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[PMID]:28876979
[Au] Autor:Boehm I; Nairz K; Morelli J; Silva Hasembank Keller P; Heverhagen JT
[Ad] Endereço:1 Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.
[Ti] Título:General anaesthesia for patients with a history of a contrast medium-induced anaphylaxis: a useful prophylaxis?
[So] Source:Br J Radiol;90(1079):20160647, 2017 Nov.
[Is] ISSN:1748-880X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Contrast-enhanced radiological examinations are important diagnostic tools in modern medicine. Currently, all approved and available iodinated and gadolinium-based contrast agents are safe and well-tolerated by most patients. However, approximately 2% of patients receiving iodinated contrast media exhibit hypersensitivity reactions. Patients with a history of such a reaction are at increased risk upon reexposure. Therefore, they are subjected to a prophylaxis such as injection of antiallergy drugs or general anaesthesia. The latter procedure is expensive, can burden the patients organism, and besides lacks objective verification. Therefore, the purpose of our review paper is to present and discuss the background and the previous practice, as well as to provide a proposal for a safe individual patient management.
[Mh] Termos MeSH primário: Anafilaxia/prevenção & controle
Anestesia Geral
Meios de Contraste/efeitos adversos
Pré-Medicação/métodos
Prevenção Secundária/métodos
[Mh] Termos MeSH secundário: Ansiedade/prevenção & controle
Gadolínio/efeitos adversos
Seres Humanos
Radioisótopos do Iodo/efeitos adversos
Transtornos Fóbicos/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Contrast Media); 0 (Iodine Radioisotopes); AU0V1LM3JT (Gadolinium)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170907
[St] Status:MEDLINE
[do] DOI:10.1259/bjr.20160647


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[PMID]:28767657
[Au] Autor:Schechter DS; Moser DA; Aue T; Gex-Fabry M; Pointet VC; Cordero MI; Suardi F; Manini A; Vital M; Sancho Rossignol A; Rothenberg M; Dayer AG; Ansermet F; Rusconi Serpa S
[Ad] Endereço:Child and Adolescent Psychiatry Service, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland.
[Ti] Título:Maternal PTSD and corresponding neural activity mediate effects of child exposure to violence on child PTSD symptoms.
[So] Source:PLoS One;12(8):e0181066, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to examine the relationship of maternal interpersonal violence-related posttraumatic stress disorder (IPV-PTSD), associated neural activity in response to mother-child relational stimuli, and child psychopathology indicators at child ages 12-42 months and one year later. The study tested the hypothesis that decreased maternal neural activity in regions that subserve emotion regulation would be associated with child symptoms associated with emotional dysregulation at both time points. Functional magnetic resonance imaging of 42 mothers with or without violence-exposure and associated IPV-PTSD were assessed. Their child's life-events and symptoms/behaviors indicative of high-risk subsequent PTSD diagnosis on a maternal-report questionnaire were measured one year later. Maternal IPV-PTSD severity was significantly associated with decreased ventromedial prefrontal cortex (vmPFC) activation in response to mother-child relational stimuli. Maternal IPV-PTSD severity and decreased vmPFC activation were then significantly associated with a child attachment disturbance at 12-42 months and symptoms/behaviors one year later, that were correlated with emotional dysregulation and risk for child PTSD. Maternal IPV-PTSD and child exposure to IPV were both predictive of child PTSD symptoms with maternal IPV-PTSD likely mediating the effects of child IPV exposure on child PTSD symptoms. These findings suggest that maternal IPV-PTSD severity and associated decreased vmPFC activity in response to mother-child relational stimuli are predictors of child psychopathology by age 12-42 months and one-year later. Significant findings in this paper may well be useful in understanding how maternal top-down cortico-limbic dysregulation promotes intergenerational transmission of IPV and related psychopathology and, thus should be targeted in treatment.
