Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 138
Filtrar
1.
Am J Infect Control ; 47(1): 18-22, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30174255

RESUMO

BACKGROUND: Many studies investigating daily chlorhexidine gluconate (CHG) bathing as an infection control intervention to decrease health care-associated infections have focused on reduction of infection and colonization; few studies have assessed CHG bathing compliance, work system factors, facilitators, and barriers to implementation. METHODS: This is a combination retrospective/prospective pilot study conducted at a large academic teaching hospital that implemented daily CHG bathing across all inpatient units. CHG compliance and patient refusal were calculated on the basis of documentation in the electronic medical record. We used the health belief model to guide semistructured interviews with patients about knowledge and barriers related to CHG bathing. RESULTS: Of the 31 patients interviewed, 74% reported using CHG soap during their stay. Average compliance documented in the electronic medical record was 78% with a range of 57%-91% among all hospital units. Sixteen percent of patients declined CHG bathing, and refusal ranged from 3%-29% among all units. Major themes about CHG bathing from patient interviews include low perceived susceptibility to infection, high degree of trust in medical professionals, low knowledge of benefits of CHG, and low perceived self-efficacy in preventing HAIs. CONCLUSIONS: Educating patients about CHG bathing appears to be a critical factor in decreasing patient refusal of CHG bathing.


Assuntos
Banhos/métodos , Banhos/psicologia , Clorexidina/administração & dosagem , Desinfetantes/administração & dosagem , Desinfecção/métodos , Conhecimentos, Atitudes e Prática em Saúde , Adesão à Medicação/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Saúde , Hospitais de Ensino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Estudos Prospectivos , Estudos Retrospectivos
2.
Midwifery ; 64: 110-114, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29961561

RESUMO

OBJECTIVE: Though bathing (hydrotherapy) is widely used during labor to decrease anxiety and pain and to promote relaxation, the influence of cultural beliefs about bathing by parturients is virtually unknown. This pilot study explored pregnant women's experiences of bathing, bathing in labor, and cultural beliefs about bathing. DESIGN: An exploratory, descriptive design. SETTING: Low risk obstetrical clinics. PARTICIPANTS: Healthy Hispanic, Black, White, American-Indian and Asian women (N = 41) at >37 weeks gestation. METHODS: During a routine prenatal visit women responded to a brief openended questionnaire on the use of bathing. Data was captured using a modified ethnographic method involving observation and note taking with thematic analysis and quantification of percent response rates. FINDINGS: Forty-six percent (N = 41) of women used bathing for purposes other than hygiene but only 4.9% (N = 41) of these women bathed during a previous labor. The women described bathing as relaxing, easing, calming, and efficacious for relief of menstrual cramps and labor contractions. Ten percent of women reported cultural beliefs about bathing. CONCLUSIONS: Women who bathe, report relief of anxiety, menstrual and labor pain and promotion of mental and physical relaxation. The findings do not support the view that bathing is associated with identifiable cultural beliefs; rather, they suggest that bathing is a self-care measure used by women. This practice is likely transmitted from generation to generation by female elders through the oral tradition. Assumptions that race or ethnicity precludes the use of bathing may be faulty. Cautionary instructions should be given to pregnant women who are <37 completed weeks of gestation, to avoid bathing for relief of cramping or contractions and to seek immediate health care evaluation. Study of culturally intact groups may uncover additional themes related to bathing in labor and as a self-care measure for dysmenorrhea.


