Common mental disorders among health care

0 downloads 0 Views 443KB Size Report
Apr 14, 2004 - Conclusão: Estes resultados são importantes para subsidiar ações voltadas ... (PIBIC), Conselho Nacional de Desenvolvimento Científico e.

194 25,*,1$/ $57,&/(

Common mental disorders among health care students Transtornos mentais comuns em estudantes da área de saúde Vera Lúcia Dutra Facundes,1 Ana Bernarda Ludermir2 2ULJLQDO YHUVLRQ DFFHSWHG LQ 3 RU WXJXHVH 3RU

$EVWUDFW 2EMHFWLYHV 2EMHFWLYHV 7KLV VWXG\ DLPHG WR GHWHUPLQH WKH SUHYDOHQFH RI FRPPRQ PHQWDO GLVRUGHUV &0'V  DPRQJ WKH SRSXODWLRQ RI JUDGXDWH VWXGHQWV LQ 3K\VLFDO (GXFDWLRQ 1XUVLQJ 'HQWLVWU\ DQG 0HGLFLQH DW WKH 8QLYHUVLW\ RI 3HUQDPEXFR DV ZHOO DV WR DQDO\]H WKH UHODWLRQVKLS EHWZHHQ &0'V DQG VRPH FKDUDFWHULVWLFV RI WKH WHDFKLQJOHDUQLQJ SURFHVV 0HWKRGV 0HWKRGV $ FURVVVHFWLRQDO VWXG\ ZDV FDUULHGRXWLQWKHVHFRQGVHPHVWHURILQYROYLQJDOOVWXGHQWVLQWKHVHFRQGDQGVL[WKVHPHVWHUVRIHDFKFRXUVH$WRWDORI VWXGHQWV UHVSRQGHG WR WZR VHOIUHSRUWLQJ TXHVWLRQQDLUHV WKH 6HOI 5HSRUWLQJ 4XHVWLRQQDLUH654 DQG DQRWKHU TXHVWLRQQDLUH 5HVXOWV UHJDUGLQJFKDUDFWHULVWLFVRIWKHWHDFKLQJOHDUQLQJSURFHVV5HVXOWV 5HVXOWV7KHRYHUDOOSUHYDOHQFHRI&0'VZDVDQGZDVVLJQLILFDQWO\ KLJKHU DPRQJ VWXGHQWV ZKR IHOW RYHUORDGHG 25    &,    RU UHSRUWHG VSHFLDO VLWXDWLRQV GXULQJ FKLOGKRRG DQG DGROHVFHQFH 25    &,    &RQFOXVLRQ &RQFOXVLRQ 7KHVH ILQGLQJV FDQ VHUYH DV WKH EDVLV IRU GHYHORSPHQW RI SURJUDPV RI GLVHDVH SUHYHQWLRQ DQG VWXGHQW PHQWDO KHDOWK FDUH DV ZHOO DV FROODERUDWLQJ ZLWK UHIOHFWLRQV RQ WKH WHDFKLQJOHDUQLQJ SURFHVVHV LQ XQLYHUVLW\ FRXUVHV .H\ZRUGV H\ZRUGV 0HQWDO GLVRUGHUV 6WXGHQWV +HDOWK RFFXSDWLRQV 0HQWDO KHDOWK 7HDFKLQJ /HDUQLQJ 5HVXPR 2EMHWLYRV 2EMHWLYRV 2 HVWXGR REMHWLYRX GHWHUPLQDU D SUHYDOrQFLD GH 7UDQVWRUQRV PHQWDLV FRPXQV 70&  QD SRSXODomR GH HVWXGDQWHV GRV FXUVRV GH JUDGXDomR HP (GXFDomR )tVLFD (QIHUPDJHP 2GRQWRORJLD H 0HGLFLQD GD 8QLYHUVLGDGH GH 3HUQDPEXFR H DQDOLVDU D VXD DVVRFLDomR FRP DOJXPDV FDUDFWHUtVWLFDV GR SURFHVVR HQVLQRDSUHQGL]DJHP 0pWRGRV 0pWRGRV 8P HVWXGR WUDQVYHUVDO IRL FRQGX]LGR QRžVHPHVWUHGHFRPWRGRVRVHVWXGDQWHVGRVžHžSHUtRGRVGHFDGDXPGRVFXUVRVHQYROYLGRV8PWRWDOGHDOXQRV UHVSRQGHX DR 6HOI 5HSRUWLQJ 4XHVWLRQQDLUH654 H D XP TXHVWLRQiULR VREUH DV FDUDFWHUtVWLFDV GR SURFHVVR HQVLQRDSUHQGL]D JHP 5HVXOWDGRV 5HVXOWDGRV $ SUHYDOrQFLD WRWDO GRV WUDQVWRUQRV PHQWDLV FRPXQV IRL GH  VHQGR VLJQLILFDWLYDPHQWH PDLRU HQWUH RV TXH VH VHQWLDP VREUHFDUUHJDGRV 25   ,&   H RV TXH DILUPDUDP D SUHVHQoD GH VLWXDo}HV HVSHFLDLV GXUDQWH D LQIkQFLD H DGROHVFrQFLD 25   ,&   &RQFOXVmR &RQFOXVmR (VWHV UHVXOWDGRV VmR LPSRUWDQWHV SDUD VXEVLGLDU Do}HV YROWDGDV SDUDDSUHYHQomRHRFXLGDGRFRPDVD~GHPHQWDOGRVHVWXGDQWHVDVVLPFRPRSDUDFRODERUDUFRPUHIOH[}HVDFHUFDGRSURFHVVR HQVLQRDSUHQGL]DJHP QRV FXUVRV XQLYHUVLWiULRV 'HVFULWRUHV 'HVFULWRUHV 7UDQVWRUQRV PHQWDLV (VWXGDQWHV GH FLrQFLDV GD VD~GH 6D~GH PHQWDO (QVLQR $SUHQGL]DJHP

