vii, 318 leaves : tables ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (Ph.D.)--University of Adelaide, Dept. of Anthropology, 1980

Thesis (M.S.)--Miami University, Dept. of Kinesiology & Health, 2008. / Title from first page of PDF document. Includes bibliographical references (p. 75-81).

Thesis (MVoeding)--University of Stellenbosch, 2004. / ENGLISH ABSTRACT: Introduction: Heavy alcohol consumption during pregnancy is teratogenic.49-51 A woman’s nutritional requirements increase during pregnancy.4 The dangers of heavy drinking in the presence of malnutrition may put the fetus at a further disadvantage to normal development and life. Objectives: To determine the nutritional status of pregnant women in relation to alcohol consumption during pregnancy, and pregnancy outcome. To relate the combined effect of maternal alcohol consumption and nutritional status to pregnancy outcome. Study design: Prospective, longitudinal and cohort. Study population: Pregnant women attending Hanover Park MOU for pre-natal care. They were classified as subjects (heavy drinkers) or controls (light drinkers or abstainers), and 15 pairs were matched according to race, parity and gestational age at the onset of their participation in the study. Methodology: A skilled FARR worker determined the alcohol consumption of the individuals through a validated questionnaire, whilst the investigator gathered the study data blinded to the participants’ alcohol consumption status. The investigator conducted three interviews with the pregnant individuals. Anthropometrical, clinical and biochemical investigations were done and questionnaires completed to determine dietary intake, sociodemographics, health and eating habits. An experienced FARR paediatrician examined the newborns, assessing their anthropometric status, health and the presence of any alcohol-related signs. Results: The nutritional status of the matched subjects and controls did not differ significantly in terms of dietary intake, anthropometric or clinical assessment. There were significant differences between the 2 groups’ serum vitamin A values (p<0.0097). Significant associations were found between the mother and newborn data; specifically energy intake and gestational age at birth (p<0.0083), MUAC and birth weight (p<0.04), and weight gain and weight for age (p<0.0056). The participants’ energy intake also had a significant correlation with their weight gain during pregnancy (r=0.0389, p<0.01). The prevalence of FAS in the total population was 6.67%; a finding that confirms previously reported data in nearby Wellington, Western Cape.49 Conclusion: Some mothers’ good nutritional status did not protect their offspring against alcohol’s teratogenic effects. Nutritional status did have a few statistical significant effects on pregnancy. However, the investigator is of the opinion that the few significant findings were not enough to accept or reject the hypothesis; therefore, making the results inconclusive. / AFRIKAANSE OPSOMMING: Inleiding: Swaar alkoholgebruik tydens swangerskap is teratogenies.49-51 Vroue se voedingsbehoeftes verhoog met swangerskap.4 Die gevare van swaar alkoholgebruik in die teenwoordigheid van wanvoeding mag die fetus verhoed om normal te ontwikkel en groei. Doelwitte: Om die voedingstatus van swanger vroue te bepaal in verhouding met alkoholgebruik tydens swangerskap, en die swangerskapsuitkoms. Asook om die gekombineerde effek van die moeder se voedingstatus en alkoholgebruik op haar swangerskapsuitkoms te bepaal. Studie-ontwerp: Prospektief, longitudinaal en kohort. Studiepopulasie: Swanger vroue wat Hanover Park MOU besoek vir voorgeboorte sorg. Hulle is of as toetslinge (swaar drinkers) of as kontroles (ligte drinkers of geheelonthouers) geklassifiseer, en 15 pare is gepaar na aanleiding van ras, pariteit en gestasionele ouderdom by die aanvang van deelname aan die studie. Metodologie: ‘n Ervare SAVN lid het die individue se alkoholgebruik bepaal deur middel van ‘n gevalideerde vraelys. Die navorser was geblind vir die individue se alkoholgebruik. Die navorser het drie onderhoude gevoer met elke individu. Antropometriese, kliniese en biochemiese ondersoeke is gedoen. Vraelyste is voltooi om dieetinname, gesondheid, sosiodemografiese en eetgewoonte- inligting te versamel. ‘n Ervare SAVN pediater het alle pasgeborenes ondersoek om hulle antropometriese status, gesondheid en die teenwoordigheid van enige alkohol-verwante tekens te bepaal. Resultate: Die voedingstatus van die gepaarde toets-en kontrolegroepe het nie beduidend verskil in terme van dieetinname, antropometriese of kliniese evaluering nie. Daar was ‘n beduidende verskil tussen die 2 groepe se serum vitamien A vlakke (p<0.0097). Beduidende assosiasies is gevind tussen die moeder en pasgebore se data; naamlike