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[PMID]:28460285
[Au] Autor:Rheker J; Beisel S; Kräling S; Rief W
[Ad] Endereço:Division of Clinical Psychology and Psychotherapy, Department of Psychology, Philipps-University Marburg, Germany. Electronic address: julia.rheker@staff.uni-marburg.de.
[Ti] Título:Rate and predictors of negative effects of psychotherapy in psychiatric and psychosomatic inpatients.
[So] Source:Psychiatry Res;254:143-150, 2017 Aug.
[Is] ISSN:1872-7123
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:Studies examining the rates of negative effects of psychotherapy are rare and the reported rates differ widely. To be able to calculate adequate benefit-cost ratios in conjunction with different samples and settings, we need a deeper understanding of these effects. We therefore investigated whether different treatment settings would reveal varying rates and kinds of negative effects by recruiting patients from a psychiatric (n=93) and a psychosomatic rehabilitation (n=63) hospital. Negative effects of psychotherapy were assessed with the Inventory for the Assessment of Negative Effects of Psychotherapy post-treatment. To investigate whether patients' pre-treatment expectations have an influence on reported negative effects, patients filled in the Patient Questionnaire on Therapy Expectation and Evaluation prior to treatment begin. Patients from the psychiatric hospital reported an average 1.41 negative effects, with 58.7% reporting at least one negative effect. Those from the psychosomatic hospital reported 0.76 negative effects on average, with 45.2% of patients reporting at least one negative effect. The differences between these samples are significant. The two samples' top three reported types of negative effects are that patients had experienced more downs during or just before the end of the therapy, that patients had difficulty making important decisions without the therapist, and that patients were concerned that colleagues or friends might find out about the therapy. A regression analysis revealed that the clinical setting (psychosomatic rehabilitation hospital vs. psychiatric hospital) and expectations in the form of hope of improvement were significant predictors for negative effects of psychotherapy. Our study highlights the need to examine the negative effects of psychotherapy in different settings and samples to better evaluate the benefit-cost ratios of treatments for different patient groups. It also shows that we need guidelines for assessing and reporting negative effects.
[Mh] Termos MeSH primário: Transtornos Mentais/psicologia
Transtornos Mentais/terapia
Transtornos Psicofisiológicos/psicologia
Transtornos Psicofisiológicos/terapia
Psicoterapia/tendências
[Mh] Termos MeSH secundário: Adulto
Feminino
Hospitais Psiquiátricos/tendências
Seres Humanos
Masculino
Transtornos Mentais/diagnóstico
Meia-Idade
Valor Preditivo dos Testes
Transtornos Psicofisiológicos/diagnóstico
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


  2 / 17514 MEDLINE  
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[PMID]:29182644
[Au] Autor:Potrebny T; Wiium N; Lundegård MM
[Ad] Endereço:Centre for Evidence-Based Practice, Western Norway University of Applied Sciences, Bergen, Hordaland, Norway.
[Ti] Título:Temporal trends in adolescents' self-reported psychosomatic health complaints from 1980-2016: A systematic review and meta-analysis.