Article based on the Masters thesis “Prevalence of Common Mental Disorders in health care students at Universidade de Pernambuco (UPE) and its association with some of the characteristics of the teaching-learning process” by Vera Lúcia Dutra Facundes, defended before the Masters in Collective Health Committee at UFPE on 15 May, 2002. 1 2

Department of Occupational Therapy, Health Sciences Center, Universidade Federal de Pernambuco (UFPE), Recife (PE), Brazil Department of Social Medicine, Health Sciences Center, Universidade Federal de Pernambuco (UFPE), Recife (PE), Brazil

Financing: Programa Institucional de Bolsa de Iniciação Científica (PIBIC), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), process 40040 Conflicts of interests: None Submitted: 14 April 2004 Accepted: 2 August 2004

Rev Bras Psiquiatr. 2005;27(3):194-200

Correspondence Vera Lúcia D Facundes R. Padre Inglês, nº 178/13, Boa Vista 50050-230 Recife, PE Phones: (81) 3423-6375 (home)/ 2126-8931 (UFPE)/ 9978-9957 (cellular) Fax: (81) 2126-8590 E-mail: [email protected]

Mental health and the teaching-learning process

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

195

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´ORVVµ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´QRQVXVSHFWµ ZKHUHDV PHQ ZLWKVFRUHVHTXDOWRRUJUHDWHUWKDQVL[DQGZRPHQZLWKVFRUHV HTXDO WR RU JUHDWHU WKDQ HLJKW ZHUH FODVVLILHG DV ´VXVSHFWµ   4XHVWLRQQDLUH UHJDUGLQJ FKDUDFWHULVWLFV RI WKH WHDFKLQJOHDUQLQJ SURFHVV 'DWDUHJDUGLQJFKDUDFWHULVWLFVRIWKHWHDFKLQJOHDUQLQJSURFHVV ZHUH REWDLQHG WKURXJK WKH XVH RI DQ REMHFWLYH TXHVWLRQQDLUH Rev Bras Psiquiatr. 2005;27(3):194-200

196

Facundes VLD & Ludermir AB

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ev Bras Psiquiatr. 2005;27(3):194-200

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ž &(3&&6DWWDFKHG DQGZDVDSSURYHGLQDFFRUGDQFH ZLWK 5HVROXWLRQ Qž  RI WKH 1DWLRQDO +HDOWK &RXQVHO 5HVXOWV 2I D WRWDO RI  VWXGHQWV    FRPSOHWHG WKH TXHVWLRQQDLUHV    GHFOLQHG WR SDUWLFLSDWH DQG    ZHUH FRQVLGHUHG ORVW VLQFH WKH\ ZHUH QRW SUHVHQW LQ WKH FODVVURRP ZKHQ WKH TXHVWLRQQDLUHV ZHUH DGPLQLVWHUHG 7DEOHV  WR  VKRZ WKH GLVWULEXWLRQ RI LQGHSHQGHQW DQG

