana para enfrentar y adaptarse a eventos adversos, juega un papel importante en el proceso de recuperación de las quemaduras. Por tanto, el presente estudio tiene como objetivo evaluar la resiliencia de los pacientes quemados, en el momento del ingreso y el alta, en un hospital de emergencia y urgencia en Goiânia. Se trata de un estudio descriptivo, cuantitativo y transversal que utiliza la Escala de Resiliencia Connor-Davidson (CD RISC) como instrumento de medida. Al ingreso hospitalario, la resiliencia media fue de 71,35, con associación significativa entre el factor Amparo de la escala CD RISC y la presencia de pareja. El puntaje de resiliencia encontrado en el presente estudio es consistente con otros hallazgos en la literatura científica nacional e internacional sobre la expresión de resiliencia en víctimas de quemaduras y otras enfermedades. La relación entre el factor Amparo y la presencia de pareja enfatiza la importancia de la red de apoyo familiar en la rehabilitación del paciente quemado.(AU)


Subject(s)
Humans , Female , Adolescent , Adult , Young Adult , Social Support , Burns , Resilience, Psychological , Anxiety Disorders , Pain , Preceptorship , Prejudice , Psychological Phenomena , Psychology , Recovery Room , Rehabilitation Centers , Safety , Self Concept , Skin , Social Perception , Stress Disorders, Post-Traumatic , Suicide , General Surgery , Surgery, Plastic , Tissues , Baths , Wounds and Injuries , Behavior , Behavior and Behavior Mechanisms , Technical Cooperation , Unified Health System , Body Image , Traumatology , Burn Units , Burns, Chemical , Burns, Electric , Accidents, Home , Accidents, Occupational , Accidents, Traffic , Explosive Wastes , Inflammable Wastes , Mental Health , Morbidity , Cicatrix , Nursing , Panic Disorder , Employment, Supported , Statistics, Nonparametric , Human Body , Intuition , Wit and Humor , Hydrogels , Counseling , Critical Care , Disaster Vulnerability , Personal Autonomy , Death , Stress Disorders, Traumatic, Acute , Depression , Discrimination, Psychological , Education , Empathy , Humanization of Assistance , User Embracement , Ethics , Breakthrough Pain , Activation, Metabolic , Physical Appearance, Body , Trauma and Stressor Related Disorders , Psychological Trauma , Accidental Injuries , Psychological Distress , Social Comparison , Functional Status , Self-Compassion , Accident Prevention , Health Services Accessibility , Helping Behavior , Homicide , Amputation, Traumatic , Hospitalization , Individuality , Intensive Care Units , Interpersonal Relations , Life Change Events , Mental Disorders , Negativism , Nursing Assistants , Nursing Care
2.
Psicol. ciênc. prof ; 43: e252791, 2023. graf
Article in English | LILACS, INDEXPSI | ID: biblio-1440789

ABSTRACT

This study examined the content published by the newspaper Folha de São Paulo regarding domestic violence before and after Law 11340/06, commonly known as Maria da Penha Law, came into force. A retrospective and comparative documentary research analyzed 3408 news reports published between 1994 and 2018. Divided into two corpora, '12 years before' and '12 years after' the Law, the material was analyzed using the IRaMuTeQ software and Descending Hierarchical Classification. The first corpus included news reports on cases involving celebrities and little about ordinary people. It also covered the feminist struggle to reduce domestic violence, focusing on specialized police stations and shelters. The second corpus included reports on the achievements generated by the Law and its challenges, pointing out the need to regard the law as more than a punitive instrument, addressing its preventive and care spheres. Problematizing how the media discloses such law is paramount, since the content divulged affects the construction of social representations.(AU)


Este artículo tuvo por objetivo identificar el contenido de la violencia doméstica transmitido en el periódico Folha de S. Paulo antes y después de la Ley 11.340/2006 (Ley Maria da Penha). La investigación fue de carácter documental retrospectivo y comparativa, realizada a partir de 3.408 noticias difundidas entre 1994 y 2018. El material se dividió en dos corpus: 12 años antes y 12 años después de la Ley, y se analizó con el software IRaMuTeQ. En el primer corpus, los medios informaron casos de celebridades y poco sobre la gente común. También abordaron la lucha feminista para reducir la violencia doméstica. Como no existe una legislación específica, la atención se centró en estaciones de policía especializadas y refugios. En el segundo corpus, se observaron los logros generados por la Ley y sus desafíos. Se identificó la necesidad de mirar la Ley desde un punto de vista no solo punitivo, sino también abordando las esferas preventivas y de asistencia. Se enfatiza la importancia de problematizar la difusión de la Ley en los medios, ya que los contenidos generalizados afectan la construcción de las representaciones sociales.(AU)


Este artigo pretende identificar o conteúdo sobre violência doméstica difundido no jornal Folha de S. Paulo antes e depois da Lei 11340/06 (Maria da Penha). A pesquisa foi documental, retrospectiva e comparativa; com 3408 reportagens entre 1994 e 2018. O material foi dividido em dois corpora: 12 anos antes e 12 anos depois da lei, e analisado com software IRaMuTeQ. No primeiro corpus, a mídia divulgava casos de celebridades e pouco acerca de pessoas do cotidiano. Também trouxe a luta feminista para diminuir a violência doméstica. Em virtude da então inexistência de uma legislação específica, os destaques eram as delegacias especializadas e as casas abrigo. No segundo corpus, observou-se as conquistas geradas pela lei e seus desafios. Identificou-se a necessidade de olhar para a lei por um viés não apenas punitivista, abordando as esferas preventivas e assistenciais. Destaca-se a importância de problematizar a difusão da lei na mídia, visto que os conteúdos perpassados afetam a construção de representações sociais.(AU)


