Base de dados : MEDLINE
Pesquisa : F01.393 [Categoria DeCS]
Referências encontradas : 8701 [refinar]
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[PMID]:28682982
[Au] Autor:Martin-Joy JS; Malone JC; Cui XJ; Johansen PØ; Hill KP; Rahman MO; Waldinger RJ; Vaillant GE
[Ad] Endereço:*Harvard Medical School, Boston; †Department of Psychiatry, Mt. Auburn Hospital, Cambridge; ‡Harvard Study of Adult Development, Massachusetts General Hospital, Boston, Massachusetts; §Department of Psychiatry, Canandaigua VA Medical Center, Canandaigua, New York; ∥EmmaSofia, Oslo, Norway; ¶Division of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts; #Centre for Health, Population, and Development, Independent University, Dhaka, Bangladesh; and **Harvard Study of Adult Development, Orange, California.
[Ti] Título:Development of Adaptive Coping From Mid to Late Life: A 70-Year Longitudinal Study of Defense Maturity and Its Psychosocial Correlates.
[So] Source:J Nerv Ment Dis;205(9):685-691, 2017 Sep.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The present study examines changes in defense maturity from mid to late life using data from an over 70-year longitudinal study. A sample of 72 men was followed beginning in late adolescence. Participants' childhoods were coded for emotional warmth. Defense mechanisms were coded by independent raters using the Q-Sort of Defenses (, Ego mechanisms of defense: A guide for clinicians and researchers 217-233) based on interview data gathered at approximately ages 52 and 75. We examined psychosocial correlates of defenses at midlife, late life, and changes in defense from mid to late life. Overall, defenses grew more adaptive from midlife to late life. However, results differed on the basis of the emotional warmth experienced in the participants' childhoods. In midlife, men who experienced warm childhoods used more adaptive (mature) defenses; yet by late life, this difference in defensive maturity had disappeared. Men who experienced less childhood warmth were more likely to show an increase in adaptive defenses during the period from mid to late life.
[Mh] Termos MeSH primário: Adaptação Psicológica/fisiologia
Mecanismos de Defesa
Relações Familiares/psicologia
Desenvolvimento Humano/fisiologia
Ajustamento Social
[Mh] Termos MeSH secundário: Adolescente
Idoso
Seres Humanos
Estudos Longitudinais
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170707
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000711


  2 / 8701 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


  3 / 8701 MEDLINE  
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[PMID]:28636487
[Au] Autor:Nguyen T; Angelique H
[Ad] Endereço:a School of Behavioral Sciences and Education , Penn State Harrisburg , Middletown , Pennsylvania , USA.
[Ti] Título:Internalized Homonegativity, Confucianism, and Self-Esteem at the Emergence of an LGBTQ Identity in Modern Vietnam.
[So] Source:J Homosex;64(12):1617-1631, 2017.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We examine the relationships between internalized homonegativity, Confucianism, and self-esteem among LGBTQ adults who grew up during the Open Door Policy, or Doi Moi, in Vietnam. Participants were identified via activist networks and social media groups. They completed online survey focused on internalized homo/transphobia, self-esteem, and Confucian values. The study revealed that more exposure to Confucian values in early life is related to higher levels of internalized homonegativity. Male-born participants also had a higher level of internalized homonegativity than female-born participants. In general, lower levels of self-esteem were also related to higher levels of internalized homonegativity. We discuss the implications of these findings in light of conflicting values between Confucianism and the economic and social transformation that has occurred under Doi Moi.
[Mh] Termos MeSH primário: Confucionismo
Mecanismos de Defesa
Autoimagem
Minorias Sexuais e de Gênero/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Sexismo/psicologia
Inquéritos e Questionários
Vietnã
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1345231


