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      Estudo introdutório sobre transtornos de humor e ansiedade e identidade masculina em pacientes de enfermaria dermatológica Translated title: Introductory study about humor and anxiety disorders and male identity on patients of dermatologic nursery

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          Abstract

          As doenças de pele apresentam influência no psiquismo humano, afetando significativamente a comunicação, as relações sociais e o exercício pleno da função laboral. A presente pesquisa teve por objetivo avaliar a presença das sintomalogias depressiva e ansiosa e seus impactos na identidade masculina de 28 pacientes internados em enfermaria de Clínica Dermatológica. Os instrumentos utilizados foram o Questionário Sócio Demográfico, o Mini Exame de Estado Mental e PRIME-MD (módulo Humor e Ansiedade). Através de Análise Descritiva dos resultados do teste e de Conteúdo dos discursos dos pacientes foi possível verificar que a presença de depressão e ansiedade mostrou-se associada a alterações da auto-percepção da identidade masculina, principalmente após afastamento ou interrupção das funções laborais em decorrência da presença de lesões cutâneas.

          Translated abstract

          Skin diseases have influence on human psyche, significantly affecting communication, social relationships and the full exercise of labor function. The objective of the present study was to evaluate the presence of Humor Disorders symptoms and their impacts on male identity of 28 Dermatologic Clinic internee patients. The instruments used were Social Demographic Questionnaire, Mini Exam of Mental Condition and Prime-MD (Humor and Anxiety Module). Through Descriptive Analysis of test results and Contend Analysis of patient's discourse it was possible to observe that the frequency of this kind of disorders could be associated to modifications of self-perception on male identity, especially after removal or interruption of the labor functions due to present of dermatologic injury.

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          Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study.

          To assess the validity and utility of PRIME-MD (Primary Care Evaluation of Mental Disorders), a new rapid procedure for diagnosing mental disorders by primary care physicians. Survey; criterion standard. Four primary care clinics. A total of 1000 adult patients (369 selected by convenience and 631 selected by site-specific methods to avoid sampling bias) assessed by 31 primary care physicians. PRIME-MD diagnoses, independent diagnoses made by mental health professionals, functional status measures (Short-Form General Health Survey), disability days, health care utilization, and treatment/referral decisions. Twenty-six percent of the patients had a PRIME-MD diagnosis that met full criteria for a specific disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition. The average time required of the primary care physician to complete the PRIME-MD evaluation was 8.4 minutes. There was good agreement between PRIME-MD diagnoses and those of independent mental health professionals (for the diagnosis of any PRIME-MD disorder, kappa = 0.71; overall accuracy rate = 88%). Patients with PRIME-MD diagnoses had lower functioning, more disability days, and higher rates of health care utilization than did patients without PRIME-MD diagnoses (for all measures, P < .005). Nearly half (48%) of 287 patients with a PRIME-MD diagnosis who were somewhat or fairly well-known to their physicians had not been recognized to have that diagnosis before the PRIME-MD evaluation. A new treatment or referral was initiated for 62% of the 125 patients with a PRIME-MD diagnosis who were not already being treated. PRIME-MD appears to be a useful tool for identifying mental disorders in primary care practice and research.
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            Dermatologia

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              O ambiente e os processos de maturação

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                Author and article information

                Journal
                ph
                Psicologia Hospitalar
                Psicol. hosp. (São Paulo)
                Divisão de Psicologia do Instituto Central do Hospital das Clínicas - DIP/ICHC/FMUSP (São Paulo, SP, Brazil )
                2175-3547
                January 2010
                : 8
                : 1
                : 02-19
                Affiliations
                [01] orgnameUniversidade de São Paulo orgdiv1Faculdade de Medicina orgdiv2Hospital das Clínicas
                Article
                S1677-74092010000100002 S1677-7409(10)00800102
                ff2a8fee-ec79-4e81-ad56-357256881fae

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 18, Pages: 18
                Product

                SciELO Periódicos Eletrônicos em Psicologia

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                Artigos Originais

                Dermatology,Humor diseases,Anxiety,Male identity,Dermatologia,Transtornos de humor,Ansiedade,Identidade masculina

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