[So] Source:PLoS One;12(11):e0188374, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: There is increasing concern that mental health may be deteriorating in recent generations of adolescents. It is unclear whether this is the case for self-reported psychosomatic health complaints (PSHC). METHOD: We conducted a systematic review and meta-analysis of published primary studies on PSHC in the general adolescent population over time. The primary databases were MEDLINE, Embase and PsycINFO, which were searched from inception to November 2016. Studies were included if they involved an observational design, presented self-reported data from participants aged 10-19 years and included data from at least two time points, five years apart. Inclusion and study quality were assessed by two independent reviewers. RESULTS: Twenty-one studies were included; 18 reported trends on the prevalence of PSHC in a single country, while three studies reported on multiple countries. In total, over seven million adolescents from 36 countries in Europe, North America, Israel and New Zealand were represented, covering the period 1982-2013. In the descriptive analysis, 10 studies indicated a trend of increasing PSHC, eight showed a stable trend and three showed a decreasing trend at certain points in time. The results from the meta-analysis showed a mean odds ratio (OR) of 1.04 (K = 139, 95% CI 1.01-1.08) for PSHC from 1982 to 2013, thus indicating a minor increase in general. In the subgroup analysis, this minor increase was observed mainly between the 1980s and 2000s, while the trend appeared to be more stable between the 2000s and 2010s. Some differences were also found between multinational subregions. Findings from subgroup analysis, however, only supported a significant increasing trend in Northern Europe. CONCLUSION: There may have been a minor increasing trend in adolescent self-rated PSHC between the 1980 and 2000s, but has become more stable since the 2010s, from a multinational perspective. Northern Europe was the only region to show a clearly significant minor increasing trend, without being the region with the highest total prevalence of PSHC at the present time. The discrepant trends regarding PSHC between regions and the reliance on self-reported data may reflect true changes in the occurrence of PSHC in the adolescent population. However, they may also reflect changes in how adolescents perceive and report health complaints. OTHER: PROSPERO registration 2016: CRD42016048300.
[Mh] Termos MeSH primário: Transtornos Psicofisiológicos/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Saúde do Adolescente
Animais
Feminino
História do Século XX
História do Século XXI
Seres Humanos
Masculino
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0188374


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[PMID]:28991940
[Au] Autor:Williams AA
[Ad] Endereço:University of Illinois at Chicago College of Medicine, Chicago, IL, USA. Email: awms@uic.edu.
[Ti] Título:Posttraumatic stress disorder: Often missed in primary care.
[So] Source:J Fam Pract;66(10):618-623, 2017 Oct.
[Is] ISSN:1533-7294
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:DeSean W, a 47-year-old man, returned to his primary care clinic with a new complaint of epigastric burning that had been bothering him for the past 4 months. He had tried several over-the-counter remedies, which provided no relief. He also remained concerned--despite assurances to the contrary at previous clinic visits--that he had contracted a sexually-transmitted disease (STD) after going to a bar one night 4 to 5 months ago. At 2 other clinic visits since that time, STD test results were negative. At this current visit, symptoms and details of sexual history were unchanged since the last visit, with the exception of the epigastric pain. When asked if he thought he had contracted an STD through a sexual encounter the night he went to the bar, he emphatically said he would not cheat on his wife. Surprisingly, given his concern, he avoided further discussion on modes of contracting an STD. The physician prescribed ranitidine 150 mg bid for the epigastric burning and explained, once more, the significance of the STD test results. However, he also decided to further examine Mr. W's concern about STDs and the night he may have contracted one. HOW WOULD YOU PROCEED WITH THIS PATIENT?
[Mh] Termos MeSH primário: Transtornos de Estresse Pós-Traumáticos/diagnóstico
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Dispepsia/diagnóstico
Dispepsia/etiologia
Dispepsia/psicologia
Seres Humanos
Masculino
Meia-Idade
Atenção Primária à Saúde
Transtornos Psicofisiológicos/diagnóstico
Transtornos Psicofisiológicos/etiologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Transtornos de Estresse Pós-Traumáticos/terapia
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171010
[St] Status:MEDLINE


  4 / 17514 MEDLINE  
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[PMID]:28739662
[Au] Autor:Weaver DF
[Ad] Endereço:From the Krembil Research Institute, University Health Network, University of Toronto, Canada. dweaver@uhnres.utoronto.ca.
[Ti] Título:Disruptive technology disorder: A past, present, and future neurologic syndrome.
[So] Source:Neurology;89(4):395-398, 2017 Jul 25.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Based upon an analysis of 6 major historical technological advances over the last 150 years, a new syndrome, disruptive technology disorder (DTD), is introduced. DTD describes the human health ailments that accompany the implementation of disruptive technologies. Elevator sickness, railway spine, and bicycle face are representative examples. Though the underlying causative disruptive technologies may differ, many neurologic symptoms (headache, dizziness, weakness) are common to multiple DTDs. Born of technology-driven societal change, DTDs manifest as a complex interplay between biological and psychological symptoms.
