Submitted by isabela.moljf@hotmail.com (isabela.moljf@hotmail.com) on 2017-08-22T13:28:33Z No. of bitstreams: 1 marinafiqueiralopescançado.pdf: 1089501 bytes, checksum: 825ad490c7a233802c70894b30e9c29a (MD5) / Rejected by Adriana Oliveira (adriana.oliveira@ufjf.edu.br), reason: on 2017-08-24T11:33:27Z (GMT) / Submitted by isabela.moljf@hotmail.com (isabela.moljf@hotmail.com) on 2017-08-24T14:06:42Z No. of bitstreams: 0 / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2017-08-30T12:39:28Z (GMT) No. of bitstreams: 0 / Made available in DSpace on 2017-08-30T12:39:28Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-02-03 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Apesar do consumo problemático de álcool ser um problema de saúde pública a busca por tratamento é pequena e a oferta de serviços especializados é insuficiente. Nos últimos anos cresceu o número de ofertas de tratamentos online para diferentes transtornos, incluindo o problemas com o uso de álcool. Este estudo teve como objetivo avaliar a viabilidade e aceitabilidade de uma psicoterapia online para dependentes de álcool e descrever os resultados clínicos iniciais. Para isso foi realizado um estudo piloto com os participantes com uso sugestivo de dependência cadastrados no site www.informalcool.org.br/bebermenos. Os convites foram realizados por e-mail e a psicoterapia proposta foi feita inteiramente por videoconferência. Observamos que entre o cadastramento e a realização da psicoterapia existem algumas etapas de perda. Foi feita a descrição dos participantes em cada etapa para melhor compreensão do perfil dos mesmos. Observou-se que o perfil prevalente para esta intervenção entre todas as etapas do recrutamento e da psicoterapia por internet foi homens, empregados, com alta escolaridade, em estágio de contemplação para mudança do comportamento de beber, com uma média de idade entre 37 e 41,3 anos e pontuação no teste AUDIT entre 22,7 e 26,0. Nenhum dos participantes da psicoterapia online havia se tratado anteriormente para o seu uso de álcool. Encontrou-se que a taxa de resposta aos e-mails convite para a psicoterapia por internet foi de 28,2%, e todos os participantes elegíveis convidados para participar aceitaram iniciar o tratamento, confirmando aceitabilidade. Dos 12 pacientes que iniciaram a psicoterapia 6 finalizaram. Houve redução no número de doses consumidas, de 9,6 doses para 3 doses por ocasião e aumento na quantidade de dias abstinente, de 14 dias para 21,3 dias. Consideramos que a amostra neste estudo apresentou boa aceitabilidade a proposta de psicoterapia por internet, ainda que se apresentem taxas de perda, uma vez que estas existem em estudos clínicos e em psicoterapia. Consideramos viável a realização de um ensaio clínico para avaliar a eficácia e efetividade da psicoterapia por internet. / Although problematic alcohol consumption is a public health problem, the search for treatment is small and the supply of specialized services is insufficient. In recent years there has been an increase in the number of online treatments for different disorders, including alcohol use disorders. This study aimed to evaluate the viability and acceptability of an online psychotherapy for alcohol dependents and to describe the initial clinical results. For this, a pilot study was carried out with the participants with suggestive use of dependence registered in the site www.informalcool.org.br/bebermenos. The invitations were made by e-mail and the proposed psychotherapy was done entirely by videoconference. We observe that between the registration and the accomplishment of the psychotherapy there are some stages of loss. The participants were described at each stage to better understand their profile. It was observed that the prevalent profile for this intervention between all stages of recruitment and internet psychotherapy was men, employed, with high schooling, in contemplation readiness to change drinking behavior, with a mean age between 37 and 41.3 years and AUDIT score between 22.7 and 26.0. None of the participants in online psychotherapy had previously treated themselves for their alcohol use. It was found that the response rate to e-mail invitations to online psychotherapy was 28.2%, and all eligible participants invited to attend agreed to initiate treatment, confirming acceptability. Of the 12 patients who started psychotherapy six finalized. There was a reduction in the number of standard drinks consumed, from 9.6 drinks to 3 drinks per occasion and an increase in the number of days abstinent, from 14 days to 21.3 days. We consider that the sample in this study presented a good acceptability to the proposal of psychotherapy delivered by Internet, even though there are rates of loss, since these exist in clinical studies and in psychotherapy. We consider it feasible to conduct a clinical trial to evaluate the efficacy and effectiveness of online psychotherapy.

