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Made available in DSpace on 2014-08-20T13:49:45Z (GMT). No. of bitstreams: 1 Dissertacao Zelma.pdf: 1509011 bytes, checksum: 06fbab8c928442ee168f43fa566fa01f (MD5) Previous issue date: 2013-02-19 / Due to new laws that propose some transformations, new perspectives were incorporated into care provision to patients with mental disorders. In the current scenario, the Centers for Psychosocial Care (CAPS) and therapeutic residential services (SRT), are of special relevance as strategic services in the psychiatric reform process by integrating mental health network, rehabilitating and restoring the social reinsertion to replace previous models that were centered in isolation. It is worth noting that the social support enhances actions that respect the individual´s singularities, supporting treatments where people with mental disorder can live in society. Thus, this support becomes crucial as it provides assistance and encouragement to individuals with physical or emotional disability so they can overcome their limitations. This study is a subproject of the REDESUL Project Networks that rehabilitate: evaluating innovative experiences of composing networks of psychosocial care. The collection of quantitative data was conducted by five interviewers in each of the chosen five municipalities in Rio Grande do Sul (RS), from September to December 2009. It is a cross-sectional epidemiological study aimed to describe the perception of social support by the Psychosocial Care Center (CAPS) users and the residents of Therapeutic Residential Service (SRT). The outcome of the study, perceived social support, was measured using the version of SSQ-27 (Social Support Questionnaire) and the independent variables included demographic, socioeconomic, morbidity, family and social support. 392 subjects were interviewed, being 249 CAPS users and 143 residents of SRT in 39 services (6 and 33 CAPS SRT). The results have shown the highest satisfaction degree among women, married or with a partner, with an income in the last month higher than two minimum wages that received financial support. The study has identified the importance of social support in the recovery process and has reached its purpose of evaluating the user perception of mental health with social support coming from long periods of psychiatric living in SRT compared with users Caps. Finally, the potential for comprehensive epidemiological studies in assessing the conditions of social support is highlighted. This study allowed the identification of factors associated with social support, recommending measures to improve public in the areas of Primary Care and Mental Health, aiming to improve the identification of sources of social support. / Novos olhares foram incorporados à condução do cuidado em saúde mental, e, os Centros de Atenção Psicossocial (CAPS) e os Serviços Residenciais Terapêuticos (SRT) assumiram especial relevância, como serviços estratégicos no processo da reforma psiquiátrica, por integrar a rede de saúde mental, reabilitando e restabelecendo o retorno social em substituição ao modelo anterior que estava centrado no isolamento. Cabe destacar que o enfoque no apoio social das pessoas com sofrimento psíquico pode potencializar ações em respeito às suas singularidades e subsidiar a articulação entre o tratamento e a convivência na sociedade. As fontes de apoio social são fundamentais, à medida que proporcionam assistência e encorajamento para os indivíduos com dificuldades físicas ou emocionais para que eles possam superar suas limitações. Este estudo é um subestudo do Projeto quantitativo da pesquisa REDESUL (Redes que reabilitam: avaliando experiências inovadoras de composição de redes de atenção psicossocial). A coleta de dados do projeto quantitativo foi realizada em cinco municípios do Rio Grande do Sul (RS), por cinco entrevistadores por município, no período de setembro a dezembro de 2009. Trata-se de estudo epidemiológico de delineamento transversal com o objetivo de descrever a percepção do apoio social dos usuários CAPS e moradores de SRT. O desfecho do estudo, apoio social percebido, foi aferido através da versão do SSQ-27 (Support Social Questionnaire) e as variáveis independentes incluíram aspectos demográficos, socioeconômicos, morbidade, apoio familiar e social. Entrevistou-se 392 sujeitos, sendo 249 usuários de CAPS e 143 moradores de SRT, em 39 serviços (6 CAPS e 33 SRT). Os resultados indicam as maiores médias de satisfação e de número de apoio social percebidos em mulheres, casados ou com companheiro, com renda no último mês em mais de dois salários mínimos, e que recebem apoio financeiro. Além destes importantes achados o estudo contribuiu para identificar a importância do apoio social no processo de recuperação. O estudo atingiu seu objetivo que foi avaliar a percepção de apoio social de pessoas portadoras de sofrimento psíquico advindos de longos períodos de internações psiquiátricas que moram em SRT em comparação com usuários de CAPS. Finalmente destaca-se a potencialidade de estudos epidemiológicos abrangentes na avaliação das condições do apoio social. Este estudo permitiu a identificação de fatores que possibilitam aproximar moradores e usuários das políticas públicas e das propostas nas áreas de Atenção Básica e de Saúde Mental, com a percepção voltada para a identificação de fontes de apoio social.