Assuntos
Banhos/psicologia , Assistência à Saúde Culturalmente Competente/métodos , Hidroterapia/psicologia , Adolescente , Adulto , Banhos/métodos , Assistência à Saúde Culturalmente Competente/normas , Feminino , Humanos , Hidroterapia/métodos , Trabalho de Parto/psicologia , Projetos Piloto , Gravidez , Autocuidado , Inquéritos e Questionários
3.
J Perinat Neonatal Nurs ; 32(4): 358-365, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29782435

RESUMO

Bathing is a routine care procedure that exposes preterm infants to prolonged handling, which could cause stress and potentially disrupt infants' biobehavioral responses. The aim of this double-blind randomized crossover trial was to compare the preterm infant's body temperature, heart rate (HR), peripheral capillary oxygen saturation (SpO2), salivary cortisol levels, and sleep-wake states during and after swaddled and conventional tub baths. Forty-three infants born at 32 to 36 weeks postmenstrual age, weighing 2225 g or less, were enrolled in the study. Infants were videotaped before and after each type of baths. The time interval between baths ranged from 24 to 72 hours to allow a washout period. Physiological, hormonal, and behavioral responses were collected at baseline and during recovery from baths. No significant differences in the mean body temperature, HR, SpO2, salivary cortisol levels, and sleep-wake states between the bath types were observed in the baseline or recovery responses during the first 20 minutes after bath. Regardless of bath type, salivary cortisol levels showed a nonstatistical significant increase.


Assuntos
Banhos , Técnicas de Observação do Comportamento/métodos , Temperatura Corporal , Frequência Cardíaca , Comportamento do Lactente/fisiologia , Cuidado do Lactente/métodos , Oximetria/métodos , Banhos/efeitos adversos , Banhos/métodos , Banhos/psicologia , Estudos Cross-Over , Método Duplo-Cego , Feminino , Humanos , Hidrocortisona/análise , Recém-Nascido , Recém-Nascido Prematuro/fisiologia , Masculino , Saliva/metabolismo , Fatores de Tempo , Resultado do Tratamento , Gravação de Videoteipe
4.
Arch Phys Med Rehabil ; 99(7): 1289-1294, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29305848

RESUMO

OBJECTIVE: To investigate the relationship between perceived exertion while bathing/dressing/grooming and associations with social-recreational activities outside the home for individuals with mobility impairment (MI). DESIGN: A 2-study approach was used to examine data from the American Time Use Survey (ATUS) and primary data from the Health and Home Survey (HHS). The relationship between bathing/dressing/grooming and engagement in social-recreational activities was explored, as well as the role that exertion in the bathroom may play in participation in these activities. SETTING: General community setting. PARTICIPANTS: For the ATUS survey, participants (n=6002) included individuals who reported an MI. For the HHS, 2 mail-based recruitment methods were used to recruit a sample of individuals with MI (n=170) across 3 geographically diverse U.S. communities. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Participation in social and recreational activities. RESULTS: People with MI (relative to those without MI) were less likely to report spending any time bathing/dressing/grooming on a given day, but spent more time when they did. People with MI reported higher exertion while bathing/dressing/grooming than people without. People with MI were less likely to leave the house or engage in social-recreational activities on days where they did not engage in bathing activities. People who reported greater exertion in the bathroom engaged in fewer social-recreational activities. CONCLUSIONS: Exertion in the bathroom may present a barrier to participation, indicating a relationship between exertion in the bathroom and social-recreational participation. Research that examines the impact of home modifications on exertion and participation is needed.


Assuntos
Atividades Cotidianas/psicologia , Pessoas com Deficiência/psicologia , Exercício/psicologia , Autocuidado/psicologia , Participação Social/psicologia , Adulto , Idoso , Banhos/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Limitação da Mobilidade , Esforço Físico , Inquéritos e Questionários , Estados Unidos
5.
Women Birth ; 31(3): 184-193, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29037484

