scholarly journals Fatores relacionados à resiliência de adolescentes em contextos de vulnerabilidade social: revisão integrativa

2020 ◽  
Vol 19 (3) ◽  
pp. 582-625
Author(s):  
Isabel Cristina Sibalde Vanderley ◽  
Merenciana de Albuquerque Sibalde Vanderley ◽  
Alef Diôgo Da Silva Santana ◽  
Fabio Scorsolini-Comin ◽  
Waldemar Brandão Neto ◽  
...  

Introducción: La resiliencia puede entenderse como un proceso de superación y persistencia contra las fragilidades experimentadas. Los adolescentes en contextos de vulnerabilidad social encuentran obstáculos en el desarrollo de su resiliencia, dificultando la visibilidad de las estrategias de afrontamiento/respuestas a las adversidades de la vida cotidiana. Objetivo: Analizar la evidencia científica disponible en la literatura sobre los factores relacionados con la resiliencia de adolescentes en contextos de vulnerabilidad social. Método: Revisión integradora de los artículos publicados en portugués, inglés o español, desde 2014 a 2018, en bibliotecas/bases Medline/Pubmed, Scopus, Web of Science, LILACS, Cochrane, BDENF IBECS, CINAHL y PsycINFO. Se utilizaron los siguientes descriptores “Psychological Resilience”, “Social Vulnerability”, “Adolescent” y “Adolescent Health”, resultando en 17 artículos. La pregunta guía fue: ¿Cuáles son los factores relacionados con la resiliencia de adolescentes en contextos de vulnerabilidad social? Resultados: Se han formado cinco clases que representan los factores que contribuyen a la resiliencia en adolescentes en situación de vulnerabilidad social, nombradas como: aspiraciones para el futuro, factores de riesgo, barreras institucionales, exposición y apoyo social. Conclusión: Los factores que fortalecen la resiliencia social son el apoyo prestado por familiares, amigos, profesores, aspectos culturales y religiosos y los factores de riesgo son la violencia, la drogadicción, la falta de seguridad y apoyo institucional precario. El entendimiento de la resiliencia y especificidades que describen las condiciones de salud de los adolescentes en situación de vulnerabilidad social deben ser considerados para reorientar actividades interdisciplinarias e intersectoriales para la promoción de la salud de este grupo poblacional. Introduction: Resilience can be understood as a process of persistence and overcoming against experienced weaknesses. Adolescents in contexts of social vulnerability find obstacles in the development of their resilience, which impair the visibility of coping/answer strategies for the adversities of everyday life. Objective: To analyze the scientific evidence available in the literature on the factors related to the resilience of adolescents in contexts of social vulnerability. Method: Integrative review of articles published in Portuguese, English or Spanish, from 2014 to 2018, in libraries/databases Medline/Pubmed, Scopus, LILACS, Web of Science, IBECS, Cochrane, BDENF, CINAHL and PsycINFO. The following descriptors were used "Psychological Resilience", "Social Vulnerability", "Adolescent" and "Adolescent Health", resulting in 17 articles. The guiding question was: what are the factors related to the resilience of adolescents in contexts of social vulnerability? Results: Five classes emerged, depicting the factors that contribute to resilience in adolescents in situation of social vulnerability, namely: aspirations for the future, risk factors, institutional barriers, exposure and social support. Conclusion: The factors that strengthen resilience are the social support provided by family, friends, teachers, cultural and religious aspects, and risk factors are violence, substance abuse, lack of security and precarious institutional support. The understanding of resilience and specificities that outline the health conditions of adolescents in situation of social vulnerability must be considered to reorient interdisciplinary and intersectoral actions to promote the health of this population group.

2021 ◽  
Vol 11 (34) ◽  
pp. 168-180
Author(s):  
Queila Faria dos Santos ◽  
Graciele Oroski Paes ◽  
Fernanda Garcia Bezerra Góes

