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[PMID]:29173737
[Au] Autor:Peris TS; Rozenman MS; Sugar CA; McCracken JT; Piacentini J
[Ad] Endereço:UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles. Electronic address: tperis@mednet.ucla.edu.
[Ti] Título:Targeted Family Intervention for Complex Cases of Pediatric Obsessive-Compulsive Disorder: A Randomized Controlled Trial.
[So] Source:J Am Acad Child Adolesc Psychiatry;56(12):1034-1042.e1, 2017 Dec.
[Is] ISSN:1527-5418
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Although evidence-based treatments for pediatric obsessive-compulsive disorder (OCD) exist, many youth fail to respond, and interventions tailored to the needs of specific subsets of patients are lacking. This study examines the efficacy of a family intervention module designed for cases of OCD complicated by poor family functioning. METHOD: Participants were 62 youngsters aged 8 to 17 years (mean age = 12.71 years; 57% male; 65% white) with a primary diagnosis of OCD and at least 2 indicators of poor family functioning. They were randomized to receive 12 sessions of individual child cognitive-behavioral therapy (CBT) plus weekly parent psychoeducation and session review (standard treatment [ST]) or the same 12 child sessions plus 6 sessions of family therapy aimed at improving OCD-related emotion regulation and problem solving (positive family interaction therapy [PFIT]). Blinded raters evaluated outcomes and tracked responders to 3-month follow-up. RESULTS: Compared to ST, PFIT demonstrated better overall response rates on the Clinician Global Impression-Improvement scale (CGI-I; 68% versus 40%, p = .03, φ = 0.28) and rates of remission (58% PFIT versus 27% ST, p = .01, φ = 0.32). PFIT also produced significantly greater reductions in functional impairment, symptom accommodation, and family conflict, and improvements in family cohesion. As expected, these shifts in family functioning constitute an important treatment mechanism, with changes in accommodation mediating treatment response. CONCLUSION: PFIT is efficacious for reducing OCD symptom severity and impairment and for improving family functioning. Findings are discussed in terms of personalized medicine and mechanisms of change in pediatric OCD treatment. Clinical trial registration information-Family Focused Treatment of Pediatric Obsessive Compulsive Disorder; http://clinicaltrials.gov/; NCT01409642.
[Mh] Termos MeSH primário: Terapia Cognitiva/métodos
Terapia Familiar/métodos
Transtorno Obsessivo-Compulsivo/terapia
Pais/educação
[Mh] Termos MeSH secundário: Adolescente
Criança
Terapia Combinada
Relações Familiares
Feminino
Seguimentos
Seres Humanos
Masculino
Transtorno Obsessivo-Compulsivo/diagnóstico
Escalas de Graduação Psiquiátrica
Método Simples-Cego
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180311
[Lr] Data última revisão:
180311
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:29206951
[Au] Autor:Hong M; Harrington D
[Ad] Endereço:School of Social Work, Indiana University, 902 West New York Street, Education/SW Building ES 4109, Indianapolis, IN 46202-5156; School of Social Work, University of Maryland, Baltimore.
[Ti] Título:The Effects of Caregiving Resources on Perceived Health among Caregivers.
[So] Source:Health Soc Work;41(3):155-163, 2016 Aug 01.
[Is] ISSN:0360-7283
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined how various types of resources influence perceived health of caregivers. Guided by the conservation of resources theory, a caregiver health model was built and tested using structural equation modeling. The caregiver health model consisted of caregiving situations (functional limitations and cognitive impairments of older adults and caregiving time), resources (financial resources, mastery, social support, family harmony, and service utilization), caregiver burden, and perceived health of caregivers. The sample included 1,837 unpaid informal caregivers drawn from the 2004 National Long-Term Caregiver Survey. The model fit indices indicated that the first structural model did not fit well; however, the revised model yielded an excellent model fit. More stressful caregiving situations were associated with fewer resources and higher burden, whereas greater resources were associated with lower burden and better perceived health of caregivers. The results suggest explicit implications for social work research and practice on how to protect the health of caregivers.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Transtornos Cognitivos/enfermagem
Pessoas com Deficiência
Relações Familiares
Recursos em Saúde
Autoeficácia
Apoio Social
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1093/hsw/hlw025