[Mh] Termos MeSH primário: Exposição à Violência/psicologia
Mães/psicologia
Transtornos de Estresse Pós-Traumáticos/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Encéfalo/diagnóstico por imagem
Estudos de Casos e Controles
Comportamento Infantil
Pré-Escolar
Feminino
Seres Humanos
Lactente
Entrevistas como Assunto
Modelos Lineares
Imagem por Ressonância Magnética
Masculino
Relações Mãe-Filho
Transtornos Fóbicos/diagnóstico
Transtornos Fóbicos/etiologia
Córtex Pré-Frontal/diagnóstico por imagem
Índice de Gravidade de Doença
Transtornos de Estresse Pós-Traumáticos/patologia
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181066


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[PMID]:28561634
[Au] Autor:Perczel-Forintos D; Kresznerits S
[Ad] Endereço:Klinikai Pszichológia Tanszék, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Tömo u. 25-29., 1083.
[Ti] Título:[Social anxiety and self-esteem: Hungarian validation of the "Brief Fear of Negative Evaluation Scale - Straightforward Items"].
[Ti] Título:Szociális szorongás és önértékelés: a "Félelem a negatív megítéléstol" (FÉLNE) kérdoív hazai adaptációja..
[So] Source:Orv Hetil;158(22):843-850, 2017 Jun.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:INTRODUCTION: Although social anxiety disorder (SAD) is the third most frequent emotional disorder with 13-15% prevalence rate, it remains unrecognized very often. Social phobia is associated with low self-esteem, high self-criticism and fear of negative evaluation by others. It shows high comorbidity with depression, alcoholism, drug addiction and eating disorders. AIM: To adapt the widely used "Fear of Negative Evaluation" (FNE) social phobia questionnaire. METHOD: Anxiety and mood disorder patients (n = 255) completed the Fear of Negative Evaluation Scale (30, 12 and 8 item-versions) as well as social cognition, anxiety and self-esteem questionnaires. RESULTS: All the three versions of the FNE have strong internal validity (α>0.83) and moderate significant correlation with low self-esteem, negative social cognitions and anxiety. The short 8-item BFNE-S has the strongest disciminative value in differentiating patients with social phobia and with other emotional disorders. CONCLUSIONS: The Hungarian version of the BFNE-S is an effective tool for the quick recognition of social phobia. Orv Hetil. 2017; 158(22): 843-850.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/diagnóstico
Transtornos Fóbicos/diagnóstico
Autoimagem
Inquéritos e Questionários/normas
[Mh] Termos MeSH secundário: Transtornos de Ansiedade/psicologia
Feminino
Seres Humanos
Hungria
Controle Interno-Externo
Linguagem
Masculino
Transtornos Fóbicos/psicologia
Reprodutibilidade dos Testes
Desejabilidade Social
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170601
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30755


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[PMID]:28480849
[Au] Autor:Khundadze M; Geladze N; Kapanadze N
[Ad] Endereço:Tbilisi State Medical University, Department of Child Neurology, Georgia.
[Ti] Título:IMPACT OF INTERNET GAMBLING ON MENTAL AND PSYCHOLOGICAL HEALTH OF CHILDREN OF VARIOUS AGES.
[So] Source:Georgian Med News;(264):50-53, 2017 Mar.
[Is] ISSN:1512-0112
[Cp] País de publicação:Georgia (Republic)
[La] Idioma:eng
[Ab] Resumo:The aim of the study was to assess the impact of internet gambling on children's mental and physical health and find correlation between the age, duration of internet use and type of comorbidity associated with internet gambling. The study assessed 50 patients with internet gambling (35 boys, 15 girls) from 2013-2016 y. The age range was 3-15 years. 15 patients were from 3-7 y of age, 20 patients from 7-12 y and 15 - from 12-15 y of age. The core problem common for all patients were internet overuse by computer games, mobile device and other gadgets. The main problem occurring in these children were insomnia, language delay, stuttering, behavioral disturbances, aggressive behavior phobias. These complaints were correlated with age of patients. The group of patients from 3-7 years of age exhibited sleep disturbances and language impairment, mainly presented with stuttering. The complaints occurring in children from 7-12 y of age are: tics, insomnia, phobias, emotional disturbances, daily fatigue, and attention-deficit. The group of children aged 12-15 years mainly revealed poor academic performance, refuse to play sport games, refuse to play music, insomnia, aggressive behavior, attention deficit, conflict with parents, coprolalia. Thus internet overuse affects physical and psychological aspects of child development which has to be managed by parental and psychologist's joint effort.
