Human immunodeficiency virus (HIV) and substance abuse (drug and/or alcohol) independently impair the immune system; importantly, the combination of HIV infection and substance abuse might produce more than an additive effect on this system. Tumor necrosis factor-alpha (TNF-?) and Interferon gamma (IFN?) are pro-inflammatory cytokines involved in differentiation of Th0 cells into Th1 cells. Interleukin 4 (IL-4) and Interleukin 10 (IL-10) are anti-inflammatory cytokine involved in differentiation of Th0 cells to Th2 cells. Unbalanced Th1 and Th2 cells can lead to immune suppression. Thus, changes in these cytokines could have important implications for people infected with HIV (HIV+). Resistance training can counteract muscle wasting, improve strength, and improve muscle mass. The purpose of this study was to examine the effect of resistance training on resting concentrations of circulating TNF-?, IFN-?, IL-4, and IL-10. Sixteen men (42 ± 11 years, 180.4 ± 9.1 cm, 89.2 ± 20.7 kg) infected with HIV and enrolled in an intensive 60-day in-patient substance addiction/abuse treatment program were recruited shortly after admission to the treatment facility. Participants were assigned to one of two groups using randomization: supervised resistance exercise 3 times per week using a progressive and non-linear periodized program (Exercise) or no exercise training (Non-Exercise) for six weeks. Before (Pre) and after (Post) the 6-week period, resting and fasted blood samples were obtained and analyzed for serum TNF-?, IFN-?, IL-4, and IL-10 concentrations using a high-sensitivity ELISA. TNF-? did not change following the 6-week period for Exercise (Pre: 4.8 ± 2.7 pg·ml-1; Post: 4.6 ± 2.4 pg·ml-1) or Non-Exercise (Pre: 3.0 ± 1.3 pg·ml-1; Post: 2.7 ± 0.8 pg·ml-1). IFN-?, IL-4, and IL-10 concentrations were below detectable limits. No adverse effects of the intervention were reported. A six-week resistance training program does not elicit changes in circulating TNF-? concentrations in men infected with HIV and undergoing an intensive in-patient substance addiction/abuse treatment program. Concentrations of IFN-?, IL-4, IL-10 were below detectable levels. Six weeks of resistance training was not sufficient to affect circulating TNF-?, nor enough to increase concentrations of IFN-?, IL-4, IL-10 to detectable levels. The lack of adverse effects shows that adding resistance training to the current in-patient treatment regimen for substance abuse among men infected with HIV is safe.

Class of 2005 Abstract / Objectives: The purpose of this study was to determine the demographics of co-morbid disorders and drug abuse characteristics of patients admitted to an inpatient facility for detoxification and treatment of chemical dependency to characterize the treatment programs including the psychiatric medication usage and prescribing patterns and to identify differences between men and women. Methods: Criteria inclusion for admittance included a diagnosis of chemical dependence at Sierra Tucson Behavioral Health Hospital during the time of January through June 2004. Patients were admitted to that were diagnosed with a chemical dependency, identified using a past hospital census. Charts of previously discharged patients were obtained from the medical records department of the institution. Specific variables from each chart were extracted for further analysis utilizing a data form. Results: 285 (170 women and 115) men chemically dependent patients that were admitted during the six-month study period. In this patient population there was a high incidence, 76.84%, of co-morbid psychiatric conditions. The most frequently abused drugs in men were alcohol, nicotine, and cocaine. The most frequently abused drugs in women were alcohol, nicotine, and opiates. Men and women were most frequently placed on a librium based alcohol detoxification program, and secondly a buprenorphine based opiate detoxification program. There was statistical significant improvement in the of Beck Depression Inventory scale (BDI), Beck Hopelessness scale (BHS), and Global Assessment Function (GAF) scores at admit and discharge and a downward trend in Clinical Institute Withdrawal Assessment (CIWA) and Clinical Opiate Withdrawal (COW) scores. Implications: There was a high incidence of co-morbid psychiatric conditions such as depression and anxiety that were present in both genders. In men, Attention Deficit and Hyperactivity Disorder/ Attention Deficit Disorder (ADHD/ADD) was an additional common condition observed, while in women eating disorders were observed. The treatments provided led to an overall improvement in GAF, BDI, BHS, CIWA and COW scores indicating effectiveness of the treatment program.