[Mh] Termos MeSH primário: Transtornos Mentais/etiologia
Tecnologia
[Mh] Termos MeSH secundário: História do Século XIX
História do Século XX
Seres Humanos
Transtornos Mentais/história
Transtornos Psicofisiológicos/etiologia
Transtornos Psicofisiológicos/história
Síndrome
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170728
[Lr] Data última revisão:
170728
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004095


  5 / 17514 MEDLINE  
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[PMID]:28686164
[Au] Autor:Kriston P; Pikó B
[Ad] Endereço:Szegedi Tudomanyegyetem Bolcseszettudomanyi Kar, Nevelestudomanyi Doktori Iskola, Szeged, Hungary, E-mail: pikobettina@gmail.com.
[Ti] Título:[The role of cognitive emotional self-regulation in adolescence in levels of depression, psychosomatic symptoms and subjective well-being].
[So] Source:Psychiatr Hung;32(2):168-177, 2017.
[Is] ISSN:0237-7896
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:BACKGROUND AND AIMS OF THE STUDY: More and more studies suggest that mental health may be determined by processes of emotional self-regulation. Emotion regulation is a complex concept which can be explicit and implicit and includes different cognitive and behavioral processes: evaluation, modifying of emotional reaction to accomplish goals. Our research aim was to explore the use of cognitive emotional self-regulation strategies related to mental health indicators among adolescents. METHOD: The youth study was performed with a sample size of 1245 participants in Makó, in 2016. Data collection was based on self-administrated questionnaries that contained items on mental health, subjective well-being and background of sociodemographics. The data were compared on the basis of gender differences and tested by multiple linear regression analysis to map associations between the regulation strategies and mental health indicators: depression, psychosomatic symptoms, satisfaction with life. RESULTS: Girls reported higher levels of depression and psychosomatic symptoms and lower satisfaction with life than boys. Significant differences were observed between boys and girls in using rumination, positive refocusing, selfblame, others-blame and putting into perspective regulation strategy. In addition the nonadaptive strategies were proved to be related to higher depression and psychosomatic symptom scores, whereas adaptive strategies to higher level of satisfaction with life in both boys and girls. CONCLUSIONS: The study draws attention to the importance of cognitive emotion regulation strategies from the point of view of mental health and to explore the background factors of cognitive processes of emotional self-regulation.
[Mh] Termos MeSH primário: Cognição
Depressão/psicologia
Emoções
Saúde Mental
Satisfação Pessoal
Transtornos Psicofisiológicos/psicologia
Autocontrole/psicologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Modelos Lineares
Masculino
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE


  6 / 17514 MEDLINE  
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[PMID]:28681716
[Au] Autor:Ghiggia A; Torta R; Tesio V; Di Tella M; Romeo A; Colonna F; Geminiani GC; Fusaro E; Batticciotto A; Castelli L
[Ad] Endereço:Department of Psychology, University of Turin, Italy.
[Ti] Título:Psychosomatic syndromes in fibromyalgia.
[So] Source:Clin Exp Rheumatol;35 Suppl 105(3):106-111, 2017 May-Jun.
