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Perceptions, feelings, and Meanings of the Early Stress for the Adult with depression: A Theoretical Model

Open Journal of Nursing 2019年第12期9卷 1252-1266页

作者： Carla Araujo Bastos Teixeira maria neyrian de fátima fernandes Raquel Cocenas da Silva Kelly Graziani Giacchero Vedana Edilaine Cristina da Silva Gherardi-Donato Medicine department CEUMA University Campus Imperatriz Imperatriz Brazil Psychiatric Nursing and Human Sciences department College of Nursing University of São Paulo Ribeirão Preto Brazil faculty of Philosophy Sciences and Letters at Ribeirão Preto Ribeirão Preto Brazil

This study aimed to elaborate on theoretical model of the perceptions, feelings, and meanings of early stress for people with depression. To perform a qualitative study based on the Symbolic Interactionism and Grounded Theory, we interviewed 12 patients diagnosed with depression. It was structured a model based on “walking between traumatic childhood and the adult life with depression,” integrating eight inter-articulated categories that represent the perceptions, feelings, and meanings of the experiences of the depressed individual with a history of early stress. The theoretical model constructed meanings and conditions that affect the individual from a traumatic childhood to depression in adulthood.

关键词： Nursing Mental Health Psychological Stress Child Abuse depression

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Influence of Early Life Stress on Alcohol and Crack dependents

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Open Journal of Nursing 2020年第5期10卷 490-512页

作者： Elton Brás Camargo Júnior maria neyrian de fátima fernandes Larissa Bessani Hidalgo Gimenez Jaqueline Rodrigues Stefanini Ana Carolina Guidorizzi Zanetti Edilaine Cristina da Silva Gherardi-Donato department of Psychiatric Nursing and Human Sciences College of Nursing University of São Paulo Ribeirão Preto Brazil department of Nursing University of Rio Verde Rio Verde Brazil department of Nursing Coordination University Federal of Maranhão Imperatriz Brazil department of Nursing Coordination Faculdade Unida of Campinas (FACUNICAMPS) Gôiania Brazil

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.

关键词： Childhood Trauma Adverse Childhood Experiences Child Abuse Early Life Stress Substance Abuse Crack Alcohol

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Is It Workplace Stress a Trigger for Alcohol and Drug Abuse?

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Open Journal of Nursing 2017年第3期7卷 435-448页

作者： maria neyrian de fatima fernandes Edilaine Cristina da Silva Gherardi-Donato federal University of Maranh&atildeo (UfMA) Imperatriz MA Brazil Ribeir&atildeo Preto School of Nursing S&atildeo Paulo University (USP) Ribeir&atildeo Preto SP Brazil

Those workers most vulnerable to pressure tend to suffer from scarce social and personal resources with which to respond adaptively to stress. In this case, the effects of psychoactive substances may exceed the stressed worker’s positive expectations. Thus, the aim is to analyze the scientific evidence on the relationship between drug abuse and workplace stress, based on an integrative review of the literature. Data were collected in february 2016 from the databases of the Virtual Health Library and PubMed. The final sample of 16 articles was divided into two categories: alcohol and drugs abuse in professions with high degree of psychosocial hazards and risks, and alcohol and drugs abuse for workplace stress in other professions. A relationship between precarious conditions, the nature of the work and its influence on drug abuse could be seen. However, other variables may strengthen psychoactive drug use as a coping strategy for stress.

关键词： Work Psychological Stress Workplace Alcoholism Substance Use Related Disorders Psychological Adaptation

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