Made available in DSpace on 2016-04-04T18:27:36Z (GMT). No. of bitstreams: 1 Marcia Maria Carvalho Luz.pdf: 174478 bytes, checksum: 25ed4a58f829a7d29c5f3527844947a7 (MD5) Previous issue date: 2007-11-28 / This research is a qualitative study that has for objective to understand and to describe, from personal depositions, the religious faith lived deeply in the recovery of young in treatment of the chemical dependence. 4 interviews were made, those were written in form of 4 narratives and analyzed according to fenomenological method. The results allow to conclude that the religious faith lived deeply in the recovery of chemical dependents was important when it provided hope and force, so that the participants of this study searched its autonomy. The religious faith made possible, in 3 interviews, a direction for the life, a new form to see itself and the world. / Trata-se de um estudo qualitativo que teve por objetivo descrever e compreender, a partir de depoimentos pessoais, a religiosidade vivenciada no contexto da recupera??o de jovens em tratamento da depend?ncia qu?mica. Foram feitas 4 entrevistas, estas posteriormente foram escritas em forma de 4 narrativas e analisadas segundo o m?todo fenomenol?gico. Os resultados encontrados permitem concluir que a f? religiosa vivenciada na recupera??o de dependentes qu?micos foi importante na medida em que proporcionou esperan?a e ?nimo para que os participantes deste estudo buscassem sua autonomia perante a drogadic??o, sendo que em 3 entrevistas, a religiosidade possibilitou um sentido para a vida, uma nova forma de ver a si mesmo e o mundo.

Made available in DSpace on 2015-03-05T19:35:31Z (GMT). No. of bitstreams: 0 Previous issue date: 27 / Nenhuma / A presente pesquisa tem como objetivo geral analisar o processo de tratamento de usuários de crack internados na Comunidade Terapêutica Fazenda do Senhor Jesus do Vale dos Sinos – Vida Vale, a partir da inclusão da proposta de escuta psicanalítica. Essa se desdobra nos seguintes objetivos específicos: investigar a relação dos sujeitos com a droga, especialmente no uso de crack; analisar as modificações do lugar da droga, mais especificamente do crack para os sujeitos nas diferentes etapas do tratamento e pesquisar a possibilidade de mudança subjetiva na sistemática do tratamento na Comunidade Terapêutica. Trata-se de uma pesquisa qualitativa adotando como ferramenta a pesquisa-intervenção com referencial teórico psicanalítico, utilizando-se do processo de escrita como ato de pesquisa clínica. Como resultados, temos a compreensão do processo de tratamento, a partir de três diferentes momentos. Primeiramente, a adesão ao programa de tratamento, onde os sujeitos se perceberam precisando se pensar enquanto sujeit / The present research has as it main objective to analyze the process of the treatment of users of of crack , from the ones who are confined at “ Comunidade Terapêutica Fazenda do Senhor Jesus do Vale dos Sinos – Vida Vale,” beggining with the inclusion of the proposition of a psychoanalytical listening. This one opens to these specific objectives: investigate the relation of the patient with drugs, specially when using crack; analyze the alterations of the place of the drugs, especifically crack for the patients in the different steps of the treatment and research the possibility of subjective changing on the systematic of the treatment at the “Comunidade Terapêutica”. It is related to a qualitative research, adopting as a tool the intervention-research, with a psychoanalytical theoretical referencial, using the writting process as the act of clinical research. As a result we have the comprehension of the process of treatment comming out of 3 different moments. First the adhesion, to the program of