Subject(s)
Humans , Female , Women , Domestic Violence , Social Representation , Mass Media , Periodicals as Topic , Population , Prisons , Psychology, Social , Public Opinion , Punishment , Quality of Life , Radio , Sex Offenses , Shame , Social Conditions , Social Environment , Social Problems , Socioeconomic Factors , Spouse Abuse , Television , Torture , Unemployment , Women's Rights , National Health Strategies , Attitude , Divorce , Family , Marriage , Family Characteristics , News , Civil Rights , Sexual Harassment , Communication , Colonialism , Feminism , Crime Victims , Periodical , Crime , Single-Parent Family , Culture , Dangerous Behavior , Death , Stress Disorders, Traumatic, Acute , Aggression , Human Rights Abuses , Dependency, Psychological , Dominance-Subordination , Disease Prevention , Family Relations , Stalking , Fear , Femininity , Sexism , Social Capital , Trauma and Stressor Related Disorders , Psychological Trauma , Defamation , Intimate Partner Violence , Physical Abuse , Gender-Based Violence , Political Activism , Social Oppression , Sexual Vulnerability , Androcentrism , Freedom , Data Analysis , Social Vulnerability Index , Solidarity , Psychological Distress , Sexual Trauma , Gender Equity , Social Structure , Home Environment , Citizenship , Family Structure , Psychological Well-Being , Homicide , Malpractice , Motion Pictures
3.
Rev. Ciênc. Méd. Biol. (Impr.) ; 21(3): 637-643, 20221229. fig
Article in Portuguese | LILACS | ID: biblio-1416764

ABSTRACT

Introdução: o aparecimento de casos de COVID-19 acarretou o surgimento de estresse agudo na população em geral, em especial nos profissionais da saúde e, dentre eles, nos de saúde mental, que passaram a ter alta demanda para atendimento a pessoas acometidas de transtornos relacionados a trauma e a estressores, em decorrência de isolamento social, internação hospitalar, óbitos, piora da situação financeira com a perda de emprego, dentre outros. Objetivo: este trabalho, realizado com o Protocolo para Estabilização da Síndrome do Estresse Agudo remoto, em formato grupal, tem por Objetivo fornecer os primeiros cuidados psicológicos, visando a reduzir as perturbações e melhorar o funcionamento adaptativo, evitando a evolução para quadros psicológicos mais disfuncionais, como o transtorno de estresse pós-traumático (TEPT). Metodologia: foram selecionados 23 participantes (psicólogos) e todos responderam às escalas de avaliação psicométrica (HADS e PCL-5) antes e depois de duas (2) sessões de terapia on-line (videoconferência), com aplicação do referido Protocolo. Resultados: o modelo de regressão mostra redução média no escore de ansiedade de -2,3 (ep 0,9), com p-valor = 0,0010 (significante); no escore de depressão, média de 1,13 (p=0,125); e no escore de TEPT, redução média de ­9,5 (3,3), com p-valor=0,006. Discussão: os Resultados estatísticos revelaram aproximação com os Resultados da pesquisa realizada por Becker et al. Assim como esses autores, nenhum efeito adverso foi relatado pelos participantes durante a intervenção, confirmando a eficácia, a viabilidade e a segurança do Assyst-RG. Conclusão: os Resultados evidenciam que o Assyst-RG foi eficaz na diminuição da ansiedade, da depressão e do TEPT.


Introduction: the emergence of cases of COVID-19 led to the emergence of acute stress in the general population, especially in health professionals and, among them, in mental health, who began to have a high demand for care for people suffering from disorders. related to trauma and stressors as a result of: social isolation, hospitalization, deaths, worsening of the financial situation with loss of job, among others. Objective: this work with the Protocol for the Stabilization of Acute Remote Stress Syndrome in Group Format aims to provide the first psychological care to reduce disturbances and improve adaptive functioning, avoiding the evolution to more dysfunctional psychological conditions such as Post Stress Disorder -Traumatic (PTSD). Methodology: twenty-three (23) participants (psychologists) were selected and all responded to psychometric assessment scales (HADS and PCL-5) before and after 2 (two) online therapy sessions (videoconference) with application of the protocol. Results: the regression model shows a mean reduction in the anxiety score of -2.3 (ep 0.9), with p-value = 0.0010; significant; in the depression score, mean of 1.13 (p=0.125); and in the PTSD score, a mean reduction of ­9.5 (3.3), with p-value=0.006. Discussion: the statistical Results revealed an approximation with the Results of the research carried out by Becker et al (2021). According to these authors, no adverse effects were reported by the participants during the intervention, confirming the efficacy, feasibility and safety of ASSYST-RG. Conclusion: the Results show that ASSYST-RG was effective in reducing anxiety, depression and PTSD.


Subject(s)
Humans , Male , Female , Anxiety , Mental Health , Health Personnel , Stress Disorders, Traumatic, Acute , Depression , COVID-19 , Psychometrics
4.
South African Family Practice ; 64(3): 1-9, 19 May 2022.
Article in English | AIM | ID: biblio-1380568

ABSTRACT

Background: The global pandemic associated with coronavirus disease 2019 (COVID-19) had a considerable effect on higher education in South Africa, with online instruction replacing traditional lectures for many students. Medical students were required to vacate their residences in March 2020 but returned to campus in July 2020 to enable them to continue with clinical teaching and learning. The aim of this study was to understand the learning experiences of 5th year medical students at the University of KwaZulu-Natal (UKZN) during 2020. Methods: This was a qualitative study conducted via Zoom in December 2020 with 18 students in four focus group discussions and four semi-structured interviews. These were all facilitated by an independent researcher with experience in qualitative research. All the interviews were recorded, transcribed verbatim and analysed qualitatively through the identification of codes, categories and themes. Results: The following major themes emerged: A stressful and at times an overwhelming year, mental health issues, developing strategies to cope, and issues that related to teaching and learning. Conclusion: The disruptions caused by COVID-19, the lockdown, a condensed academic programme and uncertainty about their competency resulted in high levels of anxiety and stress among medical students. Participants highlighted strategies that had helped them to cope with the isolation and academic pressures. Given the large volume of work, careful thought needs to be given to what should be taught and how it should be taught to ensure that graduates have the competencies they need to practise.