Mapear as evidências científicas sobre alterações oculares em pacientesinternados em terapia intensiva. Trata-se de uma revisão de escopo, com adoção da estratégia PPC nas bases de dados PUBMED, WEB OF SCIENCE e a biblioteca virtual SCIELO. Adotou-se como elegiveis, estudos primarios, empiricos, quantitativos e qualitativos, publicados em três idiomas. Foram encontrados 204 artigos e após análise, selecionou-se 08 artigos para compor o estudo. A lagoftalmia apresenta-se como principal alteração ocular e fator determinante para o desenvolvimento de danos oftálmicos. Evidencia-se que o ambiente, a terapêutica instituída e as próprias comorbidades do paciente possuem associação com as alterações oculares. As doenças oculares são passíveis de prevenção. O diagnóstico precoce de alterações oculares e a rastreabilidade dos fatores de risco para doenças oculares são medidas necessária para evitar ocorrência de dano ocular aos pacientes internados em terapia intensiva.Descritores: Síndrome do Olho Seco, Doenças da Córnea, Unidade de Terapia Intensiva. Eye changes in an intensive care unit: scoping reviewAbstract: To map the scientific evidence on ocular changes in patients in intensive care. Method: this is a scope review, with the adoption of the PPC strategy in the PUBMED, WEB OF SCIENCE databases and the SCIELO virtual library. Primary, empirical, quantitative and qualitative studies, published in three languages, were adopted as eligible. 204 articles were found and after analysis, 08 articles were selected to compose the study. Lagophthalmia is the main ocular alteration and a determining factor for the development of ophthalmic damage. It is evident that the environment, the instituted therapy and the patient's own comorbidities are associated with ocular changes. Eye diseases are preventable. The early diagnosis of eye changes and the traceability of risk factors for eye diseases are necessary measures to prevent the occurrence of eye damage to patients admitted to intensive care.Descriptors: Dry Eye Syndrome, Corneal Diseases, Intensive Care Unit. Cambios oculares en una unidad de cuidados intensivos: revisión del alcanceResumen: Mapear la evidencia científica sobre cambios oculares en pacientes en cuidados intensivos. Método: se trata de una revisión de alcance, con la adopción de la estrategia PPC en las bases de datos PUBMED, WEB OF SCIENCE y la biblioteca virtual SCIELO. Los estudios primarios, empíricos, cuantitativos y cualitativos, publicados en tres idiomas, se aprobaron como elegibles. Se encontraron 204 artículos y luego del análisis se seleccionaron 08 artículos para componer el estudio. La lagoftalmia es la principal alteración ocular y un factor determinante para el desarrollo de daño oftálmico. Es evidente que el entorno, la terapia instituida y las propias comorbilidades del paciente se asocian a cambios oculares. Las enfermedades oculares se pueden prevenir. El diagnóstico precoz de los cambios oculares y la trazabilidad de los factores de riesgo de enfermedades oculares son medidas necesarias para prevenir la aparición de daños oculares en los pacientes ingresados en cuidados intensivos.Descriptores: Síndrome del Ojo Seco, Enfermedades Corneales, Unidade de Cuidados Intensivos.


2015 ◽  
Vol 34 (2) ◽  
pp. 147
Author(s):  
Tatiana Blanco-Álvarez ◽  
Silvia Jiménez-Morales

<p>Resumen:</p><p>El objetivo de la presente investigación fue determinar los factores de riesgo asociados con las recaídas en el consumo de drogas en  adolescentes que han recibido tratamiento en el IAFA. Metodología: Estudio cuantitativo, con alcance correlacional y transversal. Instrumentos: Entrevista de Recaídas para Usuarios de Conductas Adictivas, Inventario  de Situaciones Precipitantes de Recaídas, Escala de Control Atencional, Inventario de Habilidades de Afrontamiento, Escala de Depresión, Ansiedad y Estrés, Escala Multidimensional de Apoyo Social Recibido, Escala de Dificultades en la Regulación Emocional, y Cuestionario Breve de Confianza Situacional. Muestra: 107 adolescentes que reciben atención ambulatoria en el Centro de Menores del Instituto de Alcoholismo y Farmacodependencia. Conclusiones: las variables intrapersonales como regulación emocional (conductas dirigidas a metas), control atencional (atención focalizada), estados emocionales negativos y búsqueda de sensaciones positivas son factores de riesgo determinantes en las  recaídas de consumo de drogas.</p><p> </p><p>Abstract:</p><p><span>This study aims to determine the risk factors associated with drug use relapses in adolescents who have received treatment at IAFA. Methodology: Quantitative study with a correlational and cross-sectional scope. Instruments: Interviews of relapsed addictive behavior users, Inventory of situations that precipitate relapse, Attention control scale, Inventory of coping skills, Scale on depression, anxiety and stress, Multidimensional scale of social support received, Scale on emotional regulation difficulties, and Brief situational confidence questionnaire. Sample: 107 adolescents receiving outpatient care at the Juvenile Center of the Institute on Alcoholism and Drug Dependence (IAFA). Conclusions: intrapersonal variables such as emotional regulation (goal-directed behavior), attentional control (focused attention), negative emotional states, and seeking positive sensations are risk factors that determine drug consumption relapse.</span></p>