  4 / 8701 MEDLINE  
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[PMID]:28581538
[Au] Autor:Radziwillowicz W; Lewandowska M
[Ad] Endereço:Zaklad Psychologii i Psychopatologii Rozwoju, Instytut Psychologii, Uniwersytet Gdanski.
[Ti] Título:From traumatic events and dissociation to body image and depression symptoms - in search of self-destruction syndrome in adolescents who engage in nonsuicidal self-injury.
[Ti] Título:Od traumatycznych wydarzen i dysocjacji do Ja cielesnego i objawów depresji ­ w poszukiwaniu syndromu autodestruktywnosci u mlodziezy dokonujacej zamierzonych samookaleczen..
[So] Source:Psychiatr Pol;51(2):283-301, 2017 Apr 30.
[Is] ISSN:2391-5854
[Cp] País de publicação:Poland
[La] Idioma:eng; pol
[Ab] Resumo:OBJECTIVES: The aim of the study was to analyze relationships between the variables: severity of depression symptoms, feelings towards one's own body, dissociation, the number and type of traumatic life events experienced by adolescents who engage in deliberate self-injury and are psychiatrically hospitalized. METHODS: We examined 60 patients aged 13-17 (M = 15.48, SD = 1.19). More than a half (55%) were diagnosed with a mixed disturbance of emotions and conduct, 23.5% with depressive behavior disorders, 10% were diagnosed a depressive episode. The research tools: a socio-demographic survey; original Feelings Towards the Body Questionnaire created on the basis of Tomkiewicz's description; Kovacs's CDI; Scharfetter's Ego-Psychopathology questionnaire. RESULTS: The examined individuals have negative feelings toward their bodies, more than half of them experience severe depression symptoms. There are links between traumatic events, dissociation, body image and the severity of depression symptoms. The strongest links were found: between dissociation vis-a-vis the severity of depression symptoms and the feelings towards one's body; and between the severity of depression symptoms and the feelings towards one's body. CONCLUSIONS: Two thirds of the examined individuals attempted suicide. Various forms of direct self-destructive behaviors very often occur simultaneously. It also provokes reflection about the conditions under which self-inflicted injury does (or does not) prevent suicide attempts. Self-mutilation along with the interaction between clinical variables may form a self-destruction syndrome in various mental disorders and contribute to clinical pictures of these disorders, this should be taken into account in diagnosing and treatment of adolescents.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Depressão/psicologia
Autoimagem
Comportamento Autodestrutivo/psicologia
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Adolescente
Imagem Corporal
Mecanismos de Defesa
Depressão/epidemiologia
Feminino
Seres Humanos
Controle Interno-Externo
Masculino
Personalidade
Comportamento Autodestrutivo/epidemiologia
Transtornos de Estresse Pós-Traumáticos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE


  5 / 8701 MEDLINE  
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[PMID]:28477566
[Au] Autor:Kim HS; Han J; Kim HJ; Hagiwara A; Lee JS
[Ad] Endereço:Department of Biological Science, College of Science, Sungkyunkwan University, Suwon 16419, South Korea.
[Ti] Título:Identification of 28 cytochrome P450 genes from the transcriptome of the marine rotifer Brachionus plicatilis and analysis of their expression.
[So] Source:Comp Biochem Physiol Part D Genomics Proteomics;23:1-7, 2017 Sep.
[Is] ISSN:1878-0407
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Whole transcriptomes of the rotifer Brachionus plicatilis were analyzed using an Illumina sequencer. De novo assembly was performed with 49,122,780 raw reads using Trinity software. Among the assembled 42,820 contigs, 27,437 putative open reading frame contigs were identified (average length 1235bp; N50=1707bp). Functional gene annotation with Gene Ontology and InterProScan, in addition to Kyoto Encyclopedia of Genes and Genomes pathway analysis, highlighted the metabolism of xenobiotics by cytochrome P450 (CYP). In addition, 28 CYP genes were identified, and their transcriptional responses to benzo[α]pyrene (B[α]P) were investigated. Most of the CYPs were significantly upregulated or downregulated (P<0.05) in response to B[α]P, suggesting that Bp-CYP genes play a crucial role in detoxification mechanisms in response to xenobiotics. This study sheds light on the molecular defense mechanisms of the rotifer B. plicatilis in response to exposure to various chemicals.
[Mh] Termos MeSH primário: Sistema Enzimático do Citocromo P-450/genética
Regulação da Expressão Gênica
Rotíferos/genética
Transcriptoma/genética
[Mh] Termos MeSH secundário: Animais
Benzopirenos/farmacologia
Sistema Enzimático do Citocromo P-450/fisiologia
Mecanismos de Defesa
Perfilação da Expressão Gênica
Regulação da Expressão Gênica/efeitos dos fármacos
Biologia Marinha
Alinhamento de Sequência
Poluentes Químicos da Água/farmacologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Benzopyrenes); 0 (Water Pollutants, Chemical); 9035-51-2 (Cytochrome P-450 Enzyme System)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170507
[St] Status:MEDLINE


