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[PMID]:28906378
[Au] Autor:Mayer S; Teufel M; Schaeffeler N; Keim U; Garbe C; Eigentler TK; Zipfel S; Forschner A
[Ad] Endereço:aDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital, Tuebingen bDepartment of Psychosomatic Medicine and Psychotherapy, LVR-University-Hospital, University Duisburg-Essen, Essen cDepartment of Dermatology, University Hospital, Tuebingen, Germany.
[Ti] Título:The need for psycho-oncological support for melanoma patients: Central role of patients' self-evaluation.
[So] Source:Medicine (Baltimore);96(37):e7987, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Despite an increasing number of promising treatment options, only a limited number of studies concerning melanoma patients' psycho-oncological distress have been carried out. However, multiple screening tools are in use to assess the need for psycho-oncological support. This study aimed first to identify parameters in melanoma patients that are associated with a higher risk for being psycho-oncologically distressed and second to compare patients' self-evaluation concerning the need for psycho-oncological support with the results of established screening tools.We performed a cross-sectional study including 254 melanoma patients from the Center for Dermatooncology at the University of Tuebingen. The study was performed between June 2010 and February 2013. Several screening instruments were included: the Distress Thermometer (DT), Hospital Anxiety and Depression Scale and the patients' subjective evaluation concerning psycho-oncological support. Binary logistic regression was performed to identify factors that indicate the need for psycho-oncological support.Patients' subjective evaluation concerning the need for psycho-oncological support, female gender, and psychotherapeutic or psychiatric treatment at present or in the past had the highest impact on values above threshold in the DT. The odds ratio of patients' self-evaluation (9.89) was even higher than somatic factors like female gender (1.85), duration of illness (0.99), or increasing age (0.97). Patients' self-evaluation concerning the need for psycho-oncological support indicated a moderate correlation with the results of the screening tools included.In addition to the results obtained by screening tools like the DT, we could demonstrate that patients' self-evaluation is an important instrument to identify patients who need psycho-oncological support.
[Mh] Termos MeSH primário: Autoavaliação Diagnóstica
Melanoma/psicologia
Neoplasias Cutâneas/psicologia
Estresse Psicológico/diagnóstico
Estresse Psicológico/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Seres Humanos
Masculino
Melanoma/complicações
Melanoma/terapia
Meia-Idade
Sistemas de Apoio Psicossocial
Neoplasias Cutâneas/complicações
Neoplasias Cutâneas/terapia
Estresse Psicológico/etiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007987


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[PMID]:28905466
[Au] Autor:Sagaon-Teyssier L; Mmadi Mrenda B; Khol V; Ferradini L; Mam S; Ngin S; Mora M; Maradan G; Vun Mean C; Ségéral O; Nerrienet E; Saphonn V; Spire B
[Ad] Endereço:Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé et Traitement de l'Information Médicale, Marseille, France.
[Ti] Título:Adherence to PI-based 2nd-line regimens in Cambodia is not simply a question of individual behaviour: the ANRS 12276 2PICAM study.
[So] Source:Trop Med Int Health;22(11):1428-1435, 2017 Nov.
[Is] ISSN:1365-3156
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To investigate whether adherence to antiretroviral treatment (ART) can be explained not only by individual factors but also by health care facilities' characteristics, among a sample of people living with HIV (PLWH) treated with PI-based regimens in Cambodia. METHODS: The ANRS 12276 2PICAM cross-sectional survey was conducted between February 2013 and April 2014 among PLWH followed up in 13 health care facilities. The 1316 patients in this analysis corresponded to 90% of the total number of adult patients treated with 2nd-line PI-based regimens in Cambodia in the study period. A variable indicating whether patients were non-adherent (=1) or completely adherent (=0) was constructed. Health care facilities and individual characteristics were included in a two-level logistic model to investigate their influence on patients' adherence to ART. RESULTS: A total of 17% of participants did not adhere to ART. Patients in health care facilities outside the capital Phnom Penh were six times more likely to be non-adherent than those treated in health care facilities in the capital (OR: 6.15, 95% CI [1.47, 25.79]). Providing psychosocial care (provided by psychologist counsellors and/or full-time coaches) was found to be a structural facilitator of adherence, as the probability of non-adherence fell by 38.5% per each additional psychological worker present in health care facilities (OR: 0.62, 95% CI [0.43, 0.89]). Financial constraints were the main individual factor preventing adherence. CONCLUSIONS: Our results suggest that inefficiencies in health care delivery are detrimental to PLWH health and to the exceptional progress currently being made by Cambodia in response to HIV. Policy makers should focus on increasing the number of psychosocial workers, especially in areas outside the capital.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico
Infecções por HIV/tratamento farmacológico
Instalações de Saúde
Adesão à Medicação
Sistemas de Apoio Psicossocial
Qualidade da Assistência à Saúde
Distribuição Espacial da População
[Mh] Termos MeSH secundário: Adulto
Fármacos Anti-HIV/economia
Camboja
Estudos Transversais
Feminino
Gastos em Saúde
Seres Humanos
Modelos Logísticos
Masculino
Adesão à Medicação/psicologia
Meia-Idade
Razão de Chances
Psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.1111/tmi.12975


