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1.
Front Cardiovasc Med ; 10: 1272897, 2023.
Article in English | MEDLINE | ID: mdl-38075956

ABSTRACT

Aims: Investigate whether a Home-based Exercise Therapy (HBET) program for patients with Peripheral Arterial Disease (PAD) and Intermittent Claudication (IC) with a behavior change intervention, supported by a smartphone application, is effective in improving walking distances and performance, and quality of life (QoL) over 6 months. Methods and results: This was a single-center, prospective, two-arm, single-blinded randomized controlled trial including 73 patients with PAD and IC, and three assessment moments: baseline, 3, and 6 months. Participants were randomized to receive a walking exercise prescription, with the support (n = 38) or without the support (n = 35) of the WalkingPad app, between January 2021 and July 2022. Both groups received two face-to-face behavior change sessions and 12 structured and targeted reinforcement phone calls over 6 months. Primary outcomes were between-group differences in pain-free walking distance (PFWD), functional walking distance (FWD), maximal walking distance (MWD), and 6-min walk distance (6 MWD) at 3 and 6 months. Secondary outcomes were QoL and walking impairment. Seventy-three patients (mean age 64 ± 7.2 years, 88% men) participated in this study, 60 of whom completed the three assessment moments. The whole sample significantly improved all primary outcomes in the first 3 months; that is, the average PFWD (151.1 m), FWD (175.2 m), MWD (171.1 m), and 6 MWD (30.8 m) increased from T1 to T2. Only MWD exhibited a significant average increase (35.0 m). Secondary outcomes also increased from baseline to 3 and 6 months. There were no between-group differences, except for MWD, which showed a greater increase at 6 months in the group that used the app, excluding patients with weak walking ability and extreme anxiety symptoms at baseline. Conclusion: The intervention improved distances and walking skills as well as the physical, mental, and disease-related quality of life among adults with PAD and IC. The group that used the WalkingPad app improved their MWD in 6 months compared to the control group, except for patients with poor walking ability and extreme anxiety symptoms, which suggests the effectiveness of the WalkingPad app for patients with high walking ability and no severe anxiety symptoms. More research is needed to determine the durability of these findings and to explore what app functionality might promote the other outcomes. Clinical Trial Registration: https://clinicaltrials.gov (NCT04749732).

2.
Article in English | MEDLINE | ID: mdl-36767871

ABSTRACT

Previous research has already shown the negative impact of the COVID-19 pandemic on college students' well-being and mental health. Eating problems and weight gain due to changes in eating habits and physical activity experienced during this period have also been noticed. However, few studies have explored the role of students' resources as used during the COVID-19 pandemic, such as coping strategies. This study aimed to (1) explore the associations among psychological distress, disordered eating, coping strategies, and weight changes; (2) examine the moderating role of coping strategies in the process of weight gain and weight loss; and (3) study the mediating role of coping strategies in the process of weight gain and weight loss. The participants in this study were 772 students at a Portuguese university. The data collected included sociodemographic data and three self-reported questionnaires (Depression, Anxiety, and Stress Scale; Eating Disorder Examination Questionnaire; Brief COPE) during the first few months of the pandemic, which included a 72-day full national lockdown. The results showed that depression, anxiety, stress, and disordered eating were related to increased weight. Guilt, denial, self-distraction, use of substances, and behavior disinvestment were also related to increased weight. Behavioral disinvestment had a strong mediating effect on weight gain. Additionally, planning, positive reframing, and acceptance all showed a moderating effect between psychological distress and weight changes. In conclusion, coping strategies allow for a better understanding of the mechanisms by which psychological distress and disordered eating were related to weight changes during the pandemic.