Mental health and the teaching-learning process

FRGHSHQGHQW YDULDEOHV DQG WKH UHVXOWV RI WKH QRQDGMXVWHG DQDO\VLV EHWZHHQ &0'V DQG WKRVH YDULDEOHV 2YHUDOO SUHYDOHQFH RI &0'V LQ WKH VWXGLHG SRSXODWLRQ ZDV  ,Q WKH ELYDULDWH DQDO\VLV FRQGXFWHG WR LGHQWLI\ DVVRFLDWLRQV RI &0'V ZLWK WKH GHPRJUDSKLF DQG VRFLR HFRQRPLF YDULDEOHV 7DEOH   D VWDWLVWLFDOO\ VLJQLILFDQW DVVRFLDWLRQ ZLWK &0'V ZDV IRXQG RQO\ IRU WKH YDULDEOH ´QRW OLYLQJ ZLWK SDUHQWV RU UHODWLYHVµ S    $PRQJWKH´FKDUDFWHULVWLFVRIWKHWHDFKLQJOHDUQLQJSURFHVVµ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´VLWXDWLRQVVXJJHVWLYHRISV\FKRORJLFDOGLVWUHVV SULRUWRWKHVWXG\RQVHWµYDULDEOHV 7DEOH VKRZHGWKDWRQO\

197

WKH ´SUHVHQFH RI VSHFLILF VLWXDWLRQV GXULQJ FKLOGKRRG DQG DGROHVFHQFHµ YDULDEOH SUHVHQWHG D VWDWLVWLFDOO\ VLJQLILFDQW DVVRFLDWLRQ ZLWK &0'V S   

Rev Bras Psiquiatr. 2005;27(3):194-200

198

Facundes VLD & Ludermir AB

7DEOH  VKRZV KRZ WKH WZR YDULDEOHV ´RYHUORDGµ DQG ´SUHVHQFH RI VSHFLDO VLWXDWLRQV GXULQJ FKLOGKRRG DQG DGROHVFHQFHµ DUH DVVRFLDWH ZLWK WKH YDULDEOHV ´FRXUVHµ ´FRKDELWDQWVµ ´WHDFKHUVWXGHQW UHODWLRQVKLSµ DQG ´ZHHNO\ VFKHGXOHµ 7KH ´FRXUVHµ ´WHDFKHUVWXGHQW UHODWLRQVKLSµ DQG ´ZHHNO\ VFKHGXOHµ YDULDEOHV SUHVHQWHG VWDWLVWLFDOO\ VLJQLILFDQW DVVRFLDWLRQVZLWK´RYHUORDGµEXWQRWZLWK´SUHVHQFHRIVSHFLDO VLWXDWLRQV GXULQJ FKLOGKRRG DQG DGROHVFHQFHµ 7DEOH  VKRZV WKH VLPSOH DQG DGMXVWHG RGGV UDWLRV RI WKH FRUUHODWLRQV EHWZHHQ &0'V DQG WKH YDULDEOHV ´FRXUVHµ

