Ricardo da Costa Padovani

Investigação da ansiedade, depressão e qualidade de vida em pacientes portadores de osteoartrite no joelho: um estudo comparativo

INTRODUCTION Osteoarthritis (OA) affects the articular cartilage and subchondral bone, compromising the joint as a whole. The knee joint is characterized as one of the main sites of involvement of OA and the most significant risk factors for developing the disease are aging, overweight and female gender. OA is considered one of the most frequent causes of disability, which may affect the quality of life of the patients, favoring the onset of mental disorders. OBJECTIVE To investigate whether anxiety and depression symptoms are more significant in women with OA, when compared with women without this diagnosis, and to what extent this rheumatic disease affects the quality of life of these patients. METHODS The study included 75 women, mean age 67 years; 40 were diagnosed with knee OA and 35 without this diagnosis. The following instruments were used: State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI) and SF-36, a quality of life questionnaire. RESULTS Women with knee OA have higher rates of depression and anxiety when compared to controls; in addition, they have a lower quality of life. CONCLUSION We believe that the treatment of patients with OA should consider the combination of pharmacotherapy, psychotherapy, counseling and family support, in order to achieve a better quality of life.

Cytogenetic biomonitoring of oral mucosa cells of crack cocaine users

The aim of the present study was to comparatively evaluate genomic damage (micronucleus) and cellular death (pyknosis, karyolysis, and karyorrhexis) in exfoliated oral mucosa cells from crack cocaine users by micronucleus test. A total of 30 crack cocaine users and 30 health controls (non-exposed individuals) were included in this setting. Individuals had epithelial cells from cheek mechanically exfoliated, placed in fixative, and dropped in clean slides, which were checked for the above nuclear phenotypes. The results pointed out significant statistical differences (p < 0.05) of micronucleated oral mucosa cells from crack cocaine users. Exposure to crack cocaine caused an increase of other nuclear alterations closely related to cytotoxicity such as karyolysis in oral cells as well. In summary, these data indicate that crack cocaine is able to induce chromosomal breakage and cellular death in oral mucosa cells of users.

Dependência de internet: manual e guia de avaliação e tratamento

”. Ao longo da obra, fundamentam a importância da inclusao da Dependencia de Internet como categoria nosologica dos transtornos mentais e apresentam propostas de avaliacao e tratamento. O livro possui quinze capitulos, divididos em duas partes. A primeira parte, intitulada “Compreendendo o comportamento do uso de internet e de-pendencia”, e composta por sete capitulos. O primeiro, “estimativas de prevalencia e modelos etiologicos de dependencia de internet”, descreve como diferentes modelos teoricos explicam o comportamento dependente, apontando a esquiva emocional e o papel da cultura na deter-minacao desse fenomeno. O segundo, “Avaliacao clinica de clientes dependentes de internet”, apresenta o processo de conceitualizacao e formas de avaliacao. O terceiro, “Interacao social na internet, bem-estar psicossocial e uso problematico da internet”, aborda as interacoes sociais virtuais associando as idiossincrasias do usuario. O quarto, “Usos e gratificacoes da dependencia de internet”, explica os padroes de uso problematico, suas propriedades reforcadoras e meca-nismos autorreguladores. O quinto e sexto capitulos, respectivamente, “Dependencia virtual de

Biofeedback no tratamento de transtornos relacionados ao estresse e à ansiedade: uma revisão crítica

Biofeedback training has been utilized for the treatment of different pathological conditions, in particular those related to stress/anxiety. This study reviews the scientific literature from 2008 to 2012 about the subject “biofeedback, stress and anxiety”, published in MEDLINE, LILACS and Web of Sciences, using as keywords “biofeedback”, “anxiety”, “stress”, “psychology” and “biofeedback training”. The results obtained showed that biofeedback training has been successfully employed as a therapeutic tool for the management of stress/anxiety in the different populations studied. Nevertheless, all of the studies found were performed outside Brazil, which suggests that biofeedback as a therapeutic tool has not been utilized in the country for some reason that deserves to be better investigated.

Estilo parental de origem e ansiedade em homens com histórico de agressão à parceira

Parental style in families of origin and anxiety among batterers. The present study was aimed at investigating male batterers’ family of origin’s parental style, and its relationship with anxiety symptoms in such men, by comparing these variables with men without a history of domestic violence with similar age, socio-economic status, education and marital status. A sample of 20 batterers and 20 men without a violence history was utilized. The instruments in Portuguese included: a Batterer’s Family of Origin Semi-Structured Interview, The Parental Style Inventory, and the Beck Anxiety Inventory (BAI). Both groups did not differ statistically in regards to age, socio-economic status, education and marital status. However, the groups were statistically different in terms of the variables family of origin’s parental style and anxiety. It is suggested that anxiety, combined with family of origin’s inappropriate parenting, may contribute to intimate partner violence. Future studies could further investigate this possibility using larger samples.