Subject(s)
Anxiety , Stress Disorders, Traumatic, Acute , Resilience, Psychological , COVID-19 , Evaluation Studies as Topic , Learning
5.
Yenagoa Medical Journal ; 4(3): 40-42, 2022.
Article in English | AIM | ID: biblio-1392000

ABSTRACT

War and displacement can have long-term and disastrous repercussions on people's mental, emotional, and physical health. Bombardments, invasions, occupation desertion, and being forced to flee diminish people's sense of security. The risk of being hurt or maimed as a result of conflict causes acute dread, which sets in motion other cascades of mental illnesses such as depression, anxiety, and post-traumatic stress disorder. These mental and emotional impacts are exacerbated by a co-existing pandemic, as migration and populations forced into cramped, dangerous situations are likely to contribute significantly to disease spread, particularly given the current surge of the highly transmissible omicron variant of COVID-19. This threat to life and livelihood eventually leaves some survivors with mental health disorders.


Subject(s)
Mental Health , Stress Disorders, Traumatic, Acute , Occupied Territories , COVID-19 , Population , Armed Conflicts , Depression
6.
Int. j. med. surg. sci. (Print) ; 8(1): 1-12, mar. 2021. tab
Article in Spanish | LILACS | ID: biblio-1151581

ABSTRACT

El personal de salud pública que se enfrenta a la COVID-19, está expuesto a múltiples riesgos entre ellos los trastornos psicológicos. El objetivo de este estudio fue determinar la presencia de síntomas asociados a ansiedad y depresión en personal de salud que trabaja con enfermos de la COVID-19. Se realizó un estudio descriptivo de corte transversal en el que participaron 61 profesionales y técnicos de atención sanitaria, que trabajaban directamente con pacientes con COVID-19, a los cuales se les consultó acerca de la presencia de síntomas asociados a la depresión y ansiedad, sus principales preocupaciones y el tiempo de trabajo continuo para evitar la aparición de síntomas psicológicos. El 64,1% de los participantes relató nerviosismo y 59,2% cansancio, para el 90,16% la principal preocupación fue el fallecimiento del paciente y el 60,66% de los participantes indicó que el período ideal, de atención continua de pacientes COVID-19, para evitar la aparición de síntomas psicológicos era de 7 días. Nuestros resultados sugieren que es necesario elaborar estrategias de trabajo para disminuir la aparición de síntomas asociados al deterioro de la salud mental de los profesionales de la salud que atienden pacientes COVID-19


Public health personnel facing COVID-19 are exposed to multiple risks including psychological disorders. The goal of this study was to determine the presence of symptoms associated with anxiety and depression in health personnel working with COVID-19 patients. A descriptive cross-sectional study involving 61 health care professionals and technicians was conducted, working directly with COVID-19 patients, who were consulted about the presence of symptoms associated with depression and anxiety, their main concerns and ongoing working time to avoid the onset of psychological symptoms. 64.1% of participants reported nervousness and 59.2% tiredness, for 90.16% the main concern was the patient's death and 60.66% of participants indicated that the ideal period, of continuous care of COVID-19 patients, to prevent the onset of psychological symptoms was 7 days. Our results suggest that work strategies need to be developed to decrease the onset of symptoms associated with deteriorating mental health of health professionals caring for COVID-19 patients


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Health Personnel/psychology , COVID-19/psychology , Medical Staff/psychology , Health Personnel/statistics & numerical data , Cuba , Stress Disorders, Traumatic, Acute/psychology , Stress Disorders, Traumatic, Acute/epidemiology , Pandemics , SARS-CoV-2 , Medical Staff/statistics & numerical data
7.
Article in English | AIM | ID: biblio-1258607

ABSTRACT

Background: Clinical simulation has become widespread as a training and assessment tool across a range of health professions, including emergency care. As with any form of assessment, simulations may be associated with stress and anxiety ("distress") which may have a negative effect on student performance if demands required by the simulation outweigh the available resources. This study aimed to assess the effect of participation by students in an emergency care simulation on an objective measure of stress and a subjective measure of anxiety. Methods: Heart rate variability (HRV) and scores from a validated state anxiety instrument (the State-Trait Anxiety Inventory) were assessed in 36 emergency medical care students participating in scheduled simulation assessments. Data recorded during a resting control period were used for comparison. Results: HRV variables showed changes in the simulation assessment group suggesting decreased variability and parasympathetic withdrawal, however these were not significantly different to control. Heart rate in the simulation assessment group increased significantly (73.5/min vs. 107.3/min, p < 0.001). State anxiety scores increased significantly both before (33.5 vs. 49.1, p < 0.001) and after (33.5 vs. 60, p < 0.001) the simulation assessment, compared to control. No linear relationship was found between any HRV variables and anxiety scores. Conclusion: Participating in an emergency care simulation assessment significantly elevated levels of anxiety in a group of 36 students, however an objective measure of stress did not identify changes significantly different to those at rest, with the exception of heart rate. The high levels of anxiety documented before and after simulation assessments may have a negative effect on performance and require further investigation


Subject(s)
Anxiety , Emergency Medical Services , Stress Disorders, Traumatic, Acute , Students
8.
Trends psychiatry psychother. (Impr.) ; 41(3): 237-246, July-Sept. 2019. tab
Article in English | LILACS | ID: biblio-1043526

