Submitted by LILIAN DE ALMEIDA GOMES null (lilian.agomes@ig.com.br ) on 2016-09-20T16:16:19Z No. of bitstreams: 1 Dissertação Final lilian.pdf: 3505918 bytes, checksum: 621c9a9a130fe636f11f63e44e48e726 (MD5) / Approved for entry into archive by Juliano Benedito Ferreira (julianoferreira@reitoria.unesp.br) on 2016-09-22T19:08:27Z (GMT) No. of bitstreams: 1 gomes_la_me_bot.pdf: 3505918 bytes, checksum: 621c9a9a130fe636f11f63e44e48e726 (MD5) / Made available in DSpace on 2016-09-22T19:08:27Z (GMT). No. of bitstreams: 1 gomes_la_me_bot.pdf: 3505918 bytes, checksum: 621c9a9a130fe636f11f63e44e48e726 (MD5) Previous issue date: 2016-08-26 / Introdução: O sofrimento psíquico atinge grande parte da população, e pode ser caracterizado por um acentuado e duradouro desconforto emocional, angústia, tristeza, falta de expressão afetiva, esgotamento emocional, isolamento social, dentre outros sintomas. Os estudantes universitários, especialmente da área da saúde, carregam expectativas diversas em relação ao futuro profissional e no decorrer de sua formação são expostos às mais variadas situações que mobilizam seu sofrimento psíquico, podendo vir a comprometer tal formação. Objetivo: Estimar a prevalência e identificar os fatores associados a Transtorno Mental Comum (TMC), entre os estudantes universitários da área da saúde, dos cursos de Enfermagem e Medicina da Faculdade de Medicina de Botucatu e de Nutrição do Instituto de Biociências. Método: Este é um estudo transversal que se insere na pesquisa “Condições de vida e saúde de estudantes de Enfermagem, Medicina e Nutrição do campus de Botucatu”, cujos dados foram colhidos em 2013. Trata-se assim, de uma análise parcial do referido banco de dados. A variável dependente é TMC, investigada a partir do Self Report Questionnaire, considerando-se caso mulheres com 8 pontos ou mais e homens com 6 pontos ou mais. As variáveis independentes são as características sociodemográficas e rede de apoio avaliada pela Escala de Apoio Social (EAS). Inicialmente foi feita análise descritiva, seguida de análise bivariada e posteriormente foram construídos modelos de regressão logística para cada um dos cursos. Foi adotado o nível de significância estatístico de p < 0,05, para rejeição da hipótese de nulidade. Resultados: Nos três cursos a taxa de resposta foi superior a 80%. A prevalência de TMC foi 40,9%, sendo significativamente diferente (p<0,001): 57,5% na Enfermagem, 40,7% na Medicina e 26,6% na Nutrição. Após a análise multivariada mostraram-se fatores de risco para TMC conforme questionário, na Enfermagem: pensar ou ter pensado em abandonar o curso e na Nutrição, pensar ou ter pensado em abandonar o curso e ter dificuldade para fazer amigos; conforme Escala de Apoio Social menor escore na Enfermagem de apoio interação e na Medicina e Nutrição de apoio informação. Em todos os cursos sentir-se rejeitado mostrou-se associado a TMC. Conclusão: A prevalência de TMC foi elevada e associou-se a aspectos relativos a apoio social e relacionamento com pares. Estratégias que aprimorem o relacionamento interpessoal podem auxiliar os alunos no manejo de seu sofrimento psíquico. / Background: The psychological distress affects a big part of the population, and can be characterized by an accentuated and lasting emotional distress, anxiety, sadness, lack of emotional expression, emotional exhaustion, social isolation among other symptoms. College students, especially in the health field, carry different expectations about the professional future and during their course are exposed to various situations that mobilize their psychological distress that may compromise their studies. Objective: To estimate the prevalence and identify factors associated with Common Mental Disorder (CMD) among university students in the health area, at Medicine and Nursing courses of Botucatu Medical School and Nutrition at the Institute of Biosciences. Method: This is a cross-sectional study that is part of the survey "Conditions of life and health of Nursing, Medicine and Nutritian at Botucatu campus", whose data were collected in 2013. It is a partial analysis of that database. The dependent variable is CMD, investigated by the Self Reporting Questionnaire, considering “case” women with 8 points or more and men with 6 points or more. The independent variables are: demographic characteristics and support network assessed by Social Support Scale. Initially descriptive analysis was performed, followed by bivariate analysis and finally, logistic regression models were run for each of the courses. The statistical significance adopted was p <0.05 to reject the null hypothesis. Results: In the three courses the response rate was over 80%. The prevalence of CMD was 40.9% and was significantly different (p <0.001): it was 57.5% in Nursing, 40.7% in Medicine and 26.6% in medical nutrition. After multivariate analysis, the risk factors observed for CMD as questionnaire in Nursing: think or have thought to leave the course and Nutrition, think or have thought to leave the course and find it difficult to make friends; as Social Support Scale lowest score in Nursing support interaction and Medicine and Nutrition support information.In all the courses feel rejected was associated with CMD. Conclusion: The prevalence of CMD was high and was associated with aspects of social support and relationship with peers. Strategies that improve interpersonal relationships can help students to deal with their mental suffering.