[Mh] Termos MeSH primário: Jogo de Azar/psicologia
[Mh] Termos MeSH secundário: Adolescente
Fatores Etários
Agressão/psicologia
Criança
Pré-Escolar
Feminino
Seres Humanos
Internet
Masculino
Transtornos Fóbicos/etiologia
Transtornos Fóbicos/psicologia
Distúrbios do Início e da Manutenção do Sono/etiologia
Distúrbios do Início e da Manutenção do Sono/psicologia
Distúrbios da Fala/etiologia
Distúrbios da Fala/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE


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[PMID]:28417842
[Au] Autor:Spurling KJ; McGoldrick VP
[Ti] Título:Blood-Injection-Injury (B-I-I) Specific Phobia Affects the Outcome of Hypoxic Challenge Testing.
[So] Source:Aerosp Med Hum Perform;88(5):503-506, 2017 May 01.
[Is] ISSN:2375-6314
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Blood-injection-injury (B-I-I) phobia is capable of producing inaccurate hypoxic challenge testing results due to anxiety-induced hyperventilation. CASE REPORT: A 69-yr-old woman with a history of hypersensitivity pneumonitis, restrictive spirometry, exercise desaturation requiring supplementary oxygen on mobilizing, reduced DLco, and B-I-I phobia was referred for hypoxic challenge testing (HCT) to assess in-flight oxygen requirements. HCT was performed by breathing a 15% FIo2 gas mixture, simulating the available oxygen in ambient air onboard aircraft pressurized to an equivalent altitude of 8000 ft. Spo2 fell to a nadir value of 81% during HCT, although it rapidly increased to 89% during the first of two attempts at blood gas sampling. A resultant blood gas sample showed an acceptable Po2 outside the criteria for recommending in-flight oxygen and a reduced Pco2. Entering the nadir Spo2 value into the Severinghaus equation gives an estimated arterial Po2 of 6 kPa (45 mmHg), which was felt to be more representative of resting values during HCT, and in-flight oxygen was recommended. DISCUSSION: While hyperventilation is an expected response to hypoxia, transient rises in Spo2 coinciding with threat of injury are likely to be attributable to emotional stress-induced hyperventilation, characteristic of B-I-I specific phobia and expected during the anticipation of exteroceptive threat, even in normal subjects. In summary, should excessive hyperventilation be detected during HCT and coincide with transient increases in Spo2, HCT should be repeated using Spo2 only as a guide to the level of hypoxemia, and Spo2 maintained using supplementary oxygen in accordance with alternative methods described in guidelines.Spurling KJ, McGoldrick VP. Blood-injection-injury (B-I-I) specific phobia affects the outcome of hypoxic challenge testing. Aerosp Med Hum Perform. 2017; 88(5):503-506.
[Mh] Termos MeSH primário: Alveolite Alérgica Extrínseca/sangue
Sangue
Hiperventilação/psicologia
Hipóxia/sangue
Agulhas
Transtornos Fóbicos/psicologia
[Mh] Termos MeSH secundário: Medicina Aeroespacial
Idoso
Altitude
Gasometria
Feminino
Seres Humanos
Hiperventilação/sangue
Hiperventilação/etiologia
Transtornos Fóbicos/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM; S
[Da] Data de entrada para processamento:170419
[St] Status:MEDLINE
[do] DOI:10.3357/AMHP.4730.2017


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[PMID]:28403387
[Au] Autor:Marin MF; Zsido RG; Song H; Lasko NB; Killgore WDS; Rauch SL; Simon NM; Milad MR
[Ad] Endereço:Department of Psychiatry, Massachusetts General Hospital, Boston2Department of Psychiatry, Harvard Medical School, Boston, Massachusetts3currently with the Research Center of the Montreal Mental Health University Institute, Department of Psychiatry, Faculty of Medicine, University of Montreal, Montr
[Ti] Título:Skin Conductance Responses and Neural Activations During Fear Conditioning and Extinction Recall Across Anxiety Disorders.
[So] Source:JAMA Psychiatry;74(6):622-631, 2017 Jun 01.
