Made available in DSpace on 2016-08-03T16:34:45Z (GMT). No. of bitstreams: 1 KATARINA QUEIROZ DE FARIAS VOLPI.pdf: 2705507 bytes, checksum: b478fc8b0596eb23f51801256bac8db6 (MD5) Previous issue date: 2008-08-12 / For approximately two decades cancer in children was considered a chronic disease with a poor, often terminal, prognosis. Today, cancer is a disease with better prospects, where 70% of the children that suffer from this disease can be cured, when they are diagnosed in advance and treated in a specialized care center¹. This study evaluated the quality of life and the stress of children and adolescents with cancer in remission and recurrent stages. This is a descriptive, transverse, quali-quantitative study. It was conducted at Faculdade de Medicina do ABC s (ABC Medical School s) pediatric oncology unit of Hospital Mário Covas. This study was done with the participation of 40 subjects varying between 06 and 14 years-old of both sexes. As instrument for measure the quality of life, was utilized the Child Health Questionnaire (CHQ-PF50) that contains 15 concepts of health including physical and psychosocial aspects to measure quality of life and the Child Stress Scale was utilized to evaluate the child s stress through physical and psychological reactions. The results indicate that in the physical domain, children and adolescents in remission and recurrent clinical situation do not show significant differences related to the variables: quality of life and stress. However in the psychosocial domain, there was a significant statistical difference, indicating that boys show better quality of life and less stress, in comparison to girls, showing that interferes in the emotional as well as in the result.(AU) / O câncer em crianças até cerca de duas décadas, era considerado uma doença crônica, com prognóstico desfavorável, resultando na maioria dos casos, em morte. Atualmente, tem-se apresentado como uma doença com melhores perspectivas, onde 70% das crianças acometidas por essa doença podem ser curadas, quando diagnosticadas precocemente, e tratadas em centros especializados¹. Este estudo teve como objetivo, avaliar a qualidade de vida e o stress de crianças e adolescentes com câncer, em remissão e recidiva. Trata-se de um estudo correlacional, quali-quantitativo, transversal. Foi desenvolvido no ambulatório de oncologia pediátrica da Faculdade de Medicina do ABC, e na enfermaria do Hospital Mário Covas. Contou com a colaboração de 40 sujeitos, com idades entre 06 a 14 anos, de ambos os sexos. Como instrumento para medir a qualidade de vida, foi utilizado o Child Health Questionnaire (CHQ-PF50), que possui 15 conceitos em saúde, abrangendo aspectos físicos e psicossociais e para medir o stress, a Escala de Stress Infantil (ESI), que tem como objetivo, avaliar o stress da criança, através de reações físicas e psicológicas. Os resultados indicaram que no domínio físico (PhS), as crianças em situação clínica de recidiva e remissão não apresentam diferenças significativas em relação às variáveis: qualidade de vida e stress, porém, no domínio psicossocial (PsS), houve diferença estatisticamente significante, indicando que os meninos apresentam melhor qualidade de vida e menor stress, se comparados com as meninas, mostrando que o emocional interfere nesse resultado.(AU)

Le traumatisme psychique définit le choc émotionnel d'un individu à la suite à d'un évènement traumatique. Dans certains cas, la symptomatologie psychotraumatique s'installe et perdure entrainant l'apparition d'un Trouble de Stress Post Traumatique. La littérature décrit amplement les désordres mnésiques qui accompagnent la maladie et notamment l'altération de la mémoire autobiographique. Ce système de mémoire complexe renferme l'histoire de notre passé sur laquelle s'appuie notre individualité présente et nos aspirations futures. Cependant, l'origine du dysfonctionnement de la mémoire autobiographique reste confuse, cette altération pourrait être un facteur prémorbide, la conséquence de l'exposition traumatique ou celle de la maladie. Les recherches restent incertaines sur les relations existantes entre le dysfonctionnement de la mémoire autobiographique et le traumatisme psychique. Tout au long de ce travail, nous caractériserons le fonctionnement de la mémoire autobiographique dans le contexte d'un traumatisme psychique. Les deux premières études permettront d'analyser la mémoire autobiographique suite à une exposition traumatique unique et suite à des expositions répétées. La dernière étude nous éclairera sur le fonctionnement de la mémoire autobiographique chez des sujets en rémission partielle d'un trouble de stress post traumatique. / Psychological trauma defines the emotional shock experienced by an individual following a traumatic event. In some cases, the psychotraumatic symptomatology develops and persists, leading to the onset of posttraumatic stress disorder. The literature has widely described the memory impairment associated with the disease, especially dysfunction of autobiographical memory. This complex memory system contains the story of our past, on which our present identity and future aspirations are based. However, it remains unclear whether this deficit is due to premorbid autobiographical memory dysfunction, to the trauma exposure itself, or to the subsequent development of posttraumatic stress disorder symptomatology. Research has not yet clarified the relationship between autobiographical memory dysfunction and psychological trauma. Throughout this work, we will define autobiographical memory function in the context of psychological trauma. The first two studies will analyze autobiographical memory function following a single traumatic exposure and following repeated exposures. The final study will shed light on how autobiographical memory functions among participants with posttraumatic stress disorder in partial remission.