ABSTRACT

Abstract Objective To assess the association between brain-derived neurotrophic factor (BDNF) levels and acute stress disorder (ASD) in patients who have suffered physical trauma. Methods Data were collected at an emergency hospital in Porto Alegre, state of Rio Grande do Sul, southern Brazil. Participants were over 18 years of age, victims of physical trauma, and had been hospitalized for a minimum of 48 hours. A total of 117 hospitalized patients who agreed to participate in the research were grouped according to the shift in which blood was collected (38 subjects from the morning shift and 79 from the afternoon shift), had their BDNF levels measured and responded to other questionnaires. Respondents were further grouped by age into three ranges: 18-30, 31-50 and 51-70 years. Results We found a significant difference in the distribution of BDNF between the two shifts in which blood samples were collected, with the afternoon group having higher BDNF levels (U = 1906.5, p = 0.018). A difference was observed only between the 18-30 group and the 51-70 group in the afternoon shift (Umorning = 1107, pmorning = 0.575; Uafternoon = 7175, pafternoon = 0.028). Conclusions The population whose blood samples were collected in the afternoon showed significantly higher values of BDNF compared to those of the morning shift. This same population presented lower BDNF levels when associated with ASD subtypes A1, A2, and A. We hypothesize that the lower values of BDNF measured in the morning shift were due to a response to the circadian cycle of cortisol, whose action inhibits the expression of serum neurotrophins.


Resumo Objetivo Verificar a associação entre os níveis de fator neurotrófico derivado do cérebro (brain-derived neurotrophic factor [BDNF]) e transtorno de estresse agudo (TEA) em pacientes que sofreram trauma físico. Métodos Os dados foram coletados em um hospital de emergência de Porto Alegre, Rio Grande do Sul, Brasil. Os participantes eram maiores de 18 anos, vítimas de trauma físico e estavam hospitalizados por um período mínimo de 48 horas. Um total de 117 pacientes hospitalizados que concordaram em participar da pesquisa foram agrupados de acordo com o turno de realização da coleta de sangue (38 sujeitos no turno da manhã e 79 sujeitos no turno da tarde), tiveram seus níveis de BDNF medidos e responderam a outros questionários. Os entrevistados também foram agrupados por idade em três faixas etárias: 18-30, 31-50 e 51-70 anos. Resultados Encontramos uma diferença significativa na distribuição de BDNF entre os turnos, sendo que o grupo da tarde apresentou níveis maiores de BDNF (U = 1906,5, p = 0,018). Houve diferença entre o grupo de 18-30 anos e o de 51-70 anos no turno da tarde (Umanhã = 1107, pmanhã = 0,575; Utarde = 7175, ptarde = 0,028). Conclusões A população cuja coleta ocorreu à tarde apresentou valores significativamente maiores de BDNF em relação à coleta do turno da manhã. Esta mesma população apresentou menores níveis dessa neurotrofina quando associada com os subtipos A1, A2 e A de TEA. É possível hipotetizar que os menores valores de BDNF aferidos na coleta do turno da manhã se devam a uma resposta ao ciclo circadiano do cortisol, cuja ação inibe a expressão de neurotrofinas séricas.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Young Adult , Wounds and Injuries/psychology , Brain-Derived Neurotrophic Factor/metabolism , Brazil , Hydrocortisone/metabolism , Biomarkers/metabolism , Surveys and Questionnaires , Circadian Rhythm , Stress Disorders, Traumatic, Acute/blood , Emergency Service, Hospital , Emergency Treatment/methods , Hospitalization , Middle Aged
9.
Journal of Korean Medical Science ; : e38-2019.
Article in English | WPRIM | ID: wpr-765144

ABSTRACT

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


Subject(s)
Adolescent , Humans , Adjustment Disorders , Anxiety , Anxiety Disorders , Counseling , Diagnosis , Disasters , First Aid , Friends , Mental Disorders , Mental Health , Psychiatry , Referral and Consultation , Retrospective Studies , Stress Disorders, Post-Traumatic , Stress Disorders, Traumatic, Acute , Volunteers
10.
Braz. arch. biol. technol ; 62: e19180494, 2019. tab, graf
Article in English | LILACS | ID: biblio-1055395

ABSTRACT

Abstract: Mood disorder is one of the complications of stroke. The inability to cope with stress is also a prognosis of depression and anxiety. The aim of this study is to assess the response of stress system in the post stroke patients. Twelve healthy controls (HC) and twelve post-stroke patients after filling in the State-Trait Anxiety Inventory completed the Trier Social Stress Test (TSST) which induces acute stress. Salivary samples were collected to determine salivary cortisol levels and ECG record were taken in four times (before, right after stress, after two recoveries: 20 and 40 minutes after stress). ECG was also recorded during TSST and then the linear and non-linear features of Heart Rate Variability (HRV) were analyzed. The results showed that trait anxiety score and baseline salivary cortisol level were higher in post stroke than HC group (P-value <0.05). The increase of cortisol level after stress was only observed in HC that returned to baseline after the second recovery time. The stress increased the relative low frequency of HRV in both groups, however it was significantly lower in the stroke than HC group (P-value < 0.005). There was also a significant difference between alpha 1 DFA measures in stroke group and HC group (P-value <0.05). It is concluded that the impairment of the hormonal axis of stress system in the post-stroke patients that until now was not reported.


