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Ther Umsch ; 76(5): 252-260, 2019.
Artigo em Alemão | MEDLINE | ID: mdl-31577186


Touching the Soul - Energy Psychology in Psychosomatics Abstract. This article presents two ways to manage stress from the booming field of energy psychology. Despite the already considerable density of publications, they are still less common in primary care and psychotherapeutic practices and institutions. We are talking about the Shiatsu and the Emotional Freedom Techniques. Both methods move at the interface between body and mind. Common to both methods is the emphasis on mindfulness as an important treatment goal in the therapy process. In the current social trend, they are thus increasingly integrating eastern ways of thinking and treatment approaches into our western-oriented medicine. The article gives an overview of the genesis of both methods, possible mechanisms of action, their scientific evidence and their practical application technique.

Transtornos Psicofisiológicos , Estresse Psicológico , Humanos , Psicoterapia
Psychiatr Hung ; 34(3): 300-310, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31570661


This paper aims to review previous findings on the developmental trajectory of core executive functions - attentional control, inhibition, mental shifting, cognitive flexibility, and working memory - in adolescence with special attention to age-related stress-sensitivity in this period. More simple abilities, like attentional control and inhibition, go through a dramatic maturation process between the ages of 10 and 11. This is followed by a final progress, and as a result, after age 13-15 years acute stress deteriorates attentional control performance less, or it may even improve it. Working memory matures later, around 14-15 years, and it reaches the adult level at 17 years. Concerning mental shifting and cognitive flexibility, more maturation points could be identified: word fluency usually reaches full maturation at the age of 13, semantic fluency between the ages of 17 and 18, and general flexibility around 18-19 years. Based on the reviewed papers we could see that acute stress affects executive functions differently during adolescence, depending on how these functions mature. Those functions which develop later, are more sensitive to stress during the entire period of adolescence, and reviewed studies show that acute stress has a deteriorating effect on these functions. At the same time, early matured inhibition and attentional control are enhanced by acute stress in the half of the studies. Other theories and methodological issues are also discussed. Keywords: attentional control; inhibition; shifting; working memory.

Desenvolvimento Infantil , Função Executiva , Psicologia do Adolescente , Estresse Psicológico , Adolescente , Criança , Humanos , Inibição (Psicologia) , Memória de Curto Prazo , Adulto Jovem
Medicine (Baltimore) ; 98(38): e17184, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31567960


Although both multiple sclerosis (MS) and neuromyelitis optica (NMO) are demyelinating diseases, their psychiatric disturbances may differ given differences in the neurological manifestations. We used subjective and objective measurements to compare the psychiatric disturbances in patients with MS and NMO.Psychiatric disturbances were assessed in 24 MS and 35 NMO patients using the Beck Hopelessness Scale, Symptom Checklist-95 and the brief version of World Health Organization Quality of Life. Personality was assessed using the Big Five Inventory-10. Disease-related function was assessed using the Fatigue Severity Scale, Short-Form McGill Pain Questionnaire, and the Global Assessment of Function. Positivity offset (PO) and negativity bias (NB) and heart rate variability (HRV) were measured using a modified implicit affect test and photoplethysmograph, respectively. Data were analyzed using analysis of covariance with age and sex as covariates.MS patients had higher levels of depression, anxiety, panic attacks, obsessive-compulsiveness, aggression, paranoia, interpersonal sensitivity, self-regulation problems, stress vulnerability, and lower psychological quality of life (QOL) compared with NMO patients. The PO and NB and HRV values were not significantly different between groups. However, NMO patients had lower QOL, and higher levels of hopelessness, suicidality, and fatigue than the normal range. Disease duration was associated with hopelessness in NMO patients and with several psychiatric disturbances, but not hopelessness, in MS patients.Subjective psychiatric disturbances were more severe in patients with MS than in those with NMO, whereas PO and NB and HRV in patients with NMO were comparable with those of MS patients. Our findings highlight the need for different clinical approaches to assess and treat psychiatric disturbances in patients with MS and NMO.

