Navegando por Palavras-chave "Stress, psychological"

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    Avaliação de funções executivas, estresse e resiliência em crianças e adolescentes tratados para leucemia linfóide aguda
    (Universidade Federal de São Paulo (UNIFESP), 2019-06-27) Godoy, Priscilla Brandi Gomes [UNIFESP]; Suchecki, Deborah [UNIFESP]; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4781617Z1; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4850291H2; Universidade Federal de São Paulo (UNIFESP)
    Objective: To investigate the impact of acute lymphoblastic leukemia treatment and parents' emotional characteristics on executive functions, resilience, stress, depression and anxiety in children and adolescents, as well as to verify the strength of the correlations between executive functions, stress and personality traits of resilience. Methods: Thirty-two survivors of acute lymphoblastic leukemia (ALL group), 28 healthy controls (CTL group 1) and three survivors’ siblings (CTL 2 group), all aged between 7 and 17 years, of both sexes, participated in the study. Executive functions were assessed by neuropsychological tests of mental flexibility, inhibitory control, working memory and attention, as well as ecological questionnaires for parents. Stress symptoms and resilience were assessed by self-reported questionnaires for children and symptoms of depression and anxiety, by parent-report behavioral problems scale. The primary caregiver or one parent also answered to self-report questionnaires of depression and anxiety. Results: There was no difference between the CTL 1 and ALL groups regarding the neuropsychological, emotional and resilience assessment. Higher mental flexibility ability were reported by the ALL group parents in BRIEF when compared to CTL1 group. Parents’ depression and anxiety did not influence children’s emotions and resilience in the whole sample, but the parents’ trait anxiety influenced their assessment about their children’s executive functions and behavioral problems in both groups. In the LLA group, positive correlations were observed between executive functions and resilience, and negative correlations were observed between executive functions and stress, which suggests an interaction between these variables to promote survivor’s cognitive and emotional adaptation. Descriptive analysis were made with the CTL 2 group results. Conclusion: acute lymphoblastic leukemia treatment had no impact on the executive functions, resilience, stress symptoms, depression and anxiety of the participants and the correlations found between these variables suggest that these could be protection factors. Parents' emotional aspects influenced their answers about children’s executive functions and behavioral problems. We suggest that parent-report scales for assessment of children’s executive functions and emotions be associated to assessment of parents’ emotional characteristic.
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    Efetividade da intervenção educativa para redução da ansiedade e do estresse de pacientes que aguardam o cateterismo cardíaco: ensaio clínico randomizado
    (Universidade Federal de São Paulo (UNIFESP), 2018-05-24) Murakami, Luisa [UNIFESP]; Lopes, Juliana de Lima [UNIFESP]; http://lattes.cnpq.br/1478157388713375; http://lattes.cnpq.br/7400685742669859; São Paulo; Universidade Federal de São Paulo (UNIFESP)
    Objectives: To assess the effectiveness of an educational intervention, guided by informative booklet, on the anxiety and stress levels of patients awaiting cardiac catheterization (CATE) and assess the relationship of sociodemographic and clinical variables with anxiety and stress. Method: This randomized, controlled and blind clinical trial was conducted in a cardiac hospital located in São Paulo, Brazil. The patients waiting for a CATE were allocated for the intervention (IG) or control group (CG) in a parallel and random manner. The IG received specific written information regarding CATE provided in a previously validated booklet, while the CG received only routine information regularly provided in the unit. Anxiety and stress were assessed, before and after the interventions, using the StateTrait Anxiety Inventory and Perceived Stress Scale, respectively, and by checking physiological effects on vital parameters. The independent variables assessed were: age, sex, race, marital status, education, cardiovascular risk factors, use of βblockers, vasodilator and angiotensin converting enzyme inhibitors, prior medical diagnosis and/or depression symptoms, prior hospitalizations and/or prior experience with percutaneous interventions, and place of hospitalization. ANOVA was used to assess altered levels of anxiety and stress in relation to time and groups. Fisher’s exact test and Student’s t test or the MannWhitney test was used to verify association of independent variables with anxiety and stress. Level of significance was established at 5% and test power was 0.90. The project was approved by the Institutional Review Board and registered in the Clinical Trials Registry. Results: A total of 128 individuals were eligible, however, the sample was composed of 122 participants, 61 of whom were assigned to the CG (59.4±8.27 years old; 82% were male) and 61 to the IG (61.9±9.67 years old; 72% were male). The groups were homogeneous, with the exception of race (CG: 62% x IG: 80% of Caucasians; p=0.044. More than half of the participants in both groups presented hypertension, sedentariness, dyslipidemia, and a prior family history of cardiovascular diseases. Most participants presented a low or moderate level of anxiety and a low level of stress in the first assessment. Levels of anxiety and stress did not change from the first to second point in time (anxiety, p=0.225 and stress, p=0.696), in terms of interaction (anxiety, p=0.183 and stress, p=0.444), or in terms of groups (anxiety, p=0.341 and stress, p=0.624). Anxiety presented a significantly relationship with the youngest participants (p=0.033), who reported stress (p=0.046) and former smoking (p=0.013). Stress was related with being a smoker (p=0.001) and being younger (p=0.019). Conclusion: This study’s hypothesis that an educational intervention provided through an informative booklet would decrease anxiety and stress among patients awaiting CATE was not confirmed. Anxiety was related to age, stress and smoking, while stress was related to smoking and age.
