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1.
J Nurs Adm ; 51(6): 334-339, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33989241

RESUMO

The purpose of this study was to describe the moral distress experiences of nurse managers. Moral distress has been studied among direct patient care providers including nurses and physicians. The moral distress experience among nurse managers is less understood. We conducted a qualitative descriptive study with 19 nurse managers from 5 healthcare institutions in Virginia. Interview data were analyzed using a directed content analysis, as the structural components of the moral distress phenomenon are already known. Participants suffered moral distress when they were unable to achieve or maintain effective unit function and felt caught in the middle between their units' and employees' needs and organizational directives. System-level causes of moral distress are common among nurse managers. Future research should involve measurement of moral distress among nurse managers and exploration of effective interventions.


Assuntos
Acontecimentos que Mudam a Vida , Enfermeiras Administradoras/psicologia , Transtornos de Estresse Pós-Traumáticos/complicações , Adulto , Idoso , Atitude do Pessoal de Saúde , Feminino , Humanos , Pessoa de Meia-Idade , Poder Psicológico , Autonomia Profissional , Pesquisa Qualitativa , Transtornos de Estresse Pós-Traumáticos/psicologia , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Inquéritos e Questionários , Virginia
2.
J Youth Adolesc ; 50(6): 1234-1253, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33948830

RESUMO

Research has primarily focused on additive (unique) associations between early stressful life experiences (specifically, socioeconomic adversity and maltreatment) and young adults' cardiometabolic disease risk without considering multiplicative (synergistic) influences. Furthermore, research has not fully considered the varying patterns of health risk trajectories (e.g., substance use, obesogenic-related behaviors, depressive symptoms) across adolescence and the transition to young adulthood that may link earlier stressful experiences and later cardiometabolic disease risk. This study examined heterogeneity in conjoint health risk trajectories from adolescence to the transition to young adulthood and their additive and multiplicative (synergistic) influences with early stressful life experiences on cardiometabolic disease risk in young adulthood using data from the National Longitudinal Study of Adolescent to Adult Health (n = 9,421; 55.6% female) over a period of 13 years. Four distinct conjoint health risk trajectories were identified considering trajectories of substance use behaviors, obesogenic-related behaviors, and depressive symptoms: (a) overall high-risk, (b) behavioral risks, (c) psycho-obesogenic risks, and (d) overall low-risk. Socioeconomic adversity and maltreatment were additively and multiplicatively associated with cardiometabolic disease risk in young adulthood. Individuals with overall high-risk conjoint trajectories averaged higher cardiometabolic disease risk in young adulthood when they were exposed to early socioeconomic adversity. Implications for personalized interventions for individuals who have experienced multiple forms of health risks are discussed.


Assuntos
Doenças Cardiovasculares , Acontecimentos que Mudam a Vida , Adolescente , Saúde do Adolescente , Adulto , Doenças Cardiovasculares/epidemiologia , Suscetibilidade a Doenças , Feminino , Humanos , Estudos Longitudinais , Masculino , Adulto Jovem
3.
BMC Psychol ; 9(1): 83, 2021 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-34006314