O trabalho é considerado um importante zeitgeber social. Objetivo: O objetivo do presente estudo é avaliar o ritmo social de pacientes adultos dependente de crack, internados na Unidade de Adição/ Unidade Álvaro Alvim do Hospital de Clínicas de Porto Alegre. Método: Participaram da pesquisa 50 pacientes dependentes de crack, internados para desintoxicação e reabilitação, aos quais foram aplicados questionários sócio-demográficos que permitiram conhecer a situação social, de moradia, renda, trabalho e emprego, tratamentos prévios e rede sócio-assistencial dos participantes, questionário para avaliação de indivíduos matutinos e vespertinos, escala breve de avaliação de ritmo social e revisão de prontuário. Resultados: A média de idade da amostra foi de 34,6 anos, 54% solteiros, com maior predominância na religião católica (54,3%). Cerca de 40% dos indivíduos contam com renda familiar mensal de 3 salários mínimos ou mais. Dos indivíduos que estão trabalhando ou em benefício do INSS (60%), 14% desenvolve as suas atividades no comércio, e cerca de 12 % trabalham na construção civil. A média da regularidade das atividades desenvolvidas (HITs) ficou em torno de 5,8 e a média do montante de atividades desenvolvidas (ALIs) foi de 33,8. Não Houve diferença significativa na correlação entre abandono de tratamento. Com relação à ritimicidade (5,8), os pacientes internados apresentaram um alto índice de regularidade, comparados com pessoas sem uso de drogas não internadas (4,2).1. Não foi encontrada relação entre o cronotipo dos participantes e o resultado dos HITs e ALIs. Conclusão: Apesar de ser mencionado o trabalho como um dos principais motivos para abandono de tratamento, os resultados deste trabalho não sustentam esta premissa. A situação de trabalho e a profissão não estão associadas ao abandono prévio de tratamento. Por outro lado, contrariando nossa hipótese inicial, a escolaridade aparece de maneira significativa, sendo evidenciado que quanto maior a escolaridade maior o índice de abandono precoce. A relação entre HITs e ALIs sugere que quanto mais atividades desenvolvidas, maior a regularidade com que elas foram realizadas durante a internação. No entanto, estudos futuros de segmento serão necessários para avaliar a manutenção desta regularidade. / Work is considered an important social zeitgeber. Objective: The aim of this study is describe the social rhythm of adult crack-cocaine users that are hospitalized in the Addiction Treatment Unite of the Hospital of Clinics of Porto Alegre. Method: 50 crack-cocaine users were interviewed after admission for detoxification and rehabilitation. We performed interviews with socio-demographic questionnaires that allowed us to access the social characteristics, housing, income, labor and employment, previous treatments and social assistance network. Also, they answer to a instrument to identify which individuals were morning or evening subjects, the Brief Social Rhythm Scale and chart review were assessed. Results: Mean age of the sample was 34.6 years old, and 54% of individuals reported to be single with predominance in the Catholic religion (54.3%). About 40% of the sample have a monthly family income of three minimum wages or more. Among individuals who are currently working or receive a benefit from Government (60%), 14% develop their activities in trade and 12% work in construction. The average of regularity of activities performed inside the inpatient unit (HITs) was around 5.8 and the average of amount of activities performed inside the inpatient unit (ALIs) was 33.8. There was no significant difference in the correlation between treatment dropout and rhythmicity. Regarding rhythmicity (5.8), hospitalized patients reported high levels of regularity when compared to individuals who were not hospitalized, neither had drug use (4.2) .1 We did not find a correlation between participant’s chronotipes and HITs and ALIs results. Conclusion: Despite work is cited as a major reason for treatment dropout, the results of this study do not support this premise. Work situation and the profession are not associated with prior treatment dropout. Contrary to our initial hypothesis, schooling appears as an important issue because it is significantly associated to early treatment dropout. The relationship between HITs and ALIs suggests that the more activities were developed, the greater the regularity with which they were performed during hospitalization. However, future follow-up studies are needed to evaluate the maintenance of this regularity.

