Sônia Beatriz Cócaro de Souza

Violence, burnout and minor psychiatric disorders in hospital work

OBJETIVO Identificar a violencia sofrida pelos trabalhadores da equipe de saude e a sua associacao com burnout e transtornos psiquicos menores. METODO Estudo transversal, realizado com 269 profissionais da equipe de saude em hospital publico da regiao sul do Brasil. Na coleta de dados foram utilizados o Survey Questionnaire Workplace Violence in the Health Sector, Maslach Inventory Burnout e o Self-Report Questionaire. RESULTADOS A violencia no trabalho acometeu 63,2% dos trabalhadores, prevaleceu no sexo feminino (p=0,001), entre auxiliares/tecnicos de enfermagem (p=0,014) e foi associada aos transtornos psiquicos menores (p<0,05), sendo que a exposicao a diferentes formas de violencia acresceu em 60% as chances desses transtornos (IC95%:1,2-2,1). As tres dimensoes do burnout tambem se associaram a violencia no trabalho (p<0,05). CONCLUSAO Os trabalhadores de saude sofrem violencia em seu ambiente de trabalho e a essa exposicao associam-se os sintomas de burnout e transtornos psiquicos menores.OBJECTIVE Identifying the violence suffered by the health team workers and their association with Burnout and minor psychiatric disorders. METHODS Cross-sectional study with 269 health team professionals of a public hospital in southern Brazil. Data were collected through the use of the Survey Questionnaire: Workplace Violence in the Health Sector, Maslach Inventory Burnout and Self-Report Questionnaire. RESULTS Workplace violence struck 63.2% of workers, prevailing mostly in women (p = 0.001), among nursing auxiliaries/technicians (p=0.014) and was associated with minor psychiatric disorders (p<0.05), as exposure to different forms of violence increased the chances of these disorders by 60% (CI 95%: 1.2-2.1). The three Burnout dimensions were also associated to violence at work (p<0.05). CONCLUSION Health workers experience violence in the workplace and this exposure is associated with Burnout symptoms and minor psychiatric disorders.

Violência, burnout e transtornos psíquicos menores no trabalho hospitalar

OBJETIVO Identificar a violencia sofrida pelos trabalhadores da equipe de saude e a sua associacao com burnout e transtornos psiquicos menores. METODO Estudo transversal, realizado com 269 profissionais da equipe de saude em hospital publico da regiao sul do Brasil. Na coleta de dados foram utilizados o Survey Questionnaire Workplace Violence in the Health Sector, Maslach Inventory Burnout e o Self-Report Questionaire. RESULTADOS A violencia no trabalho acometeu 63,2% dos trabalhadores, prevaleceu no sexo feminino (p=0,001), entre auxiliares/tecnicos de enfermagem (p=0,014) e foi associada aos transtornos psiquicos menores (p<0,05), sendo que a exposicao a diferentes formas de violencia acresceu em 60% as chances desses transtornos (IC95%:1,2-2,1). As tres dimensoes do burnout tambem se associaram a violencia no trabalho (p<0,05). CONCLUSAO Os trabalhadores de saude sofrem violencia em seu ambiente de trabalho e a essa exposicao associam-se os sintomas de burnout e transtornos psiquicos menores.OBJECTIVE Identifying the violence suffered by the health team workers and their association with Burnout and minor psychiatric disorders. METHODS Cross-sectional study with 269 health team professionals of a public hospital in southern Brazil. Data were collected through the use of the Survey Questionnaire: Workplace Violence in the Health Sector, Maslach Inventory Burnout and Self-Report Questionnaire. RESULTS Workplace violence struck 63.2% of workers, prevailing mostly in women (p = 0.001), among nursing auxiliaries/technicians (p=0.014) and was associated with minor psychiatric disorders (p<0.05), as exposure to different forms of violence increased the chances of these disorders by 60% (CI 95%: 1.2-2.1). The three Burnout dimensions were also associated to violence at work (p<0.05). CONCLUSION Health workers experience violence in the workplace and this exposure is associated with Burnout symptoms and minor psychiatric disorders.