Subject(s)
Humans , Hydrocortisone/analysis , Stress Disorders, Traumatic, Acute , Ischemic Stroke/psychology , Psychological Tests , Heart Rate
11.
Psychiatry Investigation ; : 1087-1093, 2018.
Article in English | WPRIM | ID: wpr-718360

ABSTRACT

OBJECTIVE: Posttraumatic stress disorder (PTSD) is distinct from anxiety disorders in its etiology and clinical symptomatology, and was reclassified into trauma- and stressor-related disorders in DSM-5. This study aimed to find neurophysiological correlates differentiating PTSD from anxiety disorders using resting-state quantitative electroencephalography (qEEG). METHODS: Thirty-six patients with either PTSD or acute stress disorder and 79 patients with anxiety disorder were included in the analysis. qEEG data of absolute and relative powers and patients’ medication status on the day of qEEG examination were obtained. Electrodes were grouped into frontal, central, and posterior regions to analyze for regional differences. General linear models were utilized to test for group differences in absolute and relative powers while controlling for medications. RESULTS: PTSD patients differed from those with anxiety disorders in overall absolute powers [F(5,327)=2.601, p=0.025]. Specifically, overall absolute delta powers [F(1,331)=4.363, p=0.037], and overall relative gamma powers [F(1,331)=3.965, p=0.047] were increased in PTSD group compared to anxiety disorder group. Post hoc analysis regarding brain regions showed that the increase in absolute delta powers were localized to the posterior region [F(1,107)=4.001, p=0.048]. Additionally, frontal absolute gamma powers [F(1,107)=4.138, p=0.044] were increased in PTSD group compared to anxiety disorder group. CONCLUSION: Our study suggests increased overall absolute delta powers and relative gamma powers as potential markers that could differentiate PTSD from anxiety disorders. Moreover, increased frontal absolute gamma and posterior delta powers might pose as novel markers of PTSD, which may reflect its distinct symptomatology.


Subject(s)
Humans , Anxiety Disorders , Anxiety , Brain , Electrodes , Electroencephalography , Linear Models , Stress Disorders, Post-Traumatic , Stress Disorders, Traumatic, Acute
12.
The Philippine Journal of Psychiatry ; : 3-10, 2018.
Article in English | WPRIM | ID: wpr-960306

ABSTRACT

@#<p style="text-align: justify;"><strong>OBJECTIVE:</strong> This study aimed to determine the prevalence of Acute Stress Disorder and Post Traumatic Stress Disorder among residents of Barangay Tumana, Marikina exposed to Typhoon Ondoy in September 2009 and Habagat rains in August 2012.</p><p style="text-align: justify;"><strong>METHODOLOGY:</strong> The Acute Stress Disorder Scale (ASDS) and Impact of Events Scale-Revised (IESR) were administered to 212 subjects. Trauma history was also obtained. When screened positive for Acute Stress Disorder (ASD) and/or Post Traumatic Stress Disorder (PTSD), a confirmatory diagnosis was done through psychiatric clinical interview.</p><p style="text-align: justify;"><strong>RESULTS:</strong> The study showed a prevalence rate of 10% for ASD and 5% for PTSD. Co-morbid ASD and PTSD were seen in 4% of the subjects. Frequency and type of prior traumatic events were not significantly different among subjects who were positive or negative for ASD/PTSD diagnoses.</p><p style="text-align: justify;"><strong>CONCLUSION:</strong> There was a significant prevalence of ASD/PTSD diagnoses among residents exposed to Typhoon Ondoy and Habagat, thus the need for developing a means of early detection and immediate therapeutic intervention in Filipino communities exposed to natural disasters.</p>


Subject(s)
Humans , Prevalence , Stress Disorders, Traumatic, Acute , Stress Disorders, Post-Traumatic , Cyclonic Storms
13.
Trends psychiatry psychother. (Impr.) ; 39(4): 247-256, Oct.-Dec. 2017. tab
Article in English | LILACS | ID: biblio-904593

ABSTRACT

Abstract Introduction: Acute stress disorder (ASD) encompasses a set of symptoms that can arise in individuals after exposure to a traumatic event. This study assessed the defense mechanisms used by victims of physical trauma who developed ASD. Method: This was a controlled cross-sectional study of 146 patients who suffered physical trauma and required hospitalization. A structured questionnaire was used to evaluate ASD symptoms based on DSM-5 diagnostic criteria, in addition to the Defense Style Questionnaire (DSQ). Results: Ten participants (6.85%) received a positive diagnosis of ASD, and 136, (93.15%) a negative diagnosis. The majority of the sample consisted of men with median age ranging from 33.50 to 35.50. The most prevalent defense mechanisms among the 10 patients with ASD were cancellation and devaluation, which belong to the neurotic and immature factors, respectively. Positive associations between the presence of symptoms from criterion B of the DSM-5 and defense mechanisms from the DSQ were found. These included the mechanisms of undoing, projection, passive aggression, acting out, autistic fantasy, displacement, and somatization. Conclusion: Patients with ASD employed different defense mechanisms such as undoing and devaluation when compared to patients not diagnosed with ASD. These results mark the importance of early detection of ASD symptoms at a preventative level, thereby creating new possibilities for avoiding exacerbations related to the trauma, which represents an important advance in terms of public health.


Resumo Introdução: O transtorno de estresse agudo (TEA) reúne um conjunto de sintomas que pode surgir nos indivíduos após exposição a um evento traumático. Este estudo verificou a relação entre o estilo defensivo e o desenvolvimento de TEA e seus sintomas em uma amostra de pacientes que sofreram trauma físico. Métodos: Este estudo transversal controlado envolveu 146 pacientes que sofreram trauma físico e necessitaram hospitalização. Um questionário estruturado foi utilizado para avaliar sintomas de TEA, baseado nos critérios diagnósticos do DSM-5, além do Questionário de Estilo Defensivo (Defense Style Questionnaire - DSQ). Resultados: Dez (6,85%) pacientes tiveram diagnóstico positivo para TEA, e 136 (93,15%), diagnóstico negativo. A maioria da amostra foi composta por homens com idade mediana variando de 33,50 a 35,50. Nos 10 pacientes positivos para TEA, destacou-se a maior utilização de mecanismos de defesa de anulação e desvalorização, pertencentes ao fator neurótico e ao fator imaturo, respectivamente. Foram observadas associações positivas entre presença de sintomas de TEA do critério B do DSM-5 e os mecanismos de defesa do DSQ, sobretudo nos mecanismos de anulação, projeção, agressão passiva, acting out, fantasia autística, deslocamento e somatização. Conclusão: Pacientes com TEA utilizaram mais mecanismos de defesa do tipo anulação e desvalorização quando comparados aos pacientes sem diagnóstico de TEA. Ressalta-se a importância da detecção precoce de sintomas de TEA a fim de evitar outros agravos relacionados ao trauma, o que representa uma importante evolução em termos de saúde pública.


