Orientador: Lilia Blima Scraiber / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-04T03:54:48Z (GMT). No. of bitstreams: 1 Ferreira_AndreaFelicissimo_M.pdf: 10595181 bytes, checksum: 6d98808d957495376df13623b4bddf1a (MD5) Previous issue date: 2004 / Resumo: O problema da Violência contra a mulher é um fenômeno mundial e de grande magnitude. E, que têm merecido maior visibilidade a partir dos anos 90 na área da saúde embasado pela constatação de que a violência contra a mulher está associada a um maior risco para diversos agravos à saúde. Em especial, a violência doméstica tem-se demonstrado como um fenômeno freqüente de caráter insidioso e de cronicidade que tem repercussões em termos de saúde fisica mental e reprodutiva. A conseqüência disto é um aumento de demandas aos serviços de saúde. Nossa hipótese é a de que a prevalência de violência por parceiro íntimo é alta; o registro em prontuários é muito baixo e,que as mulheres em situação de violência tendem espontaneamente a procurar e usar mais os serviços de saúde. Neste sentido, o presente trabalho tem por objetivo caracterizar o perfil de uso de serviços entre usuárias de 15 a 49 anos,do sistema público de saúde do Município de São Paulo,que relataram ou não violência por parceiro íntimo. A metodologia utilizada foi a técnica de pesquisa quantitativa com aplicação de entrevista estruturada com 1008 usuárias de 08 serviços de saúde do município. Foi realizado também o levantamento dos registros médicos (prontuários) das entrevistadas. A prevalência de violência por parceiro psicológica, fisica e /ou sexual encontrada foi de 57,7% entre aquelas que estavam casadas ou tinham companheiro à época da entrevista. Embora a prevalência de violência seja alta o registro em prontuários é mfnimo, foram encontrados 03 anotações em prontuário entre os 977 analisados.O tempo médio de usuária (em anos) nos serviços foi de 2,4 e o número médio de consultas na unidade foi de 4, 42consultas/ano de vida de usuária. Uma análise preliminar aponta, que o uso de serviços por mulheres em situação de violência para esta população especificamente se mostrou aumentado em relação aquelas sem episódios de violência. Contudo a população usuária de serviços de atenção primária da rede pública tem dificuldade de acessar o serviço visto pelo tempo médio de uso / Abstract: The problem of violence agajnst women has been a world phenomenon and of high magnitude to. And it has deserved more studies in the 90's in the health area based on the knowledge that violence against women is associated to hea1th risks. Intimate partners violence among all kinds of violence has been the most harmful in terms of physical, mental and reproductive health. According to this there has occurred a higher demand to heaIth services. Our hypothesis is that the prevalence of violence perpetrated by intimate partners is very high; the records are very low in dossiers and the women in situation of violence spontaneously tend to use and look for these services. In this sense our study aims to characterize the people of theses services according to users from 15-49 years old, of the Município de São Paulo public health service who have related or not violence by intimate partners. The methodology used was the technique of quantitative research through interviews structured with 1008 users of 08 health services. According to doctors inquiries and through the users interviews. The prevalence of violence by partners -psychological, physical and/or sexual found was of 57,7% among those who were married or who hade an intimate partner by the time of the interviews. AIthough being high the prevalence of violence recorded in dossiers just 03 remarks were registered in these among the 977 analised samples. The average time the users looked for these services was of 2,4 and the average number of appointments was of 4,42 appointments / user age. One first analises points out that services used by women in situation of violence to this specific population has increased compared to those without any episode of violence. Nevertheless firstly the users population to primary care in public health services bave found some difficulties on accessing them according to the average time of use / Mestrado / Saude Coletiva / Mestre em Saude Coletiva

Research on the ordination of women has focused on the effect in the church and on aspects of the personality of the women choosing the priesthood but not on effects on the families of ordained women. Using personal interviews, the Dyadic Adjustment Scale and the Bem Sex Role Inventory, spouses in 12 families which contain ordained women from Episcopalian, Methodist, Unity and The Reorganized Church of Jesus Christ of Latter Day Saints churches were analyzed to determine the effects of ordination on the families. Couples containing an ordained female were found to have slightly higher marital adjustment and significantly higher levels of androgyny than a standardized sample. Androgyny and marital adjustment were significantly correlated. The more androgenous, the greater the marital adjustment.