[Is] ISSN:2168-6238
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: The fear conditioning and extinction neurocircuitry has been extensively studied in healthy and clinical populations, with a particular focus on posttraumatic stress disorder. Despite significant overlap of symptoms between posttraumatic stress disorder and anxiety disorders, the latter has received less attention. Given that dysregulated fear levels characterize anxiety disorders, examining the neural correlates of fear and extinction learning may shed light on the pathogenesis of underlying anxiety disorders. Objectives: To investigate the psychophysiological and neural correlates of fear conditioning and extinction recall in anxiety disorders and to document how these features differ as a function of multiple diagnoses or anxiety severity. Design, Setting, and Participants: This investigation was a cross-sectional, case-control, functional magnetic resonance imaging study at an academic medical center. Participants were healthy controls and individuals with at least 1 of the following anxiety disorders: generalized anxiety disorder, social anxiety disorder, specific phobia, and panic disorder. The study dates were between March 2013 and May 2015. Exposures: Two-day fear conditioning and extinction paradigm. Main Outcomes and Measures: Skin conductance responses, blood oxygenation level-dependent responses, trait anxiety scores from the State Trait Anxiety Inventory-Trait Form, and functional connectivity. Results: This study included 21 healthy controls (10 women) and 61 individuals with anxiety disorders (36 women). P values reported for the neuroimaging results are all familywise error corrected. Skin conductance responses during extinction recall did not differ between individuals with anxiety disorders and healthy controls (ηp2 = 0.001, P = .79), where ηp2 is partial eta squared. The anxiety group had lower activation of the ventromedial prefrontal cortex (vmPFC) during extinction recall (ηp2 = 0.178, P = .02). A similar hypoactive pattern was found during early conditioning (ηp2 = 0.106, P = .009). The vmPFC hypoactivation was associated with anxiety symptom severity (r = -0.420, P = .01 for conditioning and r = -0.464, P = .004 for extinction recall) and the number of co-occuring anxiety disorders diagnosed (ηp2 = 0.137, P = .009 for conditioning and ηp2 = 0.227, P = .004 for extinction recall). Psychophysiological interaction analyses revealed that the fear network connectivity differed between healthy controls and the anxiety group during fear learning (ηp2 range between 0.088 and 0.176 and P range between 0.02 and 0.003) and extinction recall (ηp2 range between 0.111 and 0.235 and P range between 0.02 and 0.002). Conclusions and Relevance: Despite no skin conductance response group differences during extinction recall, brain activation patterns between anxious and healthy individuals differed. These findings encourage future studies to examine the conditions longitudinally and in the context of treatment trials to improve and guide therapeutics via advanced neurobiological understanding of each disorder.
[Mh] Termos MeSH primário: Transtornos de Ansiedade/fisiopatologia
Transtornos de Ansiedade/psicologia
Nível de Alerta/fisiologia
Condicionamento Clássico/fisiologia
Extinção Psicológica/fisiologia
Medo/fisiologia
Resposta Galvânica da Pele/fisiologia
Rememoração Mental/fisiologia
[Mh] Termos MeSH secundário: Adulto
Encéfalo/fisiopatologia
Mapeamento Encefálico
Estudos de Casos e Controles
Estudos Transversais
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Rede Nervosa/fisiopatologia
Oxigênio/sangue
Transtorno de Pânico/fisiopatologia
Transtorno de Pânico/psicologia
Fobia Social/fisiopatologia
Fobia Social/psicologia
Transtornos Fóbicos/fisiopatologia
Transtornos Fóbicos/psicologia
Estatística como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
S88TT14065 (Oxygen)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1001/jamapsychiatry.2017.0329


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[PMID]:28395642
[Au] Autor:Bassett JF
[Ad] Endereço:1 Department of Psychological Science, Lander University, Greenwood, SC, USA.
[Ti] Título:Disgust Sensitivity Accounts for Some But Not All Gender Differences in Death Attitudes.
[So] Source:Omega (Westport);75(1):26-46, 2017 May.
