RESUMO
PIP: To determine which side effects of oral contraceptives are biologic and which are psychologic in origin, 70 women were interviewed for several hours. The women were private patients of a gynecologist or attending a family planning clinic and were proven fertile, without gynecologic illness or psychiatric history, and were taking various combined or sequential pills. When the women were classified into emotionally well-adjusted and maladjusted, the maladjusted group had more severe and numerous psychological side effects. Onset of side effects was associated with fear of cancer, pregnancy despite the pill, and fear of damage to the procreative system. Most common side effects were nausea, vomiting, breast swelling, weight gain, mood changes, anxiety, irritability and nervousness. Side effects, assumed to be psychologic because they occurred in the maladjusted group, included depression (45% of total), loss of libido, breast swelling. Weight gain was not associated with maladjustment.^ieng
Assuntos
Anticoncepcionais Orais/efeitos adversos , Personalidade , Transtornos Psicofisiológicos/etiologia , Atitude , Peso Corporal/efeitos dos fármacos , Mama/efeitos dos fármacos , Conflito Psicológico , Depressão/induzido quimicamente , Emoções/efeitos dos fármacos , Feminino , Humanos , Infertilidade , Libido/efeitos dos fármacos , Masculino , Casamento , Náusea/induzido quimicamente , Determinação da Personalidade , Comportamento Sexual , Vômito/induzido quimicamenteAssuntos
Casamento , Psicoterapia de Grupo , Adulto , Feminino , Humanos , Masculino , Determinação da Personalidade , Fatores Sexuais , Transferência PsicológicaAssuntos
Serviços de Assistência Domiciliar , Transtornos Mentais/tratamento farmacológico , Serviços de Saúde Mental , Unidade Hospitalar de Psiquiatria , Tioridazina/uso terapêutico , Transtorno da Personalidade Antissocial/tratamento farmacológico , Ansiedade/tratamento farmacológico , Canadá , Caráter , Depressão/tratamento farmacológico , Serviço Hospitalar de Emergência , Humanos , Esquizofrenia/tratamento farmacológicoRESUMO
The activities covering a three-year period of a psychiatric home care treatment program attached to a psychiatric unit of a general hospital are described. A detailed account of its operation and the roles played by each member of the team is given. This service frequently provides a substitute for hospitalization in the management of both acute and chronic psychiatric states and thereby constitutes an important preventive measure in the field of public health. Even if the initial attitude of the patient is negative it is possible to gain the co-operation of the family who become a useful ally in the treatment. The co-operation of the patient is not as essential as has been thought. The traditional role of the psychiatrist is reversed by virtue of his attending the patient at home. The active participation of social agencies is an integral part of the treatment.