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Der Langzeitverlauf und die Häufigkeit sogenannter spontaner Remissionen wurde anhand von 77 Fallen mit einer Lifetime-Diagnose einer Angststörung untersucht. Die 77 Angstfälle wurden als Teil der Münchner Follow-up-Studie im Rahmen einer allgemeinen Bevölkerungsuntersuchung im Jahre 1974 identifiziert und wurden über einen Zeitraum von sieben Jahren (bis 1981) weiter untersucht. Die Diagnosen wurden einerseits durch ein standardisiertes diagnostisches Instrument (den DIS), andererseits über eine klinisch-psychiatrische Nachuntersuchung (1981) abgesichert. In Ergänzung hierzu wurde der Verlauf der psychopathologischen Symptome sowie die psychologische und psychosoziale Integration der Versuchspersonen beurteilt. Ergebnisse: Die Lebenszeit-Prävalenz, irgendeine Anststörung zu entwickeln, betrug 13,9%. Einfache und soziale Phobien wiesen eine Prävalenz von 8,0%, Agoraphobie von 5,7%, Zwangsstörungen von 2,0% und Panikstörungen von 2,4% auf. Die Inzidenz, d.h. das Auftreten neuer Fälle im Zeitraum zwischen der Erst- und Zweituntersuchung war niedrig, mit Ausnahme für Panikstörungen (1,2%, bei einer Gesamtprävalenz von 2,4%) und Agoraphobie (1,3% bei einer Gesamtprävalenz von 5,7%). Die Komorbidität war sowohl innerhalb der Angststörungen wie auch bezüglich anderer psychischer Störungen erhöht. 62% hatten mehr als eine Angstdiagnose, Major Depression und Abhängigkeit von Alkohol oder Medikamenten waren die häufigsten komorbiden Störungen, die in der überwiegenden Mehrzahl deutlich nach dem Beginn der Angststörung auftraten. Spontanremissionen wurden auf drei unterschiedlichen Ebenen definiert, von denen ein Kombinationsmaβ als Hauptergebnis interpretiert wurde. Danach war die symptomatische Remission in alien Angstgruppen niedrig, während die psychosoziale Remissionsrate ein günstigeres Bild mit Remissionsraten zwischen 28,6% für Panikstörung und 53,1% für einfache und soziale Phobien ergab. Das kombinierte spontane Remissionsmaβ ergab für keine der Zwangsstörungen, nur 14,3% der Panikstörungen, 19,2% der Agoraphobien und 18,8% der einfachen und sozialen Phobie eine voile Remission. Die Ergebnisse unterstreichen, daβ Angststörungen zumeist in der Kindheit oder frühen Adoleszenz beginnen und dazu neigen, chronisch über den Groβteil des Lebens zu persistieren und nur selten zu remittieren.

The improvement in cancer remission rates in children and adolescents due to advances in cancer treatment and therapy has led to the development of guidelines that address long-term follow up for survivors of childhood cancers. Adolescents often experience negative emotions related to the fear of uncertainty about long-term survival after cancer remission, yet often report feelings of hope and optimism for the future more than adult cancer survivors. The purpose of this study was to understand the role of self-efficacy and coping in adolescents after remission of cancer. A secondary purpose was to analyze which coping strategies supported long-term survival goals after cancer remission in adolescent populations. A systematic literature review was conducted from the following online databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature On-line (MEDLINE), Education Resources Information Center (ERIC), and PsycInfo. Selected articles included those published between 2000-2016 that were written in English and were peer-reviewed. The results of the study revealed that most adolescents with cancer remission do not experience long term psychosocial issues related to their cancer diagnosis and treatment. However, a large percentage of adolescent cancer survivors report intermittent depression, suicidal ideation and a lower quality of life due to survival after remission. The literature indicates that multiple, integrative forms of behavioral therapy: cognitive, psychosocial, and family based treatment models, help to enhance long term quality of life in adolescent cancer survivors. Strategies that use positive coping methods and improve self-efficacy related to long term survival after remission have demonstrated improvement in psychosocial behaviors in adolescents and promote a better outlook on planning for the future. Future research that analyzes the most effective coping skills to practice after cancer remission and that optimize self-efficacy related to long term survival can positively influence quality of life for adolescent cancer survivors.