"The purpose of the current study was to examine the effects of parenting style and having vs. not having siblings on social skill development."

In light of the existing literature and research conducted in the area of domestic violence, several recurrent symptoms continue to surface as a result of both physical and non-physical abuse. Two of the most prevalent psychological symptoms requiring intervention tend to be depression and low self-esteem. Therefore, it is the intention of this study to empirically examine the type of abuse female victims of domestic violence experience and its link to their psychological distress. Specifically, it is hypothesized that victims of non-physical abuse will be more likely to experience low self-esteem than depression. Victims of physical abuse will have a greater prevalence of depression than low self-esteem.

This research investigated changes in self-esteem and whether the origin and development of that self-esteem could be described in adult females participating in a GED program located at an Army Community Outreach Center. The Coopersmith Self-Esteem Inventory was used to measure the self-esteem of 22 female family members of military personnel who did not adequately complete a high school program in the United States. Data were collected through interviews, daily journal writings, questionnaires, instructor's written observations, and the Coopersmith Self-Esteem Inventory.

Background: Throughout the COVID-19 pandemic, women carried, birthed, and cared for infants in a drastically changed world. For perinatal women, the sudden increase in stressors compounded an already vulnerable time where they are at an elevated risk of developing symptoms of psychopathology. Moreover, the pandemic exacerbated pre-existing racial health disparities and disproportionately impacted Black, Indigenous, and People of Color (BIPOC)— particularly perinatal BIPOC women, due to the intersection of their race and perinatal status. This study investigated the relationships between COVID-19-related stressors and postpartum psychopathology using network analysis. Network analysis is used as an alternative technique for investigating the activation and maintenance of psychopathology and is increasingly used to examine the influence of external variables (e.g., stressors) on network dynamics. The relationship between psychological symptoms and stressors is typically examined in a unilinear manner—that is, stress causes psychopathology or vice versa. By using network analysis, we were able to investigate the bidirectional relationship between COVID-19-related stressors and postpartum psychopathology to reveal new insights into the individual stressor-symptom interactions that may underlie the emergence of psychological disorders for the perinatal population during the pandemic. Methods: Participants (N=630) were recruited via social media and listservs and completed an online Qualtrics survey. Data quality measures were used to identify repeated, incomplete, and potentially fraudulent responses, which were removed prior to data analysis. Goldbricker, inter-item correlations, and variance inflation factor analyses were used to address topological overlap and identify statistically unique items to be included in the networks. A comorbidity symptom network was estimated to investigate the relationship between postpartum depression and anxiety symptoms in all participants. Bridge symptoms between the two conditions were identified using bridge analysis and clique percolation analysis. Next, an expanded model was estimated to investigate the relationship between postpartum symptoms and COVID-19-related stressors. Node-wise predictability and moderation analyses were used to investigate the effects of adding external variables (i.e., positive experiences, maternal functioning domains, and predictors of psychopathology) to the expanded model. Finally, moderated networks were estimated to investigate differences in the structure of the comorbidity network and the expanded network for mothers from different racial and ethnic groups. Results: Fear-based symptoms were central in both the comorbidity and expanded networks and bridged postpartum anxiety and depression symptoms in the comorbidity network. The Depressed Mood and two Home Stress domains were central in the expanded network. Additional bridge symptoms in the comorbidity network included feeling overwhelmed, concentration difficulties, and feeling disliked by others, and in the expanded network included the Postpartum Stress, Emotional Stress, and Difficulty Adjusting domains. Moderation analyses revealed that the more mothers felt competent and the less challenging they perceived their infant’s temperament, the weaker the node connections were in their expanded networks. Furthermore, mothers with a history of prenatal depression, prenatal anxiety, or baby blues had denser expanded networks (i.e., stronger and more unique edges) compared to mothers with no history of these conditions. Contrary to expectations, moderation analyses revealed that: 1) social support and engaging in positive experiences during the pandemic strengthened connections between stressors and symptoms; 2) middle-income mothers had denser networks compared to low- and high-income mothers. Finally, racial network comparisons revealed that Black mothers' comorbidity and expanded networks were denser compared to all other racial groups. Conclusions: Our findings highlight the influence of major contextual changes, such as the COVID-19 pandemic, on network dynamics—that is, previously established peripheral network nodes (e.g., fear) may shift to the center during large-scale events. Therefore, researchers cannot assume that previously identified central nodes will remain as the main drivers of psychopathology irrespective of changes in context, as this may lead to a misdirection of prevention and intervention efforts. Further, our findings underscore that people with multiple intersecting vulnerabilities may be disproportionately impacted by these major events.