  6 / 8701 MEDLINE  
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[PMID]:28434585
[Au] Autor:Blanchard DC
[Ad] Endereço:Pacific Biosciences Research Center, University of Hawaii at Manoa, United States. Electronic address: dcb@Hawaii.edu.
[Ti] Título:Translating dynamic defense patterns from rodents to people.
[So] Source:Neurosci Biobehav Rev;76(Pt A):22-28, 2017 May.
[Is] ISSN:1873-7528
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Specific defensive behaviors of rodents are shaped by features of the eliciting threat stimuli and situation. Threat scenarios confirmed these relationships in people, with results substantially replicated in 4 additional scenario studies. Subsequent human studies involve computer games measuring fear as flight from threat stimuli and anxiety as alternation between two threats. Stabilometric studies have shown reduction in sway (freezing) to inescapable (e.g. with gun pointed at subject) threatening photographs; but enhanced lateral sway (flight attempts) to escapable threats; (gun pointed away from subject). Relationships between threat ambiguity, risk assessment, and anxiety have been validated by identification of videos of facial expressions to ambiguous threats, as anxiety; and systematic biases toward threat stimuli by anxious individuals. Enhanced rumination, interpretable as unsuccessful risk assessment, is a dynamic component of both anxiety and depression, particularly in women. While there is less experimental work on defensive threat/attack, a transdiagnostic "Fear of Harm" phenotype of aggression associated with fear suggests that this is a component of pathological as well as normal human defensive behavior.
[Mh] Termos MeSH primário: Mecanismos de Defesa
[Mh] Termos MeSH secundário: Agressão
Animais
Ansiedade
Expressão Facial
Medo
Seres Humanos
Roedores
Pesquisa Médica Translacional
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170425
[St] Status:MEDLINE


  7 / 8701 MEDLINE  
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[PMID]:28388881
[Au] Autor:Zanello A; Berthoud L; Bacchetta JP
[Ad] Endereço:Department of Mental Health and Psychiatry, University Hospitals of Geneva, Geneva, Switzerland. adriano.zanello@hcuge.ch.
[Ti] Título:Emotional crisis in a naturalistic context: characterizing outpatient profiles and treatment effectiveness.
[So] Source:BMC Psychiatry;17(1):130, 2017 Apr 07.
[Is] ISSN:1471-244X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Crisis happens daily yet its understanding is often limited, even in the field of psychiatry. Indeed, a challenge is to assess the potential for change of patients so as to offer appropriate therapeutic interventions and enhance treatment program efficacy. This naturalistic study aimed to identify the socio-demographical characteristics and clinical profiles at admission of patients referred to a specialized Crisis Intervention Center (CIC) and to examine the effectiveness of the intervention. METHOD: The sample was composed of 352 adult outpatients recruited among the referrals to the CIC. Assessment completed at admission and at discharge examined psychiatric symptoms, defense mechanisms, recovery styles and global functioning. The crisis intervention consisted in a psychodynamically oriented multimodal approach associated with medication. RESULTS: Regarding the clinical profiles at intake, patients were middle-aged (M = 38.56, SD = 10.91), with a higher proportion of women (62.22%). They were addressed to the CIC because they had attempted to commit suicide or had suicidal ideation or presented depressed mood related to interpersonal difficulties. No statistical differences were found between patients dropping out (n = 215) and those attending the crisis intervention (n = 137). Crisis intervention demonstrated a beneficial effect (p < 0.01) on almost all variables, with Effect Sizes (ES) ranging from small to large (0.12 < ES < 0.75; median = 0.49). However, the Reliable Change Index indicated that most of the issues fall into the undetermined category (range 41.46 to 96.35%; median = 66.20%). CONCLUSIONS: This study establishes the profile of patients referred to the CIC and shows that more than half of the patients dropped out from the crisis intervention before completion. Our findings suggest that people presenting an emotional crisis benefit from crisis intervention. However, given methodological constraints, these results need to be considered with caution. Moreover, the clinical significance of the improvements is not confirmed. Thus, the effectiveness of crisis intervention in naturalistic context is not fully determined and should be more rigorously studied in future research.
[Mh] Termos MeSH primário: Intervenção na Crise/métodos
Mecanismos de Defesa
Pacientes Ambulatoriais/psicologia
Tentativa de Suicídio/prevenção & controle
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Serviços de Emergência Psiquiátrica
Feminino
Seres Humanos
Masculino
Transtornos Mentais/terapia
Meia-Idade
Seleção de Pacientes
Encaminhamento e Consulta
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170409
[St] Status:MEDLINE
[do] DOI:10.1186/s12888-017-1293-3