Subject(s)
Humans , Male , Female , Adult , Young Adult , Defense Mechanisms , Stress Disorders, Traumatic, Acute/psychology , Cross-Sectional Studies , Surveys and Questionnaires , Stress Disorders, Traumatic, Acute/diagnosis , Stress Disorders, Traumatic, Acute/therapy , Stress Disorders, Traumatic, Acute/epidemiology , Emergency Medical Services , Middle Aged
14.
Psychiatry Investigation ; : 900-903, 2017.
Article in English | WPRIM | ID: wpr-126363

ABSTRACT

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


Subject(s)
Humans , Adjustment Disorders , Anxiety , Crisis Intervention , Diagnosis , Disasters , Psychiatry , Stress Disorders, Post-Traumatic , Stress Disorders, Traumatic, Acute , Volunteers
15.
Arq. ciênc. vet. zool. UNIPAR ; 18(1): 55-62, jan.-mar. 2015.
Article in Portuguese | LILACS, VETINDEX | ID: biblio-1462618

ABSTRACT

As proteínas de fase aguda (PFA) são um grupo de proteínas sanguíneas que apresentam alterações nas suas concentrações em animais acometidos por infecções, inflamações, trauma cirúrgico ou mesmo submetido ao estresse. São proteínas que alteram as suas concentrações em pelo menos 25% durante a inflamação. As PFA consistem em proteínas de fase aguda negativa e/ou positiva, diminuindo ou aumentando a sua concentração, respectivamente, em resposta a um estímulo inflamatório. Dentre as PFA negativas mais importantes estão a albumina e a transferina. As PFA positivas são a haptoglobina (Hp), proteína C-reativa (CRP), amiloide A-sérico (SAA), ceruloplasmina (Cp), fibrinogênio e a alfa 1 glicoproteina ácida(APG). As avaliações da concentração das PFA e proteínas totais propiciam subsídios para adequada interpretação do estado de hidratação, bem como de inflamação, infecção, doença imunomediada e alteração da síntese proteica. Sendo as PFA mediadores inflamatórios das respostas imunes agudas, e consideradas marcadoras das lesões teciduais na sua fase aguda nos animais, é importante realizar uma revisão sobre as PFA mais importantes e suas funções nos cães e gatos.


Acute-phase proteins (APP) are a group of blood proteins exhibiting changes in their concentrations in animals suffering from infections, inflammation, surgical trauma or even which have been subjected to stress. These proteins present at least 25% changes in their concentrations during inflammation. APPs consist of negative- and positive-phase proteins that can decrease or increase their concentration in response to an inflammatory stimulus. The most important negative APP are albumin and transferrin; and the most important positive APP are haptoglobin (Hp) , C-reactive protein (CRP), serum amyloid A (SAA), ceruloplasmin (Cp), fibrinogen and alpha 1 glycoprotein acid (AGP). APP concentration and total protein reviews provide information for proper interpretation of hydration status, as well as inflammation, infection, immune-mediated diseases and impaired protein synthesis. APPs are inflammatory mediators of acute immune responses and are considered markers for tissue damages in the acute phase in animals. Therefore, it is important to further review the most important APPs and their functions in dogs and cats.


Las proteínas de fase aguda (PFA) son un grupo de proteínas sanguíneas que presentan cambios en sus concentraciones en animales acometidos por infecciones, inflamaciones, trauma quirúrgico o mismo sometido a estrés. Son proteínas que alteran sus concentraciones de al menos 25 % durante la inflamación. Las PFA consisten en proteínas de fase aguda negativa y/o positiva, disminuyendo o aumentando su concentración, respectivamente, en respuesta a un estímulo inflamatorio. Entre las PFA negativas más importantes están la albúmina y la transferrina. Las PFA positivas son la haptoglobina (Hp), proteína C - reactiva (CRP), amiloideo A-sérico (SAA), ceruloplasmina (Cp), fibrinógeno y la alfa 1-glicoproteína ácida (APG). Las evaluaciones de la concentración de las PFA y proteínas totales proporcionan informaciones para la interpretación apropiada del estado de hidratación, así como de la inflamación, infección, enfermedad inmune-mediada y alteración de síntesis proteica. Siendo las PFA mediadores de respuestas inmunes inflamatorias agudas y consideradas marcadoras de lesiones tisulares en su fase aguda en los animales, es importante llevar a cabo una revisión sobre las PFA más importantes y sus funciones en los perros y gatos.


Subject(s)
Animals , Cats , Dogs , Proteins/administration & dosage , Proteins/analysis , Stress Disorders, Traumatic, Acute/physiopathology , Stress Disorders, Traumatic, Acute/rehabilitation
16.
Braz. j. med. biol. res ; 47(12): 1057-1061, 12/2014. graf
Article in English | LILACS | ID: lil-727658

ABSTRACT

Endogenous carbon monoxide (CO), which is produced by the enzyme heme oxygenase (HO), participates as a neuromodulator in physiological processes such as thermoregulation and nociception by stimulating the formation of 3′,5′-cyclic guanosine monophosphate (cGMP). In particular, the acute physical restraint-induced fever of rats can be blocked by inhibiting the enzyme HO. A previous study reported that the HO-CO-cGMP pathway plays a key phasic antinociceptive role in modulating noninflammatory acute pain. Thus, this study evaluated the involvement of the HO-CO-cGMP pathway in antinociception induced by acute stress in male Wistar rats (250-300 g; n=8/group) using the analgesia index (AI) in the tail flick test. The results showed that antinociception induced by acute stress was not dependent on the HO-CO-cGMP pathway, as neither treatment with the HO inhibitor ZnDBPG nor heme-lysinate altered the AI. However, antinociception was dependent on cGMP activity because pretreatment with the guanylate cyclase inhibitor 1H-[1,2,4] oxadiazolo [4,3-a] quinoxaline-1-one (ODQ) blocked the increase in the AI induced by acute stress.