O movimento da Educação Inclusiva, em alguns países, busca um enfoque que atenda aos alunos com necessidades especiais dentro do sistema educativo geral, por outro lado, internacionalmente, tem se entendido a educação inclusiva enquanto uma reforma que possa responder a diversidade entre todos os estudantes. Este estudo, no entanto, possui seu enfoque nas representações sociais da família do aluno com necessidade especial e, especificamente, no aluno com diagnóstico de Transtorno Mental e em tratamento psiquiátrico frente à perspectiva de sua inclusão na rede regular de ensino. Esses alunos estavam regularmente matriculados no Programa de Apoio à Educação Especial (PAEE) no município de Indaiatuba que buscava trabalhar em seu objetivo central, a política sócio-pedagógica da Inclusão. Frente aos aspectos particulares que envolviam o tipo de estudo proposto, a pesquisa qualitativa foi a melhor opção, considerando a natureza do tema e sua configuração empírica. Dois Estudos de Caso de caráter qualitativo, de natureza descritiva foram realizados, baseados em entrevistas semi-estruturadas e gravadas com duas mães de alunos. Ao se situar, as proposições da Educação Inclusiva em um contexto sócio-histórico, deve-se entender que em seu bojo apresenta-se uma nova forma de olhar e, portanto, entender a pessoa com necessidade especial, não cabendo mais, as concepções segregacionistas e os ideais integracionistas de outrora. Neste sentido, ao diferente, constituía-se uma rede paralela que o incluía, pela exclusão, demarcando-se, assim, um sistema de exclusão. Com as proposições da Educação Inclusiva, faz-se necessário a quebra de paradigmas e a assunção de que o lugar escolar implica um espaço de diversidade no qual a segregação de alunos e, entre outras questões, o distanciamento mútuo entre família e escola não é mais possível. Ainda, há uma necessidade premente de ações intersetoriais e de complementaridade de ações, ampliando, os contextos sociais inclusivos, especialmente, se considerar que as políticas intersetoriais [educação x saúde x social] precisam ser revistas e ampliadas. / The movement of Inclusive Education, in some countries, searches for a focus which could assist students with special needs within a general educational system and, on the other hand, internationally, it has been understood as inclusive education, the reconstruction able to attend the diversity among the students. However, this study has its focus on the social representations of the student’s family with special needs, and, specifically, aiming the student with mental disorder and under psychiatric treatment when dealing with its inclusion into de current network of teaching. These students are regularly enrolled in the Support Program for Special Education (SPSE) in the city of Indaiatuba objecting to work the social pedagogical policies of Inclusion. When facing the special aspects involving the type of proposed study, the qualitative research was the best option considering nature of the theme and its empirical delineation. Two qualitative descriptive case studies were performed, based on semi-structured and recorded interviews with two student’s mothers. When inserting the proposals of the Inclusive Education in a social-historic context we must understand that its content presents a new way to conceive and, thus, to understand the individual with special needs, not allowing segregationist conceptions and the integrationist ideals of yesterday. Therefore, a parallel network existed for the different individual, to include him/her, by exclusion, delimiting an exclusion system. With the new proposition of the Inclusive Education, there is a need to break paradigms and to realize that school place involves a diversity space in which student segregation, and among other questions, the mutual distance between the school and the family, are no longer possible. There is still a need of intersectorial actions and complementary actions, extending social inclusion contexts, specially considering intersectorial policies (education x health x social) that must be reviewed and extended.