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[PMID]:28818837
[Au] Autor:Doupnik SK; Hill D; Palakshappa D; Worsley D; Bae H; Shaik A; Qiu MK; Marsac M; Feudtner C
[Ad] Endereço:Division of General Pediatrics, doupniks@chop.edu.
[Ti] Título:Parent Coping Support Interventions During Acute Pediatric Hospitalizations: A Meta-Analysis.
[So] Source:Pediatrics;140(3), 2017 Sep.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Parents may experience psychological distress when a child is acutely hospitalized, which can negatively affect child outcomes. Interventions designed to support parents' coping have the potential to mitigate this distress. OBJECTIVE: To describe interventions designed to provide coping support to parents of hospitalized children and conduct a meta-analysis of coping support intervention outcomes (parent anxiety, depression, and stress). DATA SOURCES: We searched Pubmed, Embase, PsycINFO, Psychiatry Online, and Cumulative Index to Nursing and Allied Health Literature from 1985 to 2016 for English-language articles including the concepts "pediatric," "hospitalization," "parents," and "coping support intervention." STUDY SELECTION: Two authors reviewed titles and abstracts to identify studies meeting inclusion criteria and reviewed full text if a determination was not possible using the title and abstract. References of studies meeting inclusion criteria were reviewed to identify additional articles for inclusion. DATA EXTRACTION: Two authors abstracted data and assessed risk of bias by using a structured instrument. RESULTS: Initial searches yielded 3450 abstracts for possible inclusion. Thirty-two studies met criteria for inclusion in the systematic review and 12 studies met criteria for inclusion in the meta-analysis. The most commonly measured outcomes were parent depression, anxiety, and stress symptoms. In meta-analysis, combined intervention effects significantly reduced parent anxiety and stress but not depression. Heterogeneity among included studies was high. LIMITATIONS: Most included studies were conducted at single centers with small sample sizes. CONCLUSIONS: Coping support interventions can alleviate parents' psychological distress during children's hospitalization. More evidence is needed to determine if such interventions benefit children.
[Mh] Termos MeSH primário: Adaptação Psicológica
Criança Hospitalizada/psicologia
Pais/psicologia
Sistemas de Apoio Psicossocial
Estresse Psicológico/psicologia
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Hospitalização
Hospitais Pediátricos
Seres Humanos
Estresse Psicológico/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171015
[Lr] Data última revisão:
171015
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE


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[PMID]:28251627
[Au] Autor:Young K; Fisher J; Kirkman M
[Ad] Endereço:Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
[Ti] Título:Clinicians' perceptions of women's experiences of endometriosis and of psychosocial care for endometriosis.
[So] Source:Aust N Z J Obstet Gynaecol;57(1):87-92, 2017 Feb.
[Is] ISSN:1479-828X
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Endometriosis is a complex, chronic condition with known psychological and social implications for women. Little is known about clinicians' perceptions of the psychosocial aspects of endometriosis and associated care. AIM: To describe clinicians' perceptions of women's experiences of living with endometriosis and of the provision of psychosocial care for endometriosis. MATERIALS AND METHODS: A qualitative approach was taken using semi-structured interviews with eight gynaecologists and four general practitioners who provide care to women with endometriosis in Victoria, conducted by telephone and in person from June to December 2014. RESULTS: Clinicians' perceptions of women's experiences of endometriosis were consistent with those reported by women, particularly when discussing potential infertility. However, less comprehensive descriptions of the effects of endometriosis on women's work and social life and intimate relationships were observed. Some clinicians asserted that endometriosis is caused by poor mental health. General practitioners positioned themselves as best placed to provide psychosocial care to women with endometriosis; gynaecologists suggested various potential providers but rarely themselves. Most clinicians assessed themselves as not being adequately trained to understand and provide care for the psychosocial aspects of endometriosis; half of the gynaecologists did not believe it was necessary for them to do so. CONCLUSIONS: The findings of this research demonstrate clinicians' need for further support in the provision of psychosocial care for women with endometriosis, potentially through expanded clinical guidelines and professional development opportunities.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Endometriose/psicologia
Medicina Geral
Ginecologia
Saúde Mental
[Mh] Termos MeSH secundário: Emprego
Endometriose/etiologia
Endometriose/terapia
Feminino
Medicina Geral/educação
Ginecologia/educação
Seres Humanos
Infertilidade Feminina/etiologia
Infertilidade Feminina/psicologia
Relações Interpessoais
Entrevistas como Assunto
Masculino
Percepção
Sistemas de Apoio Psicossocial
Pesquisa Qualitativa
Participação Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170324
[Lr] Data última revisão:
170324
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE
[do] DOI:10.1111/ajo.12571