RESUMO

BACKGROUND: There is little published research that has examined practitioners' views and experiences of pain relieving measures commonly used during labour and birth, particularly for non-pharmacological measures such as water immersion. Furthermore, there is minimal published research examining the process of policy and guideline development, that is, the translation of published research to usable practice guidance. AIMS: The aims of phase three of a larger study were to explore midwives knowledge, experiences and support for the option of water immersion for labour and birth in practice and their involvement, if any, in development of policy and guidelines pertaining to the option. METHODS: Phase three of a three phased mixed methods study included a web based survey of 234 Australian midwives who had facilitated and/or been involved in the development of policies and/or guidelines relating to the practice of water immersion. FINDINGS: Midwives who participated in this study were supportive of both water immersion for labour and birth reiterating documented benefits of reduced pain, maternal relaxation and a positive birth experience. The most significant concerns were maternal collapse, the difficulty of estimating blood loss and postpartum haemorrhage whilst barriers included lack of accredited staff, lifting equipment and negative attitudes. Midwives indicated that policy/guideline documents limited their ability to facilitate water immersion and did not always to support women's informed choice. CONCLUSION: Midwives who participated in this study supported the practice of water immersion reiterating the benefits documented in the literature and minimal risk to the woman and baby. ETHICAL CONSIDERATIONS: The Human Research Ethics Committee of the University of South Australia approved the research.


Assuntos
Banhos/psicologia , Parto Obstétrico/psicologia , Tocologia/métodos , Enfermeiras Obstétricas/psicologia , Parto/psicologia , Água , Adulto , Austrália , Banhos/métodos , Parto Obstétrico/métodos , Feminino , Humanos , Imersão , Internet , Política , Gravidez , Inquéritos e Questionários
6.
Rev Bras Enferm ; 70(6): 1337-1342, 2017.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29160498

RESUMO

OBJECTIVE: to produce a reflective essay on what has been produced in relation to bath as a procedure related to nursing care and diagnosis for dependent patients undergoing mediate and immediate rehabilitation processes after a traumatic event. METHOD: discursive, reflective study supported by classical content analysis consisting of the following stages: a) reading of the texts in their most comprehensive form; b) emphasizing the relevant elements produced about bathing; c) reflection on texts and what is produced about bathing. RESULTS: the texts point out to three categories for nursing practice and reflection: Meaning to patients on the purposes of bathing; Representation for nurses in the work process; Representation for nurses in the management of care and nursing care planning. CONCLUSION: the reflection points out understandings on bathing as a care focused on the autonomy of nursing rehabilitation patients, requiring further investigations.


Assuntos
Banhos/métodos , Banhos/psicologia , Formação de Conceito , Cuidados de Enfermagem/métodos , Banhos/instrumentação , Humanos , Cuidados de Enfermagem/psicologia
7.
Artigo em Inglês | MEDLINE | ID: mdl-28792445

RESUMO

The present study investigated changes in autonomic nervous system activity and emotions after a short (2 h) forest bathing program in the Xitou Nature Education Area (XNEA), Taiwan. One hundred and twenty-eight (60.0 ± 7.44 years) middle-aged and elderly participants were recruited. Physiological responses, pulse rate, systolic and diastolic blood pressure, heart rate variability (HRV), and psychological indices were measured before and after the program. We observed that pulse rate, systolic and diastolic blood pressure were significantly lower after the program, which indicated physiological benefits from stress recovery. The Profile of Mood States negative mood subscale scores of "tension-anxiety", "anger-hostility", "fatigue-inertia", "depression-dejection", and "confusion-bewilderment" were significantly lower, whereas the positive mood subscale score of "vigor-activity" was higher. Furthermore, participants exhibited significantly lower anxiety levels according to the State-Trait Anxiety Inventory. However, changes in sympathetic and parasympathetic nerve activity were nonsignificant. Our study determined that the short forest bathing program is a promising therapeutic method for enhancing heart rate and blood pressure functions as well as an effective psychological relaxation strategy for middle-aged and elderly individuals.


