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Orientador: Ana Gabriela Sálvio / Resumo: Introdução: O melanoma é um tipo de câncer de pele agressivo, gerando diferentes comportamentos ao diagnóstico, dependendo da situação emocional do indivíduo. O modo como o paciente recebe o diagnóstico pode estar associado à personalidade e sua relação com a vida. Objetivo: Identificar as características emocionais e as dimensões da personalidade do paciente com melanoma no momento diagnóstico. Métodos: Foram selecionados 30 pacientes no momento do diagnóstico de melanoma e 30 sem diagnóstico oncológico sendo, ambos os grupos submetidos à avaliação psicológica através de dois instrumentos: Escala de Ansiedade e Depressão (HADS) e Inventário Fatorial de Personalidade (IFP II). Resultados: Neste estudo os sintomas de ansiedade e depressão não tiveram significância estatística e foram sintomas predominantes no grupo controle do que no grupo melanoma. Na interpretação e análise de correspondência do IPF II deste estudo as variáveis estatisticamente significativas que caracterizam os pacientes com melanoma foram Assistência, Afago, Deferência, Afiliação, Persistência e Autonomia. A dimensão Ordem é característica no que se refere aos estádios clínicos mais avançados (III e IV). Discussão: Neste trabalho não observa uma associação direta de sintomas de ansiedade e depressão na fase diagnóstica, ponto que merece atenção na escuta clínica e evolução do tratamento. Notamos as pessoas com melanoma a tendência abandono de si e busca de reconhecimento, para manter o trabalho, boa execuç... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Introduction: Melanoma is a type of aggressive skin cancer, generating different behaviors at diagnosis, depending on the individual's emotional situation. How the patient receives the diagnosis may be associated with personality and its relation to life. Objective: To identify the emotional characteristics and personality dimensions of the patient with melanoma at the moment of diagnosis. Methods: 30 patients were selected at the time of diagnosis of melanoma and 30 without oncological diagnosis. Both groups were submitted to psychological evaluation through two instruments: Anxiety and Depression Scale (HADS) and Factorial Personality Inventory (IFP II). Results: In this study the symptoms of anxiety and depression were not statistically significant and were predominant symptoms in the control group than in the melanoma group. In the interpretation and correspondence analysis of the IPF II of this study, the statistically significant variables that characterize patients with melanoma were Assistance, Cuddling, Deference, Affiliation, Persistence and Autonomy. The Order dimension is characteristic for the more advanced clinical stages (III and IV). Discussion: This study does not observe a direct association of anxiety and depression symptoms in the diagnostic phase, a point that deserves attention in clinical listening and treatment evolution. We note that people with melanoma tend to abandon themselves and seek recognition, to keep the job, good execution and admiration of... (Complete abstract click electronic access below) / Mestre

The overall aim was to follow the development of nutritional status and its significance for general health status using an epiemiologic method in a representative population‐based selection of older individuals in two cohorts. The main focus was to prospectively examine the significance of demographic, social and medical factors and to establish a basis to investigate the possibilities of preventive measures. Methods: Five hundred and eighty‐three individuals (278 women and 305 men), 75 and 80 years old, when included, living in a municipality in Östergötland in Sweden, participated in this study. Data collection took place 2001‐2006 with one examination yearly. The examination included a single question regarding self‐perceived health demographical questions, different questionnaires in the areas of nutritional status, symptoms of depression, cognitive function, health‐related quality of life and well being and objective assessments such as anthropometrical, physical and biochemical measurements. Results: Fifty percent of the women (I) and 58% of the men (II) perceived themselves as healthy. Important factors for women’s health (I) at baseline were no or few symptoms of depression, better physical mobility and better physical health. Among men who perceived themselves as healthy (II) at baseline, important factors were better physical health, maintaining a social network and the ability to walk outdoors. After one year 69% of the women and 75% of the men still perceived themselves as healthy. Among those women (I) who perceived themselves as healthy after one year, better physical mobility and better physical health were still important, with the addition of less or no pain. Important predictors for preserving health among men (II) were no symptoms of depression and the ability to walk up and down stairs. The prevalence of risk for malnutrition (III) was 14.5% (n=84), among women 18.8% and men 10.6%. Risk factors for malnutrition at baseline were a lower TSF, lower handgrip strength and worse physical health according to the PGC MAI. The incidence was 7.6%‐16.2%, and was distributed equally among women and men over time. Predictors for developing malnutrition were lower self‐perceived health, increased number of symptoms of depression.  