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[PMID]:28409712
[Au] Autor:Stein JY; Lahav Y; Solomon Z
[Ti] Título:Self-Disclosing Trauma and Post-Traumatic Stress Symptoms in Couples: A Longitudinal Study.
[So] Source:Psychiatry;80(1):79-91, 2017.
[Is] ISSN:1943-281X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Most research concerning the implications of self-disclosure on trauma's aftermath has focused on the salubrious effects disclosure may foster for the primary victim. However, the manner in which recipients of disclosure are symptomatically affected by it remains unexamined. Of particular interest are spouses who are often the primary support providers and are therefore susceptible to secondary traumatization. Assessing posttraumatic stress symptoms (PTSS) and self-disclosure among traumatized veterans and their wives, the current longitudinal study begins to fill this gap in the literature. METHOD: A total of 220 couples consisting of Israeli veterans, of whom 128 were former prisoners of war (ex-POWs) and 92 were combatants, and their wives were examined. PTSS and self-disclosure of both partners were assessed 30 and 35 years after the war using the Posttraumatic Stress Disorder Inventory (PTSD-I; Solomon et al., 1993) and the Self-Disclosure Index (SDI; Miller, Berg, & Archer, 1983), respectively. Analyses included Pearson intercorrelations analyses and four stepwise hierarchical multiple regression analyses. RESULTS: Findings indicated that increments in veterans' disclosure are not only consistently associated with the reduction of their wives' PTSS but may also explain and predict some of the change in the wives' PTSS over time. However, such a longitudinal effect was not evident concerning the veterans' PTSS. CONCLUSION: Traumatized ex-POWs' and combatants' self-disclosure within the marital relationship may contribute to the amelioration of their wives' secondary traumatization, and thus may be a goal worth pursuing in therapy. However, more research is needed to further understand this relation.
[Mh] Termos MeSH primário: Prisioneiros de Guerra/psicologia
Trauma Psicológico/psicologia
Autorrevelação
Cônjuges/etnologia
Transtornos de Estresse Pós-Traumáticos/etnologia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Israel/etnologia
Estudos Longitudinais
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170510
[Lr] Data última revisão:
170510
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE
[do] DOI:10.1080/00332747.2016.1175836


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[PMID]:28324096
[Au] Autor:Chalela JA
[Ad] Endereço:Neurosurgery Department, Medical University of South Carolina, Charleston; and 218th Maneuver Enhancement Brigade, South Carolina Army National Guard, Charleston.
[Ti] Título:Medical Care of Detainees in US Military Facilities: Unspeakable Kindness.
[So] Source:JAMA;317(11):1119-1120, 2017 Mar 21.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Pessoal Técnico de Saúde
Assistência à Saúde/normas
Empatia
Instalações Militares/normas
Medicina Militar/normas
Prisioneiros de Guerra
[Mh] Termos MeSH secundário: Afeganistão
Barreiras de Comunicação
Tomada de Decisões
Seres Humanos
Fome
Relações Interprofissionais
Meios de Comunicação de Massa
Instalações Militares/organização & administração
Medicina Militar/ética
Autonomia Profissional
Relações Profissional-Paciente
Senso de Humor e Humor como Assunto
[Pt] Tipo de publicação:PERSONAL NARRATIVES
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170327
[Lr] Data última revisão:
170327
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2016.16798