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[PMID]:27775409
[Au] Autor:Eisikovits Z; Tener D; Lev-Wiesel R
[Ad] Endereço:School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa.
[Ti] Título:Adult women survivors of intrafamilial child sexual abuse and their current relationship with the abuser.
[So] Source:Am J Orthopsychiatry;87(3):216-225, 2017.
[Is] ISSN:1939-0025
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article examines the adult perceptions of women survivors of intrafamilial child sexual abuse and their current relationship with the family member who abused them in their childhood. Twenty Jewish Israeli women were interviewed in depth between 2008 and 2009. Interviews were tape-recorded and transcribed verbatim. Data analysis produced 2 interrelated continua with regard to the presence of the perpetrator in the women's life: a continuum of his actual daily presence in the woman's living space, ranging from complete absence to a continuous presence, and a continuum of his experiential presence, ranging from a high level of intrusiveness to encapsulation and total dissociation. The 2 continua are discussed and implications for practice are suggested. (PsycINFO Database Record
[Mh] Termos MeSH primário: Adultos Sobreviventes de Maus-Tratos Infantis/psicologia
Relações Familiares/psicologia
Relações Interpessoais
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161028
[St] Status:MEDLINE
[do] DOI:10.1037/ort0000185


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[PMID]:28453061
[Au] Autor:Hoyos-Hernández PA; Duarte-Alarcón C
[Ad] Endereço:Pontificia Universidad Javeriana, Cali, Colombia, paulahoyos@javerianacali.edu.co.
[Ti] Título:[Roles and challenges of female heads of household with HIV/AIDS].
[Ti] Título:Roles y desafíos de mujeres jefas de hogar con VIH/Sida..
[So] Source:Rev Salud Publica (Bogota);18(4):554-567, 2016 Aug.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To characterize the roles and challenges that female heads of households with HIV in Valle del Cauca, Colombia assume. Method A qualitative exploratory method, based on Grounded Theory was conducted. Data were collected through in depth interviews to 13 women with HIV, heads of household with ages between 19 and 46,who live in the cities of Cali and Buenaventura. Results The main roles assumed by women are taking care of their children and their homes, expressing affection, providing support during different life events and administrative procedures related to health care services access. The challenges expressed by these women include aspects related to parenting, being a self-care role model, accompanying and leading the diagnosis and adherence to the treatment children with HIV, revealing the diagnosis, providing the best living conditions, and providing access to goods and services. Conclusions The results of the study highlight the challenges that women living with a chronic illness, that is still loaded with stigma and discrimination, have to face. The social, economic, cultural and health aspects related to the inequities and inequalities in health, to gender and access to health services, to decent work and to education are made clear in this work.
[Mh] Termos MeSH primário: Características da Família
Relações Familiares
Infecções por HIV/psicologia
Papel (Figurativo)
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/psicologia
Adulto
Colômbia
Feminino
Seres Humanos
Meia-Idade
Aceitação pelo Paciente de Cuidados de Saúde
Autocuidado
Estigma Social
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29373002
[Au] Autor:Franks AM; Guzzo R; Barker S; King-Mallory R
[Ti] Título:Progressive Supranuclear Palsy - A Case Study from the Perspective of a Primary Care Physician Son.
[So] Source:W V Med J;113(1):36-9, 2017 Jan-Feb.
[Is] ISSN:0043-3284
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Progressive Supranuclear Palsy (PSP) is a rare geriatric pathology, from the abnormal deposition of the tau protein, combining the motor tremor and bradykinesia of Parkinson's disease with the cognitive defects of Alzheimer's disease. As physical and mental debilities progressively manifest in PSP, the physician, family, and patient face decisions on how to manage this terminal neurodegenerative disease. Physicians note the outcomes of decisions and often express, either to peers or internally to oneself, how they would handle a similar situation affecting their own family. In this case, we will explore PSP and examine a physician's perspective as his father navigates his journey through it.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Paralisia Supranuclear Progressiva/psicologia
Paralisia Supranuclear Progressiva/terapia
[Mh] Termos MeSH secundário: Progressão da Doença
Relações Familiares
Evolução Fatal
Seres Humanos
Masculino
Meia-Idade
Paralisia Supranuclear Progressiva/patologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180127
[St] Status:MEDLINE