Especially men with symptoms of depression ran a higher risk. Reported energy intake (IV) was low in relation to the estimated requirement, on average 74% among women and 67% among men. Intake of vitamins A, D, E and folate was below the recommended intake and the same pattern was found over time. A smaller weight loss was found among women and men from baseline to Follow‐up 2. Conclusions: The experience of a good physical health was the only common factor for a good self‐perceived health among women and men. The highest risk for developing malnutrition was a combination of impaired self‐perceived health and increased number of symptoms of depression. Clinical implications: A combination of nutritional status, self‐perceived health and symptoms of depression can be a base for clinical judgement and can be used by different professionals in ealth and medical care and in home care service.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-01-21T14:02:53Z No. of bitstreams: 1 mariaangelicacostasimoesabdalla.pdf: 2369784 bytes, checksum: 754a6460a6fb85b6be6968f7d20fa6fb (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-01-25T18:46:16Z (GMT) No. of bitstreams: 1 mariaangelicacostasimoesabdalla.pdf: 2369784 bytes, checksum: 754a6460a6fb85b6be6968f7d20fa6fb (MD5) / Made available in DSpace on 2016-01-25T18:46:16Z (GMT). No. of bitstreams: 1 mariaangelicacostasimoesabdalla.pdf: 2369784 bytes, checksum: 754a6460a6fb85b6be6968f7d20fa6fb (MD5) Previous issue date: 2014-10-02 / A depressão vem se tornando mundialmente um problema de saúde pública, acomete milhões de indivíduos, impactando de forma negativa na vida dos trabalhadores e suas famílias contribui para a degradação da qualidade de vida, a perda da produtividade, a redução da renda familiar e, consequentemente, para perdas nas áreas econômicas e sociais dos países. Diante da importância da realização de pesquisas nessa área, tanto para o tratamento como para a prevenção dos quadros depressivos associados com a atividade laboral, o presente estudo teve como objetivos avaliar a prevalência de sintomas de depressão nos Técnicos Administrativos em Educação (TAEs) da Universidade Federal de Juiz de Fora (UFJF), traçar seu perfil socioeconômico, identificar os sintomas de depressão e analisar a associação entre o perfil socioeconômico e os sintomas de depressão nestes servidores públicos. Para isso foi realizado um estudo epidemiológico de delineamento transversal com 828 trabalhadores TAEs com idade entre 20 e 68 anos. Como instrumento de coleta de dados utilizou-se um questionário autopreenchível com questões sobre os sintomas de depressão através do Patient Health Questionnaire (PHQ-9), o estado de saúde geral e os fatores socioeconômicos (sexo, idade, estado civil, raça, escolaridade, religião, renda familiar, presença de filhos e estado geral de saúde). Os dados foram processados através do programa estatístico Statistical Package for the Social Sciences (SPSS), versão 2.0. A análise dos resultados revelou que 28, 8% das mulheres e 16, 1% dos homens apresentavam sintomas de depressão leve, sendo que a faixa etária de maior prevalência foi entre 20 e 50 anos. Quanto ao estado geral de saúde, dos servidores que o referiram como muito bom e bom, 15, 5% e 25, 6%, respectivamente, apresentaram sintomas de depressão leve. Dessa forma, o presente estudo sugere necessidade de se planejar e executar ações e programas preventivos em relação aos distúrbios mentais comuns, tais como a depressão, de modo a minimizar seus impactos sobre a qualidade de vida e sobre o trabalho dos servidores públicos federais. / Depression is increasingly becoming a worldwide public health problem, affecting millions of individuals, negatively affecting the lives of workers and their families, and contributing to the degradation of quality of life, lost productivity, reduced family income, and consequently to losses in the economic and social spherein many countries. Given the importance of conducting research in this area, both for treatment and for prevention of depressive disorders associated with work-related activity, the present study aimed to assess the prevalence of symptoms of depression in the Administrative-Technical Staff in Education (TAEs) at the Federal University of Juiz de Fora (UFJF), to outline their socioeconomic profile, identify symptoms of depression, and analyze the association between the socioeconomic profile and the symptoms of depression in these public servants. To this end, an epidemiological cross-sectional study with 828 TAE workers, aged between 20 and 68 years, was conducted. The data collection instrument was a self-administered questionnaire covering the symptoms of depression using the Patient Health Questionnaire (PHQ-9), general health status, and socioeconomic factors (gender, age, marital status, race, education level, religion, family income, presence of children and general health status). The data were processed using the statistical program, Statistical Package for the Social Sciences (SPSS), version 2.0.The results revealed that 28.8% of the women and 16.1% of the men showed symptoms of mild depression, the age group between 20 and 50 year shaving the highest prevalence. As to the general state of health, of the workers classified as very good and good, 15.5% and 25.6%, respectively, showed symptoms of mild depression. Thus, this study suggests the need to plan and execute preventive actions and programs for common mental disorders, such as depression, in order to minimize their impact on the quality of life and the work of federal public servants.

