This study examined the cost effectiveness of treating Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder Not Otherwise Specified (NOS), as well as the effects that modality of therapy (i.e. individual, family, and mixed therapy), license of therapist, and secondary diagnosis had on recidivism and total cost of treatment in the care of these patients. One-thousand and thirty-eight patients (56 males, 982 females) diagnosed with Anorexia Nervosa, 1,674 patients (56 males, 1,618 females) diagnosed with Bulimia Nervosa, and 1,997 patients (197 males, 1,800 females) diagnosed with Eating Disorder NOS were included in this study. Results revealed that family therapy was the least expensive form of therapy in average total cost of therapy. Individuals who had family therapy were 3.3 times less likely to recidivate than those who had individual therapy and 7.5 times less likely to recidivate than those who had mixed therapy. Having a secondary diagnosis on average increased the total cost of treatment by $437.34, irrespective of the type of secondary diagnosis (i.e. depression, anxiety, or substance-abuse). These findings suggest that modality of therapy should be considered in the treatment of Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder NOS. Future research should examine the effects of treatment for individuals with a secondary diagnosis.

Made available in DSpace on 2014-12-17T14:13:53Z (GMT). No. of bitstreams: 1 AnaEOM_TESE.pdf: 1417681 bytes, checksum: d2404c92b829058e4bb3bf9215331009 (MD5) Previous issue date: 2014-07-21 / This study was developed with the aim of analyzing the effectiveness of renal transplantation on quality of life of kidney recipients in the Rio Grande do Norte State. This is a descriptive study with longitudinal design, panel type with quantitative approach to data analysis. The Quality of Life (QoL) of chronic disease kidney patients before and after kidney transplantation was assessed by the WHOQOL-bref, The population consisted of patients in pre and post-renal transplantation, the sample had 63 patients older than 18 years. The study was conducted after approval by the Research Ethics Committee of the Onofre Lopes University Hospital, Federal University of Rio Grande do Norte, No. CAAE 0008.0.294.000-10. Data collection was performed at a referral center for renal transplantation in Rio Grande do Norte, from May 2010 to May 2013. Data were analyzed using descriptive statistics and presented in tables and graphs. For statistical analyzes, Microsoft Excel XP and SPSS 15.0 software were used. The tests used were simple variance (ANOVA), t-test, Mann-Whitney and Wilcoxon test to compare means, and Spearman correlations. P values <0.05 were considered significant. The demographic data showed a predominance of people between 18 and 45 years (68.2%) with a mean age of 39.9 years (SD 12.2), male (63.5%), married (58.7%), with children (51.0%). Regarding the education level was observed that 49.2% of participants had completed primary school, and most did not engage in any work activity (90.4%) during the study period. Hemodialysis was the predominant renal replacement therapy (96.8%) and the average waiting time for execution of transplantation was 1.9 years (SD 1.9). Comparison of QoL before and after transplantation showed significant differences in all areas analyzed, demonstrating that kidney transplantation had a positive impact on QoL in chronic renal patients undergoing kidney transplantation. Sociodemographic factors did not influence the quality of life in this group of patients, indicating that transplantation was the main factor to explain the improvement in quality of life. Thus, the alternative hypothesis of the study was accept, that there is a significant difference in quality of life before and after kidney transplant. It is expected that the results of this study may contribute to the development of strategies to encourage organ donation and kidney transplantation process / Este estudo foi desenvolvido com o objetivo de analisar a efetividade do transplante renal na qualidade de vida dos receptores no Estado do Rio Grande do Norte. Trata-se de um estudo descritivo, com delineamento longitudinal do tipo painel, com abordagem quantitativa de tratamento e an?lise dos dados. Para a avalia??o da Qualidade de Vida (QV) dos pacientes renais cr?nicos antes e ap?s o transplante de rim utilizou-se o WHOQOL-bref. A pesquisa foi desenvolvida ap?s aprova??o do Comit? de ?tica e Pesquisa do Hospital Universit?rio Onofre Lopes da Universidade Federal do Rio Grande do Norte, CAAE n? 0008.0.294.000-10. A popula??o constou de pacientes em acompanhamento ambulatorial pr? e p?s-transplante renal, sendo a amostra composta por 63 pacientes maiores de 18 anos. A coleta de dados foi realizada no centro de refer?ncia para transplante renal no Rio Grande do Norte, de maio de 2010 a maio de 2013. Os dados foram analisados por meio da estat?stica descritiva e apresentados em forma de tabelas e gr?ficos. Para as an?lises estat?sticas foram utilizados os programas Microsoft-Excel XP e SPSS 15.0. Os testes utilizados foram vari?ncia simples (ANOVA), teste t, Mann-Whitney e Wilcoxon, para compara??o de m?dias, al?m de Correla??es de Spearman. Valores de p<0,05 foram considerados significativos. Os dados sociodemogr?ficos mostraram predom?nio de pessoas