ABSTRACT
Objetivo: analisar os fatores associados ao perfil psicossocial de mulheres durante o pré-natal no Hospital Universitário Unidade Materno Infantil da Universidade Federal do Maranhão HUUFMA. Métodos: estudo transversal realizado com 160 gestantes sem limite de faixa etária, atendidas no Ambulatório de Obstetrícia do HUUFMA no período de março a outubro de 2017. A avaliação do perfil psicossocial foi mensurada por meio do Prenatal Psychosocial Profile (PPP-VP). Resultados: a maioria das gestantes, cerca de 41,25% (66), possui somente o Ensino Médio completo, faixa etária de 15 a 35 anos , cerca de 65,66% (105), no último trimestre gestacional 46,25% (74), a maior parte primigesta, 60% (96), com menos de seis consultas pré-natais realizadas, 67,52% (108). Quanto ao trimestre gestacional, não houve significância estatística com os constructos do PPP-VP, relativo à paridade, as multíparas foram as que mais evidenciaram estresse e o teste de Tukey demonstrou que as multíparas tiveram mais estresse quando comparada com as nulíparas. Conclusão: é pertinente inferir que, em relação ao trimestre gestacional, não houve influência relativa aos constructos do perfil psicossocial, porém ao se relacionar paridade, a situação contrária foi observada, principalmente em multíparas, onde o maior número de partos refletia diretamente no nível desajustado do estresse, sendo assim é necessária uma maior atenção a essas questões para uma assistência pré-natal adequada (AU)
Objective: analyze the factors associated with the psychosocial profile of women during prenatal care at the University Hospital Maternal-Child Unit of the Federal University of Maranhão HUUFMA. Methods: a cross-sectional study conducted with 160 pregnant women without age limit assisted at the HUUFMA Obstetrics Outpatient Clinic from March to October 2017. The assessment of the psychosocial profile was measured using the Prenatal Psychosocial Profile (PPP-VP). Results: most pregnant women, about 41.25% (66) had only completed high school; aged from 15 to 35 years old, about 65.66% (105); in the last gestational trimester 46.25% (74); most of them primigravid, 60% (96); with less than six prenatal appointments performed 67.52% (108). As for the gestational trimester, there was no statistical significance with the PPP-VP constructs; concerning parity, multiparas were the ones who showed more stress, and the Tukey test showed that this group had more stress when compared to nulliparas. Conclusion: it is pertinent to infer that about the gestational trimester, there was no influence on the constructs of the psychosocial profile, but when relating parity, the opposite situation was observed, especially in multiparous women, in which the greater number of births directly reflected in the maladjusted level of stress. Greater attention is necessary to these issues for adequate prenatal care
Subject(s)
Humans , Female , Pregnancy , Prenatal Care , Self Concept , Psychosocial Support Systems , Psychological DistressABSTRACT
RESUMO: Objetivo: analisar os fatores associados ao perfil psicossocial de mulheres durante o pré-natal no Hospital Universitário Unidade Materno Infantil da Universidade Federal do Maranhão HUUFMA. Métodos: estudo transversal realizado com 160 gestantes sem limite de faixa etária, atendidas no Ambulatório de Obstetrícia do HUUFMA no período de março a outubro de 2017. A avaliação do perfil psicossocial foi mensurada por meio do Prenatal Psychosocial Profile (PPP-VP). Resultados: a maioria das gestantes, cerca de 41,25% (66), possui somente o Ensino Médio completo, faixa etária de 15 a 35 anos , cerca de 65,66% (105), no último trimestre gestacional 46,25% (74), a maior parte primigesta, 60% (96), com menos de seis consultas pré-natais realizadas, 67,52% (108). Quanto ao trimestre gestacional, não houve significância estatística com os constructos do PPP-VP, relativo à paridade, as multíparas foram as que mais evidenciaram estresse e o teste de Tukey demonstrou que as multíparas tiveram mais estresse quando comparada com as nulíparas. Conclusão: é pertinente inferir que, em relação ao trimestre gestacional, não houve influência relativa aos constructos do perfil psicossocial, porém ao se relacionar paridade, a situação contrária foi observada, principalmente em multíparas, onde o maior número de partos refletia diretamente no nível desajustado do estresse, sendo assim é necessária uma maior atenção a essas questões para uma assistência pré-natal adequada. (AU)
