Navegando por Palavras-chave "Psychosocial Impact"
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- ItemAcesso aberto (Open Access)Aspectos psicossociais associados à paralisia facial periférica na fase sequelar: estudo de caso clínico(CEFAC Saúde e Educação, 2013-08-01) Silva, Mabile Francine Ferreira; Guedes, Zelita Caldeira Ferreira [UNIFESP]; Cunha, Maria Claudia; Pontifícia Universidade Católica de São Paulo; Universidade Federal de São Paulo (UNIFESP); Pontifícia Universidade Católica de São Paulo Faculdade de Ciências Humanas e da Saúde Departamento de Clínica FonoaudiológicaThe background of this study is to describe and analyze the speech therapy intervention of a patient in sequelae stage of peripheral facial paralysis, with emphasis on psychosocial factors involved in the therapeutic process. It's a clinical case study, female subject, 52, in the sequelae stage of peripherical facial paralysis, assisted from March to July 2010. The clinical material was systematically recorded in writing and facial expressions were photographed regularly during the therapeutic process. The data were analyzed in a biopsychossocial aspects. The clinical of peripheral facial paralysis occurred 18 years ago in hemiface left with unknown etiology. During the period that began speech therapy, the subject had significant muscle contractures and synkinesis that made up the sequelae. It can be discuss that even after almost 20 years after the onset of peripheral facial paralysis, the patient reported in detail the psychological distress and social limitations imposed sequels that your routine. Complained: inability to express their emotions in the face communication situations. Listening therapy of psychological contents led to patient deal with these conflicts and, as such, seeks alternatives both functional and subjective to express herself in terms verbal and nonverbal safer and less anxiety. The therapeutic approach, which valued subjective aspects in the effectiveness of the method in the case studied speech. The theoretical basis provided subsidies for basic to intermediate technical interventions.
- ItemAcesso aberto (Open Access)Estudo da qualidade de vida em indivíduos com paralisia facial periférica crônica adquirida(CEFAC Saúde e Educação, 2012-08-01) Santos, Rayne Moreira Melo [UNIFESP]; Guedes, Zelita Caldeira Ferreira [UNIFESP]; CREMGEC/ADEFAL Centro de Reabilitação da Associação dos Deficientes Físicos de Alagoas; Universidade Federal de São Paulo (UNIFESP)PURPOSE: to analyze quality of life in subjects with acquired chronic peripheral facial palsy. METHOD: 12 subjects with acquired facial palsy were selected through screening during the sequel, with etiologies of Bell and acoustic schwannoma after resection. The degree of acquired facial palsy was verified, as well as a closed questions interview about complaints with the facial movement was carried out, in order to check if there was interference from facial palsy in the social life of each subject. This was a cross-sectional study. Non-parametric Mann-Whitney and Fisher s exact test, with significance level of 5%, were used in order to analyze the data. RESULTS: the degree of facial palsy were divided as it follows: I-II (Normal to mild dysfunction), III-IV (moderate to moderately severe dysfunction) and V-VI (complete palsy severe dysfunction), according to House & Brackmann. In the answers about difficulties in professional and personal activities, Bell s palsy individuals with normal to mild dysfunction have no complaints, in moderate to moderately severe dysfunction all answered very severe complaints and in an individual with complete palsy reported a lot of complaints. In the acoustic Schwannoma individuals, in the group classified as mild dysfunction, all answered no damage complaints, while among those with severe to complete palsy, one individual reported a lot of complaints in professional and personal activities. CONCLUSION: the acquired chronic peripheral facial palsy interfered with quality of life in subjects with more severe degrees of palsy.
- ItemAcesso aberto (Open Access)Jogo patológico e suas conseqüências para a saúde pública(Faculdade de Saúde Pública da Universidade de São Paulo, 2008-06-01) Oliveira, Maria Paula Magalhães Tavares de; Silveira, Dartiu Xavier da [UNIFESP]; Silva, Maria Teresa Araujo; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)The article aimed to characterize pathological gambling, showing the main consequences of this disorder. Bibliographic survey on this theme was conducted, covering both national and international literature. Publications whose main findings emphasized related prevalence, social and economic costs, gambling legalization and resulting impact on public health, were selected. High suicide rate, comorbidity with other psychiatric disorders, family and work problems, and illicit behavior were consequences reported. The prevalence of this disorder is higher in countries that have legalized gambling and in Brazil there is evidence of growth in the number of pathological gamblers. The development of national research is fundamental to define public policies that are adequate for the Brazilian context.