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Where to seek help? Barriers to beginning treatment during the first-episode psychosis
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作者 Isabela dos Santos Martin Bianca Cristina Ciccone Giacon +3 位作者 Kelly Graziani Giacchero Vedana ana carolina guidorizzi zanetti Lorena Fendrich Sueli Aparecida Frari Galera 《International Journal of Nursing Sciences》 2018年第3期249-254,共6页
Objective:As decreasing the duration of untreated psychosis has been highlighted as key indicator in relation to improved prognosis,this study aims to identify the access barriers to beginning early treatment of young... Objective:As decreasing the duration of untreated psychosis has been highlighted as key indicator in relation to improved prognosis,this study aims to identify the access barriers to beginning early treatment of young people in first-episode psychosis(FEP),based on family reports on the experience of perceiving illness and help-seeking.Method:A qualitative research was carried out with 12 relatives of 12 young people passing through their first psychiatric hospital admission as a result of their FEP.Depth interviews were used for data collection and thematic content method for data analysis.Results:Barriers to beginning treatment were lack of knowledge and difficulty in recognizing mental illness,lack of knowledge on where to seek specialized treatment,and stigma and resistance to psychiatric treatment.Conclusion:It was demonstrated that the family members are protagonists in the search for treatment of young people in their FPE,given that the initiative for seeking treatment came from them. 展开更多
关键词 CAREGIVERS Family Mental health PSYCHIATRY Psychotic disorders
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Influence of Early Life Stress on Alcohol and Crack Dependents
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作者 Elton Brás Camargo Júnior Maria Neyrian de Fátima Fernandes +3 位作者 Larissa Bessani Hidalgo Gimenez Jaqueline Rodrigues Stefanini ana carolina guidorizzi zanetti Edilaine Cristina da Silva Gherardi-Donato 《Open Journal of Nursing》 2020年第5期490-512,共23页
Background: Early life stress is a significant public health problem associated with increased rates of psychiatric disorders, especially those related to drug abuse. Objective: To identify the prevalence of early lif... Background: Early life stress is a significant public health problem associated with increased rates of psychiatric disorders, especially those related to drug abuse. Objective: To identify the prevalence of early life stress in drug users, to compare the intensity of trauma in alcohol and crack users, and to relate the power of injury to the severity of drug dependence. Method: Cross-sectional analytical study with a sample of 105 alcohol and crack users treated by an outpatient service. The instruments for data collection were sociodemographic data questionnaire, the Mini-International Neuropsychiatric Interview, and the Severity of Dependence Scale. The categorical variables association was analyzed using the Chi-squared test, considering p Results: High prevalence of early stress and severity of dependence were identified, with higher rates among crack users. The early stress revealed in the Alcohol group high rates of emotional (88.7%) and physical (94.3%) neglect and in the Crack group significant frequency of physical (61.5%) emotional abuse (51.9%), sexual (46.2%), and emotional (78.8%) and physical (90.4%) neglect. Crack users are 2.6 times more likely to have been emotionally abused, and 2.1 times more likely to have been sexually abused during childhood when compared to the alcohol group. Conclusion: Early stress was prevalent with significant intensity in drug users, and evaluation of this problem is essential for a better understanding of these disorders. 展开更多
关键词 CHILDHOOD Trauma ADVERSE CHILDHOOD Experiences Child ABUSE Early Life Stress Substance ABUSE CRACK ALCOHOL
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