Subject(s)
COVID-19 , Feeding and Eating Disorders , Psychological Distress , Humans , Pandemics , COVID-19/epidemiology , Communicable Disease Control , Adaptation, Psychological , Feeding and Eating Disorders/epidemiology , Weight Loss , Weight Gain , Stress, Psychological/epidemiology , Stress, Psychological/psychology
4.
Front Psychol ; 13: 958535, 2022.
Article in English | MEDLINE | ID: mdl-36092122

ABSTRACT

Advanced aging is associated with cognitive decline. To decrease the healthcare system and socio-economic burdens as well as to promote better quality of life, is important to uncover the factors that may be related to the delay of cognitive impairments in older adults. This study investigated the relationship between physical activity levels, sedentary behavior and cardiorespiratory fitness with cognitive functioning in healthy older adults. Furthermore, it examined the mediating role of processing speed on the association between physical activity and executive functions and long-term memory. Thirty-two individuals aged between 63 and 77 years (M = 68.16, SD = 3.73) underwent measurements of maximal oxygen uptake (VO2peak), 1-week of PA accelerometer measurement and a comprehensive cognitive assessment. Significant associations were observed between MVPA and cognitive processing speed. Equally, a significant positive indirect effect of MVPA on executive functioning and long-term memory was mediated by processing speed. Also, MVPA levels differentiated cognitive functioning in older adults - the physical active group outperformed the physical inactive group in processing speed, executive functions, and language abilities. Our results contribute to the literature on the MVPA levels as an important tool to promote healthier cognitive aging.

5.
Article in English | MEDLINE | ID: mdl-35954612

ABSTRACT

Depression and anxiety are common symptoms during and after adjuvant chemotherapy treatment for breast cancer (BC), with implications on quality of life (QoL). The present study evaluates the temporal relationship between anxiety, depression, and QoL (primary outcomes), as well as the impact of hedonic aroma (essential oils) on this relationship. This is a secondary analysis of a previously reported randomized controlled trial, with two groups: an experimental group (n = 56), who were subjected to the inhalation of a self-selected essential oil during chemotherapy, and a control group (n = 56), who were only subjected to the standard treatment. The hedonic aroma intervention occurred in the second (T1), third (T2), and fourth (T3) chemotherapy sessions, three weeks apart from each other. The follow-up (T4) assessments took place three months after the end of the treatment. Cross-lagged panel models were estimated in the path analysis framework, using structural equation modeling methodology. Regarding the control group, the cross-lagged panel model showed that anxiety at T1 predicted anxiety at T3, which in turn predicted both QoL and depression at T4. In the experimental group, hedonic aroma intervention was associated with stability of anxiety and QoL over time from T1 to T3, with no longitudinal prediction at T4. For women undergoing standard chemotherapy treatment, anxiety was the main longitudinal precursor to depression and QoL three months after chemotherapy. Thus, essential oils could complement chemotherapy treatment for early-stage BC as a way to improve long-term emotional and QoL-related adjustment.


Subject(s)
Breast Neoplasms , Oils, Volatile , Anxiety/epidemiology , Anxiety/therapy , Breast Neoplasms/drug therapy , Depression/epidemiology , Depression/therapy , Female , Humans , Odorants , Oils, Volatile/therapeutic use , Quality of Life
6.
Front Aging Neurosci ; 14: 827188, 2022.
Article in English | MEDLINE | ID: mdl-35493937