Desempenho cognitivo de pacientes esquizofrênicos destros e voluntários saudáveis

OBJETIVO: O presente estudo examinou a hipotese de que pacientes esquizofrenicos destros podem apresentar assimetria cerebral normal e, portanto poderiam apresentar um desempenho cognitivo similar ao dos controles normais. Desta forma, o objetivo deste estudo foi comparar o funcionamento cognitivo entre pacientes esquizofrenicos e controles normais destros, balanceados para sexo, nivel educacional e situacao socioeconomica. METODO: Foram incluidos 25 (12 homens e 13 mulheres) pacientes esquizofrenicos destros, e 35 (19 homens e 16 mulheres) adultos jovens destros num delineamento transversal. A preferencia manual foi avaliada pelo Inventario de Dominância Lateral de Edimburgo, e o desempenho cognitivo por uma bateria de testes neuropsicologicos. Historico familiar de sinistralidade e nivel educacional foram analisados. RESULTADOS: Os pacientes esquizofrenicos destros apresentaram desempenho inferior em 10 dos 12 testes psicologicos. Deficit cognitivo (escores abaixo dos pontos de corte em 50% dos testes) foi observado em 60% dos pacientes esquizofrenicos. Entre as variaveis clinicas e demograficas, apenas categoria diagnostica e nivel educacional evidenciaram uma associacao significativa com deficit cognitivo atraves da analise de regressao logistica. A historia familiar de sinistralidade foi similar entre os dois grupos, bem como o nivel educacional. CONCLUSAO: Esses achados sugerem que os pacientes esquizofrenicos destros apresentam um prejuizo mais difuso das funcoes cognitivas, incluindo a linguagem, significativamente diferente dos controles normais. Nossa hipotese, portanto, de que houvesse uma semelhanca cognitiva entre esquizofrenicos destros e individuos normais foi refutada.GOAL: We hypothesized that right-handers schizophrenia patients would be more probable to present the normal brain asymmetry, and therefore their cognitive function could be more similar to that of the normal controls. Thus, the present study aims to compare the cognitive functioning between right-handed schizophrenic patients and normal right-handed comparing group, balanced by sex, educational level, and socioeconomic situation. METHODS: Twenty-five (12 men and 13 women) right-handed schizophrenia patients and 35 (19 men and 16 women) right-handed young adults were included in a cross-sectional design. The manual preference was evaluated with the Edinburgh Handedness Inventory, and cognitive performance with a series of neuropsychological tests. Family history of left-handedness and educational attainment were also analyzed. RESULTS: The right-handed schizophrenia patients showed poorer performance in 10 of 12 cognitive tests. Cognitive deficit (scores bellow cutoff in 50% of tests) was present in 60% of the patients with schizophrenia. Among demographic and clinical variables, only diagnostic category and educational level showed significant association with cognitive deficit in a logistic regression analysis. Family history of left-handedness and educational attainment were similar between groups. CONCLUSION: These findings suggested a more diffuse impairment of the cognitive functions, including language, among right-handed schizophrenia patients. Their performance was significantly different from that of the normal group. Our hypothesis of cognitive similarity between right-handed schizophrenics and healthy individuals was refuted.