Transtornos Mentais/etiologia , Esclerose Múltipla/psicologia , Neuromielite Óptica/psicologia , Adulto , Ansiedade/etiologia , Depressão/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla/complicações , Neuromielite Óptica/complicações , Transtorno Obsessivo-Compulsivo/etiologia , Transtorno de Pânico/etiologia , Transtornos Paranoides/etiologia , Escalas de Graduação Psiquiátrica , Qualidade de Vida/psicologia , Estresse Psicológico/etiologia
Medicine (Baltimore) ; 98(37): e17174, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31517872


HIV-positive individuals encounter a number of negative life events (NLEs). This cross-sectional study aimed to evaluate the association between NLEs and major depressive disorder (MDD) among HIV-positive individuals in Guangdong, China, about which little is known.HIV-positive individuals were recruited from the Centers for Disease Prevention and Control of Guangzhou, Zhongshan, and Yangjiang from September 2007 to September 2008. Data on NLEs were collected using a questionnaire. The Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition (SCID-I/P) based on the DSM-IV criteria was used to diagnose MDD. Multiple logistic regression analyses were conducted to evaluate the association between NLEs and MDD.Among the 339 participants, 306 (90.27%) reported that one or more NLEs had ever occurred. Participants who reported NLEs that included HIV infection, financial problems, AIDS diagnosis, HIV/AIDS discrimination, conflict with spouse or lover, conflict with other family members, problems in childbearing, and conflict with nonfamily were at a higher risk of MDD. Participants who reported more NLEs in the last year had a higher risk of MDD (OR = 2.86, 95%CI: 1.76-4.65) than individuals who reported fewer NLEs. Individuals with higher chronic stress scores had a higher risk of MDD (OR = 4.36, 95%CI: 2.44-7.78) than individuals with lower chronic stress scores. However, acute stress was not associated with MDD.NLEs were common among HIV-positive individuals. MDD was associated with a greater number of NLEs and the increased chronic stress caused by the NLEs. Interventions should be tailored to those who reported NLEs to help reduce the risk of MDD and increase the quality of life among HIV-positive individuals.

Transtorno Depressivo Maior/complicações , Infecções por HIV/complicações , Infecções por HIV/psicologia , Adolescente , Adulto , China , Estudos Transversais , Transtorno Depressivo Maior/epidemiologia , Feminino , Infecções por HIV/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Estresse Psicológico/complicações , Estresse Psicológico/epidemiologia , Adulto Jovem
Medicine (Baltimore) ; 98(37): e17186, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31517876


BACKGROUND: Ashwagandha (Withania somnifera (L.) Dunal) is a herb traditionally used to reduce stress and enhance wellbeing. The aim of this study was to investigate its anxiolytic effects on adults with self-reported high stress and to examine potential mechanisms associated with its therapeutic effects. METHODS: In this 60-day, randomized, double-blind, placebo-controlled study the stress-relieving and pharmacological activity of an ashwagandha extract was investigated in stressed, healthy adults. Sixty adults were randomly allocated to take either a placebo or 240 mg of a standardized ashwagandha extract (Shoden) once daily. Outcomes were measured using the Hamilton Anxiety Rating Scale (HAM-A), Depression, Anxiety, and Stress Scale -21 (DASS-21), and hormonal changes in cortisol, dehydroepiandrosterone-sulphate (DHEA-S), and testosterone. RESULTS: All participants completed the trial with no adverse events reported. In comparison with the placebo, ashwagandha supplementation was associated with a statistically significant reduction in the HAM-A (P = .040) and a near-significant reduction in the DASS-21 (P = .096). Ashwagandha intake was also associated with greater reductions in morning cortisol (P < .001), and DHEA-S (P = .004) compared with the placebo. Testosterone levels increased in males (P = .038) but not females (P = .989) over time, although this change was not statistically significant compared with the placebo (P = .158). CONCLUSIONS: These findings suggest that ashwagandha's stress-relieving effects may occur via its moderating effect on the hypothalamus-pituitary-adrenal axis. However, further investigation utilizing larger sample sizes, diverse clinical and cultural populations, and varying treatment dosages are needed to substantiate these findings. TRIAL REGISTRATION: Clinical Trials Registry-India (CTRI registration number: CTRI/2017/08/009449; date of registration 22/08/2017).