ABSTRACT

Background: Transcranial direct current stimulation (tDCS) has been employed to boost working memory training (WMT) effects. Nevertheless, there is limited evidence on the efficacy of this combination in older adults. The present study is aimed to assess the delayed transfer effects of tDCS coupled with WMT in older adults in a 15-day follow-up. We explored if general cognitive ability, age, and educational level predicted the effects. Methods: In this single-center, double-blind randomized sham-controlled experiment, 54 older adults were randomized into three groups: anodal-tDCS (atDCS)+WMT, sham-tDCS (stDCS)+WMT, and double-sham. Five sessions of tDCS (2 mA) were applied over the left dorsolateral prefrontal cortex (DLPFC). Far transfer was measured by Raven's Advanced Progressive Matrices (RAPM), while the near transfer effects were assessed through Digit Span. A frequentist linear mixed model (LMM) was complemented by a Bayesian approach in data analysis. Results: Working memory training improved dual n-back performance in both groups submitted to this intervention but only the group that received atDCS+WMT displayed a significant improvement from pretest to follow-up in transfer measures of reasoning (RAPM) and short-term memory (forward Digit Span). Near transfer improvements predicted gains in far transfer, demonstrating that the far transfer is due to an improvement in the trained construct of working memory. Age, formal education, and vocabulary score seem to predict the gains in reasoning. However, Bayesian results do not provide substantial evidence to support this claim. Conclusion: This study will help to consolidate the incipient but auspicious field of cognitive training coupled with tDCS in healthy older adults. Our findings demonstrated that atDCS may potentialize WMT by promoting transfer effects in short-term memory and reasoning in older adults, which are observed especially at follow-up.

7.
J Health Psychol ; 27(13): 2982-2996, 2022 11.
Article in English | MEDLINE | ID: mdl-35176887

ABSTRACT

This paper explored changes in the HPV-related quality of life (QoL) of 209 women diagnosed with human papillomavirus (HPV) during 1 year of medical monitoring, at three time points (6-month interval between them). Participants completed the HPV Impact Profile (HIP) questionnaire to assess HPV-related QoL. The relationship between HIP scores and time was moderated by the HPV risk type and infection duration: an HPV diagnosis had a stronger negative effect on patients with an HPV high-risk type and on those living with HPV for a long period of time. Age, condom use, motherhood, and type of family were significant predictors.


Subject(s)
Alphapapillomavirus , Papillomavirus Infections , Female , Humans , Longitudinal Studies , Papillomaviridae , Papillomavirus Infections/diagnosis , Quality of Life
8.
Eat Weight Disord ; 27(2): 791-801, 2022 Mar.
Article in English | MEDLINE | ID: mdl-34053016

ABSTRACT

PURPOSE: The construct of food addiction has been gaining increased attention as a research topic. Currently, the Yale Food Addiction Scale 2.0 is the only measure to operationalize the addictive-like eating behavior according to addiction criteria proposed by the Diagnostic and Statistical Manual of Mental Disorders. The present study aimed at examining the psychometric properties of the Portuguese version of the Yale Food Addiction Scale 2.0, as well as investigating the convergent and divergent validity between this scale and the following measures: Eating Disorders Examination Questionnaire, Body Investment Scale, and Difficulties in Emotion Regulation Scale. We also sought to explore the moderator role of difficulties in emotion regulation in the relationship between food addiction and binge eating METHODS: A sample of 302 female college students (Mage = 21.37, SD = 3.24) completed self-report measures. RESULTS: Sixteen (5.3%) participants were diagnosed as having food addiction. The confirmatory factor analysis suggested that the original one-dimensional structure is adequate to represent the Portuguese Yale Food Addiction Scale 2.0. The symptom count scores of the scale were correlated with body mass index, eating disordered behavior, body investment, and difficulties in emotion regulation. The severity level of the scale also discriminated the severity of eating disordered behaviors, body investment, and difficulties in emotion regulation. Finally, the relationship between food addiction and binge eating was moderated by difficulties engaging in goal-directed behavior when experiencing negative emotions. CONCLUSION: The Portuguese version of the Yale Food Addiction Questionnaire 2.0 may be a useful tool to investigate food addiction. LEVEL: IV descriptive studies.