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The present study aimed to reveal the effect of family functioning, attachment styles in romantic relationships, and city of origin on the emotional well-being of first year university students. 286 first-year university students from the Department of Basic English at Middle East Technical University participated in the study. They completed a demographic information sheet, the McMaster Family Assessment Device, the short-form Version of Experiences in Close Relationships Scale, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Hopelessness Scale. ANOVAs were run to find out if there are significant differences in the emotional well-being of participants with different cities of origin and gender. To assess if there are significant differences in the emotional well-being between participants with different attachment styles and cities of origin, ANCOVAs (Gender as the covariate factor) were conducted. Finally, regressions were run to find out the relationship between demographic variables, attachment styles, family functioning, and emotional well-being of first-year university students. The participants who moved to Ankara when they started university were found to report more depressive symptoms than the participants who had been living in Ankara. Further significant differences were observed in the depression and hopelessness levels of participants with different attachment styles. In general, those participants having fearful attachment styles tended to have more depressive symptoms and hopelessness as compared to those having secure and preoccupied attachment styles. Regression analyses revealed that absence of secure attachment style, fearful attachment style, and problems in affective responsiveness in the family were associated with symptoms of depression. Gender, fearful attachment style, and communication problems in the family were found to be associated with symptoms of anxiety / and fearful attachment style, communication problems in the family and inappropriate family roles were found to associate with hopelessness. These findings were discussed with reference to relevant literature. Future research topics were suggested and thereupatic implications of the study were stated.

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Reliable und valide Informationen zur Häufigkeit und zu Korrelaten von Depression in der Allgemeinbevölkerung sind eine Voraussetzung für eine wissenschaftlich fundierte Gesundheitsversorgung und für Präventionsmaßnahmen. Die Vielfalt an Definitionen und die klinische Heterogenität von „Depression“ stellt eine Herausforderung für das Gesundheitsmonitoring und für die epidemiologische Forschung dar. Dies spiegelt sich in der Vielzahl an Depressionsmaßen wider. Daran anknüpfend ist das Ziel dieser kumulativen Dissertation, die Häufigkeiten und soziodemographischen und gesundheitsbezogenen Korrelate – mit einem Schwerpunkt auf der somatischen Komorbidität – eines breiten Spektrums etablierter Depressionsmaße in der erwachsenen Allgemeinbevölkerung in Deutschland zu untersuchen: von aktueller psychischer Belastung, depressiver Symptomatik und einem depressiven Syndrom über eine selbstberichtete ärztliche Depressionsdiagnose bis hin zu einer klinischen Major Depression. Datenbasis für die vier Originalarbeiten der Dissertation sind die bundesweit repräsentativen Querschnittstudien „Gesundheit in Deutschland aktuell“ (GEDA, 18 Jahre und älter) und die „Studie zur Gesundheit Erwachsener in Deutschland“ (DEGS1, 19-79 Jahre) mit dem Modul Psychische Gesundheit (DEGS1-MH) des Robert Koch-Instituts (RKI). In Kapitel 1 werden Forschungshintergrund, Fragestellungen und Methoden der vier Originalarbeiten zusammengefasst und die Ergebnisse dargestellt. Es ergeben sich hohe Prävalenzen auf Basis aller Depressionsmaße. Zugleich wird deutlich, dass die jeweiligen Maße zu unterschiedlichen Prävalenzschätzungen führen und dass es nur moderate Schnittmengen der jeweils identifizierten Fallgruppen gibt. Weiterhin zeigt sich eine weitgehende, jedoch keine vollständige Übereinstimmung in assoziierten soziodemographischen und gesundheitsbezogenen Korrelaten. Dies betrifft auch die Assoziation mit chronischen somatischen Erkrankungen, für die sich teilweise unterschiedliche Muster zwischen den untersuchten Depressionsmaßen und zwischen den Altersgruppen zeigen. Es folgen eine synthetisierende Ergebnisdiskussion und die Ableitung von Implikationen für die epidemiologische Forschung, das Gesundheitsmonitoring und die klinische Praxis. Kapitel 2 enthält die vier Originalarbeiten der Dissertation.