Ansiolíticos/uso terapêutico , Ansiedade/tratamento farmacológico , Extratos Vegetais/uso terapêutico , Estresse Psicológico/tratamento farmacológico , Adulto , Ansiolíticos/efeitos adversos , Ansiedade/metabolismo , Sulfato de Desidroepiandrosterona/metabolismo , Método Duplo-Cego , Feminino , Humanos , Hidrocortisona/metabolismo , Masculino , Fitoterapia , Extratos Vegetais/efeitos adversos , Estresse Psicológico/metabolismo , Testosterona/metabolismo , Resultado do Tratamento
Ther Umsch ; 76(4): 219-224, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31498042


Standardized distress screening programs do not replace discussing distress and psychosocial care needs with patients Abstract. Recommendations regarding the communication with the patient on the basis of the distress thermometer. In accordance with international standards, one of the high priority objectives is to introduce routine distress screening during cancer care in order to accurately identify those patients who are most in need of psycho-oncological treatment and to ensure that patients have access to appropriate supportive care services. The practice has been shown to increase the effectiveness of identifying comorbidities such as depression and anxiety, and to increase the number of referrals to psycho-oncological care. However, only a moderate proportion of the distressed patients also accepts referral to or utilizes psycho-oncological support. To optimize distress screening programs, patients' supportive care needs should be addressed and discussed in routine clinical practice. The present manuscript offers recommendations regarding the actual communication with the patient on the basis of a screening tool such as the distress thermometer.

Neoplasias , Psico-Oncologia , Humanos , Programas de Rastreamento , Neoplasias/psicologia , Encaminhamento e Consulta , Estresse Psicológico
Prax Kinderpsychol Kinderpsychiatr ; 68(6): 525-539, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-31480945


Quality of Life in Children with Down Syndrome from Parental Point of View Parents of 42 children with Down syndrome (mean age 9 years) report on their child's quality of life (physical, emotional and social domain). The KINDL-R was used as a proxy-report measure. Quality of life correlated negatively with behavioral symptoms (SDQ), but did not vary between children in mainstreamed or special schools. Regression analysis identified the child's behavioral symptoms and parental stress - assessed when the children had reached the age of five - as significant predictors of quality of life assessed four years later.

Síndrome de Down/psicologia , Pais/psicologia , Qualidade de Vida , Inquéritos e Questionários , Criança , Pré-Escolar , Humanos , Procurador , Estresse Psicológico
Ann Agric Environ Med ; 26(3): 456-461, 2019 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-31559803


INTRODUCTION AND OBJECTIVE: Stress at the work place reduces efficiency, as well as increasing accidents and absences, which may cause various diseases, including cardiovascular diseases. The aim of the study is an analysis of the prevalence and causes of stress in intellectual work, and its correlation with the prevalence of cardiovascular diseases in women at non-mobility working age. MATERIAL AND METHODS: The study was conducted in 2016-2017 in a group of 300 women aged 45-60 in non-manual employment. A questionnaire for subjective job evaluation was used. Logistic regression models for the occurrence of CVDs versus frequency of occurrence of individual causes of work stress among the respondents were estimated. RESULTS: Women at non-mobility working age with non-manual employment are especially exposed to stress, half of them experience high level of stress at work, most often caused by social contacts and lack of rewards and support. Cardiovascular diseases were found in 26.5% of the women studied who were also significantly higher exposed to the occurrence of health hazards due to exposure to harmful factors, or due to an accident at work, changes in the workplace, the need to compete with others,and the need to perform the task despite the lack of appropriate material resources, compared with women without such diseases. CONCLUSIONS: The study revealed a high prevalence of occupational stress in non-manual employment, indicated its main causes that correlated with the alence of cardiovascular diseases. Actions are needed to reduce the level of stress in the work of women at non-mobility working age, to maintain their work ability and quality of life.