Submitted by isabela.moljf@hotmail.com (isabela.moljf@hotmail.com) on 2017-05-10T11:02:06Z No. of bitstreams: 1 alexandreaugustomacedocorrea.pdf: 878453 bytes, checksum: dcc2c6621264714f2875cc9b424835a0 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-05-17T15:02:39Z (GMT) No. of bitstreams: 1 alexandreaugustomacedocorrea.pdf: 878453 bytes, checksum: dcc2c6621264714f2875cc9b424835a0 (MD5) / Made available in DSpace on 2017-05-17T15:02:39Z (GMT). No. of bitstreams: 1 alexandreaugustomacedocorrea.pdf: 878453 bytes, checksum: dcc2c6621264714f2875cc9b424835a0 (MD5) Previous issue date: 2009-09-01 / A religiosidade tem sido associada à saúde física e mental com especial importância na população idosa. Existe uma carência de estudos abordando os mediadores desta associação, dentre eles o suporte social. Objetivo: Analisar a associação entre dimensões de religiosidade e prevalência de transtornos mentais comuns (TMCs) entre idosos e testar o suporte social como mecanismo explicativo dessa suposta associação. Método: De uma amostra composta pela população idosa de uma região de baixa renda de São Paulo (N =1.980) foram coletados dados sociodemográficos, suporte social, indicadores de religiosidade e prevalência de TMC. Foi utilizada a regressão logística binomial para investigar a associação entre TMC e as três dimensões de religiosidade controlando para as variáveis sócio-demográficas e entre as dimensões de religiosidade e de suporte social. Posteriormente os diferentes tipos de suporte social (apoio recebido de parentes, de amigos, vizinhos e suporte oferecido) foram, primeiro, separadamente, depois em conjunto, incluídos no modelo para avaliar o seu efeito moderador na relação entre TMC e religiosidade. Foi adotado um nível de significância de 5%. Foi também realizado um teste de tendência linear na avaliação da relação entre religiosidade organizacional e TMC. Resultados: 90,7% da amostra considerou-se religiosa. 66,6% Católico. 41,2% freqüentam uma ou mais vezes alguma atividade religiosa semanalmente. 84,1% não freqüentam atividades em nenhuma instituição social. A presença de TMC não foi associada com filiação religiosa mas houve uma tendência a uma correlação inversa com considerar-se religioso (r=-0,04, p=0,06). A prevalência de TMC para os que freqüentam serviço religioso foi aproximadamente a metade (OR entre 0,43 e 0,55, p<0,001) daqueles que nunca freqüentam. Maior freqüência a serviços religiosos também se associou a maiores níveis de suporte social. A associação entre maior freqüência e menos TMC não sofreu alterações relevantes após inclusão das variáveis de suporte social. Conclusão: A amostra apresentou altos níveis de religiosidade, forte associação entre freqüência religiosa e menor prevalência de TMCs, que não foi explicada pelo suporte social. / Religiosity has been linked to mental and physical health with special relevance in regards to the elderly population. There exists a lack of studies approaching the mediators of such a link, including social support. Aim: To analyze the link between religiosity dimensions and the prevalence of Common Mental Disorders (CMDs) amongst the elderly, and to test the social support as an explanatory mechanism of the alleged link. Method: From a sample of a study representing the elderly population of a low income area in São Paulo (N=1,980) social-demographic data, social support, indicators of religiosity and the prevalence of CMD were collected. Results: 90.7% of the people who took part in the study considered themselves religious. 66.6% Catholic. 41.2% attend some kind of religious activity one or more times per week. 84.1% do not participate in activities at any social institutions. The presence of CMD was not linked to religious affiliation but there was a tendency to an inverted correlation between considering oneself religious (r=-0, 04, p=0, 06). The prevalence of CMD in those who attend religious services was of approximately half (or between 0.43 and 0.55, p<0.001) of those who never do. Such a link between higher attendance and less CMD did not suffer relevant alterations after the inclusion of the social support variables. Conclusion: The study showed high levels of religiosity, a strong association between religious frequency and a lower prevalence of CMD, which was not explained by the social support.