O diagnóstico de câncer de mama desencadeia mudanças no funcionamento não só da mulher assim diagnosticada, mas também em toda a sua família, afetando, inclusive, as relações afetivas e conjugais. As mulheres submetidas à mastectomia podem apresentar dificuldades durante o retorno às atividades profissionais, aos convívios social e familiar, como também no âmbito do relacionamento sexual. Há um grande impacto na autoestima. A qualidade de vida é acometida e sua avaliação é importante para a detecção dos aspectos que podem interferir no bem estar dessas mulheres. O estudo proposto teve por objetivo analisar a percepção sobre a comunicação e as emoções presentes na conjugalidade por parte de mulheres mastectomizadas bem como sobre a qualidade de vida pós-cirurgia. A pesquisa, de natureza quantitativa, estudou 50 mulheres mastectomizadas, com idades entre 30 a 55 anos, atendidas na enfermaria de um hospital de referência para o câncer de mama, da cidade do Recife. Foram utilizados como instrumentos de coleta de dados o Questionário genérico de Qualidade de Vida da European Organization for Research and Treatment of Câncer Quality of Life (EORTC) QLQ-C30 versão 3.0; o Questionário para avaliar a dinâmica conjugal, e o Questionário de Qualidade de Vida Supplementary Questionnaire Breast Câncer Module QLQ-BR23 versão 1.0. Para a análise estatística, foram utilizados os Softwares SPSS 13.0 para Windows e o Excel 2010. Os resultados foram inicialmente avaliados através de uma análise descritiva, baseada na composição de tabelas de frequência ou gráficos, além do cálculo de algumas medidas descritivas (média, desvio padrão, valores mínimo e máximo de série). Para avaliação de significância estatística para as estimativas realizadas foram utilizados os intervalos de confiança a 95% e o valor de 0,05 para a probabilidade associada aos testes (valor de p). Para verificar a existência de associação entre as variáveis categóricas foram utilizados o: Teste Qui-Quadrado e o Teste Exato de Fisher e, na comparação dos grupos, o Teste de Mann-Whitney (Não Normal). Os resultados apontam para o companheirismo entre os cônjuges, havendo diálogo constante do casal; a maior parte das mulheres era sexualmente ativa e respondeu que a atividade sexual é satisfatória. Também foi observada a presença de comprometimento da autoimagem e dor na maioria das mulheres interferindo na qualidade de vida. Diante desses resultados, considera-se relevante incentivar a prevenção e o diagnóstico precoce da doença; prover um acompanhamento de uma equipe multidisciplinar de saúde, para acolher esses casais, com o intuito de favorecer um melhor enfrentamento da doença.