Doenças Cardiovasculares/diagnóstico , Doenças Cardiovasculares/psicologia , Estresse Ocupacional , Local de Trabalho/psicologia , Feminino , Humanos , Pessoa de Meia-Idade , Qualidade de Vida , Estresse Psicológico
Adv Exp Med Biol ; 1155: 293-300, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31468408


This study was conducted to investigate the correlation between dietary taurine intake, nutrients intake, dietary attitudes, dietary behaviors, and life stress by depression in Korean female college students. Depression was measured by self-reported symptoms of depression on the CES-D (Center for Epidemiologic Studies Depression) scale. The subjects of this cross-sectional study included 56 female college students with depression (depression group, DG) and 122 female students without depression (control group, CG). Self-reported life stress score was determined using the life stress scale developed for Korean college students. Intakes of dietary taurine and nutrients were assessed using 3-day food records (2 weekdays and 1 weekend day) and evaluated using the computer aided nutrition program 4.0 version. Statistical analysis was performed using SPSS 24.0. We observed no significant difference in the average dietary taurine intake between DG (87.6 mg/day) and CG (92.3 mg/day). The average dietary intakes of vitamin A and calcium in DG were significantly lower as compared to CG (p < 0.05). The average total scores of dietary attitudes (p < 0.01) and dietary behaviors (p < 0.05) in DG were significantly lower as compared to CG. The average total life stress score (p < 0.001) and all stress categories were significantly higher in DG as compared to CG. No significant correlation was observed between the CES-D scale score and dietary taurine intake. However, there were significant negative correlations between the CES-D scale score and vitamin A, folic acid, vitamin C, and calcium intakes (p < 0.05), dietary attitudes, and dietary behaviors (p < 0.01). Scores of the CES-D scale and life stress showed a significantly positive correlation (p < 0.01). Therefore, continuous nutrition education and counseling for good dietary attitudes and behaviors are required. Future studies need to be undertaken to confirm the correlation between dietary taurine intake and depression by intervention with taurine.

Depressão/epidemiologia , Dieta , Estresse Psicológico , Taurina/administração & dosagem , Atitude , Estudos de Casos e Controles , Estudos Transversais , Feminino , Humanos , República da Coreia , Estudantes
Life Sci ; 234: 116778, 2019 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-31430454


AIMS: To clarify the role of the gut-brain axis in depression. MAIN METHODS: We used the iTRAQ technique to identify differential proteins in the intestine of the rat model of chronic unpredictable mild stress (CUMS)-induced depression. Significant differential proteins were subjected to Gene Ontology (GO) functional annotations and KEGG pathway enrichment analysis. Key proteins were validated at the mRNA and protein levels. The levels of cytokines in the intestine, serum and hypothalamus were examined by ELISA. HPLC-UV was used to detect the levels of amino acids. KEY FINDINGS: In the rat intestine, 349 differential proteins (209 downregulated, 140 upregulated) were identified. GO analysis indicated that "protein complex assembly" was the first-ranked biological process. SNARE complex components, including SNAP23, VAMP3 and VAMP8, were increased at the mRNA levels, while only VAMP3 and VAMP8 were also upregulated at the protein level. TNFα, IL6 and IL1ß were upregulated in the CUMS rat intestine, while TNFα was decreased in the serum and hypothalamus. IL1ß was decreased in the serum. "Protein digestion and absorption" was the most significantly enriched KEGG pathway, involving 5 differential proteins: SLC9A3, ANPEP, LAT1, ASCT2 and B0AT1. Glutamine, glycine and aspartic acid were perturbed in the CUMS rat intestine. SIGNIFICANCE: Our findings suggest that CUMS enhances the adaptive immune response in the intestine through ER-phagosome pathway mediated by SNARE complex and disturb absorption of amino acids. It advances our understanding of the role of gut-brain axis in depression and provides a potential therapeutic target for the disease.

