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1.
Cad. Saúde Pública (Online) ; 38(3): e00198321, 2022. tab
Article in Portuguese | LILACS | ID: biblio-1364635

ABSTRACT

O objetivo foi analisar as associações entre a percepção de risco de adoecimento por COVID-19 e os sintomas de depressão, ansiedade e estresse em profissionais atuantes em unidades de saúde. Estudo transversal com trabalhadores de diversas categorias profissionais que buscaram voluntariamente um dos primeiros Centros de Referência em Testagem de COVID-19 no Município do Rio de Janeiro, Brasil. Os trabalhadores foram convidados a responder a um questionário online entre maio e agosto de 2020. Foram utilizadas a escala Percepção de Risco de Adoecimento por COVID-19 e a Escala de Depressão, Ansiedade e Estresse (DASS-21). Foram estimados razão de chance (OR) e intervalo de 95% de confiança. Do total (N = 2.996), 81,5% eram mulheres com idade média de 40,7 anos. Cerca da metade apresentava grau leve, moderado ou severo de depressão, ansiedade ou estresse, sendo a frequência de trabalhadores com sintomas severos, respectivamente, 18,5%, 29,6% e 21,5%. Observou-se que as associações entre a percepção de risco e os sintomas de depressão, ansiedade e estresse foram mais fortes à medida que aumentava a classificação de gravidade de cada sintoma. Os trabalhadores com alta percepção de risco de adoecimento por COVID-19 apresentaram OR mais elevadas para sintomas severos de depressão (OR = 4,67), ansiedade (OR = 4,35) e estresse (OR = 4,97). Os achados apontam a demanda por medidas de proteção à saúde dos trabalhadores, que não devem se restringir aos equipamentos de proteção individual. É essencial que os gestores promovam espaços coletivos de discussão e ações que favoreçam a recuperação dos trabalhadores em contexto pandêmico de longa duração.


The objective was to analyze associations between perceived risk from COVID-19 and symptoms of depression, anxiety, and stress among workers in healthcare units. This was a cross-sectional study of workers from different professions who appeared voluntarily at one of the first COVID-19 Testing Centers in the municipality of Rio de Janeiro, Brazil. The workers were invited to answer an online questionnaire from May to August 2020. The COVID-19 Risk Perception Scale and the Depression, Anxiety, and Stress Scale (DASS-21) were used. Odds ratios (OR) and 95% confidence intervals were estimated. Of the total sample (N = 2,996), 81.5% were women, and mean age was 40.7 years. About half presented mild, moderate, or severe depression, anxiety, or stress, and the rates for workers with severe symptoms were 18.5%, 29.6%, and 21.5%, respectively. The associations between perceived risk and symptoms of depression, anxiety, and stress increased with the increase in each symptom's severity. Workers with higher perceived risk from COVID-19 showed higher OR for severe symptoms of depression (OR = 4.67), anxiety (OR = 4.35), and stress (OR = 4.97). The findings point to the demand for measures to protect workers' health and that should not be limited to personal protective equipment. It is essential for health system administrators to promote collective spaces for discussion and actions to favor workers' recovery in the context of a prolonged pandemic.


El objetivo fue analizar las asociaciones entre la percepción de riesgo de enfermedad por COVID-19 y los síntomas de depresión, ansiedad y estrés en profesionales activos en unidades de salud. Estudio transversal con trabajadores de diversas categorías profesionales que buscaron voluntariamente uno de los primeros Centros de Referencia en Tests de COVID-19 en el municipio de Río de Janeiro, Brasil. Los trabajadores fueron invitados a responder a un cuestionario online entre mayo y agosto de 2020. Se utilizaron la escala Percepción de Riesgo de Enfermedad por COVID-19 y la Escala de Depresión, Ansiedad y Estrés (DASS-21). Se estimaron razón de oportunidad (OR) e intervalo de 95% de confianza. Del total (N = 2.996), un 81,5% eran mujeres con una edad media de 40,7 años. Cerca de la mitad presentaba grado leve, moderado o severo de depresión, ansiedad o estrés, siendo la frecuencia de trabajadores con síntomas severos, respectivamente, 18,5%, 29,6% y 21,5%. Se observó que las asociaciones entre la percepción de riesgo y los síntomas de depresión, ansiedad y estrés fueron más fuertes a medida que aumentaba la clasificación de la gravedad de cada síntoma. Los trabajadores con alta percepción de riesgo de enfermedad por COVID-19 presentaron OR más elevadas para síntomas severos de depresión (OR = 4,67), ansiedad (OR = 4,35) y estrés (OR = 4,97). Los resultados apuntan la demanda de medidas de protección a la salud de los trabajadores, que no se deben restringir a equipamientos de protección individual. Es esencial que los gestores promuevan espacios colectivos de discusión y acciones que favorezcan la recuperación de los trabajadores en un contexto pandémico de larga duración.


Subject(s)
Humans , Female , Adult , Depression/epidemiology , COVID-19 , Anxiety/epidemiology , Stress, Psychological/diagnosis , Stress, Psychological/epidemiology , Brazil/epidemiology , Cross-Sectional Studies , Delivery of Health Care , COVID-19 Testing
2.
Arq. bras. med. vet. zootec. (Online) ; 73(6): 1357-1360, Nov.-Dec. 2021. tab
Article in English | LILACS, VETINDEX | ID: biblio-1355680

ABSTRACT

Cortisol is a steroid hormone, one of the glucocorticoids, made in the cortex of the adrenal glands and then released into the blood, which transports it in the entire body. Almost every cell contains receptors for cortisol and so cortisol can have lots of different actions depending on which sort of cells it is acting upon. These effects include controlling the body's blood sugar levels and thus regulating metabolism, acting as an anti-inflammatory product, controlling salt and water balance and influencing blood pressure. The study was conducted over a period of 3 months, between March-August 2020, in 2 swine farms in Iasi county, Romania, on a total of 46 pigs, 3 to 4 months old, both males and females, in order to investigate stress levels in finishing facilities. The study revealed higher levels of cortisol while eosinophil counts severely decreased, changes which are associated with a strong reaction to stress for individuals that were housed in finishing facilities.(AU)


O cortisol é um hormônio esteroide, um dos glicocorticoides, produzido no córtex das glândulas suprarrenais e, em seguida, liberado no sangue, que o transporta por todo o corpo. Quase todas as células contêm receptores para o cortisol e, portanto, ele pode ter muitas ações diferentes, dependendo do tipo de célula sobre a qual atua. Esses efeitos incluem controlar os níveis de açúcar no sangue do corpo e, assim, regular o metabolismo, atuando como um produto anti-inflamatório, controlando o equilíbrio de sal e água e influenciando a pressão arterial. O presente estudo foi realizado durante um período de três meses, entre março-agosto de 2020, em duas granjas de suínos no condado de Iasi, Romênia, em um número total de 46 porcos, de três a quatro meses de idade, machos e fêmeas, a fim de investigar níveis de estresse nas instalações de acabamento. O estudo revelou níveis mais elevados de cortisol, enquanto a contagem de eosinófilos diminuiu severamente, mudanças que são consideradas associadas a uma forte reação ao estresse para indivíduos que foram alojados em instalações de acabamento.(AU)


