Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro

Detalhes bibliográficos
Ano de defesa: 2016
Autor(a) principal: Santana, Thais Gouvea da Silva lattes
Orientador(a): Souza, Wanderson Fernandes de lattes
Banca de defesa: Souza, Wanderson Fernandes de lattes, Souza, Marcos Aguiar de lattes, Souza, Israel lattes
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal Rural do Rio de Janeiro
Programa de Pós-Graduação: Programa de P?s-Gradua??o em Psicologia
Departamento: Instituto de Educa??o
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://tede.ufrrj.br/jspui/handle/jspui/5232
Resumo: The emergency professionals remain constantly vulnerable to situations that produce high levels of stress. These occupational stressors corroborate the development of psychological distress. Among the mental disorders associated with occupational stressors highlight the Posttraumatic Stress Disorder (PTSD), which is a mental disorder resulting from exposure to threatening situations experienced by the individual or only witnessed by this. The proposal of that research was to study the presence of symptoms of post-traumatic stress disorder and associated factors in military firefighters of the State of Rio de Janeiro. Thus, a cross-sectional study was conducted using a quantitative analysis, which were applied 194 questionnaires and scales in assets Firefighters working in the West Zone of Rio de Janeiro. Participants volunteered for answering questions related to socio-demographic data, through the questionnaire of General Data, and were assessed about suicidal thoughts and attempt, consequences to traumatic events through the PCL- C, assessment of quality of life and subjective well-being, using the Positive Affect and Negative Affect Scale - PANAS, trauma paralysis and freezing using Tonic Immobility Scale - TIS6, the Peritraumatic Dissociatuve Experience Questionnaire - PDEQ, which evaluates the presence of dissociative experiences that can happen during traumatic situations, the SF12 scale that evaluates the perception of quality of life considering health aspects of individual and PHQ9 to identify symptoms for the episode of major depression. Data were analyzed using the SPSS program. According to the results of the investigation, it was found that 75% of the sample were male, mean age 36 years (Median= 36.88). The majority were married (75%) and had children (76%). More than half of the sample had an average educational level (38%) or higher (34%) and has worked in the institution (50%) between 6 and 10 years. The prevalence of Post Traumatic Stress Disorder obtained in this study was 21%, and women were twice more affected than men. The results also showed a significant correlation between PTSD and negative affects, peritraumatic dissociation, tonic immobility, depression and symptoms of TMC, corroborating the literature. It is worth mentioning the importance of further studies in order to confirm and more accurate results, and longitudinal studies that track the trajectory of these military, contributing to the improvement and expansion of mental health services in the firefighters institutions.
id UFRRJ-1_b823a579175ca1d1f1557c4021271e6d
oai_identifier_str oai:localhost:jspui/5232
network_acronym_str UFRRJ-1
network_name_str Biblioteca Digital de Teses e Dissertações da UFRRJ
repository_id_str
spelling Souza, Wanderson Fernandes dehttp://lattes.cnpq.br/7822122440477341Souza, Wanderson Fernandes dehttp://lattes.cnpq.br/7822122440477341Souza, Marcos Aguiar dehttp://lattes.cnpq.br/8330562093476420Souza, Israelhttps://orcid.org/0000-0003-4751-2110http://lattes.cnpq.br/7565108541051930087.502.127-10http://lattes.cnpq.br/8126438460149435Santana, Thais Gouvea da Silva2021-11-12T12:52:29Z2016-08-30SANTANA, Thais Gouvea da Silva. Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio de Janeiro. 2016. 86 f. Disserta??o (Mestrado em Psicologia) - Instituto de Educa??o, Universidade Federal Rural do Rio de Janeiro, Serop?dica, 2016.https://tede.ufrrj.br/jspui/handle/jspui/5232The emergency professionals remain constantly vulnerable to situations that produce high levels of stress. These occupational stressors corroborate the development of psychological distress. Among the mental disorders associated with occupational stressors highlight the Posttraumatic Stress Disorder (PTSD), which is a mental disorder resulting from exposure to threatening situations experienced by the individual or only witnessed by this. The proposal of that research was to study the presence of symptoms of post-traumatic stress disorder and associated factors in military firefighters of the State of Rio de Janeiro. Thus, a cross-sectional study was conducted using a quantitative analysis, which were applied 194 questionnaires and scales in assets Firefighters working in the West Zone of Rio de Janeiro. Participants volunteered for answering questions related to socio-demographic data, through the questionnaire of General Data, and were assessed about suicidal thoughts and attempt, consequences to traumatic events through the PCL- C, assessment of quality of life and subjective well-being, using the Positive Affect and Negative Affect Scale - PANAS, trauma paralysis and freezing using Tonic Immobility Scale - TIS6, the Peritraumatic Dissociatuve Experience Questionnaire - PDEQ, which evaluates the presence of dissociative experiences that can happen during traumatic situations, the SF12 scale that evaluates the perception of quality of life considering health aspects of individual and PHQ9 to identify symptoms for the episode of major depression. Data were analyzed using the SPSS program. According to the results of the investigation, it was found that 75% of the sample were male, mean age 36 years (Median= 36.88). The majority were married (75%) and had children (76%). More than half of the sample had an average educational level (38%) or higher (34%) and has worked in the institution (50%) between 6 and 10 years. The prevalence of Post Traumatic Stress Disorder obtained in this study was 21%, and women were twice more affected than men. The results also showed a significant correlation between PTSD and negative affects, peritraumatic dissociation, tonic immobility, depression and symptoms of TMC, corroborating the literature. It is worth mentioning the importance of further studies in order to confirm and more accurate results, and longitudinal studies that track the trajectory of these military, contributing to the improvement and expansion of mental health services in the firefighters institutions.Os profissionais de emerg?ncias permanecem constantemente vulner?veis ?s situa??es que produzem alto n?vel de estresse. Estes estressores ocupacionais corroboram com o desenvolvimento de sofrimento ps?quico. Dentre os transtornos mentais associados aos estressores ocupacionais destaca-se o Transtorno de Estresse P?s-Traum?tico (TEPT), que ? uma perturba??o ps?quica decorrente de exposi??es a situa??es amea?adoras experimentadas pelo indiv?duo ou apenas presenciadas por este. A proposta da referida pesquisa foi estudar a presen?a de sintomas de transtorno de estresse p?s-traum?tico e fatores associados em bombeiros militares do Estado do Rio de Janeiro. Para tanto, foi realizado um estudo transversal, utilizando uma an?lise quantitativa, onde foram aplicados 194 question?rios e escalas em Bombeiros ativos que atuam na Zona Oeste do Rio de Janeiro. Os militares participantes foram submetidos de forma facultativa a responderem quest?es relacionadas a dados sociodemogr?ficos, por meio do Question?rio de Dados Gerais, assim como foram arguidos sobre pensamento e/ou tentativa de suic?dio, queixas que apresentaram como rea??o a eventos traum?ticos, atrav?s do PCL-C, avalia??o da qualidade de vida e bem estar subjetivo, utilizando a Escala de Afetos Positivos e Negativos - PANAS, identifica??o do grau de paralisia/congelamento induzidos por situa??es traum?ticas, utilizando a Escala de Imobilidade T?nica - TIS6, o Question?rio de Experi?ncias Dissociativas Peritraum?ticas ? PDEQ, que avalia a presen?a de experi?ncias dissociativas que podem acontecer diante de situa??es traum?ticas, a escala SF12 que avalia a percep??o da qualidade de vida considerando os aspectos de sa?de do indiv?duo e PHQ9 para identifica??o de sintomas para o epis?dio de depress?o maior. Os dados foram analisados utilizando o programa SPSS?. De acordo com os resultados obtidos pela investiga??o, verificou-se que 75% da amostra era do sexo masculino, com idade m?dia de 36 anos (M?dia=36,88). A maioria casado (75%) e tinham filhos (76%). Mais da metade da amostra tinha n?vel m?dio (38%) ou superior (34%) e j? trabalhava na institui??o (50%) entre 6 e 10 anos. A preval?ncia de Transtorno de Estresse P?s Traum?tico obtida nesta investiga??o foi de 21%, sendo que as mulheres apresentaram duas vezes mais sintomas sugestivos que os homens. Os resultados demonstraram ainda correla??o significativa entre o TEPT e afastamentos por motivo de sa?de, forma??o na ?rea de sa?de, afetos negativos, dissocia??o peritraum?tica, imobilidade t?nica, depress?o e sintomas de TMC, corroborando com a literatura consultada. Vale