Abordagem familiar no cuidado ao paciente com esquizofrenia: relato de caso conduzido na atenção primária à saúdeFamily approach to patient care with schizophrenia: a case report conducted in Primary Health CareAbordaje familiar en el cuidado al paciente con esquizofrenia: relato de caso conducido en la Atención Primaria a la Salud RESUMOObjetivo: Relatar a experiência de aplicação das ferramentas de abordagem familiar como estratégia para compreender a dinâmica familiar de uma paciente com transtorno mental. Métodos: Foram aplicadas as ferramentas Genograma, Ciclo de vida, FIRO, P.R.A.C.T.I.C.E e Conferência familiar. Resultados: A abordagem familiar proporcionou a compreensão da família acerca da doença e a percepção sobre a necessidade de maior envolvimento da mesma e a reestruturação de papeis, afim de garantir a adesão e continuidade do tratamento. Conclusão: A abordagem familiar compreende uma importante estratégia de cuidado em patologias crônicas, como em transtornos mentais e a relevância dessa abordagem na prática dos profissionais da atenção primária à saúde fundamenta-se na implementação do projeto terapêutico singular. Palavras-chave: Relações familiares; Atenção Primária a Saúde; Saúde Mental ABSTRACTObjeticve: Was to report on the experience of applying the tools of family approach as a strategy to understand the family dynamics of a patient with mental disorder. Methods: The tools Genogram, Life Cycle, FIRO, PRACTICE and Family Conference were applied. Results: The family approach provided the understanding of the family about the disease and the perception about the need for greater involvement of the family and the restructuring of roles, in order to guarantee adherence and continuity of treatment. Conclusion:The family approach comprises an important care strategy in chronic pathologies such as mental disorders and the relevance of this approach in the practice of primary health care professionalsis based on the implementation of the unique therapeutic project.
No abstract
This systematic review aimed to investigate the effect of physical activity on anxiety symptoms during the COVID-19 pandemic. Three databases (PubMed; Scopus and Web of Science) were searched in the period from 2020 to 2022 the following base terms were used: “Physical Activity”, Exercise, Anxiety and COVID-19. Peer-reviewed, primary studies published in English, Portuguese and Spanish using valid and reliable measures were included. Eighteen studies met the eligibility criteria, of which 17 were cross-sectional, 2 were cohort studies. The number of participants ranged from 43 to 2,301, aged between 18 and 65 years or older. A decrease in PA practice or an increase in sitting time were associated with higher levels of anxiety symptoms. Additionally, participants who did not meet PA recommendations were more likely to experience moderate to severe anxiety symptoms. The results showed that physical activity is associated with the alleviation of anxiety symptoms during confinement in the COVID-19 pandemic.
Objective To determine the level of association between depressive symptoms and cognitive abilities of institutionalized older adults. Methods This is a cross-sectional study that enrolled 69 older adults, living in a long-term care facility. Investigation of depressive symptoms in all individuals was performed using the geriatric depression scale. Cognitive verbal fluency, digit span forward (DSF) and backward (DSB) tests, and two-minute stationary gait, sit-to-stand test, and six-minute walk test were performed to assess their association with depressive symptoms. Results Depressive symptoms were identified in 35 individuals. Worse cognition and physical performances were associated with the presence of depressive symptoms – Mini-Mental State Examination [t (61) = 2.36; p < 0.05] and Stationary gait test of two minutes [t (53) = 3.12; p < 0.05]. Short-term memory and working memory tests presented worse results in individuals with depressive symptoms (DSF: U = 402.00; p < 0.05 e DSB: U = 341,00; p < 0.05). Older adults with scores below normal in DSF were 5 times more likely to exhibit depressive symptoms. Conclusion The importance of physical, cognitive and social intervention strategies in long-term care facilities for the older adults is highlighted, in order to privilege autonomy. Notably, there is an association between deficits in short-term memory and the presence of depressive symptoms in older adults. Therefore, prospective studies are suggested to investigate the cause-effect relationship of this association with the institutionalization of older adults.
Objective and Method: To investigate trends in the scientific evolution of the journal CNS & Neurological Disorders - Drug Targets in the neuroscience scope, we compared the contribution of publications between this journal and others from different geographical regions of the world. To track research output we conducted a bibliometric analysis of neuroscience research based on the SCimago Journal and Country Rank® from 2003 to 2017. Journal rankings were verified according to the following inclusion criteria: journals publishing the neuroscience scope and sub-areas; geographical location and journal trajectory. Additionally, the total number of original, peer-reviewed and conference articles was analyzed using bibliometric tools. Results: Results showed that Europe, North America and the Middle East have been the greatest contributors of neuroscience publications. Nevertheless, there is a huge discrepancy in the number of journals per region. Until 2017, Europe was on top with 85 journals in the neuroscience field. Moreover, research on neuroscience displayed a swift expanding trend, with significant growth in recent years. Conclusion:: In spite of CNS & Neurological Disorders - Drug Targets being a recent journal, it is an international journal emphasizing quality and innovations, and it is a hallmark on the scientific production in neuroscience. Research articles on the scope of the potential role of endocannabinoid systems in central appetite control and in obesity management and the potential of minocycline use in schizophrenia are paramount examples of innovation. Final results will help scientific researchers to know the current interests in neuroscience and provide useful information for further investigation and publication strategies.
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