Subject(s)
Animals , Stress, Psychological/diagnosis , Swine/physiology , Hydrocortisone/analysis , Eosinophils , Leukocyte Count/veterinary , Romania , Farms
3.
Arq. bras. med. vet. zootec. (Online) ; 73(5): 1076-1084, Sept.-Oct. 2021. tab, ilus
Article in English | LILACS, VETINDEX | ID: biblio-1345272

ABSTRACT

The jaguar is the largest feline in the Americas and in the face of the threat of extinction and the reduction of natural areas, keeping the species in captivity may be important for its conservation. This condition can lead to a reduction in well-being, especially due to spatial limitation and lack of environmental stimulus. In recent decades, techniques have been sought to minimize the negative impacts of captivity, with an increase in the use of environmental enrichment and operational conditioning in order to facilitate routine procedures for the animal management. In this scenario, this study aimed to evaluate the effects of conditioning on the welfare of jaguars in captivity, analyzing behavioral and physiological effects through salivary cortisol. Seven jaguars were studied in a Scientific Breeder. There was an increase in behaviors associated with welfare and cortisol during conditioning, possibly related to learning. The increase in behaviors associated with welfare suggests that the technique can contribute to improve the quality of life of these animals in captivity.(AU)


A onça-pintada é o maior felino das Américas e, diante da ameaça de extinção e da redução de áreas naturais, manter a espécie em cativeiro pode ser importante para sua conservação. Essa condição pode levar à redução no bem-estar, especialmente devido à limitação espacial e à carência de estímulos ambientais. Nas últimas décadas, têm sido buscadas técnicas para minimizar os impactos negativos do cativeiro, com crescimento da utilização de enriquecimento ambiental e do condicionamento operante, com o intuito de facilitar procedimentos de rotina do manejo dos animais. Nesse cenário, o presente estudo teve por finalidade avaliar os efeitos do condicionamento sobre o bem-estar de onças-pintadas em cativeiro, analisando-se efeitos comportamentais e fisiológicos por meio do cortisol salivar. Foram estudadas sete onças-pintadas em um criadouro científico. Houve aumento dos comportamentos associados ao bem-estar e do cortisol durante o condicionamento, possivelmente relacionados à aprendizagem. O aumento nos comportamentos de bem-estar sugere que a técnica pode contribuir para melhorar a qualidade de vida desses animais em cativeiro.(AU)


Subject(s)
Animals , Reinforcement, Psychology , Stress, Psychological/diagnosis , Animal Welfare , Conditioning, Psychological , Panthera
4.
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
5.
Rev. Hosp. Ital. B. Aires (2004) ; 40(4): 164-170, dic. 2020. tab
Article in Spanish | LILACS | ID: biblio-1145436

ABSTRACT

Introducción: como profesionales de la salud hemos observado distintas conductas en los pacientes pediátricos, sin psicoprofilaxis, que ingresan para ser intervenidos quirúrgicamente de urgencia; pacientes que, según su edad, su entorno social, familiar y cultural, podrán manifestar dichas conductas interpretadas como estrés, de distintas maneras. Objetivo: se midió el estrés prequirúrgico de los niños que fueron intervenidos quirúrgicamente de urgencia, los sábados y domingos por Guardia, en el Hospital de Niños Sor María Ludovica en la ciudad de La Plata. Materiales y métodos: hemos realizado un estudio piloto de diseño observacional, descriptivo, de corte transversal, aplicando para la recolección de datos la escala de YALE modificada (EAPY-m). Resultados: reclutamos 16 pacientes, de los cuales 10 fueron varones (62,50%), que ingresaron para ser tratados quirúrgicamente por las especialidades de traumatología y cirugía general en partes iguales. La mediana en edad fue de 7 años y la mediana en escolarización obligatoria de 6 años. Dentro de la muestra obtenida, un 56,25% concurrían a la escuela primaria y el 25% se encontraban en la etapa preescolar. La mitad de los niños tomaron como referente a su madre como la persona que lo calma y que les gustaría que estuviese presente en el momento previo a la cirugía. La conjunción de los resultados obtenidos ha superado los valores referenciales mínimos para la medición del estrés prequirúrgico: un 80% de los niños sufría de estrés prequirúrgico. Conclusiones: el estrés prequirúrgico es un hecho presente en los pacientes pediátricos que han sido incluidos en la realización del estudio, quedando en evidencia que la cirugía es un factor estresante para los niños. (AU)


Introduction: As health professionals, we have observed different behaviors in pediatric patients, without psychoprophylaxis, who are admitted for emergency surgery; patients who, according to their age, their social, family and cultural environment may manifest such behaviors interpreted as stress, in different ways. Objective: Therefore, the general objective of our research was to measure the presurgical stress of children who would undergo emergency surgery, on Saturdays and Sundays by guard, at the Sor María Ludovica children's hospital in the city of La Plata. Materials and methods: We have conducted a pilot study of observational, descriptive, cross-sectional design; applying the modified YALE scale (EArPY-m) for data collection. Results: We recruited 16 patients of which 10 were male (62.50%), who were admitted to be treated surgically by the specialties of traumatology and general surgery in equal parts. The median in age was 7 years and the median in compulsory schooling was 6 years. Within the sample obtained 56.25% attended primary school and 25% were in the preschool stage. 50% of the participants indicated that the mother was the one who calms them when they are nervous; while 43.75% was the mother who would like to be present at the time before surgery. The combination of the results obtained has exceeded the minimum reference values for the measurement of presurgical stress, 80% of children suffered from presurgical stress. Conclusions: We conclude that presurgical stress is a fact present in pediatric patients who have been included in the study, making it clear that surgery is a stressful factor for children. (AU)


Subject(s)
Humans , Male , Female , Child , Stress, Psychological/etiology , Surgical Procedures, Operative/psychology , Anxiety/diagnosis , Anxiety/etiology , Argentina , Stress, Psychological/diagnosis , Preoperative Care/psychology , Cross-Sectional Studies , Ambulatory Surgical Procedures/psychology
6.
Rev. chil. pediatr ; 91(1): 68-75, feb. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1092789

ABSTRACT

Resumen: Objetivo: Comprender la relación entre apego y diabetes y el rol mediador del estrés en niños con diabetes mellitus tipo 1 (DM1) y sus madres. Material y Método: Se aplicaron Instrumentos de evaluación correspondientes a Escalas de Apego (ECR-R), Estrés percibido (PSS), Seguridad (SS) y Estrés en niños (SiC), como medidas de autoreporte completadas por niños(as) y sus madres. Se analizaron variables demográficas, tiempo de inicio de diabetes, y el promedio de las ultimas 3 medi ciones de Hemoglobina glicosilada HbA1c como parámetro del control metabólico del último año. Resultados: Las estrategias de apego maternas e infantiles y el estrés materno mostraron una asocia ción significativa con los resultados de la diabetes del niño(a), aunque con importantes diferencias de género. Conclusiones: Las estrategias de apego, infantiles y maternas, son relevantes en el curso de la diabetes.