ressaltar a import?ncia de realizar estudos futuros, a fim de confirmar e obter resultados mais precisos, al?m de estudos longitudinais que acompanhe a trajet?ria destes militares, colaborando para a melhoria e amplia??o dos servi?os de sa?de mental prestados nas institui??es de bombeiros militares.Submitted by Leticia Schettini (leticia@ufrrj.br) on 2021-11-12T12:52:29Z No. of bitstreams: 1 2016 - Tha?s Gouv?a da Silva Santana.pdf: 1270562 bytes, checksum: 888ed242c48553f345eb556e1bc36ccf (MD5)Made available in DSpace on 2021-11-12T12:52:29Z (GMT). No. of bitstreams: 1 2016 - Tha?s Gouv?a da Silva Santana.pdf: 1270562 bytes, checksum: 888ed242c48553f345eb556e1bc36ccf (MD5) Previous issue date: 2016-08-30application/pdfhttps://tede.ufrrj.br/retrieve/67522/2016%20-%20Tha%c3%ads%20Gouv%c3%aaa%20da%20Silva%20Santana.pdf.jpgporUniversidade Federal Rural do Rio de JaneiroPrograma de P?s-Gradua??o em PsicologiaUFRRJBrasilInstituto de Educa??oAmerican Psychiatric Association (1980) Manual diagn?stico e estat?stico de transtornos mentais. Porto Alegre: Artmed. American Psychiatric Association. (1987). Manual Diagn?stico e Estat?stico de Transtornos Mentais edi??o-3, a revis?o (DSM-III-R) . Washington, DC: American Psychiatric Press. American Psychiatric Association (1994). Manual diagn?stico e estat?stico de transtornos mentais: DSM-IV. Porto Alegre: Artes M?dicas American Psychiatric Association (APA) (2002). DSM-IV-TR: Manual de diagn?stico e estat?stica das perturba??es mentais (4? edi??o, texto revisto ). Lisboa: Clempsi Editores. American Psychiatric Association. (2010). DSM-5 Development. Recuperado em 21 de setembro, 2014, de http://www.dsm5.org/Pages/Default.aspx American Psychiatry Association. (2013). Diagnostic and Statistical Manual of Mental disorders: DSM-V. Washington, DC: APA. Amstadter, A. B., Nugent, N. R., & Koenen, K. C. (2009). Genetics of PTSD: fear conditioning as a model for future research. Psychiatric annals, 39(6), 358. Beck JG, Palyo SA, Canna MA, Blanchard EB, Gudmundsdottir B. What factors are associated with the maintenance of PTSD after a motor vehicle accident? The role of sex differences in a help-seeking population. J Behav Ther Exp Psychiatry. 2006 Sep;37(3):256-66. Bennett P, Williams Y, Page N, Hood K, Woolard M, Vetter N. Associations between organizational and incident factors and emotional distress in emergency ambulance personnel. Br J Clin Psychol 2005; 44: 215-26 Berger W, Coutinho ES, Figueira I, Marques-Portella C, Luz MP, Neylan TC, Marmar CR, Mendlowicz MV: Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Soc Psychiatry Psychiatr Epidemiol 2012, 47(6):1001-1011. PubMed Abstract Publisher Full Text. Berger, W., Figueira, I., Maurat, A. M., Bucassio, E. P., Vieira, I., Jardim, S. R., .... & Mendlowicz, M. V. (2007). Partial and Full PTSD in brazilian ambulance workers: prevalence and impact on health and quality of life. Journal of Traumatic Stress, 20, 637- 642. doi: 10.1002/jts.20242 Berger, W., Mendlowicz, M. V., Souza, W. F., & Figueira, I. (2004). Equival?ncia sem?ntica da vers?o em portugu?s da Post-Traumatic Stress Disorder Checklist-Civilian 68 Version (PCL-C) para rastreamento do transtorno de estresse p?s-traum?tico. Rev Psiquiatr Rio Gd Sul, 26(2), 167-75. Berlim, M. T., Perizzolo, J., & Fleck, M. P. D. A. (2003). Transtorno de estresse p?straum?tico e depress?o maior. Revista brasileira de psiquiatria= Brazilian journal of psychiatry. S?o Paulo, SP. Vol. 25, supl. 1 (jun. 2003), p. 51-54. Berninger, A., Webber, M. P., Cohen, H. W., Gustave, J., Lee, R., Niles, J. K., & Prezent, D. J. (2010a). Trends of elevated PTSD risk in firefighters exposed to the World Trade Center Disaster: 2001-2005. Public Health Reports, 125, 556-566. Bertolote, J. M., & Fleischmann, A. (2002). Suicide and psychiatric diagnosis: A worldwide perspective. World Psychiatry, 1, 181-185. Bezerra, A. E. P. (2012). Estresse e qualidade de vida no trabalho dos bombeiros militares de Campina Grande. Bovin MJ, Jager-Hyman S, Gold SD, Marx BP, Sloan DM. Tonic immobility mediates the influence ofperitraumatic fear and perceived inescapability on posttraumatic stress symptom severity among sexual assault survivors. J Trauma Stress. 2008 Aug;21(4):402- 9. Breslau N. et al. A second look at comorbidity in victims of trauma: the posttraumatic stress disorder major depression connection. Biological Psychiatry, v. 48, n. 9, p. 902-909, 2000. Breslau, N. (2009). The epidemiology of trauma, PTSD, and other post trauma disorders. Trauma, Violence, & Abuse. Breslau, N., Davis, G. C., Andreski, P., & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of general psychiatry, 48(3), 216-222. Breslau, N., Peterson, E. L., & Schultz, L. R. (2008). A second look at prior trauma and the posttraumatic stress disorder effects of subsequent trauma: a prospective epidemiological study. Archives of General Psychiatry, 65(4), 431-437. Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review 23, 339-376. Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in traumaexposed adults. Journal of Consulting and Clinical Psychology, 68, 748-766. Bryant, R. A., & Guthrie, R. M. (2005). Maladaptive Appraisals as a Risk Factor for Posttraumatic Stress A Study of Trainee Firefighters. Psychological Science, 16(10), 749- 752. Bryant, R. A., Sutherland, K., & Guthrie, R. M. (2007). Impaired specific autobiographical memory as a risk factor for posttraumatic stress after trauma. Journal of Abnormal Psychology, 116(4), 837. 69 Bryant, R. A., & Guthrie, R. M. (2007). Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 75(5), 812. Buckley, T. D., Blanchard, E. B., & Neill, W. T. (2000). Information processing and PTSD: A review of the empirical literature. Clinical Psychology Review, 28, 1041-1065. C?mara Filho, J. W. S., & Sougey, E. B. (2001). Transtorno de estresse p?s-traum?tico: formula??o diagn?stica e quest?es sobre comorbidade. Revista Brasileira de Psiquiatria, 23(4), 221-228. C?mara Filho, J. W. S., & Sougey, E. B. O. (2012). Transtorno de estresse p?s-traum?tico em policiais militares: um estudo prospectivo (Doctoral dissertation, Universidade Federal de Pernambuco). Canetti D, Galea S, Hall BJ, Johnson RJ, Palmieri PA, Hobfoll SE. Exposure to prolonged socio-political conflict and the risk of PTSD and depression among Palestinians. Psychiatry.2010 Fall;73(3):219-31. Carvalho, C. & Maia, A. (2009). Perturba??o P?s-Stress Traum?tico e indicadores de (in)adapta??o em bombeiros portugueses. In: A. Maia, S. Sisva & T. Pires, (Orgs.). Desafios da sa?de e comportamento: actores, contextos e problem?ticas (pp. 277- 290). Braga: CIPSI edi??es. Chen YS, Chen MC, Chou FHC, Sun FC, Chen PC, Tsai KY et al. The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Qual Life Res 2007;16: 1289-97. Corneil, W., Beaton, R. D., Murphy, S. A., Johnson, L. C., & Pike, K. (1999). Exposure to traumatic incidents and prevalence of posttraumatic stress symptomatology in urban fire fighters in two countries. Journal of Occupational Health Psychology, 4, 131-141. Coronas R, Garcia-Pares G, Viladrich C, Santos JM, Menchon JM. Clinical and sociodemographic variables associated with the onset of posttraumatic stress disorder in road traffic accidents. Depress Anxiety. 2008;25(5):E16-23. Corpo de Bombeiros Militar do Estado do Rio de Janeiro: Manual B?sico de Bombeiro Militar, vol 1, 1? Ed. Revisado e Atualizado ? Rio de Janeiro ? 2014, DEGEI. Corrigan, M., McWilliams, R., Kelly, K. J., Niles, J.; Commarata, C., Jones, K., Prezant, D. J. (2009). A computerized, self-administered questionnaire to evaluate posttraumatic stress among firefighters after the World Trade Center collapse. American Journal of Public Health, 99(3), S702-9. doi:10.2105/AJPH.2008.151605 Creamer, M., Burgess, P., & McFarlane, A. C. (2001). Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being. Psychological medicine, 31(07), 1237-1247. Cruz, R. M. Sa?de, Trabalho e Psicopatologias. In: B. W. Aued (org.).Tra?os do Trabalho Coletivo.S?o Paulo: Casa do Psic?logo, 2005,pp.201-235. 70 Czarnocka J, Slade P. Prevalence and predictors of post-traumatic stress symptoms following childbirth. Br J Clin Psychol. 2000 Mar;39 ( Pt 1):35-51 Davis RC, Brickman E, Baker T. Supportive and unsupportive responses of others to rape victims: effects on concurrent victim adjustment. Am J Community Psychol. 1991 Jun;19(3):443-51. De Paula Lima, E. (2013). Transtorno de estresse p?s-traum?tico (TEPT) em bombeiros de Belo Horizonte. Decreto Estadual n? 41308 de 15 de maio de 2008 Dejours, C.; Abdoucheli, E; Jayet, C. Psicodin?mica do Trabalho:Contribui??es da Escola Dejouriana ? An?lise da Rela??o Prazer, Sofrimento e Trabalho. S?o Paulo: Atlas, 1994. Dejours, C. (1988). A Loucura do Trabalho: um Estudo da Psicopatologia do Trabalho. 3a ed. S?o Paulo: Cortez ? Obor?, 1?ed.,1949. Del Ben, K. S., Scotti, J. R., Chen, Y. C., & Fortson, B.L. (2006) Prevalence of Posttraumatic Stress Disorder symptoms in firefighters. Work & Stress, 20, 37-48. doi: 10.1080/02678370600679512 Delahanty DL, Raimonde AJ, Spoonster E,Cullado M. Injury severity, prior trauma history, urinary cortisol levels, and acute PTSD in motor vehicle accident victims. J Anxiety Disord. 