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal.

Anotation: The diploma thesis " The Psychosocial Aspects of Cancer in Adults" deals with problems of the psychosocial aspects of the oncological disease and its command by adults patient.The theoretical part engages in individual phases of disease and its consequences of patient's life. It also deals with basic ethical problems which are connect with this disease. The theoretical-practical part states the basic forms and methods of supportive oncological care and it demonstrates the propsal for its classification. The practical part is elaborated by the form of interviews. The first interview was accomplished with the hospital chaplain woman and the following interviews with oncological female patiens. The main aim of the thesis is to alert to problems of the psychosocial disease aspects whose solution should be the inseparable component of the complex oncological care.

Title: Development of methamphetamine (ex)users that decided to cease without professional intervention - follow-up study Abstract: BACKGROUND: This work relates to author's research in 2011/2012, in which author captured experience of (ex)users with ceasing drug using without professional help through narrative interviews. Findings shown, that respondents keeps in their narration space for reusing of methamphetamine, so author decided to work with respondents also in future. This work is theoretically based in idiographic and narrative approach, which focus on AIMS: To capture development of methamphetamine (ex)users that decided to cease using methamphetamine without professional intervention after 3 years. RESEARCH QUESTIONS: To capture users' answers about future aiming of individuals, based on preceding research, to catch biography-time development of respondents and to analyze reasoning according to (non)returning to using methamphetamine. METHODS: With those individuals, which were cooperating enough, interviews were held about their current situation. It creates set of interviews from 2011/2012 and from 2015/2016. Interviews were analyzed through narrative-oriented analysis, specifically through categories of values and beliefs. According to demandingness and comprehensiveness of approach, only two...

O câncer de mama é uma das doenças mais temidas pelas mulheres, por não afetar apenas o corpo anatômico, mas também os aspectos psicossociais da paciente. Na atualidade, é considerada uma enfermidade crônica. Existe um grande número de pessoas que convivem com o câncer, seja em tratamento, seja em remissão ou com controle de sintomas. Esse panorama exige da Psicologia uma atuação mais eficiente, específica, interessada em compreender o que leva os pacientes a maiores dificuldades diante das diferentes etapas do tratamento. Considerada a inexistência de uma teoria própria para a Psico-Oncologia, na análise desta pesquisa, é utilizada a proposta teórica de Donald Woods Winnicott, para auxiliar na compreensão e interpretação dos relatos de mulheres que convivem com a doença oncológica. Esta pesquisa propõe-se a investigar as repercussões psicológicas de pacientes em primeira remissão de câncer de mama. O interesse por este estudo surge a partir da prática como psicóloga, na especialidade de Mastologia. Diversas pacientes são encaminhadas para o ambulatório de Psicologia, com impactos psicológicos que perduram além da presença da doença. O estudo é do tipo transversal descritivo, com método misto. A amostra é composta por oito pacientes que realizam tratamento oncológico na Irmandade da Santa Casa de Misericórdia de São Paulo. O procedimento para a coleta de dados consistiu na aplicação de uma ficha sociodemográfica e na realização de uma entrevista semidirigida, na Escala Hospitalar de Ansiedade e Depressão (HAD) e na Escala de Desesperança Beck (BHS). Este trabalho conclui que o término de um período de tratamento não coincide com o fim das preocupações com a doença. E, ainda que pese a relevância da Psico-Oncologia para o bem-estar dos pacientes com câncer, esta pesquisa considera necessária uma fundamentação teórica, que permita contextualizar o indivíduo e promova o conhecimento de sua totalidade, além das repercussões esperadas no adoecimento oncológico. Observa-se a importância da avaliação psicológica para compreender como essa paciente vivencia o câncer de mama, a partir de sua experiência e vida anterior. Este estudo pretende avançar nos temas da Psico-Oncologia e fornecer subsídios para profissionais da área da Saúde que tratam pacientes com câncer de mama / Breast cancer is one of the most feared diseases by women, because it affects not only the body anatomy but also the psychosocial aspects of the patient. At present, it is considered a chronic illness. There are a large number of people living with cancer, either in treatment, either in remission or in symptoms control. This scenario requires from Psychology a more efficient and specific approach, more interested in understanding what leads patients to greater difficulties on the different stages of treatment. Given the lack of a specific theory for Psycho-Oncology, the analysis of this research uses the theoretical proposal of Donald Woods Winnicott to assist in the understanding and interpretation of reports of women living with cancer. This research intends to investigate the psychological repercussions of patients in first remission of breast cancer. The interest behind this study arises from the practice as psychologist in the Mastology specialty. Several patients are sent to the Psychology clinic, with psychological impacts that endure beyond the presence of the disease. This is a cross-sectional descriptive study, with mixed methods approach. The sample consists of eight patients undergoing cancer treatment in Irmandade da Santa Casa de Misericórdia of São Paulo. The procedure for data collection consisted of the application of a socio-demographic form and the conduction of a semi-directed interview, following the Hospital Anxiety and Depression (HAD) Scale and the Beck Hopelessness Scale (BDS). This paper concludes that the end of a treatment period does not coincide with the end of the concerns with the disease. And, despite the relevance of Psycho-Oncology for the well-being of cancer patients, this research considers necessary a theoretical foundation that contextualizes the individual and promotes the understanding of her entirety, in addition to the expected consequences of the oncologic illness. It is noted the importance of a psychological assessment to understand how this patient experiences breast cancer, based on her past experience. This study aims to advance Psycho-Oncology themes and provide valuable input to Health professionals who treat patients with breast cancer