RESUMO

BACKGROUND: The COVID-19 pandemic is a crisis unprecedented in its size and scope. Yet studies of resilience suggest most individuals will successfully negotiate this challenge and some may even experience growth and positive change. Some evidence suggests that the capacity to enact positive change in the face of adversity may be shaped by early life experiences. METHODS: In a subset of 374 participants (57% female, mean age = 29 years) in the Study of Early Child Care and Youth Development (SECCYD), a longitudinal, birth cohort, prospective models were tested to determine whether early life adversities in family and neighborhood contexts predict positive change events in response to the COVID-19 pandemic. Childhood family and neighborhood contexts were assessed using a combination of self-report questionnaires and US Census data. Adulthood positive change events (e.g., becoming more appreciative of things usually taken for granted) were assessed using the Epidemic-Pandemic Impacts Inventory (EPII). RESULTS: In regression analyses, neighborhood disadvantage in childhood, measured both by objective and subjective assessments, predicted a higher number of positive change events in response to the COVID-19 pandemic (ß = .18, p = .004 and ß = .15, p = .006, respectively). Examination of the positive change event subscales showed neighborhood disadvantage in childhood predicted increases in events related to 'perspective taking and charitable giving' (ß = .20, p = .022 and ß = .17, p = .002, respectively) and improved 'social relationships' (ß = .18, p = .004 and ß = .13, p = .020, respectively), but not to positive 'health behaviors' (ps > .05). All associations were independent of sociodemographic factors and childhood family dysfunction. CONCLUSIONS: Findings suggest that neighborhood disadvantage in childhood may shape prosocial responses to stress in adulthood, potentially through early life adaptions to stress that are protective when facing adversity. There are several notable implications of the study findings. Although adversity in early life has clear negative impacts, it is possible that adversity experiences may also provide opportunities to develop adaptive strategies that foster resilience and growth when facing stress. Intervention efforts should consider leveraging such stress-adapted strengths to reduce the many negative impacts of early life adversity.


Assuntos
COVID-19 , Pandemias , Adolescente , Adulto , Criança , Feminino , Humanos , Relações Interpessoais , Acontecimentos que Mudam a Vida , Masculino , Estudos Prospectivos , SARS-CoV-2
5.
Artigo em Inglês | MEDLINE | ID: mdl-33923205

RESUMO

This study aimed to explore health risk perceptions, changes in health-related behaviors, and life experiences of mothers with school-age children during the early coronavirus disease (COVID-19) pandemic. Data were collected between 16 July and 10 September 2020, by individual interviews and analyzed through qualitative content analysis. After the twelve participants' experiences were analyzed, four themes and ten sub-themes were derived. The four themes were: "Struggling to identify the substance of COVID-19," "Taking the initiative to protect the health of the family," "Frustrated by the brutal reality of no end in sight," and "Trying to adjust wisely to an inevitable new lifestyle." The findings suggest that while the world remains in an ongoing battle with COVID-19, national health institutions should prepare a health education system for specific infection prevention methods that can be practiced by individuals in daily life.


Assuntos
COVID-19 , Pandemias , Criança , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Acontecimentos que Mudam a Vida , Mães , Percepção , SARS-CoV-2 , Instituições Acadêmicas
6.
BMJ Open ; 11(4): e040875, 2021 04 20.
Artigo em Inglês | MEDLINE | ID: mdl-33879480

RESUMO

OBJECTIVE: Trauma is reported by 70% of the global population and 4% of those exposed develop post-traumatic stress disorder (PTSD), but data from Indigenous populations are limited. We aimed to determine the prevalence, types and age of occurrence of traumatic events among community-living Indigenous Australians and associations with PTSD. DESIGN: Lifetime trauma and PTSD were quantified among a broadly representative sample of 544 Indigenous participants using a diagnostic clinical interview. Logistic regression examined predictors of PTSD. SETTING: Metropolitan, regional and remote areas of Southern Queensland and Northern New South Wales. PARTICIPANTS: Indigenous Australians 18 years and older. OUTCOME MEASURES: Prevalence of traumatic life events and risk of PTSD. RESULTS: 64.9% of participants (standardised prevalence 62.6%) reported lifetime trauma, with more than one trauma category in 62.3%. Females reported 2.3 times more sexual violence, otherwise no gender differences existed. The prevalence of four common trauma categories were 1.7-3.0 times higher than in the Australian population; physical violence being the highest relative risk. Although overall childhood trauma was not increased, sexual or physical violence before age 15 was twice more common than in the Australian population.The standardised prevalence of 12-month PTSD was 13.3% (95% CI 10.4 to 16.1), 16.1% (95% CI 12.2 to 19.9) in females and 8.2% (95% CI 5.3 to 11.1) in males, three times the Australian rates. In multiple regression analysis, independent predictors of PTSD were female gender (OR 2.1), rural residence (OR 3.0), trauma under age 10 (OR 2.2), sexual (without physical) violence (OR 2.5), physical (without sexual) violence (OR 2.3), and both sexual and physical violence (OR 5.0). CONCLUSION: Indigenous Australians are more likely to experience potentially harmful traumas and develop PTSD than other Australians. Mitigation of trauma among Indigenous Australians, particularly childhood exposure and sexual or physical violence, is essential to reduce their high burden of PTSD.


