Andrea Vannini Santesso Caiuby

Universidade Federal de São Paulo, San Paulo, São Paulo, Brazil

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Publications (7)3.2 Total impact

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    ABSTRACT: The scope of this article is to screen the symptoms of Post-Traumatic Stress Disorder (PTSD) among the professionals who provided humanitarian aid for the Haitian population after the 2010 earthquake. It involvess a cross-sectional study. The Impact of Event Scale - Revised (IES-R) was used for screening symptoms of PTSD. The participants included 32 Brazilians (mean age = 37.58 +/-7.01), 22 Americans (mean age =33.67 +/-8.03) and 12 Ecuadorians (mean age = 44.80 +/- 15.88). The professionals did not have PTSD symptoms. The relationship between prior experience variables in disaster situations and the total score of the IES-R (F (2) = 4.34, p = 0.017), as well as prior experience in disaster situations and the intrusion subscale (F (2) = 3.94, p = 0.024) were significant in linear regression models. The number of prior experiences was revealed as a significant predictor for the total score of IES (p < 0.05). The results showed that current experiences can be exacerbated by memories of prior experiences, increasing the likelihood of developing PTSD. Therefore the mental health care of the professionals should foster the early identification of prior experience risk factors, thereby not permitting voluntary initiative to transcend selective criteria and specific care.
    Ciencia & saude coletiva 11/2013; 18(11):3175-81.
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    ABSTRACT: Due to the epistemological irreducibility between Psychometrics and Psychoanalysis we reject the hypothesis that the Defensive Style Questionnaire assesses ego defense mechanisms. To identify the constructs assessed by the Defensive Style Questionnaire we delineated an exploratory psychometrical work. In the current research, participated responding the Defensive Style Questionnaire and the Composite International Diagnostic Interview a representative sample of the São Paulo State prisoner population of 1775 individuals. Analyses were characterized by item selection, factor analysis, internal consistency analysis, correlations and t-tests. Results downsized the number of items from 78 to 23 and reveled four oblique factors with acceptable consistency for three and insufficient for the fourth factor. Significant associations were found between the second factor and drug addiction and among the first and third factors and cognitive deficit. The instrument seems to assess a non-pathological dimension of mental distress and three affective coping dimensions; nevertheless, there is no support for its clinical application.
    Avaliação Psicológica. 08/2012; 11(2):169-79.
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    ABSTRACT: The Impact of Events Scale-Revised (IES-R) is used to screen for post-traumatic stress disorder (PTSD). The aim of this study was to assess the cross-cultural adaptation of the IES-R. The scale was translated into Brazilian Portuguese and culturally adapted. Reliability and validity were evaluated in 45 individuals divided into three groups of 15 (without PTSD, with PTSD, and treated for PTSD). Reliability was evaluated using intraclass correlation coefficient - ICC and Cronbach's alfa. Discriminant validity was evaluated by comparing mean IES-R scores in the three groups. The area under the ROC curve (AUC) was evaluated to determine cut-offs with higher sensitivity (s) and specificity (e) using the clinical interview (DSM-IV) as reference. The IES-R showed good reliability (ICC = 1; alfa from 0.75 to 0.93). The mean IES-R scores (p < 0.05) and ROC curve had good discriminant validity for a cut-off of 5.6 (s = 0.80, e = 0.70 and AUC = 0.81). The Brazilian version of IES-R showed good properties and can be a useful screening tool for PTSD.
    Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública 03/2012; 28(3):597-603. · 0.83 Impact Factor
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    ABSTRACT: The Impact of Events Scale-Revised (IES-R) is used to screen for post-traumatic stress disorder (PTSD). The aim of this study was to assess the cross-cultural adaptation of the IES-R. The scale was translated into Brazilian Portuguese and culturally adapted. Reliability and validity were evaluated in 45 individuals divided into three groups of 15 (without PTSD, with PTSD, and treated for PTSD). Reliability was evaluated using intraclass correlation coefficient – ICC and Cronbach's alfa. Discriminant validity was evaluated by comparing mean IES-R scores in the three groups. The area under the ROC curve (AUC) was evaluated to determine cut-offs with higher sensitivity (s) and specificity (e) using the clinical interview (DSM-IV) as reference. The IES-R showed good reliability (ICC = 1; alfa from 0.75 to 0.93). The mean IES-R scores (p < 0.05) and ROC curve had good discriminant validity for a cut-off of 5.6 (s = 0.80, e = 0.70 and AUC = 0.81). The Brazilian version of IES-R showed good properties and can be a useful screening tool for PTSD.