Made available in DSpace on 2017-06-01T18:08:59Z (GMT). No. of bitstreams: 1 teresa_cristina_costa_vieira.pdf: 864984 bytes, checksum: 08abd28424eb88975f3bd19b5dcf1b06 (MD5) Previous issue date: 2016-01-11 / The diagnosis of breast cancer triggers changes in functioning not only of women so diagnosed, but also in your entire family, affecting even the emotional relationships and marriage. Women undergoing mastectomy may have difficulties during the return to professional activities, the social and family gatherings, as also within the sexual relationship. There is a great impact on self-esteem. The quality of life is affected and their evaluation is important for the detection of aspects that may interfere with the well-being of these women. The proposed study aimed to analyze the perception on the communication and emotions present in conjugality by women mastectomizadas as well as on the quality of life after surgery. The research of quantitative nature studied 50 mastectomizadas women, aged 30 to 55 years, served in the infirmary of a referral hospital for breast cancer, in the city of Recife. Were used as data collection instruments the Generic questionnaire of quality of life of the European Organization for Research and Treatment of Cancer Quality of Life (EORTC) QLQ-C30 version 3.0; the questionnaire to assess marital dynamics, and the Quality of life questionnaire Supplementary Questionnaire QLQ-BR23 Breast Cancer Module version 1.0. For statistical analysis, we used the software SPSS 13.0 for Windows and Excel 2010. The results were initially assessed through a descriptive analysis, based on composition of frequency tables or graphics, in addition to the calculation of some descriptive measures (average, standard deviation, minimum and maximum values of the series). To evaluate statistical significance for the assessments were used the 95% confidence intervals and the value of 0.05 for the probability associated with the tests (p value). To verify the existence of association between categorical variables were used: Chi-square and Fisher's exact test and, comparison of the groups, the Mann-Whitney Test (not Normal). The results point to the companionship between the spouses, and there is constant dialogue of the couple; most of the women were sexually active and replied that sexual activity is satisfactory. It was also observed the presence of impairment of self-image in most women and pain interfering with quality of life. On those results, it is considered relevant to encourage prevention and early diagnosis of disease; provide a follow up of a multidisciplinary team of health, to accommodate those couples, in order to encourage a better fight disease. / O diagnóstico de câncer de mama desencadeia mudanças no funcionamento não só da mulher assim diagnosticada, mas também em toda a sua família, afetando, inclusive, as relações afetivas e conjugais. As mulheres submetidas à mastectomia podem apresentar dificuldades durante o retorno às atividades profissionais, aos convívios social e familiar, como também no âmbito do relacionamento sexual. Há um grande impacto na autoestima. A qualidade de vida é acometida e sua avaliação é importante para a detecção dos aspectos que podem interferir no bem estar dessas mulheres. O estudo proposto teve por objetivo analisar a percepção sobre a comunicação e as emoções presentes na conjugalidade por parte de mulheres mastectomizadas bem como sobre a qualidade de vida pós-cirurgia. A pesquisa, de natureza quantitativa, estudou 50 mulheres mastectomizadas, com idades entre 30 a 55 anos, atendidas na enfermaria de um hospital de referência para o câncer de mama, da cidade do Recife. Foram utilizados como instrumentos de coleta de dados o Questionário genérico de Qualidade de Vida da European Organization for Research and Treatment of Câncer Quality of Life (EORTC) QLQ-C30 versão 3.0; o Questionário para avaliar a dinâmica conjugal, e o Questionário de Qualidade de Vida Supplementary Questionnaire Breast Câncer Module QLQ-BR23 versão 1.0. Para a análise estatística, foram utilizados os Softwares SPSS 13.0 para Windows e o Excel 2010. Os resultados foram inicialmente avaliados através de uma análise descritiva, baseada na composição de tabelas de frequência ou gráficos, além do cálculo de algumas medidas descritivas (média, desvio padrão, valores mínimo e máximo de série). Para avaliação de significância estatística para as estimativas realizadas foram utilizados os intervalos de confiança a 95% e o valor de 0,05 para a probabilidade associada aos testes (valor de p). Para verificar a existência de associação entre as variáveis categóricas foram utilizados o: Teste Qui-Quadrado e o Teste Exato de Fisher e, na comparação dos grupos, o Teste de Mann-Whitney (Não Normal). Os resultados apontam para o companheirismo entre os cônjuges, havendo diálogo constante do casal; a maior parte das mulheres era sexualmente ativa e respondeu que a atividade sexual é satisfatória. Também foi observada a presença de comprometimento da autoimagem e dor na maioria das mulheres interferindo na qualidade de vida. Diante desses resultados, considera-se relevante incentivar a prevenção e o diagnóstico precoce da doença; prover um acompanhamento de uma equipe multidisciplinar de saúde, para acolher esses casais, com o intuito de favorecer um melhor enfrentamento da doença.

