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Perceptions of the oral health of their patients reported by Brazilian medical residents in psychiatry

Persons with severe mental disorders have higher chances of presenting oral health problems than persons in the general population. Mental disorders are considered public-health problems worldwide. Interpreting statements on oral health made by medical students receiving instruction in psychiatry is...

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Autores principales: Guerra, Luciane Miranda, Gondinho, Brunna Verna Castro, Bastos, Rodrigo Almeida, dos Santos Silva, Felipe, Octaviani, Júlia Vitório, de Matos Cavalcante, Jasmine, Turato, Egberto Ribeiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109482/
https://www.ncbi.nlm.nih.gov/pubmed/37068082
http://dx.doi.org/10.1371/journal.pone.0282945
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author Guerra, Luciane Miranda
Gondinho, Brunna Verna Castro
Bastos, Rodrigo Almeida
dos Santos Silva, Felipe
Octaviani, Júlia Vitório
de Matos Cavalcante, Jasmine
Turato, Egberto Ribeiro
author_facet Guerra, Luciane Miranda
Gondinho, Brunna Verna Castro
Bastos, Rodrigo Almeida
dos Santos Silva, Felipe
Octaviani, Júlia Vitório
de Matos Cavalcante, Jasmine
Turato, Egberto Ribeiro
author_sort Guerra, Luciane Miranda
collection PubMed
description Persons with severe mental disorders have higher chances of presenting oral health problems than persons in the general population. Mental disorders are considered public-health problems worldwide. Interpreting statements on oral health made by medical students receiving instruction in psychiatry is essential to provide elements for reflection on their difficulties, barriers or limited knowledge in managing their patients’ oral health. Based on the presupposition that doctors provide their patients with no instruction or support concerning oral complaints, because these do not symbolize the same challenges as those emerging from severe mental disorders. The aim of this study was to interpret symbolic meanings of statements expressed by medical residents in psychiatry at a specialized university outpatient clinic, about their patients’ oral health. Qualitative research using the Qualitative-Clinical method was conducted, adopting the theoretical reference of medical psychology. Data were analyzed by the Clinical-Qualitative Content method and the Seven-Step technique. Based on 06 interviews analyzed, the following categories emerged: “What do I do? Psychiatrists’ dilemmas about not understanding their role in patients’ oral health; and “Dentists do not participate in Balint’ so-called “collusion in anonymity”. It was concluded that among others, the paradigm consisted of a sociological composition, therefore it was stronger than personal decisions that might eventually oppose the barriers to interdisciplinary work posed by the institutional model, which were intertwined with paradigmatic barriers. Thus, specialist training should include a dental perspective, so that oral examinations would always be included in the physical examinations, from an interdisciplinary perspective of the integrity of health-care.
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spelling pubmed-101094822023-04-18 Perceptions of the oral health of their patients reported by Brazilian medical residents in psychiatry Guerra, Luciane Miranda Gondinho, Brunna Verna Castro Bastos, Rodrigo Almeida dos Santos Silva, Felipe Octaviani, Júlia Vitório de Matos Cavalcante, Jasmine Turato, Egberto Ribeiro PLoS One Research Article Persons with severe mental disorders have higher chances of presenting oral health problems than persons in the general population. Mental disorders are considered public-health problems worldwide. Interpreting statements on oral health made by medical students receiving instruction in psychiatry is essential to provide elements for reflection on their difficulties, barriers or limited knowledge in managing their patients’ oral health. Based on the presupposition that doctors provide their patients with no instruction or support concerning oral complaints, because these do not symbolize the same challenges as those emerging from severe mental disorders. The aim of this study was to interpret symbolic meanings of statements expressed by medical residents in psychiatry at a specialized university outpatient clinic, about their patients’ oral health. Qualitative research using the Qualitative-Clinical method was conducted, adopting the theoretical reference of medical psychology. Data were analyzed by the Clinical-Qualitative Content method and the Seven-Step technique. Based on 06 interviews analyzed, the following categories emerged: “What do I do? Psychiatrists’ dilemmas about not understanding their role in patients’ oral health; and “Dentists do not participate in Balint’ so-called “collusion in anonymity”. It was concluded that among others, the paradigm consisted of a sociological composition, therefore it was stronger than personal decisions that might eventually oppose the barriers to interdisciplinary work posed by the institutional model, which were intertwined with paradigmatic barriers. Thus, specialist training should include a dental perspective, so that oral examinations would always be included in the physical examinations, from an interdisciplinary perspective of the integrity of health-care. Public Library of Science 2023-04-17 /pmc/articles/PMC10109482/ /pubmed/37068082 http://dx.doi.org/10.1371/journal.pone.0282945 Text en © 2023 Guerra et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Guerra, Luciane Miranda
Gondinho, Brunna Verna Castro
Bastos, Rodrigo Almeida
dos Santos Silva, Felipe
Octaviani, Júlia Vitório
de Matos Cavalcante, Jasmine
Turato, Egberto Ribeiro
Perceptions of the oral health of their patients reported by Brazilian medical residents in psychiatry
title Perceptions of the oral health of their patients reported by Brazilian medical residents in psychiatry
title_full Perceptions of the oral health of their patients reported by Brazilian medical residents in psychiatry
title_fullStr Perceptions of the oral health of their patients reported by Brazilian medical residents in psychiatry
title_full_unstemmed Perceptions of the oral health of their patients reported by Brazilian medical residents in psychiatry
title_short Perceptions of the oral health of their patients reported by Brazilian medical residents in psychiatry
title_sort perceptions of the oral health of their patients reported by brazilian medical residents in psychiatry
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109482/
https://www.ncbi.nlm.nih.gov/pubmed/37068082
http://dx.doi.org/10.1371/journal.pone.0282945
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