Assuntos
Transtornos de Estresse Pós-Traumáticos , Adolescente , Adulto , Austrália/epidemiologia , Estudos Transversais , Feminino , Humanos , Acontecimentos que Mudam a Vida , Masculino , New South Wales , Grupos Populacionais , Prevalência , Queensland/epidemiologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adulto Jovem
7.
Cad Saude Publica ; 37(4): e00056520, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33886706

RESUMO

Reflecting on the health promotion for people with physical impairments implies considering the specificities and meanings attributed to the life experience of each subject throughout their careers. As such, this study was designed to investigate the experience of a man with an acquired physical disability after an accident that damaged his spine. This injury caused a permanent inability to move his legs. It is a case study that used the life history technique to capture its experience. The participant was born in a rural context, and since he was a child, he had to work to help his family. At the age of 16, he started working as a chainsaw operator, and at 24, a tree fell on his back, breaking his spine and leaving him without the movements and sensitivities of his legs. The trauma experienced by the participant caused profound changes in his life. The results demonstrated that the participant's experience does not align with the traditional experiences found in the literature in general, as the concept of biographical rupture. Sport was a vital collaboration mechanism in the rehabilitation process. Concerning health and illness, there are many spaces in the subject's experience that collaborate to expand the compression on health promotion paths. The need to depathologize the gaze on the subject's conditions is highlighted so that the understanding of health promotion processes can be amplified or reconsidered.


Assuntos
Família , Acontecimentos que Mudam a Vida , Brasil , Criança , Promoção da Saúde , Humanos , Masculino
8.
Washington, D.C.; OPAS; 2021-04-09.
em Português | PAHO-IRIS | ID: phr-53571

RESUMO

Construindo a Saúde no Curso de Vida esclarece como a saúde se desenvolve e muda ao longo do curso de vida, e explica como o uso da abordagem do curso de vida entre os profissionais de saúde pública pode garantir que a saúde como um direito humano seja alcançada para todas as pessoas. O documento descreve a visão da saúde ao longo da vida, que se concentra não apenas na doença e suas consequências, mas em alcançar uma vida longa, saudável, ativa e produtiva. O documento consiste em três partes independentes. A primeira parte, "Conceitos", visa a iluminar a complexidade da saúde por meio da compreensão da abordagem do curso de vida. Essa parte pode ser usada para se familiarizar com a evolução e o significado do curso de vida, que serve de base para uma prática eficaz de saúde pública. A segunda parte, "Implicações", identifica as implicações para a implementação da abordagem do curso de vida na saúde pública. Essa parte traduz a linguagem técnica da literatura sobre o curso de vida para entender como a aplicação dessa abordagem requer mudanças nos sistemas de saúde, políticas, pesquisas e práticas. A terceira parte, "Aplicação em Saúde Pública", identifica as principais oportunidades para fortalecer a adoção da abordagem do curso de vida na prática de saúde pública. Essa seção descreve ações concretas e baseadas em evidências para melhorar a saúde e o bem-estar por meio da promoção e fomento de habilidades ao longo da vida. Este documento tem como objetivo ajudar os tomadores de decisão e os profissionais de saúde pública a compreender o significado e os conceitos do curso de vida, o que é essencial para entender como a saúde se desenvolve e muda ao longo do curso de vida. O livro também descreve como o modelo de curso de vida nos permite abordar disparidades em saúde, gerando mecanismos para melhorar a saúde e o bem-estar, promovendo a visão da saúde como resultado de uma série de experiências que contribuem ou prejudicam a saúde no curto e longo prazo.