ABSTRACT: Objective: analyze the factors associated with the psychosocial profile of women during prenatal care at the University Hospital Maternal-Child Unit of the Federal University of Maranhão HUUFMA. Methods: a cross-sectional study conducted with 160 pregnant women without age limit assisted at the HUUFMA Obstetrics Outpatient Clinic from March to October 2017. The assessment of the psychosocial profile was measured using the Prenatal Psychosocial Profile (PPP-VP). Results: most pregnant women, about 41.25% (66) had only completed high school; aged from 15 to 35 years old, about 65.66% (105); in the last gestational trimester 46.25% (74); most of them primigravid, 60% (96); with less than six prenatal appointments performed 67.52% (108). As for the gestational trimester, there was no statistical significance with the PPP-VP constructs; concerning parity, multiparas were the ones who showed more stress, and the Tukey test showed that this group had more stress when compared to nulliparas. Conclusion: it is pertinent to infer that about the gestational trimester, there was no influence on the constructs of the psychosocial profile, but when relating parity, the opposite situation was observed, especially in multiparous women, in which the greater number of births directly reflected in the maladjusted level of stress. Greater attention is necessary to these issues for adequate prenatal care.
Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Prenatal Care , Social SupportABSTRACT
El fenómeno suicida ha aumentado en la población general y esto cobra especial relevancia en los adolescentes de nuestro país. Si bien se conocen factores de riesgo asociados, existen aún escasos estudios locales respecto a las características de los adolescentes intentadores de suicidio en población consultante. Métodos: Se consideró población estudio a los adolescentes entre 15 y 18 años hospitalizados en la CPU entre 2009 y 2011, se dividieron intentadores (IS) y no intentadores de suicidio (NIS), registrando características clínicas y sociodemográficas, analizadas luego con el software STATA. Resultados: En el grupo de intentadores de suicidio el 68,13% presentaban historia de intento suicida previo, siendo más frecuente en mujeres. Otra característica distintiva de este grupo es la asociación a conducta suicida de familiar de primer grado y el antecedente de abuso sexual infantil. Palabras Clave: comportamiento suicida, intento suicida, adolescentes, perfil psicosocial, abuso sexual.
The suicidal phenomenon has increased in the general population and this is especially relevant in our country's adolescents. Although there are known risk factors for suicide, there are still few local studies regarding the characteristics of adolescents attempting suicide in our consulting population. Methods: The study population was considered to be 15 to 18-year-old adolescents hospitalized in the CPU between 2009 and 2011, they were divided into suicide attempters (SA) and non suicide attempters (NSA); clinical and sociodemographic characteristics were recorded and later analyzed with the software STATA. Results: In the group of suicide attempters 68.13% presented a history of previous suicide attempts, more frequently in women. Another distinctive feature of this group is the association of suicide attempts to suicidal behavior of a first-degree relative and a history of child sexual abuse.Key words: suicidal behaviour, suicidal attempt, adolescent, psychosocial profile, sexual abuse.
ABSTRACT
Resumen El objetivo de este estudio fue analizar posibles diferencias en satisfacción con la vida, ánimo depresivo, autoconcepto y comunicación familiar entre adolescentes no implicados en violencia de pareja, agresores, víctimas, implicados en el rol de agresor-víctima de forma ocasional e implicados en este rol frecuentemente. Participaron 672 adolescentes españoles (325 chicas, 347 chicos), entre 12 y 19 años (M = 14.45; DT = 1.62). Los resultados muestran un perfil psicosocial más negativo en las chicas víctimas de violencia de pareja y en los chicos implicados frecuentemente en el rol de agresor-víctima. En las chicas con mayor implicación en violencia de pareja se observan también mayores dificultades en la comunicación familiar. Estos resultados muestran la existencia de perfiles psicosociales diferentes en chicos y chicas, que desempeñan diferentes roles en violencia de pareja, y la utilidad de considerar estos perfiles en el desarrollo de programas de intervención.