2003;17(2):149-64. Deslandes, S. F. (2002). Fr?geis deuses: profissionais da emerg?ncia entre os danos da viol?ncia e a recria??o da vida. In Cole?Ao antropologia e sa?de(Vol. 8). Fiocruz. Duke, L. M., & Vasterlig, J. J. (2005). Epidemiological and methodological issues in neuropsychological research on PTSD. In J. J. Vasterling, & C. B. Brewin (Eds.), Neuropsychology of PTSD: Biological, Cognitive and Clinical Perspectives (pp. 3-24). New York: Guilford Press Dupont, H.J.S. Composi??o m?nima para guarni??es operacionais do Corpo de Bombeiro Militar do estado de Santa Catarina. Trabalho de conclus?o de curso (Especializa??o em Seguran?a P?blica). Universidade do Vale do Itajai ? UNIVALI. Itaja?, Santa Catarina, 2007. Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319-345 Eugene F, Levesque J, Mensour B, Leroux JM, Beaudoin G, Bourgouin P, et al. The impact of individual differences on the neural circuitry underlying sadness. Neuroimage. 2003;19(2 Pt 1):354-64. Farnsworth, J.K. & Sewell, K.W. (2011) Fear of Emotion as a Moderator Between PTSD and Fire fighter Social Interactions. Journal of Traumatic Stress, 24(4), 444-450. Figueira I, Mendlowicz M. Diagn?stico do transtorno de estresse p?s-traum?tico. Rev Bras Psiquiatr. 2003;25(Suppl 1):12-6. 71 Felippe, A. M. (2014). Transtorno de estresse p?s-traum?tico (TEPT) em mulheres v?timas de viol?ncia praticada por parceiro ?ntimo. Follette, V., Palm, K. M., & Pearson, A. N. (2006). Mindfulness and trauma: Implications for treatment. Journal of rational-emotive and cognitive-behavior therapy, 24(1), 45-61. Forsyth J.P., Marx B., Fus?, T.M.K., Heidt, J., Gallup, G.G. 2000. The Tonic Immobility Scale. Albany, NY: Authors. Fullerton, C., Ursano, R., & Wang, L. (2004). Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. The American Journal of Psychiatry, 161 (8), 1370-1376. Giacomoni, C. H. e Hutz, C. S. (1997). A mensura??o do bem-estar subjetivo: escala de afeto positivo e negativo e escala de satisfa??o de vida [Resumos]. Em Sociedade Interamericana de Psicologia (Org.), Anais XXVI Congresso Interamericano de Psicologia (p. 313). S?o Paulo, SP: SIP. Ginzburg K.; Ein-Dor T.; Solomon Z. Comorbidity of posttraumatic stress disorder, anxiety and depression: A 20-year longitudinal study of war veterans. Journal of Affective Disorders, v. 123, p. 249-257, 2010. Green, J. G., McLaughlin, K. A., Berglund, p. A., Gruber, M. J., Sampsom, N. A., Zaslavsky, A. M., et al. (2010). Childhood adversities and adult psychopathology in the National Comorbidity Survey Replication (NCS-R) I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67, 113-123. Haddad N. Metodologia de estudos em ci?ncias da sa?de. 1st ed. Sao Paulo: Roca; 2004. Haden, S. C., Scarpa, A., Jones, R. T., & Ollendick, T. H. (2007). Posttraumatic stress disorder symptoms and injury: The moderating role of perceived social support and coping for young adults. Personality and Individual Differences, 42(7), 1187-1198. Hagh-Shenas, H., Goodarzi, M. A., Dehbozorgi, G., & Farashbandi, H. (2005). Psychological consequences of the Bam Earthquake on professional and nonprofessional helpers. Journal of Traumatic Stress, 18, 477-483. doi: 10.1002/jts.20055 Hatanaka M, Matsui Y, Maruyama S, et al:Traum?tic stress in Japanesefirefighters [in Japanese, English abstract.] Traumatic stress, 2004; 2:67-75. Heinrichs, M., WWagner, D., Schoch, W., Soraiva, L. M., Hellhanner, D. HH., & Ehlert, U. (2005). Predicting Posttraumatic Stress Symptoms From Pretraumatic Risk Factors: A 2 ? Yyear Prospective Follow-Up Study in Firefigters.American Journal of Psychiatry, 162, 2276-2286. Huizink AC, Slottje P, Witteveen AB, Bijlsma JA, Twisk JWR, Smidt N et al. Long term health complains following the Amsterdam Air Disaster in police officers and firefighters. Occup Environ Med 2006; 63: 657-62. Ikin J. F. et al. Comorbidity and depression in Korean war veterans: prevalence, predictors, and impairment. Journal of Affective Disorders, v. 125, n. 1-3, p. 279-286, 2010 72 Imanaka, A., Morinobu, S., Toki, S., & Yamawaki, S. (2006). Importance of early environment in the development of post-traumatic stress disorder-like behaviors. Behavioural brain research, 173(1), 129-137. Inslicht SS, McCaslin SE, Metzler TJ, Henn-Haase C, Hart SL, Maguen S, et al. Family psychiatric history, peritraumatic reactivity, and posttraumatic stress symptoms: a prospective studyof police. J Psychiatr Res. 2010 Jan;44(1):22-31 Jakupcak M, Cook J, Mcfall M. Posttraumatic Stress Disorder as a Risk Factor for Suicidal Ideation in Iraq and Afghanistan War Veterans. 2009;22(4):303?306. doi:10.1002/jts. Jonsson, A., & Segesten, K. (2004). Guilt, shame and need for a container: a study of posttraumatic stress among ambulance personnel. Accident and Emergency Nursing, 12 (4), 215-223. Katz S, Nevid JS. Risk factors associated with posttraumatic stress disorder symptomatology in HIV-infected women. AIDS Patient Care STDS. 2005 Feb;19(2):110- 20. Keane, T. M., Marshall, A. D., & Taft, C. T. (2006). Posttraumatic stress disorder: etiology, epidemiology, and treatment outcome. Annu. Rev. Clin. Psychol., 2, 161-197. Kessler RC, Borges BW, Walters EE. Prevalence and risk factors of lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry 1999;56:617-26. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey.Archives of general psychiatry, 52(12), 1048-1060. Koenen K. C. et al. The developmental mental-disorder histories of adults with posttraumatic stress disorder: a prospective longitudinal birth cohort study. Journal of Abnormal Psychology, v. 17, n. 2, p. 460-466, 2008. Kremen, W. S., Koenen, K. C., Boake, C., Purcell, S., Eisen, S. A., Franz, C. E., et al. (2007). Pretrauma cognitive ability and risk for posttraumatic stress disorder: A twin study. Archives of General Psychiatry, 64, 361-368 Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann, 32(9), 1-7. Kun, P., Han, S., Chen, X., & Yao, L. (2009). Prevalence and risk factors for posttraumatic stress disorder: a cross?sectional study among survivors of theWenchuan 2008 earthquake in China. Depression and anxiety, 26(12), 1134-1140. Lanius, R.A.; Hopper, J.W.; Menon, R.S. Individual differences in a husband and wife who developed PTSD after a motor vehicle accident: a functional MRI case study. Am J Psychiatry 160:667-669, 2003. Leite-Panissi, C. R. A., Coimbra, N. C., & Menescal-de-Oliveira, L. (2003). The cholinergic stimulation of the central amygdala modifying the tonic immobility response 73 and antinociception in guinea pigs depends on the ventrolateral periaqueductal gray. Brain Research Bulletin, 60(1), 167-178. Lemaire CM, Graham DP. Factors associated with suicidal ideation in OEF/OIF veterans. J Affect Disord. 2011;130(1-2):231?238.doi:10.1016/j.jad.2010.10.021. Lima, A., Fiszam A., Marques-Portella, C., Mendlowicz, M.V., Coutinho, E., Maia, D., Berger, W., Rocha-Rego, V., Volchan, E., Mari, J.J., Figueira, I. 2010. The impact of tonic immobility reaction on the prognosis of posttraumatic stress disorder. Journal of Psychiatric Research, 44(4):224-228. Lima, E. P., Assun??o, A. A. Preval?ncia e fatores associados ao Transtorno de Estresse P?s-Traum?tico (TEPT) em profissionais de emerg?ncia: uma revis?o sistem?tica da literatura. Revista Brasileira de Epidemiologia, v. 14, n. 2, p. 217-230, 2011. Lima, E. D. P., Assun??o, A. ?., & Barreto, S. M. (2015). Prevalence of depression among firefighters. Cadernos de Sa?de P?blica, 31(4), 733-743. Lopes C, Faerstein E, Chor D, Werneck G. 2008. Higher Risk of Common Mental Disorders After Experiencing Physical Violence in Rio De Janeiro, Brazil: the Pr?Sa?de Study. International Journal of Social Psychiatry.54; 112-117. Maercker, A., Beauducel, A., & Sch?tzwohl, M. (2000). Trauma severity and initial reactions as precipitating factors for posttraumatic stress symptoms and chronic dissociation in former political prisoners. Journal of Traumatic Stress, 13, 651-660. Maia, A. &, Fernandes, E. (2003). Quest?es de avalia??o da resposta ao trauma e PTSD. In M.G. Pereira, & M. Ferreira (Eds.), Stress Traum?tico. Lisboa: Climepsi Editores. Maia, A., & Ribeiro, E. (2010). The psychological impact of motor vehicle accidents on emergency service workers. European Journal of Emergency Medicine, 17 (5), 296-301. Maia, A., Moreira, S., & Fernandes, E. (2008). Adapta??o para a l?ngua portuguesa do Question?rio de Experi?ncias Dissociativas Peritraum?ticas (QEDP) numa amostra de bombeiros.Revista de Psiquiatria Cl?nica, 36 (1): 1-9. Maia, ?. (2007). Factores preditores de PTSD e crit?rios de selec??o em profissionais de actua??o na crise. Marcelino, D., & Figueiras, MJ. (2007). A perturba??o p?s-stress traum?tico nos socorristas de emerg?ncia pr?-hospitalar: Influ?ncia do sentido interno de coer?ncia e da personalidade. Psicologia, Sa?de & Doen?a, 8 (1), 95-106. Marcelino, D., Figueiras, M. J., & Claudino, A. (2012). Impacto da exposi??o a incidentes cr?ticos na sa?de e bem-estar psicol?gicos dos tripulantes de ambul?ncia. Psicologia, Sa?de & Doen?as, 13(1), 110-116. Margis, R. (2003) Comorbidade no transtorno de estresse p?s-traum?tico: Regra ou exce??o? Revista Brasileira de Psiquiatria, 25, 17-20. 