Rev Bras Psiquiatr. 2005;27(3):194-200

´FRKDELWDQWVµ ´WHDFKHUVWXGHQW UHODWLRQVKLSµ ´ZHHNO\ VFKHGXOHµ´RYHUORDGµDQG´SUHVHQFHRIVSHFLDOVLWXDWLRQVGXULQJ FKLOGKRRG DQG DGROHVFHQFHµ 7KH RGGV UDWLRV DGMXVWHG IRU ´RYHUORDGµ DQG IRU DOO YDULDEOHV LQ WKH WDEOH VKRZHG WKDW ´RYHUORDGµ 25 &,  DQG´SUHVHQFHRI VSHFLDO VLWXDWLRQV GXULQJ FKLOGKRRG DQG DGROHVFHQFHµ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´RYHUORDGµDQG´SUHVHQFHRIVSHFLDOVLWXDWLRQVGXULQJFKLOGKRRG DQG DGROHVFHQFHµ PDLQWDLQHG VWDWLVWLFDOO\ VLJQLILFDQW DVVRFLDWLRQV ZLWK &0'V 3ULRUWRLQWHUSUHWLQJWKHHOXFLGDWLYHSRWHQWLDORIWKHVHYDULDEOHV DQG LGHQWLI\LQJ WKH UHDVRQV IRU WKH IDFW WKDW ZH IRXQG QR FRUUHODWLRQV EHWZHHQ &0'V DQG FHUWDLQ RWKHU YDULDEOHV LW LV QHFHVVDU\WRLQYHVWLJDWHWKHK\SRWKHWLFDOH[LVWHQFHRIVDPSOLQJ HUURU ELDV RU FRQIRXQGLQJ IDFWRUV 7KHRSWLRQRIZRUNLQJZLWKWKHHQWLUHSRSXODWLRQRIVWXGHQWV LQWKHFKRVHQVHPHVWHUVUXOHGRXWWKHSRVVLELOLW\RIVDPSOLQJ

Mental health and the teaching-learning process

H U U R U  + R Z H Y H U  W K H  W R W D O  Q X P E H U  R I  V W X G H Q W V  L Q  W K H VHPHVWHUV UHSUHVHQWHG WKH VDPSOH RI VWXGHQWV IRU HDFK FRXUVHZKLFKOHGXVWRFDUU\RXWVWDWLVWLFDOWHVWV5HJDUGLQJ WKHFKRVHQVHPHVWHUV VHFRQGDQGVL[WK WKHUHLVDSRVVLELOLW\ RI ELDVHV LQ WKH VHOHFWLRQ 7KH YDULDEOH ´PDLQ VRXUFHV RI WHQVLRQLQWKHFRXUVHµ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´RYHUORDGµ DQG ´SUHVHQFH RI VSHFLDO VLWXDWLRQV GXULQJ FKLOGKRRGDQGDGROHVFHQFHµ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´RYHUORDGµ DQG ´VSHFLDO VLWXDWLRQV GXULQJ FKLOGKRRG DQG DGROHVFHQFHµ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´RYHUORDG´ YDULDEOH LQ FRQWUDVW WR WKDW IRXQG IRU SK\VLFDO HGXFDWLRQ VWXGHQWV :H FDQDOVRDVVXPHWKDWWKHGHJUHHRI´RYHUORDG´LVUHODWHGWRWKH ZD\ LQ ZKLFK DFDGHPLF DFWLYLWLHV DUH FDUULHG RXW VRPH SURYRNLQJWKLVVHQVDWLRQRIGLVFRPIRUWLQWKHVWXGHQWV3RO\GRUR HW DO  UHSRUWHG WKDW WKH QRUPV DQG ZRUNLQJ VWUXFWXUH RI WKH XQLYHUVLW\ HQYLURQPHQW DUH H[WHUQDO DVSHFWV HVVHQWLDO WR WKH LQWHJUDWLRQ RI VWXGHQWV LQWR XQLYHUVLW\ 6WXGHQWV ZKR H[SHULHQFHG VFKRROUHODWHG DQG VRFLDOL]DWLRQ GLIILFXOWLHVGXULQJSULPDU\VFKRRORUPLGGOHVFKRROSUHVHQWHG DKLJKHUSUHYDOHQFHRI&0'VDWWKHWLPHRIRXULQYHVWLJDWLRQ 7KLVYDULDEOH ´SUHVHQFHRIVSHFLDOVLWXDWLRQVGXULQJFKLOGKRRG DQGDGROHVFHQFHµ ZDVDVVHVVHGWKURXJKLQGLYLGXDOTXHVWLRQV UHODWHG WR LQWHUQDO DVSHFWV  DOVR UHIHUUHG WR E\ 3RO\GRUR HW DO DVEHLQJIXQGDPHQWDOWRWKHSURFHVVRIVWXGHQWDGMXVWPHQW WR XQLYHUVLW\ OLIH $OWKRXJK WKH TXHVWLRQV ZHUH LQWHQGHG WR UHIHU WR VLWXDWLRQV LQ WKH SDVW ZH FDQQRW UXOH RXW WKH K\SRWKHVLV WKDW VXFK VLWXDWLRQV FRQWLQXH LQWR WKH XQLYHUVLW\ \HDUV IXUWKHU UHLQIRUFLQJ WKH LGHD WKDW DWWHQWLRQ VKRXOG EH JLYHQ WR WKHVH VWXGHQWV