Abstract: Objective: To understand the relationship between attachment and diabetes and the role of stress mediators in children with type 1 diabetes (T1D) and their mothers. Material and Method: The following assessment instruments were applied as self-report measures: Attachment Scale (ECR- R), Perceived Stress Scale (PSS), Security Scale (SS), and the Stress in Children (SiC) questionnaire, which were completed by children and their mothers. We analyzed demographic variables, diabetes onset time, and the average of the last three glycosylated hemoglobin (HbA1c) measurements as a parameter of metabolic control in the last year. Results: Attachment strategies of both mother and child, as well as maternal stress, showed a significant association with the child's diabetes outcomes, although with important gender differences. Conclusions: Both mother and child attachment strate gies are relevant aspects of the T1D course.


Subject(s)
Humans , Male , Female , Child , Adult , Stress, Psychological/etiology , Diabetes Mellitus, Type 1/psychology , Mother-Child Relations/psychology , Object Attachment , Prognosis , Psychological Tests , Stress, Psychological/diagnosis , Stress, Psychological/epidemiology , Cross-Sectional Studies , Diabetes Mellitus, Type 1/diagnosis , Diabetes Mellitus, Type 1/therapy , Self Report , Mothers/psychology
8.
Cad. Saúde Pública (Online) ; 36(4): e00054020, 2020. tab
Article in Spanish | LILACS | ID: biblio-1100943

ABSTRACT

En marzo de 2020, el virus SARS-CoV-2 procedente de China ha llegado a España y desde el 14 de marzo se ha declarado el estado de alarma en todo el Estado español, llevando al confinamiento a toda la población. La presente investigación se contextualiza en la Comunidad Autónoma Vasca (situada al norte de España). Se han analizado los niveles de estrés, ansiedad y depresión a la llegada del virus y se han estudiado los niveles de sintomatología psicológica según edad, cronicidad y confinamiento. Se ha recogido una muestra de 976 personas y la medición de las variables ansiedad, estrés y depresión se ha hecho mediante la escala DASS (Escala de Depresión, Ansiedad y Estrés). Los resultados demuestran que, aunque los niveles de sintomatología han sido bajos en general al principio de la alarma, la población más joven y con enfermedades crónicas ha referido sintomatología más alta que el resto de población. También se ha detectado un mayor nivel de sintomatología a partir del confinamiento, donde las personas tienen prohibido salir de sus casas. Se prevé que la sintomatología aumentará según vaya transcurriendo el confinamiento. Se defienden intervenciones psicológicas de prevención y tratamiento para bajar el impacto psicológico que pueda crear esta pandemia.


Em março de 2020, o vírus SARS-CoV-2, procedente da China, chegou à Espanha e desde 14 de março está declarado estado de emergência em todo o país, forçando toda a população ao confinamento. O presente estudo foi conduzido no País Basco (norte da Espanha). Foram analisados os níveis de estresse, ansiedade e depressão desde a introdução do vírus e os níveis de sintomas psicológicos segundo idade, comorbidades e confinamento. A amostra foi composta de 976 indivíduos e a medição das variáveis ansiedade, estresse e depressão foi realizada a partir do intrumento DASS (Escala de Depressão, Ansiedade e Estresse). Os resultados mostram que, ainda que os níveis de sintomas tenham sido baixos no início do confinamento, os indivíduos mais jovens e com comorbidades referiram mais sintomas que o restante da população. Também se detectou maior nível de sintomas desde o confinamento, quando a população foi proibida de sair de suas casas. Se prevê aumento dos sintomas conforme o confimaneto continuar. Intervenções psicológicas de prevenção e tratamento são necessárias para diminuir o impacto psicológico causado pela pandemia.


The SARS-CoV-2 virus reached Spain in March 2020, and a nationwide state of alert was declared on March 14th, leading to the confinement of the entire population. The current study was conducted in the Basque Autonomous Community in northern Spain. The authors analyzed stress, anxiety, and depression with the arrival of the virus and the levels of symptoms according to age, comorbidity, and confinement. Levels of anxiety, stress, and depression were measured in a sample of 976 adults, using the DASS scale (Depression Anxiety, and Stress Scale). Although levels of symptoms were generally low at the start of the alert, younger individuals with chronic diseases reported more symptoms than the rest of the population. The study also detected higher levels of symptoms after the stay-at-home order was issued. Such symptoms are predicted to increase as the confinement continues. The authors propose psychological interventions for prevention and treatment in order to mitigate the pandemic's psychological impacts.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Anxiety/epidemiology , Pneumonia, Viral/epidemiology , Stress, Psychological/diagnosis , Quarantine/psychology , Coronavirus Infections/epidemiology , Depression/epidemiology , Anxiety/diagnosis , Pneumonia, Viral/prevention & control , Pneumonia, Viral/psychology , Psychiatric Status Rating Scales , Spain/epidemiology , Stress, Psychological/prevention & control , Comorbidity , Disease Outbreaks/prevention & control , Disease Outbreaks/statistics & numerical data , Cross-Sectional Studies , Age Factors , Sex Distribution , Coronavirus Infections/prevention & control , Coronavirus Infections/psychology , Age Distribution , Depression/diagnosis , Pandemics/prevention & control , Betacoronavirus , SARS-CoV-2 , COVID-19 , Middle Aged
9.
Rev. gaúch. enferm ; 41(spe): e20190145, 2020. tab, graf
Article in English | LILACS, BDENF | ID: biblio-1058518

ABSTRACT

Abstract Objective: To evaluate the stress level of mothers of preterm infants with gestational age ≤34 weeks, hospitalized in neonatal intensive care. Method: A cross-sectional study with 74 mothers of premature infants in neonatal intensive care, who answered the "Parental Stress Scale: Neonatal Intensive Care Unit" instrument, validated in Brazil. Results: The mean stress level was 4.41 (± 0.77) and the general stress level was 4.36 (± 0.76), with a significant difference (p <0.001) between the subscale "Alteration in parental roles" and other subscales, meaning that mothers were in a very stressful situation. Conclusion: All items in the subscale "Alteration in parental roles" of the "Parental Stress Scale: Neonatal Intensive Care Unit" were identified as the main source of stress experienced by mothers. This study suggests carrying out further studies with other methodologies to increase the knowledge of maternal stress in the national context, applying care interventions involving the parents.


