Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente.
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFMA |
Texto Completo: | https://tedebc.ufma.br/jspui/handle/tede/tede/2679 |
Resumo: | Introduction: Psychological violence is a form of abuse that names verbal or gestural aggressions in order to terrorize, reject, humiliate the victim, and isolate them from social interaction. It is considered as a risk for the development of mental disorders, among them the Post Traumatic Stress Disorder. However, there is still a gap on this form of violence, in isolation, especially in the adolescent population. Objective: To analyze the occurrence of psychological violence against adolescents in a cohort associated with the development of Posttraumatic Stress Disorder. Methods: A cross-sectional study using data from a cohort, followed up in 2016. With a sample of 2,515 adolescents (18/19 years old) who answered the self-administered questionnaire, where individual, family, social and presence aspects were addressed stressors, in addition to the instrument validated for the occurrence of psychological violence. Hierarchical modeling was used to analyze the factors associated with psychological violence in three blocks (socioeconomic and demographic factors, family and adolescent structural factors, as well as behavioral factors). The Directed Acyclic Graph was used to construct the theoretical model, control of confounding factors and selection of adjustment variables. In order to obtain the homogeneity of the comparison groups in relation to the variables, the Propensity Score was used as a method for causal inference, estimated by binary logistic regression with the likelihood method. Results: ARTICLE 1: Female adolescents suffered more severe psychological violence (OR: 1.38, 95% CI: 1.12-1.71). Possessing work, alcohol and illicit drug use, and insecurity in the place where he / she lives were associated with both forms of psychological violence (moderate and severe). ARTICLE 2: The prevalence of severe psychological violence was 30.3%. Severe violence was associated with Posttraumatic Stress Disorder in both analyzes, but the magnitude in the model structured by the Propensity Score (OR: 1.97; 95% CI: 1.08-3.56) indicated adjustment of the association measure of the crude analysis (OR: 3.40; 95% CI: 2.03-5.69). Conclusion: The occurrence of psychological violence among adolescents was high. In their most severe form, women ntering the labor market with unhealthy living habits are the main victims. Severe psychological violence is an important factor associated with the development of Posttraumatic Stress Disorder. |
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ALVES, Maria Teresa Seabra Soares de Britto e084.261.711-68http://lattes.cnpq.br/3910533965773430ALVES, Maria Teresa Seabra Soares de Britto e084.261.711-68http://lattes.cnpq.br/3910533965773430DEL-BEN, Cristina Martahttp://lattes.cnpq.br/1985180219976217BRITO, Maria Helena Seabra Soares deBATISTA, Rosângela Fernandes Lucenahttp://lattes.cnpq.br/3936205532436748SANTOS, Alcione Miranda doshttp://lattes.cnpq.br/2709550775435326272.526.043-49http://lattes.cnpq.br/2321578744234363ÁLVARES, Livia Goreth Galvão Serejo2019-05-21T12:39:40Z2019-02-25ÁLVARES, Livia Goreth Galvão Serejo. Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente.. 2019. 138 folhas. Tese( Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís.https://tedebc.ufma.br/jspui/handle/tede/tede/2679Introduction: Psychological violence is a form of abuse that names verbal or gestural aggressions in order to terrorize, reject, humiliate the victim, and isolate them from social interaction. It is considered as a risk for the development of mental disorders, among them the Post Traumatic Stress Disorder. However, there is still a gap on this form of violence, in isolation, especially in the adolescent population. Objective: To analyze the occurrence of psychological violence against adolescents in a cohort associated with the development of Posttraumatic Stress Disorder. Methods: A cross-sectional study using data from a cohort, followed up in 2016. With a sample of 2,515 adolescents (18/19 years old) who answered the self-administered questionnaire, where individual, family, social and presence aspects were addressed stressors, in addition to the instrument validated for the occurrence of psychological violence. Hierarchical modeling was used to analyze the factors associated with psychological violence in three blocks (socioeconomic and demographic factors, family and adolescent structural factors, as well as behavioral factors). The Directed Acyclic Graph was used to construct the theoretical model, control of confounding factors and selection of adjustment variables. In order to obtain the homogeneity of the comparison groups in relation to the variables, the Propensity Score was used as a method for causal inference, estimated by binary logistic regression with the likelihood method. Results: ARTICLE 1: Female adolescents suffered more severe psychological violence (OR: 1.38, 95% CI: 1.12-1.71). Possessing work, alcohol and illicit drug use, and insecurity in the place where he / she lives were associated with both forms of psychological violence (moderate and severe). ARTICLE 2: The prevalence of severe psychological violence was 30.3%. Severe violence was associated with Posttraumatic Stress Disorder in both analyzes, but the magnitude in the model structured by