The impact of acculturation and poor social support as potential risk factors for cardiovascular and metabolic disease amongst Mexican immigrants to the United States (U.S.) is a developing area of research. One theory is that acculturation to U.S. society is negatively associated with health due to the stress of immigration as well as the less healthy diet and lifestyle in the U.S. It is also theorized that positive social support is associated with better health during immigration due to the buffering effect relationships have on stress. Despite these theories, mixed findings have been found regarding the associations between acculturation and social support to health outcomes in this population. Some research has also noted that significant differences exist between the manner in which men and women experience social support and their acculturation patterns. Consequently, the primary purpose of this study was to test the associations between acculturation and health as well as assess gender, social support, and acculturation for potential moderator effects in a sample of Mexican immigrants in Provo, Utah. Acculturation was measured using the Acculturation Rating Scale for Mexican Americans-II (ARMSA-II) which consists of the Anglo Orientation Scale (AOS) and Mexican Orientation Scale (MOS). Social support was determined using both the Interpersonal Support Evaluation List (ISEL) and Sarason Social Support Questionnaire (SSSQ) which has two dimensions: satisfaction with support network and size of support network. Hierarchical multiple regression did not find significant associations between acculturation or social support and health outcomes as measured by ambulatory blood pressure or blood draw values including triglycerides, Hemoglobin A1c (HbA1c), low-density lipoprotein (LDL), and high-density lipoprotein (HDL). A significant association was observed between Anglo Orientation and social support as measured by the ISEL-II. A moderation effect was observed between gender and Anglo orientation with satisfaction in one's support network. No other moderation effects were observed in this study. Implications of the findings, limitations, and directions for future research are discussed.

Magister Psychologiae - MPsych / The aim of the present study was to determine whether it was possible to identify changes in levels of postpartum depression and maternal adjustment and attitude in primiparae before and after birth. It aimed, furthermore, at assessing certain risk factors that could provide an understanding of the etiological factors (causes, determinants) influencing postpartum levels of depression and maternal adjustment and attitude. The study focused on risk factors among married and unmarried primiparae (first time mothers), with a view to establishing vulnerability profiles of the respective groups. The specific risk factors that formed part of the investigation were social support, personality (neuroticism) and life events. All the subjects investigated were recruited from the Mitchells Plain Maternity and Obstetrics Unit. A sample of 70 subjects, in the third trimester of pregnancy, voluntarily participated in the first part of this study. Of these, 26 belonged to the married group and 44 belonged to the unmarried group. As a result of the attrition factor, 57 subjects constituted the final sample for analysis. The final sample comprised 20 married and 37 unmarried subjects. Subjects were followed up four to eight weeks postpartum. Results revealed that there were no significant changes in levels of depression between the married and unmarried groups, either before or after delivery. Of significance was that with the event of birth, the depression scores amongst women rated high in neuroticism decreased significantly. Married women with high social support satisfaction scores were found to have low depression scores. Similarly, married women who experienced fewer negative life events had lower levels of depression than did the unmarried women who experienced fewer negative life events. The maternal adjustment and attitude scores did not change before or after birth, except in the married group. The married group showed a significant increase in scores on the maternal adjustment and attitude scores after the birth of the child. Regarding personality (neuroticism), the high neuroticism scorers had significantly lower maternal adjustment and attitude than did the low neuroticism scorers. As was the case with social support and depression, married women with high social support had a higher maternal adjustment and attitude. A significant effect of negative life events on maternal adjustment and attitude was only found for the married women (after delivery) who experienced a low number of life events. A stepwise multiple regression analysis was performed, in order to yield a model in which the depression and maternal adjustment and attitude scores would be predicted by risk factors. The finding of this analysis for both depression and maternal attitude and adjustment was not significant. Social Identity theory was suggested as a possible interpretation of these results. Future research which views social identity as a factor in understanding postpartum depression and maternal adjustment and attitude has been proposed .