Assuntos
Afeto , Sistema Nervoso Autônomo/fisiologia , Banhos , Pressão Sanguínea , Frequência Cardíaca , Idoso , Banhos/psicologia , Feminino , Florestas , Humanos , Masculino , Pessoa de Meia-Idade , Taiwan
8.
Arch Psychiatr Nurs ; 30(3): 375-81, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-27256944

RESUMO

Researchers performed foot baths and massages for residual schizophrenia patients to gauge the effects on psychiatric symptoms. Subjects were six residual schizophrenia patients hospitalized in a psychiatric hospital. Three times a week for 4weeks, they received an 8-minute effleurage massage to their legs after a 10-minute foot bath. The effect of physiological relaxation was identified by a significant decline in heart rate in all cases. The results of the Positive and Negative Symptom Scale are as follows: a mean score of 29.0 was measured before treatment, which lowered to 21.5 after treatment, indicating that foot care improved their negative symptoms (p<0.05).The results of the Quality of Life Scale before the foot care intervention, were 10.5 and increased to 34.0 after the intervention, indicating improvement in their quality of life (p<0.05). The results of the two measurements indicate that foot baths and massages were effective in improving psychiatric symptoms.


Assuntos
Banhos/psicologia , Massagem/psicologia , Esquizofrenia/terapia , Psicologia do Esquizofrênico , Idoso , Feminino , , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida/psicologia
11.
Nurs Stand ; 28(51): 72-3, 2014 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-25138889

RESUMO

When in Istanbul, I visited a hamam, a traditional Turkish bath. I'm familiar with other bathing rituals--steam room, sauna, Jacuzzi--but suspected being washed by someone in front of others was not very British.


Assuntos
Banhos/psicologia , Banho a Vapor/psicologia , Banhos/métodos , Humanos , Banho a Vapor/métodos , Reino Unido
12.
Orv Hetil ; 155(28): 1102-7, 2014 Jul 13.
Artigo em Húngaro | MEDLINE | ID: mdl-25002313

RESUMO

INTRODUCTION: Skin physiology of neonates and preterm infants and evidence-based skin care are not well explored for health care providers. AIM: The aim of our present study was to investigate the skin care methods of the tertiary Neonatal Intensive Care Units in Hungary. METHOD: A standardized questionnaire was distributed among the 22 tertiary Neonatal Intensive Care Units with questions regarding skin care methods, bathing, emollition, skin disinfection, umbilical cord care, treatment of diaper dermatitis, and use of adhesive tapes. RESULTS: The skin care methods of the centres were similar in several aspects, but there were significant differences between the applied skin care and disinfectant products. CONCLUSIONS: The results of this survey facilitate the establishment of a standardized skin care protocol for tertiary Neonatal Intensive Care Units with the cooperation of dermatologists, neonatologists and pharmacists.


Assuntos
Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal , Comunicação Interdisciplinar , Higiene da Pele/métodos , Higiene da Pele/estatística & dados numéricos , Adesivos , Banhos/métodos , Banhos/psicologia , Banhos/normas , Banhos/estatística & dados numéricos , Dermatite das Fraldas/prevenção & controle , Dermatite das Fraldas/terapia , Desinfecção/métodos , Emolientes/administração & dosagem , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Hungria , Recém-Nascido , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Masculino , Pais/psicologia , Equipe de Assistência ao Paciente , Inquéritos e Questionários , Cordão Umbilical
13.
J Am Geriatr Soc ; 62(5): 797-804, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24697702

RESUMO

OBJECTIVES: To evaluate the effectiveness of the Bathing Without a Battle intervention in reducing physical and verbal aggressive behaviors for nursing home residents with dementia. DESIGN: A randomized crossover diffusion study, with one group receiving the intervention after one round of baseline observations and a delayed intervention group receiving the intervention after two rounds of baseline observations. SETTING: Six nursing home facilities in the state of New York. PARTICIPANTS: Nursing home residents with dementia (N = 240). INTERVENTION: The Bathing Without a Battle educational program, designed for direct-care staff members responsible for bathing residents diagnosed with dementia and implemented through a train-the-trainer model. MEASUREMENTS: Rates of verbal and physical aggressive and agitated behaviors were measured using the Care Recipient Behavior Assessment; secondary measures of effect included bath duration, bath modality, and antipsychotic medication use. RESULTS: In spite of implementation obstacles (consent delays and change in leadership at one facility), a significant change was observed in how residents were bathed that translated into a significant reduction in the rate of aggressive and agitated behaviors, particularly verbal, during residents' baths. The use of in-bed baths increased 17%, and average bath duration decreased significantly (average 1.5 minutes less) in the postintervention period, particularly for in-bed baths. Verbal behaviors declined 17.8% (P = .008), combined verbal and physical behaviors declined 18.6% (P = .004), and antipsychotic use declined 30% (P = .002) after the intervention. CONCLUSION: The Bathing Without a Battle educational program, delivered through a train-the-trainer format, is an effective means of improving the bathing experience of residents with dementia in nursing homes. This research supports broadly adopting this intervention, especially for nursing homes serving many residents with dementia.


