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- ItemAcesso aberto (Open Access)A experiência de usuários do serviço público em psicoterapia de grupo: estudo qualitativo(Faculdade de Saúde Pública da Universidade de São Paulo, 2001-08-01) Peluso, Érica de Toledo Piza [UNIFESP]; Baruzzi, Márcia [UNIFESP]; Blay, Sergio Luis [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To assess the experience of public service users in a time-limited psychotherapeutic group dynamic intervention. METHODS: Eleven patients were randomly selected from a group of 52 who had participated in an efficacy study and were interviewed in-depth. Their account was submitted to content analysis, according to the Grounded Theory methodology. RESULTS: In general, patients accepted well and positively evaluated the psychotherapy intervention. The main findings were the importance of patient's interaction with the group participants, and their therapeutic course after the intervention, when most of them carried on with psychotherapy. CONCLUSIONS: The psychotherapeutic intervention was well accepted among the patients, had a favorable outcome and stimulated them to proceed with psychotherapy.
- ItemAcesso aberto (Open Access)Popular conceptions of schizophrenia in Cape Verde, Africa(Associação Brasileira de Psiquiatria - ABP, 2005-06-01) Mateus, Mário Dinis [UNIFESP]; Santos, José Quirino dos [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Conselho Nacional de Desenvolvimento Científico e TecnológicoINTRODUCTION: It has been well documented that schizophrenia presents a better clinical course in developing countries. Although there are many epidemiological studies showing this association, little research has been conducted to investigate the local representation systems for schizophrenia in these countries. OBJECTIVES: This study focuses on cultural factors of schizophrenia, namely the local representation systems for the disease, as well as what is locally understood as deviant behavior and its acceptability, and mechanisms of social-cultural insertion or exclusion of patients with schizophrenia in Cape Verde, Africa. METHODS: Randomized open interviews were carried out with the relatives of patients under treatment at the mental health out patient service of the Batista de Sousa Hospital (São Vicente Island) between the years 1994 and 1995. Interviews dealt with patients' life histories and disease related to problems, strategies employed by the family to cope with such problems, and comments on the social and family burden. RESULTS: 20 interviews with close relatives of 10 patients were analyzed. The study focused on three main categories explaining schizophrenia: tired head (cabeça cansada), nervous (nervoso), and supernatural categories (like sorcery or witchcraft). The interviewees expressed their opinions, either explicitly or not, on whether their relatives truly had a disease. CONCLUSION: Characteristics of local categories for schizophrenia found in Cape Verde can be regarded as a less stigmatized way of dealing with the disease. It is reasonable to suppose that the understanding of such cultural factors could lead to better outcomes in the treatment for schizophrenia in this country, and also in others, where similar conditions can be identified.
- ItemSomente MetadadadosRestless legs syndrome during pregnancy in Brazilian women(Elsevier B.V., 2010-12-01) Galdino Alves, Debora A. [UNIFESP]; Coin de Carvalho, Luciane Bizari [UNIFESP]; Morais, Jose Fausto de [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Ctr Univ LavrasObjective: the objective of this study was to identify the prevalence of restless legs syndrome (RLS) among pregnant Brazilian women, with individual diagnostic clinical interviews during the trimesters of pregnancy, and to determine the severity.Methods: It was a cross-sectional study. We interviewed 524 pregnant women (18-45 years old) who came to the prenatal outpatient clinic to consult an obstetrician. We used a RLS clinical-diagnostic interview and the International RLS Study Group rating scale (IRLS).Results: the prevalence of RLS during pregnancy was 13.5% in our sample, among which 90.1% of the cases started with their symptoms during pregnancy. More than half of the patients (53.5%) presented severe or very severe symptoms and the largest proportion of them (15.2%) were in their third trimester. We did not observe any demographic differences among the trimesters for RLS prevalence and RLS severity.Conclusion: RLS during pregnancy is more frequent than in the general population, such that more than half of the pregnant women with RLS present it severely or very severely. It occurs especially in the third trimester. (C) 2010 Elsevier B.V. All rights reserved.