Verksamheten Spindeln i Västerås vänder sig till personer med så kallad dubbeldiagnos, människor med psykisk sjukdom och samtida missbruksproblematik. Syfte med denna studie var att söka kunskap om vad klienterna med så kallad dubbeldiagnos på verksamheten Spindeln upplevde som meningsfull sysselsättning, samt om verksamheten Spindeln bidrog till att klienterna upplevde sig inneha någon form av meningsfull sysselsättning. Empirin insamlades genom kvalitativa semistrukturerade intervjuer med fem klienter från Spindeln. De teorier som behandlades var känslan av sammanhang (KASAM), stigma samt socialt kapital. Dessa teorier användes till att tolka empirin tillsammans med tidigare forskning inom området psykisk sjukdom och meningsfull sysselsättning. Studiens resultat visade på betydelsen av att ha något att göra om dagarna, att meningsfull sysselsättning innebar en sorts trygghet i vardagen som medförde struktur och mening. Att ha ett socialt sammanhang att delta i var även det av mycket stor vikt enligt studiens deltagare samt en strategi för att undvika att hamna i psykos. Meningsfull sysselsättning var mycket individuellt och varierade beroende på respondenternas livssituation i relation till ålder, sjukdom, erfarenhet och visioner. Resultatet visade att Spindelns verksamhet upplevdes som meningsfull av deltagarna. / The activity Spindeln in Västerås is a project that attempts to deliver daily occupation for clients with dual diagnosis, people diagnosed with a mental disorder and a contemporary substance abuse. The purpose of this bachelor thesis was to gain knowledge about what Spindeln's dual diagnosis clients experience as meaningful occupation. The purpose was also to examine if Spindeln contributes to making its clients experience meaningful occupation.  The empirical material was based on qualitative and semi-structured interviews with five clients of Spindeln. The conceptual framework was based on concepts such as sense of coherence (SOC), stigma and social capital. This theories was used mainly to interpret empirical material together with earlier research regarding mental disorder and meaningful occupation. The findings of the study indicated that meaningful daily occupation was very important for dual diagnosis patients because it provides them with a feeling of safety which led to structured and meaningful days. Also the study indicated that having social connection to participate in, and a strategy to avoid a state of psychosis, was of great importance to the clients at Spindeln. Meaningful occupation turned out to be highly individual depending on variables such as age, disease, experiences and visions. The findings also indicated that Spindeln was meaningful according the clients.

Syfte och frågeställningar: Syftet med studien var att utifrån ett salutogent perspektivundersöka professioners uppfattningar om och yrkeserfarenheter av att upptäcka tidigasignaler på stress och hur dessa kan hanteras. De frågeställningar som besvaras är; I) Vilkauttryck tar sig dagens psykiska ohälsa i arbetslivet? II) Hur kan individen upptäcka tidiga varningssignaler på stress? III) Vilka strategier kan individen tillämpa för att främja sin förmåga att hantera stress? IV) Vad anses vara hälsofrämjande på de olika systemnivåerna?Metod: Studien utgår ifrån en kvalitativ forskningsmetod med inspiration av den fenomenografiska ansatsen. Metoden för insamlad data bestod av semistrukturerade intervjuer. Resultat: Resultatet har presenterats i fyra huvudkategorier - Gränslöst arbete, Tidiga varningssignaler på stress, Hantering av stress, Hälsofrämjande arbetssätt, tillsammans med åtta subkategorier - Ett individualistiskt samhälle, Krav och prestationer, Bakomliggande orsaker, En mindre hållbar situation, Individens egna val, Individ- och gruppnivå, Organisationsnivå, Samhällsnivå. Konklusion: Symptom som trötthet, oro och sömnsvårigheter är varningssignaler på stress. Att arbeta med hälsofrämjande insatser på ett tidigt studium är en framgångsfaktor som respondenterna talar om. Det är viktigt att vara lyhörd för tidiga symptom och bakomliggande orsaker, det vill säga att ta reda på "vad det är som prasslar". / Purpose and issues: The purpose of the study was to examine, from a salutogenic perspective, professionals' perceptions and work experiences of detecting early signals on stress in working life and how they can be managed. The questions to be answered are: I)What are the expressions of mental illness in working life today? II) How can the individual discover early warning signals on stress? III) What strategies can the individual apply to promote his/her ability to cope with stress? IV) What is considered to be a health promotionfor the different system levels? Methods: The study design is qualitative inspired by the phenomenographic approach. Semistructured interviews were used for collecting data. Results: Four main categories emerged - Borderless work, Early warning signals of stress, Managing stress, Working in a health promotion manner. Eight subcategories were found –An individualistic society, Demands and achievements, Underlying causes, An unsustainable situation, The individual's own choices, Individual- and group level, Organizational level and environmental- and societal level. Conclusion: Symptoms such as fatigue, anxious and insomnia are warning signals of stress. Working in a health promotion manner in early stages is a success factor mentioned by the respondents. It is important to be responsive to early symptoms and underlying causes, that is, to examine "what is the rustle".