A presente pesquisa propõe investigar a influência da religiosidade e da espiritualidade na recuperação de dependentes químicos em abstinência, bem como compreender que fatores são apontados como importantes na recuperação, observar se há influência positiva do desenvolvimento da espiritualidade na recuperação da dependência química, além de pesquisar na literatura a importância do desenvolvimento da espiritualidade para a saúde mental. Este estudo adotou as metodologias qualitativa e quantitativa, e a amostra foi composta por 10 dependentes químicos em recuperação. Os instrumentos utilizados foram: Um breve protocolo com informações sóciodemográficas, escala de coping religioso espiritual (CRE) e um questionário individual, semi-estruturado criado pela autora. Os resultados obtidos nesse estudo demonstram que 70% dos entrevistados atribuíram a religiosidade/espiritualidade como principal fator para alcançar e manter-se abstinentes. De modo geral, pelos resultados de pesquisas já realizadas nessa área, e pelos achados encontrados neste estudo, fica evidente a necessidade de os tratamentos médicos convencionais incluírem em suas abordagens terapêuticas a espiritualidade/religiosidade do paciente, não só como um item coadjuvante ao tratamento, mas como item indispensável para o bem-estar do ser humano em todos seus aspectos e dimensões. / The present research proposes to investigate the influence of religiosity and spirituality in the recuperation of chemical dependents in abstinence, as well as to understand which factors are noted like important in the recuperation, noticing if theres some positive influence of spirituality development in the chemical dependents recuperation, in addition to research on literature about the importance of spirituality development on the mental health. This study adopted the quality and quantify methodologies, and the sample was composed of 10 (ten) chemical dependents in recuperation. The instruments used were: a short demographic-social protocol, a scale of religious spiritual coping (RCE) and an individual questionnaire, half-structure, created by author. The results obtained in this study demonstrate that 70% of the interviewed attribute the religiosity/spirituality as the main factor to reach and keep abstinent. In general, according to others researches made in this area and the finds of this study, it is evident the necessity of include spirituality/religiosity to conventional health treatments, not just like a coadjutant item of treatment, but like an indispensable item for human well-being, in all your appearances and dimensions.

Submitted by Maria Suzana Diniz (msuzanad@hotmail.com) on 2015-11-09T13:08:28Z No. of bitstreams: 1 arquivototal.pdf: 1406007 bytes, checksum: 52292fbd493a2a516f457dac08473c53 (MD5) / Made available in DSpace on 2015-11-09T13:08:28Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1406007 bytes, checksum: 52292fbd493a2a516f457dac08473c53 (MD5) Previous issue date: 2014-02-27 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The use of drugs constitutes in the last years one of the most serious and hard to solve social phenomena nowadays. The crack has stood out in the Brazilian scenery regarding to other drugs gaining high social visibility. At the moment, it is understood that the consumption of drugs happens in all social groups; however the abusive use of crack by female users has been reported as a growing phenomenon in our society. It was aimed, based on a psychosocial comprehension of the phenomenon, to know and analyze the social representations about the crack, elaborated by female chemical dependents in treatment, using the theoretical contribution of the Social Representations Theory. It is a qualitative research, with descriptive and field character and, performed in Therapeutic Communities and Rehabilitation female Clinics, located in the estates of PB and PE. It was composed of a non-probabilistic sample and by convenience with a total of 45 users. The instruments used were: social demographic questionnaire, analyzed through the calculation of simple frequencies and percentages; the Free Association of Words, with the stimuli: crack and woman user, which was analyzed through the Analysis of Content; and, semi structured interview, that was analyzed with the software ALCESTE. The application of instruments happened in an individual status and in the institutions with help of a recorder; all the ethic procedure that involve the research with human beings were respected. The results indicated that the crack is represented as devastating and disruptive element, as it generates situations of disorder in the family environment, and is responsible for causing abandon or removal of the feminine functions. It was verified that the figure of woman user is seen as a moral order problem, causing a present depressing representation in the society; the dissonance between “being a drug user” and “being a mother/housewife” have influence in these speeches. It was also observed, that the strategies to combat this issue are loaded with of repression and endorsed by speeches that rule the prism of the morality, expressing the inequality