199

+DYLQJFRQFOXGHGRXUGLVFXVVLRQRIWKHYDULDEOHV´RYHUORDGµ DQG ´SUHVHQFH RI VSHFLDO VLWXDWLRQV GXULQJ FKLOGKRRG DQG DGROHVFHQFHµZHQRZWXUQRXUDWWHQWLRQWRWKRVHDVVRFLDWLRQV QRW DWWDLQLQJ D OHYHO RI VWDWLVWLFDO VLJQLILFDQFH 7KHUHZDVDQH[SHFWDWLRQRIILQGLQJDSUHGRPLQDQFHRI&0'V LQ ZRPHQ +RZHYHU WKH GLVWULEXWLRQ ZDV VLPLODU DPRQJ IHPDOHV   DQG PDOHV   7KH ODFN RI DQ DVVRFLDWLRQ EHWZHHQ JHQGHU DQG &0'V LQ WKH SUHVHQW VWXG\ PD\ EH H[SODLQHG E\ WKH IDFW WKDW PHQ DQG ZRPHQ RFFXS\ HTXDO SRVLWLRQV ZLWKLQ WKH VRFLDO VSKHUH RI WKH XQLYHUVLW\ :H REVHUYHG QR GLIIHUHQFHV LQ &0' SUHYDOHQFH EHWZHHQ WKH LQLWLDODQGLQWHUPHGLDWHVHPHVWHUV%HQYHJQ~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´RYHUORDGµ DQG ´SUHVHQFH RI VSHFLDO VLWXDWLRQV GXULQJ FKLOGKRRG DQG DGROHVFHQFHµ DUH IDFWRUV WKDW LQIOXHQFH WKH PHQWDO KHDOWK RI XQLYHUVLW\VWXGHQWVVLQFHWKH\UXOHRXWWKHSRVVLELOLW\RIV\VWHPDWLF HUURUV,QDGGLWLRQWKLVDVVRFLDWLRQPHHWVDQXPEHURIFDXVDOLW\ FULWHULD XVHG LQ HSLGHPLRORJ\ DQG WKH DVVRFLDWRQ VWUHQJWK FRKHUHQFHDQGFRQVLVWHQF\DUHLQDFFRUGDQFHZLWKRWKHUVWXGLHV +RZHYHU WKH WHPSRUDO VHTXHQFH FRXOG QRW EH HPSLULFDOO\ HYDOXDWHG LQ UHODWLRQ WR WKH YDULDEOH ´RYHUORDGµ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ev Bras Psiquiatr. 2005;27(3):194-200