[Is] ISSN:1541-3764
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The present study investigated whether gender differences in death attitudes could be attributable to social desirability, locus of control, and disgust sensitivity. A total of 238 university students completed the Multidimensional Fear of Death Scale and the Revised Death Attitude Profile in addition to measures of social desirability, locus of control, and disgust sensitivity. Women scored higher than men on many of the fear dimensions and also on approach and escape acceptance. There were no gender differences on locus of control or social desirability, but women reported more disgust sensitivity than did men. Locus of control was unrelated to any death attitudes. Social desirability was associated only with less reported fear of premature death. Disgust sensitivity was associated with all death attitudes except neutral acceptance. Some but not all of the gender differences in death attitudes were no longer significant when controlling for disgust sensitivity.
[Mh] Termos MeSH primário: Atitude Frente à Morte
Medo
Transtornos Fóbicos
Estudantes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Feminino
Identidade de Gênero
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170412
[St] Status:MEDLINE
[do] DOI:10.1177/0030222815612604


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[PMID]:28394508
[Au] Autor:Albor YC; Benjet C; Méndez E; Medina-Mora ME
[Ad] Endereço:Department of Public Health, School of Medicine, National Autonomous University of México, Mexico City, México.
[Ti] Título:Persistence of Specific Phobia From Adolescence to Early Adulthood: Longitudinal Follow-Up of the Mexican Adolescent Mental Health Survey.
[So] Source:J Clin Psychiatry;78(3):340-346, 2017 Mar.
[Is] ISSN:1555-2101
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Specific phobia is one of the most common psychiatric disorders in the general population, begins at a younger age, and has high comorbidity. However, it receives less treatment than other disorders, perhaps because it is circumscribed to a specific object or situation that can be avoided or is difficult to differentiate from developmentally adaptive fear. Longitudinal studies are needed to clarify its clinical significance, risk factors, and course. This study was designed to determine the persistence of specific phobia in participants during an 8-year period from adolescence to young adulthood and its predictors in a Mexican cohort. METHODS: 1,071 respondents from a representative 2-wave panel sample participated in the Mexican Adolescent Mental Health Survey in 2005 and in the follow-up survey in 2013. DSM-IV disorders were evaluated with the World Mental Health Composite International Diagnostic Interview. RESULTS: Of adolescents with specific phobia at baseline, 17.46% persisted into adulthood. Persistence of specific phobia was predicted by an age of onset of disorder in adolescence (risk ratio [RR] = 2.83, 95% CI, 1.30-6.13), parental neglect (RR = 2.76, 95% CI, 1.35-5.65), a first-degree relative with specific phobia (RR = 2.69, 95% CI, 1.34-5.39) and economic adversities (RR = 2.06, 95% CI, 1.21-3.53). Noncomorbid specific phobia in adolescence predicted incidence of other anxiety and substance use disorders in early adulthood (RR = 1.98; 95% CI, 1.11-3.54 and RR = 1.35; 95% CI, 1.07-1.69, respectively). CONCLUSIONS: While many adolescents with specific phobia remit in adulthood, there are early adult consequences of adolescent phobia and identifiable risk factors for persistence that suggest a group of adolescents that might benefit from early intervention.
[Mh] Termos MeSH primário: Transtornos Fóbicos/diagnóstico
Transtornos Fóbicos/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Idade de Início
Estudos Transversais
Feminino
Seguimentos
Predisposição Genética para Doença/genética
Inquéritos Epidemiológicos
Seres Humanos
Estudos Longitudinais
Masculino
México
Transtornos Fóbicos/genética
Transtornos Fóbicos/psicologia
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170612
[Lr] Data última revisão:
170612
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170411
[St] Status:MEDLINE
[do] DOI:10.4088/JCP.15m10569


  9 / 9830 MEDLINE  
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Texto completo SciELO Saúde Pública
[PMID]:28380146
[Au] Autor:Schnettler B; Höger Y; Orellana L; Miranda H; Lobos G; Sepúlveda J; Sanchez M; Miranda-Zapata E; Denegri M; Grunert KG; Salinas-Oñate N
[Ad] Endereço:Universidad de La Frontera, Temuco, Chile.
[Ti] Título:Food neophobia, life satisfaction and family eating habits in university students.