Assuntos
Agressão/psicologia , Banhos/métodos , Demência/reabilitação , Atividade Motora/fisiologia , Casas de Saúde , Agitação Psicomotora/prevenção & controle , Comportamento Verbal , Idoso , Idoso de 80 Anos ou mais , Banhos/psicologia , Estudos Cross-Over , Demência/psicologia , Feminino , Humanos , Incidência , Masculino , New York/epidemiologia , Agitação Psicomotora/epidemiologia , Agitação Psicomotora/etiologia , Estudos Retrospectivos , Resultado do Tratamento
14.
Public Health ; 127(7): 614-9, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23489712

RESUMO

OBJECTIVES: Showering before entering a swimming pool is highly recommended to reduce the risk of biological and chemical contamination. This study evaluated the behaviour of indoor swimming pool users; analysed the variables associated with lack of showering; and assessed awareness of the importance of showering. STUDY DESIGN: Cross-sectional study. METHODS: A self-administered questionnaire was used to collect data about users of swimming pools located in five different Italian cities. The association between specific variables and the lack of showering was assessed. P < 0.05 was considered to indicate statistical significance. RESULTS: In total, 4356 questionnaires were analysed. Sixty-five percent of interviewees always showered before entering the pool. The main reason given for pre-swim showering was 'to wash oneself' (50.5%); or 'to get used to the temperature of the water' (44.3%); and 5.2% answered 'for both reasons'. Risk factors significantly associated with lack of showering were: female sex (odds ratio (OR) 1.37, 95% confidence interval (CI) 1.2-1.59), age 14-17 years (OR 5.09, 95% CI 3.40-7.64); not reading the swimming pool rules (OR 1.24, 95% CI 1.10-1.41); living in Central Italy (OR 3.3, 95% CI 2.65-4.1) or Southern Italy (OR 1.35, 95% CI 1.18-1.55); and previous/current attendance of a swimming course (OR 1.7, 95% CI 1.48-1.97). CONCLUSIONS: The results revealed low compliance with the rule of showering before entering a swimming pool, and little awareness of the preventive role of showering in the hygienic management of swimming pools. There is a need for targeted educational interventions to inform swimming pool users of the reasons for the importance of showering before entering a pool.


Assuntos
Banhos/psicologia , Hábitos , Comportamentos Relacionados com a Saúde , Higiene/normas , Piscinas , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Banhos/estatística & dados numéricos , Criança , Estudos Transversais , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Razão de Chances , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
15.
Soins Gerontol ; (96): 12-4, 2012.
Artigo em Francês | MEDLINE | ID: mdl-22852495

RESUMO

To safeguard the quality of life of people suffering from Alzheimer's by the creation of an individual care plan, by identifying pleasurable activities or fond memories of the individual, thereby restoring a sense of present well being. The therapeutic bath, an action which might be considered somewhat straightforward, in fact enables the measurement of the capability of an elderly person to respond to stimulation by medical staff.


