Adversidades na Infância: Associação a Fatores Protetivos e Sintomas Internalizantes na Adultez

Este estudo teve por objetivo discutir relações entre adversidades na infância e sintomas de depressão, ansiedade e estresse em uma amostra de adultos brasileiros, além dos fatores proximais e distais que poderiam explicar o caminho dessa relação da infância até a idade adulta. 510 participantes com idades entre 18 e 59 anos (MD=30,64; DP=10,47) responderam a uma ficha de dados sociodemográficos, à Maltreatment and Abuse Exposure Scale, à DASS-21 e à Social Readjustment Rating Scale, por coleta online e presencial. Os resultados indicaram que ter vivenciado adversidades na infância estava associado a maiores índices dos sintomas e à ideação suicida e que a violência psicológica e emocional se mostrou mais prevalente e com maior efeito em longo prazo. Percepção de rede de apoio social e psicoterapia são fatores que podem atuar de forma positiva e eventos estressores recentes podem intensificar o prejuízo sobre a saúde mental. São discutidas as implicações na identificação e intervenção sobre as adversidades na infância e no investimento nos fatores protetivos em longo prazo.

Role of stress in the development of rheumatoid arthritis: a case–control study

Objectives The primary objective of this study was to assess the stressful life events preceding the onset of symptoms in RA. The secondary objectives were to assess how early RA patients perceive stress and cope with stressors. Methods A case–control study was performed, comparing patients recently diagnosed with RA to age- and gender-matched control subjects recently hospitalized for an unplanned surgical procedure not known to be influenced by stress. The Social Readjustment Rating Scale assessed the cumulative stress induced by stressful life events in the year preceding the onset of symptoms. Coping strategies, stress and anxiety symptoms were evaluated using validated psychological scales. Results Seventy-six subjects were included in each group. The mean Social Readjustment Rating Scale score was twice as high in cases compared with controls [respectively, 167.0 (172.5) vs 83.3 (124.4), P < 0.001]. The association between cumulative stress and RA was statistically significant only in women, with a dose-dependent association between stress and RA. While female patients with RA attributed more often the onset of symptoms to a life event than female controls (70.2 vs 24.5%, P < 0.001), no significant difference was found when comparing male RA patients with male controls (26.9 vs 18.5%, respectively, P = 0.46). Increased perceived stress score (P = 0.04) and coping based on emotions (P = 0.001) were found in cases compared with controls. Conclusion Patients with early RA reported more life events in the year preceding the onset of symptoms than controls. Gender specificities were found with a significant association between cumulative stress and RA only in women.

PAIN AND DEPRESSION AFFECT SELF-REPORTED STRESS RATINGS IN ADULTS WITH AND WITHOUT FIBROMYALGIA

Fibromyalgia (FM) is a chronic pain condition characterized by tenderness, fatigue, stiffness, joint pain, and physical and emotional distress. Depression is common, as well, and stress may be perceived as more severe. The current study examines perceived stress in adults ages 50 and older with and without FM. It was hypothesized that individuals with FM and/or depression would subjectively rate stressors as more severe compared to those without. Ninety-four participants (53% with FM, 78% female) aged 50 to 93 (M = 67.72, SD = 9.26) were administered an updated version of the Social Readjustment Rating Scale (SRRS) to assess amount of stress experienced in the past year. The difference between the SRRS pre-determined values and participants’ subjective ratings was calculated. Lower difference scores indicated that self-reported severity exceeded standardized values. Hierarchical linear regression analyses revealed that older adults and men were less likely to report exaggerated stressor severity (p < .05). Controlling for age and gender, individuals with FM were significantly more likely to report stressor severity far above standardized severity scores (p < .05). Results also revealed that both depression and chronic pain impact stress ratings, but impact is significantly greater for depression (p < .001). When controlling for depression, FM impact is no longer significant, suggesting that depression is a stronger predictor of subjective stress. The findings emphasize the importance of stress management and lifestyle changes to reduce the likelihood of depression and stress perception in individuals experiencing chronic pain.

The institution of Tutoring in Health-Preserving: Risk and Sustainability Factors