tussen energie-inname en gestasionele ouderdom by geboorte (p<0.0083), bo-armomtrek en geboortegewig (p<0.0056), en gewigstoename tydens swangerskap en die baba se gewig vir ouderdom (p<0.0056). Die deelnemers se energie-inname het ook ‘n beduidende positiewe korrelasie met hul gewigstoename tydens swangerskap gehad (r=0.0389, p<0.01). Die prevalensie van FAS in die totale populasie was 6.67%; wat ook gevind is onlangs in die nabygeleë Wellington, Weskaap.49 Gevolgtrekking: Sommige moeders se goeie voedingstatus het nie hul kinders teen alkohol se teratogeniese effekte beskerm nie. Voedingstatus se effek op swangerskapsuitkoms was statisties beduidend in ‘n paar gevalle. Tog is die navorser van mening dat daar nie genoeg beduidende bewyse is om die nulhipotese te aanvaar of verwerp nie; dus is die gevolgtrekking onopgelos.

O presente trabalho teve como objetivos traduzir e adaptar para o português brasileiro o instrumento psicométrico Drinking Motives Questionnaire-Revised (DMQ-R), apresentando evidências de validade para essa versão. Essa medida avalia quatro dimensões da motivação para o uso de bebidas alcoólicas: motivos de tipo social, realce, coping e conformidade. O trabalho é apresentado em forma de dois artigos independentes. No primeiro, é feita uma revisão seletiva de literatura, buscando apresentar o construto, distingui-lo de expectativas sobre o uso de álcool e enfatizar seu papel como preditores e mediadores em estudos na área. No segundo artigo, são apresentados dois estudos sobre a estrutura fatorial da versão em português brasileiro do DMQ-R. Estratégias exploratórias e confirmatórias foram empregadas de forma complementar para investigar a estrutura mais representativa dos dados amostrais. Um modelo revisado de quatro fatores foi selecionado como a melhor alternativa, sendo apresentadas dificuldades metodológicas dos estudos e sugestões para estudos futuros. / This work aimed to translate and adapt to Brazilian Portuguese the Drinking Motives Questionnaire-Revised (DMQ-R) presenting validity evidences to this version. The measure assesses four dimensions of alcohol use motivation: social, enhancement, coping and conformity. The work is organized in two independent papers. In the first one, a review of the literature is done, presenting the construct, differentiating it from drinking expectancies and emphasizing its role as predictors and mediators of alcohol use. In the second one, two studies regarding the factorial structure of the Brazilian Portuguese version of DMQ-R are presented. Exploratory and confirmatory strategies were employed complementarily to evaluate the most representative structure for the data. A revised, four-factor model was chosen as the best solution. Methodological difficulties and suggestions for future research are discussed.

O presente trabalho teve como objetivos traduzir e adaptar para o português brasileiro o instrumento psicométrico Drinking Motives Questionnaire-Revised (DMQ-R), apresentando evidências de validade para essa versão. Essa medida avalia quatro dimensões da motivação para o uso de bebidas alcoólicas: motivos de tipo social, realce, coping e conformidade. O trabalho é apresentado em forma de dois artigos independentes. No primeiro, é feita uma revisão seletiva de literatura, buscando apresentar o construto, distingui-lo de expectativas sobre o uso de álcool e enfatizar seu papel como preditores e mediadores em estudos na área. No segundo artigo, são apresentados dois estudos sobre a estrutura fatorial da versão em português brasileiro do DMQ-R. Estratégias exploratórias e confirmatórias foram empregadas de forma complementar para investigar a estrutura mais representativa dos dados amostrais. Um modelo revisado de quatro fatores foi selecionado como a melhor alternativa, sendo apresentadas dificuldades metodológicas dos estudos e sugestões para estudos futuros. / This work aimed to translate and adapt to Brazilian Portuguese the Drinking Motives Questionnaire-Revised (DMQ-R) presenting validity evidences to this version. The measure assesses four dimensions of alcohol use motivation: social, enhancement, coping and conformity. The work is organized in two independent papers. In the first one, a review of the literature is done, presenting the construct, differentiating it from drinking expectancies and emphasizing its role as predictors and mediators of alcohol use. In the second one, two studies regarding the factorial structure of the Brazilian Portuguese version of DMQ-R are presented. Exploratory and confirmatory strategies were employed complementarily to evaluate the most representative structure for the data. A revised, four-factor model was chosen as the best solution. Methodological difficulties and suggestions for future research are discussed.