Assuntos
Promoção da Saúde , Saúde Pública , Acontecimentos que Mudam a Vida , Pessoal de Saúde , Estilo de Vida Saudável
9.
Glob Public Health ; 16(6): 947-963, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33750269

RESUMO

Consequences of COVID-19 pandemic responses have included exacerbated poverty, food insecurity and state and domestic violence. Such effects may be particularly pronounced amongst adolescents and young people living in contexts of precarity and constraint, including in South Africa. However, there are evidence gaps on the lived experiences of this group. We conducted telephonic semi-structured interviews with adolescents and young people in two South African provinces (n = 12, ages 18-25) in April 2020 to explore and document their experiences, challenges and coping strategies during strict COVID-19 lockdown. Participants described indirect effects of COVID-19 including food insecurity, lost livelihoods and changes to social service provisions such as municipal electricity services and sanitation. Psychosocial stressors related to uncertainty over education and work futures were also discussed. The aforementioned challenges were particularly present with young parents, 'working poor' participants, and those with pre-existing mental health challenges. Participants demonstrated excellent COVID-19 transmission and prevention knowledge, showing that they had received and correctly interpreted public health messaging. Despite this, many simultaneously held non-scientific COVID-19 beliefs. Engaging a socio ecological framework, findings demonstrate how the indirect effects of COVID-19 may exacerbate underlying multi-layered vulnerabilities for adolescents and young people living in contexts of precarity and constraint.


Assuntos
COVID-19 , Acontecimentos que Mudam a Vida , Isolamento Social/psicologia , Adolescente , Adulto , Ansiedade , Depressão , Feminino , Frustração , Humanos , Entrevistas como Assunto , Masculino , Pesquisa Qualitativa , SARS-CoV-2 , África do Sul , Adulto Jovem
10.
Soc Sci Med ; 276: 113845, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33761384

RESUMO

RATIONALE: Smoking during pregnancy poses a significant health risk for infant well-being. Prior research has linked experiencing stressful life events (SLEs) during pregnancy to prenatal smoking. However, extant research has not assessed whether SLEs experienced during pregnancy are a risk factor for prenatal electronic cigarette use. OBJECTIVE: This study investigates the association between SLEs and electronic cigarette use during the third trimester of pregnancy. METHODS: We employ data on 70,626 recent mothers from the 2016-2018 Pregnancy Risk Assessment Monitoring System. Logistic and multinomial logistic regression models were used to examine the association between SLEs and electronic cigarette use during the third-trimester of pregnancy. RESULTS: The prevalence of electronic cigarette use increased alongside an accumulating history of SLEs (0 SLEs = 0.4%; 1-2 SLEs = 0.9%; 3-5 SLEs = 1.9%; 6+ SLEs = 5.0%). Logistic regression models found 6 or more SLEs were associated with 4.7 times higher odds of electronic cigarette use relative to 0 SLEs after adjusting for demographic and socioeconomic characteristics (AOR = 4.705, 95% CI = 2.960, 7.479). Study findings also showed that women who experienced greater levels of SLEs had a higher prevalence of using any nicotine products (i.e., exclusive electronic cigarette user, exclusive cigarette user, dual user), relative to being a non-smoker. Findings from multinomial logistic regression models revealed that a higher number of SLEs was associated with an increased relative risk of all smoking outcomes. Still, these associations were particularly pronounced in the case of exclusive electronic cigarette user (ARR = 8.485, 95% CI = 4.900, 14.692) and dual-use (ARR = 8.348, 95% CI = 4.113, 16.945) when participants experienced 6 or more SLEs (relative to 0 SLEs). CONCLUSIONS: Considering the potentially harmful ramifications of electronic cigarette use during pregnancy there is a need for interventions that reduce stressful experiences and decrease smoking during pregnancy.