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[PMID]:28069916
[Au] Autor:Roocroft NT; Mayhew E; Parkes M; Frankland AW; Gill GV; Bouhassira D; Rice AS
[Ad] Endereço:From the Royal Navy General Duties Medical Officer, RFA ARGUS, UK.
[Ti] Título:Flight Lieutenant Peach's observations on Burning Feet Syndrome in Far Eastern Prisoners of War 1942-45.
[So] Source:QJM;110(3):131-139, 2017 Mar 01.
[Is] ISSN:1460-2393
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Introduction: 'Burning Feet Syndrome' affected up to one third of Far Eastern Prisoners of War in World War 2. Recently discovered medical records, produced by RAF Medical Officer Nowell Peach whilst in captivity, are the first to detail neurological examinations of patients with this condition. Methods: The 54 sets of case notes produced at the time were analysed using modern diagnostic criteria to determine if the syndrome can be retrospectively classed as neuropathic pain. Results: With a history of severe malnutrition raising the possibility of a peripheral polyneuropathy, and a neuroanatomically plausible pain distribution, this analysis showed that Burning Feet Syndrome can now be described as a 'possible' neuropathic pain syndrome. Conclusion: After 70 years, the data painstakingly gathered under the worst of circumstances have proved to be of interest and value in modern diagnostics of neuropathic pain.
[Mh] Termos MeSH primário: Doenças do Pé/história
Neuralgia/história
Prisioneiros de Guerra/história
[Mh] Termos MeSH secundário: Extremo Oriente
Doenças do Pé/diagnóstico
Doenças do Pé/etiologia
Doenças do Pé/terapia
História do Século XX
Seres Humanos
Desnutrição/complicações
Desnutrição/história
Registros Médicos
Medicina Militar/história
Neuralgia/diagnóstico
Neuralgia/etiologia
Neuralgia/terapia
Exame Físico/métodos
Síndrome
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Peach N
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170425
[Lr] Data última revisão:
170425
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE
[do] DOI:10.1093/qjmed/hcw195


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[PMID]:27997326
[Au] Autor:Lahav Y; Bellin ES; Solomon Z
[Ti] Título:Posttraumatic Growth and Shattered World Assumptions Among Ex-POWs: The Role of Dissociation.
[So] Source:Psychiatry;79(4):418-432, 2016.
[Is] ISSN:1943-281X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The controversy regarding the nature of posttraumatic growth (PTG) includes two main competing claims: one which argues that PTG reflects authentic positive changes and the other which argues that PTG reflects illusionary defenses. The former also suggests that PTG evolves from shattered world assumptions (WAs) and that the co-occurrence of high PTG and negative WAs among trauma survivors reflects reconstruction of an integrative belief system. The present study aimed to test these claims by investigating, for the first time, the mediating role of dissociation in the relation between PTG and WAs. METHOD: Former prisoners of war (ex-POWs; n = 158) and comparable controls (n = 106) were assessed 38 years after the Yom Kippur War. RESULTS: Ex-POWs endorsed more negative WAs and higher PTG and dissociation compared to controls. Ex-POWs with posttraumatic stress disorder (PTSD) endorsed negative WAs and a higher magnitude of PTG and dissociation, compared to both ex-POWs without PTSD and controls. WAs were negatively correlated with dissociation and positively correlated with PTG. PTG was positively correlated with dissociation. Moreover, dissociation fully mediated the association between WAs and PTG. CONCLUSION: These findings imply that PTG might reflect illusory defenses and raise questions regarding the integration between the co-occurrence of high PTG and negative WAs among trauma survivors.
[Mh] Termos MeSH primário: Adaptação Psicológica
Mecanismos de Defesa
Transtornos Dissociativos/psicologia
Prisioneiros de Guerra/psicologia
Trauma Psicológico/psicologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Israel
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE
[do] DOI:10.1080/00332747.2016.1142776