[So] Source:Cad Saude Publica;33(3):e00165615, 2017 Apr 03.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to categorize university students based on their association between food neophobia and levels of subjective well-being, in general and in the food domain, and their perception of their family's eating habits. A survey was conducted among 372 university students from southern Chile. The questionnaire included the Food Neophobia Scale (FNS), Satisfaction with Life Scale (SWLS), Satisfaction with Food-related Life (SWFL), Health-related Quality of Life Index (HRQOL-4), and Family Eating Habits Questionnaire (FEHQ). Three student types were distinguished by cluster analysis: Group 1 (26.9%) had the highest scores on the FNS, SWLS and SWFL. Group 2 (40.8%) had a high score on the FNS but the lowest scores on the SWLS and SWFL. Group 3 (32.3%) had the lowest FNS score and high scores on the SWLS and SWFL. Group 2 stood out in having a low score on the FEHQ's component for cohesiveness of family eating. These results suggest that both neophobic and non-neophobic students have positive levels of satisfaction with life and food-related life, and that satisfaction among neophobic students is related to family eating patterns, especially cohesiveness in family eating.
[Mh] Termos MeSH primário: Comportamento de Escolha
Preferências Alimentares/psicologia
Satisfação Pessoal
Transtornos Fóbicos/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Brasil
Chile/epidemiologia
Análise por Conglomerados
Feminino
Seres Humanos
Masculino
Transtornos Fóbicos/psicologia
Qualidade de Vida
Fatores Socioeconômicos
Estudantes
Inquéritos e Questionários
Universidades
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE


  10 / 9830 MEDLINE  
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[PMID]:28369672
[Au] Autor:O'Connell MA; Leahy-Warren P; Khashan AS; Kenny LC; O'Neill SM
[Ad] Endereço:Irish Centre for Fetal and Neonatal Translational Research (INFANT Center), Department of Obstetrics & Gynecology, Cork University Maternity Hospital, Wilton, Cork, Ireland.
[Ti] Título:Worldwide prevalence of tocophobia in pregnant women: systematic review and meta-analysis.
[So] Source:Acta Obstet Gynecol Scand;96(8):907-920, 2017 Aug.
[Is] ISSN:1600-0412
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Tocophobia is defined as a severe fear of pregnancy and childbirth. There is increasing evidence that tocophobia may have short-term and long-term adverse effects on mother and baby. We performed a systematic review and meta-analysis to determine the global prevalence of tocophobia in pregnancy. MATERIAL AND METHODS: Relevant articles were identified through searching six relevant databases: MEDLINE, CINAHL, Pubmed, PsycINFO, Maternity & Infant Care and Scopus between 1946 and April 2016. We used search terms for tocophobia prevalence in pregnant women that we agreed on with a medical librarian. There were no language restrictions. Two review authors independently assessed data for inclusion, extracted data and assessed quality using a standardized appraisal tool. Meta-analysis was performed to determine the overall pooled-prevalence of tocophobia. Several subgroup and sensitivity analyses were conducted. RESULTS: Thirty-three studies were included in the systematic review from 18 countries of which data from 29 studies were used in the meta-analysis of 853 988 pregnant women. Definition of tocophobia varied, whereas prevalence rates ranged between 3.7 and 43%. The overall pooled prevalence of tocophobia, using a random-effects model, was 14% (95% CI 0.12-0.16). Significant heterogeneity was observed (I = 99.25%, p = 0.00), which was not explained in subgroup analyses including tocophobia definition used, screening trimester and parity. CONCLUSION: The prevalence of tocophobia is estimated at 14% and appears to have increased in recent years (2000 onwards). Considerable heterogeneity (99.25%) was noted that may be attributed to lack of consensus on the definition of tocophobia, so our results should be interpreted with caution.
[Mh] Termos MeSH primário: Medo
Parto/psicologia
Transtornos Fóbicos/epidemiologia
Complicações na Gravidez/epidemiologia
[Mh] Termos MeSH secundário: Feminino
Saúde Global
Seres Humanos
Saúde Materna
Transtornos Fóbicos/etiologia
Gravidez
Complicações na Gravidez/etiologia
Prevalência
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.1111/aogs.13138



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