Assuntos
Sistemas Eletrônicos de Liberação de Nicotina , Vaping , Feminino , Humanos , Acontecimentos que Mudam a Vida , Mães , Gravidez , Estresse Psicológico
11.
Psychiatriki ; 32(1): 79-82, 2021 Apr 19.
Artigo em Inglês | MEDLINE | ID: mdl-33759811

RESUMO

The COVID-19 outbreak has affected millions of people globally and it also has a huge psychological impact. The objective of this case report is to outline the possible effect of the COVID-19 pandemic to the content of delusions in patients with psychosis. Α 34-year-old male with no history of mental disorder, involuntarily hospitalized due to agitation and aggression towards others, experienced grandiose delusions, referential delusions and delusions of passivity. The content of all his delusions was related to the COVID-19 pandemic. His symptoms were not proven to be caused by any physical condition or substance use disorder. He was prescribed olanzapine 10mg bd and lorazepam 2,5mg td and demonstrated significant improvement with a complete subsidence of his symptoms within a week. He was discharged after a total of 13 days with an ICD-10 diagnosis of brief psychotic disorder. At his 6 months follow-up, he reported no psychiatric symptoms. Existing literature indicates a strong relationship between life experiences and the content of delusions. This case report highlights how the stressful life event of the COVID-19 outbreak affected the content of our patient's delusions.


Assuntos
COVID-19/psicologia , Delusões/psicologia , Pandemias , Transtornos Psicóticos/psicologia , Adulto , Agressão , Ansiolíticos/uso terapêutico , Antipsicóticos/uso terapêutico , Delusões/tratamento farmacológico , Humanos , Internação Involuntária , Acontecimentos que Mudam a Vida , Lorazepam/uso terapêutico , Masculino , Olanzapina/uso terapêutico , Agitação Psicomotora , Transtornos Psicóticos/tratamento farmacológico , Estresse Psicológico/complicações , Estresse Psicológico/psicologia
12.
BMC Psychiatry ; 21(1): 167, 2021 03 25.
Artigo em Inglês | MEDLINE | ID: mdl-33765975

RESUMO

BACKGROUND: An early onset of depression is associated with higher chronicity and disability, more stressful life events (SLEs), higher negative emotionality as described by the primary emotion SADNESS and more severe depressive symptomatology compared to depression onset later in life. Additionally, methylation of the serotonin transporter gene (SLC6A4) is associated with SLEs and depressive symptoms. METHODS: We investigated the relation of SLEs, SLC6A4 methylation in peripheral blood, the primary emotions SADNESS and SEEKING (measured by the Affective Neuroscience Personality Scales) as well as depressive symptom severity to age at depression onset in a sample of N = 146 inpatients suffering from major depression. RESULTS: Depressed women showed higher SADNESS (t (91.05) = - 3.17, p = 0.028, d = - 0.57) and higher SLC6A4 methylation (t (88.79) = - 2.95, p = 0.02, d = - 0.55) compared to men. There were associations between SLEs, primary emotions and depression severity, which partly differed between women and men. The Akaike information criterion (AIC) indicated the selection of a model including sex, SLEs, SEEKING and SADNESS for the prediction of age at depression onset. SLC6A4 methylation was not related to depression severity, age at depression onset or SLEs in the entire group, but positively related to depression severity in women. CONCLUSIONS: Taken together, we provide further evidence that age at depression onset is associated with SLEs, personality and depression severity. However, we found no associations between age at onset and SLC6A4 methylation. The joint investigation of variables originating in biology, psychology and psychiatry could make an important contribution to understanding the development of depressive disorders by elucidating potential subtypes of depression.


Assuntos
Transtorno Depressivo Maior , Proteínas da Membrana Plasmática de Transporte de Serotonina , Metilação de DNA , Depressão , Transtorno Depressivo Maior/genética , Feminino , Humanos , Pacientes Internados , Acontecimentos que Mudam a Vida , Masculino , Personalidade , Regiões Promotoras Genéticas , Proteínas da Membrana Plasmática de Transporte de Serotonina/genética
13.
Infez Med ; 29(1): 54-64, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33664173