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[PMID]:27880620
[Au] Autor:Zerach G; Solomon Z
[Ti] Título:A Relational Model for the Intergenerational Transmission of Captivity Trauma: A 23-Year Longitudinal Study.
[So] Source:Psychiatry;79(3):297-316, 2016.
[Is] ISSN:1943-281X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aversive, long-term toll of war captivity and fathers' combat-induced posttraumatic stress disorder (PTSD) on adult offspring's secondary traumatization (ST) has been recently exemplified. However, the study of potential mechanisms of the intergenerational transmission of trauma to offspring is still lacking. This prospective study aimed to assess the role of fathers' PTSD symptoms (PTSS), paternal parenting, and adult offspring's attachment insecurities in adult offspring's PTSS. METHOD: A sample of 124 Israeli father-child dyads (80 ex-POW dyads and a comparison group of 44 veteran dyads) completed self-report measures. The fathers participated in three waves of measurements following the Yom Kippur War (T1: 1991, T2: 2003, T3: 2008), while the offspring took part in T4 (2013). RESULTS: Offspring of ex-POWs with PTSD at T3 reported more PTSS and higher levels of attachment insecurities than offspring of ex-POWs without PTSD and controls at T4. Fathers' proximity to the children and sensitivity to the children's needs were negatively related. Offspring's attachment insecurities were positively related to offspring's PTSS. Importantly, serial multiple mediation model results show that war captivity increased the level of the fathers' PTSD at T2 and T3, which in turn decreased the level of the fathers' parenting at T3, and thereby increased the level of offspring's attachment avoidance at T4, which by its own merit was related to higher levels of adult offspring's PTSS. CONCLUSIONS: The mechanisms of the intergenerational transmission of captivity-related trauma of veterans' PTSD and paternal parenting, through offspring's attachment insecurities and offspring's PTSS, was exemplified.
[Mh] Termos MeSH primário: Crianças Adultas/psicologia
Filho de Pais Incapacitados/psicologia
Relações Pai-Filho/etnologia
Apego ao Objeto
Poder Familiar/psicologia
Prisioneiros de Guerra/psicologia
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Israel/etnologia
Estudos Longitudinais
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161124
[St] Status:MEDLINE


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[PMID]:27724838
[Au] Autor:Zerach G; Levi-Belz Y; Michelson M; Solomon Z
[Ti] Título:Suicidal Ideation Among Wives of Former Prisoners of War: A Longitudinal Dyadic Study.
[So] Source:Psychiatry;79(2):147-163, 2016.
[Is] ISSN:1943-281X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The associations between posttraumatic stress disorder (PTSD) and suicidal ideation (SI) among ex-prisoners of war (ex-POWs) has recently been exemplified. Several studies have revealed the toll of war captivity in the secondary traumatization (ST) of ex-POWs' wives. This study aimed to assess SI among ex-POWs' wives and the longitudinal associations between their husbands' PTSD and their own ST. METHOD: A sample of 233 Israeli couples (142 ex-POW couples and a comparison group of 91 veteran couples) completed self-report measures of PTSD symptoms, SI, and depression at two time points: T1 (2003) and T2 (2008), 30 and 37 years after the 1973 Yom Kippur War. RESULTS: Among control wives, although not among ex-POWs' wives, the more ST symptoms they reported, the higher their level of SI. Furthermore, for both research groups, husbands' PTSD and wives' ST were positively associated with their own levels of SI, respectively. Autoregressive cross-legged (ARCL) analysis demonstrated that SI at T1 predicted ST at T2 among control wives but not among ex-POWs' wives. Surprisingly, an actor-partner interdependence modeling (APIM) analysis revealed, only among ex-POWs' couples, that the more the husbands suffered from PTSD and SI, the more moderate the increase of the wives' SI was between T1 and T2, thus, leading to better outcomes in terms of the wives' SI. CONCLUSIONS: Ex-POWs' posttraumatic distress is longitudinally related to their spouses' ST and SI. Clinical implications of these findings of the relations between captivity trauma and suicidality for veteran couples are discussed.
[Mh] Termos MeSH primário: Prisioneiros de Guerra/psicologia
Trauma Psicológico/psicologia
Cônjuges/psicologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Ideação Suicida
Veteranos/psicologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Israel
Estudos Longitudinais
Masculino
Meia-Idade
Trauma Psicológico/etiologia
Transtornos de Estresse Pós-Traumáticos/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161012
[St] Status:MEDLINE


