Samira Reschetti Marcon

Sobrecarga e qualidade de vida de cuidadores de criança e adolescentes com câncer em tratamento quimioterápico

OBJECTIVE: To evaluate the burden of care and quality of life (QOL) of caregivers of children/adolescents with cancer during chemotherapy treatment, and to relate them to each other and sociodemographic data. METHODS: A transversal study, with 160 caregivers. We collected sociodemographic data, burden of care using the Caregiver Burden Scale and QOL using the SF-36. RESULTS: 88.7% of caregivers were mothers, with the mean age of 34.9 years, overall burden score 2.09 ± 0.04 and the SF-36 scores most compromised were: emotional aspects, vitality, mental health and physical aspects. The regression model accounted for 36.0% of the burden. CONCLUSION: The QOL of caregivers and burden of care experienced showed compromise in various domains, and these alterations may affect the quality of care provided to children and adolescents, and lead to imbalances in their own health.

Perfil clínico e sociodemográfico de adolescentes que permaneceram e não permaneceram no tratamento em um CAPSad de Cuiabá/MT

OBJECTIVE: Compare clinical and sociodemographic profile of adolescents who stayed and did not stay in treatment at Centro de Atencao Psicossocial para Alcool e outras Drogas (CAPSad). METHOD: A transverse study based on medical records of 125 users who had been in treatment at CAPS ad Adolescer in Cuiaba/MT, from June 2009 to June 2011. RESULTS: The permanence in treatment was predominantly male among users who extensively used psychoactive substances, who were sent for this treatment by social and judicial sectors. They had a conflictual family relationship and also had a frequent participation of family in treatment. The biggest proportion of those who did not stay in treatment happened because of the lack of integration with other devices of the network. CONCLUSION: To know the characteristics of the adolescents and the interveners factors in the permanence reinforce the responsibility of CAPS in the effective articulation of the network, and moreover, reassure that family must be more and more close to treatment, as an fundamental part in the project of intervention.

Burden and quality of life of caregivers of children and adolescents with chemotherapy treatment for cancer

OBJECTIVE: To evaluate the burden of care and quality of life (QOL) of caregivers of children/adolescents with cancer during chemotherapy treatment, and to relate them to each other and sociodemographic data. METHODS: A transversal study, with 160 caregivers. We collected sociodemographic data, burden of care using the Caregiver Burden Scale and QOL using the SF-36. RESULTS: 88.7% of caregivers were mothers, with the mean age of 34.9 years, overall burden score 2.09 ± 0.04 and the SF-36 scores most compromised were: emotional aspects, vitality, mental health and physical aspects. The regression model accounted for 36.0% of the burden. CONCLUSION: The QOL of caregivers and burden of care experienced showed compromise in various domains, and these alterations may affect the quality of care provided to children and adolescents, and lead to imbalances in their own health.

Qualidade de vida e sintomas depressivos entre cuidadores e dependentes de drogas

The aim of this study was to evaluate the quality of life and the presence of depressive symptoms among the caregivers and drug dependent people of the CAPSad. This is a cross-sectional study, with 109 users of four Psychosocial Care Centers for alcohol and other drugs of Mato Grosso and their caregivers, using the instruments: Medical Outcomes Studies 36 (SF-36), Beck Depression Inventory (BDI) and a sociodemographic variables questionnaire. The QoL of the caregivers in the domains functional capacity, physical aspect, pain and vitality were more affected when compared to the users. A strong correlation between QoL and depressive symptoms was found in both groups. The comparisons performed demonstrate a compromise in the quality of life of both, with the group of caregivers most affected, confirming the situation of drug dependence as an important factor in the perception of the caregiver regarding their quality of life.O objetivo deste estudo foi avaliar a qualidade de vida e a presenca de sintomas depressivos entre cuidadores e dependentes de drogas, dos CAPSad. Foi utilizado, como metodo, o estudo transversal, com 109 usuarios de quatro Centros de Atencao Psicossocial - Alcool e Drogas, de Mato Grosso, e seus cuidadores, aplicando-se os instrumentos: Medical Outcomes Studies 36 (SF-36), inventario de depressao de Beck (BDI) e variaveis sociodemograficas. Constatou-se, pelos resultados, que a qualidade de vida (QV) dos cuidadores, nos dominios capacidade funcional, aspecto fisico, dor e vitalidade, estava mais afetada, quando comparada aos usuarios. Encontrou-se forte correlacao entre QV e sintomas depressivos nos dois grupos. Conclui-se que as comparacoes realizadas demonstram comprometimento da qualidade de vida de ambos, sendo essa mais afetada no grupo de cuidadores, confirmando a situacao de dependencia de drogas como importante interveniente na percepcao do cuidador, quanto a sua qualidade de vida.Este estudio tuvo por objetivo evaluar la calidad de vida y los sintomas depresivos en cuidadores y adictos a drogas. Se trata de un estudio transversal en 109 usuarios y sus cuidadores en cuatro Centros de Atencion Psicosocial de alcohol y otras drogas en el estado de Mato Grosso. Se aplicaron los instrumentos: Medical Outcomes Studies 36 (SF-36), Inventario de Depresion de Beck (BDI) y sociodemograficos. Se encontro que la calidad de vida de los cuidadores en los dominios de funcionamiento fisico, dolor y vitalidad fueron mas afectados en comparacion a los usuarios. Se obtuvo una fuerte correlacion entre la calidad de vida y los sintomas depresivos en ambos grupos. Las comparaciones demuestran que la calidad de vida del cuidador y del usuario estan comprometidas, siendo que la mas afectada corresponde al grupo de cuidadores, lo que confirma la situacion de la dependencia de drogas como un actor importante en la percepcion del cuidador sobre su calidad de vida.Descriptores: Calidad de Vida; Depresion; Relaciones Familiares; Los Trastornos Relacionados con el Consumo de Sustancias.