RESUMO

The aim of this study was to explore the psychological impact of the initial stage of the 2019 coronavirus (COVID-19) pandemic on people living with HIV (PLWH), a population at increased risk of psychological distress. PLWH participated in an online survey exploring demographic and clinical data, physical symptoms, contact history, knowledge and concerns, precautionary measures and additional information about COVID-19 during the first phase of the pandemic in Italy. The Impact of Event Scale-Revised (IES-R) (identifying the COVID-19 pandemic as a specific traumatic life event) and the Depression, Anxiety and Stress Scale (DASS-21) also formed part of the survey. Out of 98 participants, 45% revealed from mild to severe psychological impact from COVID-19 according to IES-R. A lower percentage, instead, complained of significant levels of depression (14%), anxiety (11%) or stress (6%) according to DASS-21. Higher education, being unemployed, number of perceived COVID-19 physical symptoms, concerns about risk of contracting COVID-19 and the pandemic situation in Italy, and needing additional information to prevent COVID-19 infection were positively associated to a higher risk of negative psychological impact. Moreover, among the participants, female gender, age, fewer years from HIV diagnosis and not being aware of their own viremia were associated to a higher risk of negative psychological outcomes. Almost half of our PLWH sample experienced significant levels of distress related to the COVID-19 pandemic. Women, elderly patients and those with recent HIV diagnosis appear to be the more psychologically fragile subgroups. Our findings could help identify patients most in need of psychological interventions to improve the wellbeing of PLWH.


Assuntos
COVID-19/psicologia , Infecções por HIV/psicologia , Pandemias , Angústia Psicológica , SARS-CoV-2 , Adulto , Fatores Etários , Idoso , Ansiedade/epidemiologia , COVID-19/complicações , COVID-19/epidemiologia , COVID-19/prevenção & controle , Estudos Transversais , Depressão/epidemiologia , Escolaridade , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos Epidemiológicos , Humanos , Itália/epidemiologia , Acontecimentos que Mudam a Vida , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Desemprego/psicologia
14.
Rev Gaucha Enferm ; 42(spe): e20200217, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33787726

RESUMO

OBJECTIVE: To discuss the emotional labor in pediatric nursing considering the repercussions of COVID-19 in childhood and adolescence. METHOD: Reflexion based on theoretical aspects and scientific evidence of emotional labor in pediatric nursing. RESULTS: Given the repercussions of COVID-19 on children and adolescents, it is up to the nurse to recognize them and nurture a non-traumatic and affectionate care. However, measures to control the disease affect the care provided. In this context, emotional labor process become essential, as they guide the management of the child's and family's emotions, associated with the suffering caused by the pandemic and the nurse's emotional experience when caring. CONCLUSION: Emotional support and care processes are essential in pediatrics, especially in a stressful time such as a pandemic, which requires the positive transformation of the intense and disturbing experiences of people for them to achieve psychosocial well-being.


Assuntos
COVID-19/psicologia , Emoções , Família/psicologia , Enfermagem Pediátrica , Adolescente , COVID-19/epidemiologia , COVID-19/enfermagem , COVID-19/prevenção & controle , Criança , Pré-Escolar , Humanos , Acontecimentos que Mudam a Vida , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/psicologia , Pandemias , Psicologia do Adolescente , Psicologia da Criança , Pesquisa Qualitativa
16.
BMJ Open ; 11(2): e042125, 2021 02 05.
Artigo em Inglês | MEDLINE | ID: mdl-33550246

RESUMO

OBJECTIVES: Evidence on adverse childhood experiences (ACEs) and late-life cognitive outcomes is inconsistent, with little research among diverse racial/ethnic groups. We investigated whether ACE exposures were associated with worse late-life cognition for all racial/ethnic groups and at different ages of exposure. DESIGN: Covariate-adjusted mixed-effects linear regression models estimated associations of: (1) total number of ACEs experienced, (2) earliest age when ACE occurred and (3) type of ACE with overall cognition. SETTING: Kaiser Permanente Northern California members aged 65 years and older, living in Northern California. PARTICIPANTS: Kaiser Healthy Aging and Diverse Life Experiences study baseline participants, aged 65 years and older (n=1661; including 403 Asian-American, 338 Latino, 427 Black and 493 white participants). RESULTS: Most respondents (69%) reported one or more ACE, most frequently family illness (36%), domestic violence (23%) and parental divorce (22%). ACE count was not adversely associated with cognition overall (ß=0.01; 95% CI -0.01 to 0.03), in any racial/ethnic group or for any age category of exposure. Pooling across all race/ethnicities, parent's remarriage (ß=-0.11; 95% CI -0.20 to -0.03), mother's death (ß=-0.18; 95% CI -0.30 to -0.07) and father's death (ß=-0.11; 95% CI -0.20 to -0.01) were associated with worse cognition. CONCLUSION: Adverse childhood exposures overall were not associated with worse cognition in older adults in a diverse sample, although three ACEs were associated with worse cognitive outcomes.