Subject(s)
Behavior, Addictive , Food Addiction , Adult , Behavior, Addictive/diagnosis , Feeding Behavior/psychology , Female , Food Addiction/diagnosis , Food Addiction/psychology , Humans , Portugal , Psychiatric Status Rating Scales , Psychometrics/methods , Reproducibility of Results , Surveys and Questionnaires , Young Adult
9.
Eur J Cancer Care (Engl) ; 30(1): e13349, 2021 Jan.
Article in English | MEDLINE | ID: mdl-33159394

ABSTRACT

OBJECTIVE: Breast cancer is an important public health problem that is increasing in incidence, being a stressor with a negative impact on women's quality of life. This study is focused on the evaluation of temporal precursors (one month before) of women's quality of life undergoing chemotherapy, considering post-surgical personal, clinical, cognitive and neuropsychophysiological factors, according to the Transactional Stress and Coping Model. METHODS: This longitudinal study included 112 patients with breast cancer. Data were collected in two different moments: before and during the adjuvant chemotherapy. Structural equation modelling was used to support a theoretically based model in which some antecedent factors impact patients' long-term quality of life through a set of mediators. RESULTS: The associations of breast symptoms, body image and sexual functioning with psychological distress and quality of life were totally mediated by illness perceptions, while the associations of working memory with psychological distress and quality of life were totally mediated by self-efficacy for coping. Patients with greater psychological distress showed higher levels of nadir cortisol. CONCLUSIONS: Results showed the importance of assessing patients' perceptions of their illness, prior to chemotherapy, as well as promoting more self-efficacy for coping, in order to improve women's emotional state and quality of life.


Subject(s)
Breast Neoplasms , Quality of Life , Adaptation, Psychological , Breast Neoplasms/drug therapy , Female , Humans , Latent Class Analysis , Longitudinal Studies
10.
J Autism Dev Disord ; 51(6): 2091-2103, 2021 Jun.
Article in English | MEDLINE | ID: mdl-32915356

ABSTRACT

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by impairments in social interaction, executive functioning, sensory-perceptual abilities and behaviour, such as anxious/depressed states, attention problems, aggression, or somatic complains. However, the dynamic relationship between these dimensions remains to be addressed. Therefore, we explored the link between executive functions, sensory processing and behaviour in 79 children and adolescents with ASD. Results showed significant associations between all dimensions-executive functions, sensory processing and behaviour. Furthermore, using structural equation modelling methods, we observed a mediation effect of executive functioning, specifically the domain pertaining to emotion regulation and control, and in the relationship between sensory processing abnormalities and behavioural problems. We discuss the importance of emotion regulation as a mediator between sensory processing and behavioural impairments and its impact in social competence in ASD.


Subject(s)
Autism Spectrum Disorder/physiopathology , Autism Spectrum Disorder/psychology , Child Behavior/psychology , Executive Function/physiology , Sensation/physiology , Adolescent , Behavior Rating Scale , Child , Child, Preschool , Female , Humans , Male , Surveys and Questionnaires
11.
Front Psychol ; 12: 787558, 2021.
Article in English | MEDLINE | ID: mdl-35222152

ABSTRACT

OBJECTIVE: Loss of control (LOC) eating has been directly related to the core aspects of the psychopathology of eating disorders and to different dimensions of emotion and behavior regulation and self-criticism. This study investigates a model representing the interplay between these dimensions to understand LOC eating among a nonclinical sample. METHODS: A total of 341 participants, recruited in a college campus (mean age 23.21, SD = 6.02), completed a set of self-report measures assessing LOC eating, weight suppression, psychopathology of eating disorders, depression, negative urgency, emotion regulation difficulties, and self-criticism. Path analysis modeling tested a hypothesized model with 3 paths for LOC eating as follows: (1) psychopathology of eating disorders; (2) emotion and behavior regulation; and (3) interplay between these paths. RESULTS: We found goodness-of-fit indexes to our data: χ2 = 17.11, df = 10, Comparative Fit Index (CFI) = 0.99, Tucker-Lewis index (TLI) = 0.98, Root Mean Square Error Approximation (RMSEA) = 0.045, Standardized Root Mean Square Residual (SRMR) = 0.041, suggesting that: (1) participants with higher weight suppression showed higher degrees of the psychopathology of eating disorders, which was linked to higher levels of LOC eating; (2) self-criticism was a mediator between emotion regulation and depression/negative urgency; (3) self-criticism was a mediator between emotion regulation and disorder eating, which was significantly associated with LOC eating via increased negative urgency. CONCLUSION: Our model shows that LOC eating occurs for individuals with the psychopathology of higher eating disorders who experience depressive symptoms and act rashly under distress for their inability to cope adequately with negative feelings of self-devaluation. These findings point to the importance of negative self-evaluations and feelings of inadequacy or worthlessness to understand LOC eating among college students.