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[PMID]:28135999
[Au] Autor:Hjärthag F; Persson K; Ingvarsdotter K; Östman M
[Ad] Endereço:1 Department of Psychology, Karlstad University, Karlstad, Sweden.
[Ti] Título:Professional views of supporting relatives of mental health clients with severe mental illness.
[So] Source:Int J Soc Psychiatry;63(1):63-69, 2017 Feb.
[Is] ISSN:1741-2854
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Supporting families where one person suffers from long-term severe mental illness (SMI) is essential, but seems hard to reach. The aim of this study was to examine professionals' views of supporting relatives of persons with SMI. MATERIAL: Individual interviews mirroring personal narratives and group interviews reflecting group-processed answers were conducted among 23 professionals and analyzed thematically. RESULTS: Three themes emerged: (a) information and group interaction reduces stigma and increases well-being, (b) professionals need to feel secure and confident about how the support structure works and (c) collaboration is difficult but required on several levels. CONCLUSION: Trusting relationships with families were considered important, although seldom achieved; professionals wished to feel secure in their role toward relatives of a person with SMI; and professionals wanted to feel confident when working together with other services to support families.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Família/psicologia
Transtornos Mentais/terapia
Saúde Mental
Sistemas de Apoio Psicossocial
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Terapia Familiar
Seres Humanos
Entrevistas como Assunto
Pesquisa Qualitativa
Estigma Social
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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:170201
[St] Status:MEDLINE
[do] DOI:10.1177/0020764016682268


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[PMID]:28099475
[Au] Autor:Khanal S; Elsey H; King R; Baral SC; Bhatta BR; Newell JN
[Ad] Endereço:Health Research and Social Development Forum (HERD) Nepal, Thapathali, Kathmandu, Nepal.
[Ti] Título:Development of a Patient-Centred, Psychosocial Support Intervention for Multi-Drug-Resistant Tuberculosis (MDR-TB) Care in Nepal.
[So] Source:PLoS One;12(1):e0167559, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Multi-drug-resistant tuberculosis (MDR-TB) poses a major threat to public health worldwide, particularly in low-income countries. The current long (20 month) and arduous treatment regime uses powerful drugs with side-effects that include mental ill-health. It has a high loss-to-follow-up (25%) and higher case fatality and lower cure-rates than those with drug sensitive tuberculosis (TB). While some national TB programmes provide small financial allowances to patients, other aspects of psychosocial ill-health, including iatrogenic ones, are not routinely assessed or addressed. We aimed to develop an intervention to improve psycho-social well-being for MDR-TB patients in Nepal. To do this we conducted qualitative work with MDR-TB patients, health professionals and the National TB programme (NTP) in Nepal. We conducted semi-structured interviews (SSIs) with 15 patients (10 men and 5 women, aged 21 to 68), four family members and three frontline health workers. In addition, three focus groups were held with MDR-TB patients and three with their family members. We conducted a series of meetings and workshops with key stakeholders to design the intervention, working closely with the NTP to enable government ownership. Our findings highlight the negative impacts of MDR-TB treatment on mental health, with greater impacts felt among those with limited social and financial support, predominantly married women. Michie et al's (2011) framework for behaviour change proved helpful in identifying corresponding practice- and policy-level changes. The findings from this study emphasise the need for tailored psycho-social support. Recent work on simple psychological support packages for the general population can usefully be adapted for use with people with MDR-TB.
[Mh] Termos MeSH primário: Antituberculosos/efeitos adversos
Assistência Centrada no Paciente/métodos
Sistemas de Apoio Psicossocial
Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico
Tuberculose Resistente a Múltiplos Medicamentos/psicologia
Tuberculose Pulmonar/tratamento farmacológico
Tuberculose Pulmonar/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Antituberculosos/uso terapêutico
Feminino
Grupos Focais
Seres Humanos
Masculino
Meia-Idade
Nepal
Educação de Pacientes como Assunto
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antitubercular Agents)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170119
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0167559