. Introduction. Nowadays, specialists of different scientific directions note the growing trend in the deterioration of physical and mental health of younger generation, largely resulting from the health cost of education. In this regard, it is important to develop the institution of tutoring as a pedagogical innovation, which will ensure the formation of a healthy, active, purposeful and responsible personality, who can successfully live in a rapidly changing world.The aim of the article was to identify the factors, which have to be taken into consideration, when organising and implementing master’s education in the direction “Health-Preserving Tutor”.Methodology and research methods. Leading methodological approaches, when studying future tutors’ readiness for health-preserving activities, were anthropological, personality-oriented and environmental. The authors designed the programme of complex diagnostics “Harmony”, which included the following methodologies: evaluation of satisfaction with physical condition (according to Giesener Beschwerdebogen, GBB); self-evaluation of mental state (H. J. Eysenck); “Value orientations” (M. Rokich); the Social Readjustment Rating Scale (T. Holmes, R. Rage); questionnaires “Need for tension in terms of health” (Z. I. Tyumaseva, A. A. Tsygankov, I. L. Orekhova) and “The level of development of recreational activity” (G. V. Valeeva, V. S. Misharina).Results and scientific novelty. The structure and the concepts of “tutoring” and “tutoring support in health-preserving” were specified. The components of the tutors’ readiness for health-preserving activity were revealed: psycho-emotional, psycho-physical, cognitive and value-motivational. In the course of pedagogical experiment, the factors of risks and sustainability, which influence the formation of tutors’ readiness for health-preserving activity, were identified. A diagnostic program was developed to identify the factors.Practical significance. The developed diagnostic tool can be employed when assessing the level of readiness formation for health-preserving activity among students and tutors. The materials of the research can be useful to specialists, who are engaged in vocational training of tutors, as well as to teachers, heads of educational organisations and undergraduates of pedagogical higher education institutions.

Stres psikososial dan kejadian kandidiasis vulvovaginalis pada wanita pekerja seks di Banyumas

PurposeThis study aimed to determine the relationship between psychosocial stress with candidiasis vulvovaginalis (KVV) incidence in female sex workers (FSW).MethodsThe research design was a case control study conducted in health center clinics in the Banyumas District. The sample size was 164 FSW (82 cases & 82 control). The research instrument was structured questionnaires, Social Readjustment Rating Scale (SRRS), laboratory equipment and microscopes for inspection KVV. Data analysis used logistic regression tests to calculate odds ratios (OR), confidence interval (CI), and p value.ResultsThe multivariate analysis showed that stress was not KVV risk factors, and the risk factors that contribute to the occurrence of KVV in FSW were oral sex (OR = 3.31, 95% CI = 1.60 to 6.83, p-value = 0.001) and smoking more than 10 cigarettes/day (OR = 2.33, 95% CI = 1.2 to 4.59, p-value = 0.014).ConclusionsThe risk factors of KVV were oral sex and smoking ≥ ten cigarettes/day. We recommend to avoid oral sex and smoking < ten cigarettes/day to avoid the risk of KVV infection.

Subjective Estimation of the Quality of Life in Relation to Neuroticism

Subjective Estimation of the Quality of Life in Relation to NeuroticismIt is generally agreed that personality variables have a relatively consistent influence on the subjective estimation of different situations in everyday life and the way people react to them. The aim of this review was to summarise our previously published findings on the relationship between subjective estimation of one's quality of life and the personality trait neuroticism-emotional stability. We used theWHO Quality of Life - BREFor SF-36 questionnaires for the assessment of the quality of life, Cornell Index for the assessment of neuroticism, and The Social Readjustment Rating Scale for the evaluation of common stressors. Our results have shown that more emotionally stable participants (lower neuroticism) perceive their life better in quality and are more satisfied with their work environment. In addition, our results support the findings from other studies that women have higher neuroticism and lower quality of life scores than men.

Status stres psikososial dan hubungannya dengan status gizi siswa SMP Stella Duce 1 Yogyakarta

Background: Adolescent is a transition phase from childhood to adulthood that marked by the change on physical, mental and psychosocial aspect. Adaptation on the change that people met in their life is called psychosocial stress. Stress makes a change on food habit and a disturbance on nutrition’s absorbance. Those circumstances affect people’s nutritional status.Objectives: To identify the correlation between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.Methods: This study was an observational study which used a cross sectional design. It held by quantitative approach to identify the relationship between psychosocial stress and nutritional status. Subject of the study were 85 students of SMP Stella Duce 1 Yogyakarta. Respondent’s identities were collected by using identity questionnaire. Psychosocial stress’s status was collected by using SRRS questionnaire (social readjustment rating scale) that was modified for adolescent. Respondent’s calories intakes were assessed by using the form food recall 3 x 24 h. Anthropometrics data collected were weight and height. The adjustment of psychosocial stress’s status used SRRS questionnaires. Calories intake were measured by using nutrition software (Fp2). Student’s nutritional status was measured by using Epi 2000 software. Relationship’s analysis among variables uses statistical test of SPSS 12.00, with the correlation or linear regression test.Result: From this study, 49.4% (42 people) have normal nutritional status, 4.7 % at under nutrition level, 25.9% at risk of obesity, and 20% obesity. From the measurement of psychosocial stress’s score, there were 61.2% (52 people) in a non-tress condition, while the other was on stress at different level. Statistical test showed that there was no relationship between psychosocial stress and nutritional status (p > 0.05).Conclusion: There was no significant relationship between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.