Les lettres de rémission ont longtemps été délaissées par les historiens qui ne voyaient pas l'intérêt d'une étude approfondie, ou ne les exploitaient que pour leurs aspects « folkloriques ». Depuis une trentaine d'années les lettres de rémission des rois de France ont cependant été étudiées dans la perspective d'éclairer l’histoire de la criminalité médiévale, de proposer une histoire sociale et d'apporter une contribution à l'histoire politique de l'État royal. Les archives des ducs de Bourgogne, dispersées dans de nombreux fonds, contiennent 800 lettres datées des XIVe et XVe siècles, qui n'ont pas fait l'objet d'étude globale pour l'ensemble des territoires bourguignons. La transcription et l’analyse de ces documents, réalisées notamment à l’aide de bases de données informatiques, doivent permettre de saisir les évolutions dont ces pratiques du droit de grâce font l’objet à la fin du Moyen Âge, en tenant naturellement compte de leurs contextes historiques pour mieux comprendre leurs enjeux sociaux, juridiques et politiques.La dimension normative est ici privilégiée, dans la mesure notamment où les lettres sont des modèles partiellement stéréotypés qui renvoient l'image du bon sujet et celle du bon prince. Ces normes se définissent généralement par la pratique, mais leurs évolutions dans le temps suggèrent un rapprochement entre l’usage de la grâce et le droit, bien que le pardon demeure une dérogation à la loi. Certaines d’entre elles constituent également des spécificités bourguignonnes, qu’il importe d’étudier au regard des contextes dans lesquelles elles se construisent et des espaces dans lesquels elles s’appliquent, afin de déceler d’éventuelles disparités géographiques entre les multiples territoires constituant l’espace bourguignon. La dimension comparative des pratiques de grâce criminelle des ducs doit également être privilégiée, particulièrement avec les rémissions royales mais aussi avec celles émises par d’autres princes territoriaux. Enfin, dans la mesure où la lettre de rémission devient un outil récurrent du paysage judiciaire tardo-médiéval, il est nécessaire de la confronter aux autres sources de la pratiques avec lesquelles elle s’articule dans les rouages de l’administration bourguignonne, qu’il s’agisse d’archives judiciaires locales ou encore de registres de comptabilités. / The letters of remission have long been neglected by historians who did not see the point of a proper study or exploited them only for their “folkloric” aspects. Yet, over the past three decades, the letters of remission of the kings of France have been studied with the aim of highlighting the history of medieval crime, proposing a social history and contributing to the political history of the royal State. The archives of the dukes of Burgundy, dispersed across many fonds, contain 800 letters from the 14th and 15th centuries, which have never been globally studied for all the Burgundian territories. The transcription and the analysis of these documents, conducted by means of computer databases, must allow to understand the evolutions of the practices of the right to pardon in the late Middle Ages and of course take into account their historical contexts so as to better understand their social, legal and political stakes.The normative dimension is privileged here, notably insofar as the letters are partially stereotyped models which reflect the image of the good person and the one of the good prince. These norms are defined by practice but their changes through time suggest a rapprochement between the practices of pardon and law, although pardon remains a derogation from the law. Some of them also constitute Burgundian specificities, which are important to study regarding the contexts in which they form and the areas in which they apply, in order to identify possible geographic disparities among the multiple territories composing the Burgundian space. The comparative dimension of the practices of criminal pardon of the dukes must be privileged too, particularly with the royal remissions but also with the ones granted by other territorial princes. Finally, in as much as the letter of remission becomes a recurring tool of the late medieval judicial landscape, it is necessary to confront it to other sources of the practice with which it articulates in the workings of Burgundian administration, whether it handles with court archives or account registers.