HIV-associated neurocognitive disorders (HAND) remain frequent even among individuals receiving combined antiretroviral therapy (cART). In addition, HAND may adversely affect the quality of life and adherence to cART. There is scarce epidemiological information about HAND in Latin America. This cross-sectional study recruited HIV-infected patients from a tertiary teaching institution in São Paulo, Brazil, between May 2013 and February 2015. The patients were adults with at least 4 years of education and patients with current neurological or psychiatric diseases were excluded. HAND remain frequent even among individuals receiving cART, use of psychoactive substance, or inability to understand the content for neuropsychological evaluation. We used standardized tools to evaluate depression, use of psychoactive substances, and daily life activities, and we performed a comprehensive neuropsychological examination. HAND was classified using the Frascati criteria. Prevalence of HAND was estimated, and an associated variable of symptomatic HAND was identified by logistic regression. Four-hundred twelve HIV-infected patients were included [male: 281 (68%), mean age of 45.3 years]. Most of them [n = 340 (83.7%)] had an undetectable viral load. The prevalence of HAND was 73.6% (n = 303): 210 (50.9%) had asymptomatic neurocognitive involvement (ANI), 67 (16.2%) had mild neurocognitive disorder (MND), and 26 (6.3%) had HIV-associated dementia (HAD). The univariate logistic regression analysis showed that female gender, age older than 50 years, <11 years of schooling, CD4 count below 200 cells/mm, presence of previous illnesses (e.g., diabetes, hypertension), opportunistic disease history, and a Beck Depression Inventory (BDI) score between 13 and 19 points were factors associated with symptomatic HAND (MND and HAD). However, a BDI score between 13 and 19 points was the single independent variable associated with symptomatic HAND. HAND was highly prevalent in São Paulo, Brazil, and ANI was the more frequent category of HAND. However, 22.5% of participants had symptomatic HAND. This finding constitutes a challenge in clinical practice. A BDI score between 13 and 19 points was the single independent variable associated with symptomatic HAND.

Resumo: Este artigo objetiva, mediante algumas incursões teóricas e de uma análise sociopsicológica, discutir a forma como o trabalho está organizado em nossa sociedade, bem como as repercussões psíquicas provocadas pelo trabalho sem sentido. As condições e as exigências do mercado de trabalho na atualidade rotinizam e amortecem o sentido da vida, deixando no corpo as marcas do sofrimento, que se manifestam nas mais variadas doenças classificadas como ocupacionais, além de atentar contra a saúde mental. Palavras-chave: psicodinâmica; trabalho; saúde mental.Abstract: The objective of this paper is to discuss, trhough some theoretical incursions and a socio-psycological analysis, the way labor is organized in our society and the psychic repercussions criated by the non-sense labors. Conditions and requirements imposed by the current work market make life a matter of routine and deaden its sense, leaving scares of sufferings on bodies which are manifested by various diseases taken as occupational ones and constitute an attack to mental health.

ResumoA presente pesquisa teve como objetivo investigar as propriedades psicométricas da versão revisada da dimensão Necessidade de Atenção do Inventário Dimensional Clínico da Personalidade (IDCP). Para isso foram 120 participantes compondo o estudo, com idade variando entre 17 e 54 anos (M= 24,6; DP=7,96), sendo 96 mulheres (80%). Todos os sujeitos responderam o IDCP, o Inventário de Personalidade NEO-PI Revisado e um questionário de autoavaliação desenvolvido para este estudo. Os dados encontrados no estudo foram favoráveis em relação às evidencias de validade com base na estrutura interna, apresentando quatro componentes teoricamente coerentes e interpretáveis; evidência de validade com base na relação com outras variáveis, indicando relações coerentes entre o escore total e componentes da nova dimensão e variáveis externas ao instrumento; e quanto à fi dedignidade por consistência interna da dimensão revisada e seus componentes (entre 0,73 e 0,86). Nesse sentido, conclui-se que a dimensão revisada é mais adequada da perspectiva psicométrica se comparada com sua versão original, além de estar mais relacionada ao funcionamento patológico da personalidade. Palavras-chave:Transtornos psiquiátricos, DSM, personalidade. Psychometric Properties of the Revised Attention Seeking Dimension of the Inventário Dimensional Clínico da Personalidade AbstractThe present study aimed to investigate the psychometric properties of the revised scale Need for Attention of the Inventário Dimensional Clínico da Personalidade (IDCP). 120 participants composed the study, aged between 17 and 54 years (M = 24.6; SD = 7.96) and 96 women (80%). All subjects answered the IDCP, the NEO Personality Inventory-Revised and a self-assessment questionnaire developed for 1 Endereço para correspondência: Universidade São Francisco, Rua Alexandre Rodrigues Barbosa,