Saúde do estudante universitário: uma questão para reflexão

traz indicadores rele-vantes para a reflexao sobre esta populacao edemanda por novas reflexoes e pesquisas naarea. Historicamente elitizado, o ensino superi-or, especialmente o de natureza publica, tem semodificado consideravelmente nos ultimos anosvia politicas publicas de expansao, principal-mente no que se refere ao perfil dos estudan-tes

Impact of an Interdisciplinary Food, Nutrition and Health Education Program for adolescent Brazilian volleyball players

Objetivo: Avaliar o impacto de um Programa Interdisciplinar de Educacao Alimentar, Nutricional e em Saude sobre o conhecimento nutricional, a intencao de mudanca de comportamento alimentar e a insatisfacao corporal de jogadoras de voleibol adolescentes. Metodos: A amostra foi composta por 10 atletas de voleibol, jogadoras da categoria juvenil da cidade de Santos, SP, que participaram do programa composto por oito encontros mensais (um grupo de discussao seguido por seis atividades educacionais e um grupo de discussao final para avaliacao). Resultados: Conhecimento nutricional, percepcao corporal, intencao de mudanca de comportamento alimentar, atitudes e praticas alimentares foram investigadas por questionarios e grupo de discussao antes e depois da participacao das atletas nas atividades ludicas, as quais abordaram estrategias nutricionais para desempenho esportivo, alimentacao saudavel, lidar com pressao por resultados e percepcao corporal. O conhecimento nutricional aumentou de 57,0% ±9,9 para 63,0% ±11,8 (p=0,03) de acerto. Nao houve diferenca no escore de distorcao corporal (70,0±14,9 versus 76,5±22,4, p=0,235). Seis atletas avancaram na intencao de mudanca de comportamento alimentar. Modificacoes positivas nas praticas alimentares foram relatadas durante as atividades e os discursos identificados apontam intencoes de futuras mudancas nos habitos alimentares diarios. Conclusao: O programa teve impacto positivo em aumentar o conhecimento nutricional e mudanca de comportamento alimentar; porem, para outros aspectos, principalmente envolvendo questoes emocionais, outras intervencoes devem ser planejadas.

Biofeedback in the treatment of stress and anxiety-related disorders: a critical review

Biofeedback training has been utilized for the treatment of different pathological conditions, in particular those related to stress/anxiety. This study reviews the scientific literature from 2008 to 2012 about the subject “biofeedback, stress and anxiety”, published in MEDLINE, LILACS and Web of Sciences, using as keywords “biofeedback”, “anxiety”, “stress”, “psychology” and “biofeedback training”. The results obtained showed that biofeedback training has been successfully employed as a therapeutic tool for the management of stress/anxiety in the different populations studied. Nevertheless, all of the studies found were performed outside Brazil, which suggests that biofeedback as a therapeutic tool has not been utilized in the country for some reason that deserves to be better investigated.

O delírio na perspectiva das neurociências e da terapia cognitiva

Schizophrenia is a mental disorder of chronicle evolution, characterized by cognitive, affective and behavioral changes. This study seeks to describe the formation of de lusions in schizophrenia, in the perspectives of neurosciences and cognitive therapy. The methodology used in this study is the critical analysis, which allows evaluating the base principles of the process of delusion’s formation proposed by scholars of the subject. Thus, this research aims to provide information about the alteration of thoughts, from the contributions of neuroscience and cognitive therapy. There is, obviously, no pretension of exhausting the subject. This study makes clear the relevance of the association between pharmacotherapy and cognitive therapy in the treatment process of schizophrenia. Palavras-chave: delirio, neurociencias, terapia cognitiva.

Supervisión en Terapias Cognitivo-Conductuales: Utilizando otras Vías Además del Servicio de la Escuela

El objetivo de este estudio es describir un modelo de supervision que prepara psicologos para desarrollar acciones dirigidas a la prevencion, promocion, proteccion y rehabilitacion de la salud. La orientacion teorica del articulo es el enfoque cognitivo-conductual que dialoga con las nociones de cuidado integral y el trabajo en equipo interprofesional. Los estudios sobre este tema son escasos, por lo cual es dificil compartir estas practicas de formacion. La oportunidad de describir este modelo ampliado de formacion de terapeutas cognitivo-conductuales muestra las diversas posibilidades de preparacion de los estudiantes de Psicologia e indica la necesidad de investigaciones sistematicas en el area.