Made available in DSpace on 2014-06-11T19:24:21Z (GMT). No. of bitstreams: 0 Previous issue date: 2009-03-02Bitstream added on 2014-06-13T20:12:32Z : No. of bitstreams: 1 dallo_l_me_mar.pdf: 533734 bytes, checksum: 65ca063401a308bd560b3cebeaa3bc17 (MD5) / O uso de álcool e outras drogas por crianças e adolescentes é um tema que vem preocupando a sociedade como um todo, principalmente por estar se detectando uso precoce e aumento gradativo do seu consumo. Procurando conhecer esta conduta, este estudo investigou o consumo de álcool e outras drogas e o contexto de uso de álcool entre alunos do ensino médio de três escolas (uma particular, uma pública localizada no centro da cidade e outra na periferia) da cidade de Cascavel, PR. Para isso, a pesquisa foi desdobrada em duas fases, na primeira foi utilizado um questionário, contendo dois instrumentos , o Alcohol Use Disordens Identification Test – AUDIT e o “Quantidade e freqüência de consumo de álcool” – Q_F, além de nível socioeconômico, religião e beber problemático de familiar. Os resultados desta primeira etapa mostraram que 34,7% dos estudantes bebem álcool de uma maneira arriscada, não havendo diferenças significativas por escola, gênero e nível socioeconômico. Ter um familiar que bebe, apresentou-se como um fator de risco, apesar de não ser a única influência para o adolescente beber. Pertencer a uma religião, principalmente a evangélica, apresentou-se como um forte fator protetivo. Quanto a segunda parte da pesquisa, foi realizado uma entrevista que analisou quantidade, freqüência e idade de inicio de uso das drogas lícitas e ilícitas. E também o contexto de uso de álcool, ou seja o local, companhia, bebida mais usada e o motivo do uso. Identificou-se que as drogas mais usadas são as drogas lícitas, ou seja, primeiro o álcool e depois o tabaco. Entre as drogas ilícitas, a maconha foi a mais usada. Em relação a idade de início, verificou-se que os sujeitos começam a usar as drogas lícitas e ilícitas na adolescência e a primeira droga a ser usada é o álcool com idade média de 12,84 (DP 2,40). Sobre o contexto de uso de álcool, a maioria... / The use of alcohol and other drugs by children and adolescents has been converted into a focus of concern in society, principally because their use have gradually increased and become precocious. In order to understand this situation, this research investigated the use of alcohol and other drugs and the context of use of alcohol among the students of three high schools (a private and a public, located downtown and in the suburbs, respectively) of Cacavel, Paraná, Brazil. In its turn, the research was carried out in two stages, in the first, a questionnaire was applied comprising two data-collection instruments, the “Alcohol Use Disorders Identification Test” – AUDIT and the “Quantity and frequency of alcohol use” – Q_F. It was also gathered information about the socioeconomic level, religion and binge drinking of family members. The results of the first stage show that 34.7% of the students drink alcohol in a risk way, there are no substantial differences among school, gender and social economic level. Having an addicted family member, presented as risky factor, although it is not the only influence on the adolescent behavior towards drinking. Belonging to a religious group, mainly the evangelical one, presented itself as a decisive protective factor. In relation to the second part of the research, an interview analyzed the quantity, frequency and age of use of legal and illegal drugs. It was also observed, the context of alcohol use, the place, relationships, most consumed beverages and the reason for consuming. It was identified that the most used drugs are legal ones, alcohol first and then tobacco. Among the illegal drugs, marijuana was the most used one. Concerning the age of first use, it was verified that the adolescent starts to use legal and illegal drugs in early teenage years and the first used drug is the alcohol in the average age of 12,84 (PD 2.40). Regarding... (Complete abstract click electronic access below)