Subject(s)
Animals , Male , Acute Pain/prevention & control , Carbon Monoxide/metabolism , Cyclic GMP/metabolism , Heme Oxygenase (Decyclizing)/metabolism , Nociceptive Pain/prevention & control , Stress Disorders, Traumatic, Acute/metabolism , Cyclic GMP/antagonists & inhibitors , Deuteroporphyrins/metabolism , Heme Oxygenase (Decyclizing)/antagonists & inhibitors , Heme/analogs & derivatives , Heme/metabolism , Lysine/analogs & derivatives , Lysine/metabolism , Nociceptive Pain/metabolism , Oxadiazoles/pharmacology , Pain Measurement/methods , Rats, Wistar , Signal Transduction/physiology
17.
Arq. ciênc. vet. zool. UNIPAR ; 17(1): 55-62, jan.-mar. 2014.
Article in Portuguese | LILACS, VETINDEX | ID: lil-761436

ABSTRACT

As proteínas de fase aguda (PFA) são um grupo de proteínas sanguíneas que apresentam alterações nas suas concentrações em animais acometidos por infecções, inflamações, trauma cirúrgico ou mesmo submetido ao estresse. São proteínas que alteram as suas concentrações em pelo menos 25% durante a inflamação. As PFA consistem em proteínas de fase aguda negativa e/ou positiva, diminuindo ou aumentando a sua concentração, respectivamente, em resposta a um estímulo inflamatório. Dentre as PFA negativas mais importantes estão a albumina e a transferina. As PFA positivas são a haptoglobina (Hp), proteína C-reativa (CRP), amiloide A-sérico (SAA), ceruloplasmina (Cp), fibrinogênio e a alfa 1 glicoproteina ácida (APG). As avaliações da concentração das PFA e proteínas totais propiciam subsídios para adequada interpretação do estado de hidratação, bem como de inflamação, infecção, doença imunomediada e alteração da síntese proteica. Sendo as PFA mediadores inflamatórios das respostas imunes agudas, e consideradas marcadoras das lesões teciduais na sua fase aguda nos animais, é importante realizar uma revisão sobre as PFA mais importantes e suas funções nos cães e gatos.


Acute-phase proteins (APP) are a group of blood proteins exhibiting changes in their concentrations in animals suffering from infections, inflammation, surgical trauma or even which have been subjected to stress. These proteins present at least 25% changes in their concentrations during inflammation. APPs consist of negative- and positive-phase proteins that can decrease or increase their concentration in response to an inflammatory stimulus. The most important negative APP are albumin and transferrin; and the most important positive APP are haptoglobin (Hp) , C-reactive protein (CRP), serum amyloid A (SAA), ceruloplasmin (Cp), fibrinogen and alpha 1 glycoprotein acid (AGP). APP concentration and total protein reviews provide information for proper interpretation of hydration status, as well as inflammation, infection, immune-mediated diseases and impaired protein synthesis. APPs are inflammatory mediators of acute immune responses and are considered markers for tissue damages in the acute phase in animals. Therefore, it is important to further review the most important APPs and their functions in dogs and cats.


Las proteínas de fase aguda (PFA) son un grupo de proteínas sanguíneas que presentan cambios en sus concentraciones en animales acometidos por infecciones, inflamaciones, trauma quirúrgico o mismo sometido a estrés. Son proteínas que alteran sus concentraciones de al menos 25 % durante la inflamación. Las PFA consisten en proteínas de fase aguda negativa y/o positiva, disminuyendo o aumentando su concentración, respectivamente, en respuesta a un estímulo inflamatorio. Entre las PFA negativas más importantes están la albúmina y la transferrina. Las PFA positivas son la haptoglobina (Hp), proteína C - reactiva (CRP), amiloideo A-sérico (SAA), ceruloplasmina (Cp), fibrinógeno y la alfa 1-glicoproteína ácida (APG). Las evaluaciones de la concentración de las PFA y proteínas totales proporcionan informaciones para la interpretación apropiada del estado de hidratación, así como de la inflamación, infección, enfermedad inmune-mediada y alteración de síntesis proteica. Siendo las PFA mediadores de respuestas inmunes inflamatorias agudas y consideradas marcadoras de lesiones tisulares en su fase aguda en los animales, es importante llevar a cabo una revisión sobre las PFA más importantes y sus funciones en los perros y gatos.


Subject(s)
Animals , Cats , Dogs , Proteins/administration & dosage , Proteins/analysis , Stress Disorders, Traumatic, Acute/physiopathology , Stress Disorders, Traumatic, Acute/rehabilitation
18.
Vertex rev. argent. psiquiatr ; 25(115): 172-8, 2014 May-Jun.
Article in Spanish | LILACS, BINACIS | ID: biblio-1176984

ABSTRACT

BACKGROUND: Anxiety disorders and, in particular, acute stress disorder are one of the principal reasons for medical assistance, being the women the ones who frequently consult. AIMS: To describe and analyze, from a perspective of gender, the factors that unleash the consultation of an episode of acute stress disorder in the emergency. MATERIALS AND METHOD: An exploratory descriptive study was performed. A semi-directed interview and a socio-demographic questionnaire were assessed and scales to evaluate anxiety and depression were administered to females that consulted for an acute stress disorder. RESULTS: Sixty nine percent of the patients described the physical discomfort as trigger factor, presenting in the 85


of the cases a degree of major anxiety; associating the family conflicts as the principal cause of distress, followed by violence against women. The situation of distress, in 75


of the cases, did not correspond with an isolated episode. CONCLUSION: The physical symptomatology was the principal cause for consultation of an episode of acute stress disorder in the emergency, being the family conflicts and the violence against women the principal reasons of distress. Therefore, interdisciplinary approach for the assistance of mental disorders in emergency should be taken in consideration.