    Cadernos de Saúde Pública 03/2012; 28(3):597-603. · 0.83 Impact Factor
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    Andrea Vannini Santesso Caiuby, Paola Bruno de Araújo Andreoli, Sergio Baxter Andreoli
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    ABSTRACT: O transtorno de estresse pós-traumático tem sido descrito em pacientes após tratamento em unidade de terapia intensiva. O objetivo foi revisar estudos sobre os aspectos psicológicos e as intervenções terapêuticas destes pacientes após internação em unidade de terapia intensiva. Trinta e oito artigos foram incluídos. A prevalência de transtorno de estresse pós-traumático variou de 17% a 30% e a incidência de 14% a 24%. Os fatores de risco foram: história prévia de ansiedade, depressão ou pânico, ter memórias traumáticas ilusórias (memórias derivadas de formações psíquicas como sonho e delirium), tempo de ventilação mecânica, experiências estressantes, crenças e comportamentos de característica depressiva. Doses altas de opióides, sintomas na retirada da sedação ou analgesia e o uso de lorazepam foram relacionados ao aumento de delirium e de memória ilusória. A sintomatologia do transtorno pode ser reduzida com a administração de hidrocortisona, com a interrupção diária da sedação e não foram encontrados estudos de efetividade de intervenção psicológica.
    Revista Brasileira de Terapia Intensiva 03/2010; 22(1):77-84.
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    ABSTRACT: RESUMO: Qualidade de vida é um conceito novo na área de saúde e existem controvérsias na aplicação da prática clínica. No Brasil, trabalhos foram realizados na área de nefrologia, indicando a necessidade de maiores estudos. OBJETIVOS: Analisar a qualidade de vida dos pacientes com diferentes tempos de hemodiálise. MÉTODOS: O estudo constou de uma entrevista com aplicação do SF-36, coleta de dados demográficos e socioeconômicos, obtenção das principais características clínicas e coleta de dados bioquímicos. RESULTADOS: Foram estudados 184 pacientes, sendo 63% do sexo masculino, com idade de 46±15anos (X±DP), tempo em hemodiálise 30±36 meses, 48% com escolaridade até quatro anos e 53% pertenciam às classes D e E. Constatou-se comprometimento nas diferentes dimensões analisadas, sendo que os menores resultados foram nos aspectos físicos e vitalidade. Verificou-se correlação negativa entre idade e capacidade funcional, aspectos físicos, dor e vitalidade; entre tempo de hemodiálise e aspectos emocionais. Por outro lado, constatou-se correlação positiva entre escolaridade e aspecto emocionais e entre hemoglobina e vitalidade. Além disso, observou-se que os pacientes diabéticos, quando comparados aos não diabéticos, eram mais idosos e apresentavam menores valores nas dimensões capacidade funcional e estado geral de saúde. CONCLUSÕES: O SF-36 foi um bom instrumento para avaliar qualidade de vida de pacientes em hemodiálise. A população estudada apresentou comprometimento em várias dimensões analisadas. A presença de doença crônica, a necessidade de tratamento contínuo por um longo período, idade avançada, assim como a presença de co-morbidades são fatores que podem interferir na qualidade de vida dessa população.
    Revista da Associação Médica Brasileira 09/2003; 49(3):245-249. · 0.77 Impact Factor
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    ABSTRACT: Quality of life is a new concept in the health area and controversies exist about its application to clinical practice. Studies carried out in Brazil in the nephrology area have indicated the need for further investigations. To analyze the quality of life of patients with different times of hemodialysis. The study consisted of application of the questionnare SF-36, collection of demographic, socioeconomic and biochemical data, as well as of the clinical characteristics. The study was conducted on 184 patients, 63% of them males, aged 46 15 years (X SD), with a hemodialysis time of 30 36 months; 48% had up to 4 years of schooling and 53% belonged to the economic-social classes D and E. Impairment of the different dimensions analyzed was observed, with the poorest results being obtained for Physical Aspects and Vitality. A negative correlation was detected between Age and Functional Capacity, Physical Aspects, Pain, and Vitality, and between Hemodialysis Time and Emotional Aspects. A positive correlation was observed between Schooling and Emotional Aspects and between Hemoglobin and Vitality. We observed that diabetic patients were older than non-diabetic patients and presented lower values for the Functional Capacity and General Health condition dimensions. SF-36 proved to be a good instrument for the assessment of the quality of life of hemodialysis patients. The presence of a chronic disease, the need for continuous treatment over a long period of time, advanced age, and the presence of co-morbidities were factors that might interfere with the quality of life of this population.
    Revista da Associação Médica Brasileira 49(3):245-9. · 0.77 Impact Factor