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[PMID]:28090039
[Au] Autor:Kim HJ; Min JY; Min KB
[Ad] Endereço:Institute of Health and Environment, Seoul National University, Seoul 08826, Republic of Korea.
[Ti] Título:Interaction between the RGS6 gene and psychosocial stress on obesity-related traits.
[So] Source:Endocr J;64(3):357-362, 2017 Mar 31.
[Is] ISSN:1348-4540
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:Obesity is a major risk factor for chronic diseases and arises from the interactions between environmental factors and multiple genes. Psychosocial stress may affect the risk for obesity, modifying food intake and choice. A recent study suggested regulator of G-protein signaling 6 (RGS6) as a novel candidate gene for obesity in terms of reward-related feeding under stress. In this study, we tried to verify the unidentified connection between RGS6 and human obesity with psychosocial stress in a Korean population. A total of 1,462 adult subjects, who participated in the Korean Association Resource cohort project, were included for this analysis. Obesity-related traits including waist circumference, body mass index, and visceral adipose tissue were recorded. A total of 4 intronic SNPs for the RGS6 gene were used for this study. We found that interactions between SNP rs2239219 and psychosocial stress are significantly associated with abdominal obesity (p = 0.007). As risk allele of this SNP increased, prevalence of abdominal obesity under high-stress conditions gradually increased (p = 0.013). However, we found no SNPs-by-stress interaction effect on other adiposity phenotypes. This study suggests that RGS6 is closely linked to stress-induced abdominal obesity in Korean adults.
[Mh] Termos MeSH primário: Obesidade Abdominal/genética
Polimorfismo de Nucleotídeo Único
Proteínas RGS/genética
Estresse Psicológico/genética
[Mh] Termos MeSH secundário: Adiposidade
Índice de Massa Corporal
Estudos de Casos e Controles
Estudos de Coortes
Feminino
Interação Gene-Ambiente
Estudos de Associação Genética
Predisposição Genética para Doença
Seres Humanos
Desequilíbrio de Ligação
Masculino
Meia-Idade
Obesidade/epidemiologia
Obesidade/genética
Obesidade/fisiopatologia
Obesidade/psicologia
Obesidade Abdominal/epidemiologia
Obesidade Abdominal/fisiopatologia
Obesidade Abdominal/psicologia
Prevalência
Sistemas de Apoio Psicossocial
Proteínas RGS/metabolismo
República da Coreia/epidemiologia
Fatores de Risco
Estresse Psicológico/epidemiologia
Estresse Psicológico/etiologia
Estresse Psicológico/fisiopatologia
Circunferência da Cintura
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (RGS Proteins); 0 (RGS6 protein, human)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE
[do] DOI:10.1507/endocrj.EJ16-0438


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[PMID]:28070781
[Au] Autor:Shogren KA; Shaw LA; Wehmeyer ML; Thompson JR; Lang KM; Tassé MJ; Schalock RL
[Ad] Endereço:University of Kansas, 1200 Sunnyside Ave., Rm. 3134, Lawrence, KS, 66045, USA. shogren@ku.edu.
[Ti] Título:The Support Needs of Children with Intellectual Disability and Autism: Implications for Supports Planning and Subgroup Classification.
[So] Source:J Autism Dev Disord;47(3):865-877, 2017 Mar.
[Is] ISSN:1573-3432
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Supports Intensity Scale-Children's version (SIS-C) was developed to provide a standardized measure of support needs of children with intellectual disability. Over half of the norming sample had a secondary diagnosis of autism. Using this subset of the sample, we engaged in exploratory analysis to examine the degree to which latent clusters were present in the data, and after identifying these clusters, the degree to which they mapped on the SIS-C standard scores. A four latent class solution provided the best fit to the data. When mapped on SIS-C standard scores, specific patterns of differences were found in life activity domain scores and overall support needs scores. Implications for future research and practice are discussed.
[Mh] Termos MeSH primário: Transtorno Autístico/psicologia
Avaliação da Deficiência
Deficiência Intelectual/psicologia
Determinação de Necessidades de Cuidados de Saúde/normas
Sistemas de Apoio Psicossocial
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Masculino
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171021
[Lr] Data última revisão:
171021
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE
[do] DOI:10.1007/s10803-016-2995-y