entre 18 e 45 anos (68,2%), com idade m?dia de 39,9 anos (DP 12,2), do sexo masculino (63,5%), casados (58,7%) e com filhos (51,0%). Quanto ao n?vel de escolaridade observou-se que 49,2% dos participantes tinham ensino fundamental completo e a maior parte n?o desenvolvia nenhuma atividade laboral (90,4%) no per?odo do estudo. A hemodi?lise foi a terapia renal substitutiva predominante (96,8%) e o tempo m?dio de espera pela efetiva??o do transplante foi de 1,9 anos (DP 1,9). A compara??o da QV antes e ap?s o transplante mostrou diferen?a significativa em todos os dom?nios analisados, demonstrando que o transplante renal teve impacto positivo na QV de pacientes renais cr?nicos submetidos a transplante renal. Os fatores sociodemogr?ficos n?o influenciaram a qualidade de vida neste grupo de pacientes, indicando que o transplante foi o principal fator para explicar a melhora na qualidade de vida. Assim, se aceita a hip?tese alternativa do estudo, de que h? diferen?a significativa na qualidade de vida de receptores de rim antes e ap?s o transplante. Espera-se que os resultados desse estudo possam contribuir para o desenvolvimento de estrat?gias de incentivo ao processo de doa??o de ?rg?os e transplante renal

Made available in DSpace on 2016-08-03T16:34:19Z (GMT). No. of bitstreams: 1 JCarlos Ferreira p1a60.pdf: 403826 bytes, checksum: bd6d940c828bc1bdd5df5d55c111fb9f (MD5) Previous issue date: 2011-10-17 / The abusive use of psychoactive substances has been subject of concern and a problem faced by public policies almost worldwide. The recognition that such use develops significant economic, social, academic, family, physical and mental health consequences has led authori-ties to create programs that aim to cope with the expansion of this phenomenon. In Brazil, after a period in which the treatment offered to substance abusers was predominantly asylum, there have been changes in the model of care for this population, especially with the imple-mentation of Alcohol, Drugs and mental health services inside the Sistema Único de Saúde - SUS. This study aims to identify and analyze the perceptions of mental health professionals who work in ad-CAPS, the relevance and effectiveness of approaches and techniques they use to serve psychoactive substances users. It also wants to detect the academic and complemen-tary formation of those workers, the nature of the professional relationship established be-tween the team members, the results obtained with the work and the degree of satisfaction of those professionals with the results and identify the representation they have of those users and the degree of confidence in the ad-CAPS proposal. To collect data we used the semi-structured interview technique and the data processing was carried out based on the content analysis of Laurence Bardin technique. The research has shown that professionals do not have enough knowledge to deal with addiction, the team does not work in an interdisciplinary way and that the treatment is carried out randomly and with low efficiency. The representation they have the user is of a sick or victimized person by family and socio-economic circums-tances. It was also found that most professionals have doubts about the adequacy of the ad-CAPS as a proposal to care for alcohol and other drugs users. / O uso abusivo de substâncias psicoativas tem sido objeto de preocupação e alvo de políticas públicas de enfrentamento, praticamente no mundo todo. O reconhecimento de que tal forma de uso acarreta relevantes consequências econômicas, sociais, acadêmicas, familiares e de saúde física e mental, tem levado as autoridades competentes a criar programas que visam a fazer frente à expansão desse fenômeno. No Brasil, após um período em que o tratamento oferecido aos usuários de substâncias era predominantemente asilar, vem ocorrendo mudanças significativas no modelo de atenção a essa população, notadamente com a implantação dos Centros de Atenção Psicossocial Álcool e Drogas, dentro da estrutura do Sistema Único de Saúde SUS. O presente estudo tem por objetivo identificar e analisar a percepção dos pro-fissionais de saúde mental que atuam no CAPS-ad, sobre a pertinência e a eficácia das abor-dagens e técnicas por eles utilizadas no atendimento aos usuários de substâncias psicoativas. Visa também a conhecer a formação acadêmica e complementar desses trabalhadores; a natu-reza das relações profissionais que se estabelecem entre os membros da equipe; os resultados obtidos com o trabalho e o grau de satisfação dos profissionais com esses resultados. Objetiva ainda a identificar a representação que eles fazem desses usuários e o grau de confiança na proposta CAPS-ad. Para a coleta de dados utilizou-se a técnica de entrevistas semi-estruturadas e o tratamento dos dados foi realizado com base na técnica de Análise de Conte-údo de Laurence Bardin. A investigação revelou que os profissionais não têm formação para lidar com dependência química, que a equipe não atua de forma interdisciplinar e que o trata-mento é realizado de forma aleatória e com baixa eficácia. A representação que fazem do usu-ário é a de um indivíduo doente e ou vitimado pelas condições familiares e sócio-econômicas. Constatou-se também que a maioria dos profissionais tem dúvidas quanto à adequação do CAPS-ad como proposta para cuidar dos usuários de álcool e outras drogas.