Resumen Objetivo: Evaluar el nivel de estrés de madres de recién nacidos prematuros con edad gestacional ≤34 semanas, internados en terapia intensiva neonatal. Metódo Estudio transversal con 74 madres de recién nacidos prematuros en unidad de terapia intensiva neonatal, que respondieron al instrumento "Parental Stress Scale: Neonatal Intensive Care Unit" validado en Brasil. Resultados: Se obtuvo un promedio de nivel de ocurrencia de estrés 4,41 (± 0,77) y nivel general de estrés del ambiente 4,36 (± 0,76), con diferencia significativa (p <0,001) entre la subescala " Cambio en el papel de padres "y demás subescalas. Significando que las madres se encontraban en una situación muy estresante. Conclusión: Se identificaron todos los elementos de la subescala "Cambio del papel de padres" de "Parental Stress Scale: Neonatal Intensive Care Unit" como la principal fuente de estrés experimentada por las madres. Se sugiere la realización de estudios con otras metodologías para ampliar el conocimiento del estrés materno en el contexto nacional, aplicando intervenciones de cuidado involucrando a los padres.


Resumo Objetivo: Avaliar o nível de estresse de mães de recém-nascidos pré-termo com idade gestacional ≤34 semanas, internados em terapia intensiva neonatal. Método: Estudo transversal com 74 mães de recém-nascidos pré-termo em unidade de terapia intensiva neonatal, que responderam ao instrumento "Parental Stress Scale: Neonatal Intensive Care Unit", validado no Brasil. Resultados: Obteve-se média de nível de ocorrência de estresse 4,41 (±0,77) e nível geral de estresse do ambiente 4,36 (±0,76), com diferença significativa (p<0,001) entre a subescala "Alteração no papel de pais" e demais subescalas. Significando que as mães se encontravam numa situação muito estressante. Conclusão: Identificaram-se todos os itens da subescala "Alteração do papel de pais" da "Parental Stress Scale: Neonatal Intensive Care Unit" como a principal fonte de estresse experimentada pelas mães. Sugere-se a realização de estudos com outras metodologias para ampliar o conhecimento do estresse materno no contexto nacional, aplicando intervenções de cuidado envolvendo os pais.


Subject(s)
Humans , Infant, Newborn , Adult , Stress, Psychological/diagnosis , Attitude to Health , Mothers/psychology , Stress, Psychological/etiology , Infant, Premature , Intensive Care Units, Neonatal , Cross-Sectional Studies
10.
Trends psychiatry psychother. (Impr.) ; 41(4): 375-386, Oct.-Dez. 2019. tab
Article in English | LILACS | ID: biblio-1059189

ABSTRACT

Abstract Introduction A great deal of research has been conducted all over the world into stress and its impacts on the health of populations. Objective To develop and validate an instrument for identification of the principal stressors and their magnitude in people who are subject to stress. Method The instrument was constructed on the basis of analysis of 20 interviews conducted with 10 male and 10 female adults with stress according to the Perceived Stress Scale. A total of 46 statements were derived from this analysis, referring to stressful situations in different areas of life. Each statement is evaluated on a Likert response scale indicating the degree of impact and the respondent's ability to deal with the stressor it describes. The instrument was validated with a non-probabilistic sample comprised 450 adults, aged from 18 to 65 years, 62.7% women and 37.3% men, who completed the instrument and also the Perceived Stress Scale, to enable criterion validation. Results Exploratory factor analysis identified 42 valid items and grouped them into eight factors that explained 64.5% of total variance. These factors were financial stressors; working environment stressors; cognitive and behavioral stressors; family environment stressors; health status stressors; stressors related to conditions for relaxation; workload-related stressors; and social relationship stressors. Cronbach's alpha for the instrument was 0.94. A relationship was observed between the newly-developed inventory and the Perceived Stress Scale, providing grounds for accepting the validation hypothesis. Conclusions The results were psychometrically satisfactory and made possible provision of a new instrument for stress interventions, with advantages over other instruments.


Resumo Introdução Muitas pesquisas têm sido realizadas sobre o estresse e seus impactos na saúde das populações. Objetivo Desenvolver e validar um instrumento para identificação dos principais estressores e sua magnitude em pessoas com estresse. Método O instrumento foi construído a partir da análise de 20 entrevistas realizadas com adultos apresentando estresse de acordo com a Escala de Percepção de Estresse (10 homens e 10 mulheres). Um total de 46 afirmativas derivaram desta análise, referindo-se a situações estressantes em diferentes áreas da vida. Cada afirmativa foi avaliada em uma escala do tipo Likert, indicando o grau de impacto e a capacidade do respondente de lidar com o estressor descrito. A validação foi realizada com amostra não probabilística de 450 adultos, com idades entre 18 e 65 anos, 62,7% mulheres e 37,3% homens, que responderam o instrumento e a Escala de Percepção de Estresse, permitindo a validação do critério. Resultados A análise fatorial exploratória identificou 42 itens válidos e os agrupou em oito fatores que explicaram 64,5% da variância total. Esses fatores foram estressores financeiros; do ambiente de trabalho; cognitivos e comportamentais; do ambiente familiar; do estado de saúde; relacionados a condições de relaxamento; relacionados à carga de trabalho; e estressores dos relacionamentos sociais. O alfa de Cronbach para o instrumento foi de 0,94, e observou-se relação entre o inventário desenvolvido e a Escala de Percepção de Estresse, possibilitando a aceitação da hipótese de validação. Conclusões Os resultados foram psicometricamente satisfatórios e possibilitaram a disponibilização de um novo instrumento para intervenções de estresse.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Young Adult , Psychiatric Status Rating Scales , Stress, Psychological/diagnosis , Psychometrics , Stress, Psychological/etiology , Stress, Psychological/psychology , Stress, Psychological/epidemiology , Reproducibility of Results , Middle Aged
11.
Int. j. morphol ; 37(3): 928-937, Sept. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1012377