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[PMID]:28068538
[Au] Autor:Gopalan G; Lee SJ; Harris R; Acri MC; Munson MR
[Ad] Endereço:University of Maryland School of Social Work, 525 West Redwood Street, Baltimore, MD 21201, United States. Electronic address: ggopalan@ssw.umaryland.edu.
[Ti] Título:Utilization of peers in services for youth with emotional and behavioral challenges: A scoping review.
[So] Source:J Adolesc;55:88-115, 2017 Feb.
[Is] ISSN:1095-9254
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This scoping review synthesizes published and unpublished information on Youth Peer Support Services (YPSS), where young adults with current or prior mental health challenges provide support services to other youth and young adults currently struggling with similar difficulties. Existing published and unpublished "grey" literature were reviewed, yielding 30 programs included for data extraction and qualitative syntheses using a descriptive analytic framework. Findings identify variations in service delivery structures, program goals, host service systems, peer roles, core competencies, training and supervision needs, outcomes for youth and young adult consumers, as well as organizational readiness needs to integrate YPSS. Recommendations for future research, practice, and policy include more studies evaluating the unique impact of YPSS using rigorous methodological study designs, identifying developmentally appropriate training/supervision strategies and overall service costs and financing options, as well as distinguishing YPSS from other peer models with regard to certification and billing.
[Mh] Termos MeSH primário: Transtornos Mentais/psicologia
Serviços de Saúde Mental/organização & administração
Grupo Associado
Sistemas de Apoio Psicossocial
[Mh] Termos MeSH secundário: Adolescente
Adulto
Seres Humanos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170110
[St] Status:MEDLINE


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[PMID]:28005164
[Au] Autor:Metzner F; Siefert S; Pawils S
[Ad] Endereço:Institut für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland. fmetzner@uke.de.
[Ti] Título:[Psychosocial counselling in gynecological practices : Results from a nationwide, representative survey of gynecologists in Germany].
[Ti] Título:Psychosoziale Beratung in Frauenarztpraxen : Ergebnisse einer bundesweiten, repräsentativen Befragung von niedergelassenen Gynäkologen in Deutschland..
[So] Source:Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz;60(2):163-170, 2017 Feb.
[Is] ISSN:1437-1588
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:BACKGROUND: Due to their high social acceptance gynecologists provide ideal conditions for approaching families. Psychosocial stress (PSS), e. g. in the context of partnership conflicts, poverty or social isolation can be identified and support can be initiated. OBJECTIVES: The aim of the study was to capture attitudes and engagement of gynecologists dealing with patients with PSS in gynecological practices in Germany. METHODS: Out of 3000 randomly selected gynecologists in private practices, 1034 (response rate: 35%) took part in a Germany-wide questionnaire study on gynecologists' sense of responsibility, procedures and barriers when dealing with women with PSS. RESULTS: Ninety-six percent of the surveyed gynecologists felt responsible for patients with PSS. On average, gynecologists assumed PSS in 23% of their patients. Most of the gynecologists counseled patients with PSS and referral into the regional help system often occurred. When asked about the German early intervention system, 74% responded that they could imagine their own practice participating in this system. A need for improvement was observed in networking and financing. Significant differences in screening and interventions were found mainly in terms of professional experience, old vs. new federal states as well as between single and joint practices. CONCLUSIONS: Surprisingly, openness and engagement for patients with PSS were found in gynecological practices. The majority of gynecologists already offered psychosocial interventions. It may be deduced from these results that gynecologists in practices would contribute to the psychosocial aid network if key basic conditions including the financing were fulfilled.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Aconselhamento/utilização
Ginecologia/estatística & dados numéricos
Padrões de Prática Médica/estatística & dados numéricos
Encaminhamento e Consulta/utilização
Estresse Psicológico/epidemiologia
Estresse Psicológico/terapia
[Mh] Termos MeSH secundário: Adulto
Competência Clínica/estatística & dados numéricos
Feminino
Alemanha/epidemiologia
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Meia-Idade
Papel do Médico
Relações Médico-Paciente
Prevalência
Sistemas de Apoio Psicossocial
Estresse Psicológico/psicologia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161223
[St] Status:MEDLINE
[do] DOI:10.1007/s00103-016-2495-4



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