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[PMID]:29314804
[Au] Autor:Mandic-Gajic G
[Ti] Título:Bridging psychological barriers between the child and the father after his returning from the war: Could group art therapy help?
[So] Source:Vojnosanit Pregl;73(7):686-9, 2016 Jul.
[Is] ISSN:0042-8450
[Cp] País de publicação:Serbia
[La] Idioma:eng
[Ab] Resumo:Introduction: War veterans with chronic post-traumatic stress disorder (PTSD) have poorer family and parenting functioning, but little research has focused on these impairments. Case report: This paper presented how the series of drawings and the group art therapy process enhanced bridging the psychological barriers of a 33-year-old male PTSD war veteran to engagement with the child. After two years of deployment he returned home and suffered mostly from PTSD numbness and avoidance symptoms. The veteran had the family readjustment difficulties and felt guilty for being detached from his 3-year-old son. He under-went integrative treatment in the Day Unit Program. The drawings series were made by free associations. Clinical observations and group discussions were recorded in the group art therapy protocols. The presented patient got gratifications and support from the group members for his illustration of popular cartoon heroes, and decided to draw Mickey Mouse at home. On the next session he shared his satisfaction for bridging the gap between him and his son, having done the same drawings with his son at home. Beck's depression inventory (BDI) was used for self-rating of depression and a reduction of BDI score from 18 to 6 during the treatment course was recorded. Conclusions: Series of drawings illustrated shift from war related past toward current family life of the war veteran. Group art therapy gave him gratification and support with hope and a sense of belonging, thus facilitated his parenting readjustment.
[Mh] Termos MeSH primário: Terapia pela Arte
Relações Pai-Filho
Psicoterapia de Grupo
Transtornos de Estresse Pós-Traumáticos/psicologia
Transtornos de Estresse Pós-Traumáticos/terapia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Depressão/psicologia
Depressão/terapia
Relações Familiares
Seres Humanos
Masculino
Sérvia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.2298/VSP150429082M


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[PMID]:28460286
[Au] Autor:Burchert S; Stammel N; Knaevelsrud C
[Ad] Endereço:Department of Clinical Psychological Intervention, Freie Universität, Berlin, Germany. Electronic address: s.burchert@fu-berlin.de.
[Ti] Título:Transgenerational trauma in a post-conflict setting: Effects on offspring PTSS/PTSD and offspring vulnerability in Cambodian families.
[So] Source:Psychiatry Res;254:151-157, 2017 Aug.
[Is] ISSN:1872-7123
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:We assessed transgenerational effects of maternal traumatic exposure, posttraumatic stress symptoms and posttraumatic stress disorder on trauma-related symptoms in Cambodian offspring born after the genocidal Khmer Rouge Regime. We conducted a randomized cross-sectional study. N=378 mothers from 4 provinces of the country and one of each of their grown-up children were interviewed. Lifetime traumatic exposure was determined using a context-adapted event list. Present posttraumatic stress symptoms and a potential posttraumatic stress disorder were assessed using the civilian version of the Posttraumatic Stress Disorder Checklist. We found no indication of transgenerational effects that were directly related to maternal traumatic exposure, posttraumatic stress symptoms or posttraumatic stress disorder. Instead, a gender-specific moderating effect was found. Individual traumatic exposure had a stronger effect on posttraumatic stress symptoms in daughters, the higher the mother's lifetime traumatic exposure. There is evidence of an interaction between lifetime traumatic exposure of mothers and their offspring that can be interpreted as an increased vulnerability to symptoms of posttraumatic stress in daughters. The mechanisms of transgenerational trauma in the Cambodian context require further research, as learning from previous conflicts will be instructive when addressing the pressing humanitarian needs of today's world.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Asiático/psicologia
Relações Mãe-Filho/psicologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Crimes de Guerra/psicologia
Exposição à Guerra/efeitos adversos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Grupo com Ancestrais do Continente Asiático/etnologia
Camboja/etnologia
Criança
Estudos Transversais
Relações Familiares/psicologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Mães/psicologia
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/etnologia
Crimes de Guerra/etnologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[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


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[PMID]:29280399
[Au] Autor:Subramaniam M; Chong SA; Satghare P; Browning CJ; Thomas S
[Ad] Endereço:1 Research Division, Institute of Mental Health , Singapore, Singapore.
[Ti] Título:Gambling and family: A two-way relationship.
[So] Source:J Behav Addict;6(4):689-698, 2017 Dec 01.
[Is] ISSN:2063-5303
[Cp] País de publicação:Hungary
[La] Idioma:eng
[Ab] Resumo:Background and aims Families play an important role in the evolution of gambling and are also adversely affected by the disordered gambling of any one of their members. The aims of this study were to explore both the role families play in gambling initiation, maintenance, and help-seeking, and the harm caused to families by the gambling behavior using a qualitative approach. Methods Regular older adult gamblers were included in the study. In-depth interviews were conducted with 25 older adults to gain an understanding of gambling from their perspective. Older adult gamblers described their lived experience of gambling ranging from initiation to harm and attempts to cut down or limit gambling. Data were analyzed using thematic network analysis. Results The mean age of the 25 participants was 66.2 years. The majority were male (n = 18), of Chinese ethnicity (n = 16), had secondary education (n = 9), were married (n = 20), and currently employed (n = 15). Four organizing themes related to the role of families in initiation and maintenance of gambling, harm caused to family members, and their role in help-seeking were identified. Discussion and conclusions The study emphasizes the role of Asian families in both initiation and maintenance of gambling. Hence, families must be involved in prevention and outreach programs. Family members must be educated, so that they can encourage help-seeking to ensure early treatment and recovery. There is a need for interventional studies for reducing stress and improving coping among family members.
[Mh] Termos MeSH primário: Atitude
Relações Familiares
Jogo de Azar
Comportamento de Busca de Ajuda
Papel (Figurativo)
[Mh] Termos MeSH secundário: Idoso
Família
Feminino
Seres Humanos
Masculino
Pesquisa Qualitativa
Singapura
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1556/2006.6.2017.082