ABSTRACT

En estudios preliminares describimos la importancia clínica e impacto pedagógico del estudio con material cadavérico (MC) en alumnos de Anatomía y hallamos un significativo uso de sustancias psicoactivas (SP), principalmente recursantes y/o alumnos con actividades laborales. La forma de afrontamiento cadavérico (AfC) es un factor de distrés asociado con síntomas (asco, vómitos, alteraciones del sueño), con uso de SP e interfiere el proceso educativo. El objetivo fue evaluar la ansiedad en alumnos con afrontamiento cadavérico negativo. Estudio observacional y transversal mediante encuesta a 740 alumnos que incluyó: Escala de Ansiedad ante la muerte -EAM-, Escala de Ansiedad de Hamilton, preguntas sobre SP y se investigaron términos asociados a conceptos ("material cadavérico", "pieza anatómica"). En alumnos con "afrontamiento cadavérico negativo" (AfCN) (EAM<15, miedo alto/medio con MC y reacciones físicas) se aplicó la Escala de Ansiedad de Hamilton. Se aplicaron parámetros estadísticos, significación p<0,05 y requisitos ético-legales. Objetivamos alta y sostenida prevalencia de alumnos con AfCN, que presentaron mayor puntaje de ansiedad y prevalencia de uso de SP (los ansiolíticos con mayor prevalencia que las sustancias excitatorias); se registró correlación entre cantidad de SP y grado de reacciones negativas (r=0,86). La ansiedad psíquica fue mayor y se asoció con el grado de miedo. Ratificamos alta prevalencia de AfCN que se asoció con mayor nivel de ansiedad y uso de SP, principalmente ansiolíticos. Los síntomas de ansiedad se asociaron con las dimensiones conceptuales registradas y tienen impacto en el proceso de enseñanza-aprendizaje.


In preliminary studies we describe the clinical importance and pedagogical impact of the study with cadaverous material (MC) in Anatomy students and we found a significant using of psychoactive substances (SP), mainly repeating students and/or students with work activities. The form of cadaveric coping (AfC) is a factor of distress associated with symptoms (disgust, vomiting, sleep disturbances), with the use of SP and interferes with the educational process. The objective was to evaluate the anxiety in students with negative cadaveric coping. Observational and cross-sectional study by means of a survey of 740 students that included: Anxiety Scale against death -EAM-, Hamilton Anxiety Scale, questions about SP, and terms related to concepts ("cadaverous material", "anatomical piece") were investigated. In students with "negative cadaveric coping" (AfCN) (EAM <15, high / medium fear with CM and physical reactions) the Hamilton Anxiety Scale was applied. Statistical parameters, significance p <0.05 and ethical-legal requirements were applied. We aimed at high and sustained prevalence of students with AfCN, who presented higher scores of anxiety and prevalence of SP use (anxiolytics with higher prevalence than excitatory substances); correlation was recorded between the amount of SP and the degree of negative reactions (r = 0.86). The psychic anxiety was greater and was associated with the degree of fear. We confirmed a high prevalence of AfCN that was associated with a higher level of anxiety and use of SP, mainly anxiolytics. The symptoms of anxiety were associated with the registered conceptual dimensions and have an impact on the teachinglearning process.


Subject(s)
Humans , Male , Female , Anxiety/diagnosis , Students, Medical/psychology , Cadaver , Anatomy/education , Stress, Psychological/diagnosis , Adaptation, Psychological , Attitude to Death , Cross-Sectional Studies , Surveys and Questionnaires , Substance-Related Disorders , Dissection/psychology , Fear
12.
Rev. cuba. med ; 58(3): e1321, jul.-set. 2019. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1139022

ABSTRACT

Introducción: La vivencias emocionales de las enfermedades y su cuidado reciben atención insuficiente en las condiciones actuales de una medicina altamente biologicista. Objetivo: Profundizar en el concepto del padecer como componente del diagnóstico con enfoque psicosocial en clínica. Métodos: Se realizó una búsqueda en las bases de datos PubMed, SciELO y Lilacs utilizando las palabras claves: padecer; afectación; enfermedad, illness, sickness, disease. Desarrollo: El diagnóstico médico se centra en la entidad nosológica que representa alteraciones estructurales y funcionales. La afectación se vincula a la vida de relaciones sociales del enfermo en la que supone determinado grado de invalidez y en el padecer, el cual es una expresión de la dimensión psicológica cuya complejidad se centra en la respuesta afectiva identificable por las emociones y sentimientos. El padecer tiene un carácter individual según los rasgos de personalidad, la biografía del paciente, las características de su enfermedad (aguda o crónica), el contexto en el que surge y se desarrolla el problema de salud y las cualidades del proceso de atención. El afrontamiento del padecer del paciente puede verse mejor desde una visión alostática. Conclusiones: El padecer de las enfermedades, también conocido como cuadro interno de la enfermedad, tiene como centro la respuesta emocional pero no se limita a ella. Exige conocer al enfermo como persona y su red de apoyo con vistas a facilitarle una respuesta adaptativa beneficiosa a su nueva condición(AU)


Introduction: The emotional experiences of diseases and their care receive insufficient attention in the current conditions of highly biologic oriented medicine. Objective: To deepen the concept of suffering as a component of diagnosis with a psychosocial approach in the clinic. Methods: A search in PubMed, SciELO and Lilacs databases was performed using suffering; affectation; disease, illness, sickness, disease as keywords. Discussion: The medical diagnosis focuses on the nosological entity that represents structural and functional alterations. Suffering is linked to the social relations of the patient in which certain degree of disability and suffering are supposed, which is an expression of the psychological dimension whose complexity focuses on the emotional response identifiable by emotions and feelings. Suffering has an individual character according to the personality traits, the patient´s history, the characteristics of the illness (acute or chronic), the context in which the health problem arises and advances and the qualities of the care process. Coping with the patient's suffering can be better understood from an allostatic view. Conclusions: Suffering from diseases, also known as internal symptoms of the disease, is centered on the emotional response but it is not just limited to it. Knowing the patient as a whole person and their support network is required to facilitating beneficial adaptive response to the new condition(AU)


Subject(s)
Humans , Male , Female , Pain/psychology , Stress, Psychological/diagnosis , Clinical Diagnosis/diagnosis , Adaptation, Psychological/physiology , Psychosocial Impact
13.
Actual. psicol. (Impr.) ; 33(126): 117-135, ene.-jun. 2019. tab, graf
Article in Spanish | LILACS, INDEXPSI, SaludCR | ID: biblio-1088577

ABSTRACT

Resumen El propósito de este estudio fue evaluar un modelo predictivo de sintomatología postraumática aguda (SPT) y de crecimiento post-estrés (CPE) en trabajadores que sufrieron un accidente laboral reciente. Se encuestaron 246 trabajadores (23.2% mujeres) entre los 18 y los 73 años. Se encontró que los principales predictores de la SPT son: severidad subjetiva del evento, afrontamiento religioso negativo, reinterpretación positiva y rumiación de tipos intrusiva, negativa y deliberada. A su vez, los principales predictores de CPE fueron: rumiación deliberada y afrontamiento religioso positivo. Se realizó un análisis de sendero para evaluar un modelo en el cual la rumiación intrusiva y la deliberada cumplen una función mediadora, obteniendo adecuados índices de ajuste. Se plantea la necesidad de contar con un método de evaluación temprana de las respuestas psicológicas tras un accidente.