74 Marmar CR, Weiss DS, Metzler TJ, Delucchi K. Characteristics of emergency services personnel related to peritraumatic dissociation during critical incident exposure. Am J Psychiatry. 1996, 153(7 Suppl):94-102. Marmar, C. R., Weiss, D. S., & Metzler, T. J. (1997). The peritraumatic dissociative experiences questionnaire. McNally, R. J. (2003). Progress and controversy in the study of posttraumatic stress disorder. Annual review of psychology, 54(1), 229-252. Meuer E. C. et al. Predictors of Posttraumatic Stress Disorder and Other Psychological Symptoms in Trauma-Exposed Firefighters. Psychological Services, v. 9, n. 1, p. 1-15, 2012fcv Milet, Nathalia de Carvalho. Sintomas de estresse p?s-traum?tico em bombeiros militares em Pernambuco: um estudo descritivo e sociodemogr?fico. Recife:2010.Disserta??o (mestrado) ? Universidade Federal de Pernambuco. CCS. Neuropsiquiatria e Ci?ncias do Comportamento. Milet, N. C., & Sougey, E. B. (2010). Preval?ncia de Transtorno de Estresse P?straum?tico em equipe do Salvamento Mar?timo do Corpo de Bombeiros Militares em Pernambuco e breve estudo sociodemogr?fico. Neurobiologia, 73(2), 89-95. Mitani, S. (2008). Comparative analysis of the Japanese Version of the Revised Impact of Event Scale: a study of firefighters. Prehospital and Disaster Medicine, 23, 20-26. Miyatake T, Katayama K, Takeda Y, Nakashima A, Sugita A, Mizumoto M. 2004. Is Death Feigning Adaptive? Heritable variation in fitness differences of death-feigning behaviour. Proc. R. Soc. Lond. B,271, 2293?2296. Monassi CR, Leite-Panissi CR, Menescal-de-OliveiraL. 1999. Ventrolateral periaqueductal gray matter and the control of tonic immobility. Brain Res. Bull. 50, 201?208. Monteiro, J.K.; Maus, D.; Machado, F.R.; Pesenti, C.; et al. Bombeiros: Um Olhar Sobre a Qualidade de Vida no Trabalho. Psicologia Ci?ncia e Profiss?o, v.27, n.3, p.554 -565, 2007. Monteiro, J. K., Abs, D., Labres, I. D., Maus, D., & Pioner, T. (2013). Firefighters: psychopathology and working conditions. Estudos de Psicologia (Campinas), 30(3), 437- 444. Moura, G. D. O. (2013). Indicadores de transtornos de estresse p?s-traum?tico em bombeiros militares. Nonnenmacher, D., Schaefer, L.S., Pioner, T. & Rigoli, M. M. (2006). Sintomatologia P?s Traum?tica em Bombeiros: Resultados preliminares. Universidade Cat?lica do Rio Grande do Sul. Rio Grande do Sul. North, C. S., Tivis, L., McMillen, J. C., Pfefferbaum, B., Cox, J., Spitznagel, E. L., ... ?& Smith, E. M. (2002). Coping, functioning, and adjustment of rescue workers after the Oklahoma City bombing. Journal of traumatic stress, 15(3), 171-175.?Donnell, M. L., 75 Creamer, M., Elliott, P., Bryant, R., McFarlane, A., & Silove, D. (2009). Prior trauma and psychiatric history as risk factors for intentional and unintentional injury in Australia. The Journal of Trauma, Injury, Infection, and Critical Care, 66, 470-476. Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychological Bulletin, 129,52- 73. Pereira MG, Monteiro-Ferreira J. Stress Traum?tico - Aspectos te?ricos e interven??o. Primeira E. Lisboa: CLIMEPSI Editores; 2003. Perrin, M.A., DiGrande, L., Wheeler, K., Thorpe, L., ?, Brackbill, R. (2007) Differences in PTSD Prevalence and Associate Risk Factors Among World Trade Center Disaster Rescue and Recovery Workers. American Journal of Psychiatry, 164: 1385-94. Reichenheim, M., Souza, W., Coutinho, E. S. F., Figueira, I., Quintana, M. I., de Mello, M. F., ... & Andreoli, S. B. (2014). Structural Validity of the Tonic Immobility Scale in a Population Exposed to Trauma: Evidence from Two Large Brazilian Samples. PloS one, 9(4), e94367. Rocha-Rego, V., Fiszman, A., Portugal, L. C., Pereira, M. G., de Oliveira, L., Mendlowicz, M. V., ... & Volchan, E. (2009). Is tonic immobility the core sign among conventional peritraumatic signs and symptoms listed for PTSD?.Journal of Affective Disorders, 115(1), 269-273. Sales, M. P., & Inocente, N. J. (2011). Estresse P?s-Traum?tico: Um Estudo Explorat?rio. Universidade de Taubat?. S?o Paulo. Santos, BFTavares, TN Munhoz, LS Almeida, NT Silva, BD Tams,AM Patella,A. Matijasevich. A sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre os adultos da popula??o geral Cad. Saude Publica, 29 (2013), pp. 1533-1543. Sbardelloto, G., Schaefer, L.S., Justo, A.R. & Kristensen, C.H. (2011) Transtorno de Estresse P?s-Traum?tico: evolu??o dos crit?rios diagn?sticos e preval?ncia. Psico - USF, 16(1), 67-73. Schaefer, L. S., Lobo, B. D. O. M., & Kristensen, C. H. (2012). Rea??es p?s-traum?ticas em adultos: como, por que e quais aspectos avaliar?. Temas em Psicologia, 20(2), 459- 478. Schestatsky S, et al. A evolu??o hist?rica do conceito de estresse p?s traum?tico. Rev Bras Psiquiatr 2003;25(supl.1):8-11 Schestatsky, S., Shansis, F., Ceitlin, L. H., Abreu, P. B., & Hauck, S. (2003). A evolu??o hist?rica do conceito de estresse p?s-traum?tico Historical evolution of the concept of posttraumatic stress disorder. Rev Bras Psiquiatr, 25(Supl I), 8-11. Schnurr, P. P. Friedman , M. J. Bernardy , N. C. (2002). Research on Posttraumatic Stress Disorder: Epidemiology, pathology, and assessment. Psychotherapy in Practice, 58, 877- 889. 76 Serra, A. V. (2003). O Dist?rbio de Stress P?s-Traum?tico (1? ed.). Linda-a-Velha: Vale & Vale Editores. Shalev, A. Y., Peri, T., Canetti, L., & Schreiber, S. (1996). Predictors of PTSD in injured trauma survivors: A prospective study. The American Journal of Psychiatry, 153, 219-226. Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: building a new framework for health promotion and disease prevention. Jama, 301(21), 2252-2259. Silveira, Marise Fagundes et al. Propriedades psicom?tricas do instrumento de avalia??o da qualidade de vida: 12-item health survey (SF-12). Ci?nc. sa?de coletiva [online]. 2013, vol.18, n.7, pp. 1923-1931. ISSN 1413-8123. http://dx.doi.org/10.1590/S1413- 8123201300070000 Slottje P, Witteveen AB, Twisk JWR, Smidt N, Huizink,AC, Mechelen W et al. Postdisaster physical symptoms of firefighters and police officers: role of types of exposure and Posttraumatic stress symptons. Br J Health Psychol 2008; 13: 327-42. Souza, W. F., Sintomas de Estresse P?s-Traum?tico em Militares Brasileiros em Miss?o de Paz no Haiti. ; Disserta??o submetida como parte dos requisitos necess?rios para a obten??o de Grau de Mestre em Ci?ncias. Escola Nacional de Sa?de P?blica. Rio de Janeiro.2007. SOUZA, W. F. Estudo Prospectivo do Impacto da Viol?ncia na Sa?de Mental das Tropas de Paz Brasileiras no Haiti. Rio de Janeiro, 2011. Tese (Doutorado em Sa?de P?blica) ? Escola Nacional de Sa?de P?blica (ENSP/Fiocruz) Stein, M., Jang, K., Taylor, S., Vernon, P., & Livesley, J. (2002). Genetic and environmental influences on trauma exposure and posttraumatic stress disorder symptoms: A twin study. American Journal of Psychiatry, 159, 1675-1681. Stellman, J. M., Smith, R. P., Katz, C. L., Sharma, V., Charney, D. S., Herbert, R., ... & Harrison, D. (2008). Enduring mental health morbidity and social function impairment in world trade center rescue, recovery, and cleanup workers: the psychological dimension of an environmental health disaster. Environmental health perspectives, 116(9), 1248. Sterud, T., Ekeberg, ?., & Hem, E. (2006). Health status in the ambulance services: a systematic review. BMC Health Services Research, 6(1), 82. Su CY, Tsai KY, Chou FH, Ho WW, Liu R, Lin WK. A three-year follow-up study of the psychosocial predictors of delayed and unresolved post-traumatic stress disorder in Taiwan Chi-Chi earthquake survivors. Psychiatry Clin Neurosci. 2010 Jun;64(3):239-48. Taylor, S. (2006). Clinician's guide to PTSD: A cognitive-behavioral approach. Guilford Press. Tolin DF, Foa EB. Sex differences intrauma and posttraumaticstress disorder: a quantitative review of 25 years of research. Psychol Bull. 2006 Nov;132(6):959-92. Van Der Velden P. G., Kleber R. J., Grievink l., Yzermans J. C. Confrontations with aggression and mental health problems in police officers: the role of 77 organizational stressors, life-events and previous mental health problems. Psychological Trauma (DNLM), v. 2, n. 2, p. 135-44, 2010. Van der Ploeg, E., & Kleber R. (2003). Acute and chronic job stressors among ambulance personnel: predictors of health symptoms. Occupational and Environmental Medicine, 60 (supp I), i40-i46. Vianna, A. M. (2008), Tra?os de personalidade e fatores de resili?ncia relacionados ao desenvolvimento de transtorno de estresse p?s-traum?tico subcl?nico em policiais militares (Disserta??o de mestrado Faculdades de Ci?ncias Medicas da Santa Casa de S?o Paulo, S?o Paulo). Ware JE, Kosinski M, Keller SD. SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales. 2nd Edition. Boston: The Health Institute, New England Medical Center; 1995. Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology, 54(6), 1063. Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993, October). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. In Annual Convention of the International Society for Traumatic Stress Studies. San Antonio: International Society for Traumatic Stress Studies. Wittmann L. et al. Comorbidity in posttraumatic stress disorder: a structural equation modelling approach. Comprehensive Psychiatry, v. 49, p. 430-440, 2008. Witteveen AB, Bramsen I, Twisk JWR, Huizink AC, Slottje P, Smid T et al. Psychological Distress of Rescue Workers Eight and One-Half Years After Professional Involvement in the Amsterdam Air Disaster. J Nerv Ment Dis 2007; 195: 31-40. Zhen, Y., Huang, Z., Jin, J., Deng, X., Zhang, L., & Wang, J. (2012). Posttraumatic Stress Disordeer of red cross nurses in the aftermath of 2008 Wenchuan China Earthquake. Archives of Psychiatric Nursing, 26, 63-70. doi: 10.1016/j.apnu.2011.02.004.BombeirosTranstorno de estresse p?s-traum?ticoSa?de no trabalhoFireStress Disorder PosttraumaticHealth at workPsicologiaPreval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De JaneiroStress disord prevalence of post traumatic and associated factors in military firefighters from Rio De Janeiroinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFRRJinstname:Universidade Federal Rural do Rio de Janeiro (UFRRJ)instacron:UFRRJTHUMBNAIL2016 - Tha?s Gouv?a da Silva Santana.pdf.jpg2016 - Tha?s Gouv?a da Silva Santana.pdf.jpgimage/jpeg1943http://localhost:8080/tede/bitstream/jspui/5232/4/2016+-+Tha%C3%ADs+Gouv%C3%AAa+da+Silva+Santana.pdf.jpgcc73c4c239a4c332d642ba1e7c7a9fb2MD54TEXT2016 - Tha?s Gouv?a da Silva Santana.pdf.txt2016 - Tha?s Gouv?a da Silva Santana.pdf.txttext/plain162843http://localhost:8080/tede/bitstream/jspui/5232/3/2016+-+Tha%C3%ADs+Gouv%C3%AAa+da+Silva+Santana.pdf.txt7150d8729e29a637b1f6c9ad2665e3b6MD53ORIGINAL2016 - Tha?s Gouv?a da Silva Santana.pdf2016 - Tha?s Gouv?a da Silva Santana.pdfapplication/pdf1270562http://localhost:8080/tede/bitstream/jspui/5232/2/2016+-+Tha%C3%ADs+Gouv%C3%AAa+da+Silva+Santana.pdf888ed242c48553f345eb556e1bc36ccfMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://localhost:8080/tede/bitstream/jspui/5232/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51jspui/52322021-11-13 02:00:18.26oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttps://tede.ufrrj.br/PUBhttps://tede.ufrrj.br/oai/requestbibliot@ufrrj.br||bibliot@ufrrj.bropendoar:2021-11-13T04:00:18Biblioteca Digital de Teses e Dissertações da UFRRJ - Universidade Federal Rural do Rio de Janeiro (UFRRJ)false
dc.title.por.fl_str_mv Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro
dc.title.alternative.eng.fl_str_mv Stress disord prevalence of post traumatic and associated factors in military firefighters from Rio De Janeiro
title Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro
spellingShingle Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro
Santana, Thais Gouvea da Silva
Bombeiros
Transtorno de estresse p?s-traum?tico
Sa?de no trabalho
Fire
Stress Disorder Posttraumatic
Health at work
Psicologia
title_short Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro
title_full Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro
title_fullStr Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro
title_full_unstemmed Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro
title_sort Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio De Janeiro
author Santana, Thais Gouvea da Silva
author_facet Santana, Thais Gouvea da Silva
author_role author
dc.contributor.advisor1.fl_str_mv Souza, Wanderson Fernandes de
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/7822122440477341
dc.contributor.referee1.fl_str_mv Souza, Wanderson Fernandes de
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/7822122440477341
dc.contributor.referee2.fl_str_mv Souza, Marcos Aguiar de
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/8330562093476420
dc.contributor.referee3.fl_str_mv Souza, Israel
dc.contributor.referee3ID.fl_str_mv https://orcid.org/0000-0003-4751-2110
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/7565108541051930
dc.contributor.authorID.fl_str_mv 087.502.127-10
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/8126438460149435
dc.contributor.author.fl_str_mv Santana, Thais Gouvea da Silva
contributor_str_mv Souza, Wanderson Fernandes de
Souza, Wanderson Fernandes de
Souza, Marcos Aguiar de
Souza, Israel
dc.subject.por.fl_str_mv Bombeiros
Transtorno de estresse p?s-traum?tico
Sa?de no trabalho
topic Bombeiros
Transtorno de estresse p?s-traum?tico
Sa?de no trabalho
Fire
Stress Disorder Posttraumatic
Health at work
Psicologia
dc.subject.eng.fl_str_mv Fire
Stress Disorder Posttraumatic
Health at work
dc.subject.cnpq.fl_str_mv Psicologia
description The emergency professionals remain constantly vulnerable to situations that produce high levels of stress. These occupational stressors corroborate the development of psychological distress. Among the mental disorders associated with occupational stressors highlight the Posttraumatic Stress Disorder (PTSD), which is a mental disorder resulting from exposure to threatening situations experienced by the individual or only witnessed by this. The proposal of that research was to study the presence of symptoms of post-traumatic stress disorder and associated factors in military firefighters of the State of Rio de Janeiro. Thus, a cross-sectional study was conducted using a quantitative analysis, which were applied 194 questionnaires and scales in assets Firefighters working in the West Zone of Rio de Janeiro. Participants volunteered for answering questions related to socio-demographic data, through the questionnaire of General Data, and were assessed about suicidal thoughts and attempt, consequences to traumatic events through the PCL- C, assessment of quality of life and subjective well-being, using the Positive Affect and Negative Affect Scale - PANAS, trauma paralysis and freezing using Tonic Immobility Scale - TIS6, the Peritraumatic Dissociatuve Experience Questionnaire - PDEQ, which evaluates the presence of dissociative experiences that can happen during traumatic situations, the SF12 scale that evaluates the perception of quality of life considering health aspects of individual and PHQ9 to identify symptoms for the episode of major depression. Data were analyzed using the SPSS program. According to the results of the investigation, it was found that 75% of the sample were male, mean age 36 years (Median= 36.88). The majority were married (75%) and had children (76%). More than half of the sample had an average educational level (38%) or higher (34%) and has worked in the institution (50%) between 6 and 10 years. The prevalence of Post Traumatic Stress Disorder obtained in this study was 21%, and women were twice more affected than men. The results also showed a significant correlation between PTSD and negative affects, peritraumatic dissociation, tonic immobility, depression and symptoms of TMC, corroborating the literature. It is worth mentioning the importance of further studies in order to confirm and more accurate results, and longitudinal studies that track the trajectory of these military, contributing to the improvement and expansion of mental health services in the firefighters institutions.
publishDate 2016
dc.date.issued.fl_str_mv 2016-08-30
dc.date.accessioned.fl_str_mv 2021-11-12T12:52:29Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv SANTANA, Thais Gouvea da Silva. Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio de Janeiro. 2016. 86 f. Disserta??o (Mestrado em Psicologia) - Instituto de Educa??o, Universidade Federal Rural do Rio de Janeiro, Serop?dica, 2016.
dc.identifier.uri.fl_str_mv https://tede.ufrrj.br/jspui/handle/jspui/5232
identifier_str_mv SANTANA, Thais Gouvea da Silva. Preval?ncia de transtorno de estresse p?s traum?tico e fatores associados em bombeiros militares do Rio de Janeiro. 2016. 86 f. Disserta??o (Mestrado em Psicologia) - Instituto de Educa??o, Universidade Federal Rural do Rio de Janeiro, Serop?dica, 2016.
url https://tede.ufrrj.br/jspui/handle/jspui/5232
dc.language.iso.fl_str_mv por
language por