[Is] ISSN:0392-856X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aim of this study was to compare the prevalence of psychosomatic symptoms in patients with fibromyalgia (FM) or rheumatoid arthritis (RA). METHODS: Seventy-six consecutive women with FM and 80 with RA without concomitant FM were assessed using the Diagnostic Criteria for Psychosomatic Research (DCPR) interview to evaluate the presence of psychosomatic syndromes. Beck Depression Inventory - II (BDI-II) and Form Y of the State-Trait Anxiety Inventory (STAI-Y) were administered in order to assess the symptoms of anxiety and depression. RESULTS: Significantly higher levels of anxiety and depression were found in the FM patients (p<0.001), and each FM patient (as against 79% of the RA patients) presented at least one DCPR syndrome. Comparisons of psychological distress between the FM patients with and without each of the psychosomatic syndromes revealed high levels of anxiety and depression in the patients with the psychosomatic condition. CONCLUSIONS: The findings of this study highlight the greater presence of psychological distress and psychosomatic syndromes in patients with FM than in RA patients. The FM patients with psychosomatic symptoms also showed high levels of psychological distress. A better understanding of the psychosomatic manifestations of FM syndrome could allow clinicians to structure tailored interventions that take more account of the emotional distress associated with the physical complaints.
[Mh] Termos MeSH primário: Ansiedade/psicologia
Depressão/psicologia
Fibromialgia/psicologia
Transtornos Psicofisiológicos/psicologia
Transtornos Somatoformes/psicologia
Estresse Psicológico/psicologia
[Mh] Termos MeSH secundário: Adulto
Ansiedade/epidemiologia
Artrite Reumatoide/epidemiologia
Artrite Reumatoide/psicologia
Estudos de Casos e Controles
Depressão/epidemiologia
Feminino
Fibromialgia/epidemiologia
Seres Humanos
Meia-Idade
Prevalência
Transtornos Psicofisiológicos/epidemiologia
Transtornos Somatoformes/epidemiologia
Estresse Psicológico/epidemiologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE


  7 / 17514 MEDLINE  
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[PMID]:28636579
[Au] Autor:Otto J; Linden M
[Ad] Endereço:Charité University Medicine Berlin, Research Group Psychosomatic Rehabilitation, Hindenburgdamm 30, 12200 Berlin, Germany, Josephine-Otto@gmx.de.
[Ti] Título:Regeneration orientation is better than resistance orientation in behaviour activation. Results from an intervention study with psychosomatic patients.
[So] Source:Psychiatr Danub;29(2):201-206, 2017 Jun.
[Is] ISSN:0353-5053
[Cp] País de publicação:Croatia
[La] Idioma:eng
[Ab] Resumo:The meaning of positive activities in mental health is widely known and found its entrance in therapeutically and empirical work. It also found it's entrance to current therapeutic developments. Different strategies for assessment and promotion of activity level exist. Patients were acquired from a department of psychosomatic medicine in a German rehabilitation center and randomly allocated to two treatment groups ("regeneration" vs "resistance" group). Data from 62 patients in the regeneration group and 65 patients in the resistance group was compared with 43 patients who received a "treatment as usual". All group comparisons were statistically significant, with different results depending on the type of activities. Regarding behavior activation, there tend to be an advantage for the regeneration group. Nothing is said about the transfer after discharge and long term effects.
[Mh] Termos MeSH primário: Mecanismos de Defesa
Atenção Plena
Motivação
Prazer
Transtornos Psicofisiológicos/psicologia
Transtornos Psicofisiológicos/reabilitação
Psicoterapia de Grupo/métodos
Qualidade de Vida/psicologia
Recreação
Resiliência Psicológica
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Meia-Idade
Alta do Paciente
Escalas de Graduação Psiquiátrica/estatística & dados numéricos
Psicometria
Transtornos Psicofisiológicos/diagnóstico
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE


  8 / 17514 MEDLINE  
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[PMID]:28416565
[Au] Autor:Perez DL; Matin N; Barsky A; Costumero-Ramos V; Makaretz SJ; Young SS; Sepulcre J; LaFrance WC; Keshavan MS; Dickerson BC
[Ad] Endereço:Department of Neurology, Functional Neurology Research Group, Cognitive Behavioral Neurology Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
[Ti] Título:Cingulo-insular structural alterations associated with psychogenic symptoms, childhood abuse and PTSD in functional neurological disorders.
[So] Source:J Neurol Neurosurg Psychiatry;88(6):491-497, 2017 Jun.