Aminoácidos/análise , Citocinas/análise , Depressão/patologia , Mucosa Intestinal/metabolismo , Intestinos/patologia , Proteínas SNARE/análise , Aminoácidos/metabolismo , Animais , Citocinas/genética , Depressão/etiologia , Depressão/genética , Modelos Animais de Doenças , Regulação da Expressão Gênica , Absorção Intestinal , Masculino , Proteômica , Ratos , Ratos Sprague-Dawley , Proteínas SNARE/genética , Estresse Psicológico/complicações
Psychiatr Hung ; 34(2): 172-182, 2019.
Artigo em Húngaro | MEDLINE | ID: mdl-31417006


An increasing number of studies deal with the potential correspondence between suicidal behaviour and creativity nowadays. Psychobiographical analysis of the life of well known artists may help the better understanding of this phenomenon. In the present study predictive and protective factors of suicide are presented through the case of the well known suicidal poet and writer, Sylvia Plath. The most important predictive factors of suicide in her case are: affective disorder, comorbid anxiety disorder, prior attempt of suicide, and also her seriously affected personality, that mainly appears in her affective dependence. Her life events, both causes and effects of these, are also predisposing suicide. The early loss of her father, ambivalent relation with her mother and her marriage foredoomed to failure are the most significant of them. Although she used to write since her early childhood, the constant fluctuation of her psychological state had serious effect on her ability to write and also her motivation, both being an additional source of stress, due to her performance pressure. The fear of the acceptance of her works could also lay to increased amount of stress and anxiety on her sensitive personality. Her tragical life events, her psychiatric illness and her relentless templets towards herself could cause such a pressing stress, that neither creation, nor motherhood (the most important protective factor for women) could predominate. Neither moving to England, nor her last confessional book, "The Bell Jar" could cure her many kind of wounds, and these factors together lead to the suicide.

Criatividade , Transtornos do Humor/história , Transtornos do Humor/psicologia , Fatores de Proteção , Suicídio/história , Suicídio/psicologia , Transtornos de Ansiedade/complicações , Feminino , História do Século XX , Humanos , Transtornos do Humor/complicações , Mães/psicologia , Motivação , Fatores de Risco , Estresse Psicológico/complicações , Redação/história
Rech Soins Infirm ; 137(2): 62-76, 2019 06.
Artigo em Francês | MEDLINE | ID: mdl-31453674


Context : Since 2006, all students in healthcare, including student nurses, follow an emergency care curriculum. This curriculum uses simulation, which can be psychologically harmful to students. Objective : this study explores tutors' strategies to establish and maintain students' psychological safety during the emergency care simulations. Method : A qualitative study was conducted within an exploratory framework. Qualitative data were collected by semi-structured interviews. The sample subjects were emergency care tutors. Results : The tutors identified risk factors affecting the students' psychological wellbeing during simulations. Having assessed these risks, tutors deploy prevention strategies. When a student is in psychological distress, they implement several remedial tools. These strategies intervene at the three stages of the simulation : the briefing, the scenario, and the debriefing. Discussion : The importance of psychological risks for students must be taken into consideration by the tutors in simulation. Those risks must be anticipated from the design to the execution of simulation sessions. Conclusion : The management of students in psychological distress should be better addressed in the tutors' own training.