Orientador: Raul Aragão Martins / Resumo: O consumo abusivo de álcool é considerado um problema de saúde pública, sendo a terceira causa de absenteísmo no trabalho e a oitava causa para a concessão de auxílio-doença pela Previdência Social no Brasil. A performance do trabalhador e o ambiente de trabalho são afetados pelas consequências do uso abusivo do álcool, causando queda de produtividade e qualidade no trabalho, bem como ausências no período de sua jornada; mudanças de hábitos pessoais, relacionamento ruim com os colegas, acidentes de trabalho, entre outras vulnerabilidades. Esta pesquisa teve por objetivo identificar o padrão de uso do álcool em trabalhadores e posteriormente realizar uma aplicação de Intervenção Breve (IB) nos que apresentarem padrão de beber excessivo, visando o retorno à abstinência ou pelo menos à moderação. A pesquisa foi exploratória, descritiva e quase-experimental, realizada em quatro etapas: levantamento inicial, entrevista, intervenção breve e seguimento. Na primeira etapa, participaram 230 trabalhadores e foi utilizado na coleta de dados o questionário autoaplicado composto de dados sociodemográficos e o Alcohol Use Disorders Identification (AUDIT). Atingiram a pontuação de oito ou mais no AUDIT 34% dos trabalhadores e foram classificados como positivos, pois apresentaram uso de risco ou nocivo ou dependente do álcool. Quanto aos 71 trabalhadores classificados como positivos, na segunda etapa, foram investigadas informações do seu padrão do beber através do Perfil Breve Bebedor (PBB)... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Alcohol abusive is considered a public health problem, being the third cause of absenteeism in the workplace and the eighth cause of disability benefits granted by Social Security in Brazil. The worker performance and the work environment are affected by the consequences of alcohol abuse, causing a decrease in productivity, decline in quality of work, absences from work, changes in personal habits, bad working relationship, work accident, among other vulnerabilities. The objective of this research was to identify the pattern of alcohol consumption in workers and then apply the Brief Intervention (BI) in those who presented a pattern of excessive drinking, aiming withdrawal or at least a decrease in consumption. This research was exploratory, descriptive, quasi-experimental, and carried out in 4 stages: initial screening, interview, Brief Intervention (BI), and follow-up sessions. Two hundred and thirty workers took part in the first stage and the data collection was obtained by selfreport questionnaires, with sociodemographic data, and the Alcohol Use Disorders Identification (AUDIT). Thirty four percent of workers reached an AUDIT score of eight or higher and were classified as positive, as they were either at risk or under harmful use or dependent on alcohol. As for the 71 workers classified as positive in the second stage, information on their drinking pattern was investigated through the Brief Drinker Profile (BDP) modified and applied to the Alcohol Dependence Scale - AD... (Complete abstract click electronic access below) / Doutor

Members of Greek Life organizations consume more alcohol and participate in risky drinking behaviors at higher rate than their non-Greek counterparts due to deep rooted social norms within this population. Undergraduate sorority women at college and universities are often overlooked in research regarding trends in alcohol use in Greek Life organizations. However, women between the ages of 18 and 24 are more vulnerable to the consequences of heavy alcohol use compared to men, including liver disease, sexual assault, poor academic outcomes and post-collegiate alcohol use disorders (AUDs). Although higher education institutions are tasked with educating their students about safe alcohol use and protecting students from harm, these interventions are often inadequate in decreasing alcohol related consequences. Among students, sorority women consistently consume higher amounts of alcohol and exhibit higher rates of risky drinking behavior. This thesis aims to examine the unique alcohol-related consequences and risk factors sorority women face. Implications are discussed to guide college administrators, counselors and other supports that are likely to encounter issues associated with alcohol use within this population.

The Alcohol Use Disorder Identification Test (AUDIT) is a brief screening instrument for assessing alcohol use problems among adults. This instrument is widely used and continued evaluation of its psychometric performance is needed. Reliability and validity are the primary psychometric characteristics of interest when evaluating psychological instruments. The focus of the present study is on reliability, which reflects the consistency or repeatability of the scores produced by a given instrument. Using meta-analytic methods, results showed that approximately 65% of previously published studies using the AUDIT did not appropriately report reliability estimates. Among the remaining studies, weighted reliability estimate centered on .81 (SD = .07) suggesting that the AUDIT generally produces scores of adequate reliability for most research purposes. Multiple regression equations showed that, among a variety of sample and methodological characteristics, the standard deviation of scores was the only statistically significant predictor of the variability in AUDIT score reliability estimates.

Excessive alcohol consumption is one of the most important lifestyle factors affecting the disease burden in the Western world. The results of treatment in daily practice are modest at best. The aim of the RESCueH programme is to develop and evaluate methods, which are as practice-near as possible, and therefore can be implemented quickly and easily in everyday clinical practice. It is the first clinical alcohol programme to be transatlantic in scope, with implementation in treatment centers located in Denmark, Germany and the US. The RESCueH programme comprises 5 randomized controlled trials, and the studies can be expected to result in (1) more patients starting treatment in specialized outpatient clinics, (2) a greater number of elderly patients being treated, (3) increased patient motivation for treatment and thus improved adherence, (4) more patients with stable positive outcomes after treatment and (5) fewer patients relapsing into harmful drinking. The aim of this paper is to discuss the rationale for the RESCueH programme, to present the studies and expected results.

Alcohol use disorders (AUDs), and alcohol dependence (AD) in particular, are prevalent and associated with a large burden of disability and mortality. The aim of this study was to estimate prevalence of AD in the European Union (EU), Iceland, Norway, and Switzerland for the year 2010, and to investigate potential influencing factors. The 1-year prevalence of AD in the EU was estimated at 3.4% among people 18–64 years of age in Europe (women 1.7%, men 5.2%), resulting in close to 11 million affected people. Taking into account all people of all ages, AD, abuse and harmful use resulted in an estimate of 23 million affected people. Prevalence of AD varied widely between European countries, and was significantly impacted by drinking cultures and social norms. Correlations with level of drinking and other drinking variables and with major known outcomes of heavy drinking, such as liver cirrhosis or injury, were moderate. These results suggest a need to rethink the definition of AUDs.