Banca: Adler Guilherme Viadana / Banca: Silvio Carlos Bray / Banca: José Bueno Conti / Banca: Maria Geralda de Almeida / Banca: Oswaldo Bueno Amorim Filho / Resumo: A pesquisa resgata o trecho paulista do "Caminho Novo", antiga estrada geral de São Paulo, ligação terrestre com o Rio de Janeiro, a partir do século XVIII. No chamado Vale Histórico da Serra da Bocaina, cujo relevo se apresenta muito movimentado, a cultura do café penetrou em território paulista. Esta sub-região do Vale do Paraíba tornou-se uma das mais prósperas do país. A fase posterior, de queda na produção cafeeira, transformou-a numa região "deprimida" e estagnada. Atualmente, existem esforços para, através dos diversos ramos do turismo, reativar e dinamizar esta região vale-paraibana paulista, de modo a reintegrá-la ao pujante sistema econômico de São Paulo. / Abstract: The research rescues part of Paulista's "New Way", an old general highway of Sao Paulo, a linking land conection with Rio de Janeiro, from eighteenth century on. Through the known as Historical Bocainas's Valley, whose relief presents itself as a turnover, the coffee culture penetrated in the paulista's territory. This sub-region of Paraíba's Valley became one of the most prosperous regions of the Country. The later faze, of a drop in coffee production, transformed it in a depressed and stagnant region. Currently there are efforts, through various branches of tourism, and re-energize the region of Paraibana Paulista valley, to reinstate her to the vibrant economic system of São Paulo.

115 undergraduate students were surveyed to see if attributional style would be different for individuals with alcoholic parents, depressed parents, or neither factor. Subjects were sorted into the three groups based on their responses to a family history questionnaire. Each subject filled out two attributional style questionnaires, the Attributional Style Questionnaire (ASQ) and the Attributional Style Assessment Test (ASAT-II). The three groups did not differ on attributional style for interpersonal, noninter- personal, or general situations. Within the adult children of alcoholics group, subjects reported that their successes in interpersonal situations were due to their strategy and effort, rather than ability, more so than for noninterpersonal successes.

Magister Curationis - MCur / This study explored the lived experience of spouses living with depressed partners. A qualitative phenomenological, exploratory study design was used to explore the lived experience of the spouses, identifying the coping strategies and challenges that they face as they live with the depressed partners. A purposive sample of seven spouses living with their depressed partners who were being treated in outpatient department were recruited to participate in the study. In-depth, face-to-face interviews were conducted, audiotaped with the participants’ permission and transcribed verbatim. The data from the transcripts, field notes, and demographic questionnaires was organized ready for analysis. Thematic data analysis was used to code the data, and group the codes to form categories. The categories were further regrouped to form themes. The themes were conceptualized and contextualized to uncover the meaning that the spouse carers attached to the lived experience. It emerged that most of the spouses described their partners and the relationship negatively due to the burden of care. The male carers as compared to the female carers expressed the negativity more and it impacted on the quality of care they were providing to the depressed partners. It was revealed that inadequate professional support was linked with the ineffective coping strategies employed by the spouse carers. Hence, most of the spouse carers presented with symptoms of depression and were at the stage of impoverishment according to the adaptive potential assessment model. A recommendation to involve spouse carers in the treatment plan and improve the support system to the spouse carers was made to the stakeholders of health service providers at the primary health level.