Violencia, Burnout Y Trastornos Psíquicos Menores En El Trabajo Hospitalario

OBJETIVO Identificar a violencia sofrida pelos trabalhadores da equipe de saude e a sua associacao com burnout e transtornos psiquicos menores. METODO Estudo transversal, realizado com 269 profissionais da equipe de saude em hospital publico da regiao sul do Brasil. Na coleta de dados foram utilizados o Survey Questionnaire Workplace Violence in the Health Sector, Maslach Inventory Burnout e o Self-Report Questionaire. RESULTADOS A violencia no trabalho acometeu 63,2% dos trabalhadores, prevaleceu no sexo feminino (p=0,001), entre auxiliares/tecnicos de enfermagem (p=0,014) e foi associada aos transtornos psiquicos menores (p<0,05), sendo que a exposicao a diferentes formas de violencia acresceu em 60% as chances desses transtornos (IC95%:1,2-2,1). As tres dimensoes do burnout tambem se associaram a violencia no trabalho (p<0,05). CONCLUSAO Os trabalhadores de saude sofrem violencia em seu ambiente de trabalho e a essa exposicao associam-se os sintomas de burnout e transtornos psiquicos menores.OBJECTIVE Identifying the violence suffered by the health team workers and their association with Burnout and minor psychiatric disorders. METHODS Cross-sectional study with 269 health team professionals of a public hospital in southern Brazil. Data were collected through the use of the Survey Questionnaire: Workplace Violence in the Health Sector, Maslach Inventory Burnout and Self-Report Questionnaire. RESULTS Workplace violence struck 63.2% of workers, prevailing mostly in women (p = 0.001), among nursing auxiliaries/technicians (p=0.014) and was associated with minor psychiatric disorders (p<0.05), as exposure to different forms of violence increased the chances of these disorders by 60% (CI 95%: 1.2-2.1). The three Burnout dimensions were also associated to violence at work (p<0.05). CONCLUSION Health workers experience violence in the workplace and this exposure is associated with Burnout symptoms and minor psychiatric disorders.

Cognitive function in Brazilian right-handers schizophrenia patients and healthy volunteers

OBJETIVO: O presente estudo examinou a hipotese de que pacientes esquizofrenicos destros podem apresentar assimetria cerebral normal e, portanto poderiam apresentar um desempenho cognitivo similar ao dos controles normais. Desta forma, o objetivo deste estudo foi comparar o funcionamento cognitivo entre pacientes esquizofrenicos e controles normais destros, balanceados para sexo, nivel educacional e situacao socioeconomica. METODO: Foram incluidos 25 (12 homens e 13 mulheres) pacientes esquizofrenicos destros, e 35 (19 homens e 16 mulheres) adultos jovens destros num delineamento transversal. A preferencia manual foi avaliada pelo Inventario de Dominância Lateral de Edimburgo, e o desempenho cognitivo por uma bateria de testes neuropsicologicos. Historico familiar de sinistralidade e nivel educacional foram analisados. RESULTADOS: Os pacientes esquizofrenicos destros apresentaram desempenho inferior em 10 dos 12 testes psicologicos. Deficit cognitivo (escores abaixo dos pontos de corte em 50% dos testes) foi observado em 60% dos pacientes esquizofrenicos. Entre as variaveis clinicas e demograficas, apenas categoria diagnostica e nivel educacional evidenciaram uma associacao significativa com deficit cognitivo atraves da analise de regressao logistica. A historia familiar de sinistralidade foi similar entre os dois grupos, bem como o nivel educacional. CONCLUSAO: Esses achados sugerem que os pacientes esquizofrenicos destros apresentam um prejuizo mais difuso das funcoes cognitivas, incluindo a linguagem, significativamente diferente dos controles normais. Nossa hipotese, portanto, de que houvesse uma semelhanca cognitiva entre esquizofrenicos destros e individuos normais foi refutada.GOAL: We hypothesized that right-handers schizophrenia patients would be more probable to present the normal brain asymmetry, and therefore their cognitive function could be more similar to that of the normal controls. Thus, the present study aims to compare the cognitive functioning between right-handed schizophrenic patients and normal right-handed comparing group, balanced by sex, educational level, and socioeconomic situation. METHODS: Twenty-five (12 men and 13 women) right-handed schizophrenia patients and 35 (19 men and 16 women) right-handed young adults were included in a cross-sectional design. The manual preference was evaluated with the Edinburgh Handedness Inventory, and cognitive performance with a series of neuropsychological tests. Family history of left-handedness and educational attainment were also analyzed. RESULTS: The right-handed schizophrenia patients showed poorer performance in 10 of 12 cognitive tests. Cognitive deficit (scores bellow cutoff in 50% of tests) was present in 60% of the patients with schizophrenia. Among demographic and clinical variables, only diagnostic category and educational level showed significant association with cognitive deficit in a logistic regression analysis. Family history of left-handedness and educational attainment were similar between groups. CONCLUSION: These findings suggested a more diffuse impairment of the cognitive functions, including language, among right-handed schizophrenia patients. Their performance was significantly different from that of the normal group. Our hypothesis of cognitive similarity between right-handed schizophrenics and healthy individuals was refuted.