Orientador: Florence Kerr-Corrêa / Coorientador: Maria Cristina Pereira Lima / Banca: Ricardo Cesar Torrezan / Banca: Janaina Barbosa Oliveira / Resumo: O uso do álcool associa-se a problemas significativos para a saúde pública em diversos países. Estudos indicam que a média de idade para início do uso é em torno de 12,5 anos, um dado alarmante, já que o uso de álcool na adolescência está associado a uma série de comportamentos de risco. Objetivo: Estimar a prevalência do uso de bebidas alcoólicas pelos alunos do ensino fundamental e médio no município de Botucatu na vida e no último ano; analisar a associação entre o uso de álcool e uso de álcool de risco com variáveis sociodemográficas, uso de substâncias psicoativas pelo sujeito, familiares e amigos e comportamentos violentos. Metodologia: Estudo transversal, realizado com 1,507 estudantes (2007; 2008), onde foram coletados dados: sociodemográficos, de uso de álcool pelos estudantes, familiares e amigos, uso de outras drogas e comportamentos de violência. Foram utilizados vários instrumentos incluindo o Alcohol Use Disorders Identification Test C - AUDIT C, que identifica uso de álcool de risco. Inicialmente foram realizadas as análises descritivas, seguida de análises univariadas entre possíveis fatores de risco de uso de álcool no último ano e uso pesado de álcool de acordo com o AUDIT C (com ponto de corte ≥ 4 para homens, e ≥ 3 para mulheres) por meio do teste Qui-quadrado. Por fim foi realizada a análise multivariada, onde as variáveis cuja associação na análise univariada tiveram obtido p≤0,25 foram incluídas no modelo de regressão logística, obtendo-se assim as razões de chances ajustadas (Odds Ratio). A análise dos dados foi realizada com auxílio do programa STATA 10.0. Resultados: A prevalência de uso de álcool na vida encontrada no presente estudo foi de 38,8% entre estudantes do ensino fundamental... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: In many countries, alcohol use is significantly associated with public health problems. Studies indicate that the average age for onset of use is around 12.5 years, an alarming fact, since alcohol use in adolescence is associated with a number of risk behaviors. Objective: To estimate the lifetime and previous year prevalence of alcohol use by junior and high school students in Botucatu, to analyze the association between alcohol use and risk alcohol use and: sociodemographic variables, tobacco and illicit substance use by the students, first degree family members and friends and violent behavior. Methodology: A cross-sectional survey was conducted with 1.507 students (2007 to 2008), and data were collected: on sociodemographic variables, alcohol use and misuse by students, family members and friends, use of illicit drugs, tobacco and violent behavior. A range of instruments was used including the Alcohol Use Disorders Identification Test C - AUDIT C, which identifies risk alcohol use. Descriptive analysis was performed followed by univariate analysis of possible risk factors for alcohol use in the previous year and heavy alcohol use according to the AUDIT C score (cutoff ≥ 4 for men, and ≥ 3 for women) through the chi-square test. Finally, a multivariate analysis was performed, and the variables whose association in the univariate analyses were ≤ 0.25 were included in the logistic regression model, thus obtaining the adjusted odds ratios. Data analysis was performed using STATA 10.0 software. Results: The prevalence of lifetime alcohol use found was 38.8% among junior high school students and 73.5% among high school students. The use of... (Complete abstract click electronic access below) / Mestre

Made available in DSpace on 2015-05-14T13:16:17Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 2356129 bytes, checksum: 6bd7146e8946c65d1b11213dc04c4e6f (MD5) Previous issue date: 2013-04-19 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This thesis aimed at apprehending the social representations about alcohol use and depression elaborated by adolescent students. It was used as theoretical framework the contribution of the Social Representations Theory. The study counted on a sample of 349 professional high school students, mostly female (71.3%), aged between 13 and 17 years, with a mean of 15.8 (sd = 1.04%).The data gathering counted on the following research instruments: Free Word Association Technique- TALP (inducing stimulus: depression, depressed person, alcohol use, adolescence and myself), Biossociodemographic questionnaire, Alcohol Use Disorders Identification Test (AUDIT), Children s Depression Inventory (CDI) and semi structured interviews. The software Trideux was used to run the factorial correspondence analysis of free word associations and variables of the participants. The data obtained from the questionnaire and the AUDIT were processed by SPSS 21 and analyzed by descriptive statistics. The discourse of the participants were processed