Group of people with mental illness is a very diverse group. Due to its diagnosis they have to face prejudices and stigmatization, which influences all levels of their lives - even the working one. This diploma thesis People with mental disorders and their access to the labour market examines the position of persons with mental disorders on the labor market. It is based on the premise that employment is an important element for every person, as it provides an income and, above all, represents belonging to the majority society. In this work I introduce the setting of Czech legislation and public policy documents, I realize my own quantitative (using content analysis of media outputs) and qualitative (using semi-structured expert interviews) research and based on that I classify people with mental illness into the relevant target population according to the Theory of social construction of target populations (according to Schneider and Ingram). I choose this procedure of combined (= mixed) research to collect a sufficient amount of data. This theory says how benefits or burdens are allocated in society. I define the problems and, in conclusion, I present possible recommendations how the situation could change with the help of public policy instruments and how the the stigma that these people have to...

Suicide rate is above EU average in Czechia. At the same time, no initiative trying to solve this problem exist. Aim of this thesis is suggest content of suicide prevention policy suitable for Czech environment. Author adopts optics of evidence-based policy approach and in line with this, meta- review (systematic review of systematic reviews; MR) and group discussion were conducted. MR identified 73 potentially effective interventions, 47 (64%) of these were recommended for assessment for Czech context. These interventions were critically reviewed by seven experts and discussion resulted in set of comments and other relevant outputs. Results of MR and group discussion were then put together in relation to broader context and in this sense they represent optimal basis for complex suicide prevention policy in Czechia.

Background: Over the past decades the public health relevance of mental health conditions in children and adolescents has been of growing concern. However, so far no detailed epidemiological data has been available for a representative national sample in Germany. Objectives: The present paper reports prevalence rates of general and specific mental health problems among children and adolescents in Germany and describes the link between symptoms and impairment as well as the treatment situation. Methods: The mental health module (BELLA study) examines mental health problems in a representative sub-sample of 2,863 families with children aged 7–17 from the National Health Interview and Examination Survey among Children and Adolescents (KiGGS). Mental health problems were determined using the extended version of the strengths and difficulties questionnaire (SDQ). Further standardised screening measures were employed to screen for anxiety disorders (SCARED), conduct disorder (CBCL), attention deficit-/ hyperactivity disorder (FBBHKS, Conners’ Scale) and depressive disorders (CES-DC). Furthermore, substance abuse and suicidal tendencies were assessed. Health-related quality of life (HRQoL) and health care use were determined. Results Overall, 14.5% of the children and adolescents aged 7–17 fulfilled the criteria for at least one specific mental health problem associated with impairment, or had an overall mental health problem indicated by an abnormal SDQ score and present impairment. However, high comorbidity was found in the children concerned. Symptoms of overall mental health problems were present in 8.6% of the children and 6.6% of the adolescents. This number was reduced to prevalence rates of 6.3 and 4.9% when additional impairment was taken as a criterion. Irrespective of the type of disorder, fewer than half of the children affected were reported as receiving treatment. However, for those suffering from mental health problems, large impairments in HRQoL were observed. Conclusions: The observed prevalence of mental health problems as well as their large impact on well-being and functioning calls for early prevention. This is especially important with regard to the large decrease in HRQoL in the children and adolescents affected.