Desempeño cognitivo de pacientes esquizofrénicos diestros y voluntarios saludables

OBJETIVO: O presente estudo examinou a hipotese de que pacientes esquizofrenicos destros podem apresentar assimetria cerebral normal e, portanto poderiam apresentar um desempenho cognitivo similar ao dos controles normais. Desta forma, o objetivo deste estudo foi comparar o funcionamento cognitivo entre pacientes esquizofrenicos e controles normais destros, balanceados para sexo, nivel educacional e situacao socioeconomica. METODO: Foram incluidos 25 (12 homens e 13 mulheres) pacientes esquizofrenicos destros, e 35 (19 homens e 16 mulheres) adultos jovens destros num delineamento transversal. A preferencia manual foi avaliada pelo Inventario de Dominância Lateral de Edimburgo, e o desempenho cognitivo por uma bateria de testes neuropsicologicos. Historico familiar de sinistralidade e nivel educacional foram analisados. RESULTADOS: Os pacientes esquizofrenicos destros apresentaram desempenho inferior em 10 dos 12 testes psicologicos. Deficit cognitivo (escores abaixo dos pontos de corte em 50% dos testes) foi observado em 60% dos pacientes esquizofrenicos. Entre as variaveis clinicas e demograficas, apenas categoria diagnostica e nivel educacional evidenciaram uma associacao significativa com deficit cognitivo atraves da analise de regressao logistica. A historia familiar de sinistralidade foi similar entre os dois grupos, bem como o nivel educacional. CONCLUSAO: Esses achados sugerem que os pacientes esquizofrenicos destros apresentam um prejuizo mais difuso das funcoes cognitivas, incluindo a linguagem, significativamente diferente dos controles normais. Nossa hipotese, portanto, de que houvesse uma semelhanca cognitiva entre esquizofrenicos destros e individuos normais foi refutada.GOAL: We hypothesized that right-handers schizophrenia patients would be more probable to present the normal brain asymmetry, and therefore their cognitive function could be more similar to that of the normal controls. Thus, the present study aims to compare the cognitive functioning between right-handed schizophrenic patients and normal right-handed comparing group, balanced by sex, educational level, and socioeconomic situation. METHODS: Twenty-five (12 men and 13 women) right-handed schizophrenia patients and 35 (19 men and 16 women) right-handed young adults were included in a cross-sectional design. The manual preference was evaluated with the Edinburgh Handedness Inventory, and cognitive performance with a series of neuropsychological tests. Family history of left-handedness and educational attainment were also analyzed. RESULTS: The right-handed schizophrenia patients showed poorer performance in 10 of 12 cognitive tests. Cognitive deficit (scores bellow cutoff in 50% of tests) was present in 60% of the patients with schizophrenia. Among demographic and clinical variables, only diagnostic category and educational level showed significant association with cognitive deficit in a logistic regression analysis. Family history of left-handedness and educational attainment were similar between groups. CONCLUSION: These findings suggested a more diffuse impairment of the cognitive functions, including language, among right-handed schizophrenia patients. Their performance was significantly different from that of the normal group. Our hypothesis of cognitive similarity between right-handed schizophrenics and healthy individuals was refuted.