Assuntos
Doença de Alzheimer/psicologia , Banhos/psicologia , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/enfermagem , Banhos/enfermagem , Humanos
16.
J Sex Marital Ther ; 38(5): 436-44, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22900625

RESUMO

Persistent genital arousal disorder is not well known or adequately understood by physicians. The disorder is characterized by a persistent and highly unwanted state of genital arousal and orgasm-like feelings. Ghusl is an ablution in Islamic culture, which is an obligatory ritual wherein the body is washed thoroughly after exposure to religious contaminants such as sexual intercourse, menstruation, and childbirth. Muslim women suffering from the disorder may bathe frequently because of their religious beliefs. The authors summarize the case histories of 3 patients with persistent genital arousal disorder who were initially misdiagnosed with obsessive-compulsive disorder. All 3 patients presented with complaints of unwanted, persistent orgasms or orgasm-like arousals, and as a result, they performed ghusl several times a day. At previous interviews, the genital arousal was diagnosed as a sexual and somatic obsession, and repeatedly performing ghusl was considered a cleansing compulsion. Physicians' lack of awareness or knowledge of persistent genital arousal disorder, combined with the unwillingness of patients to discuss sexual problems, can lead to a focus on the repetitive bathing, and thus, a misdiagnosis of the problem as obsessive-compulsive disorder. These cases are presented to highlight the possible pitfalls in the diagnosis of persistent genital arousal disorder cases in Islamic countries where ghusl is common.


Assuntos
Atitude Frente a Saúde/etnologia , Banhos/psicologia , Islamismo/psicologia , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Fisiológicas/etnologia , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Higiene , Masculino , Transtorno Obsessivo-Compulsivo/diagnóstico , Transtorno Obsessivo-Compulsivo/etnologia , Religião e Medicina , Turquia
17.
Aust Occup Ther J ; 59(3): 188-96, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22690769

RESUMO

BACKGROUND: Shower assessments are complex and challenging tasks undertaken by many occupational therapists with little known about how they are conducted and how new graduates learn to carry these out. There are no published guidelines and limited opportunity for students to practise shower assessments during their training bringing into question how new graduates learn to do this assessment and judge their effectiveness. AIM: To investigate the experience of new graduate occupational therapists undertaking their first shower assessments in South Australia. METHOD: Six graduate occupational therapists participated in a phenomenological study. Data were gathered through semi-structured interviews and analysed according to Giorgi's descriptive phenomenological method. FINDINGS: New graduates found the shower assessment process cognitively and emotionally demanding. Without prior experience, new graduates lacked confidence to perform the practical aspects of conducting a shower assessment. The sense of responsibility for getting it right and ensuring client safety was at times overwhelming. Social norms around nudity, age and gender impacted on the graduate's interaction with clients in the shower environment. However, graduates with previous care attendant work were better able to manage the social and practical challenges inherent in shower assessments. CONCLUSION: The findings of this study suggest that additional experiential, 'hands on', learning is needed in university curriculum for new graduates to develop practical clinical skills, particularly as practice placements have become more diverse. Similarly there is a need for organisations to provide orientation activities and mentoring for new graduates as they transition from student to therapist.


Assuntos
Atividades Cotidianas/psicologia , Banhos/psicologia , Competência Clínica , Terapia Ocupacional/métodos , Adulto , Currículo , Feminino , Pesquisa sobre Serviços de Saúde , Humanos , Entrevista Psicológica , Terapia Ocupacional/normas , Autoeficácia , Austrália do Sul , Fatores de Tempo , Confiança , Adulto Jovem
18.
Psychosomatics ; 53(3): 212-9, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22480624

RESUMO

BACKGROUND: Cannabis is the most commonly used illicit substance worldwide. Cannabinoids or cannabinoid receptor agonists are often used to treat nausea, vomiting, and anorexia. However, in recent years, several medical journals have published reports of patients with nausea and vomiting thought to be induced by chronic cannabis use. OBJECTIVE: The authors seek to inform readers about Cannabinoid Hyperemesis Syndrome (CHS). METHOD: The authors describe four patients with chronic cannabis abuse, episodic, intractable nausea and vomiting, and compulsive hot water bathing. Previous cases of CHS are reviewed, pathophysiology is hypothesized, and difficulties with making the diagnosis are discussed. CONCLUSION: CHS should be strongly considered in the differential diagnosis of patients with intractable vomiting and/or compulsive hot water bathing.