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Previous research has revealed heterogeneity in outcome trajectories among individuals seeking psychotherapy. However, questions remain as to the number, nature, and predictors of these trajectories. Therefore, the present study had three aims: 1) to identify heterogeneous latent groups among treatment trajectories of 212 clients with major depressive disorder (MDD) seeking psychotherapy at a community mental health training clinic; 2) to identify significant associations between clinical and demographic variables and group membership; and 3) to identify correlations between trajectory shape and positive treatment outcome. Prior to treatment, participants provided demographic information and completed symptom severity ratings. Once in treatment, participants completed a self-report of distress via the Outcome Questionnaire (OQ-45) at every session. Growth mixture modeling was utilized to identify distinct patient subgroups based on outcome trajectories among the sample. Three distinct latent classes of treatment trajectory were identified, providing evidence of heterogeneity in treatment trajectories among individuals with MDD. Baseline distress, pre-treatment work problems, and sleep difficulties were found to be predictive of an individual's membership in a specific trajectory group. Finally, specific shapes of change, namely early response and sudden gains, were associated with positive treatment outcome. Findings from this study can be used to identify patients at risk for treatment failure, allowing clinicians to intervene earlier to enhance mid-treatment feedback and prognosis.

While research highlights a number of risk factors for suicide, not all individuals displaying these characteristics will go on to attempt suicide. Depressed mood is a proximal indicator of suicide, with deterioration in already depressed mood increasing the likelihood of a suicide attempt. The overall aim of this thesis was to empirically test the Cognitive Model of Suicide by Wenzel and Beck (2008). This model proposes that each of the three components, dispositional vulnerabilities, mood disturbance and suicide related cognitions, may influence each other to enhance the propensity for a suicidal crisis. The thesis starts by examining the relationship between two personality characteristics (neuroticism and trait aggression) and current depressed mood, and then focuses on the relationship between suicidality and current depressed mood. Although autobiographical memories have been implied as a possible risk factor for suicidality, meta-analytical studies have highlighted discrepancies between sampling techniques which may limit interpretablity. Therefore, the first series of studies aimed to establish a protocol for assessing autobiographical memories. The second and third series of studies aimed to investigate whether the relationships between current depressed mood and specific personality factors (neuroticism and trait aggression) were indirectly influenced by other known risk factors that may affect cognitive processing of information (rumination, overgenerality, impulsivity). Moreover, these studies aimed to determine whether the same cognitive processing factors effected current depressed mood in non-suicidal and suicide attempt groups. The final series of studies aimed to determine whether these risk factors (neuroticism, trait aggression, brooding, impulsivity, and overgenerality) mediated the relationship between suicidality and current depressed mood. Findings indicated that compared to the non-suicidal group, individuals in the suicide attempt group was more likely to be influenced by the effects of trait aggression and brooding, and that the combination of these factors were positively associated with current depressed mood. In contrast, neuroticism and impulsivity appeared to influence individuals who had experienced suicidal ideation more than individuals who report never having suicidal thoughts or attempting suicide. Compared to the non-suicidal group, however, neuroticism and impulsivity did not show a significant association for current depressed mood in the suicidal ideation group. Findings supported the Interacting Sub-Systems model and are discussed in relation to the Cognitive Model of Suicide model.

The problem of this study was to identify variables in the family environment that may describe depressed adolescents' families. This study was based on Adlerian theory. The Family Environment Scale (FES) was used to measure the family atmosphere. The Lifestyle Scale (LS) was used to examine the adolescent's unique system of beliefs, values, and attitudes. The Internal-External Locus of Control Scale (IE) was used to measure the extent of external control exhibited by the adolescents and their parents. The subjects of this study were 31 depressed adolescents from 2 suburban psychiatric hospitals and one of each of the adolescent's parents. The subjects were from a homogeneous socioeconomic population showing no significant variation in the demographic categories of sex, race, chronological birth order, or marital status of the parents. Scores were compared with normative data. Product moment correlations were calculated between the results of the subscales on the 3 instruments. A principal components factor analysis was performed to determine if any patterns existed.