Correlation between depressive symptoms and quality of life in users of psychoactive substances

Objectives: To evaluate the correlation between the presence of depressive symptoms and quality of life in users of psychoactive substances from Psychosocial Attention Centers in Mato Grosso. Method: A cross-sectional analytical study, conducted in Psychosocial Attention Centers, with 109 users. The instruments used were: Medical Outcomes Study 36, Beck Depression Inventory, socio-demographic variables and the use of psychoactive substances. A Tukey analysis and a Spearman correlation were conducted with a significance level of α<0,05. Results: The most affected domains of quality of life were emotional, social and mental health aspects, besides the strong correlation between depressive symptoms and quality of life. Conclusion: The use of psychoactive substances and the presence of symptoms significantly interfere in the life of users, which can compromise the motivation to the treatment, negatively affecting the quality of life in this population.OBJECTIVES To evaluate the correlation between the presence of depressive symptoms and quality of life in users of psychoactive substances from Psychosocial Attention Centers in Mato Grosso. METHOD A cross-sectional analytical study, conducted in Psychosocial Attention Centers, with 109 users. The instruments used were: Medical Outcomes Study 36, Beck Depression Inventory, socio-demographic variables and the use of psychoactive substances. A Tukey analysis and a Spearman correlation were conducted with a significance level of α<0,05. RESULTS The most affected domains of quality of life were emotional, social and mental health aspects, besides the strong correlation between depressive symptoms and quality of life. CONCLUSION The use of psychoactive substances and the presence of symptoms significantly interfere in the life of users, which can compromise the motivation to the treatment, negatively affecting the quality of life in this population.

Quality of life and depressive symptoms among caregivers and drug dependent people

The aim of this study was to evaluate the quality of life and the presence of depressive symptoms among the caregivers and drug dependent people of the CAPSad. This is a cross-sectional study, with 109 users of four Psychosocial Care Centers for alcohol and other drugs of Mato Grosso and their caregivers, using the instruments: Medical Outcomes Studies 36 (SF-36), Beck Depression Inventory (BDI) and a sociodemographic variables questionnaire. The QoL of the caregivers in the domains functional capacity, physical aspect, pain and vitality were more affected when compared to the users. A strong correlation between QoL and depressive symptoms was found in both groups. The comparisons performed demonstrate a compromise in the quality of life of both, with the group of caregivers most affected, confirming the situation of drug dependence as an important factor in the perception of the caregiver regarding their quality of life.O objetivo deste estudo foi avaliar a qualidade de vida e a presenca de sintomas depressivos entre cuidadores e dependentes de drogas, dos CAPSad. Foi utilizado, como metodo, o estudo transversal, com 109 usuarios de quatro Centros de Atencao Psicossocial - Alcool e Drogas, de Mato Grosso, e seus cuidadores, aplicando-se os instrumentos: Medical Outcomes Studies 36 (SF-36), inventario de depressao de Beck (BDI) e variaveis sociodemograficas. Constatou-se, pelos resultados, que a qualidade de vida (QV) dos cuidadores, nos dominios capacidade funcional, aspecto fisico, dor e vitalidade, estava mais afetada, quando comparada aos usuarios. Encontrou-se forte correlacao entre QV e sintomas depressivos nos dois grupos. Conclui-se que as comparacoes realizadas demonstram comprometimento da qualidade de vida de ambos, sendo essa mais afetada no grupo de cuidadores, confirmando a situacao de dependencia de drogas como importante interveniente na percepcao do cuidador, quanto a sua qualidade de vida.Este estudio tuvo por objetivo evaluar la calidad de vida y los sintomas depresivos en cuidadores y adictos a drogas. Se trata de un estudio transversal en 109 usuarios y sus cuidadores en cuatro Centros de Atencion Psicosocial de alcohol y otras drogas en el estado de Mato Grosso. Se aplicaron los instrumentos: Medical Outcomes Studies 36 (SF-36), Inventario de Depresion de Beck (BDI) y sociodemograficos. Se encontro que la calidad de vida de los cuidadores en los dominios de funcionamiento fisico, dolor y vitalidad fueron mas afectados en comparacion a los usuarios. Se obtuvo una fuerte correlacion entre la calidad de vida y los sintomas depresivos en ambos grupos. Las comparaciones demuestran que la calidad de vida del cuidador y del usuario estan comprometidas, siendo que la mas afectada corresponde al grupo de cuidadores, lo que confirma la situacion de la dependencia de drogas como un actor importante en la percepcion del cuidador sobre su calidad de vida.Descriptores: Calidad de Vida; Depresion; Relaciones Familiares; Los Trastornos Relacionados con el Consumo de Sustancias.

