Dora Mariela Salcedo Barrientos

Cumulative Vulnerability: A Case Study on intrafamilial violence, Drug Addiction and Adolescent Pregnancy

A pregnant adolescents vulnerability increases when she is a victim of intrafamilial violence and drug addiction, which cause physical and biopsychosocial damage to the mother and her baby. Objective Present and analyze the case of an adolescent who is addicted to drugs, pregnant and the victim of lifelong intrafamilial violence. Method A case study based on a semi-structured interview conducted in the Obstetrics Emergency Unit at the Teaching Hospital of the University of São Paulo. The data were interpreted and analyzed using Content Analysis. Results intrafamilial violence experienced at the beginning of the adolescents early relationships seriously affected her emotional maturity, triggering the development of psychopathologies and leaving her more susceptible to the use and abuse of alcohol and other drugs. The adolescent is repeating her history with her daughter, reproducing the cycle of violence. Conclusion Adolescent pregnancy combined with intrafamilial violence and drug addiction and multiplies the adolescents psychosocial vulnerability increased the adolescents vulnerability.A vulnerabilidade da adolescente gravida potencializa-se ao ser vitima de violencia domestica e toxicodependente, causando danos fisicos e biopsicossociais para si e para o bebe. Objectivo Apresentar e analisar o caso de uma adolescente toxicodependente, gravida e vitima de violencia domestica ao longo da vida. Metodo “estudo de caso” baseado numa entrevista semi-estruturada, realizada no Pronto Atendimento de Obstetricia do Hospital Universitario da Universidade de Sao Paulo. Os dados foram interpretados e analisados segundo a Analise de Conteudo. Resultados A violencia domestica vivenciada no inicio das relacoes primordiais afetou gravemente o amadurecimento emocional da adolescente, desencadeando o desenvolvimento de psicopatologias e ficando mais suscetivel ao uso e abuso de alcool e outras drogas. A adolescente repete sua historia com sua filha, reproduzindo o ciclo da violencia. Conclusao A gravidez na adolescencia somada a violencia domestica e a toxicodependencia potencializou a vulnerabilidade psicossocial da adolescente.

Vulnerabilidade cumulativa: Estudo de um Caso de Violência Doméstica, Toxicodependência e Gravidez na Adolescência

A pregnant adolescents vulnerability increases when she is a victim of intrafamilial violence and drug addiction, which cause physical and biopsychosocial damage to the mother and her baby. Objective Present and analyze the case of an adolescent who is addicted to drugs, pregnant and the victim of lifelong intrafamilial violence. Method A case study based on a semi-structured interview conducted in the Obstetrics Emergency Unit at the Teaching Hospital of the University of São Paulo. The data were interpreted and analyzed using Content Analysis. Results intrafamilial violence experienced at the beginning of the adolescents early relationships seriously affected her emotional maturity, triggering the development of psychopathologies and leaving her more susceptible to the use and abuse of alcohol and other drugs. The adolescent is repeating her history with her daughter, reproducing the cycle of violence. Conclusion Adolescent pregnancy combined with intrafamilial violence and drug addiction and multiplies the adolescents psychosocial vulnerability increased the adolescents vulnerability.A vulnerabilidade da adolescente gravida potencializa-se ao ser vitima de violencia domestica e toxicodependente, causando danos fisicos e biopsicossociais para si e para o bebe. Objectivo Apresentar e analisar o caso de uma adolescente toxicodependente, gravida e vitima de violencia domestica ao longo da vida. Metodo “estudo de caso” baseado numa entrevista semi-estruturada, realizada no Pronto Atendimento de Obstetricia do Hospital Universitario da Universidade de Sao Paulo. Os dados foram interpretados e analisados segundo a Analise de Conteudo. Resultados A violencia domestica vivenciada no inicio das relacoes primordiais afetou gravemente o amadurecimento emocional da adolescente, desencadeando o desenvolvimento de psicopatologias e ficando mais suscetivel ao uso e abuso de alcool e outras drogas. A adolescente repete sua historia com sua filha, reproduzindo o ciclo da violencia. Conclusao A gravidez na adolescencia somada a violencia domestica e a toxicodependencia potencializou a vulnerabilidade psicossocial da adolescente.

Coping strategies for domestic violence against pregnant female adolescents: integrative review

OBJECTIVE To investigate and analyze in the scientific literature coping strategies for domestic violence against pregnant female adolescents. METHOD This is an integrative literature review, conducted from July to August 2017 on LILACS, SciELO and PubMed, using the descriptors and the MeSH terms: confrontation, violence, adolescent, pregnant women, prenatal care. RESULT The sample comprised 9 articles that were organized and characterized according to year, country of study and coping strategy used. The main forms of coping involved the active search for cases and the primary care approach with all family members. CONCLUSION Individualized prenatal care, the change in professional training and networking activities were pointed out as important components of the strategies for coping with violence against pregnant adolescents.