Assuntos
Canabinoides/efeitos adversos , Comportamento Compulsivo/induzido quimicamente , Abuso de Maconha/complicações , Náusea/induzido quimicamente , Vômito/induzido quimicamente , Dor Abdominal/induzido quimicamente , Adulto , Dor nas Costas/tratamento farmacológico , Banhos/psicologia , Doença Crônica , Comportamento Compulsivo/diagnóstico , Comportamento Compulsivo/psicologia , Diagnóstico Diferencial , Feminino , Temperatura Alta , Humanos , Masculino , Náusea/diagnóstico , Manejo da Dor , Síndrome , Vômito/diagnóstico , Adulto Jovem
19.
Psychoneuroendocrinology ; 37(2): 167-77, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21530088

RESUMO

BACKGROUND: In this prospective longitudinal study, we investigated the relation between sleeping arrangements and infant cortisol reactivity to stressors in the first two post-natal months. Co-sleeping, as compared to solitary sleeping, is hypothesized to provide more parental external stress regulation by night, thus reducing general stress sensitivity. We therefore expected lower cortisol reactivity to stress in infants who co-slept more regularly. METHODS: Participants were 163 mothers and infants from uncomplicated, singleton pregnancies. Mothers completed daily diaries on sleeping arrangements in the first 7 weeks of life. Co-sleeping was defined as sleeping in the parents' bedroom (i.e. own or parents' bed). Cortisol reactivity was measured twice: to a mild physical stressor (bathing session) at 5 weeks of age and to a mild pain stressor (vaccination) at 2 months of age. RESULTS: Infants with a solitary sleeping arrangement in their first month of life showed a heightened cortisol response to the bathing session at 5 weeks compared to infants that co-slept regularly. This effect was not explained by breastfeeding practices, maternal caregiving behavior, or infants' night waking and sleep duration. No effects were found of co-sleeping on the cortisol response to the vaccination at 2 months. CONCLUSIONS: The results suggest that solitary sleeping in the first month of life is associated with heightened sensitivity of the HPA-axis to a mild stressor, possibly due to less nocturnal parental availability as external stress regulator. Whether this effect continues in later life, remains to be investigated.


Assuntos
Hidrocortisona/análise , Sistema Hipotálamo-Hipofisário/metabolismo , Comportamento Materno/psicologia , Sistema Hipófise-Suprarrenal/metabolismo , Sono , Estresse Psicológico/metabolismo , Banhos/psicologia , Leitos , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Relações Mãe-Filho , Estudos Prospectivos , Saliva/química , Vacinação/psicologia
20.
Emotion ; 12(1): 154-62, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21604871

RESUMO

Classic and contemporary research on person perception has demonstrated the paramount importance of interpersonal warmth. Recent research on embodied cognition has shown that feelings of social warmth or coldness can be induced by experiences of physical warmth or coldness, and vice versa. Here we show that people tend to self-regulate their feelings of social warmth through applications of physical warmth, apparently without explicit awareness of doing so. In Study 1, higher scores on a measure of chronic loneliness (social coldness) were associated with an increased tendency to take warm baths or showers. In Study 2, a physical coldness manipulation significantly increased feelings of loneliness. In Study 3, needs for social affiliation and for emotion regulation, triggered by recall of a past rejection experience, were subsequently eliminated by an interpolated physical warmth experience. Study 4 provided evidence that people are not explicitly aware of the relationship between physical and social warmth (coldness), as they do not consider a target person who often bathes to be any lonelier than one who does not, with all else being equal. Together, these findings suggest that physical and social warmth are to some extent substitutable in daily life and that this substitution reflects an unconscious self-regulatory mechanism.


Assuntos
Emoções/fisiologia , Solidão/psicologia , Distância Social , Percepção Social , Sensação Térmica/fisiologia , Adolescente , Adulto , Banhos/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA