Marisa Campio Müller

Depressão pós-parto: fatores de risco e repercussões no desenvolvimento infantil

The post-partum depression is a condition that affects 10 to 15% of the women in the post-partum period. These symptoms begin at some moment during the first year after delivery, occurring more frequently between the fourth and eighth week after parturition. It is generally expressed through a complexity of symptoms where there is a presence of irritability, frequent crying, feelings of abandonment and hopelessness, lack of energy and motivation, lack of sexual interest, disturbances in sleep and eating patterns, anxiety, and feelings of not being able to cope with new demands. The objective of this paper is to present a bibliographical revision regarding the post-partum depression. Conceptual and epidemiological aspects, risk factors associated with their occurrence as well as a few repercussions of the post-partum depression in the mother-child relation, and the development of the infant will be broached. The awareness of these aspects has become very important due to the harmful consequences suffered by the mothers as well as cognitive, social and emotional development of their infants.

Psicologia da Saúde e Psicologia Positiva: Perspectivas e Desafios

This study aims to discuss the aspects related to spirituality and quality of life in the health context. It encloses a discussion around the interface between Health Psychology and Positive Psychology, standing out the importance of positive variables as research and intervention focus in health. It is important to point out the necessity of advances in studies related to protection factors and the healthy human development maintenance. In the focused discussion, Health Psychology and Positive Psychology have an important role for the comprehension of the aspects involved in sickness confrontation as well as for peoples health maintenance.

Qualidade de vida e bem-estar espiritual em pessoas vivendo com HIV/AIDS

Current study evaluates the quality of life and spi ritual well-being in HIV/Aids people. Two hundred HIV individuals were taken as samples (111 women and 89 men), aged between 19 to 67 years old, 143 symptomati c/Aids and 57 asymptomatic, 62.5% had taken anti-retroviral thera py. Results point to a significant correlation betwe en the quality of life (WHOQOL-HIV bref) and spiritual well being (SWB). The spiritual, religiosity and personal beliefs and the sub scale religious well being had the highest scores. Signifi cant correlations were obtained in symptomatic/Aids g roup between quality of life concerning physical, social relationship an d spiritual, religiosity and personal beliefs with t he religious well-being, the existential well being and the spiritual well-being. The importance of the variables religiosity and spi rituality within the resilience and health protection process was also di scussed. Discussing health protection in research, i n psychologists interventions and in health public policies should be enhanced.Current study evaluates the quality of life and spiritual well-being in HIV/Aids people. Two hundred HIV individuals were taken as samples (111 women and 89 men), aged between 19 to 67 years old, 143 symptomatic/Aids and 57 asymptomatic, 62.5% had taken anti-retroviral therapy. Results point to a significant correlation between the quality of life (WHOQOL-HIV bref) and spiritual well being (SWB). The spiritual, religiosity and personal beliefs and the subscale religious well being had the highest scores. Significant correlations were obtained in symptomatic/Aids group between quality of life concerning physical, social relationship and spiritual, religiosity and personal beliefs with the religious well-being, the existential well being and the spiritual well-being. The importance of the variables religiosity and spirituality within the resilience and health protection process was also discussed. Discussing health protection in research, in psychologist’s interventions and in health public policies should be enhanced.

Conceito mente e corpo através da História

This article focuses the evolution on the concepts of health/illness and mind/body dichotomy. For this a brief historical review was carried out. It approaches the magic point of view of disease, going by the classic Greek period, through the renascence and medieval prospects, and the evolution of these constructs from psychoanalysis to Psychoneuroimunology.

Infertilidade: um novo campo da Psicologia da saúde

According to the World Health Organization, it is estimated that between 60 and 80 million people all around the world have faced difficulties to carry their parenthood projects out at some time of their lives. When a person, who wishes to have a baby, realizes this life project is impossible to become true, a lot of feelings are brought out, such as: fear, anxiety, sadness, frustration, depreciation, shame, and sometimes, it unleashes important stress situations. Infertility may provoke devastating effects in individual and conjugal spheres interfere in social relationships and quality of life. Thus, this article proposal is an integrated view of the subject considering the physical processes are intimately related to the psychological and social ones, and Infertility is part of the Psychology Health field. A literature review was accomplished to achieve this study objective.

Associação entre Depressào, Ansiedade e Qualidade de Vida após Infarto do Miocàrdio

This study investigated the frequency of depression in individuals with cardiovascular disease, with or without an acute myocardial infarction (AMI) diagnosis, and individuals with no cardiovascular disease. It is a prospective study with 168 patients of both genders, from 35 to 65 years old, divided into three groups: 60 inpatients (diagnosed with AMI), 49 outpatients (diagnosed with cardiovascular disease without infarction), and 59 of the general population (without diagnosis of cardiovascular disease). The groups were investigated by applying questionnaires, which included the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI) and the Quality of Life Test (WHOQOL). The prevalence of depression in the AMI group was 48.3%. The variables that remained significantly associated to depression were: family history (OR=2.82 - 95%CI=1.12;7.08 - p=0.028), WHOQOL psychological domain (OR=0.93 - 95%CI=0.89;0.98 - p=0.006), and anxiety score (OR=1.08 - 95%CI=1.02;1.14 - p=0.012). These results suggest that depression disorders are not triggered post-AMI but can be present before admission to the hospital, which shows the need to investigate people with chronic coronary disease.

Dinâmica das relações em famílias com um membro portador de dermatite atópica: um estudo qualitativo

Atopic dermatitis is a skin allergic disease, which increases its incidence each year, thus, demands more researches in order to minimize its social impact. The influence of psychological factors, when developing such an illness is known. Stress and anxiety are usual factors that affect the immunological system in a severe way; such psychological factors characterize atopic dermatitis as a psychosomatic illness. Three families were investigated in a qualitative framework, through the use of a semi-structured interview. Family perceptions and elements related to the family dynamics, concerning atopic dermatitis, were studied, once one child in each family bears the illness. The families reported that atopic dermatitis had damaged the whole family in psychological and social aspects, consequently, influencing the family relationship and influencing in the intensity and frequency of symptoms due to the increasing stress, besides interfering in the family communication and relationship.Atopic dermatitis is a skin allergic disease, which increases its incidence each year, thus, demands more researches in order to minimize its social impact. The influence of psychological factors, when developing such an illness is known. Stress and anxiety are usual factors that affect the immunological system in a severe way; such psychological factors characterize atopic dermatitis as a psychosomatic illness. Three families were investigated in a qualitative framework, through the use of a semi-structured interview. Family perceptions and elements related to the family dynamics, concerning atopic dermatitis, were studied, once one child in each family bears the illness. The families reported that atopic dermatitis had damaged the whole family in psychological and social aspects, consequently, influencing the family relationship and influencing in the intensity and frequency of symptoms due to the increasing stress, besides interfering in the family communication and relationship.

Psicodermatologia: uma interface entre psicologia e dermatologia

The aim of this article is to present some results of the author’s doctorate thesis. The theme of the thesis was a study with patients suffering from vitiligo, through the analytic approach, in order to see vitiligo as a possibility of symbolic manifestation of the psyche/body relation. Thirteen women were part of the study, whereas ten were given medical and psychological assistance for six months. Among these women, five were given group psychological therapy, and five received individual psychological therapy. Three patients were given only medical assistance for the same period. This differentiated assistance aimed at assessing if there would be any difference to the patients’ clinical answer (condition of repigmentation). The results indicate that the analytical model allowed the symbolic comprehension of the vitiligo disease as a manifestation of unaware contents which needed to be integrated to consciousness. Those patients who received both medical and psychological treatment presented a higher percentage of up to 80% of repigmentation while the ones who were under medical assistance presented only 20% of repigmentation. This results showed the importance of a joint work in the psychosomatic manifestation diseases.

PSICOTERAPIA E BIOÉTICA: APROXIMANDO CONCEITOS, APERFEIÇOANDO PRÁTICAS

Issues on the link between Psychology, therapy, training and Bioethics are provided and discussed. Current discussion is justified due to the fact that Bioethics has become an important subject in the context of contemporary technological and scientific improvements as a whole. It is thus essential to discuss Bioethics in all its specialties, taking the human being as its focus and center. Since Psychology deals with human beings, it may be highly contribute towards the solution of dilemmas in Bioethics and its importance may be highlighted within this area. Consequently, the manner bioethical principles may be transposed to the psychotherapeutic process is of paramount importance. Current essay reflects on the ethical dilemmas that the psychologist may face, on the use of the Term of Free and Clear Consent (TCLE) in the psychotherapeutic process, professional training, among others. It shall also shed some light on less discussed issues for reflective, albeit not determinant, contributions.

A prática do auto-exame das mamas em mulheres de uma comunidade universitária

Current statistical data point to high rates of prevalence and death among women undergoing breast cancer (INCA, 2004). This issue could be minimized through the self exam practice, since this procedure is considered a facilitating element in early diagnosis. This research aimed at knowing the practice of breast self-exam in women, representing the population of PUCRS, wich is a university. A mixed methodology was used (quantitative and qualitative) and as a tool, semi-structural questionnaire was applied in a sample of 215 women. The results show that only 25 percent of researched women refer to the habit of practicing breast self-exam periodically as a preventive care. The study also enhanced that all women recognize the importance of this practice however, many times they don’t know how to do it or don’t remember to do it and many other times they do it in an inappropriate way (related to frequency).