Author(s):  
Shwati Sudha ◽  
Ankita Singh

A key change brought due to COVID-19 is an upsurge in pandemic-related psychological imbalances, which acts as a substantial stressor for unprecedented distress to the mental health of the employees in SMEs. The study concentrates upon risk factors associated with COVID-19 pandemic, which lead to psychological imbalances among the employees. It also identifies different physiological, emotional, and behavioral inconsistencies caused due to the impact of the pandemic. The study explains various techniques of psychological resilience, which include the assessment of the four pillars (i.e., sleep hygiene, nutrition, physical fitness, and social support), emotion-based coping, grounding, diaphragmatic breathing, mindfulness, altruism, and self-awareness. The exploratory study performed an analysis of available published data from different recognized directories of journals with the use of the systematic review technique.


2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Katiane Da Silva Mendonça ◽  
Daíse Tavares Da Silva ◽  
Hallana Laisa De Lima Dantas ◽  
Keila Cristina Pereira do Nascimento Oliveira ◽  
Viviane Vanessa Rodrigues da Silva Santana

Objetivos: Descrever as evidências científicas que abordem os fatores de riscos associados à infecção por COVID-19 em indivíduos adultos jovens. Método: Trata-se de uma revisão integrativa da literatura em seis etapas, com uso do método PICO e Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Utilizou-se os níveis de evidência de Oxford para classificação dos artigos. Resultados: Dos 42 artigos encontrados, sete atenderam aos critérios de inclusão e exclusão. Todos os estudos são publicações de 2020. Observou-se que as doenças crônicas são apresentadas como principais fatores de risco para o COVID-19, apenas dois artigos apresentaram características relacionadas aos casos de mortes e apontaram condições subjacentes como agravantes para o novo coronavírus. Os estudos também apontaram a população jovem como a mais acometida pela doença associado a apresentação de sintomas leves como tosse, febre e fadiga, com baixa taxa de mortalidade em comparação ao grupo de risco.  Conclusão: Dentre os fatores de risco mais evidentes neste estudo pode-se ressaltar doenças cardiovasculares como a hipertensão, diabetes e tabagismo, apontandotambém uma maior prevalência de casos em indivíduos de sexo masculino. Descritores: Adulto Jovem; Coronavirus; Fatores de Risco; Morbidade.RISK FACTORS FOR THE WORSENING OF COVID-19 IN YOUNG INDIVIDUALSObjective: To describe the scientific evidence that addresses the risk factors associated with COVID-19 infection in young adult individuals. Method: This is an integrative review of the literature in six steps, using the PICO method and Preferred Reporting Items for Systematic Reviews and Meta-Analyzes. The Oxford levels of evidence were used to classify articles. Results: Of the 42 articles found, seven met the inclusion and exclusion criteria. All studies are publications from 2020. It was observed that chronic diseases are presented as the main risk factors for COVID-19, only two articles presented characteristics related to cases of death and pointed out underlying conditions as aggravating for the new coronavirus. The studies also pointed out the young population as the most affected by the disease associated with the presentation of mild symptoms such as cough, fever and fatigue, with a low mortality rate compared to the risk group. Conclusion: Among the most evident risk factors in this study, cardiovascular diseases such as hypertension, diabetes and smoking can be highlighted, also pointing to a higher prevalence of cases in male individuals.Descriptors: Young Adult; Coronavirus; Risk Factors; Morbidity.FACTORES DE RIESGO PARA EL EMPEORAMIENTO DE COVID-19 EN INDIVIDUOS JÓVENESObjetivos: Describir la evidencia científica que aborda los factores de riesgo asociados con la infección por COVID-19 en individuos adultos jóvenes. Método: Esta es una revisión integradora de la literatura en seis pasos, utilizando el método PICO y los elementos de informes preferidos para revisiones sistemáticas y metaanálisis. Los niveles de evidencia de Oxford se utilizaron para clasificar los artículos. Resultados: De los 42 artículos encontrados, siete cumplieron los criterios de inclusión y exclusión. Todos los estudios son publicaciones de 2020. Se observó que las enfermedades crónicas se presentan como los principales factores de riesgo para COVID-19, solo dos artículos presentaron características relacionadas con casos de muerte y señalaron condiciones subyacentes como agravantes para el nuevo coronavirus. Los estudios también señalaron a la población joven como la más afectada por la enfermedad asociada con la presentación de síntomas leves como tos, fiebre y fatiga, con una baja tasa de mortalidad en comparación con el grupo de riesgo. Conclusión: Entre los factores de riesgo más evidentes en este estudio, se pueden destacar las enfermedades cardiovasculares como la hipertensión, la diabetes y el tabaquismo, lo que también apunta a una mayor prevalencia de casos en hombres.Descriptores: Adulto Joven; Coronavirus; Factores de Riesgo; Morbilidad.