Abstract The aim of this study is to evaluate a predictive model of acute posttraumatic symptomatology (PTS) and post-stress growth (PSG) in workers who suffered a recent work accident. To this end, 246 workers (23.2% women) were surveyed, aged between 18 and 73 years. The main predictors of PTS were subjective severity of event, negative religious coping, positive reinterpretation, and intrusive, brooding and deliberate rumination. At the same time, the main predictors of PSG were deliberate rumination and positive religious coping. A path analysis was performed to evaluate a model in which intrusive and deliberate rumination fulfill a mediating function, obtaining adequate goodness-of-fix indices. The need to have a method of early evaluation of psychological responses after an accident is proposed.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Stress Disorders, Post-Traumatic/psychology , Stress, Psychological/diagnosis , Accidents, Occupational/psychology , Rumination Syndrome/psychology , Chile
14.
Prensa méd. argent ; 105(2): 92-97, apr 2019. tab
Article in English | LILACS, BINACIS | ID: biblio-1025712

ABSTRACT

Central serous chorioretinopathy (CSC) is an ophthalmic disorder that often affects young male patients under psychological stres and is clinically characterized by blurring of vision, metamorphopsia, a visual abnormality in which normally straight lines appears curved, and micropsia, a visual abnormality in which objects appear smaller than normal. The annual incidence of the condition is not well recognized in our country. The objective of this cross-sectional study was to highlight the incidence rate of CSC in our community and to make an insight on possible associated risk factors. This cross-sectional study included 92 patients with vissual impairment that has been proved due to central serous chorioretinoplathy (CRC). The sample included 68 males and 24 females. The sample of CRC was all the available patients visiting ophthalmology unit at Al-Diwaniyah teaching hospital and at the ophthalmology unit at Medical Committee Instituion, both these health centers lie at Al-Diwaniyah province, mid-Euphrates region, Iraq. A rough estimation of the annual incidence of CRC in this mid-Euphrates region of Iraq was 3.5 per 100.000. Mean age of patients was 43.02 ± 4.71 years, and the disease was 2.83 times more common in males. The main possible risk factors are psychosocial stress and steroid therapy. CRC is common in our community, and the main possible risk factors are psychosocial stress, and steroid use and these associations need to be validated in a large longitudinal study or at least a case-control study


Subject(s)
Humans , Child, Preschool , Child , Adolescent , Adult , Steroids/adverse effects , Stress, Psychological/diagnosis , Vision Disorders/epidemiology , Incidence , Cross-Sectional Studies , Risk Factors , Longitudinal Studies , Central Serous Chorioretinopathy/diagnosis
15.
Medicina (B.Aires) ; 79(1,supl.1): 22-26, abr. 2019. graf, tab
Article in Spanish | LILACS | ID: biblio-1002600

ABSTRACT

Las familias de niños con trastorno del espectro del autismo (TEA) pueden diferenciarse en función de indicadores sociodemográficos y del clima familiar caracterizado por el nivel de estrés parental, el uso de estrategias de afrontamiento y la búsqueda de apoyo social. El objetivo de este estudio fue analizar las diferencias conductuales, emocionales y sociales de niños con TEA en relación con distintas tipologías de familias caracterizadas en función de los factores de riesgo como de riesgo alto, moderado y bajo. Los participantes fueron 52 madres y sus hijos de entre 7 y 11 años, con TEA sin discapacidad intelectual, que aportaron información del desarrollo socioemocional de los hijos mediante el Cuestionario de Cualidades y Dificultades, que valora síntomas emocionales, problemas de conducta, hiperactividad/ problemas de atención, problemas de relación con los compañeros y conducta prosocial. Los análisis de comparación entre grupos que se llevaron a cabo, indicaron que los niños con familias de riesgo alto mostraron puntuaciones significativamente más bajas en conductas prosociales y experimentaron un nivel significativamente superior de problemas emocionales que los niños de las familias del grupo de bajo riesgo. Por consiguiente, los resultados mostraron la relación que tiene el contexto familiar con el desarrollo socioemocional de niños con TEA. Subrayan asimismo la importancia del asesoramiento a las familias para potenciar las habilidades de regulación emocional y las conductas prosociales, debido a su impacto en la adaptación social a largo plazo.


Families of children with autism spectrum disorder (ASD) can be differentiated according to socio-demographics and environmental risk factors characterized by stress parental, the use of coping strategies and social support. The aim of this study was to analyze the behavioral, emotional and social manifestations of children with ASD, related to different types of families characterized according risk factors as families with "high risk", with "moderated risk" and with "low risk". Participants were 52 mothers and their children between 7 and 11 years old with ASD without intellectual disability. All mothers provided information about children's behavior through the Strengths and Difficulties Questionnaire, which includes the following scales: emotional symptoms, behavioral problems, hyperactivity/inattention, peer problems and prosocial behavior. Comparisons analysis showed that children belonging to the high family risk group exhibited less prosocial behaviors and a higher level of emotional problems compared to the low risk group. The findings from the present study illustrate the importance of considering the characteristics of entire family system in the emotional and social development of children with ASD. The role of family counseling to enhance emotional regulation skills and prosocial behaviors is underlined due to their impact on long-term social adjustment.


Subject(s)
Humans , Male , Female , Child , Adult , Middle Aged , Social Adjustment , Stress, Psychological/psychology , Family/psychology , Health Knowledge, Attitudes, Practice , Autism Spectrum Disorder/psychology , Stress, Psychological/diagnosis , Surveys and Questionnaires , Risk Factors , Affective Symptoms/diagnosis , Affective Symptoms/psychology , Autism Spectrum Disorder/diagnosis , Mothers/psychology
16.
Ciênc. Saúde Colet ; 24(3): 729-736, mar. 2019. tab, graf
Article in English | LILACS | ID: biblio-989587

ABSTRACT

Abstract The 10-item Kessler Psychological Distress Scale (K10) has been presented as a valid measure to assess psychological distress levels in population surveys but its dimensional structure was not consensual. Our main objective was to provide a Portuguese version of the K10 exploring the reliability and factor structure of this measure. This cross-sectional study included 694 adults collected from a web-based survey and in training entities. Results showed that 37.9% of the individuals reported significant distress symptoms. A good internal consistency of the K10 scale (α=.91) and strong inter-item correlation (ranges from .350 to .659) were found in our study but the original one-dimensional structure was not confirmed. A two-factor model considering anxiety and depression as two latent, independent but correlated factors shows a good fit with the data even across two data collection methods. The K10 tool was sensitive to sociodemographic variables. Participants aged 40 or over and belonging to the general working class presented higher distress levels. Our data indicates the Portuguese version of K10 as a reliable tool with a factor structure to assess psychological distress.