[Is] ISSN:1468-330X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Adverse early-life events are predisposing factors for functional neurological disorder (FND) and post-traumatic stress disorder (PTSD). Cingulo-insular regions are implicated in the biology of both conditions and are sites of stress-mediated neuroplasticity. We hypothesised that functional neurological symptoms and the magnitude of childhood abuse would be associated with overlapping anterior cingulate cortex (ACC) and insular volumetric reductions, and that FND and PTSD symptoms would map onto distinct cingulo-insular areas. METHODS: This within-group voxel-based morphometry study probes volumetric associations with self-report measures of functional neurological symptoms, adverse life events and PTSD symptoms in 23 mixed-gender FND patients. Separate secondary analyses were also performed in the subset of 18 women with FND to account for gender-specific effects. RESULTS: Across the entire cohort, there were no statistically significant volumetric associations with self-report measures of functional neurological symptom severity or childhood abuse. In women with FND, however, parallel inverse associations were observed between left anterior insular volume and functional neurological symptoms as measured by the Patient Health Questionnaire-15 and the Screening for Somatoform Symptoms Conversion Disorder subscale. Similar inverse relationships were also appreciated between childhood abuse burden and left anterior insular volume. Across all subjects, PTSD symptom severity was inversely associated with dorsal ACC volume, and the magnitude of lifetime adverse events was inversely associated with left hippocampal volume. CONCLUSIONS: This study reveals distinct cingulo-insular alterations for FND and PTSD symptoms and may advance our understanding of FND. Potential biological convergence between stress-related neuroplasticity, functional neurological symptoms and reduced insular volume was identified.
[Mh] Termos MeSH primário: Córtex Cerebral/diagnóstico por imagem
Maus-Tratos Infantis/diagnóstico
Maus-Tratos Infantis/psicologia
Transtorno Conversivo/diagnóstico por imagem
Transtorno Conversivo/psicologia
Giro do Cíngulo/diagnóstico por imagem
Interpretação de Imagem Assistida por Computador
Imagem Tridimensional
Imagem por Ressonância Magnética
Doenças do Sistema Nervoso/diagnóstico por imagem
Doenças do Sistema Nervoso/psicologia
Transtornos Psicofisiológicos/diagnóstico por imagem
Transtornos Psicofisiológicos/psicologia
Transtornos de Estresse Pós-Traumáticos/diagnóstico por imagem
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Adulto
Córtex Cerebral/fisiopatologia
Criança
Transtorno Conversivo/fisiopatologia
Dominância Cerebral/fisiologia
Feminino
Substância Cinzenta/diagnóstico por imagem
Giro do Cíngulo/fisiopatologia
Seres Humanos
Acontecimentos que Mudam a Vida
Masculino
Meia-Idade
Doenças do Sistema Nervoso/fisiopatologia
Tamanho do Órgão/fisiologia
Transtornos Psicofisiológicos/fisiopatologia
Estatística como Assunto
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171114
[Lr] Data última revisão:
171114
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.1136/jnnp-2016-314998


  9 / 17514 MEDLINE  
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[PMID]:28403499
[Au] Autor:Junne F; Rieger M; Michaelis M; Nikendei C; Gündel H; Zipfel S; Rothermund E
[Ad] Endereço:Psychosomatische Medizin und Psychotherapie, Medizinische Universitätsklinik Tübingen.
[Ti] Título:Psychische Belastungsfaktoren in der Arbeitswelt: Modelle und Prävention..
[So] Source:Psychother Psychosom Med Psychol;67(3-04):161-173, 2017 Apr.