Abstract The objective of this study was to analyze possible differences in life satisfaction, depressive mood, self-concept and family communication among adolescents not involved in dating violence, bullies, victims, occasionally involved in a role of aggressor-victim and frequently involved in a role of aggressor-victim were analyzed. 672 Spanish adolescents (325 girls, 347 boys) between 12 and 19 years (M = 14.45, SD = 1.62) participated in this study. The results show a more negative psychosocial profile in girls victims of dating violence and boys frequently involved in the role of aggressor-victim. More difficulties in family communication were also observed in girls with high involvement in dating violence. These results show the existence of different psychosocial profiles in adolescents, boys and girls, involved in different roles in dating violence and the usefulness of considering these specific profiles in the development of intervention programs.
Subject(s)
Adolescent , Spain , Domestic Violence/statistics & numerical data , Conflict, Psychological , Intimate Partner Violence/psychologyABSTRACT
Background: The proportion of older persons has been rising steadily. Population ageing is becoming a major concern both in the developed and developing countries. Rapid urbanization and modernization of society has brought in its wake a breakdown in family values and the framework of family support, social isolation and elderly abuse leading to a host of morbidity including psychological problems among elderly population. Objectives: 1) To assess the morbidity pattern of the elderly people in urban slums. 2) To know the psycho-social profile of the elderly people in urban slums. 3) To assess the health seeking behaviour of elderly population. Methods: Study was cross sectional study conducted in slums of Davangere city, for duration of three months. Study population was 60 years and older residents of urban slums. Study was carried out by interview and clinical examination of the study subjects by using pre-designed, pre-tested semi-structured questionnaire. Data was entered in Microsoft excel and presented as frequency and proportions. Results: Out of 180 elderly persons, 23% were males and 77% were females.44% of them lived in joint families. The most prevalent morbidity was musculoskeletal problem (46%) followed by psychosocial problem (31%), respiratory problems (23%), cataract (19%) and ear problems (19%). 57% of elderly said they were not socially active and 43% had an unfavorable attitude towards life. Majority of the elderly utilized government health care facilities for their treatment for both acute and chronic illness. The elderly population had financial constraint and lack of accessibility in seeking health care. Conclusions: The study has highlighted high prevalence of morbidity among elderly in urban slums. As there is rapid increase in number of elderly, there is an urgent need to develop affordable and accessible geriatric health care services.
ABSTRACT
El objetivo de éste estudio fue comparar el perfil psicológico de tres grupos de individuos, dos de ellos recluidos en una penitenciaría por cometer alguna acción criminal tipificada en el código penal como Delito contra la seguridad pública (Grupo A), y Delitos menores (Grupo B), y el tercer grupo (C) conformado por Personas sin comisión de delitos y libres. Se evaluaron 450 hombres, con edades entre 18 y 50 años, a través de un diseño transaccional no experimental de corte comparativo. Se aplicó el cuestionario Minimult de Kincannon (1968) para la medición de ocho perfiles psicológicos (Histeria, Depresión, Paranoia, Esquizofrenia, Psicastenia, Desviación psicopática, Hipocondriasis e Hipomanía). Los datos se analizaron con el modelo MANOVA para discriminar los distintos grupos a partir de las variables medidas. Los resultados fueron consistentes con las investigaciones previas y sugieren la presencia de rasgos psicopatológicos entre quienes cometieron delitos más violentos.
This study was aimed to compare the psychological profile of three groups of individuals, two of whom were held at a prison for committing a criminal act under the penal code criminalized as a Crime against public safety (Group A), and Misdemeanors (Group B ), and the third group (C) consisting of Persons without committing crimes and free. We evaluated 450 men, aged between 18 and 50, through a transaction designed non experimental comparison. The questionnaire was applied Minimult of Kincannon (1968) for the measurement of eight psychological profiles (Hysteria, Depression, Paranoia, Schizophrenia, Psychasthenia, psychopathic deviation, Hypochondriasis and Hypomania). The data were analyzed using MANOVA model to discriminate between different groups of measured variables. The results were consistent with previous research and suggest the presence of psychopathological features among those who committed more violent crimes.