200

Facundes VLD & Ludermir AB

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

5HIHUHQFHV  3RO\GRUR6$-3ULPL56HUSD01)=DURQL00+3RPEDO.&3'H VHQYROYLPHQWR GH XPD HVFDOD GH LQWHJUDomR DR HQVLQR VXSHULRU 3VLFR86)     &LDQIORQH$5/)HUQDQGH]-0$OJXPDVFDUDFWHUtVWLFDVGRHQVLQRH DSUHQGL]DGRQD)DFXOGDGHGH0HGLFLQDGH5LEHLUmR3UHWR²863² XPHVWXGRMXQWRDRVDOXQRVGHJUDGXDomR0HGLFLQD 5LEHLUmR3UH WR      -RUJH06%6LWXDo}HVYLYHQFLDGDVSHORVDOXQRVGHHQIHUPDJHPGX UDQWHRFXUVRQRFRQWH[WRXQLYHUVLWiULRDSRQWDGDVFRPRQRUWHDGRUDV GH FULVHV 5HY (VF (QIHUPDJHP 863     %HQYHJQ~/$'HLWRV)&RSHWWH)53UREOHPDVSVLTXLiWULFRVPHQR UHV HP HVWXGDQWHV GH 0HGLFLQD GD 8QLYHUVLGDGH )HGHUDO GH 6DQWD 0DULD56%UDVLO5HY3VLTXLDWU5LR*G6XO    0LOODQ /5 6RX]D (1 'H 0DUFR 2/1 5RVVL ( $UUXGD 3&9 2 , (QFRQWUR3DXOLVWDGRV6HUYLoRVGH$VVLVWrQFLD3VLFROyJLFDDR(VWX GDQWH 8QLYHUVLWiULR 5HY +RVS &OtQ )DF 0HG 8QLY 6mR 3DXOR     1RWR-56$YDQFLQH0$70DUWLQV0&)1=LPPHUPDQQ9%$WHQ omR j VD~GH PHQWDO GR HVWXGDQWH GH PHGLFLQD 5HY %UDV(GXF 0HG     5REHUWV/::DUQHU7'/LNHWVRV&)UDQN(*DQ]LQL/&DUWHU ' 3HUFHSWLRQV RI DFDGHPLF YXOQHUDELOLW\ DVVRFLDWHG ZLWK SHUVRQDO LOOQHVV D VWXG\ RI  VWXGHQWV DW QLQH PHGLFDO VFKRROV &ROODERUDWLYH 5HVHDUFK *URXS RQ 0HGLFDO 6WXGHQW +HDOWK &RPSU 3V\FKLDWU\     )LJXHLUHGR 50 2OLYHLUD 0$3 1HFHVVLGDGHV GH HVWXGDQWHV XQLYHU VLWiULRVSDUDLPSODQWDomRGHXPVHUYLoRGHRULHQWDomRHHGXFDomR HP VD~GH PHQWDO 5HY /DWLQRDP (QIHUPDJHP     -RUJH06%5RGULJXHV$5)6HUYLoRVGHDSRLRDRHVWXGDQWHRIHUHFL GRV SHODV (VFRODV GH (QIHUPDJHP QR %UDVLO 5HY /DWLQRDP (QIHU PDJHP      %HQMDNXO 3 &KHXQDUURP & 6WXGHQW DGMXVWPHQW SUREOHPV LQ WZR GHQWDO VFKRROV LQ 7KDLODQG - 'HQW (GXF      +HDWK-50DFIDUODQH798PDU063HUFHLYHGVRXUFHVRIVWUHVVLQ GHQWDO VWXGHQWV 'HQW 8SGDWH       *ROGEHUJ'+X[OH\3&RPPRPPHQWDOGLVRUGHUVDELRVRFLDOPRGHO /RQGRQ 7DYLVWRFN    83(>VtWLRQD,[email protected]5HFLIH8QLYHUVLGDGH)HGHUDOGH3HUQDPEXFR F >FLWDGR  0DLR @ 'LVSRQtYHO HP KWWSZZZXSHEU 0HQX SULQFLSDO83( HP Q~PHURV    +DUGLQJ 7: GH $UDQJR 09 %DOWD]DU - &OLPHQW &( ,EUDKLP ++ /DGULGR,JQDFLR/HWDO0HQWDOGLVRUGHUVLQSULPDU\KHDOWKFDUHD VWXG\RIWKHLUIUHTXHQF\DQGGLDJQRVLVLQIRXUGHYHORSLQJFRXQWULHV 3V\FKRO 0HG      0DUL -- :LOOLDPV 3 $ YDOLGLW\ VWXG\ RI D SV\FKLDWULF VFUHHQLQJ TXHVWLRQQDLUH 654 LQSULPDU\FDUHLQWKHFLW\RI6mR3DXOR%U - 3V\FKLDWU\    /XGHUPLU$%,QVHUomRSURGXWLYDJrQHURHVD~GHPHQWDO&DG6D~ GH 3~EOLFD      /XGHUPLU $% 0HOR )LOKR '$ &RQGLo}HV GH YLGD H HVWUXWXUD RFXSDFLRQDODVVRFLDGDVDWUDQVWRUQRVPHQWDLVFRPXQV5HY6D~GH 3~EOLFD      /LPD06%HULD-87RPDVL(&RQFHLomR$70DUL--6WUHVVIXOOLIH HYHQWVDQGPLQRUSV\FKLDWULFGLVRUGHUVDQHVWLPDWHRIWKHSRSXODWLRQ DWWULEXWDEOH IUDFWLRQ LQ D %UD]LOLDQ FRPPXQLW\EDVHG VWXG\ ,QW 3V\FKLDWU\ 0HG    Rev Bras Psiquiatr. 2005;27(3):194-200

Suggest Documents