Resumo Burnout and hardiness: A study of evidence of validity AbstractThe objective of this work was to verify if teachers who work with students with special needs would show hardiness and, consequently, no burnout, and also to verify the concurrent validity between the dimensions of both instrument Maslach Burnout Inventory and Personal Views Survey. Fifty-six teachers, who work only whith students with special needs and aged 19-54 years old, participated on this study. Five teachers presented resistant personality to stress and other three, who did not showed hardiness, had burnout. After the analysis of correlation among the dimensions of the two instruments, only the dimensions Control and Reduction of the Personal Realization are positively co-related. So, there is a concurrent validity between the two instruments, and it is confirmed the hypothesis that people who have hardiness can attenuate the effects of stress and develop less burnout. Keywords: Burnout; Hardiness; Teachers; Contributing validity. O mundo contemporâneo inaugurou uma nova ordem na relação do homem com o trabalho. O desenvolvimento globalizado aponta cada vez mais para a especialização, a tecnologia, a robotização, a desumanização dos contatos humanos e afetivos dentro dos ambientes produtivos. Do outro lado da linha estão os profissionais que fazem do contato direto, permanente, sua condição de trabalho. São professores, enfermeiros, médicos, policiais, aqueles chamados atualmente de profissionais de "alto contato", os quais aliam às longas jornadas o inevitável envolvimento com os "problemas dos outros" e a excessiva carga de trabalho em ambientes potencialmente geradores de conflitos.Não por acaso proliferaram nas duas últimas décadas estudos a respeito do impacto das organizações sobre a vida (e a morte) do trabalhador. Aquela condição enobrecedora do trabalho, ideologicamente decantada nos ditos populares, tem sido sistematicamente contestada pelos resultados das pesquisas que investigam a natureza do sofrimento proveniente das relações do homem moderno com o trabalho. Trabalho e sofrimento, portanto, podem estar intrinsecamente associados, se as condições do primeiro predispuserem o sujeito a determinados contextos e situações, presentes no que Dejours (1997) denominou de "organização do trabalho", constituída por divisão do trabalho, conteúdo das tarefas, sistemas hierárquicos, modalidades de comando, relações de poder e questões

The HAM/TSP caused by HTLV-1 infection usually affects patients to disabling states, and sometimes can lead them to paraplegia presenting symptoms of depression and anxiety, impacting on quality of life. Objective: The purpose of this study was to evaluate the frequency of depression and anxiety and its impact on quality of life in HTLV-1-infected TSP/HAM patients. Material and Methods: This was a cross-sectional study including 67 asymptomatic (control group) and 63 with TSP/HAM subjects. The instruments used were a demographic questionnaire, scales for anxiety and depression diagnosis (BDI and BAI), questionnaire for the assessment of Quality of Life of the World Health Organization (WHOQOL-Brief) and neurological scale to measure the disability level (Osame's Disability Status Scale). All patients had HTLV-I diagnosis by serological and molecular approaches, monitored at Instituto de Infectologia Emílio Ribas from May 2008 to July 2009. Data were analyzed statistically by frequencies, the Mann-Whitney test and the Spearman correlation test. Data among groups were analyzed and correlated with functional and severity aspects. Results: The results showed that patients with HAM/TSP compared to asymptomatic carriers had higher rates of depression (p < 0.001) and anxiety (p < 0.001), and impairment on quality of life in the areas of: dissatisfaction with health (p < 0.001), physical (p < 0.001) and the environment (p = 0.003). The main factors that correlated with levels of depression and anxiety and the domains of the WHOQOL-brief were: education, family income and social class. Conclusion: A well conducted evaluation and counseling may help in treatment, for a better quality of life of these patients.