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Adaptação transcultural para o português da escala Adult Self-Report Scale para avaliação do transtorno de déficit de atenção/hiperatividade (TDAH) em adultos

Mattos,Paulo; Segenreich,Daniel; Saboya,Eloísa; Louzã,Mário; Dias,Gabriela; Romano,Marcos
Fonte: Faculdade de Medicina da Universidade de São Paulo Publicador: Faculdade de Medicina da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2006 PT
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Os critérios mais utilizados para o diagnóstico de transtorno do déficit de atenção/hiperatividade (TDAH) são aqueles listados pela quarta edição do Diagnostic and Statistical Manual (DSM-IV) da Associação Americana de Psiquiatria, baseados em estudos de campo com crianças e adolescentes. A Adult Self-Report Scale (ASRS, versão 1.1) foi desenvolvida para adaptar os sintomas listados no DSM-IV para o contexto da vida adulta. O presente estudo consistiu em uma adaptação transcultural do instrumento original em inglês para uma versão final para uso corrente no Brasil. Os resultados indicaram uma equivalência satisfatória entre as versões, tendo sido realizadas alterações após o debriefing, ressaltando a importância dessa etapa em estudos desta natureza.

Simulação para desenvolvimento da competência clínica de avaliação de risco para úlcera por pressão

Moura,Elaine Cristina Carvalho; Caliri,Maria Helena Larcher
Fonte: Escola Paulista de Enfermagem, Universidade Federal de São Paulo Publicador: Escola Paulista de Enfermagem, Universidade Federal de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 PT
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OBJETIVO: Analisar a percepção de graduandos em enfermagem sobre a estratégia de simulação no processo de ensino-aprendizagem para o desenvolvimento da competência avaliação de risco para úlcera por pressão. MÉTODOS: Estudo descritivo com análise qualitativa, desenvolvido com 29 estudantes de enfermagem do último ano do curso. Os dados foram coletados durante debriefing por grupo focal, após cenário de simulação e analisado pela técnica de Bardin, originando cinco categorias e respectivas unidades de registro temáticas. RESULTADOS: A estratégia foi capaz de resgatar o raciocínio operativo dos graduandos durante a execução do cenário de simulação (ação), desenvolvimento de pensamento crítico-reflexivo sobre a competência, identificação de lacunas de aprendizagem, promoção da satisfação aos estudantes e melhoria da autoimagem profissional. CONCLUSÃO: A estratégia de simulação desenvolve a competência avaliação de risco para úlcera por pressão em todas as suas dimensões: saberes (conhecimento), fazeres (habilidades) e querer-agir, saber-agir e poderagir (atitudes).

Ethics in research with human beings: some issues about Psychology

Koller,Sílvia Helena
Fonte: ABRASCO - Associação Brasileira de Saúde Coletiva Publicador: ABRASCO - Associação Brasileira de Saúde Coletiva
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2008 EN
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This paper examines some ethical issues in research with human beings, especially addressing the area of Psychology, such as the use of ethical codes; minimum risk; informed consent; debriefing; confidentiality; and ethical committees. It suggests ways for researchers to increase understanding and the proper use of the ethical codes, to guarantee their own protection, and to avoid abuses of power. Special attention is given to methodological issues related to ethics.

Trauma & the reproductive lifecycle in women

Born,Leslie; Phillips,Shauna Dae; Steiner,Meir; Soares,Claudio N
Fonte: Associação Brasileira de Psiquiatria - ABP Publicador: Associação Brasileira de Psiquiatria - ABP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2005 EN
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Women are at significantly higher risk for developing post-traumatic stress disorder (PTSD) than men, resulting in increased psychosocial burden and healthcare related costs. Recent research has shown complex interactions between the impact of traumatic experiences, and the reproductive lifecycle in women. For example, women suffering from premenstrual dysphoric disorder (PMDD) who also report a history of sexual or physical abuse are more likely to present with different neuroendocrine reactivity to stressors, when compared to premenstrual dysphoric disorder subjects without prior history of trauma or abuse or non-premenstrual dysphoric disorder subjects. In addition, women with a history of abuse or trauma may experience re-emergence of symptoms during pregnancy. Lastly, females who experience miscarriage may present with even higher prevalence rates of post-traumatic stress disorder symptoms. In this manuscript we examine the existing data on gender differences in post-traumatic stress disorder, with particular focus on psychological and physiological factors that might be relevant to the development of symptoms after exposure to traumatic events associated with the reproductive life cycle. Current options available for the treatment of such symptoms...

Randomised controlled trial of midwife led debriefing to reduce maternal depression after operative childbirth

Small, Rhonda; Lumley, Judith; Donohue, Lisa; Potter, Anne; Waldenström, Ulla
Fonte: BMJ Publicador: BMJ
Tipo: Artigo de Revista Científica
Publicado em 28/10/2000 EN
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Concerns about the effectiveness of critical incident stress debriefing in ameliorating stress reactions

Kagee, Ashraf
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN
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Psychological therapy is better than debriefing for PTSD

Mayor, Susan
Fonte: BMJ Publishing Group Ltd. Publicador: BMJ Publishing Group Ltd.
Tipo: Artigo de Revista Científica
Publicado em 26/03/2005 EN
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16.52%

Reactions to treatment debriefing among the participants of a placebo controlled trial

Di Blasi, Zelda; Crawford, Fay; Bradley, Colin; Kleijnen, Jos
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em 22/04/2005 EN
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16.52%