Assuntos
Experiências Adversas da Infância , Envelhecimento Saudável , Idoso , Cognição , Grupos Étnicos , Humanos , Acontecimentos que Mudam a Vida
17.
Cien Saude Colet ; 26(1): 47-56, 2021 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-33533861

RESUMO

This study aimed to understand the subjective meanings attributed to home care by family caregivers of dependent older adults through a multicenter qualitative investigation that gathered 84 in-depth interviews with family caregivers from eight Brazilian locations. The hermeneutic-dialectic, theoretical, methodological framework was employed. The following categories emerged from the analysis: 1. Movements inhibiting emotions and feelings; 2. Presence of processes of symbiosis and emotional dependence in the older adult-relative relationship; 3. Contentment in caring for the dependent older adult; and 4. Giving up current and future life projects. The results reveal life experiences marked by symbiotic processes, emotional dependence, and psychic stress. Dependence causes suffering and feelings of despair, powerlessness, impatience, but also solidarity and empathy. Withdrawal from the job market, social depreciation of family caregiver's activity, social isolation, neglected self-care, and family conflicts impact caregivers' subjectivity. The elaboration of public policies must consider the social-affective life experiences of family caregivers of dependent older adults in order to include the care of those providing care.


Assuntos
Cuidadores , Serviços de Assistência Domiciliar , Idoso , Brasil , Família , Humanos , Acontecimentos que Mudam a Vida , Isolamento Social
19.
Lima; Perú. Ministerio de Salud; 20210200. 48 p. ilus.
Monografia em Espanhol | LILACS, MINSAPERÚ | ID: biblio-1148271

RESUMO

El documento contiene los lineamientos técnicos, metodológicos y procedimentales que orienten la implementación del Modelo de Cuidado Integral de Salud por Curso de Vida para la Persona, Familia y Comunidad (MCI), con enfoque de interculturalidad y de derechos humanos.


Assuntos
Família , Saúde , Competência Cultural , Direitos Humanos , Características de Residência , Acontecimentos que Mudam a Vida , Pessoas
20.
BMC Psychiatry ; 21(1): 7, 2021 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-33402137

RESUMO

BACKGROUND: The challenges of living with and taking care of a patient with schizophrenia can lead to positive changes depending on the experiences and reactions of family caregivers. Such changes may directly affect the family performance and the patient's recovery stage. Present study aimed to explain the positive experiences reported by family caregivers of patients with schizophrenia. METHODS: The present study is a qualitative study of content analysis. Data were collected using semi-structured and in-depth interviews with 15 family caregivers of patients with schizophrenia referring to one of the psychiatric hospitals in Zahedan, Southeast part of Iran. Purposive sampling method was applied and data analysis was conducted using conventional content analysis proposed by Graneheim and Lundman. RESULTS: Data analysis created a theme entitled "family achievements in struggling with schizophrenia". This theme included four categories including Developing positive personality traits in family members, Strengthening family ties, developing insight into the life, and social mobility. CONCLUSIONS: The results provided insights that the experience of taking care of patients with schizophrenia led to positive consequences for family caregivers. Thus, it is recommended that psychiatrists or consultants help families rely on positive experiences and share these experiences with families with a newly-suffered patient.


Assuntos
Esquizofrenia , Cuidadores , Família , Humanos , Irã (Geográfico) , Acontecimentos que Mudam a Vida , Pesquisa Qualitativa
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