12.
J Clin Psychol ; 77(3): 607-628, 2021 03.
Article in English | MEDLINE | ID: mdl-32762121

ABSTRACT

OBJECTIVES: Among outpatients with eating disorders (ED), we compared participants without nonsuicidal self-injury (non-NSSI group), with NSSI over a year ago (past NSSI group) and with NSSI in the previous year (current NSSI group) regarding different variables, and examined whether difficulties in emotion regulation and negative urgency moderated the relationship between maternal/paternal invalidation and NSSI. METHOD: The sample included 171 outpatients (94.2% female; Mage = 28.78, SDage = 11.19). RESULTS: Fifty-four participants (31.6%) had NSSI in the previous year. This group showed higher eating pathology, difficulties in emotion regulation, negative urgency, and maternal/paternal invalidation than the non-NSSI group. Analyses revealed an adequate fit to the data for the model that included moderating effects of emotional awareness and negative urgency in the relationship between maternal/paternal invalidation and increased likelihood of NSSI in the previous year. CONCLUSIONS: Interventions for NSSI and ED should include emotion regulation, impulse control, and validation strategies.


Subject(s)
Emotional Regulation , Feeding and Eating Disorders/psychology , Outpatients/psychology , Self-Injurious Behavior/psychology , Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult
13.
PLoS One ; 15(7): e0236388, 2020.
Article in English | MEDLINE | ID: mdl-32730342

ABSTRACT

PURPOSE: In this study we investigated a set of 100 sentence contexts and their cloze probabilities to develop a database of linguistic stimuli for Brazilian Portuguese children and adolescents. The study also examined age-related changes on cloze probabilities, and specified the predictor effects of age and cloze probabilities on idiosyncratic responses and errors (semantic, syntactic, and other errors). Finally, the study also aimed to shed light on cultural effects on word generation by comparing Brazilian and Portuguese sentence databases. METHOD: 361 typically developing monolingual Brazilian speakers, with ages ranging from 7 to 18 years, participated in the study. The cloze task was composed by 100 sentence contexts, grounded on the European Portuguese database. Responses were classified as valid (correct) or invalid (semantic, syntactic, and other-type errors). Statistical analyses were based on mixed-effects logistic models. RESULTS: Sixty-three sentences met criteria for high cloze probabilities, 30 for medium cloze, and 7 for low cloze. Age was a significant predictor of idiosyncratic responses, semantic and syntactic errors: older participants were less likely to produce idiosyncratic responses, as well as semantic and syntactic errors. Cloze probability values were concordant in the Brazilian and Portuguese databases for 31 out of 49 (83.7%) high-cloze sentences and for 7 low-cloze sentences. CONCLUSION: In this study we have provided a database with cloze probability values for a set of 100 sentence-final word contexts for Brazilian Portuguese children and adolescents. Results showed that both age and sentence contextual level predicted sentence final word completion. Older participants were more likely to choose more consistently the same final word, with the contextual level of a given sentence also contributing to the final word selection. Age should be controlled for in future studies probing semantic processing with this set of sentences.


