Navegando por Palavras-chave "sintomas de estresse pós-traumático"
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- ItemAcesso aberto (Open Access)Os pacientes invisíveis: transtorno de estresse pós-traumático em pais de pacientes com fibrose cística(Faculdade de Medicina da Universidade de São Paulo, 2010-01-01) Cabizuca, Mariana; Mendlowicz, Mauro; Marques-Portella, Carla; Ragoni, Celina; Coutinho, Evandro Silva Freire; Souza, Wanderson de; Mari, Jair de Jesus [UNIFESP]; Figueira, Ivan; Universidade Federal do Rio de Janeiro Instituto de Psiquiatria; Universidade Federal Fluminense Departamento de Psiquiatria e Saúde Mental; Fundação Oswaldo Cruz Escola Nacional de Saúde Pública; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Besides the growing acknowledgment of the relevance of posttraumatic stress disorder (PTSD) related to medical illness, there is no study in cystic fibrosis yet. OBJECTIVE: To assess the prevalence of PTSD and the three clusters of posttraumatic stress symptoms (PTSS) in parents of patients with cystic fibrosis. METHODS: Parents of patients with cystic fibrosis (age range: 2 to 33 years) were drawn from the Cystic Fibrosis Association of the city of Rio de Janeiro. In this cross-sectional study, parents were asked to fulfill a questionnaire for social and demographic characteristics and were interviewed by means of the PTSD module of the Structured Clinical Interview for DSM-IV. RESULTS: The sample comprised 62 subjects (46 mothers and 16 fathers). Current prevalence for full PTSD was 6.5% and that for partial PTSD was 19.4%. Parents with and without PTSS differed significantly in two psychosocial aspects: the former reported more emotional problems (p = 0.001); and acknowledged more often the need for psychological or psychiatric interventions (p = 0.002) than the latter. However, only 6.3% of the parents with PTSS were in psychological/psychiatric treatment. DISCUSSION: This preliminary study showed that the frequency of PTSD symptoms is fairly high among parents of patients with cystic fibrosis, and although these parents recognize they have emotional problems and need psychological/psychiatric treatment, their suffering remains invisible to the medical system, leading to underdiagnosis and undertreatment.