the Propensity Score (OR: 1.97; 95% CI: 1.08-3.56) indicated adjustment of the association measure of the crude analysis (OR: 3.40; 95% CI: 2.03-5.69). Conclusion: The occurrence of psychological violence among adolescents was high. In their most severe form, women ntering the labor market with unhealthy living habits are the main victims. Severe psychological violence is an important factor associated with the development of Posttraumatic Stress Disorder.Introdução: A violência psicológica é uma forma de abuso que nomeia agressões verbais ou gestuais com o objetivo de aterrorizar, rejeitar, humilhar a vítima, isolando-a do convívio social. É considerada como risco para o desenvolvimento de transtornos mentais, entre eles o Transtorno de Estresse Pós-Traumático. Contudo, ainda existe uma lacuna acerca dessa forma de violência, de maneira isolada, sobretudo na população de adolescentes. Objetivo: Analisar a ocorrência da violência psicológica contra adolescentes de uma coorte, associada ao desenvolvimento de Transtorno de Estresse Pós-Traumático. Métodos: Estudo transversal que utilizou dados de uma coorte, cujo seguimento, foi realizado em 2016. Com uma amostra de 2.515 adolescentes (18/19 anos) que responderam ao questionário autoaplicado onde foram abordados aspectos individuais, familiares, sociais e presença de eventos estressores, além do instrumento validado para ocorrência de violência psicológica. Foi utilizada a modelagem hierarquizada para analisar os fatores associados à violência psicológica em três blocos (fatores socioeconômicos e demográficos, fatores estruturais da família e do adolescente, além de fatores comportamentais). O Gráfico Acíclico Direcionado foi utilizado para construção do modelo teórico, controle dos fatores de confundimento e seleção das variáveis de ajuste. Para se obter a homogeneidade dos grupos de comparação em relação às variáveis, foi utilizado o Escore de Propensão como método para inferência causal, estimado pela regressão logística binária com o método de verossimilhança. Resultados: ARTIGO 1: Adolescentes do sexo feminino sofreram mais violência psicológica severa (OR: 1,38; IC 95%: 1,12-1,71). Possuir atividade laboral, uso de álcool e drogas ilícitas, além de insegurança no local onde reside, estiveram associados às duas formas de violência psicológica (moderada e severa). ARTIGO 2: A prevalencia de violência psicológica severa foi 30,3%. Observou-se associação da violência severa com o Transtorno de Estresse Pós-traumático nas duas análises realizadas, porém, a magnitude no modelo estruturado pelo Escore de Propensão (OR:1,97; IC95%: 1,08-3,56) indicou ajuste da medida de associação da análise bruta (OR:3,40; IC95%: 2,03-5,69). Conclusão: A ocorrência de violência psicológica entre os adolescentes foi elevada. Em sua forma mais severa, as mulheres inseridas no mercado de trabalho, com hábitos de vida não saudáveis são as principais vítimas. A violência psicológica severa é um importante fator associado ao desenvolvimento de Transtorno de Estresse Pós-traumático.Submitted by Maria Aparecida (cidazen@gmail.com) on 2019-05-21T12:39:40Z No. of bitstreams: 1 Livia Goreth Galvão S. Alves.pdf: 6637244 bytes, checksum: e7cffe22074359704568bbd7e9e7ae6d (MD5)Made available in DSpace on 2019-05-21T12:39:40Z (GMT). No. of bitstreams: 1 Livia Goreth Galvão S. Alves.pdf: 6637244 bytes, checksum: e7cffe22074359704568bbd7e9e7ae6d (MD5) Previous issue date: 2019-02-25application/pdfporUniversidade Federal do MaranhãoPROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA/CCBSUFMABrasilDEPARTAMENTO DE SAÚDE PÚBLICA/CCBSAdolescentes; Violência psicológica; Transtorno de Estresse Pós-TraumáticoAdolescents; Psychological violence; Post-Traumatic Stress DisorderSaúde Publica.Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente.Psychological violence against adolescents and Posttraumatic Stress Disorder in Adolescents.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFMAinstname:Universidade Federal do Maranhão (UFMA)instacron:UFMAORIGINALLivia Goreth Galvão S. Alves.pdfLivia Goreth Galvão S. 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dc.title.por.fl_str_mv |
Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente. |
dc.title.alternative.eng.fl_str_mv |
Psychological violence against adolescents and Posttraumatic Stress Disorder in Adolescents. |
title |
Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente. |
spellingShingle |
Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente. ÁLVARES, Livia Goreth Galvão Serejo Adolescentes; Violência psicológica; Transtorno de Estresse Pós-Traumático Adolescents; Psychological violence; Post-Traumatic Stress Disorder Saúde Publica. |
title_short |
Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente. |
title_full |
Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente. |
title_fullStr |
Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente. |
title_full_unstemmed |
Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente. |
title_sort |
Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente. |
author |
ÁLVARES, Livia Goreth Galvão Serejo |
author_facet |
ÁLVARES, Livia Goreth Galvão Serejo |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
ALVES, Maria Teresa Seabra Soares de Britto e |
dc.contributor.advisor1ID.fl_str_mv |
084.261.711-68 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3910533965773430 |
dc.contributor.referee1.fl_str_mv |
ALVES, Maria Teresa Seabra Soares de Britto e |