of gender that still persists in the relation of the feminine with the masculine. These constructions, at the same time are individual and social; exert influence on how the society faces the chemical dependent woman, reinforcing social barriers that make difficult looking for a treatment and recovery of the users. Therefore, we conclude that it is necessary a look ahead of the stigmatization of the woman, that must be seen, before the role of wife or mother, as a woman that suffers and so needs care. This study provided an opportunity for the debate about this issue, having as objective strategies of combat and contemplation of these problems by public policies that help in the treatment of the chemical dependent woman. / O uso de drogas constituiu-se nos últimos anos um dos fenômenos sociais mais sérios e de difícil solução na atualidade. O crack vem se destacando no cenário brasileiro em relação a outras drogas ganhando acentuada visibilidade social. Atualmente, entende-se que o consumo de substâncias ocorre em todos os grupos sociais, sendo que o uso abusivo de crack pelo público feminino vem sendo relatado como um fenômeno crescente na nossa sociedade. Objetivou-se, a partir de uma compreensão psicossocial deste fenômeno, conhecer e analisar as representações sociais acerca do crack elaboradas por dependentes químicas em tratamento, utilizando o aporte teórico da Teoria das Representações Sociais. Consiste em uma pesquisa qualitativa, de caráter descritivo e de campo, realizada em Comunidades Terapêuticas e Clínicas de Reabilitação feminina, localizadas nos Estados de PB e PE. Compreendeu uma amostragem não probabilística e de conveniência, totalizando 45 usuárias. Os instrumentos utilizados foram: questionário sociodemográfico, analisado através do cálculo de frequências simples e porcentagens; a Associação Livre de Palavras, com os estímulos: crack e mulher usuária, que foi analisada por meio da Análise de Conteúdo; e, entrevista semiestruturada, a qual foi analisada a partir do software ALCESTE. A aplicação dos instrumentos ocorreu de forma individual e nas próprias instituições, com o auxílio de gravador; foram respeitados todos os procedimentos éticos que envolvem a pesquisa com seres humanos. Os resultados indicaram que o crack é representado como um elemento devastador e desagregador, por gerar situações de desordem no ambiente familiar e responsável por causar abandono ou afastamento das funções femininas. Verificou-se que a figura da mulher usuária é vista como problema de ordem moral, ocasionando uma representação depreciativa presente na sociedade; exerce influência nesses discursos a dissonância entre “ser usuária de droga” e “ser mãe/esposa do lar”. Observou-se, ainda, que as estratégias de enfrentamento desta problemática se encontram impregnadas de repressão social e respaldadas por discursos que regem o prisma da moralidade, expressando a desigualdade de gênero que ainda persistem na relação do feminino com o masculino. Essas construções, ao mesmo tempo em que são individuais e sociais, exercem influência na forma como a sociedade encara a mulher dependente química, reforçando barreiras sociais que dificultam a procura de tratamento e recuperação das usuárias. Dessa forma, conclui-se que é necessário um olhar para além da estigmatização da mulher, a qual deve ser vista, antes do papel de esposa ou mãe, como mulher que padece de um sofrimento, necessitando assim, de cuidados. O presente estudo oportunizou o debate acerca dessa temática, tendo como meta estratégias de enfrentamento e de contemplação dessa problemática por políticas públicas que auxiliem no tratamento da mulher dependente química.

O trabalho é considerado um importante zeitgeber social. Objetivo: O objetivo do presente estudo é avaliar o ritmo social de pacientes adultos dependente de crack, internados na Unidade de Adição/ Unidade Álvaro Alvim do Hospital de Clínicas de Porto Alegre. Método: Participaram da pesquisa 50 pacientes dependentes de crack, internados para desintoxicação e reabilitação, aos quais foram aplicados questionários sócio-demográficos que permitiram conhecer a situação social, de moradia, renda, trabalho e emprego, tratamentos prévios e rede sócio-assistencial dos participantes, questionário para avaliação de indivíduos matutinos e vespertinos, escala breve de avaliação de ritmo social e revisão de prontuário. Resultados: A média de idade da amostra foi de 34,6 anos, 54% solteiros, com maior predominância na religião católica (54,3%). Cerca de 40% dos indivíduos contam com renda familiar mensal de 3 salários mínimos ou mais. Dos indivíduos que estão trabalhando ou em benefício do INSS (60%), 14% desenvolve as suas atividades no comércio, e cerca de 12 % trabalham na construção civil. A média da regularidade das atividades desenvolvidas (HITs) ficou em torno de 5,8 e a média do montante de atividades desenvolvidas (ALIs) foi de 33,8. Não Houve diferença significativa na correlação entre abandono de tratamento. Com relação à ritimicidade (5,8), os pacientes internados apresentaram um alto índice de regularidade, comparados com pessoas sem uso de drogas não internadas (4,2).1. Não foi encontrada