Subject(s)
Probability , Semantics , Adolescent , Brazil , Child , Female , Humans , Male
14.
Eat Weight Disord ; 25(1): 205-213, 2020 Feb.
Article in English | MEDLINE | ID: mdl-30066258

ABSTRACT

PURPOSE: Invalidating childhood environments have been characterised as those in which caregivers do not validate a child's personal experiences and the communication of emotions is considered inappropriate, being either ignored or punished. The current study assessed the relationships among invalidating childhood environments, body dissatisfaction, disordered eating and difficulties in close relationships in a sample of college students. METHODS: In this study, 362 non-clinical participants with ages ranging from 17 to 25 years (M = 20.02, SD = 1.51) completed self-report measures. RESULTS: Difficulties in close relationships, body dissatisfaction and disordered eating were significantly higher in invalidating families than in validating families. Invalidating childhood environments were associated with higher body dissatisfaction and disordered eating, and both associations were mediated by difficulties in close relationships. Finally, body dissatisfaction mediates the effects of BMI and difficulties in close relationships on eating disorder symptoms. CONCLUSIONS: Perceived experiences of invalidation in childhood may be associated with eating disorder symptomatology. In addition, difficulties in close relationships during adulthood possibly contribute to the emergence of eating disorder symptoms. LEVEL OF EVIDENCE: Level V, descriptive study.


Subject(s)
Body Dissatisfaction/psychology , Family Relations/psychology , Feeding and Eating Disorders/psychology , Interpersonal Relations , Social Environment , Adolescent , Adult , Female , Humans , Male , Perception , Young Adult
15.
Neurosci Biobehav Rev ; 103: 163-177, 2019 08.
Article in English | MEDLINE | ID: mdl-31100297

ABSTRACT

The objective of this meta-analytic review was to systematically assess the effects of working memory training on healthy older adults. We identified 552 entries, of which 27 experiments met our inclusion criteria. The final database included 1130 participants. Near- and far-transfer effects were analysed with measures of short-term memory, working memory, and reasoning. Small significant and long-lasting transfer gains were observed in working memory tasks. Effects on reasoning was very small and only marginally significant. The effects of working memory training on both near and far transfer in older adults were moderated by the type of training tasks; the adopted outcome measures; the training duration; and the total number of training hours. In this review, we provide an updated review of the literature in the field by carrying out a robust multi-level meta-analysis focused exclusively on working memory training in healthy older adults. Recommendations for future research are suggested.


Subject(s)
Aging/physiology , Memory, Short-Term/physiology , Neuronal Plasticity/physiology , Practice, Psychological , Transfer, Psychology/physiology , Humans
16.
J Child Lang ; 46(4): 653-681, 2019 07.
Article in English | MEDLINE | ID: mdl-30868990

ABSTRACT

The goals of this study were to analyze the growth and stability of vocabulary, mean length of the three longest utterances (MLLUw), and sentence complexity in European Portuguese-speaking children aged 1;4-2;6, to explore differences in growth as a function of personal and family-related variables, and to investigate the inter-relationships among the three language dimensions. Fifty-one European Portuguese-speaking toddlers were longitudinally assessed at 1;4, 1;9, 2;1, and 2;6, through parent reports. Exponential growth models best described acquisition patterns during this period, but the vocabulary growth accelerated across the full age-range, whereas the growth of grammar dimensions accelerated mainly after 1;9. High variability was observed in the scores, but the toddlers' relative positions were mostly stable over time. Gender approached significance as a predictor of vocabulary growth. Maternal educational level did not predict the growth of any of the three language dimensions. Both vocabulary and MLLUw predicted sentence complexity.