and analyzed by software ALCESTE by means of lexical analysis (standard and cross-table functions). The results obtained by the Factor Analysis output by the software Trideux showed semantic fields associated with depression and objectified by the words crying, disease, death, alone, anguish and pain; the evocations resulting from the stimulus depressed person were objectified in words: boring, sick and alone. The inducing stimulus alcohol use, the participants objectified through the elements: party, addiction and problem. The inducing stimulus adolescence the objectifications were presented by the words sex, rebellion, discovery and party. And lastly, the stimulus myself, was objectified by the participants by the words: cool, beautiful and friendly. The results from the AUDIT demonstrated good internal consistency (=0, 84); concerning the categorical analysis in 129 (36.9%) adolescents scored their answers in Zone I (Low Risk consumption), 17 (4.9%) adolescents scored in Zone II (Risk), 2 (0.6%) in Zone III (High Risk) and 1 (0.3) scored in Zone IV (Dependency). The results obtained by CDI revealed good reliability (=0, 86); being 10% of adolescents characterized with depressive symptoms, 68.6% of these students were females, indicating more frequency for the age of 15 years (30.3%). The results output by ALCESTE showed in the first lexical class, entitled Depression: concepts, causes and consequences of depression, representations objectified in feelings of sadness and other elements such as power, careless, school, love, trauma, family, suicide, suffer , loss, illness, medicine, death, among others that were anchored in psycho affective dimensions. The second lexical class, called Alcohol: concepts, causes and consequences. The participants of this class objectified the mentioned issue in the elements as: drinking beer, curiosity, friends, death, abuse, influence, party, accident, addiction, among others. Such representations are anchored in behavioral and normative dimensions of the social environment probably in their social environment. The third class output by ALCESTE entitled Adolescence: concepts and experiences included the participants who objectified this theme in: stage, life, and way, moment in time, change, choice, responsibility, rebellion, play, sex, study, adult, and discoveries, among others. The findings of this study demonstrated that 42.7% of adolescents ingested alcohol, 10% had depressive symptoms. In this sense it was not possible to associate depressive symptoms to alcohol use. However, it is believed that the results of this research are imperative to expand the reflections and changing attitudes about adolescents behaviors concerning the prevention of alcohol abuse, as well as, the mental health, and, consequently the implementation of effectively educational policies aimed at covering the health of adolescents as a whole. / Esta tese teve como objetivo apreender as representações sociais acerca do álcool e da depressão elaboradas por estudantes adolescentes. Para tanto, utilizou-se o aporte da Teoria das Representações Sociais. O estudo contou com uma amostra de 349 estudantes do Ensino Médio Profissionalizante, maioria do sexo feminino (71,3%), com idades entre 13 e 17 anos, com uma média de 15,8 (dp=1,04%). Para a coleta dos dados foram utilizados os seguintes instrumentos: Técnica de Associação Livre de Palavras TALP (estímulos indutores: depressão, pessoa deprimida, uso do álcool, adolescência e eu mesmo), Questionário biossociodemográfico, Teste de Identificação de Problemas Relacionados ao Uso de Álcool (AUDIT), Inventário de Depressão Infantil CDI e Entrevista semiestruturada. O software Trideux foi utilizado para realizar a análise fatorial de correspondência das associações livres e variáveis dos participantes. Os dados advindos do questionário e do AUDIT foram processados pelo PASW 21 e analisados por meio de estatística descritiva. As interlocuções dos participantes foram processadas pelo software ALCESTE e analisadas por meio da análise lexical (procedimentos padrão e análise cruzada). Os resultados obtidos através da Análise Fatorial do Trideux indicaram campos semânticos associados à depressão e objetivados pelas palavras chorar, doença, morte, sozinha, angústia e dor; as evocações advindas do estímulo pessoa deprimida foram objetivadas nas palavras: chata, doente e sozinha. Já para o estímulo indutor uso do álcool, os participantes o objetivaram por meio dos elementos festa, vício e problema. Para