The current study objective was to investigate the interrelationship between five attachment styles (need for approval, preoccupation, discomfort with closeness, relationship as secondary, and confidence), perceived social support from family and friends, and symptoms of anxiety and depression. A total of 133 university students at the Department of Psychology in Umeå University filled out a form with a perceived social support from family and friends questionnaire, a scale on symptoms of anxiety and depression, and an attachment style questionnaire. Correlational analysis revealed a significant relationship between (avoidant) attachment style, discomfort with closeness, and low perception of social support from family and friends, and a significant relationship between (secure) attachment style, confidence, and high perception of social support from family. Furthermore, all five attachment styles were significantly related to symptoms of anxiety and depression, e.g., attachment style confidence was related to low reports of symptoms of anxiety and depression, and attachment style preoccupation was related to higher reports of symptoms of anxiety and depression. Results also showed that the relationship between symptoms of anxiety and depression and perceived social support was not significant. Additionally, no mediation of perceived social support from family and friends was found between attachment styles and symptoms of anxiety and depression. It was concluded that individuals with high levels of secure attachment perceive more social support from family and friends than individuals with avoidant attachment style. Moreover, individuals with high levels of insecure and/or avoidant attachment have an increased symptoms of anxiety related to social connection than individuals with high levels of secure attachment. No conclusions could be drawn from no mediation of perceived social support from family and friends on the relationship between attachment style and symptom of anxiety from the current population. Several limitations were discussed. / Syftet med den aktuella studien var att undersöka relationen mellan fem anknytningsmönster (bifallsbehov, relationsfixering, distans, sakorientering, och tillit), uppfattat socialt stöd från familj och vänner, och symtom på ångest och depression. Totalt 133 universitetsstudenter från institutionen för psykologi på Umeå universitet fyllde i ett formulär med en enkät om uppfattat socialt stöd från familj och vänner, en enkät för symtom på ångest och depression, samt en enkät om anknytningsmönster. Korrelationsanalys visade en signifikant relation mellan (undvikande) anknytningsmönster, distans, och låg uppfattning om socialt stöd från familj och vänner, och ett signifikant samband mellan (trygg) anknytningsmönster, tillit, och hög uppfattning om socialt stöd från familj. Dessutom var alla fem anknytningsmönstren relaterade till symtom på ångest och depression, t.ex., anknytningsmönstret, tillit, relaterad   till lägre symtom på ångest och depression, och anknytningsmönstret relationsfixering var relaterade till ökade symtom på ångest och depression. Resultaten visade också att relationen mellan symtom på ångest och depression och uppfattat socialt stöd inte var signifikant. Dessutom fanns ingen mediering genom uppfattat socialt stöd från familj och vänner på relationen mellan anknytningsmönster och symtom på ångest och depression. Slutsatsen var att individer med hög grad av trygg anknytning uppfattar mer socialt stöd från familj och vänner än individer med hög grad av undvikande anknytning. Dessutom att individer med höga nivåer av otrygg och/eller undvikande anknytningsmönster har ökade symtom på ångest relaterade till social förbindelse än individer med hög nivå av trygg anknytningsmönster. Inga slutsatser kunde dras från bristen på mediering genom uppfattat socialt stöd från familj och vänner på relationen mellan anknytningsmönster och symptom på ångest från den nuvarande befolkningen. Flera begränsningar diskuterades.

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