Subject(s)
Child Language , Language Development , Linguistics , Vocabulary , Child , Child, Preschool , Female , Humans , Infant , Longitudinal Studies , Male , Portugal
17.
Curr Med Res Opin ; 35(7): 1275-1282, 2019 07.
Article in English | MEDLINE | ID: mdl-30686056

ABSTRACT

Objective: Human papilloma virus (HPV) is the world's most common causative agent in sexually transmitted viral infections; thus requiring clinical guidance, before and after treatment, to promote better quality of life in women diagnosed with HPV. The HPV Impact Profile (HIP) is a comprehensive instrument used to assess the psychosocial impact of HPV and related interventions in a wide range of domains. The main purpose of this study was to validate the HIP in Portuguese women, so that it can be used in this population, both in research and in clinical settings. Methods: A sample of 178 Portuguese women infected with HPV were assessed with the following instruments: Index of Sexual Satisfaction, Hospital Anxiety and Depression Scale and HPV Impact Profile. Results: The results of the confirmatory factor analysis showed some changes to the original model, which resulted in an adapted version with six domains, compared to the seven domains of the original model. The final model showed a good fit to the data. All Cronbach's alphas were higher than 0.79 indicating a high level of internal consistency of the subscales. As in the original HIP questionnaire, the exception was sexual impact, with a lower, but acceptable, Cronbach's alpha. Convergent and discriminant validities of the instrument were also assessed. Conclusions: The Portuguese version of the HIP presents good psychometric properties, allowing its use in clinical trials as well as in clinical practice in order to evaluate quality of life in women with HPV.


Subject(s)
Papillomavirus Infections/epidemiology , Quality of Life , Surveys and Questionnaires , Adult , Factor Analysis, Statistical , Female , Humans , Middle Aged , Papillomaviridae/isolation & purification , Portugal , Psychometrics , Reproducibility of Results , Sexual Behavior , Young Adult
18.
Eur Eat Disord Rev ; 26(5): 431-437, 2018 09.
Article in English | MEDLINE | ID: mdl-29901243

ABSTRACT

Evidence suggests several risk factors for both eating disorders (ED) and nonsuicidal self-injury (NSSI), but the relationships between these factors are not well understood. Considering our previous work and a conceptual model, this cross-sectional study aimed to assess the relationships among distal and proximal factors for the presence of NSSI in ED. We assessed 245 ED patients with the Oxford Risk Factor Interview for ED. Structural equation modelling revealed that both distal and proximal factors were related to the presence of NSSI in ED, disclosing a mediating role of the proximal factors. Stressful life events mediated the relationship between childhood sexual abuse, peer aggression, and both ED and NSSI. Childhood physical abuse was related to ED and NSSI via substance use, negative self-evaluation, and suicide attempts. Findings provided support for the conceptual model and highlight the possible mechanisms by which psychosocial factors may lead to ED and NSSI.


Subject(s)
Feeding and Eating Disorders/psychology , Physical Abuse/statistics & numerical data , Self-Injurious Behavior/psychology , Sex Offenses/statistics & numerical data , Adolescent , Adult , Child , Cross-Sectional Studies , Female , Humans , Latent Class Analysis , Male , Risk Factors , Self-Injurious Behavior/epidemiology , Substance-Related Disorders/psychology
19.
Rev. ciênc. méd., (Campinas) ; 25(3): 135-144, 02 out. 2016. ilus
Article in Portuguese | LILACS | ID: biblio-859892

ABSTRACT

A relação entre espiritualidade e sua influência no processo saúde-doença dos indivíduos, grupos e na qualidade de vida vem se constituindo interesse crescente no campo da saúde. O objetivo deste estudo é analisar como a espiritualidade tem sido abordada no contexto da Terapia Ocupacional. Trata-se de um estudo de revisão integrativa da literatura desenvolvido a partir de consulta à Biblioteca Virtual de Saúde e PubMed. A coleta de dados foi feita entre fevereiro e março de 2016, para textos publicados entre 2001 e 2015. A análise quantitativa abordou os títulos, ano, publicação, metodologia e tipo de estudo. A análise qualitativa foi relativa ao conteúdo das publicações, baseada na metodologia da Análise do Discurso. Os resultados evidenciaram que os conceitos relacionados à espiritualidade são complexos e, embora a dimensão espiritual tenha sido descrita como um aspecto importante no desenvolvimento do plano de intervenção, colocá-la em prática tornava-se difícil. Constatou-se que a espiritualidade era usada pelos pacientes como uma estratégia de enfrentamento para doenças e respectivos tratamentos. No âmbito profissional, a análise indicou falta da relação entre teoria e prática, bem como a necessidade de pesquisas e treinamentos para os terapeutas ocupacionais. Finalmente, a complexidade que envolve as questões relacionadas à espiritualidade na saúde enfatiza a necessidade de expandir a reflexão e o desenvolvimento de estudos sobre a temática, sobretudo quando o objetivo dos profissionais é o oferecimento de um cuidado humanizado e integral.