Thesis (MA)--Stellenbosch University, 2005. / ENGLISH ABSTRACT: An exploratory study was conducted to determine the psychosocial stressors of women living with HIV/AlDS. The study also included the utilisation of group work by social workers to support HIV positive women. The exploratory study was also conducted to determine HIV positive women's experiences in a support group. The researcher's interest in group work, as well as her involvement with a support group with HIV positive women, is the motivation for the study. The aim of the study is to provide an explanation of the psychosocial stressors that HIV positive women experience and also to capture their experiences regarding the support group they attend. Nine psychosocial stressors, namely anger, fear, loss, grieve, guilt, denial and disclosure, depression, suicidal behaviour and anxiety, were included in the literature study. The advantages, disadvantages and components of group work, as well as comparisons of effective and ineffective groups, were highlighted. The research also focused on planning a group for women with HIV/AlDS, with special attention given to the needs assessment, the purpose of the group, the group composition and the structure of the group. The value of group work with HIV positive women was investigated. The universum was HIV positive women at the Walvis Bay Multi-Purpose Centre. The qualitative research method that was used took the form of structured interviews. The results of this study generally confirmed the findings of the literature study. Recommendations include ways in which social workers can assist HIV positive women not only on an individual basis but also especially in a group setting, and recommendations concerning future research. The importance of future research with HIV positive women was especially recommended. / AFRIKAANSE OPSOMMING: 'n Verkennende studie is onderneem om die psigososiale stresfaktore wat HIV positiewe vroue ondervind, te bepaal. Die studie het ook maatskaplike werkers se gebruik van groepwerk om HIV positiewe vroue te ondersteun, ondersoek. Die navorsing is voorts onderneem om HIV positiewe vroue se ervarings van 'n ondersteunersgroep te bepaal. Die navorser se belangstelling in groepwerk, en haar betrokkenheid by 'n ondersteunersgroep vir HIV positiewe vroue, was die motivering om die studie te onderneem. Die doel met die studie is om die psigososiale stresfaktore wat HIV positiewe vroue ondervind, te beskryf en te verduidelik, en ook om sommige van die ervarings wat sulke vroue in 'n ondersteunersgroep ondervind, te boekstaaf. Nege psigososiale stresfaktore, naamlik woede, vrees, verlies, droefheid, skuldgevoel, ontkenning en onthulling, depressie, selfmoordgedrag en angs, is in die literatuurstudie bestudeer. Die komponente en voor- en nadele van groepwerk, asook 'n vergelyking van effektiewe en oneffektiewe groepe is ook ingesluit. Die beplanning van 'n groep vir HIV positiewe vroue is benadruk, met spesiale verwysing na die behoeftebepaling, en die doel, die samestelling en die struktuur van die groep. Die waarde van groepwerk vir HIV positiewe vroue is ook ondersoek. Die universum is HIV positiewe vroue by die Walvisbaai Multi-Purpose Centre. Die kwalitatiewe navorsingsmetode wat gebruik is, is gestruktureerde onderhoude. Die resultate van die studie het in die algemeen die bevindinge van die literatuurstudie onderskryf. Aanbevelings sluit in wyses waarop maatskaplike werkers HIV positiewe vroue nie alleen op 'n individuele basis nie, maar ook in groepsverband kan ondersteun, asook moontlike gebiede vir verdere navorsing. Die belang van verdere navorsing met HIV positiewe vroue word veraI beklemtoon.

published_or_final_version / Education / Master / Master of Education