Resumo A Escala de Distress Psicológico de Kessler de 10 itens (K10), é apresentada como uma medida válida para avaliar o distress psicológico em pesquisas populacionais, mas a sua estrutura dimensional não é consensual. O objetivo do presente estudo foi providenciar uma versão Portuguesa do K10 explorando a confiabilidade e a estrutura fatorial desta medida. Este estudo transversal incluiu 694 adultos, recrutados através de uma pesquisa via web e em entidades formadoras. Os resultados mostraram que 37,9% dos indivíduos reportaram sintomas de distress significativos. A escala K10 apresentou uma boa consistência interna (α= 0,91) e fortes correlações inter-item (entre 0,35 e 0,66). No entanto, a estrutura unidimensional original não foi confirmada. Um modelo dois fatores considerando a ansiedade e a depressão como dois fatores latentes independentes, mas correlacionados mostrou um bom ajuste mesmo entre os dois métodos de recolha. A ferramenta K10 foi ainda sensível para variáveis sociodemográficas. Participantes com 40 anos ou mais e que pertenciam à classe trabalhadora geral apresentaram maiores níveis de distress psicológico. Os dados obtidos indicaram que a versão Portuguesa do K10 é uma ferramenta confiável com uma estrutura fatorial para avaliar sintomas não específicos de distress.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Young Adult , Anxiety/diagnosis , Psychiatric Status Rating Scales , Stress, Psychological/diagnosis , Depression/diagnosis , Anxiety/epidemiology , Portugal , Social Class , Stress, Psychological/epidemiology , Cross-Sectional Studies , Surveys and Questionnaires , Reproducibility of Results , Age Factors , Depression/epidemiology , Middle Aged
17.
Rev. gaúch. enferm ; 40: e20180225, 2019. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1014141

ABSTRACT

Resumo OBJETIVO Comparar o perfil de saúde física, cognitiva e psicológica e o contexto de cuidado de idosos cuidadores de idosos em diferentes arranjos de moradia. MÉTODO Estudo quantitativo e transversal realizado com 349 cuidadores divididos em arranjos de moradia unigeracional, bigeracional e multigeracional. Para avaliação foram utilizados questionários sociodemográfico e de cuidado, e instrumentos de avaliações da saúde física, cognitiva e psicológica. Para análises dos dados foram utilizados os testes Qui-quadrado e U Mann Whitney. RESULTADOS Os idosos cuidadores de lares unigeracionais eram mais velhos e independentes para as atividades instrumentais de vida diária. Nos arranjos de moradia multigeracionais houve proporção significativamente maior de cuidadores que consideravam a renda familiar insuficiente, recebiam ajuda emocional e sentiam-se mais sobrecarregados e estressados. CONCLUSÃO As diferenças identificadas entre os grupos podem contribuir para elaboração de políticas de cuidado e promoção da saúde de idosos cuidadores.


Resumen OBJETIVO Comparar el perfil de salud física, cognitiva y psicológica y el contexto de cuidado de cuidadores ancianos en diferentes arreglos habitacionales. MÉTODO Estudio cuantitativo y transversal con cuidadores de ancianos. La muestra fue formada por 349 cuidadores divididos en arreglos de vivienda unigeracionales, bigeracionales y multigeracionales. Para la evaluación, se utilizaron cuestionarios sociodemográficos, asistenciales y de estudio de salud física, cognitiva y psicológica. Las pruebas de Chi cuadrado y U Mann Whitney se utilizaron para el análisis de datos. RESULTADOS Los cuidadores unigeracionales ancianos fueron significativamente más viejos e independientes para las actividades instrumentales de la vida diaria. En los arreglos de alojamiento multigeracional, una proporción significativamente mayor de cuidadores que consideraban la renta familiar insuficiente recibía ayuda emocional y se sentía más sobrecargada y estresada. CONCLUSIÓN Las diferencias identificadas entre los grupos pueden contribuir al desarrollo de políticas de cuidado y promoción de la salud del anciano cuidador.


Abstract OBJECTIVE To compare the physical, cognitive and psychological health profile and care context of elder caregivers of the elderly in different home arrangements. METHOD Quantitative and transversal study with elderly caregivers. The sample consisted of 349 caregivers divided into mono-gerational, bi-gerational and multi-generational housing arrangements. Sociodemographic and care questionnaires and physical, cognitive and psychological health assessment instruments were used for evaluation. The Chi-square distribution and Mann Whitney's U were used for data analysis. RESULTS Elderly caregivers in mono-generational homes were significantly older and independent for instrumental activities of daily living. In multigenerational households there was a significantly greater proportion of caregivers who considered family income insufficient, received emotional help, and felt overwhelmed and stressed. CONCLUSION The differences identified between the groups can contribute to the elaboration of care policies and for the health promotion of elderly caregivers.


Subject(s)
Humans , Male , Female , Aged , Family Characteristics , Health Status , Housing , Personal Satisfaction , Stress, Psychological/diagnosis , Chi-Square Distribution , Cross-Sectional Studies , Age Factors , Workload , Caregivers/psychology , Caregivers/statistics & numerical data , Statistics, Nonparametric , Depression/diagnosis , Educational Status , Income , Middle Aged
18.
Univ. psychol ; 17(3): 120-127, jul.-set. 2018. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-979522

ABSTRACT

Abstract Diabetic adolescents have poor metabolic control. We aimed to characterize the longitudinal association between the stress-related domains of emotional burden (EB), physician related-distress (PD), regimen-related distress (RD), diabetes-related interpersonal distress (ID), and hemoglobin glycosylated (HbA1c) trajectories among Type 1 diabetics Chilean adolescents. Thirty-two Type 1 diabetic adolescents (Mage=15.97; SD=3.45) were followed for one year. HbA1c was assessed at three time points, and a stress measure was obtained. Using a longitudinal growth curve modeling, a marginal overall negative linear trend was found in HbA1c (b = -0.23, p = 0.096). There was an interaction between time and PD (b = -0.33, p < 0.05), and a main effect of EB, RD, and ID on HbA1c. Psychological stress domains predict metabolic control trajectories. Monitoring diabetes specific stress may be a useful tool to identify adolescents at risk for poor control, and interventions that reduce such stress might lead to better management of diabetes in adolescents.