  8 / 8701 MEDLINE  
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[PMID]:28334631
[Au] Autor:McElroy E; Shevlin M; Murphy J
[Ad] Endereço:Ulster University, Londonderry BT48 7JL, Northern Ireland, UK. Electronic address: mcelroy-e1@email.ulster.ac.uk.
[Ti] Título:Internalizing and externalizing disorders in childhood and adolescence: A latent transition analysis using ALSPAC data.
[So] Source:Compr Psychiatry;75:75-84, 2017 May.
[Is] ISSN:1532-8384
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Research examining the association between internalizing and externalizing dimensions of psychopathology has relied heavily on variable-centered analytical techniques. Person-centered methodologies complement the variable-centered approach, and may help explain the medium-to-large correlations that exist between higher order dimensions of psychopathology. What little person-centered research exists has been cross-sectional and utilized adult samples. The present study sought to take a person-centered approach to the modeling of psychiatric comorbidity during a key developmental phase; middle childhood through adolescence. METHODS: Analysis was conducted on data from the Avon Longitudinal Study of Parents and Children (ALSPAC, N=9282). Latent transition analysis (LTA) was conducted using eight DSM-IV disorders assessed at ages 7.5 and 14years as measured indicators. RESULTS: At both time points, a four class solution provided the best fit, with classes labeled as (i) normative, (ii) primarily internalizing, (iii) primarily externalizing, and (iv) high-risk/multimorbid. There was considerable individual-level stability across time, with approximately 80% of children remaining in the same class at both time points. Those in the internalizing class at baseline were more likely to transition to a less severe class (i.e., the normative class). CONCLUSIONS: Person-centered methodologies demonstrate that the association between internalizing and externalizing is accounted for by a sub-population at high risk for experiencing psychiatric comorbidity, and 'cross-class' disorders which link the internalizing and externalizing spectra.
[Mh] Termos MeSH primário: Transtornos do Comportamento Infantil/psicologia
Mecanismos de Defesa
[Mh] Termos MeSH secundário: Adolescente
Criança
Comorbidade
Manual Diagnóstico e Estatístico de Transtornos Mentais
Feminino
Seres Humanos
Controle Interno-Externo
Estudos Longitudinais
Masculino
Pais/psicologia
Psicopatologia
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170607
[Lr] Data última revisão:
170607
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE


  9 / 8701 MEDLINE  
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[PMID]:28299960
[Au] Autor:Jung IJ; Hwang JE; Han SM; Kim DS; Ahn JW; Choi HI; Kwon SJ; Kang SY; Kim JB
[Ad] Endereço:a Advanced Radiation Technology Institute, Korea Atomic Energy Research Institute , Jeongeup , Jeollabuk , Republic of Korea.
[Ti] Título:Molecular dissection of the response of the rice Systemic Acquired Resistance Deficient 1 (SARD1) gene to different types of ionizing radiation.
[So] Source:Int J Radiat Biol;93(7):717-725, 2017 Jul.
[Is] ISSN:1362-3095
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Exposure to ionizing radiation induces plant defenses by regulating the expression of response genes. The systemic acquired resistance deficient 1 (SARD1) is a key gene in plant defense response. In this study, the function of Oryza sativa SARD1 (OsSARD1) was investigated after exposure of seeds/plants to ionizing radiation, jasmonic acid (JA) or salicylic acid (SA). MATERIALS AND METHODS: Rice seeds exposed to two types of ionizing radiations (gamma ray [GR] and ion beam [IB]) were analyzed by quantitative reverse transcription PCR (qRT-PCR) to identify the genes that are altered in response to ionizing radiation. Then, OsSARD1-overexpressing homozygous Arabidopsis plants were generated to assess the effects of OsSARD1 in the response to irradiation. The phenotypes of these transgenic plants, as well as control plants, were monitored after GR irradiation at doses of 200 and 300 Gray (Gy). RESULTS: The OsSARD1 transcript was strongly downregulated after exposure to GR and IB irradiation. Previous phylogenetic analysis showed that the Arabidopsis SARD1 (AtSARD1) protein is closely related to Arabidopsis calmodulin-binding protein 60g (AtCBP60g), which is known to be required for activation of SA biosynthesis. In this study, phylogenetic analysis showed that OsSARD1 was grouped with AtSARD1. The OsSARD1 gene was induced after exposure to SA and JA. The biological phenotype of OsSARD1-overexpressing Arabidopsis plants was examined. OsSARD1-overexpressing plants displayed resistance to GR; in comparison with wild-type plants, the height and weight of OsSARD1-overexpressing plants were significantly greater after GR irradiation. In addition, OsSARD1 protein was abundantly accumulated in the nucleus. CONCLUSIONS: The results indicate that OsSARD1 plays an important role in the regulation of the defense responses to GR and IB irradiation and exhibits phytohormone induced expression.
[Mh] Termos MeSH primário: Proteínas de Ligação a Calmodulina/metabolismo
Regulação da Expressão Gênica de Plantas/fisiologia
Oryza/metabolismo
Oryza/efeitos da radiação
Proteínas de Plantas/metabolismo
Radiação Ionizante
Estresse Fisiológico/fisiologia
Estresse Fisiológico/efeitos da radiação
[Mh] Termos MeSH secundário: Mecanismos de Defesa
Relação Dose-Resposta à Radiação
Raios gama
Íons Pesados
Dose de Radiação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Calmodulin-Binding Proteins); 0 (Plant Proteins)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170825
[Lr] Data última revisão:
170825
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.1080/09553002.2017.1297901


  10 / 8701 MEDLINE  
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[PMID]:28291976
[Au] Autor:Ivezic SS; Sesar MA; Muzinic L
[Ad] Endereço:Psychiatric Clinic Vrapce, Bolnicka cesta 32, 10000 Zagreb, Croatia, sladjana.strkalj-ivezic@zg.t-com.hr.
[Ti] Título:Effects of a Group Psychoeducation Program on Self-Stigma, Empowerment and Perceived Discrimination of Persons with Schizophrenia.
[So] Source:Psychiatr Danub;29(1):66-73, 2017 Mar.
[Is] ISSN:0353-5053
[Cp] País de publicação:Croatia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Self-stigma adversely affects recovery from schizophrenia. Analyses of self stigma reduction programs discovered that few studies have investigated the impact of education about the illness on self-stigma reduction. The objective of this study was to determine whether psychoeducation based on the principles of recovery and empowerment using therapeutic group factors assists in reduction of self-stigma, increased empowerment and reduced perception of discrimination in patients with schizophrenia. SUBJECTS AND METHODS: 40 patients participated in psychoeducation group program and were compared with a control group of 40 patients placed on the waiting list for the same program. A Solomon four group design was used to control the influence of the pretest. Rating scales were used to measure internalized stigma, empowerment and perception of discrimination. Two-way analysis of variance was used to determine the main effects and interaction between the treatment and pretest. Simple analysis of variance with repeated measures was used to additionally test effect of treatment onself-stigma, empowerment and perceived discrimination. RESULTS: The participants in the psychoeducation group had lower scores on internalized stigma (F(1,76)=8.18; p<0.01) than the patients treated as usual. Analysis also confirmed the same effect with comparing experimental group before and after psychoeducation (F(1,19)=5.52; p<0.05). All participants showed a positive trend for empowerment. Psychoeducation did not influence perception of discrimination. CONCLUSION: Group psychoeducation decreased the level of self stigma. This intervention can assist in recovery from schizophrenia.
[Mh] Termos MeSH primário: Educação em Saúde/métodos
Poder (Psicologia)
Psicoterapia de Grupo/métodos
Esquizofrenia/terapia
Psicologia do Esquizofrênico
Autoimagem
Estigma Social
[Mh] Termos MeSH secundário: Adulto
Assistência Ambulatorial
Mecanismos de Defesa
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação: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:170315
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde