Navegando por Palavras-chave "Sexual Assault"
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- ItemAcesso aberto (Open Access)Assistência multiprofissional à vítima de violência sexual: a experiência da Universidade Federal de São Paulo (UNIFESP)(Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2007-02-01) Mattar, Rosiane [UNIFESP]; Abrahão, Anelise Riedel [UNIFESP]; Andalaft Neto, Jorge [UNIFESP]; Colas, Osmar Ribeiro [UNIFESP]; Schroeder, Irene [UNIFESP]; Machado, Salvina Jesus Reis [UNIFESP]; Mancini, Silvana [UNIFESP]; Vieira, Beatriz de Aguiar [UNIFESP]; Bertolani, Georgia Bianca Martins [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This article discusses the importance of multidisciplinary care for victims of sexual assault in order to mitigate the respective physical, psychological, and social harm. The article begins with a brief description of the activities by various professionals involved in the care of victims treated at the Women's Health Center of the Federal University in São Paulo, and presents the outcome of some cases treated at this institution in its five years of experience. The article provides the socio-demographic profile of female rape victims since the beginning of this women's health service, with the number of women who became pregnant, those who underwent abortion, and the number of court suits filed.
- ItemAcesso aberto (Open Access)Manchas de ejaculado pré e pós-vasectomia: pureza e quantidade de DNA recuperado após 10 anos de armazenamento(Universidade Federal de São Paulo (UNIFESP), 2017-03-16) Mautoni, Carolina [UNIFESP]; Iwamura, Edna Sadayo Miazato [UNIFESP]; http://lattes.cnpq.br/7497785333422804; http://lattes.cnpq.br/8996516662873141; Universidade Federal de São Paulo (UNIFESP)The absence of sperm in the material collected from rape victims may be due to several factors, including the fact that the offender may have azoospermia, condition, for example, as a result of a successful vasectomy. There are also situations in which the only material available for analysis is derived from traces like semen stains on the victim's clothing. The objectives of this study were to assess the possibility of obtaining autosomal STR profile and STR-Y in seminal fluid stains, stored for 10 years and establish appropriate methodology for cases of traces from sexual aggression, pending for analysis and inclusion in databases (BNPG). Materials and Methods: Biological samples of seminal fluid pre and post-vasectomy, derived from 33 vasectomized individuals, preserved in cotton fabric since 2004, and the same was stored properly, in cardboard boxes, were used. In this study, the DNA material was extracted by QIAmp micro kit (Qiagen) and quantified by Real Time PCR technique, using the Quantifiler Duo DNA Quantification Kit following the manufacturer's instructions. Amplification was done through PowerPlex® ESI 17 Pro System, PowerPlex® FUSION and PowerPlex® 23-Y systems, and, analyzed on the ABI 3500 sequencer using the Gene MapperTM IDX version 1.2 program. We conclude that it is possible to obtain autosomal STR and STR-Y profile from extracted stains of semen preserved in cotton fabric for long periods. The colorless of cotton was an advantage for the study and facilitated the extraction in order not to offer PCR inhibitors. Still on this question, it is necessary to emphasize that even large elapsed time between the completion of the samples and the current study (10 years), these were particularly suitable degree of purity, and all profiles were obtained. The commercial DNA extraction kits present reproducibility and applicability of this type of material. Although in infima amount of biological materials (stain containing 30 uL of seminal liquid from vasectomized individuals in fabric), the methodology used in DNA extraction is reproducible and applicable to the stored cases. Considering the difficulty of obtaining genetic profile cases of sexual crime, analysis of fabric stains should be prioritized in the universe of the accumulated samples and stored for long periods.
- ItemAcesso aberto (Open Access)Pacientes vítimas de abuso sexual com Transtorno de Estresse Pós-Traumático: aplicabilidade do tratamento com psicoterapia interpessoal(Universidade Federal de São Paulo (UNIFESP), 2019-08-02) Proenca, Cecilia Roberti [UNIFESP]; Mello, Marcelo Feijo De [UNIFESP]; Mello, Andrea Feijó de [UNIFESP]; http://lattes.cnpq.br/5024373026936383; http://lattes.cnpq.br/9828693113292175; http://lattes.cnpq.br/9912936685632887; Universidade Federal de São Paulo (UNIFESP)Sexual violence has important consequences in social life and mental health of individuals who suffer this kind of trauma. Almost half of raped victims develop posttraumatic stress disorder (PTSD) following the trauma, a condition that leads to emotional dysregulation and disruption in social life and interpersonal relationships. Usually individuals mistrust their environment, isolating themselves and detaching from close people when they most need support. Majority guidelines consider psychotherapy as first line PTSD treatment, specially prolonged exposure (PE), however, many patients cannot tolerate being exposed to trauma memories. Objective: Assess the applicability of interpersonal psychotherapy (IPT) for treating women with a confirmed diagnosis of PTSD between one and six months after being raped. Method: Thirty-two women diagnosed with PTSD after sexual trauma were included in the trial to be treated with IPT during 14 weeks. Their PTSD, depressive and anxiety symptoms were clinically evaluated using specific scales before and after the treatment. Results: Out of thirty-two women who fulfilled inclusion criteria, one was excluded after 7th week of treatment because of suicidal ideation. Four did not even started psychotherapy treatment and five dropped out after beginning IPT (dropout rate was 29%, considering the exclusion women). There was no statistically significant difference between sertraline and IPT arm adherence in the clinical trial (dropout rates were 29% and 34,5% respectively, p=0,45). The clinical evaluation of twenty-two women who concluded IPT arm showed a significantly improvement in depressive (p<0.001), anxiety (p=0.001) and PTSD (p<0.001) symptoms. Discussion: Differently from the initial hypothesis, adherence to IPT treatment in this research was similar to literature data about dropout rates among patients who undergo exposure treatments. This result suggests that difficulties to adhere our protocol could be related to socioeconomic conditions of our sample, once other studies found dropout rates of IPT-PTDS around 15%. Conclusion: Considering IPT-PTSD was not inferior to PE in terms of adherence, and women presented a significant improvement in clinical PDTS, anxiety and depressive symptoms, IPT seems to be an interesting alternative psychotherapeutic approach for PTSD due to sexual trauma.
- ItemAcesso aberto (Open Access)Psicoterapia interpessoal de grupo (IPT-APG) para garotas adolescentes com diagnóstico de TEPT decorrente de violência sexual: uma avaliação qualitativa(Universidade Federal de São Paulo (UNIFESP), 2019-07-16) Correa, Adriana [UNIFESP]; Blay, Sergio Luis [UNIFESP]; Fiks, José Paulo [UNIFESP]; Mesquita, Maria Eugênia [UNIFESP]; http://lattes.cnpq.br/8008328599832726; http://lattes.cnpq.br/6488701000919021; http://lattes.cnpq.br/6012272319615108; http://lattes.cnpq.br/5014902221237297; Universidade Federal de São Paulo (UNIFESP)A reduction of the symptoms of Posttraumatic Stress Disorder (PTSD) among adults and depression among adolescents has been found by means of Interpersonal Psychotherapy (IPT), both individually and in group-adapted format. This article, based on a qualitative study, assesses an adapted format of IPT (IPT-APG) for groups of Brazilian female adolescents diagnosed with PTSD as a result of sexual assault. Methodological approach: This study is based on a qualitative longitudinal research which included assessments both before and after group IPT-APG interventions. The data obtained from its narrative interviews were analyzed and coded following an Adapted Grounded Theory approach and its findings were interpreted according to the DSM-5 and the theoretical framework of Interpersonal Therapy. Results: A reduction of PTSD symptoms was observed, in addition to improvements in interpersonal relations and in psychosocial functions. The participants positively assessed IPT-APG and pointed out their therapy group as the key factor that enhanced treatment success. Conclusions: Based on the narratives of participants, IPT-APG has been found as a positive resource to reduce PTSD symptoms and to improve interpersonal relations. Increased resilience and improved quality of life among participants suggest that IPT-APG can be a promising therapeutic option for treatment of PTSD among adolescents.