ABSTRACT
Background Though sterilization is a popular method of contraception, there are some concerns about the psychologicalsequelae including regret after the procedure. Such regret may result in lifelong personal distress.Aims To study the psychological status in terms of depression & anxiety in women who have undergone femalesterilization and to know whether these changes affect the quality of life.Methods This is a cross sectional questionnaire based study of women of reproductive age group. Various instrumentsassessing anxiety, depression and quality of life have been administered. The data is statistically analyzed.Results The mean anxiety and depression scores were low in these subjects. Similarly the quality of life was good in alldomains. However the subjects experienced sexual problems like anxiety about sex (3.3%), decreased libido (10%)and decreased frequency of coitus (31%), whereas the menstrual symptoms were not affected significantlyConclusions The findings indicate that literacy rate, self motivation, knowledge of procedure and constant availabilityof medical services have impact on outcome of the procedure.
ABSTRACT
Introducción: La enfermedad pulmonar obstructiva crónica (EPOC) es un trastorno progresivo que afecta la calidad de vida del paciente y su familia. Se considera que cerca del 75% de los pacientes con EPOC avanzada no pueden realizar actividades cotidianas y tienen que estar al cuidado de una persona. Objetivo: Conocer y describir el perfil psicosocial del cuidador primario informal (CPI) de pacientes con EPOC. Método: Estudio descriptivo, prospectivo y transversal realizado durante el periodo de julio a agosto de 2006. A los CPI que asistían al Servicio de Consulta Externa con su paciente con EPOC, previa cita se les aplicó el Cuestionario de Salud del Cuidador Primario Informal. Resultados: Se entrevistaron a 46 CPI. El 76.1 % eran del sexo femenino, con edad promedio de 50 años, 66.7% casadas, 32.6% eran esposas de los pacientes y el 32.6%> hijas. El 32.6% sabía leer y escribir, 52.2% se dedicaban al hogar y 84.8% compartían el domicilio con el paciente. Sólo el 37% reportó como poco estresante cuidar a su paciente y el 23.9% como moderadamente estresante; el 63% reporto síntomas de estrés como tristeza y/o depresión, 52.2% irritabilidad y enojo, 50% preocupación, miedo y ansiedad, 58.7% dificultad para dormir y descansar, 73.3% tensión muscular y el 45.7% cansancio. Conclusiones: El perfil psicosocial del CPI en este estudio es consistente con lo reportado en México y en otros países. Se destaca la figura del CPI como fundamental en el cuidado y atención del enfermo crónico, así como la necesidad de desarrollar protocolos que consideren la formación y atención del CPI.
Introduction: Chronic obstructive pulmonary disease (COPD) affects patient and patient's family quality of life. Nearly 75% of patients with COPD are unable to perform their usual daily chores without the help of a caretaker. Objective: To describe the psychosocial profile of the informal primary caretaker (IPC) of patients with COPD in our socioeconomic environment. Method: Prospective, descriptive, horizontal study during July and August 2006; I PCs arriving to the outpatient clinic with their patients with COPD were submitted to The Health's IPC Questionary. Results: Forty six IPCs were interviewed; 76.1% were female, 66.7% were married, 32.6% were patients' wives, 32.6% daughters, 67.4% were illiterate, 52.2% were housewives and 84.8% shared the home with the patient, 50% had not seen a physician during the previous six months. Only 37% reported light and 23.9% moderate stress during their caretaking chores; 63% reported sadness and/or depression, 52.2% anger and irritability, 50% fear and anxiety, 58.7% rest and sleep difficulties, 73.3% muscular tension and 45.7% fatigue. Conclusions: The psychosocial profile of the IPC in our study is consistent with that of reports from México and other countries. The importance of the IPC as a caretaker of patients with COPD is underscored, as well as the need to develop protocols to train and help the needs of the IPC.