Incerteza na doença e motivação para o tratamento em diabéticos tipo 2

AIMS: To characterize the uncertainty in illness and the motivation for treatment and to evaluate the existing relation between these variables in individuals with type 2 diabetes. METHOD: Descriptive, correlational study, using a sample of 62 individuals in diabetes consultation sessions. The Uncertainty Stress Scale and the Treatment Self-Regulation Questionnaire were used. RESULTS: The individuals with type 2 diabetes present low levels of uncertainty in illness and a high motivation for treatment, with a stronger intrinsic than extrinsic motivation. A negative correlation was verified between the uncertainty in the face of the prognosis and treatment and the intrinsic motivation. DISCUSSION: These individuals are already adapted, acting according to the meanings they attribute to illness. Uncertainty can function as a threat, intervening negatively in the attribution of meaning to the events related to illness and in the process of adaptation and motivation to adhere to treatment. Intrinsic motivation seems to be essential to adhere to treatment.OBJETIVOS: Caracterizar la incertidumbre ante la enfermedad y la motivación para el tratamiento y evaluar la relación existente entre estas variables en diabéticos tipo 2. MÉTODO: Estudio descriptivo, correlacional, en una muestra de 62 diabéticos atendidos en consulta. Usadas la Escala de Incertidumbre ante la Enfermedad y la Escala de Motivación para el Tratamiento. RESULTADOS: Los diabéticos tipo 2 presentan bajos niveles de incertidumbre ante la enfermedad y una elevada motivación para el tratamiento, siendo la motivación intrínseca más elevada que la extrínseca. Se verificó correlación negativa entre la incertidumbre frente al pronóstico y tratamiento y la motivación intrínseca para el tratamiento. DISCUSIÓN: Estos pacientes se encuentran adaptados actuando en conformidad con los significados que atribuyen a la enfermedad. La incertidumbre puede funcionar como amenaza interfiriendo negativamente en la atribución de significados de los acontecimientos relacionados con la enfermedad y con el proceso de adaptación y motivación para adherirse al tratamiento. La motivación intrínseca parece ser un aspecto fundamental en la motivación para el tratamiento.OBJETIVOS: Caracterizar a incerteza na doença e a motivação para o tratamento e avaliar a relação existente entre estas variáveis, em diabéticos tipo 2. MÉTODO: Estudo descritivo, correlacional, numa amostra de 62 diabéticos atendidos em consulta. Aplicadas a Escala de Incerteza na Doença e a Escala de Motivação para o Tratamento. RESULTADOS: Os diabéticos tipo 2 apresentam baixos níveis de incerteza na doença e elevada motivação para o tratamento. A motivação intrínseca é mais elevada do que a extrínseca. Existe uma correlação negativa entre a incerteza face ao prognóstico e tratamento e a motivação intrínseca para o tratamento. DISCUSSÃO: Os resultados sugerem que estes indivíduos se encontram adaptados agindo em conformidade com os significados que atribuem à doença. A incerteza pode funcionar como ameaça interferindo negativamente na atribuição de significados aos acontecimentos relacionados com a doença e com o processo de adaptação e motivação para adesão ao tratamento. A motivação intrínseca parece ser um aspecto fundamental na motivação para o tratamento

Illness uncertainty and treatment motivation in type 2 diabetes patients

AIMS: To characterize the uncertainty in illness and the motivation for treatment and to evaluate the existing relation between these variables in individuals with type 2 diabetes. METHOD: Descriptive, correlational study, using a sample of 62 individuals in diabetes consultation sessions. The Uncertainty Stress Scale and the Treatment Self-Regulation Questionnaire were used. RESULTS: The individuals with type 2 diabetes present low levels of uncertainty in illness and a high motivation for treatment, with a stronger intrinsic than extrinsic motivation. A negative correlation was verified between the uncertainty in the face of the prognosis and treatment and the intrinsic motivation. DISCUSSION: These individuals are already adapted, acting according to the meanings they attribute to illness. Uncertainty can function as a threat, intervening negatively in the attribution of meaning to the events related to illness and in the process of adaptation and motivation to adhere to treatment. Intrinsic motivation seems to be essential to adhere to treatment

Illness uncertainty and treatment motivation in type 2 diabetes patients

AIMS: To characterize the uncertainty in illness and the motivation for treatment and to evaluate the existing relation between these variables in individuals with type 2 diabetes. METHOD: Descriptive, correlational study, using a sample of 62 individuals in diabetes consultation sessions. The Uncertainty Stress Scale and the Treatment Self-Regulation Questionnaire were used. RESULTS: The individuals with type 2 diabetes present low levels of uncertainty in illness and a high motivation for treatment, with a stronger intrinsic than extrinsic motivation. A negative correlation was verified between the uncertainty in the face of the prognosis and treatment and the intrinsic motivation. DISCUSSION: These individuals are already adapted, acting according to the meanings they attribute to illness. Uncertainty can function as a threat, intervening negatively in the attribution of meaning to the events related to illness and in the process of adaptation and motivation to adhere to treatment. Intrinsic motivation seems to be essential to adhere to treatment

Contribuições da Sociologia na América Latina à imaginação sociológica: análise, crítica e compromisso social Sociology's contribution in Latin America to sociological imagination: analysis, critique, and social commitment

O artigo aborda o papel desempenhado pela Sociologia na análise dos processos de transformação das sociedades latino-americanas, no acompanhamento do processo de construção do Estado e da Nação, na problematização das questões sociais na América Latina. São analisados seis períodos na Sociologia na América Latina e no Caribe: I) a herança intelectual da Sociologia ; II) a sociologia da cátedra; III) O período da "Sociologia Científica" e a configuração da "Sociologia Crítica"; IV) a crise institucional, a consolidação da "Sociologia Crítica" e a diversificação da sociologia; V) a sociologia do autoritarismo, da democracia e da exclusão; VI) a consolidação institucional e a mundialização da sociologia da América Latina (desde o ano de 2000), podendo-se afirmar que os traços distintivos do saber sociológico no continente foram: o internacionalismo, o hibridismo, a abordagem crítica dos processos e conflitos das sociedades latino-americanas e o compromisso social do sociólogo.<br>The article focuses on the role played by Sociology in the analysis of processes of change in Latin American societies, in the process of construction of Nation and State, in the debate of social issues in Latin America and the Caribbean. Six periods in Sociology in Latin America and the Caribbean are examined: I) sociology's intellectual legacy; II) sociology as a cathedra; III) the period of "Scientific Sociology"; IV) the institutional crisis, the consolidation of "Critical Sociology", and the diversifying of sociology; V) sociology of authoritarianism, democracy and exclusion; VI) institutional consolidation and globalization of Latin American sociology (since 2000). It may be said that the distinctive features of sociological knowledge in the continent were: internationalism, hybridism, the critical approach to processes and conflicts of Latin American societies, and the sociologist social commitment

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved