Navegando por Palavras-chave "Child maltreatment"

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    Factors related to the cortisol awakening response of children working on the streets and siblings, before and after 2 years of a psychosocial intervention
    (Elsevier B.V., 2015-02-01) Mello, Andrea Feijo [UNIFESP]; Juruena, Mario Francisco; Maciel, Mariana Range [UNIFESP]; Cavalcante-Nobrega, Luciana Porto [UNIFESP]; Cividanes, Giuliana Claudia [UNIFESP]; Fossaluza, Victor; Calsavara, Vinicius; Mello, Marcelo Feijo [UNIFESP]; Cleare, Anthony James; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP); Kings Coll London
    The study objective was to observe the cortisol awakening response (CAR) pattern before and after a psychosocial intervention with children from dysfunctional families who had at least one child working on the streets, and to verify factors related to it. Two hundred and eleven children between 7 and 14 years old were selected and 191 were included, 178 were re-evaluated 2 years after, of whom 113 had cortisol measures completed. Besides cortisol, they were evaluated at baseline and at end point regarding: abuse/neglect, mental health symptoms, exposure to urban violence and family environment. There was no significant difference between the CAR area under the curve (AUC) before and after the intervention. Two regression analysis models were built to evaluate factors related to the CAR before and after intervention. Before the intervention, working on the streets (vs. not) was related to a greater cortisol increase after awakening, at follow-up, having suffered physical punishment (vs. not) was related to a flattened cortisol response. the intervention was not associated with changes in the magnitude of the CAR AUC, though the CAR was associated with psychosocial stressors pre- and post-intervention. Effective interventions for children at risk that might shape a physiological cortisol response are still needed. (C) 2014 Elsevier Ireland Ltd. All rights reserved.
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    Fatores de risco para depressão entre estudantes universitários no contexto pandêmico de Covid-19
    (Universidade Federal de São Paulo, 2022-08-03) Ferreira, Ana Beatriz Dutra Martins [UNIFESP]; Tucci, Adriana Marcassa [UNIFESP]; http://lattes.cnpq.br/6278405456405903; http://lattes.cnpq.br/5863767129381057; Universidade Federal de São Paulo (UNIFESP)
    Introdução: Com o agravamento do contexto pandêmico tanto no âmbito político quanto no âmbito da saúde mental, ampliou-se o alerta e os estudos relacionados a esta área, especialmente os sintomas de depressão. Essa pesquisa exploratória transversal examinou a frequência e os fatores de risco para sintomas de depressão entre jovens universitários durante a pandemia de COVID-19. Método: Para avaliação foram utilizados os seguintes instrumentos: questionário sócio-demográfico e de características da vida universitária; Depression, Anxiety and Stress Scale (DASS-21) e Childhood Trauma Questionnaire (CTQ). Resultados: A maioria dos participantes eram mulheres, brancas, não fumantes, solteiras, sem filhos, com renda de um a três salários-mínimos, calouras, com alguma religião, residiam com os familiares e sentiam-se solitários. Os fatores de risco para o desenvolvimento de sintomas depressivos entre estudantes universitários no contexto pandêmico de COVID-19, foram: fazer uso de automedicação, a vivência de abuso físico na infância e / ou adolescência, sentir-se solitário e declarar-se com a saúde mental como média, ruim ou pior durante a pandemia. Conclusão: Espera-se que este estudo contribua para maior compreensão sobre os sintomas de depressão vivenciados por universitários durante a pandêmica do novo coronavírus. Além disso, espera-se também que esse estudo possa trazer maior visibilidade para a saúde mental entre universitários.
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    A progressão multi-sistêmica do transtorno bipolar: dos fatores de risco à intervenção
    (Universidade Federal de São Paulo (UNIFESP), 2018-08-27) Leclerc, Emilie [UNIFESP]; Brietzke, Elisa Macedo [UNIFESP]; Mansur, Rodrigo Barbachan; http://lattes.cnpq.br/2117326624019024; http://lattes.cnpq.br/9741366667739336; http://lattes.cnpq.br/8411351915853747; Universidade Federal de São Paulo (UNIFESP)
    Objective: Comprehensively review studies evaluating factors associated with adherence to treatment in bipolar disorder (BD), as well as the results of interventions developed to enhance adherence in this population. Methods: The following search engines were consulted: PubMed, Scielo, LILACS and PsycINFO. The keywords used were ‘‘Bipolar Disorder’’, ‘‘Factor’’, ‘‘Adherence’’, ‘‘Nonadherence’’, ‘‘Compliance’’ and ‘‘Intervention’’. In addition, references list of selected studies were consulted searching for relevant articles. Results: Adherence has been defined in various ways, with some considering adherence vs. nonadherence, and other including a ‘‘partial’’ adherence measure. In addition, methods to assess adherence differ for each study. Several factors were related to poor adherence, including patientrelated factors (e.g. younger age, male gender, low level of education, alcohol and drugs comorbidity), disorderrelated factors (e.g. younger age of onset, severity of BD, insight and lack of awareness of illness) and treatmentrelated factors (e.g. side effects of medications, effectiveness). To improve adherence, the main recommendations are to provide customized interventions focusing on the underlying causes of nonadherence, strong therapeutic alliance and different modalities based on psychoeducation.