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[PMID]:27663112
[Au] Autor:Lahav Y; Stein JY; Solomon Z
[Ad] Endereço:University of Southern Denmark, Department of Psychology, Odense, Denmark; I-Core Research Center for Mass Trauma, Tel-Aviv University, Israel. Electronic address: lahav.yael62@gmail.com.
[Ti] Título:Keeping a healthy distance: Self-differentiation and perceived health among ex-prisoners-of-war's wives.
[So] Source:J Psychosom Res;89:61-8, 2016 Oct.
[Is] ISSN:1879-1360
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: War captivity may affect spouses of former-prisoners-of-war (ex-POWs) in many ways, including posttraumatic stress symptoms (PTSS) and somatic difficulties manifested in negative perceived health. This is generally known as secondary traumatization. Theory suggests that development of secondary traumatization occurs through the relationship with the primary trauma survivor Figley (1986) , thus implying that the ability to keep balanced emotional distance in the relationship may play a pivotal role. Notwithstanding, the contribution of self-differentiation to secondary somatic disturbances remains largely uninvestigated. The current study fills this gap. METHODS: Ex-POWs' wives (n=143) and control former-combatants' wives (n=102), were assessed prospectively 30 (T1) and 38 (T2) years after the 1973 Yom Kippur War. Self-differentiation and PTSS were assessed at both time-points, while perceived health measures were assessed at T2. RESULTS: Wives of ex-POWs endorsed higher PTSS, lower self-differentiation and negative perceived health, compared to control wives. Indirect exposure to war captivity was related to low self-differentiation and elevated PTSS, which predicted negative perceived health. Furthermore, self-differentiation characterized by fusion-with-others fully mediated the relation between indirect exposure to war captivity and perceived health, beyond the effects of PTSS as a mechanism. CONCLUSION: Results suggest that tendencies towards fusion-with-others within the marital relationship, act as a risk factor not only for psychological distress but also for somatic distress among secondary trauma survivors. Hence, clinical interventions may seek to improve indirect trauma survivor's self-differentiation capacities, thus potentially facilitating the prevention of secondary somatic distress.
[Mh] Termos MeSH primário: Fadiga por Compaixão/psicologia
Nível de Saúde
Prisioneiros de Guerra/psicologia
Autoimagem
Cônjuges/psicologia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Adulto
Fadiga por Compaixão/diagnóstico
Fadiga por Compaixão/epidemiologia
Feminino
Seres Humanos
Masculino
Casamento/psicologia
Meia-Idade
Autorrelato
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Transtornos de Estresse Pós-Traumáticos/psicologia
Sobreviventes/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160925
[St] Status:MEDLINE


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[PMID]:27374427
[Au] Autor:Lieberman HR; Farina EK; Caldwell J; Williams KW; Thompson LA; Niro PJ; Grohmann KA; McClung JP
[Ad] Endereço:Military Nutrition Division, U.S. Army Research Institute of Environmental Medicine, Natick, MA 01760, USA. Electronic address: harris.r.lieberman.civ@mail.mil.
[Ti] Título:Cognitive function, stress hormones, heart rate and nutritional status during simulated captivity in military survival training.
[So] Source:Physiol Behav;165:86-97, 2016 Oct 15.
[Is] ISSN:1873-507X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Stress influences numerous psychological and physiological processes, and its effects have practical implications in a variety of professions and real-world activities. However, few studies have concurrently assessed multiple behavioral, hormonal, nutritional and heart-rate responses of humans to acute, severe stress. This investigation simultaneously assessed cognitive, affective, hormonal, and heart-rate responses induced by an intensely stressful real-world environment designed to simulate wartime captivity. Sixty males were evaluated during and immediately following participation in U.S. Army Survival, Evasion, Resistance, and Escape (SERE) school, three weeks of intense but standardized training for Soldiers at risk of capture. Simulated captivity and intense mock interrogations degraded grammatical reasoning (p<0.005), sustained-attention (p<0.001), working memory (p<0.05) and all aspects of mood assessed by the Profile of Mood States (POMS) questionnaire: Tension/Anxiety, Depression/Dejection, Anger/Hostility, Vigor/Activity, Fatigue/Inertia; Confusion/Bewilderment, and Total Mood Disturbance (p<0.001) It also elevated heart rate (p<0.001); increased serum and salivary cortisol and dehydroepiandrosterone-sulfate (DHEA-s) (p<0.01); elevated serum epinephrine, norepinephrine, and soluble transferrin receptors (sTfR) (p<0.01); increased salivary neuropeptide-Y (NPY) (p<0.001); and decreased serum prolactin and serum and salivary testosterone (p<0.001). Partial recovery was observed immediately after training, but stress-induced changes, particularly in body weight and several of the biomarkers, persisted. This study demonstrates that when individuals were exposed to realistic and controlled simulated captivity, cognition, mood, stress hormones, nutritional status and heart rate are simultaneously altered, and each of these subsequently recovers at different rates.
[Mh] Termos MeSH primário: Cognição/fisiologia
Frequência Cardíaca/fisiologia
Militares/psicologia
Estado Nutricional/fisiologia
Prisioneiros de Guerra/psicologia
Estresse Psicológico/metabolismo
[Mh] Termos MeSH secundário: Adulto
Biomarcadores/metabolismo
Peso Corporal
Fadiga/etiologia
Fadiga/metabolismo
Fadiga/psicologia
Hormônios/metabolismo
Seres Humanos
Masculino
Recuperação de Função Fisiológica
Treinamento por Simulação
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (Hormones)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170614
[Lr] Data última revisão:
170614
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160705
[St] Status:MEDLINE