Enfermagem em Emergência/educação , Estresse Psicológico/prevenção & controle , Estudantes de Enfermagem/psicologia , Currículo , Humanos , Pesquisa Qualitativa
Zhen Ci Yan Jiu ; 44(6): 412-8, 2019 Jun 25.
Artigo em Chinês | MEDLINE | ID: mdl-31368263


OBJECTIVE: To investigate the effect of acupuncture on behavior changes and the expression of reactive oxygen species (ROS), cytochrome C, cysteine-containing aspartate-specific proteases-3 (caspase-3), apoptosis inducing factor (AIF) in the hippocampus of rats exposed to chronic restraint stress (CRS), so as to provide experimental evidence for the prevention and treatment of depression. METHODS: Thirty two male SD rats were equally randomized into control, model, acupuncture and medication (Fluoxetine) groups according to the random number table. The depression model was established by chronic psychological stress stimulation (fasting, water deprivation, chronic restraint combined with solitary raising for 28 days). Manual acupuncture stimulation (2 circles/s) was applied to "Baihui" (GV20), "Yintang" (GV29) and bilateral "Sanyinjiao" (SP6) for 2 min, followed by retaining the needles for 20 min. Rats in the medication group were treated by gavage of Fluoxetine (0.18 mg/mL, 1 mL/100 g body weight). The treatment was conducted once daily for 28 days. The depression-like behavior was evaluated by using open-field test, sucrose preference test, and body weight. The content of ROS of the right hippocampus tissue was detected by using dichloro-dihydro-fluorescein diacetate (DCFH-DA) assay, and the expression levels of cytochrome C, caspase-3 and AIF proteins of hippocampus were determined by using Western blot. RESULTS: After 28 days' stress procedure, the depression rats in the model group showed a significant decrease in the numbers of crossing and rearing of open-field test, sucrose preference index and the body weight compared to the control group (P<0.01). The content of ROS and expression levels of cytochrome C, caspase-3 and AIF in the hippocampus of the model group were significantly increased relevant to the control group (all P<0.01). After the intervention and compared with the model group, the decreased levels of the numbers of crossing and rearing, body weight and sucrose preference index, and the up-regulated levels of content of ROS and expression of cytochrome C, caspase-3 and AIF proteins were all reversed in both acupuncture and medication groups (P<0.01,P<0.05), displaying an anti-depressant effect. The effect of acupuncture was significantly superior to that of medication in up-regulating the numbers of crossing and rearing (P<0.01, P<0.05), and in down-regulating the expression of caspase-3 (P<0.01). No significant differences were found between the medication and acupuncture groups in increasing the body weight and sucrose preference index, and in down-regulating the expression of cytochrome C and AIF proteins (P>0.05). CONCLUSION: Acupuncture intervention can significantly reduce ROS content and expression level of cytochrome C, caspase-3 and AIF proteins in the hippocampus possibly by inhibiting the chronic psychological stress-hippocampal oxidative stress-mitochondrial apoptotic pathway in psychological stress-induced depression rats, which may contribute to its effect in relieving depression.

Terapia por Acupuntura , Depressão , Animais , Apoptose , Comportamento Animal , Hipocampo , Masculino , Ratos , Ratos Sprague-Dawley , Estresse Psicológico
Arq. bras. psicol. (Rio J. 2003) ; 71(2): 24-33, mai.-ago 2019.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1010148


O diagnóstico psicopatológico permite o planejamento terapêutico e oferece perspectivas prognósticas. A neurose, enquanto diagnóstico psicanalítico, inclui as formas de subjetividade em que predominam dificuldades no campo do objeto do desejo, sendo dividida em duas vertentes possíveis: neurose histérica e neurose obsessiva. No sofrimento psíquico há um rompimento com a referência cronológica e a percepção subjetiva da passagem do tempo ganha valor para determinação do diagnóstico diferencial e da conduta terapêutica. O obsessivo utiliza o tempo a favor do seu masoquismo, contando obsessivamente o tempo que falta para atingir seu desejo, enquanto que na histeria o tempo é utilizado a favor da vitimização, em que o sujeito se volta para um momento de sofrimento e se fixa nele, revivendo-o repetidas vezes. O manejo do tempo no tratamento permite que haja produção do inconsciente, oferecendo a oportunidade do resgate do desejo, permitindo a simbolização e afastando o sofrimento psíquico