Correlação entre sintomas depressivos e qualidade de vida de usuários de substâncias psicoativas

Objectives: To evaluate the correlation between the presence of depressive symptoms and quality of life in users of psychoactive substances from Psychosocial Attention Centers in Mato Grosso. Method: A cross-sectional analytical study, conducted in Psychosocial Attention Centers, with 109 users. The instruments used were: Medical Outcomes Study 36, Beck Depression Inventory, socio-demographic variables and the use of psychoactive substances. A Tukey analysis and a Spearman correlation were conducted with a significance level of α<0,05. Results: The most affected domains of quality of life were emotional, social and mental health aspects, besides the strong correlation between depressive symptoms and quality of life. Conclusion: The use of psychoactive substances and the presence of symptoms significantly interfere in the life of users, which can compromise the motivation to the treatment, negatively affecting the quality of life in this population.OBJECTIVES To evaluate the correlation between the presence of depressive symptoms and quality of life in users of psychoactive substances from Psychosocial Attention Centers in Mato Grosso. METHOD A cross-sectional analytical study, conducted in Psychosocial Attention Centers, with 109 users. The instruments used were: Medical Outcomes Study 36, Beck Depression Inventory, socio-demographic variables and the use of psychoactive substances. A Tukey analysis and a Spearman correlation were conducted with a significance level of α<0,05. RESULTS The most affected domains of quality of life were emotional, social and mental health aspects, besides the strong correlation between depressive symptoms and quality of life. CONCLUSION The use of psychoactive substances and the presence of symptoms significantly interfere in the life of users, which can compromise the motivation to the treatment, negatively affecting the quality of life in this population.

Calidad de vida y los síntomas depresivos en cuidadores y los adictos a las drogas

The aim of this study was to evaluate the quality of life and the presence of depressive symptoms among the caregivers and drug dependent people of the CAPSad. This is a cross-sectional study, with 109 users of four Psychosocial Care Centers for alcohol and other drugs of Mato Grosso and their caregivers, using the instruments: Medical Outcomes Studies 36 (SF-36), Beck Depression Inventory (BDI) and a sociodemographic variables questionnaire. The QoL of the caregivers in the domains functional capacity, physical aspect, pain and vitality were more affected when compared to the users. A strong correlation between QoL and depressive symptoms was found in both groups. The comparisons performed demonstrate a compromise in the quality of life of both, with the group of caregivers most affected, confirming the situation of drug dependence as an important factor in the perception of the caregiver regarding their quality of life.O objetivo deste estudo foi avaliar a qualidade de vida e a presenca de sintomas depressivos entre cuidadores e dependentes de drogas, dos CAPSad. Foi utilizado, como metodo, o estudo transversal, com 109 usuarios de quatro Centros de Atencao Psicossocial - Alcool e Drogas, de Mato Grosso, e seus cuidadores, aplicando-se os instrumentos: Medical Outcomes Studies 36 (SF-36), inventario de depressao de Beck (BDI) e variaveis sociodemograficas. Constatou-se, pelos resultados, que a qualidade de vida (QV) dos cuidadores, nos dominios capacidade funcional, aspecto fisico, dor e vitalidade, estava mais afetada, quando comparada aos usuarios. Encontrou-se forte correlacao entre QV e sintomas depressivos nos dois grupos. Conclui-se que as comparacoes realizadas demonstram comprometimento da qualidade de vida de ambos, sendo essa mais afetada no grupo de cuidadores, confirmando a situacao de dependencia de drogas como importante interveniente na percepcao do cuidador, quanto a sua qualidade de vida.Este estudio tuvo por objetivo evaluar la calidad de vida y los sintomas depresivos en cuidadores y adictos a drogas. Se trata de un estudio transversal en 109 usuarios y sus cuidadores en cuatro Centros de Atencion Psicosocial de alcohol y otras drogas en el estado de Mato Grosso. Se aplicaron los instrumentos: Medical Outcomes Studies 36 (SF-36), Inventario de Depresion de Beck (BDI) y sociodemograficos. Se encontro que la calidad de vida de los cuidadores en los dominios de funcionamiento fisico, dolor y vitalidad fueron mas afectados en comparacion a los usuarios. Se obtuvo una fuerte correlacion entre la calidad de vida y los sintomas depresivos en ambos grupos. Las comparaciones demuestran que la calidad de vida del cuidador y del usuario estan comprometidas, siendo que la mas afectada corresponde al grupo de cuidadores, lo que confirma la situacion de la dependencia de drogas como un actor importante en la percepcion del cuidador sobre su calidad de vida.Descriptores: Calidad de Vida; Depresion; Relaciones Familiares; Los Trastornos Relacionados con el Consumo de Sustancias.