dc.contributor.referee1ID.fl_str_mv |
084.261.711-68 |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/3910533965773430 |
dc.contributor.referee2.fl_str_mv |
DEL-BEN, Cristina Marta |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/1985180219976217 |
dc.contributor.referee3.fl_str_mv |
BRITO, Maria Helena Seabra Soares de |
dc.contributor.referee4.fl_str_mv |
BATISTA, Rosângela Fernandes Lucena |
dc.contributor.referee4Lattes.fl_str_mv |
http://lattes.cnpq.br/3936205532436748 |
dc.contributor.referee5.fl_str_mv |
SANTOS, Alcione Miranda dos |
dc.contributor.referee5Lattes.fl_str_mv |
http://lattes.cnpq.br/2709550775435326 |
dc.contributor.authorID.fl_str_mv |
272.526.043-49 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2321578744234363 |
dc.contributor.author.fl_str_mv |
ÁLVARES, Livia Goreth Galvão Serejo |
contributor_str_mv |
ALVES, Maria Teresa Seabra Soares de Britto e ALVES, Maria Teresa Seabra Soares de Britto e DEL-BEN, Cristina Marta BRITO, Maria Helena Seabra Soares de BATISTA, Rosângela Fernandes Lucena SANTOS, Alcione Miranda dos |
dc.subject.por.fl_str_mv |
Adolescentes; Violência psicológica; Transtorno de Estresse Pós-Traumático |
topic |
Adolescentes; Violência psicológica; Transtorno de Estresse Pós-Traumático Adolescents; Psychological violence; Post-Traumatic Stress Disorder Saúde Publica. |
dc.subject.eng.fl_str_mv |
Adolescents; Psychological violence; Post-Traumatic Stress Disorder |
dc.subject.cnpq.fl_str_mv |
Saúde Publica. |
description |
Introduction: Psychological violence is a form of abuse that names verbal or gestural aggressions in order to terrorize, reject, humiliate the victim, and isolate them from social interaction. It is considered as a risk for the development of mental disorders, among them the Post Traumatic Stress Disorder. However, there is still a gap on this form of violence, in isolation, especially in the adolescent population. Objective: To analyze the occurrence of psychological violence against adolescents in a cohort associated with the development of Posttraumatic Stress Disorder. Methods: A cross-sectional study using data from a cohort, followed up in 2016. With a sample of 2,515 adolescents (18/19 years old) who answered the self-administered questionnaire, where individual, family, social and presence aspects were addressed stressors, in addition to the instrument validated for the occurrence of psychological violence. Hierarchical modeling was used to analyze the factors associated with psychological violence in three blocks (socioeconomic and demographic factors, family and adolescent structural factors, as well as behavioral factors). The Directed Acyclic Graph was used to construct the theoretical model, control of confounding factors and selection of adjustment variables. In order to obtain the homogeneity of the comparison groups in relation to the variables, the Propensity Score was used as a method for causal inference, estimated by binary logistic regression with the likelihood method. Results: ARTICLE 1: Female adolescents suffered more severe psychological violence (OR: 1.38, 95% CI: 1.12-1.71). Possessing work, alcohol and illicit drug use, and insecurity in the place where he / she lives were associated with both forms of psychological violence (moderate and severe). ARTICLE 2: The prevalence of severe psychological violence was 30.3%. Severe violence was associated with Posttraumatic Stress Disorder in both analyzes, but the magnitude in the model structured by the Propensity Score (OR: 1.97; 95% CI: 1.08-3.56) indicated adjustment of the association measure of the crude analysis (OR: 3.40; 95% CI: 2.03-5.69). Conclusion: The occurrence of psychological violence among adolescents was high. In their most severe form, women ntering the labor market with unhealthy living habits are the main victims. Severe psychological violence is an important factor associated with the development of Posttraumatic Stress Disorder. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-05-21T12:39:40Z |
dc.date.issued.fl_str_mv |
2019-02-25 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
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doctoralThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
ÁLVARES, Livia Goreth Galvão Serejo. Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente.. 2019. 138 folhas. Tese( Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís. |
dc.identifier.uri.fl_str_mv |
https://tedebc.ufma.br/jspui/handle/tede/tede/2679 |
identifier_str_mv |
ÁLVARES, Livia Goreth Galvão Serejo. Violência psicológica contra adolescentes e Transtorno de Estresse Pós-traumático no Adolescente.. 2019. 138 folhas. Tese( Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís. |
url |
https://tedebc.ufma.br/jspui/handle/tede/tede/2679 |
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por |
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por |
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Universidade Federal do Maranhão |
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PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA/CCBS |
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UFMA |
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Brasil |
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DEPARTAMENTO DE SAÚDE PÚBLICA/CCBS |
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Universidade Federal do Maranhão |
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