relação entre o cronotipo dos participantes e o resultado dos HITs e ALIs. Conclusão: Apesar de ser mencionado o trabalho como um dos principais motivos para abandono de tratamento, os resultados deste trabalho não sustentam esta premissa. A situação de trabalho e a profissão não estão associadas ao abandono prévio de tratamento. Por outro lado, contrariando nossa hipótese inicial, a escolaridade aparece de maneira significativa, sendo evidenciado que quanto maior a escolaridade maior o índice de abandono precoce. A relação entre HITs e ALIs sugere que quanto mais atividades desenvolvidas, maior a regularidade com que elas foram realizadas durante a internação. No entanto, estudos futuros de segmento serão necessários para avaliar a manutenção desta regularidade. / Work is considered an important social zeitgeber. Objective: The aim of this study is describe the social rhythm of adult crack-cocaine users that are hospitalized in the Addiction Treatment Unite of the Hospital of Clinics of Porto Alegre. Method: 50 crack-cocaine users were interviewed after admission for detoxification and rehabilitation. We performed interviews with socio-demographic questionnaires that allowed us to access the social characteristics, housing, income, labor and employment, previous treatments and social assistance network. Also, they answer to a instrument to identify which individuals were morning or evening subjects, the Brief Social Rhythm Scale and chart review were assessed. Results: Mean age of the sample was 34.6 years old, and 54% of individuals reported to be single with predominance in the Catholic religion (54.3%). About 40% of the sample have a monthly family income of three minimum wages or more. Among individuals who are currently working or receive a benefit from Government (60%), 14% develop their activities in trade and 12% work in construction. The average of regularity of activities performed inside the inpatient unit (HITs) was around 5.8 and the average of amount of activities performed inside the inpatient unit (ALIs) was 33.8. There was no significant difference in the correlation between treatment dropout and rhythmicity. Regarding rhythmicity (5.8), hospitalized patients reported high levels of regularity when compared to individuals who were not hospitalized, neither had drug use (4.2) .1 We did not find a correlation between participant’s chronotipes and HITs and ALIs results. Conclusion: Despite work is cited as a major reason for treatment dropout, the results of this study do not support this premise. Work situation and the profession are not associated with prior treatment dropout. Contrary to our initial hypothesis, schooling appears as an important issue because it is significantly associated to early treatment dropout. The relationship between HITs and ALIs suggests that the more activities were developed, the greater the regularity with which they were performed during hospitalization. However, future follow-up studies are needed to evaluate the maintenance of this regularity.

O trabalho é considerado um importante zeitgeber social. Objetivo: O objetivo do presente estudo é avaliar o ritmo social de pacientes adultos dependente de crack, internados na Unidade de Adição/ Unidade Álvaro Alvim do Hospital de Clínicas de Porto Alegre. Método: Participaram da pesquisa 50 pacientes dependentes de crack, internados para desintoxicação e reabilitação, aos quais foram aplicados questionários sócio-demográficos que permitiram conhecer a situação social, de moradia, renda, trabalho e emprego, tratamentos prévios e rede sócio-assistencial dos participantes, questionário para avaliação de indivíduos matutinos e vespertinos, escala breve de avaliação de ritmo social e revisão de prontuário. Resultados: A média de idade da amostra foi de 34,6 anos, 54% solteiros, com maior predominância na religião católica (54,3%). Cerca de 40% dos indivíduos contam com renda familiar mensal de 3 salários mínimos ou mais. Dos indivíduos que estão trabalhando ou em benefício do INSS (60%), 14% desenvolve as suas atividades no comércio, e cerca de 12 % trabalham na construção civil. A média da regularidade das atividades desenvolvidas (HITs) ficou em torno de 5,8 e a média do montante de atividades desenvolvidas (ALIs) foi de 33,8. Não Houve diferença significativa na correlação entre abandono de tratamento. Com relação à ritimicidade (5,8), os pacientes internados apresentaram um alto índice de regularidade, comparados com pessoas sem uso de drogas não internadas (4,2).1. Não foi encontrada relação entre o cronotipo dos participantes e o resultado dos HITs e ALIs. Conclusão: Apesar de ser mencionado o trabalho como um dos principais motivos para abandono de tratamento, os resultados deste trabalho não sustentam esta premissa. A situação de trabalho e a profissão não estão associadas ao abandono prévio de tratamento. Por outro lado, contrariando nossa hipótese inicial, a escolaridade aparece de maneira significativa, sendo evidenciado que quanto maior a escolaridade maior o índice de abandono precoce. A relação entre HITs e ALIs sugere que quanto mais atividades desenvolvidas, maior a regularidade com que elas foram