o estímulo indutor adolescência as objetivações apresentaram-se por meio dos vocábulos sexo, rebeldia, descoberta e festa. E, por fim, para o estímulo eu mesmo, o grupo elaborou suas objetivações nas palavras: legal, linda e amiga. Os resultados advindos do AUDIT demonstraram boa consistência interna (=0,84); na análise categórica 129 (36,9%) adolescentes pontuaram na Zona I (consumo de Baixo Risco), 17 (4,9%) adolescentes pontuaram na Zoba II (Risco), 2 (0,6%) na Zona III (Alto Risco) e 1 (0,3) pontuou na Zona IV (Dependência). Os resultados sobrevindos do CDI revelaram boa confiabilidade (=0,86); sendo 10% dos adolescentes com sintomatologia depressiva, e destes 68,6% do sexo feminino; com maior frequência na idade de 15 anos (30,3%). Os resultados do ALCESTE desvelaram na primeira classe, intitulada Depressão: concepções, causas e consequências da depressão, cujas representações objetivaram-se no sentimento da tristeza e em outros elementos como: poder, falta, escola, amor, trauma, família, suicídio, sofrer, perda, doença, remédio, morte, entre outras que ancoram-se em dimensões psicoafetivas. A segunda classe, denominada Álcool: concepções, causas e consequências, foi objetivada nos elementos beber, cerveja, curiosidade, amigos, morrer, abusar, influência, festa, acidente, vício, entre outras. Tais representações ancoraram-se nas dimensões normativas e comportamentais apreendidas provavelmente do meio social. A terceira classe do ALCESTE, intitulada Adolescência: concepções e vivência objetivou-se em fase, vida, caminho, período, mudança, escolha, responsabilidade, rebeldia, brincar, sexo, estudar, adulto, descobertas, entre outras. Os achados deste estudo apontaram que 42,7% dos adolescentes fizeram ingestão de álcool, 10% apresentaram sintomatologia depressiva, não sendo possível associar os sintomas depressivos ao uso de álcool. Entretanto, acredita-se que com estes resultados, seja imperativo ampliar as reflexões e mudar as atitudes acerca do comportamento do adolescente no que concerne aos cuidados de prevenção do abuso de álcool, bem como de sua saúde mental e, que por sua vez, sejam efetivamente implementadas as políticas de educação que contemplem a saúde integral do adolescente.

abstract: Research has shown that a developmental process of maturing out of alcohol involvement occurs during young adulthood, and that this process is related to both young adult role transitions (e.g., marriage) and personality developmental (e.g., decreased disinhibition and neuroticism). The current study extended past research by testing whether protective marriage and personality effects on maturing out were stronger among more severe late adolescent drinkers, and whether protective marriage effects were stronger among those who experienced more personality development. Parental alcoholism and gender were tested as moderators of marriage, personality, and late adolescent drinking effects on maturing out; and as distal predictors mediated by these effects. Participants were a subsample (N = 844; 51% children of alcoholics; 53% male, 71% non-Hispanic Caucasian, 27% Hispanic; Chassin, Barrera, Bech, & Kossak-Fuller, 1992) from a larger longitudinal study of familial alcoholism. Hypotheses were tested with latent growth models characterizing alcohol consumption and drinking consequence trajectories from late adolescence to adulthood (age 17-40). Past findings were replicated by showing protective effects of becoming married, sensation-seeking reductions, and neuroticism reductions on the drinking trajectories. Moderation tests showed that protective marriage effects on the drinking trajectories were stronger among those with higher pre-marriage drinking in late adolescence (i.e., higher growth intercepts). This might reflect role socialization mechanisms such that more severe drinking produces more conflict with the demands of new roles (i.e., role incompatibility), thus requiring greater drinking reductions to resolve this conflict. In contrast, little evidence was found for moderation of personality effects by late adolescent drinking or for moderation of marriage effects by personality. Parental alcoholism findings suggested complex moderated mediation pathways. Parental alcoholism predicted less drinking reduction through decreasing the likelihood of marriage (mediation) and muting marriage's effect on the drinking trajectories (moderation), but parental alcoholism also predicted more drinking reduction through increasing initial drinking in late adolescence (mediation). The current study provides new insights into naturally occurring processes of recovery during young adulthood and suggests that developmentally-tailored interventions for young adults could harness these natural recovery processes (e.g., by integrating role incompatibility themes and addressing factors that block role effects among those with familial alcoholism). / Dissertation/Thesis / Ph.D. Psychology 2013

