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Resumo Avaliar a satisfação profissional e a sobrecarga de trabalho dos enfermeiros atuantes em serviços de saúde mental e realizar uma comparação em relação aos demais profissionais do serviço. Estudo transversal, com amostragem por critério de conveniência, realizado em 2016 com 61 profissionais da área de saúde mental dos Centros de atenção psicossocial de um município localizado no extremo sul do Brasil. Para coleta de dados foi aplicado um questionário sociodemográfico e as Escalas de avaliação do impacto do trabalho (Impacto-Br) e de satisfação da equipe (Satis-Br). A análise dos dados foi realizada através do programa SPSS 21.0.O nível de sobrecarga global dos enfermeiros foi de 2,92 ± 0,42 e de satisfação global de 3,38 ± 0,51. Quando avaliado os escores na escala Satis-Br, houve uma diminuição estatisticamente significativa nos níveis de satisfação dos enfermeiros (3,36 ± 0,77) em relação aos demais profissionais atuantes no serviço (3,78 ± 0,56) no escore qualidade dos serviços oferecido (p = 0,04). O fator que promoveu maior nível de sobrecarga de trabalho entre os enfermeiros estão relacionados ao sentimento de se sentir fisicamente cansado (2,99 ± 0,92). Já o fator que promoveu maior satisfação profissional está relacionado ao bom relacionamento com a equipe (4,06 ± 0,65).

Objective: To evaluate the prevalence of alcohol abuse and/or dependence in a population-based sample of young adults and assess the prevalence of comorbid mood disorders, anxiety, and suicide risk in this population. Methods: This cross-sectional, population-based study enrolled 1,953 young adults aged 18-35 years. The CAGE questionnaire was used to screen for alcohol abuse and/or dependence, with CAGE scores X 2 considered positive. Psychiatric disorders were investigated through the structured Mini International Neuropsychiatric Interview (MINI). Results: Alcohol abuse and/or dependence was identified in 187 (9.60%) individuals (5.10% among women and 15.20% among men). Alcohol abuse and/or dependence were more prevalent among men than women, as well as among those who used tobacco, illicit drugs or presented with anxiety disorder, mood disorder, and suicide risk. Conclusion: These findings suggest that alcohol abuse and/or dependence are consistently associated with a higher prevalence of psychiatric comorbidities, could be considered important predictors of other psychiatric disorders, and deserve greater public heath attention, pointing to the need for alcohol abuse prevention programs.Keywords: Alcohol abuse and/or dependence; anxiety; mood disorder; depression; suicide risk IntroductionAlcohol consumption is highly prevalent worldwide and has numerous negative consequences for health and quality of life, especially in the young population. 1 Alcohol use disorders (AUDs) are among the most frequently diagnosed disorders, with a 12-month prevalence rate of 8.5%. 2 In the United States alone, according to the 2013 National Survey on Drug Use and Health, 37.9% of young adults reported binge drinking (four or more drinks for women and five or more drinks for men on an occasion) at least once in the past 30 days. 3 Moreover, studies have shown a higher prevalence of cigarette smoking or drug abuse among subjects who engage in heavy or frequent binge drinking. [3][4][5] AUDs are highly comorbid with mood and anxiety disorders in adults and are associated with substantial societal and personal costs. In a study conducted by Grant et al., among adults seeking treatment for an AUD, 40.69% and 33.3% were diagnosed with at least one current comorbid mood disorder and anxiety disorder, respectively. 6 The diagnosis of current mood or anxiety disorders among individuals with AUD is challenging, because many symptoms of intoxication, for example, resemble those of mood and anxiety disorders. 7 In addition to mood disorders and anxiety, other serious problems that can develop in people with AUDs include violent behavior and suicide attempts. 8 Alcoholics are 60 to 120 times more likely to attempt suicide compared to the general population. 9 Furthermore, studies demonstrate that 85 out of every 100 individuals who complete suicide had comorbid depression and/or alcoholism. 10 Individuals with AUDs should be evaluated for the risk of suicide whenever they present with depressive symptoms, 11 Psiquiatria. 2018;40:1-5 Br...

Objetivo: Analisar ocorrências de efeitos adversos relacionados a medicamentos no tratamento de tuberculose e sua associação com variáveis clínicas e desfecho. Método: Estudo transversal com 63 casos de tuberculose tratados no Ambulatório de Tuberculose e Hanseníase de São José do Rio Preto, São Paulo, no período de 2010 a 2015. Utilizou-se análise de frequência e teste qui-quadrado com correção de Monte Carlo. Resultados: Os efeitos adversos iniciaram-se antes do terceiro mês de tratamento; efeitos menores foram mais frequentes, com predomínio de irritação gástrica. Houve associação entre conduta médica e efeitos adversos (p = 0,009). Conclusão: Efeitos adversos causados pelos medicamentos podem prejudicar o desfecho clínico devido ao risco de abandono do tratamento. Profissionais de saúde devem estar atentos aos sinais e sintomas relacionados aos efeitos adversos, implementando condutas necessárias para neutralizar ou diminuir as queixas, visando adesão ao tratamento e cura da doença.Descritores: Tuberculose; Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos; Terapia Combinada; Tuberculose Resistente a Múltiplos Medicamentos; Tuberculose Pulmonar. ADVERSE EFFECTS IN THE TREATMENT OF TUBERCULOSIS Objective: To analyze occurrences of drug-related adverse effects in treatment of tuberculosis and its association with clinical variables and outcome. Method: Cross-sectional study with 63 cases of tuberculosis treated at Tuberculosis and Leprosy Outpatient Clinic of São José do Rio Preto, São Paulo, from 2010 to 2015. We used frequency analysis and chi-square test with Monte Carlo correction. Results: Adverse effects started before the third month of treatment; effects were more frequent, with predominance of gastric irritation. There was association between medical conduct and adverse effects (p=0.009). Conclusion: Adverse effects caused by medications may impair the clinical outcome due to risk of treatment withdrawal. Health professionals should be alert to signs and symptoms related to adverse effects, implementing the necessary behaviors to neutralize or reduce complaints, aiming adherence to treatment and cure of the disease.Descriptors: Tuberculosis; Drug-Related Side Effects and Adverse Reactions; Combined Modality Therapy; Tuberculosis, Multidrug-Resistant; Tuberculosis, Pulmonary.EFECTOS ADVERSOS EN EL TRATAMIENTO DE TUBERCULOSISObjetivo: Analizar los efectos adversos relacionados con medicamentos en tratamiento de la tuberculosis y su asociación con variables clínicas y desenlace. Método: Estudio transversal con 63 casos de tuberculosis tratados en Ambulatorio de Tuberculosis y Hanseniasis de São José Rio Preto, São Paulo, en período de 2010 a 2015. Se utilizó análisis de frecuencia y prueba chi-cuadrado con corrección de Monte Carlo. Los efectos adversos se iniciaron antes del tercer mes de tratamiento; los efectos menores fueron más frecuentes, con predominio de irritación gástrica. Se observó asociación entre conducta médica y efectos adversos (p=0,009). Resultados: Los efectos adversos causados por medicamentos pueden perjudicar el resultado clínico debido al riesgo de abandono del tratamiento. Conclusiones: Los profesionales de salud deben estar atentos a los signos y síntomas relacionados con efectos adversos, implementando conductas necesarias para neutralizar o disminuir las quejas, visando adhesión al tratamiento y cura de la enfermedad.Descriptores: Tuberculosis; Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos; Terapia Combinada; Tuberculosis Resistente a Múltiples Medicamentos; Tuberculosis Pulmonar.