dc.relation.references.por.fl_str_mv American Psychiatric Association (1980) Manual diagn?stico e estat?stico de transtornos mentais. Porto Alegre: Artmed. American Psychiatric Association. (1987). Manual Diagn?stico e Estat?stico de Transtornos Mentais edi??o-3, a revis?o (DSM-III-R) . Washington, DC: American Psychiatric Press. American Psychiatric Association (1994). Manual diagn?stico e estat?stico de transtornos mentais: DSM-IV. Porto Alegre: Artes M?dicas American Psychiatric Association (APA) (2002). DSM-IV-TR: Manual de diagn?stico e estat?stica das perturba??es mentais (4? edi??o, texto revisto ). Lisboa: Clempsi Editores. American Psychiatric Association. (2010). DSM-5 Development. Recuperado em 21 de setembro, 2014, de http://www.dsm5.org/Pages/Default.aspx American Psychiatry Association. (2013). Diagnostic and Statistical Manual of Mental disorders: DSM-V. Washington, DC: APA. Amstadter, A. B., Nugent, N. R., & Koenen, K. C. (2009). Genetics of PTSD: fear conditioning as a model for future research. Psychiatric annals, 39(6), 358. Beck JG, Palyo SA, Canna MA, Blanchard EB, Gudmundsdottir B. What factors are associated with the maintenance of PTSD after a motor vehicle accident? The role of sex differences in a help-seeking population. J Behav Ther Exp Psychiatry. 2006 Sep;37(3):256-66. Bennett P, Williams Y, Page N, Hood K, Woolard M, Vetter N. Associations between organizational and incident factors and emotional distress in emergency ambulance personnel. Br J Clin Psychol 2005; 44: 215-26 Berger W, Coutinho ES, Figueira I, Marques-Portella C, Luz MP, Neylan TC, Marmar CR, Mendlowicz MV: Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Soc Psychiatry Psychiatr Epidemiol 2012, 47(6):1001-1011. PubMed Abstract Publisher Full Text. Berger, W., Figueira, I., Maurat, A. M., Bucassio, E. P., Vieira, I., Jardim, S. R., .... & Mendlowicz, M. V. (2007). Partial and Full PTSD in brazilian ambulance workers: prevalence and impact on health and quality of life. Journal of Traumatic Stress, 20, 637- 642. doi: 10.1002/jts.20242 Berger, W., Mendlowicz, M. V., Souza, W. F., & Figueira, I. (2004). Equival?ncia sem?ntica da vers?o em portugu?s da Post-Traumatic Stress Disorder Checklist-Civilian 68 Version (PCL-C) para rastreamento do transtorno de estresse p?s-traum?tico. Rev Psiquiatr Rio Gd Sul, 26(2), 167-75. Berlim, M. T., Perizzolo, J., & Fleck, M. P. D. A. (2003). Transtorno de estresse p?straum?tico e depress?o maior. Revista brasileira de psiquiatria= Brazilian journal of psychiatry. S?o Paulo, SP. Vol. 25, supl. 1 (jun. 2003), p. 51-54. Berninger, A., Webber, M. P., Cohen, H. W., Gustave, J., Lee, R., Niles, J. K., & Prezent, D. J. (2010a). Trends of elevated PTSD risk in firefighters exposed to the World Trade Center Disaster: 2001-2005. Public Health Reports, 125, 556-566. Bertolote, J. M., & Fleischmann, A. (2002). Suicide and psychiatric diagnosis: A worldwide perspective. World Psychiatry, 1, 181-185. Bezerra, A. E. P. (2012). Estresse e qualidade de vida no trabalho dos bombeiros militares de Campina Grande. Bovin MJ, Jager-Hyman S, Gold SD, Marx BP, Sloan DM. Tonic immobility mediates the influence ofperitraumatic fear and perceived inescapability on posttraumatic stress symptom severity among sexual assault survivors. J Trauma Stress. 2008 Aug;21(4):402- 9. Breslau N. et al. A second look at comorbidity in victims of trauma: the posttraumatic stress disorder major depression connection. Biological Psychiatry, v. 48, n. 9, p. 902-909, 2000. Breslau, N. (2009). The epidemiology of trauma, PTSD, and other post trauma disorders. Trauma, Violence, & Abuse. Breslau, N., Davis, G. C., Andreski, P., & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of general psychiatry, 48(3), 216-222. Breslau, N., Peterson, E. L., & Schultz, L. R. (2008). A second look at prior trauma and the posttraumatic stress disorder effects of subsequent trauma: a prospective epidemiological study. Archives of General Psychiatry, 65(4), 431-437. Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review 23, 339-376. Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in traumaexposed adults. Journal of Consulting and Clinical Psychology, 68, 748-766. Bryant, R. A., & Guthrie, R. M. (2005). Maladaptive Appraisals as a Risk Factor for Posttraumatic Stress A Study of Trainee Firefighters. Psychological Science, 16(10), 749- 752. Bryant, R. A., Sutherland, K., & Guthrie, R. M. (2007). Impaired specific autobiographical memory as a risk factor for posttraumatic stress after trauma. Journal of Abnormal Psychology, 116(4), 837. 69 Bryant, R. A., & Guthrie, R. M. (2007). Maladaptive self-appraisals before trauma exposure predict posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 75(5), 812. Buckley, T. D., Blanchard, E. B., & Neill, W. T. (2000). Information processing and PTSD: A review of the empirical literature. Clinical Psychology Review, 28, 1041-1065. C?mara Filho, J. W. S., & Sougey, E. B. (2001). Transtorno de estresse p?s-traum?tico: formula??o diagn?stica e quest?es sobre comorbidade. Revista Brasileira de Psiquiatria, 23(4), 221-228. C?mara Filho, J. W. S., & Sougey, E. B. O. (2012). Transtorno de estresse p?s-traum?tico em policiais militares: um estudo prospectivo (Doctoral dissertation, Universidade Federal de Pernambuco). Canetti D, Galea S, Hall BJ, Johnson RJ, Palmieri PA, Hobfoll SE. Exposure to prolonged socio-political conflict and the risk of PTSD and depression among Palestinians. Psychiatry.2010 Fall;73(3):219-31. Carvalho, C. & Maia, A. (2009). Perturba??o P?s-Stress Traum?tico e indicadores de (in)adapta??o em bombeiros portugueses. In: A. Maia, S. Sisva & T. Pires, (Orgs.). Desafios da sa?de e comportamento: actores, contextos e problem?ticas (pp. 277- 290). Braga: CIPSI edi??es. Chen YS, Chen MC, Chou FHC, Sun FC, Chen PC, Tsai KY et al. The relationship between quality of life and posttraumatic stress disorder or major depression for firefighters in Kaohsiung, Taiwan. Qual Life Res 2007;16: 1289-97. Corneil, W., Beaton, R. D., Murphy, S. A., Johnson, L. C., & Pike, K. (1999). Exposure to traumatic incidents and prevalence of posttraumatic stress symptomatology in urban fire fighters in two countries. Journal of Occupational Health Psychology, 4, 131-141. Coronas R, Garcia-Pares G, Viladrich C, Santos JM, Menchon JM. Clinical and sociodemographic variables associated with the onset of posttraumatic stress disorder in road traffic accidents. Depress Anxiety. 2008;25(5):E16-23. Corpo de Bombeiros Militar do Estado do Rio de Janeiro: Manual B?sico de Bombeiro Militar, vol 1, 1? Ed. Revisado e Atualizado ? Rio de Janeiro ? 2014, DEGEI. Corrigan, M., McWilliams, R., Kelly, K. J., Niles, J.; Commarata, C., Jones, K., Prezant, D. J. (2009). A computerized, self-administered questionnaire to evaluate posttraumatic stress among firefighters after the World Trade Center collapse. American Journal of Public Health, 99(3), S702-9. doi:10.2105/AJPH.2008.151605 Creamer, M., Burgess, P., & McFarlane, A. C. (2001). Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being. Psychological medicine, 31(07), 1237-1247. Cruz, R. M. Sa?de, Trabalho e Psicopatologias. In: B. W. Aued (org.).Tra?os do Trabalho Coletivo.S?o Paulo: Casa do Psic?logo, 2005,pp.201-235. 70 Czarnocka J, Slade P. Prevalence and predictors of post-traumatic stress symptoms following childbirth. Br J Clin Psychol. 2000 Mar;39 ( Pt 1):35-51 Davis RC, Brickman E, Baker T. Supportive and unsupportive responses of others to rape victims: effects on concurrent victim adjustment. Am J Community Psychol. 1991 Jun;19(3):443-51. De Paula Lima, E. (2013). Transtorno de estresse p?s-traum?tico (TEPT) em bombeiros de Belo Horizonte. Decreto Estadual n? 41308 de 15 de maio de 2008 Dejours, C.; Abdoucheli, E; Jayet, C. Psicodin?mica do Trabalho:Contribui??es da Escola Dejouriana ? An?lise da Rela??o Prazer, Sofrimento e Trabalho. S?o Paulo: Atlas, 1994. Dejours, C. (1988). A Loucura do Trabalho: um Estudo da Psicopatologia do Trabalho. 3a ed. S?o Paulo: Cortez ? Obor?, 1?ed.,1949. Del Ben, K. S., Scotti, J. R., Chen, Y. C., & Fortson, B.L. (2006) Prevalence of Posttraumatic Stress Disorder symptoms in firefighters. Work & Stress, 20, 37-48. doi: 10.1080/02678370600679512 Delahanty DL, Raimonde AJ, Spoonster E,Cullado M. Injury severity, prior trauma history, urinary cortisol levels, and acute PTSD in motor vehicle accident victims. J Anxiety Disord. 2003;17(2):149-64. Deslandes, S. F. (2002). Fr?geis deuses: profissionais da emerg?ncia entre os danos da viol?ncia e a recria??o da vida. In Cole?Ao antropologia e sa?de(Vol. 8). Fiocruz. Duke, L. M., & Vasterlig, J. J. (2005). Epidemiological and methodological issues in neuropsychological research on PTSD. In J. J. Vasterling, & C. B. Brewin (Eds.), Neuropsychology of PTSD: Biological, Cognitive and Clinical Perspectives (pp. 3-24). New York: Guilford Press Dupont, H.J.S. Composi??o m?nima para guarni??es operacionais do Corpo de Bombeiro Militar do estado de Santa Catarina. Trabalho de conclus?o de curso (Especializa??o em Seguran?a P?blica). Universidade do Vale do Itajai ? UNIVALI. Itaja?, Santa Catarina, 2007. Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319-345 Eugene F, Levesque J, Mensour B, Leroux JM, Beaudoin G, Bourgouin P, et al. The impact of individual differences on the neural circuitry underlying sadness. Neuroimage. 2003;19(2 Pt 1):354-64. Farnsworth, J.K. & Sewell, K.W. (2011) Fear of Emotion as a Moderator Between PTSD and Fire fighter Social Interactions. Journal of Traumatic Stress, 24(4), 444-450. Figueira I, Mendlowicz M. Diagn?stico do transtorno de estresse p?s-traum?tico. Rev Bras Psiquiatr. 2003;25(Suppl 1):12-6. 71 Felippe, A. M. (2014). Transtorno de estresse p?s-traum?tico (TEPT) em mulheres v?timas de viol?ncia praticada por parceiro ?ntimo. Follette, V., Palm, K. M., & Pearson, A. N. (2006). Mindfulness and trauma: Implications for treatment. Journal of rational-emotive and cognitive-behavior therapy, 24(1), 45-61. Forsyth J.P., Marx B., Fus?, T.M.K., Heidt, J., Gallup, G.G. 2000. The Tonic Immobility Scale. Albany, NY: Authors. Fullerton, C., Ursano, R., & Wang, L. (2004). Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. The American Journal of Psychiatry, 161 (8), 1370-1376. Giacomoni, C. H. e Hutz, C. S. (1997). A mensura??o do bem-estar subjetivo: escala de afeto positivo e negativo e escala de satisfa??o de vida [Resumos]. Em Sociedade Interamericana de Psicologia (Org.), Anais XXVI Congresso Interamericano de Psicologia (p. 313). S?o Paulo, SP: SIP. Ginzburg K.; Ein-Dor T.; Solomon Z. Comorbidity of posttraumatic stress disorder, anxiety and depression: A 20-year longitudinal study of war veterans. Journal of Affective Disorders, v. 123, p. 249-257, 2010. Green, J. G., McLaughlin, K. A., Berglund, p. A., Gruber, M. J., Sampsom, N. A., Zaslavsky, A. M., et al. (2010). Childhood adversities and adult psychopathology in the National Comorbidity Survey Replication (NCS-R) I: Associations with first onset of DSM-IV disorders. Archives of General Psychiatry, 67, 113-123. Haddad N. Metodologia de estudos em ci?ncias da sa?de. 1st ed. Sao Paulo: Roca; 2004. Haden, S. C., Scarpa, A., Jones, R. T., & Ollendick, T. H. (2007). Posttraumatic stress disorder symptoms and injury: The moderating role of perceived social support and coping for young adults. Personality and Individual Differences, 42(7), 1187-1198. Hagh-Shenas, H., Goodarzi, M. A., Dehbozorgi, G., & Farashbandi, H. (2005). Psychological consequences of the Bam Earthquake on professional and nonprofessional helpers. Journal of Traumatic Stress, 18, 477-483. doi: 10.1002/jts.20055 Hatanaka M, Matsui Y, Maruyama S, et al:Traum?tic stress in Japanesefirefighters [in Japanese, English abstract.] Traumatic stress, 2004; 2:67-75. Heinrichs, M., WWagner, D., Schoch, W., Soraiva, L. M., Hellhanner, D. HH., & Ehlert, U. (2005). Predicting Posttraumatic Stress Symptoms From Pretraumatic Risk Factors: A 2 ? Yyear Prospective Follow-Up Study in Firefigters.American Journal of Psychiatry, 162, 2276-2286. Huizink AC, Slottje P, Witteveen AB, Bijlsma JA, Twisk JWR, Smidt N et al. Long term health complains following the Amsterdam Air Disaster in police officers and firefighters. Occup Environ Med 2006; 63: 657-62. Ikin J. F. et al. Comorbidity and depression in Korean war veterans: prevalence, predictors, and impairment. Journal of Affective Disorders, v. 125, n. 1-3, p. 279-286, 2010 72 Imanaka, A., Morinobu, S., Toki, S., & Yamawaki, S. (2006). Importance of early environment in the development of post-traumatic stress disorder-like behaviors. Behavioural brain research, 173(1), 129-137. Inslicht SS, McCaslin SE, Metzler TJ, Henn-Haase C, Hart SL, Maguen S, et al. Family psychiatric history, peritraumatic reactivity, and posttraumatic stress symptoms: a prospective studyof police. J Psychiatr Res. 2010 Jan;44(1):22-31 Jakupcak M, Cook J, Mcfall M. Posttraumatic Stress Disorder as a Risk Factor for Suicidal Ideation in Iraq and Afghanistan War Veterans. 2009;22(4):303?306. doi:10.1002/jts. Jonsson, A., & Segesten, K. (2004). Guilt, shame and need for a container: a study of posttraumatic stress among ambulance personnel. Accident and Emergency Nursing, 12 (4), 215-223. Katz S, Nevid JS. Risk factors associated with posttraumatic stress disorder symptomatology in HIV-infected women. AIDS Patient Care STDS. 2005 Feb;19(2):110- 20. Keane, T. M., Marshall, A. D., & Taft, C. T. (2006). Posttraumatic stress disorder: etiology, epidemiology, and treatment outcome. Annu. Rev. Clin. Psychol., 2, 161-197. Kessler RC, Borges BW, Walters EE. Prevalence and risk factors of lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry 1999;56:617-26. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey.Archives of general psychiatry, 52(12), 1048-1060. Koenen K. C. et al. The developmental mental-disorder histories of adults with posttraumatic stress disorder: a prospective longitudinal birth cohort study. Journal of Abnormal Psychology, v. 17, n. 2, p. 460-466, 2008. Kremen, W. S., Koenen, K. C., Boake, C., Purcell, S., Eisen, S. A., Franz, C. E., et al. (2007). Pretrauma cognitive ability and risk for posttraumatic stress disorder: A twin study. Archives of General Psychiatry, 64, 361-368 Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann, 32(9), 1-7. Kun, P., Han, S., Chen, X., & Yao, L. (2009). Prevalence and risk factors for posttraumatic stress disorder: a cross?sectional study among survivors of theWenchuan 2008 earthquake in China. Depression and anxiety, 26(12), 1134-1140. Lanius, R.A.; Hopper, J.W.; Menon, R.S. Individual differences in a husband and wife who developed PTSD after a motor vehicle accident: a functional MRI case study. Am J Psychiatry 160:667-669, 2003. Leite-Panissi, C. R. A., Coimbra, N. C., & Menescal-de-Oliveira, L. (2003). The cholinergic stimulation of the central amygdala modifying the tonic immobility response 73 and antinociception in guinea pigs depends on the ventrolateral periaqueductal gray. Brain Research Bulletin, 60(1), 167-178. Lemaire CM, Graham DP. Factors associated with suicidal ideation in OEF/OIF veterans. J Affect Disord. 2011;130(1-2):231?238.doi:10.1016/j.jad.2010.10.021. Lima, A., Fiszam A., Marques-Portella, C., Mendlowicz, M.V., Coutinho, E., Maia, D., Berger, W., Rocha-Rego, V., Volchan, E., Mari, J.J., Figueira, I. 2010. The impact of tonic immobility reaction on the prognosis of posttraumatic stress disorder. Journal of Psychiatric Research, 44(4):224-228. Lima, E. P., Assun??o, A. A. Preval?ncia e fatores associados ao Transtorno de Estresse P?s-Traum?tico (TEPT) em profissionais de emerg?ncia: uma revis?o sistem?tica da literatura. Revista Brasileira de Epidemiologia, v. 14, n. 2, p. 217-230, 2011. Lima, E. D. P., Assun??o, A. ?., & Barreto, S. M. (2015). Prevalence of depression among firefighters. Cadernos de Sa?de P?blica, 31(4), 733-743. Lopes C, Faerstein E, Chor D, Werneck G. 2008. Higher Risk of Common Mental Disorders After Experiencing Physical Violence in Rio De Janeiro, Brazil: the Pr?Sa?de Study. International Journal of Social Psychiatry.54; 112-117. Maercker, A., Beauducel, A., & Sch?tzwohl, M. (2000). Trauma severity and initial reactions as precipitating factors for posttraumatic stress symptoms and chronic dissociation in former political prisoners. Journal of Traumatic Stress, 13, 651-660. Maia, A. &, Fernandes, E. (2003). Quest?es de avalia??o da resposta ao trauma e PTSD. In M.G. Pereira, & M. Ferreira (Eds.), Stress Traum?tico. Lisboa: Climepsi Editores. Maia, A., & Ribeiro, E. (2010). The psychological impact of motor vehicle accidents on emergency service workers. European Journal of Emergency Medicine, 17 (5), 296-301. Maia, A., Moreira, S., & Fernandes, E. (2008). Adapta??o para a l?ngua portuguesa do Question?rio de Experi?ncias Dissociativas Peritraum?ticas (QEDP) numa amostra de bombeiros.Revista de Psiquiatria Cl?nica, 36 (1): 1-9. Maia, ?. (2007). Factores preditores de PTSD e crit?rios de selec??o em profissionais de actua??o na crise. Marcelino, D., & Figueiras, MJ. (2007). A perturba??o p?s-stress traum?tico nos socorristas de emerg?ncia pr?-hospitalar: Influ?ncia do sentido interno de coer?ncia e da personalidade. Psicologia, Sa?de & Doen?a, 8 (1), 95-106. Marcelino, D., Figueiras, M. J., & Claudino, A. (2012). Impacto da exposi??o a incidentes cr?ticos na sa?de e bem-estar psicol?gicos dos tripulantes de ambul?ncia. Psicologia, Sa?de & Doen?as, 13(1), 110-116. Margis, R. (2003) Comorbidade no transtorno de estresse p?s-traum?tico: Regra ou exce??o? Revista Brasileira de Psiquiatria, 25, 17-20. 74 Marmar CR, Weiss DS, Metzler TJ, Delucchi K. Characteristics of emergency services personnel related to peritraumatic dissociation during critical incident exposure. Am J Psychiatry. 1996, 153(7 Suppl):94-102. Marmar, C. R., Weiss, D. S., & Metzler, T. J. (1997). The peritraumatic dissociative experiences questionnaire. McNally, R. J. (2003). Progress and controversy in the study of posttraumatic stress disorder. Annual review of psychology, 54(1), 229-252. Meuer E. C. et al. Predictors of Posttraumatic Stress Disorder and Other Psychological Symptoms in Trauma-Exposed Firefighters. Psychological Services, v. 9, n. 1, p. 1-15, 2012fcv Milet, Nathalia de Carvalho. Sintomas de estresse p?s-traum?tico em bombeiros militares em Pernambuco: um estudo descritivo e sociodemogr?fico. Recife:2010.Disserta??o (mestrado) ? Universidade Federal de Pernambuco. CCS. Neuropsiquiatria e Ci?ncias do Comportamento. Milet, N. C., & Sougey, E. B. (2010). Preval?ncia de Transtorno de Estresse P?straum?tico em equipe do Salvamento Mar?timo do Corpo de Bombeiros Militares em Pernambuco e breve estudo sociodemogr?fico. Neurobiologia, 73(2), 89-95. Mitani, S. (2008). Comparative analysis of the Japanese Version of the Revised Impact of Event Scale: a study of firefighters. Prehospital and Disaster Medicine, 23, 20-26. Miyatake T, Katayama K, Takeda Y, Nakashima A, Sugita A, Mizumoto M. 2004. Is Death Feigning Adaptive? Heritable variation in fitness differences of death-feigning behaviour. Proc. R. Soc. Lond. B,271, 2293?2296. Monassi CR, Leite-Panissi CR, Menescal-de-OliveiraL. 1999. Ventrolateral periaqueductal gray matter and the control of tonic immobility. Brain Res. Bull. 50, 201?208. Monteiro, J.K.; Maus, D.; Machado, F.R.; Pesenti, C.; et al. Bombeiros: Um Olhar Sobre a Qualidade de Vida no Trabalho. Psicologia Ci?ncia e Profiss?o, v.27, n.3, p.554 -565, 2007. Monteiro, J. K., Abs, D., Labres, I. D., Maus, D., & Pioner, T. (2013). Firefighters: psychopathology and working conditions. Estudos de Psicologia (Campinas), 30(3), 437- 444. Moura, G. D. O. (2013). Indicadores de transtornos de estresse p?s-traum?tico em bombeiros militares. Nonnenmacher, D., Schaefer, L.S., Pioner, T. & Rigoli, M. M. (2006). Sintomatologia P?s Traum?tica em Bombeiros: Resultados preliminares. Universidade Cat?lica do Rio Grande do Sul. Rio Grande do Sul. North, C. S., Tivis, L., McMillen, J. C., Pfefferbaum, B., Cox, J., Spitznagel, E. L., ... ?