[Is] ISSN:1439-1058
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:Psycho-mental stressors and increased perceived stress in workplace settings may determine the onset and course of stress-related mental and psychosomatic disorders. For the description of psycho-mental stressors three distinct models have widely been used in the analyses of the matter: the Demand-Control-Model by Karasek and Theorell, the Effort-Reward-Imbalance Model by Siegrist, and the Model of Organisational Justice.The interactional or social dimension in work-place settings can be seen as a cross-sectional dimension to the above mentioned models. Here, social conflicts and mobbing, as specific forms of interactional problems, are of importance.Besides measures of primary prevention which can be derived from applying the above mentioned models, attention is paid increasingly to secondary and tertiary preventive measures in work-place settings. Concepts such as the psychosomatic consultation-hour within the context of workplace showed to be effective measures for the early detection of people at risk or early stages of e. g. stress-related psychosomatic disorders.Furthermore, step-wise reintegration of members of the work-force play an important role within the effort to retain the ability to work and the workplace of individuals who suffered from stress-related mental disorders, as it has to be stressed that working and social interactions at the workplace may well be a resource that enhances and stipulates psycho-mental well-being and mental health.This CME-Article describes the above mentioned models and discusses selected perspectives of preventive measures to avoid stress-related mental disorders in members of the work-force.
[Mh] Termos MeSH primário: Emprego/psicologia
Transtornos Mentais/psicologia
Transtornos Psicofisiológicos/psicologia
Estresse Psicológico/complicações
Estresse Psicológico/psicologia
Local de Trabalho
[Mh] Termos MeSH secundário: Bullying
Conflito (Psicologia)
Alemanha
Seres Humanos
Transtornos Mentais/diagnóstico
Transtornos Mentais/prevenção & controle
Modelos Psicológicos
Transtornos Psicofisiológicos/diagnóstico
Transtornos Psicofisiológicos/prevenção & controle
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1055/s-0043-103270


  10 / 17514 MEDLINE  
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[PMID]:28385116
[Au] Autor:Aanesen F; Meland E; Torp S
[Ad] Endereço:1 Department of Health, Social and Welfare Studies, University College of Southeast Norway, Tønsberg, Norway.
[Ti] Título:Gender differences in subjective health complaints in adolescence: The roles of self-esteem, stress from schoolwork and body dissatisfaction.
[So] Source:Scand J Public Health;45(4):389-396, 2017 Jun.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIMS: The aims of this study were to examine subjective health complaints among Norwegian adolescents and assess the development of gender differences in subjective health complaints between age 14 and 16; to investigate whether self-esteem, stress from schoolwork or body dissatisfaction affected adolescents' subjective health complaints; and determine whether these factors could explain the excess of subjective health complaints among girls. METHODS: We used multiple linear regression analyses to analyse longitudinal survey data from 751 Norwegian adolescents at the ages of 14 and 16. The results from various cross-sectional and prospective analyses were compared. RESULTS: Girls reported more subjective health complaints than boys, and gender differences increased from age 14 to 16. Self-esteem and stress from schoolwork had cross-sectional and prospective associations with subjective health complaints. Stress from schoolwork at age 14 was also associated with changes in subjective health complaints from age 14 to 16. The cross-sectional mediation analyses indicated that self-esteem and stress from schoolwork accounted for 61% of the excess of subjective health complaints among girls at age 16. The same variables measured at age 14 accounted for 24% of the gender differences in subjective health complaints two years later. The investigated factors could not account for the increase in gender differences in subjective health complaints between ages 14 and 16. CONCLUSIONS: The findings showed that self-esteem and stress from schoolwork were associated with subjective health complaints during adolescence. These factors could partially explain the excess of subjective health complaints among girls.
[Mh] Termos MeSH primário: Imagem Corporal/psicologia
Autoavaliação Diagnóstica
Transtornos Psicofisiológicos/epidemiologia
Autoimagem
Estresse Psicológico/psicologia
Estudantes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Estudos Transversais
Feminino
Seres Humanos
Masculino
Noruega/epidemiologia
Prevalência
Estudos Prospectivos
Fatores de Risco
Instituições Acadêmicas
Distribuição por Sexo
Estudantes/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170408
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817690940



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