Orientador: Maria Cristina Pereira Lima / Resumo: Introdução: O sofrimento psíquico atinge grande parte da população, e pode ser caracterizado por um acentuado e duradouro desconforto emocional, angústia, tristeza, falta de expressão afetiva, esgotamento emocional, isolamento social, dentre outros sintomas. Os estudantes universitários, especialmente da área da saúde, carregam expectativas diversas em relação ao futuro profissional e no decorrer de sua formação são expostos às mais variadas situações que mobilizam seu sofrimento psíquico, podendo vir a comprometer tal formação. Objetivo: Estimar a prevalência e identificar os fatores associados a Transtorno Mental Comum (TMC), entre os estudantes universitários da área da saúde, dos cursos de Enfermagem e Medicina da Faculdade de Medicina de Botucatu e de Nutrição do Instituto de Biociências. Método: Este é um estudo transversal que se insere na pesquisa “Condições de vida e saúde de estudantes de Enfermagem, Medicina e Nutrição do campus de Botucatu”, cujos dados foram colhidos em 2013. Trata-se assim, de uma análise parcial do referido banco de dados. A variável dependente é TMC, investigada a partir do Self Report Questionnaire, considerando-se caso mulheres com 8 pontos ou mais e homens com 6 pontos ou mais. As variáveis independentes são as características sociodemográficas e rede de apoio avaliada pela Escala de Apoio Social (EAS). Inicialmente foi feita análise descritiva, seguida de análise bivariada e posteriormente foram construídos modelos de regressão logística... (Resumo completo, clicar acesso eletrônico abaixo) / Mestre

Partnervåld med dödlig utgång mot en kvinna utgör ungefär 20-30 procent av alla mord i Sverige och under 2019 resulterade våldet i att 16 kvinnor dödades. Forskningsläget är idag tudelat angående om förövare av dödligt partnervåld ska behandlas som en separat grupp från andra förövare av dödligt våld. Syftet var därmed att jämföra män som dödat sin kvinnliga partner/ex-partner med män som dödat en annan person som de inte hade en parrelation med, specifikt gällande typ av våld och psykisk störning. Studien har använt en tvärsnittsdesign med ett retrospektivt förhållningssätt där ett urval på totalt 160 domar använts från år 2015 till 2020. Resultatet visade en signifikant skillnad där män som dödat sin kvinnliga partner/ex-partner använde reaktivt våld i högre utsträckning jämfört med män som dödat en annan person som de inte hade en parrelation med som istället övervägande använde instrumentellt våld. Gällande psykisk störning fanns ingen signifikant skillnad mellan grupperna. Sammanfattningsvis bidrar det faktum att grupperna skiljer sig åt gällande typ av våld till forskningsläget genom att ge en indikation på att de bör särskiljas. / Intimate partner violence with a deadly outcome against a woman constitutes approximately 20-30 percent of all homicides in Sweden, during 2019 the violence resulted in 16 women being murdered. Research today is considered to be divided regarding whether perpetrators of intimate partner homicide should be considered a separate group from other perpetrators of deadly violence. The purpose of this study was therefore to compare men who have murdered their female intimate partner/ex-partner with men who have murdered another person they didn’t have an intimate relationship with, specifically regarding type of violence and mental disorder. The study used a cross sectional design with a retrospective approach and a sample of totally 160 verdicts from 2015 to 2020. The results showed a significant difference where men who have murdered their female intimate partner/ex-partner used reactive violence to a greater extent compared to men who have murdered another person that they didn’t have an intimate relationship with, who instead predominantly used instrumental violence. Regarding mental disorder there were no significant differences between the groups. In conclusion, the fact that the groups differ in type of violence contributes to the research field by giving an indication that they should be distinguished.