realizadas durante a internação. No entanto, estudos futuros de segmento serão necessários para avaliar a manutenção desta regularidade. / Work is considered an important social zeitgeber. Objective: The aim of this study is describe the social rhythm of adult crack-cocaine users that are hospitalized in the Addiction Treatment Unite of the Hospital of Clinics of Porto Alegre. Method: 50 crack-cocaine users were interviewed after admission for detoxification and rehabilitation. We performed interviews with socio-demographic questionnaires that allowed us to access the social characteristics, housing, income, labor and employment, previous treatments and social assistance network. Also, they answer to a instrument to identify which individuals were morning or evening subjects, the Brief Social Rhythm Scale and chart review were assessed. Results: Mean age of the sample was 34.6 years old, and 54% of individuals reported to be single with predominance in the Catholic religion (54.3%). About 40% of the sample have a monthly family income of three minimum wages or more. Among individuals who are currently working or receive a benefit from Government (60%), 14% develop their activities in trade and 12% work in construction. The average of regularity of activities performed inside the inpatient unit (HITs) was around 5.8 and the average of amount of activities performed inside the inpatient unit (ALIs) was 33.8. There was no significant difference in the correlation between treatment dropout and rhythmicity. Regarding rhythmicity (5.8), hospitalized patients reported high levels of regularity when compared to individuals who were not hospitalized, neither had drug use (4.2) .1 We did not find a correlation between participant’s chronotipes and HITs and ALIs results. Conclusion: Despite work is cited as a major reason for treatment dropout, the results of this study do not support this premise. Work situation and the profession are not associated with prior treatment dropout. Contrary to our initial hypothesis, schooling appears as an important issue because it is significantly associated to early treatment dropout. The relationship between HITs and ALIs suggests that the more activities were developed, the greater the regularity with which they were performed during hospitalization. However, future follow-up studies are needed to evaluate the maintenance of this regularity.

Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgico / O presente trabalho de dissertaÃÃo tem por objetivo compreender a real intervenÃÃo e o alcance das prÃticas terapÃuticas (mÃdica ou religiosa) de trÃs instituiÃÃes fechadas que se propÃem a recuperar dependentes quÃmicos, entendendo como tal o indivÃduo cujas atividades do cotidiano centram-se no consumo de uma ou mais drogas em detrimento de qualquer outra atividade. Os dependentes quÃmicos informantes dessa pesquisa estÃo na faixa etÃria entre 15 e 29 anos, sÃo usuÃrios de drogas ilÃcitas e, em sua totalidade, estÃo ou estiveram institucionalizados. Busco, a partir dos seus discursos, alcanÃar as possÃveis interferÃncias daquelas prÃticas nas suas relaÃÃes com as drogas, alÃm do impacto do discurso institucional na representaÃÃo do vÃcio para esses jovens. SÃo tambÃm informantes da pesquisa profissionais de saÃde e religiosos que lidam diretamente com os jovens. Procurei utilizar como recurso metodolÃgico as narrativas dos jovens a respeito das suas trajetÃrias com as drogas e com as instituiÃÃes, alÃm do observar, do etnografar e, assim, tentar tecer uma âteia de significadosâ na perspectiva de Clifford Geertz, visando entender um universo que à legitimado cientificamente e pelo imaginÃrio social como um âlugarâ de transformaÃÃo e de recuperaÃÃo. / This dissertation aims at understanding actual intervention and reach of therapeutic practices (medical or religious) involving three private institutions that have establish to themselves the goal of recuperating chemically dependent persons considering as such individuals whose daily activities turn around consumption of one or more drugs rendering them useless by avoiding any other function. Chemically dependent persons who have contributed information to this research are positioned in the age range of 15 to 29 years old, are users of illegal drugs, and all of them are or have been committed to an institution. By exploring their discourses I try to identify possible interference of those practices as they affect those youngstersâ relation with drugs beside the impact caused by the institutional evaluation of their addiction. Others contributors to the research are health-related professionals and members of the clergy who are directly involved with the youngsters. I tried to use the youngstersâ discourse as a methodological tool in relation to their involvement with drugs and subsequent search by them of institutions that help addicts, besides observing and ethnographing the setting in an attempt to weave a âweb of meaningsâ in Clifford Geertzâs perspective aiming at understanding a world that has received a legally scientific stamp and is seen by a construct of a set of social values as a âplaceâ of transformation and recovery.