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1.
Aten Primaria ; 50(9): 519-526, 2018 11.
Artigo em Espanhol | MEDLINE | ID: mdl-29032844

RESUMO

OBJECTIVE: Identify attitudes and behaviors that evidence and characterize family adherence to treatment in patients with severe mental disorder. DESIGN: Qualitative descriptive, from an interpretative social approach. LOCATION: Chia, Colombia, with professionals in the psychiatric and geriatric settings. PARTICIPANTS: Twelve professionals in psychiatry, nursing and psychology, with experience in care of patients with serious mental disorder and their families. METHOD: Intentional sampling. Twelve semi-structured interviews were carried out. The analysis strategy was made from the procedures of constant comparison and open coding of the grounded theory. As validation strategies, triangulation was done between researchers and methods, as interviews and results survey. RESULTS: Two categories of family adherence were defined: family and treatment (treatment cooperation, knowledge about the disease and attention to the disease evolution), and family attitudes towards the patient (patient's care, patient's promotion of autonomy, and affective attachment with the patient). A third category showed aspects that diminished family adherence, such as lack or distortion of information regarding mental disorder, or family and patient endurance attitudes. CONCLUSIONS: Participants agree about the relevance of the construct named «family adherence¼, which describes the behaviors and attitudes of the family regarding the treatment of patients with severe mental disorder. Family adherence can be seen as active participation behavior, but also as a process of strengthening relationships, which can reduce the burden and suffering on family members, caregivers and patients.


Assuntos
Atitude Frente a Saúde , Família/psicologia , Transtornos Mentais/terapia , Relações Profissional-Família , Relações Profissional-Paciente , Cooperação e Adesão ao Tratamento/psicologia , Colômbia , Técnica Delphi , Feminino , Humanos , Entrevistas como Assunto , Masculino , Transtornos Mentais/psicologia , Enfermeiras e Enfermeiros , Cooperação do Paciente/psicologia , Psiquiatria , Psicologia , Pesquisa Qualitativa
2.
Psychol. av. discip ; 11(1): 85-96, ene.-jun. 2017. tab
Artigo em Espanhol | LILACS | ID: biblio-895988

RESUMO

Resumen El presente estudio tiene como objetivo la descripción de variables sociodemográficas, del tratamiento, principales categorías diagnósticas y prevalencia de trastornos mentales de la población atendida en un centro de psicología. Se analizaron las historias clínicas de los 1699 consultantes atendidos entre los años 2012 y 2015, por medio de las estadísticas de atención mensual del Centro. Entre los resultados más significativos, se identifican coincidencias con los perfiles epidemiológicos a nivel mundial y nacional. Sin embargo, se identificaron diferencias al analizar la información de acuerdo con los grupos de edad de los consultantes. Las principales categorías diagnósticas de la población estuvieron relacionadas con problemas académicos y con el grupo primario de apoyo. Los trastornos de la conducta fueron los más prevalentes en niños y adolescentes, mientras que en adultos prevalecieron trastornos internalizantes. Se discute la relevancia de los resultados en el contexto clínico.


Abstract The present study aims to describe the demographic characteristics, psychodiagnostic typologies, and mental disorders prevalence of the population in a Psychological Center. The clinical records of 1699 patients treated between years 2012 and 2015 were analyzed using the monthly statistical attention database. The results were similar to international and national epidemiological studies. The main psychodiagnostic categories were related to academic and primary support group issues. However, differences regarding psychodiagnostic categories analyzing the information by age group were identified. In children and adolescents' behavioral disorders were the most prevalent mental disease, whereas in adults were anxiety and mood disorders. The relevance of the results in the clinical setting is discussed.


Assuntos
Estudos Epidemiológicos , Saúde Mental , Reabilitação Psiquiátrica , Transtornos Mentais , Ansiedade , Pacientes , Grupos de Autoajuda , Terapêutica , Perfil de Saúde , Fatores Epidemiológicos , Doença , Prevalência , Transtornos do Humor
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