Subject(s)
Adult , Female , Humans , Stress Disorders, Traumatic, Acute/diagnosis , Stress Disorders, Traumatic, Acute/etiology , Sex Factors , Emergencies
19.
Journal of Korean Neuropsychiatric Association ; : 171-177, 2014.
Article in Korean | WPRIM | ID: wpr-91995

ABSTRACT

OBJECTIVES: The aim of this study was to investigate the treatment effect and predictors of response of affect regulation group therapy (ARGT) delivered to a group of recently traumatized children. METHODS: A total of 464 school children, who had witnessed or confronted a tragic accident at school, were given a single-session of affect regulation group therapy, that which included psychoeducation and affect regulation elements from eye movement desensitization and reprocessing. Of 213 children whose with initial score of Subject Unit of Disturbance Scale (SUDS) score over 4, we compared pre- and post-treatment scores and performed conducted the responder vs. non-responder comparison. The pPost-traumatic disorder (PTSD) symptom scores measured by using Child Reaction to Traumatic Events Scale-Revised (CRTES-R), demographic variables, and clinical variables were considered. RESULTS: Affect regulation group therapy was effective for children who had experienced an acute traumatic event (t=16.3, p<0.001). Baseline SUDS score of for non-responder were was significantly higher (t=-2.89, p<0.001) and CRTES-R score approached a level of significance level (t=-1.72, p=0.09). However, results of logistic regression analysis identified showed that the pretreatment SUDS score was the only significant predictor of non-response. CONCLUSION: Affect regulation group therapy appeared to be effective for children who had undergone experienced an acute traumatic event. And in addition, the survivors' subjective distress was more important to treatment response than severity of PTSD symptoms severity.


Subject(s)
Child , Humans , Eye Movement Desensitization Reprocessing , Eye Movements , Logistic Models , Psychotherapy, Group , Stress Disorders, Post-Traumatic , Stress Disorders, Traumatic, Acute
20.
Rev. Soc. Bras. Clín. Méd ; 11(1)jan.-mar. 2013.
Article in Portuguese | LILACS | ID: lil-668507

ABSTRACT

JUSTIFICATIVA E OBJETIVOS: Pacientes vítimas de trauma ortopédico apresentam como resposta ao estresse, elevação transitória da frequência cardíaca e da pressão arterial (PA), fenômenos da reatividade cardiovascular, sendo erroneamente classificados como hipertensos, e medicados como tal. O objetivo deste estudo foi avaliar os pacientes com elevação transitória da PA, bem comoos hipertensos. MÉTODO: Estudo transversal, realizado em hospital de referencia, na cidade de Dourados, MS. A amostra foi de 50 indivíduos, vítimas de trauma ortopédico, com idade ? 18 anos. Foram excluídos os pacientes com período de internação menor que 24h, trauma grave ou instabilidade hemodinâmica. Foram realizadas diariamente, três medidas da PA em um dos membros superiores,com intervalo de um minuto entre as medidas, e a média das duas últimas medidas foi considerada a PA do indivíduo. Para as aferições foi utilizado aparelho de coluna de mercúrio de acordo comas V Diretrizes Brasileiras de Hipertensão. Para o diagnostico de hipertensão o critério foi pressão arterial sistólica (PAS) ? 140 oupressão arterial diastólica (PAD) ? 90 mmHg. As variáveis analisadas foram: idade, sexo, estado civil, raça, escolaridade, diagnóstico prévio de hipertensão arterial sistêmica (HAS), tratamento farmacológico para HAS, comorbidades associadas, PAS e PAD. RESULTADOS: A idade média dos pacientes foi de 31,9 ± 14,7 anos para normotensos, 41,2 ± 17,7 para elevação transitória e 41,0 ± 19,8 para hipertensos. Foram classificados como: em normotensos (50%), elevação transitória (26%) e hipertensos (24%). CONCLUSÃO: A reatividade cardiovascular ao trauma provoca elevação transitória da PA. A sua interpretação correta na urgência tem papel importante no diagnóstico e cuidados da doença hipertensiva.


BACKGROUND AND OBJECTIVES: In response to stress, orthopedic trauma patients present transient elevation in heart rate and blood pressure (BP), cardiovascular reactivity phenomena, being wrongly classified as hypertensive, and treated as such. The aim of this study was to evaluate patients with transient elevation of BP, as well as hypertension. METHOD: Cross-sectional study in reference hospital in the city of Dourados, state of Mato Grosso do Sul (MS). The sample consisted of 50 patients, victims of orthopedic trauma, aged ? 18 years. We excluded patients hospitalized for less than 24 hours, with severe trauma, or hemodynamicaly instable. Three BP measurements were performed daily in either upper limb, with an interval of one minute, and the average of the last two measurements was considered the subject's BP. For the measurements, a mercury column device according to the V Brazilian Guidelines on Hypertension was used. The criterion for diagnosing hypertension was systolic blood pressure (SBP) ? 140 or diastolic blood pressure (DBP) ? 90 mmHg. The variables analyzed were: age, gender, marital status, race, education level, previous diagnosis of systemic hypertension (SH), pharmacological treatment for SH, associated comorbidities, SBP and DBP. RESULTS: The average age of patients was 31.9 ± 14.7 years for normotensives, 41.2 ± 17.7 to transient elevation and 41.0 ± 19.8 for hypertensive patients. They were classified as normotensive (50%), transient elevation (26%) and hypertensive (24%). CONCLUSION: The cardiovascular reactivity to trauma causes transient elevation of blood pressure. The correct interpretation of BP levels in trauma patients has an important role in the diagnosis and care of hypertensive disease.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Arterial Pressure , Bone and Bones/injuries , Stress Disorders, Traumatic, Acute
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