The psychopathological diagnosis allows therapeutic planning and prognostic perspectives. In the psychoanalytic diagnosis, neurosis includes forms of subjectivity in which the difficulties predominate in the field of the object of desire, being divided into two ways: hysteria and obsessive neurosis. In mental suffering there is a rupture with the chronological time reference and the subjective perception of the time becomes valuable for determining the differential diagnosis and the therapeutic conduct. The obsessive uses the time for his masochism, obsessively counting the time that he/she takes to achieve his/her desire. In the hysteria, the time is used for victimization: a moment of suffering is fixed and lived again and again. The management of time in the treatment allows the production of the unconscious, offering the opportunity of the rescue of the desire, allowing the symbolization and distancing the psychic suffering

El diagnóstico psicopatológico permite la planificación terapéutica y ofrece perspectivas predictivas. La neurosis, como diagnóstico psicoanalítico, incluye las formas de subjetividad en que predominan dificultades en el campo del objeto del deseo, siendo dividida en dos vertientes posibles: neurosis histérica y neurosis obsesiva. En el sufrimiento psíquico hay un rompimiento con la referencia cronológica y la percepción subjetiva del paso del tiempo gana valor para la determinación del diagnóstico diferencial y de la conducta terapéutica. El obsesivo utiliza el tiempo a favor de su masoquismo, contando obsesivamente el tiempo que falta para alcanzar su deseo, mientras que en la histeria el tiempo se utiliza a favor de la victimización, en que el sujeto se vuelve a un momento de sufrimiento y se fija en él, reviviéndolo repetidas veces. El manejo del tiempo en el tratamiento permite que haya producción del inconsciente, ofreciendo la oportunidad del rescate del deseo, permitiendo la simbolización y alejando el sufrimiento psíquico

Humanos , Psicanálise , Psicopatologia , Psicoterapia , Estresse Psicológico , Diagnóstico
Arq. bras. psicol. (Rio J. 2003) ; 71(2): 114-129, mai.-ago 2019.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1015000


Essa pesquisa teve como objetivo construir um modelo preditor de stress para alunos concluintes do ensino médio de escolas públicas. A amostra foi composta por 620 estudantes, idade média de 18 (σ = 1,98) anos. Utilizou-se metodologia de corte transversal, quantitativo, tipo survey. Principais resultados: indivíduos pertencentes majoritariamente às classes B2 (27,9%) e C1 (25,04%); stress revelado em 55,92% e na fase de resistência 49,43%. Foram preditores de significância estatística: idade, presença de tabagismo, nota de aproveitamento médio e domínio psíquico da qualidade de vida. Conclui-se que o modelo parcimonioso de predição de stress no ambiente escolar foi validado internamente com satisfatória acurácia. Os escores apresentam potencial aplicação e replicação em programas de identificação e prevenção de stress no ambiente escolar

This research aimed to build a predictor of stress for high school graduates of public schools. Sample composed of 620 students, mean age of 18 (SD = 1.98) years. Cross-sectional, quantitative, survey-type methodology. Main results: individuals belonging mainly to class B2 (27.9%) C1 (25.04%); stress revealed in 55.92% and in the resistance stage 49.43%. Predictors of statistical significance were: age, presence of smoking, class average and psychic domain of quality of life. It is concluded that the parsimonious model of prediction of stress in the school environment was validated internally with satisfactory accuracy. The scores present potential application and replication in programs of identification and prevention of stress in the school environment