2021 ◽  
Vol 12 ◽  
Author(s):  
Liqing Li ◽  
Xin Shen ◽  
Xiaogang Zhou ◽  
Hui Cao ◽  
Jing Feng ◽  
...  

Background: Home quarantine is an important strategy to contain the mass spread of the coronavirus disease 2019 (COVID-19) pandemic. However, there are a dearth of studies on the prevalence and risk factors of home quarantine strategy implementation among residents. This study aims to assess the state of home quarantine strategy implementation among Chinese residents, which could provide a reference for quarantine policymakers around the world during the pandemic.Method: We conducted a cross-sectional survey of 3,398 residents in China by adopting a convenience sampling strategy. We measured the prevalence and risk factors of home quarantine strategy implementation with the Center for Epidemiological Studies-Depression Scale (CES-D), 10-item Connor-Davidson Resilience Scale (CD-RISC 10), and Perceived Social Support Scale (PSSS). A multivariable model was used to determine the factors associated with home quarantine strategy implementation.Results: A total of 2,936 (86.4%) respondents carried out home quarantine. There were some factors significantly associated with home quarantine strategy implementation among Chinese residents during the COVID-19 outbreak. Respondents who were male, lived in western and central China, were aware of the primary symptoms of COVID-19, were willing to accept recommendations on relevant protective measures, understood local quarantine measures, had better resilience, and had better social support were more likely to engage in home quarantine. Respondents who were married, were employed, were healthy, and had high depression scores were more likely to refuse to follow home quarantine guidance.Conclusions: Gender, region, marital status, employment status, health status, awareness of the primary symptoms of COVID-19, willingness to accept recommendations on relevant protective measures, understanding of local quarantine measures, depression, psychological resilience, and perceived social support were the main factors affecting the implementation of residents' home quarantine strategy. Health service policymakers should adopt relevant measures to improve the prevalence of home quarantine strategy implementation among residents during the pandemic.


Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 130-139 ◽  
Author(s):  
Danica W. Y. Liu ◽  
A. Kate Fairweather-Schmidt ◽  
Richard Burns ◽  
Rachel M. Roberts ◽  
Kaarin J. Anstey

Abstract. Background: Little is known about the role of resilience in the likelihood of suicidal ideation (SI) over time. Aims: We examined the association between resilience and SI in a young-adult cohort over 4 years. Our objectives were to determine whether resilience was associated with SI at follow-up or, conversely, whether SI was associated with lowered resilience at follow-up. Method: Participants were selected from the Personality and Total Health (PATH) Through Life Project from Canberra and Queanbeyan, Australia, aged 28–32 years at the first time point and 32–36 at the second. Multinomial, linear, and binary regression analyses explored the association between resilience and SI over two time points. Models were adjusted for suicidality risk factors. Results: While unadjusted analyses identified associations between resilience and SI, these effects were fully explained by the inclusion of other suicidality risk factors. Conclusion: Despite strong cross-sectional associations, resilience and SI appear to be unrelated in a longitudinal context, once risk/resilience factors are controlled for. As independent indicators of psychological well-being, suicidality and resilience are essential if current status is to be captured. However, the addition of other factors (e.g., support, mastery) makes this association tenuous. Consequently, resilience per se may not be protective of SI.


2018 ◽  
Author(s):  
Chi Hoang Viet Vu ◽  
Miki Uchino ◽  
Motoko Kawashima ◽  
Akihiro Nishi ◽  
Christopher A. German ◽  
...  

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