Adolescentes embarazadas víctimas de violencia intrafamiliar en Brasil: consecuencias psicológicas y sociales

Adolescence pregnancy is a complex issue that must be studied, considering the social, economic, family and the psychological aspects of each adolescent. There is more complexity when these adolescents have suffered domestic violence. Domestic violence is a serious public health problem because affects the physical and psychological integrity of the victims. Many women who become pregnant have been victims of some form of domestic violence by their partners along the married life. This paper paper presents data of research as is part of a larger project entitled ´Domestic Violence Study against Adolescents Pregnant Attended at the University Hospital of Sao Paulo: Basis for Intervention´. The objectives are to identify the accumulated incidence and the experience of pregnant adolescents in face of domestic violence, in special he psychosocial vulnerability, understanding and comparing the lived experience on the pregnant adolescents victims and not victims of domestic violence. Forty pregnant adolescents have participated in this study, being 20 victims of domestic violence (Group 1) and 20 non-victims (Group 2) attending the University Hospital of Sao Paulo and another institutions partner of Psychology Institute of USP. This is an exploratory and descriptive research, quantitative and qualitative. The instruments used were: a form to characterize the profile of production and social reproduction, semi-structured interview. The qualitative data analysis was performed according to Bardin proposal (2013). How results were found: In the group 1 drug use during pregnancy, and lack of trust in health professionals. The showed lack of confidence and support of family, partner abandonment and violence, insecurity, low self esteem and hopelessness. In the group 2 were found: high self-esteem; confidence and family support; security in the relationship with the partner; good prospects for the future; some unfavorable aspects were found in group 2 that were related to the fragility and vulnerability of pregnancy, as well as the inherent immaturity to the period of adolescence. This study deepened knowledge about the reality of this population, as well as contributed to the debate on the needs of pregnant adolescents victims of domestic violence. Therefore, it was observed that the group of higher risk and psychological vulnerability is that of pregnant adolescents victims of domestic violence and requires greater attention and availability of health professionals.

Cumulative Vulnerability: A Case Study on Domestic Violence, Drug Addiction and Adolescent Pregnancy

A pregnant adolescents vulnerability increases when she is a victim of intrafamilial violence and drug addiction, which cause physical and biopsychosocial damage to the mother and her baby. Objective Present and analyze the case of an adolescent who is addicted to drugs, pregnant and the victim of lifelong intrafamilial violence. Method A case study based on a semi-structured interview conducted in the Obstetrics Emergency Unit at the Teaching Hospital of the University of São Paulo. The data were interpreted and analyzed using Content Analysis. Results intrafamilial violence experienced at the beginning of the adolescents early relationships seriously affected her emotional maturity, triggering the development of psychopathologies and leaving her more susceptible to the use and abuse of alcohol and other drugs. The adolescent is repeating her history with her daughter, reproducing the cycle of violence. Conclusion Adolescent pregnancy combined with intrafamilial violence and drug addiction and multiplies the adolescents psychosocial vulnerability increased the adolescents vulnerability.A vulnerabilidade da adolescente gravida potencializa-se ao ser vitima de violencia domestica e toxicodependente, causando danos fisicos e biopsicossociais para si e para o bebe. Objectivo Apresentar e analisar o caso de uma adolescente toxicodependente, gravida e vitima de violencia domestica ao longo da vida. Metodo “estudo de caso” baseado numa entrevista semi-estruturada, realizada no Pronto Atendimento de Obstetricia do Hospital Universitario da Universidade de Sao Paulo. Os dados foram interpretados e analisados segundo a Analise de Conteudo. Resultados A violencia domestica vivenciada no inicio das relacoes primordiais afetou gravemente o amadurecimento emocional da adolescente, desencadeando o desenvolvimento de psicopatologias e ficando mais suscetivel ao uso e abuso de alcool e outras drogas. A adolescente repete sua historia com sua filha, reproduzindo o ciclo da violencia. Conclusao A gravidez na adolescencia somada a violencia domestica e a toxicodependencia potencializou a vulnerabilidade psicossocial da adolescente.

Vulnerabilidad acumulada: Estudio de un caso de violencia doméstica, drogadicción y el embarazo en la adolescencia

A pregnant adolescents vulnerability increases when she is a victim of intrafamilial violence and drug addiction, which cause physical and biopsychosocial damage to the mother and her baby. Objective Present and analyze the case of an adolescent who is addicted to drugs, pregnant and the victim of lifelong intrafamilial violence. Method A case study based on a semi-structured interview conducted in the Obstetrics Emergency Unit at the Teaching Hospital of the University of São Paulo. The data were interpreted and analyzed using Content Analysis. Results intrafamilial violence experienced at the beginning of the adolescents early relationships seriously affected her emotional maturity, triggering the development of psychopathologies and leaving her more susceptible to the use and abuse of alcohol and other drugs. The adolescent is repeating her history with her daughter, reproducing the cycle of violence. Conclusion Adolescent pregnancy combined with intrafamilial violence and drug addiction and multiplies the adolescents psychosocial vulnerability increased the adolescents vulnerability.A vulnerabilidade da adolescente gravida potencializa-se ao ser vitima de violencia domestica e toxicodependente, causando danos fisicos e biopsicossociais para si e para o bebe. Objectivo Apresentar e analisar o caso de uma adolescente toxicodependente, gravida e vitima de violencia domestica ao longo da vida. Metodo “estudo de caso” baseado numa entrevista semi-estruturada, realizada no Pronto Atendimento de Obstetricia do Hospital Universitario da Universidade de Sao Paulo. Os dados foram interpretados e analisados segundo a Analise de Conteudo. Resultados A violencia domestica vivenciada no inicio das relacoes primordiais afetou gravemente o amadurecimento emocional da adolescente, desencadeando o desenvolvimento de psicopatologias e ficando mais suscetivel ao uso e abuso de alcool e outras drogas. A adolescente repete sua historia com sua filha, reproduzindo o ciclo da violencia. Conclusao A gravidez na adolescencia somada a violencia domestica e a toxicodependencia potencializou a vulnerabilidade psicossocial da adolescente.