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[PMID]:27132362
[Au] Autor:Pospischil A; Häsler S
[Ti] Título:[The history of detained Polish veterinarians in Switzerland 1940-1947].
[Ti] Título:Zur Geschichte internierter polnischer Tierärzte in der Schweiz 1940-1947..
[So] Source:Schweiz Arch Tierheilkd;158(1):27-38, 2016 Jan.
[Is] ISSN:0036-7281
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Ab] Resumo:As part of the recent history of veterinary medicine in Switzerland, in Poland and in other countries biographies ofveterinarians among Polish soldiers detained to Switzerland during WWII are described. The information is derived from a number of Swiss and Ukrainian archives and personal contacts with descendants and colleagues of these veterinarians living in Switzerland and abroad.
[Mh] Termos MeSH primário: Prisioneiros de Guerra/história
Médicos Veterinários/história
II Guerra Mundial
[Mh] Termos MeSH secundário: Campos de Concentração/história
História do Século XX
Seres Humanos
Militares/história
Polônia
Suíça
[Pt] Tipo de publicação:ENGLISH ABSTRACT; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:161026
[Lr] Data última revisão:
161026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160503
[St] Status:MEDLINE


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[PMID]:26905750
[Au] Autor:Stein JY; Crompton L; Ohry A; Solomon Z
[Ad] Endereço:a Israeli Centers of Research Excellence (I-CORE), Mass Trauma Research Lab, Bob Shapell School of Social Work , Tel Aviv University , Tel Aviv , Israel.
[Ti] Título:Attachment in detachment: The positive role of caregivers in POWs' dissociative hallucinations.
[So] Source:J Trauma Dissociation;17(2):186-98, 2016.
[Is] ISSN:1529-9740
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Humans are social creatures and therefore exhibit a pervasive need for others. Hence, when benevolent human contact is scarce, this dearth may be compensated imaginatively. War captivity is an extreme example of such deprivation and one wherein dissociative hallucinations have been exhibited. Although hallucinations may serve to virtually summon benevolent others and thus provide the prisoner of war (POW) with a platform for compensation, the contents of such hallucinations have yet to be investigated. The current qualitative study is the first to examine whether the content of such hallucinations may harbor positive effects. Guided by the notion that people search for compensation in lack of companionship, we scrutinized testimonies of former POWs for accounts of hallucinatory experiences. A narrative analysis was utilized in an attempt to understand the meaning of the hallucinations for the POW. Findings reveal that benevolent figures and concomitant acts of care are exhibited in war captivity hallucinatory experiences. Thus, it is argued that the content of such hallucinations may be protective. These findings are discussed in light of the literature concerning peritraumatic dissociative experiences. In addition, attachment theory is suggested as a plausible framework for understanding these findings. Finally, limitations of the study are discussed, and future researched is suggested.
[Mh] Termos MeSH primário: Cuidadores
Transtornos Dissociativos/psicologia
Alucinações/psicologia
Prisioneiros de Guerra/psicologia
Isolamento Social
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Meia-Idade
Pesquisa Qualitativa
Tortura
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161231
[Lr] Data última revisão:
161231
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160225
[St] Status:MEDLINE
[do] DOI:10.1080/15299732.2015.1086851



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