Bipolar disorder is a serious illness affecting approximately 2-4% of the population and is one of the world’s leading causes of disability. In individuals with bipolar disorder, medical comorbidity associated with cardiovascular, respiratory and endocrine disorders is related to increased rates of mortality. Recent updates to multi-system inflammatory related conceptualizations of bipolar disorder focus on the unique power that medical illness and biological processes may play as factors associated with course and outcome in bipolar disorder. The current study examined medical comorbidity and its associations with various demographic and psychological variables in individuals with bipolar disorder, schizophrenia, and major depressive disorder with psychotic features followed for 10 years from their first hospital admission. When compared to an age, gender and race-matched control sample from the population, those with bipolar disorder had significantly higher medical comorbidity across a range of medical diagnoses both at 6 months and 10 years after first hospital admission. Ten years following initial hospitalization, individuals in all three diagnostic groups reported increased rates of diabetes (OR: 2.0 – 3.7), stroke (OR: 4.6 – 7.0) and asthma (OR: 1.9 - 3.1), and individuals with bipolar disorder reported increased rates of cancer (OR = 2.1). A number of psychological and demographic symptoms were examined for their ability to predict the development of medical illness across the assessment interval. Overall rates of medical illness were elevated both early in illness course and 10 years after diagnosis, suggesting that broad sequelae of multi-system inflammation are present early and progress over time.

At last, we found some basic characteristics in Chinese kinship. Couple and child-parent are still the pivots in present urban China. Filial piety is undergoing many changes. For adult children, parents are important in instrumental supports. And siblings are hardly regarded as expected supporters. / For urban Chinese, close-kin playa prominent role in all the support networks. Close-kin include adult children, parents, and siblings. Additionally, supportive roles of different kin are diffused. Spouse and adult children are the most prominent source of support for dealing with both instrumental and emotional problems. In particular, their emotional supports are more significantly beneficial to people's mental health. Parents are the important instrumental supporters, rather than in emotional aspects. Siblings are sitable for contact, but they are not the expected supporters. Extended kin relations are insignificant in any of support dimensions. / It is widely recognized that social relationships have powerful effects on mental health. This empirical study aims at examining this theory among urban Chinese. Based on the dataset of "social networks and mental health in Beijing in 2000", the focus of this research is how depression of the residents in Beijing is related to their kinship (especially, close-kin) networks and supports. The network structural characters include "network size", "frequency of contact", and "residence distance". The functional elements of support include instrumental support and emotional support. CES-D (The Centre for Epidemiological Studies of Depression scale) is used to measure depression. / The major findings in theoretical dimension are: (1) Social supports have main effects, namely social supports are helpful to mental health regardless of stressors people might experience. (2) Some kinds of kinship networks have direct and indirect effects (mediated by kinship supports) on depression. This result also partially confirms "the support argument", which suggests that the social networks enhance the likelihood of accessing support which in turn provides the protective function against distress. / 孫薇薇. / Adviser: Rance Pui Leng Lee. / Source: Dissertation Abstracts International, Volume: 72-10, Section: A, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (p. 200-212). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Sun Weiwei.

<p><font face="Times New Roman">This study explored the lived experience of spouses living with depressed partners. A qualitative phenomenological,&nbsp / exploratory study design was used to explore the lived experience of the spouses, identifying the coping strategies and challenges that they face as they live with the depressed partners. A purposive sample of seven spouses living with their depressed partners who were being treated in outpatient department were recruited to participate in the study.</font></p> <p align="left">In-depth, face-to-face interviews were conducted, audiotaped with the participants&rsquo / permission and transcribed verbatim. The data from the transcripts, field notes, and demographic questionnaires was organized ready for analysis. Thematic data analysis was used to code the data, and group the codes to form categories. The categories were further regrouped to form themes. The themes were conceptualized and contextualized to uncover the meaning that the spouse carers attached to the lived experience.</p> <p align="left">It emerged that most of the spouses described their partners and the relationship negatively due to the burden of care. The male carers as compared to the female carers expressed the negativity more and it impacted on the quality of care they were providing to the depressed partners. It was revealed that inadequate professional support was linked with the ineffective coping strategies employed by the spouse carers. Hence, most of the spouse carers presented with symptoms of depression and were at the stage of impoverishment according to the adaptive potential assessment model. A recommendation to involve spouse carers in the treatment plan and improve the support system to the spouse carers was made to the stakeholders of health service providers at the primary health level.</p>