Health professionals' interest in the relationship between spirituality and its influence on individual and group health-disease processes, and on quality of life is increasing. The objective of this study is to analyze how spirituality has been approached in the context of occupational therapy. This is an integrative review of the literature found in the Virtual Health Library and PubMed databases. Data were collected in February and March 2016 from articles published between 2001 and 2015. The title, year, journal, methodology, and type of study were analyzed quantitatively. Qualitative analysis included discourse analysis to assess the texts. The results showed that concepts related to spirituality are complex, and, although the spiritual dimension has been described as an important aspect in the development of the intervention plan, putting it into practice has become difficult. Patients used spirituality as a coping strategy to deal with different diseases and their respective treatments. Gaps were found between theory and practice, indicating the need of further research and training for occupational therapists. Finally, the complexity that involves spirituality-related issues in health emphasizes the need of more reflection and studies on this subject, especially when the objective of professionals is to provide humane and integral care.


Subject(s)
Health , Occupational Therapy , Spirituality
20.
Rev. bras. queimaduras ; 10(4): 114-118, out-dez. 2011. ilus, tab
Article in Portuguese | LILACS | ID: lil-750420

ABSTRACT

Objetivo: Analisar o perfil epidemiológico dos pacientes atendidos na Unidade de Tratamento de Queimados (UTQ) do Hospital de Urgência de Sergipe (HUSE). Método: Trata-se de um estudo retrospectivo, descritivo e quantitativo, sendo analisados 526 prontuários obtidos a partir do registro de pacientes da UTQ, no período de janeiro de 2009 a dezembro de 2010. Resultados: Observou-se maior predominância de queimaduras em indivíduos do gênero masculino, na faixa etária de 0 a 6 anos, com incidência na Grande Aracaju, apresentando altos índices de queimados nos meses de maio e junho. Houve prevalência do 2º grau de queimadura, com maior concentração nos casos por escaldadura, sendo mais predominante a de médio porte. Foi constatado alto índice de pacientes submetidos a fisioterapia, com elevada taxa de alta hospitalar. Conclusão: O estudo demonstrou o perfil dos pacientes queimados da UTQ/HUSE, ressaltando a importância de maior educação populacional e necessidade de políticas voltadas a prevenção e combate à negligência infantil.


Objective: To analyze the epidemiological profile of patients treated at Burn Care Unit of the Emergency Hospital of Sergipe (HUSE). Methods: This work is retrospective, descriptive and quantitative, and it was analyzed 526 medical records obtained from patient registry of Burn Care Unit,from January 2009 to December 2010. Results: It was observed a higher prevalence of burns among males people, with age between 0 and 6 yearsold, with incidence at Great Aracaju and showing high rates of burned in the months of May and June. There was prevalence of second-degree burn, with highest concentration in scalding cases, being more prevalent in medium burn. It was found a high rate of patients submitted to physical therapy with a high rate of hospital output. Conclusion: The study showed the burn patients profile at Burn Care Unit/HUSE, referring the importance of better population education and the need policies aimed at preventing and combating child negligence.


Subject(s)
Humans , Male , Infant , Child, Preschool , Child , Burn Units , Emergency Service, Hospital , Inpatients/statistics & numerical data , Burns/epidemiology , Brazil/epidemiology , Burns/therapy
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