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- Perturbação de stress pós-traumático associada à catástrofe natural de 20 Fevereiro de 2010 na Madeira: um estudo de caracterização na população adultaPublication . Jardim, Helena Gonçalves; Fragoeiro, Isabel; Gouveia, Bruna RaquelA perturbação de stress pós-traumático (PTSD) constitui um transtorno da ansiedade, caracterizado por sintomas de medo intenso, horror e desespero, que se desenvolvem após a exposição a um evento traumático (APA, 1994). Identificando a catástrofe natural ocorrida na Região Autónoma da Madeira (RAM) no dia 20 de Fevereiro de 2010 como um evento potencialmente traumático para a população residente, foi objetivo desta pesquisa: (1) descrever os níveis de respostas dissociativas à exposição a experiências peritraumáticas e de PTSD, associados à catástrofe natural de 20 de Fevereiro de 2010, numa amostra de indivíduos residentes na RAM, em particular nos concelhos do Funchal, Santa Cruz e Ribeira Brava; (2) analisar a relação entre o concelho de residência e os níveis de respostas dissociativas à exposição a experiências peritraumáticas e de PTSD; e (3) avaliar a taxa de ocorrência de exposição a experiências peritraumáticas significativas e de PTSD nestes indivíduos residentes na RAM. Este estudo transversal englobou uma amostra de 602 indivíduos adultos residentes nos concelhos do Funchal, Santa Cruz e Ribeira Brava. Na avaliação dos indivíduos foram utilizados o Questionário de Experiências Peritraumáticas (QEPT; Maia, Moreira & Fernandes, 2009) e a Escala de Avaliação da Resposta ao Acontecimento Traumático (EARAT; McIntyre & Ventura, 1996). Uma elevada percentagem desta amostra tinha sido exposta a experiências peritraumáticas significativas (85.4%) e 25.4% apresentava critérios para diagnóstico de PTSD. Houve diferenças com significado estatístico entre as subamostras definidas pelo concelho, no que respeita aos scores médios do QEPT e à subescala do EARAT - Respostas prolongadas. A maior percentagem de indivíduos expostos a experiências peritraumáticas significativas (90.0%) e a maior percentagem de indivíduos com diagnóstico de PTSD foram encontradas na subamostra da Ribeira Brava (32.6%). A pertinência científica e a relevância clínica destes resultados, vislumbram a sua utilidade na compreensão do impacto desta catástrofe e na organização da resposta necessária no apoio às vítimas de catástrofes na Madeira.
- Mental health of the population affected after natural disaster of 20 february 2010 in Madeira Autonomous RegionPublication . Jardim, Helena Gonçalves; Silva, Rita; Gouveia, Bruna Raquel; Baptista, MárciaNatural disasters resulting from climate change have increased currently.More and more people feel unprotected without security and therefore vulnerable to stress and anxiety may cause lasting mental illness. Post-Traumatic Stress Disorder(PTSD), is an anxiety problem that develops in some people after extremely traumatic events, such as combat, crime, an accident or natural disaster.People with PTSD may relive the event via intrusive memories, flashbacks and nightmares; avoid anything that reminds them of the trauma; and have anxious feelings they didn’t have before that are so intense their lives are disrupt (APA, 2013).Identifying the natural disaster of the 20th February 2010 in the Autonomous Region of Madeira as a potentially traumatic event, the objectives of this research were: (1) to describe the levels of PTSD and dissociative responses to exposure to peritraumatic experiences associated with alluvial the natural disaster of February 20, 2010, in a sample of adults living in the Autonomous Region of wood (RAM), namly in the districts of Funchal, Santa Cruz and Ribeira Brava; (2) to analyze the relationship between the district of residence and levels of PTSD and dissociative responses to exposure to peritraumatic experiences; and (3) to assess the rate of occurrence of PTSD in these individuals. This cross-sectional study included a sample of 602 adults living in the districts most affected like Funchal, Ribeira Brava and Santa Cruz. The instruments for assessing the individuals were the Peritraumatic Experiences Questionnaire (QEPT; Maia, Moreira &Fernandes, 2009) and the Response Evaluation to Traumatic Event Scale (EARAT; McIntyre & Ventura, 1996). The majority of the population was exposed to significant peritraumatic experiences (85.4%) and about a quarter of the sample (25.4%) had criteria for the diagnosis of PTSD. Between the subsamples defined by district in respect to the average scores of the QEPT and subscale EARAT – Long term Responses we verify the existence of statistically significant differences. Most individuals exposed to significant peritraumaticexperiences was found in the sub-sample of Santa Cruz (90.5%) and the highest percentage of people diagnosed with PTSD was found in the sub-sample of Ribeira Brava (32.6%) The scientific importance and the clinical relevance of these findings, envision their usefulness in understanding the impact of this natural disaster with a view to the promotion of mental health in the support to victims of disasters in Madeira.
- The psychological impact on the emergency crews after the disaster event on February 20, 2010Publication . Jardim, Helena Gonçalves; Silva, Rita; Baptista, Márcia Silva; Gouveia, Bruna RaquelThe scope of this article is to screen thesymptoms of Post-Traumatic Stress Disorder (PTSD) among the professionals of health and public safety security who providedhumanitarian aid for the population of Madeira after the 2010 alluvium. It involves a cross-sectional study. The list of life events (LAV) and theperi-traumaticexperiences questionnaire (PTSB)—adult versionwere used for screening symptoms.The participants included 405 professionalson the emergency crews (mean age = 34.51). Most are male (83.5%) and was in his residence (52.8%) at the time of the event.The results showed that there are significant differences between the profession and the response to the event (P < 0.001), as well as in relation to Post Traumatic Stress Disorder (PTSD), being most evident in the group of firemen and military (P < 0.001) of developing PTSD.Therefore, the mental health care of the professionals should suggest the vital need for specific training and the prevention of psychological disorders.
- Estudo de prevalência de padrões de consumo de drogas pelos jovens da RAM: relatório preliminarPublication . Jardim, Maria Helena de Agrela Gonçalves