& Smith, E. M. (2002). Coping, functioning, and adjustment of rescue workers after the Oklahoma City bombing. Journal of traumatic stress, 15(3), 171-175.?Donnell, M. L., 75 Creamer, M., Elliott, P., Bryant, R., McFarlane, A., & Silove, D. (2009). Prior trauma and psychiatric history as risk factors for intentional and unintentional injury in Australia. The Journal of Trauma, Injury, Infection, and Critical Care, 66, 470-476. Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychological Bulletin, 129,52- 73. Pereira MG, Monteiro-Ferreira J. Stress Traum?tico - Aspectos te?ricos e interven??o. Primeira E. Lisboa: CLIMEPSI Editores; 2003. Perrin, M.A., DiGrande, L., Wheeler, K., Thorpe, L., ?, Brackbill, R. (2007) Differences in PTSD Prevalence and Associate Risk Factors Among World Trade Center Disaster Rescue and Recovery Workers. American Journal of Psychiatry, 164: 1385-94. Reichenheim, M., Souza, W., Coutinho, E. S. F., Figueira, I., Quintana, M. I., de Mello, M. F., ... & Andreoli, S. B. (2014). Structural Validity of the Tonic Immobility Scale in a Population Exposed to Trauma: Evidence from Two Large Brazilian Samples. PloS one, 9(4), e94367. Rocha-Rego, V., Fiszman, A., Portugal, L. C., Pereira, M. G., de Oliveira, L., Mendlowicz, M. V., ... & Volchan, E. (2009). Is tonic immobility the core sign among conventional peritraumatic signs and symptoms listed for PTSD?.Journal of Affective Disorders, 115(1), 269-273. Sales, M. P., & Inocente, N. J. (2011). Estresse P?s-Traum?tico: Um Estudo Explorat?rio. Universidade de Taubat?. S?o Paulo. Santos, BFTavares, TN Munhoz, LS Almeida, NT Silva, BD Tams,AM Patella,A. Matijasevich. A sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre os adultos da popula??o geral Cad. Saude Publica, 29 (2013), pp. 1533-1543. Sbardelloto, G., Schaefer, L.S., Justo, A.R. & Kristensen, C.H. (2011) Transtorno de Estresse P?s-Traum?tico: evolu??o dos crit?rios diagn?sticos e preval?ncia. Psico - USF, 16(1), 67-73. Schaefer, L. S., Lobo, B. D. O. M., & Kristensen, C. H. (2012). Rea??es p?s-traum?ticas em adultos: como, por que e quais aspectos avaliar?. Temas em Psicologia, 20(2), 459- 478. Schestatsky S, et al. A evolu??o hist?rica do conceito de estresse p?s traum?tico. Rev Bras Psiquiatr 2003;25(supl.1):8-11 Schestatsky, S., Shansis, F., Ceitlin, L. H., Abreu, P. B., & Hauck, S. (2003). A evolu??o hist?rica do conceito de estresse p?s-traum?tico Historical evolution of the concept of posttraumatic stress disorder. Rev Bras Psiquiatr, 25(Supl I), 8-11. Schnurr, P. P. Friedman , M. J. Bernardy , N. C. (2002). Research on Posttraumatic Stress Disorder: Epidemiology, pathology, and assessment. Psychotherapy in Practice, 58, 877- 889. 76 Serra, A. V. (2003). O Dist?rbio de Stress P?s-Traum?tico (1? ed.). Linda-a-Velha: Vale & Vale Editores. Shalev, A. Y., Peri, T., Canetti, L., & Schreiber, S. (1996). Predictors of PTSD in injured trauma survivors: A prospective study. The American Journal of Psychiatry, 153, 219-226. Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: building a new framework for health promotion and disease prevention. Jama, 301(21), 2252-2259. Silveira, Marise Fagundes et al. Propriedades psicom?tricas do instrumento de avalia??o da qualidade de vida: 12-item health survey (SF-12). Ci?nc. sa?de coletiva [online]. 2013, vol.18, n.7, pp. 1923-1931. ISSN 1413-8123. http://dx.doi.org/10.1590/S1413- 8123201300070000 Slottje P, Witteveen AB, Twisk JWR, Smidt N, Huizink,AC, Mechelen W et al. Postdisaster physical symptoms of firefighters and police officers: role of types of exposure and Posttraumatic stress symptons. Br J Health Psychol 2008; 13: 327-42. Souza, W. F., Sintomas de Estresse P?s-Traum?tico em Militares Brasileiros em Miss?o de Paz no Haiti. ; Disserta??o submetida como parte dos requisitos necess?rios para a obten??o de Grau de Mestre em Ci?ncias. Escola Nacional de Sa?de P?blica. Rio de Janeiro.2007. SOUZA, W. F. Estudo Prospectivo do Impacto da Viol?ncia na Sa?de Mental das Tropas de Paz Brasileiras no Haiti. Rio de Janeiro, 2011. Tese (Doutorado em Sa?de P?blica) ? Escola Nacional de Sa?de P?blica (ENSP/Fiocruz) Stein, M., Jang, K., Taylor, S., Vernon, P., & Livesley, J. (2002). Genetic and environmental influences on trauma exposure and posttraumatic stress disorder symptoms: A twin study. American Journal of Psychiatry, 159, 1675-1681. Stellman, J. M., Smith, R. P., Katz, C. L., Sharma, V., Charney, D. S., Herbert, R., ... & Harrison, D. (2008). Enduring mental health morbidity and social function impairment in world trade center rescue, recovery, and cleanup workers: the psychological dimension of an environmental health disaster. Environmental health perspectives, 116(9), 1248. Sterud, T., Ekeberg, ?., & Hem, E. (2006). Health status in the ambulance services: a systematic review. BMC Health Services Research, 6(1), 82. Su CY, Tsai KY, Chou FH, Ho WW, Liu R, Lin WK. A three-year follow-up study of the psychosocial predictors of delayed and unresolved post-traumatic stress disorder in Taiwan Chi-Chi earthquake survivors. Psychiatry Clin Neurosci. 2010 Jun;64(3):239-48. Taylor, S. (2006). Clinician's guide to PTSD: A cognitive-behavioral approach. Guilford Press. Tolin DF, Foa EB. Sex differences intrauma and posttraumaticstress disorder: a quantitative review of 25 years of research. Psychol Bull. 2006 Nov;132(6):959-92. Van Der Velden P. G., Kleber R. J., Grievink l., Yzermans J. C. Confrontations with aggression and mental health problems in police officers: the role of 77 organizational stressors, life-events and previous mental health problems. Psychological Trauma (DNLM), v. 2, n. 2, p. 135-44, 2010. Van der Ploeg, E., & Kleber R. (2003). Acute and chronic job stressors among ambulance personnel: predictors of health symptoms. Occupational and Environmental Medicine, 60 (supp I), i40-i46. Vianna, A. M. (2008), Tra?os de personalidade e fatores de resili?ncia relacionados ao desenvolvimento de transtorno de estresse p?s-traum?tico subcl?nico em policiais militares (Disserta??o de mestrado Faculdades de Ci?ncias Medicas da Santa Casa de S?o Paulo, S?o Paulo). Ware JE, Kosinski M, Keller SD. SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales. 2nd Edition. Boston: The Health Institute, New England Medical Center; 1995. Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology, 54(6), 1063. Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A., & Keane, T. M. (1993, October). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. In Annual Convention of the International Society for Traumatic Stress Studies. San Antonio: International Society for Traumatic Stress Studies. Wittmann L. et al. Comorbidity in posttraumatic stress disorder: a structural equation modelling approach. Comprehensive Psychiatry, v. 49, p. 430-440, 2008. Witteveen AB, Bramsen I, Twisk JWR, Huizink AC, Slottje P, Smid T et al. Psychological Distress of Rescue Workers Eight and One-Half Years After Professional Involvement in the Amsterdam Air Disaster. J Nerv Ment Dis 2007; 195: 31-40. Zhen, Y., Huang, Z., Jin, J., Deng, X., Zhang, L., & Wang, J. (2012). Posttraumatic Stress Disordeer of red cross nurses in the aftermath of 2008 Wenchuan China Earthquake. Archives of Psychiatric Nursing, 26, 63-70. doi: 10.1016/j.apnu.2011.02.004.
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal Rural do Rio de Janeiro
dc.publisher.program.fl_str_mv Programa de P?s-Gradua??o em Psicologia
dc.publisher.initials.fl_str_mv UFRRJ
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Instituto de Educa??o
publisher.none.fl_str_mv Universidade Federal Rural do Rio de Janeiro
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UFRRJ
instname:Universidade Federal Rural do Rio de Janeiro (UFRRJ)
instacron:UFRRJ
instname_str Universidade Federal Rural do Rio de Janeiro (UFRRJ)
instacron_str UFRRJ
institution UFRRJ
reponame_str Biblioteca Digital de Teses e Dissertações da UFRRJ
collection Biblioteca Digital de Teses e Dissertações da UFRRJ
bitstream.url.fl_str_mv http://localhost:8080/tede/bitstream/jspui/5232/4/2016+-+Tha%C3%ADs+Gouv%C3%AAa+da+Silva+Santana.pdf.jpg
http://localhost:8080/tede/bitstream/jspui/5232/3/2016+-+Tha%C3%ADs+Gouv%C3%AAa+da+Silva+Santana.pdf.txt
http://localhost:8080/tede/bitstream/jspui/5232/2/2016+-+Tha%C3%ADs+Gouv%C3%AAa+da+Silva+Santana.pdf
http://localhost:8080/tede/bitstream/jspui/5232/1/license.txt
bitstream.checksum.fl_str_mv cc73c4c239a4c332d642ba1e7c7a9fb2
7150d8729e29a637b1f6c9ad2665e3b6
888ed242c48553f345eb556e1bc36ccf
7b5ba3d2445355f386edab96125d42b7
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
repository.name.fl_str_mv Biblioteca Digital de Teses e Dissertações da UFRRJ - Universidade Federal Rural do Rio de Janeiro (UFRRJ)
repository.mail.fl_str_mv bibliot@ufrrj.br||bibliot@ufrrj.br
_version_ 1797220353696595968