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[PMID]:28453141
[Au] Autor:Higuera-Dagovett E; Rojas-Gil MP; Garzón de Laverde DI
[Ad] Endereço:Universidad de Ciencias Aplicadas y Ambientales U.D.C.A, Bogotá, Colombia, elkhiguera@hotmail.com.
[Ti] Título:[Experience of arterial hypertension in the patient-family relationship in a care context].
[Ti] Título:Experiencia de hipertensión arterial en la relación paciente, familia y contexto de ayuda..
[So] Source:Rev Salud Publica (Bogota);17(6):874-885, 2015 Dec.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To understand how the narrative and conversational experience of arterial hypertension is configured in the relationships established among patients, family members, physicians and researchers-auditors, placing the illness in a care context to facilitate the dissemination of wellbeing narratives. Method Qualitative research with reflective and contextual conversational-narrative design, which involveda patient diagnosed with hypertension, his family and two doctors. The methods of constructing information was semi structured interviews, reflective observation and literature review. The systematization of information was carried out using frameworks designed for that purpose. For the interpretation of results, narrative and conversational analyses were used. Results In the process of constructing the experience of hypertension by family members or the physician, important aspects are not taken into account such as: the listening request, a demand for bonding, the experience of illness and in this case, the daily experience of old age. In this context, these kinds of relationships can lead to discomfort and suffering in the patient's experience of the illness. The conversation generated by all stakeholders enables the construction of dialogic-reflexive spaces that provide an opportunity to reshape relationships and experience of illness Conclusions The construction of contexts of care where one can talk and hear about issues without families and doctors facilitates the reconfiguration of the experience of illness, allowing for the inclusion of family and physicians in the generation of conversational-narrative positions. This implies personal and collective agency in order to mobilize and organize the resources they have, consistent with the patient's age and diagnosis.
[Mh] Termos MeSH primário: Relações Familiares
Hipertensão/psicologia
Narração
Relações Médico-Paciente
Relações Profissional-Família
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Hipertensão/terapia
Entrevistas como Assunto
Masculino
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453139
[Au] Autor:Zapata-López BI; Delgado-Villamizar NL; Cardona-Arango D
[Ad] Endereço:Universidad CES, Medellín, Colombia, dcardona@ces.edu.co.
[Ti] Título:[Social and family support to the elderly in urban areas].
[Ti] Título:Apoyo social y familiar al adulto mayor del área urbana en Angelópolis, Colombia 2011..
[So] Source:Rev Salud Publica (Bogota);17(6):848-860, 2015 Dec.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To describe the social and family support networks available to the elderly living in urban areas of the municipality of Angelópolis-Antioquia during the year 2011. Materials A descriptive transversal study was conductedusing the population experience to determine the social support received by the 239 seniors in the urban area of Angelópolis-Antioquia. The data was obtained from primary sources and univariate and bivariate analysis was conducted. Results Mostly women were interviewed (59.8 %) aged between 60 and 74 (66.9 %). The social status that appeared with the highest percentage was "married" (47.3 %) though with the interviewed women the social status with the highest occurrence was "widow" (40.6 %). 69,5 % had an elementary school educational level and 16,7 % had no formal education at all. 60.3 % were registered in the subsidized program. The support from families and friends was qualified as satisfactory. A statistically significant connection was found between gender and undertaking different activities in free time (value of p=0,004). Conclusions the study indicates that loneliness is an aspect that makes the elderly feel unprotected and vulnerable. Despite the general feeling of satisfaction regarding family support, some of them, especially women, expressed feeling mistreated. The data along with the lack of activities for spare time must be taken into account to formulate intervention strategies for effective support networks to improve the situation of this vulnerable population of the municipality.
[Mh] Termos MeSH primário: Envelhecimento/psicologia
Relações Familiares/psicologia
Apoio Social
Saúde da População Urbana
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Colômbia
Estudos Transversais
Maus-Tratos ao Idoso/psicologia
Maus-Tratos ao Idoso/estatística & dados numéricos
Feminino
Seres Humanos
Atividades de Lazer/psicologia
Solidão
Masculino
Estado Civil/estatística & dados numéricos
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE



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