Qualidade de vida e sobrecarga de cuidados em cuidadores de dependentes químicos

OBJETIVOS: Evaluar la calidad de vida y la presencia de sobrecarga de cuidados en cuidadores de dependientes quimicos. METODOS: Se trata de un estudio de corte transversal, realizado en cuatro Centros de Atencion Psicosocial de Mato Grosso, con 109 cuidadores. Fueron recolectados datos sociodemograficos, de calidad de vida por medio del Medical Outcomes Studies 36 - Item Short-Form, sintomas de depresion (Inventario de Depresion de Beck) y sobrecarga del cuidador (Caregiver Burden Scale). RESULTADOS: De los 109 cuidadores, 55,9% eran madres, con edad promedio de 47,66 anos y 23,8% presentaron sintomas depresivos. Los scores del SF36 mas comprometidos fueron: aspectos emocionales, vitalidad, dolor y salud mental. El promedio general de la sobrecarga entre los cuidadores fue de 2,24. Hubo correlacion significativa en las dimensiones de la calidad de vida, presencia de depresion y sobrecarga de cuidado. CONCLUSION: Los hallazgos confirmaron el compromiso de la calidad de vida y alta sobrecarga de cuidado que evidencian la necesidad de apoyo emocional a esos cuidadores.

Factors associated with suicidal ideation among university students

Objetivo: analizar los factores asociados a la ideacion suicida en una muestra representativa de estudiantes universitarios. Metodo: estudio transversal analitico, realizado con 637 estudiantes en una Universidad Federal de Mato Grosso. Fueron investigadas las variables: presencia de ideacion suicida; demograficas y socioeconomicas; uso de alcohol por medio del Alcohol, Smoking and Substance Involvement Screening Test; y sintomas depresivos (Inventario de Depresion Mayor). El analisis bivariado fue realizado con el test de Chi-cuadrado y el analisis multiple con el modelo de regresion de Poisson. Resultados: se constato que 9,9% de los estudiantes tuvieron ideas suicidas en los ultimos 30 dias, y en el analisis bivariado las variables: clase economica; orientacion sexual; practica religiosa; intentos de suicidio en la familia y entre amigos; consumo de alcohol; y sintomas depresivos, presentaron asociacion con ideacion suicida. En el analisis multiple permanecieron como factores asociados la orientacion sexual, los intentos de suicidio en la familia y la presencia de sintomas depresivos. Conclusion: estos hallazgos constituyen un diagnostico situacional que posibilita la formulacion de politicas academicas y de acciones de prevencion para enfrentar esa situacion en el campus universitario.ABSTRACT Objective: to analyze the factors associated with suicidal ideation in a representative sample of university students. Methods: cross-sectional study, carried out with 637 students of the Federal University of Mato Grosso. The presence of suicidal ideation, demographic and socioeconomic variables, use of alcohol through the Alcohol, Smoking and Substance Involvement Screening Test, and depressive symptoms (Major Depression Inventory) were investigated. Bivariate analysis was performed with the Chi-square test and multivariate analysis using the Poisson regression model. Results: it was found that 9.9% of the students had suicidal thoughts in the previous 30 days and, in the bivariate analysis, the variables economic class, sexual orientation, religious practice, suicide attempts in the family and among friends, alcohol consumption and depressive symptoms were associated with suicidal ideation. In the multivariate analysis sexual orientation, suicide attempts in the family and the presence of depressive symptoms remained as associated factors. Conclusion: these findings constitute a situational diagnosis that enables the formulation of academic policies and preventive actions to confront this situation on the university campus.