ABSTRACT
Objetivo: reafirmar o potencial da Educação Permanente como constitutiva e qualificadora do processo de trabalho em saúde mental. Métodos: trata-se de um recorte da Pesquisa de Avaliação dos Centros de Atenção Psicossocial da Região Sul do Brasil, através de observações de campo, entrevistas semiestruturadas com profissionais, e análise hermenêutica e dialética. Resultados: organizadas nas categorias diversidade de atores, horizontalidade das relações e problematização/resolutividade, evidenciaram-se ações de Educação Permanente em Saúde como atividades de educação em saúde, de planejamento, avaliação das práticas e resolução dos problemas. Considerações Finais: ações de Educação Permanente em Saúde são potencialmente constitutivas e qualificadoras do processo de trabalho em saúde, e precisam ser valorizadas e incorporadas ao cotidiano dos serviços de saúde mental, como um modo de resistência ao enfrentamento dos desafios do Sistema Único de Saúde.(AU)
Objective: to reaffirm the potential of the Permanent Education as constitutive and qualifying of the work process in mental health. Methods: this is a clipping from the Evaluation Research of the Psychosocial Care Centers of the Southern Region of Brazil, through field observations, semi-structured interviews with professionals, and hermeneutic-dialectical analysis. Results: organized in the following categories: diversity of actors, horizontality of relationships and problem-solving/resolving, Permanent Education actions in Health were evidenced as activities of health education, planning, evaluation of practices and resolution of problems. Final Considerations: Permanent Health Education actions are potentially constitutive and qualifiers of the health work process and need to be valued and incorporated into the daily life of mental health services, as a way of resisting the challenges of the Unified Health System.(AU)
Subject(s)
Mental Health , Qualitative Research , Education, ContinuingABSTRACT
OBJECTIVE:: To compare the risk of comorbid sexual addiction in a sample of individuals with a diagnosis of substance dependence, stratifying the sample by drug of choice as well as by mono versus polysubstance addiction. METHOD:: All data were collected at Santa Casa de São Paulo, Brazil. The study sample comprised all alcohol or drug dependents admitted to the Addiction Treatment Unit between November 2013 and August 2014. A generalized linear model with a binomial distribution was performed to compare the odds of having a Sexual Addiction Screening Test (SAST) score greater than 6 points in the subgroups analyzed. RESULTS:: A total of 133 participants were included in our analysis, all reporting cocaine/crack and/or alcohol as drug of choice. Polysubstance addicts had a significant higher risk of a positive screening for sexual addiction compared to monosubstance addicts, age-sex adjusted odds ratios of sexual addiction being respectively 2.72 (95CI 1.1-6.71) and 0.37 (95CI 0.15-0.91). The odds of a SAST score greater than 6 was not statistically different between the cocaine/crack and alcohol groups, respectively 0.38 (95CI 0.14-1.02) and 2.67 (95CI 0.98-7.25). We found a significant relation between stronger drug addiction and greater levels of sexual addiction in the cocaine/crack group (p=0.0012), but not in the alcohol group. CONCLUSION:: Our study reinforces the importance of assessing sexual behavior of drug addicts in clinical practice, especially considering users of multiple substances or with severe dependence.
Subject(s)
Alcohol-Related Disorders/complications , Behavior, Addictive/chemically induced , Cocaine-Related Disorders/complications , Risk Assessment/methods , Sexual Behavior/drug effects , Sexual Dysfunctions, Psychological/chemically induced , Adult , Age Factors , Alcohol-Related Disorders/psychology , Behavior, Addictive/psychology , Brazil , Cocaine-Related Disorders/psychology , Crack Cocaine/adverse effects , Drug Users/psychology , Female , Humans , Logistic Models , Male , Middle Aged , Psychiatric Status Rating Scales , Risk Factors , Severity of Illness Index , Sex Factors , Sexual Behavior/psychology , Socioeconomic Factors , Surveys and QuestionnairesABSTRACT
Summary Objective: To compare the risk of comorbid sexual addiction in a sample of individuals with a diagnosis of substance dependence, stratifying the sample by drug of choice as well as by mono versus polysubstance addiction. Method: All data were collected at Santa Casa de São Paulo, Brazil. The study sample comprised all alcohol or drug dependents admitted to the Addiction Treatment Unit between November 2013 and August 2014. A generalized linear model with a binomial distribution was performed to compare the odds of having a Sexual Addiction Screening Test (SAST) score greater than 6 points in the subgroups analyzed. Results: A total of 133 participants were included in our analysis, all reporting cocaine/crack and/or alcohol as drug of choice. Polysubstance addicts had a significant higher risk of a positive screening for sexual addiction compared to monosubstance addicts, age-sex adjusted odds ratios of sexual addiction being respectively 2.72 (95CI 1.1-6.71) and 0.37 (95CI 0.15-0.91). The odds of a SAST score greater than 6 was not statistically different between the cocaine/crack and alcohol groups, respectively 0.38 (95CI 0.14-1.02) and 2.67 (95CI 0.98-7.25). We found a significant relation between stronger drug addiction and greater levels of sexual addiction in the cocaine/crack group (p=0.0012), but not in the alcohol group. Conclusion: Our study reinforces the importance of assessing sexual behavior of drug addicts in clinical practice, especially considering users of multiple substances or with severe dependence.
Resumo Objetivo: Comparar o risco de dependência sexual em uma amostra de indivíduos com diagnóstico de dependência química, estratificados por droga de escolha e por dependência única ou de múltiplas substâncias. Método: Todos os dados foram coletados na Santa Casa de São Paulo, Brasil. A amostra estudada correspondeu a todos os indivíduos dependentes de álcool ou outras substâncias admitidos no Ambulatório de Dependência Química entre novembro de 2013 e agosto de 2014. Modelos lineares generalizados com distribuição binomial foram utilizados para comparar o risco de escores maiores que seis na Escala de Rastreamento para Dependência de Sexo (SAST) nos subgrupos analisados. Resultados: Foram analisados os dados de 133 pacientes usuários de cocaína/crack e/ou álcool. Usuários de múltiplas substâncias apresentaram risco significativamente maior de um screening positivo para dependência sexual comparados com usuários de uma única substância. Os odds ratios de dependência sexual ajustados por sexo e idade obtidos nos dois grupos foram, respectivamente, 2.72 (IC95% 1.1-6.71) e 0.37 (IC95% 0.15-0.91). O risco de dependência sexual entre usuários de cocaína/crack e álcool foi estimado, respectivamente, em 0.38 (IC95% 0.14-1.02) e 2.67 (IC95% 0.98-7.25), não indicando diferença significativa. Foi encontrada uma relação significativa entre severidade de dependência química e maiores níveis de dependência sexual entre dependentes de cocaína/crack, mas não de álcool. Conclusão: Nosso estudo reforça a importância de avaliar o comportamento sexual de dependentes químicos na prática clínica, especialmente considerando usuários de múltiplas substâncias, ou casos de maior severidade.