Resumen Los adolescentes diabéticos tienen un pobre control metabólico. El propósito de este estudio fue caracterizar la asociación longitudinal entre el estrés emocional (EB), estrés con el médico (PD), estrés con el tratamiento (RD) y estrés interpersonal (ID), con trayectorias de hemoglobinas glicosiladas (HbA1c) en adolescentes diabéticos tipo 1 (DM1). Treinta y dos adolescentes DM1 (Medad = 15.97, DE = 3.45) fueron seguidos un año. Se obtuvo la HbA1c tres veces en el año, más un auto-reporte de estrés. Análisis de curvas de crecimiento predijeron una tendencia lineal negativa en la trayectoria de HbA1c (b = -0.23, p = 0.096). Hubo una interacción entre el tiempo y PD (b = -0.33, p ≤ 0.05) y los efectos principales de EB, RD, e ID en HbA1c. Se concluye que el estrés psicológico predice trayectorias de HbA1c. Monitorear dominios específicos de estrés podría ser útil para identificar adolescentes con riesgo de tener pobre HbA1c, e intervenciones que reduzcan el estrés podrían ayudar a manejar la diabetes en adolescentes.


Subject(s)
Adolescent , Stress, Psychological/diagnosis , Adolescent , Diabetes Mellitus/psychology , Metabolic Diseases
19.
Rev. chil. pediatr ; 89(2): 182-189, abr. 2018. tab
Article in Spanish | LILACS | ID: biblio-900085

ABSTRACT

INTRODUCCIÓN: La hospitalización de un hijo es una situación que produce un alto nivel de estrés en padres/madres, especialmente en Unidades de Cuidados Intensivos Pediátricos (UCIP). OBJETIVO: Determinar cuáles son los principales estresores percibidos por los padres/madres de niños/as en UCIP y qué variables se asocian. PACIENTES Y MÉTODO: Estudio cuantitativo, trasversal y correlacional, contempla el análisis secundario de datos del proyecto de Investigación Docente Asistencial # 201403 de Escuela de Enfermería UC: Validación de "The Parental Stressor Scale Infant Hospitalization al español" (PSSIH modificado). El muestreo fue no probabilístico por conveniencia, con 217 padres de niños/as en la UCIP de un hospital universitario, quienes contestaron un cuestionario demográfico y el instrumento PSSIH modificado para medir estresores en el ambiente de la UCIP. RESULTADOS: Se identificaron 3 dimensiones de estresores: Clínica, Emocional y Comunicación con el equipo profesional. La dimensión clínica fue la más estresante, con los factores imágenes o sonidos, procedimientos e intervenciones y el aspecto del hijo, las dimensiones relacionadas con la conducta y la comunicación con el equipo resultaron menos estresantes. Además, se asocian a una mayor percepción de estrés para las distintas dimensiones, tener: experiencias previas en UCIP, ingreso programado, ingreso por patología cardiaca, hijo único, mayor nivel educacional y no tener pareja. CONCLUSIONES: El instrumento PSSIH modificado permitió determinar principales estresores percibidos por los padres/ madres de niños/as en UCIP, siendo la dimensión Clínica, el mayor estresor. Estos resultados son útiles para desarrollar programas de intervención local según características particulares de las UCIP.


INTRODUCTION: The hospitalization of a child is a situation that produces a high level of stress on parents, especially at the Pediatric Intensive Care Unit (PICU). OBJECTIVE: To determine which are the main stressors perceived by the parents of children hospitalized at PICU and the associated variables. PATIENTS AND METHOD: A quantitative, cross-sectional and correlational study, which considers the secondary analysis of data from the IDA project # 201403 of UC School of Nursing: Validation of "The parental stressor scale infant hospitalization in Spanish" (PSSIH modified). Sampling was non probabilistic by convenience, with 217 parents of children at the PICU of a University hospital, who answered a demographic questionnaire and the modified PSSIH instrument to measure stressors in the PICU environment. RESULTS: Three dimensions of stressors were identified: Clinical, Emotional and Communication with the professional team. The clinical dimension was the most stressful, with the factors images or sounds, procedures and interventions and the aspect of the child, dimensions related to behavior and communication with the team were less stressful. In addition, it is associated with a greater perception of stress in the different dimensions, when having: previous experiences in PICU, programmed admission, admission due tocardiac pathology, single child, higher educational level and no partner. CONCLUSIONS: The modified PSSIH instrument made it possible to determine the main stressors perceived by the parents of children in the PICU, the Clinical dimension being the major stressor. These results are useful for developing local intervention programs according to the particular characteristics of the PICU.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Young Adult , Parents/psychology , Stress, Psychological/etiology , Intensive Care Units, Pediatric , Stress, Psychological/diagnosis , Stress, Psychological/psychology , Cross-Sectional Studies
20.
Physis (Rio J.) ; 28(4): e280407, 2018.
Article in Portuguese | LILACS | ID: biblio-984790

ABSTRACT

Resumo Este artigo é oriundo de uma pesquisa em psicanálise e educação, que aliou estudo de casos múltiplos e pesquisa-intervenção, realizada no Serviço de Psiquiatria da Infância e Adolescência do Instituto de Psiquiatria da UFRJ (SPIA/IPUB-UFRJ). Parte de uma constatação que as condições sociais que sustentam o laço educativo têm sofrido grandes transformações nas últimas décadas. Levando em conta a tese freudiana a respeito do mal-estar inerente à civilização, visa discutir o mal-estar na escolarização de crianças e adolescentes, mais especificamente a partir do discurso dos especialistas que foram convocados a atender os casos estudados. Tece uma reflexão sobre o mal-estar no contexto dos atendimentos clínicos e em seus encaminhamentos, bem como problematiza a hegemonia do discurso médico na compreensão e condução desse processo.


Abstract This article comes from a research in psychoanalysis and education, which allied multiple case study and intervention research, carried out in the Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Rio de Janeiro Federal University (SPIA/IPUB-UFRJ). It starts with an observation that the social conditions that underpin the educational bond have undergone great transformations in the last decades. Taking Freud's thesis of the malaise inherent in civilization into account, it aims to discuss the malaise in the schooling of children and adolescents, more specifically from the discourse of the specialists who were called to attend the cases studied. It brings a reflection on the malaise in the context of the clinical appointments and in its referrals, and problematizes the hegemony of the medical discourse in the understanding and conduction of this process.


Subject(s)
Humans , Male , Female , Child , Adolescent , Psychoanalysis , Stress, Psychological/diagnosis , Brazil , Mental Health/trends , Child Health , Adolescent Health , Qualitative Research , Education/trends , Freudian Theory , Learning Disabilities/diagnosis
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