Esse estudo teve como objetivo avaliar a evolução dos pacientes com síndrome de dependência de álcool nas dimensões sociais e de saúde. Metodologia: O desenho metodológico do estudo é do tipo longitudinal e a mensuração da evolução do tratamento ocorreu por meio da abordagem quantitativa. A amostra foi composta por 35 pacientes de ambos os sexos com diagnóstico de síndrome de dependência alcoólica em tratamento no CAPS - AD II de Ribeirão Preto-SP. A evolução do tratamento foi realizada por meio de duas avaliações, sendo a primeira consulta no primeiro mês e a segunda agendada para três meses posteriormente ao início do tratamento. Para a coleta de dados utilizouse o The Addiction Severity Index ASI, um questionário que possibilita mensurar a evolução do tratamento considerando seis áreas de maior importância da vida da pessoa. Resultados: identificou-se que os usuários em tratamento no CAPS - AD II são adultos, a maioria do sexo masculino, de cor branca, solteiros/separados, católicos, possui baixo nível de escolaridade, quase a metade está desempregado e os que trabalham recebem uma renda mensal entre R$380 a R$1000. Para a análise estatística das áreas do ASI, dos dados sociodemográficos e do padrão de uso utilizaram-se o modelo estatístico da análise linear de efeitos mistos. Desse modo, a idade, a escolaridade, o estado civil, a religião, o emprego, a renda, os anos de consumo de álcool, a freqüência de uso e o valor em dinheiro gasto com o uso foram as variáveis que influenciaram na evolução do tratamento em cada área. Os resultados indicaram que a evolução do tratamento foi positiva ao longo dos três meses nas Áreas Uso de Álcool, Legal, Relação Família/Social e nas Condições Psiquiátricas. Conclusão: A relação entre o consumo do álcool e as conseqüências sociais e de saúde são complexas e multidimensionais. Avaliar a evolução do tratamento de pacientes alcoolistas de um CAPS - AD possibilitou identificar as características sociais e de saúde que podem contribuir de maneira mais apropriada no norteamento e planejamento da assistência a essa população. / This study aimed to evaluate the evolution of patients with alcohol dependency syndrome in terms of social and health dimensions. Methodology: The methodological design is longitudinal and the measurement of the treatment evolution occurred through qualitative approach. The sample was composed of 35 patients, both genders, with diagnosis of alcohol dependency syndrome in treatment at CAPS-ad II in Ribeirão Preto - SP, Brazil. The treatment evolution was measured through two evaluations, the first consultation in the first month and the second one scheduled for three months after the beginning of the treatment. The Addiction Severity Index ASI, a questionnaire that measures the treatment evolution considering six areas of high importance in a persons life, was used for data collection. Results: It was identified that users at CAPS-ad II, in treatment for alcoholism, are adults, male in their majority, white, single, catholic, with low schooling, almost half of them are unemployed, and those who work have a monthly income ranging from R$ 380 to R$ 1000. For the statistical analysis of the socio-demographic data, pattern of use, and ASI areas, the linear mixed-effects statistical model was used. This way, age, schooling, marital status, religion, work, income, years of alcohol consumption, frequency of use, and amount of money spent in each area were the variables that influenced the treatment evolution in each area. Results indicate that the treatment evolution was positive over the three months in the areas of Alcohol Use, Legal, Family/Social Relation and Psychiatric conditions. Conclusion: The relation between the consumption of alcohol and social and health consequences are complex and multidimensional. Evaluating the treatment evolution of alcoholic patients in one of the CAPS-ad allowed the identification of social and health characteristics that can contribute in a more effective way in the planning and guiding the care delivered to the services users.