Time could be the active ingredient in post-trauma debriefing

Brown, David
Fonte: British Medical Journal Publicador: British Medical Journal
Tipo: Artigo de Revista Científica
Publicado em 01/04/2000 EN
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16.52%

Debriefing does not reduce depression after childbirth

Fonte: BMJ Publicador: BMJ
Tipo: Artigo de Revista Científica
Publicado em 28/10/2000 EN
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16.52%

The current status of psychological debriefing : It may do more harm than good

Kenardy, Justin
Fonte: BMJ Publicador: BMJ
Tipo: Artigo de Revista Científica
Publicado em 28/10/2000 EN
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16.52%

Midwife led debriefing to reduce maternal depression : Effectiveness of individual midwives is unclear

Bland, J M
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em 09/12/2000 EN
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16.52%

Psychologists question “debriefing” for traumatised employees

Yamey, Gavin
Fonte: British Medical Journal Publicador: British Medical Journal
Tipo: Artigo de Revista Científica
Publicado em 15/01/2000 EN
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16.52%

New York debriefing is "a waste of time"

Siegel, Judy
Fonte: BMJ Publishing Group Ltd Publicador: BMJ Publishing Group Ltd
Tipo: Artigo de Revista Científica
Publicado em 05/01/2002 EN
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16.52%

Midwife-led debriefing after operative birth: four to six year follow-up of a randomised trial [ISRCTN24648614]

Small, Rhonda; Lumley, Judith; Toomey, Liesje
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em 01/03/2006 EN
Relevância na Pesquisa
16.52%

Recent fear is resistant to extinction

Maren, Stephen; Chang, Chun-hui
Fonte: National Academy of Sciences Publicador: National Academy of Sciences
Tipo: Artigo de Revista Científica
EN
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16.52%
In some individuals, fearful experiences (e.g., combat) yield persistent and debilitating psychological disturbances, including posttraumatic stress disorder (PTSD). Early intervention (e.g., debriefing) after psychological trauma is widely practiced and argued to be an effective strategy for limiting subsequent psychopathology, although there has been considerable debate on this point. Here we show in an animal model of traumatic fear that early intervention shortly after an aversive experience yields poor long-term fear reduction. Extinction trials administered minutes after aversive fear conditioning in rats suppressed fear acutely, but fear suppression was not maintained the next day. In contrast, delivering extinction trials 1 day after fear conditioning produced an enduring suppression of fear memory. We further show that the recent experience of an aversive event, not the timing of the extinction intervention per se, inhibits the development of long-term fear extinction. These results reveal that the level of fear present at the time of intervention is a critical factor in the efficacy of extinction. Importantly, our work suggests that early intervention may not yield optimal outcomes in reducing posttraumatic stress, particularly after severe trauma.

Teaching Internal Medicine Resident Physicians About Alcoholics Anonymous: A Pilot Study of an Educational Intervention

Rose, Adam J.; Stein, Melissa R.; Arnsten, Julia H.; Saitz, Richard
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /09/2006 EN
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Greater physician confidence in treating alcoholism is associated with a higher frequency of referring alcoholic patients for treatment, but many physicians have limited experience with Alcoholics Anonymous. We implemented a brief, didactic and experiential educational intervention about AA and evaluated its effect on knowledge and attitudes, using a before-after repeated measures study design. Thirty-six first-year internal medicine resident physicians received an educational intervention, which consisted of a 45-minute lecture about AA, a visit to an AA meeting, and a 30-minute debriefing session the next day. Residents’ knowledge and attitudes were assessed by a brief written anonymous survey before and after the educational intervention. Residents reported increases in self-perceived knowledge about AA and had more favorable attitudes towards AA after the intervention. Our pilot study shows that a brief, didactic and experiential course can improve physician knowledge and attitudes about AA, and holds promise for improving physician interface with this commonly used intervention.

Pneumococcal vaccine campaign based in general practice.

McDonald, P.; Friedman, E. H.; Banks, A.; Anderson, R.; Carman, V.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 12/04/1997 EN
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OBJECTIVE: To show whether a general practice setting is a practical and effective medium for increasing uptake of pneumococcal vaccine. DESIGN: Follow up study of responses of general practices (debriefing by questionnaire or small group session) and patients (questionnaire sent to 429 patients vaccinated in a two week period) to vaccination campaign. SETTING AND SUBJECTS: Patients registered with general practices of one family health services authority. INTERVENTIONS: Pneumococcal vaccination campaign including clinical guidelines and support materials. MAIN OUTCOME MEASURES: Proportion of general practitioners offering pneumococcal vaccine; proportion of patients at risk who were vaccinated between 1 May and 31 December 1995; number of splenectomised patients identified and vaccinated in same period; views of patients who were vaccinated. RESULTS: Proportion of general practitioners offering pneumococcal vaccine increased from 17% to 89% during the campaign. Estimated number of patients at risk who were vaccinated increased from 656 (4%) to 5982 (33%) during campaign. Of 61 splenectomised patients identified, 30 had been vaccinated previously and 27 were vaccinated during campaign. Practices in which a general practitioner took or shared the lead had higher vaccination rates and used vaccine up faster. Of the 384 patients whose questionnaires were used in analysis...

A randomised controlled trial of psychological debriefing for victims of road traffic accidents.

Hobbs, M.; Mayou, R.; Harrison, B.; Worlock, P.
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em 07/12/1996 EN
Relevância na Pesquisa
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Does debriefing after psychological trauma work?

Raphael, B.; Meldrum, L.
Fonte: BMJ Group Publicador: BMJ Group
Tipo: Artigo de Revista Científica
Publicado em 10/06/1995 EN
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16.52%