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    Eventos vitais estressores e lesão renal aguda em centros de terapia semi-intensiva e intensiva
    (Sociedade Brasileira de Nefrologia, 2012-03-01) Diniz, Denise Para [UNIFESP]; Marques, Daniella Aparecida [UNIFESP]; Blay, Sergio Luis [UNIFESP]; Schor, Nestor [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION: Several studies point out that pathophysiological changes related to stress may influence renal function and are associated with disease onset and evolution. However, we have not found any studies about the influence of stress on renal function and acute kidney injury. OBJECTIVE: To evaluate the association between stressful life events and acute kidney injury diagnosis, specifying the most stressful classes of events for these patients in the past 12 months. METHODS: Case-control study. The study was carried out at Hospital São Paulo, in Universidade Federal de São Paulo (UNIFESP) and at Hospital dos Servidores do Estado de São Paulo, in Brazil. Patients with acute kidney injury and no chronic disease, admitted to the intensive or semi-intensive care units were included. Controls included patients in the same intensive care units with other acute diseases, except for the acute kidney injury, and also with no chronic disease. Out of the 579 patients initially identified, 475 answered to the Social Readjustment Rating Scale (SRRS) questionnaire and 398 were paired by age and gender (199 cases and 199 controls). RESULTS: The rate of stressful life events was statistically similar between cases and controls. The logistic regression analysis to detect associated effects of the independent variables to the stressful events showed that: increasing age and economic classes A and B in one of the hospitals (Hospital São Paulo - UNIFESP) increased the chance of a stressful life event (SLE). CONCLUSIONS: This study did not show association between the Acute Kidney Injury Group with a higher frequency of stressful life events, but that old age, higher income, and type of clinical center were associated.
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    O impacto da cirurgia de ceratectomia fotorrefrativa (PRK) e ceratomileuse assistida por excimer laser in situ (LASIK) na qualidade visual e de vida em pacientes com ametropias
    (Conselho Brasileiro de Oftalmologia, 2008-02-01) Belfort, Ricardo [UNIFESP]; Campos, Mauro Silveira de Queiroz [UNIFESP]; Hoexter, Marcelo Queiroz [UNIFESP]; Belfort, Rubens Junior [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    PURPOSE: To evaluate the quality of life, vision and stress before and after refractive surgery. METHODS: This is a longitudinal, observational study, where 100 patients were evaluated; 54 espectacles wearers, 21 contact lens users before surgery and 25 controls wearers spectacles or contact lenses, who did not want to undergo refractive surgery during one year despite refractive error. The applied questionnaires were Self Reporting Questionnaires SRQ-20 of quality of life and vision and National Eye Institute Visual Function Questionnaire NEI VFQ-25 for the assessment of mental health. The intervention group answered the questionnaires before surgery, three, six and twelve months after follow-up and the control group answered the questionnaires at six and twelve months after the baseline. The questionnaires of the intervention group were applied by an independent person. RESULTS: In the intervention group (54 spectacle wearers), 39 were treated by photorefractive excimer laserkeratectomy (PRK) and 15 by laser in situ keratomileusis (LASIK), of the 21 contact lens users: 12 received photorefractive excimer laser keratectomy and nine were treated by laser in situ keratomileusis (LASIK). The control group remained stable during the study. After three months of follow-up the intervention group showed improvement in quality of life, vision and reduction of stress. After one year of follow-up the assessments of quality of life and mental health were similar to the control group. After three months there was a significant reduction of psychiatric symptomatology in the intervention group. CONCLUSION: Patients operated for correction of ametropia showed a significant improvement in quality of life and mental health assessments.
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    Tratamento para transtorno do estresse pós-traumático com a técnica emdr® (eye movement desensitization and reprocessing): seus efeitos nos aspectos psicológicos, cognitivos e na arquitetura do sono
    (Universidade Federal de São Paulo (UNIFESP), 2010-01-27) Raboni, Mara Regina [UNIFESP]; Suchecki, Deborah [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Post traumatic stress impacts on cognition, mood and sleep pattern. These changes take place in differing intensities and depend on pre existing mental an physical conditions of the individual. The aim of this investigation was to study these functions in post traumatic stress disorder patients, victims of assaults and kidnapping, before and after eye movement desensitization reprocessing psychotherapy treatment (EMDR), for an average of five sessions. Twenty nine individuals (12 PTSD patients, 7with trauma without PTSD and 10 mentally healthy controls) participated in this study. Objective (polysomnography study) and subjective (Pittsburg sleep questionnaire) sleep assessments and psychological (anxiety, stress, depression, and quality of life) and cognitive (memory, executive functions) assessments were carried out, before and after the psychotherapeutic treatment. The analysis of baseline sleep pattern showed that PTSD patients spent more time awake after sleep onset (WASO) and had lower sleep efficiency than controls. Before the onset of treatment, all PTSD patients had more subjective complains regarding their quality of life, regarding anxiety disorders, stress and mood than controls. After treatment sleep and psychological aspects improved to control levels. Similarly to sleep and mood problems, PTSD patients showed a worse performance in cognitive tasks that asses longterm verbal and non-verbal memory and executive function. These results emphasize that EMDR psychotherapy is specific for trauma and promotes the recovery of neurobiological functions close to the levels found in healthy subjects.