Esta investigación tuvo como objetivo construir un modelo predictor de estrés para los graduados de escuelas públicas secundarias. La muestra fue compuesta por 620 estudiantes con una edad media de 18 (σ = 1,98) años. Se utilizó metodología de corte transversal, cuantitativo, tipo survey. Principales resultados: individuos pertenecientes mayoritariamente a la clase B2 (27,9%) C1 (25,04%); el estrés revelado en el 55,92% y en la fase de resistencia el 49,43%. Los predictores de significación estadística fueron: edad, presencia de tabaquismo, nota de aprovechamiento medio y dominio psíquico de la calidad de vida. Se concluye que el modelo parsimonioso de predicción del estrés en el ambiente escolar fue validado internamente con una satisfactoria exactitud. Las puntuaciones presentan una posible aplicación y replicación en programas de identificación y prevención del estrés en el ambiente escolar

Humanos , Prognóstico , Estresse Psicológico , Estudantes , Ensino Fundamental e Médio
Estud. pesqui. psicol. (Impr.) ; 19(2): 366-386, maio-ago. 2019.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1010050


Este artigo apresenta uma análise dos testemunhos de sobreviventes ao desastre ocorrido em 2011, no Vale do Cuiabá (Petrópolis, RJ), região serrana do Estado do Rio de Janeiro, a partir de uma abordagem psicossocial. Os testemunhos foram coletados sete anos após a tragédia por meio de entrevistas individuais e grupais e mostram que o desastre continua. Dentre os resultados, evidencia-se que as pessoas entrevistadas se percebem como sobreviventes e não como afetados, atingidos ou vítimas; a vivência do abandono permanece com a ausência do Estado; e a precariedade das políticas públicas praticadas fragmentaram as relações comunitárias, gerando comprometimento da comunicação interpessoal. Destaca-se que o desastre permanece enquanto durar o sofrimento social dos envolvidos e que os profissionais que atuam nesse campo necessitam desenvolver uma escuta qualificada.(AU)

This paper presents an analysis of testimonies taken from survivors of 2011 Vale do Cuiabá (Petrópolis, RJ) disaster, located at the highland region of Rio de Janeiro State, based on a psychosocial approach. Testimonies were collected seven years after the tragedy through individual and group interviews. They reveal that the disaster still goes on for those people. Among the results, it is evident that respondents perceived themselves as survivors and not as affected population or victims; the experience of abandonment remains with the absence of State; and the public policies model has shattered communitarian relationship, compromising interpersonal communication. It stands out that the disaster will endure while social suffering from affected people remains, and there is a necessity of developing a more comprehensive and qualified approach for the professionals who take action on disaster situations.(AU)

Este artículo presenta un análisis de los testimonios de los supervivientes del desastre ocurrido en el 2011, en el "Valle del Cuiabá" (Petrópolis, RJ), en la región montañosa del Estado de Rio de Janeiro, a partir de un enfoque psicosocial. Los testimonios fueron recogidos tras siete años de la tragedia por medio de entrevistas individuales y grupales. Para los participantes, el desastre sigue. En los resultados se hace muy evidente que las personas entrevistadas se perciben como supervivientes y no como afectados o víctimas; la vivencia de abandono permanece con la ausencia del Estado; y la precariedad de las políticas públicas implementadas fragmentó las relaciones comunitarias, generando fragilidad en la comunicación interpersonal. Se destaca que el desastre permanece mientras dure el sufrimiento social de los involucrados y que existe necesidad de desarrollo de la escucha cualificada para los profesionales que actúan en los desastres.(AU)

Humanos , Desastres , Psicologia Social , Estresse Psicológico/psicologia , Brasil , Sobreviventes
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde, LIS-bvsms | ID: lis-LISBR1.1-46671


O controle do bruxismo depende do grau de seriedade e deve ser feito em conjunto entre dentistas, médicos e psicólogos. Entre as formas de tratamento para o bruxismo, é comum a indicação de uso de placas estabilizadoras, medicamentos, acupuntura.

Bruxismo , Bruxismo do Sono , Transtornos de Ansiedade , Transtorno do Espectro Autista , Doenças do Sistema Nervoso , Desgaste dos Dentes , Síndrome da Disfunção da Articulação Temporomandibular , Estresse Psicológico , Qualidade de Vida , Psicoterapia