<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1647-2160</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Enfermagem de Saúde Mental]]></journal-title>
<abbrev-journal-title><![CDATA[Revista Portuguesa de Enfermagem de Saúde Mental]]></abbrev-journal-title>
<issn>1647-2160</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Enfermagem de Saúde Mental]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1647-21602022000100140</article-id>
<article-id pub-id-type="doi">10.19131/rpesm.330</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Contexto familiar e sofrimento mental em adolescentes: uma revisão integrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Family context and mental suffering in adolescents: an integrative review]]></article-title>
<article-title xml:lang="es"><![CDATA[Contexto familiar y sufrimiento mental en adolescentes: una revisión integradora]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Maria das Graças de Melo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Luisa Helena de Oliveira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Malvina Thais Pacheco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mascarenhas]]></surname>
<given-names><![CDATA[Márcio Dênis Medeiros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moura]]></surname>
<given-names><![CDATA[Joana Célia Ferreira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leal]]></surname>
<given-names><![CDATA[Iracynetta Passos de Sousa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal do Piauí Centro de Ciências da Saúde ]]></institution>
<addr-line><![CDATA[Teresina ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Grupo de Pesquisa Inovação e Tecnologia no Ensino e no Cuidado em Saúde  ]]></institution>
<addr-line><![CDATA[Teresina ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Federal do Piauí Centro de Inteligência em Agravos Tropicais Emergentes e Negligenciados ]]></institution>
<addr-line><![CDATA[Teresina ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<numero>27</numero>
<fpage>140</fpage>
<lpage>157</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1647-21602022000100140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1647-21602022000100140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1647-21602022000100140&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Contexto:  A adolescência é um período de fragilidade que pode potencializar o surgimento de eventos estressores e crises. Diversos fatores têm sido associados a problemas de saúde mental no adolescente, sendo a família, um eixo fundamental a ser avaliado, pois pode apresentar fatores de proteção e risco para o adolescente.  Objetivo:  Identificar situações do contexto familiar que ocasionam sofrimento mental em adolescentes.  Método:  Trata-se de uma revisão integrativa norteada pelas recomendações do modelo PRISMA, realizada nas bases de dados PubMed, LILACS e SciELO, com publicações de 2014 a 2019, utilizando os descritores &#8220;adolescent&#8221;, &#8220;mental health&#8221; e &#8220;family relations&#8221;.  Resultados:  Foram incluídos 19 estudos, predominando publicações internacionais. As situações do contexto familiar que se associam ao sofrimento mental de adolescentes são o estilo parental, sofrimento mental dos pais, conflito e violência intrafamiliar, abuso de substâncias psicoativas por familiares, divórcio, migração e encarceramento parental. O sofrimento mental dos adolescentes foi evidenciado por uma série de sintomas internalizantes e externalizantes, risco aumentado de automutilação e tentativa de suicídio, além do uso nocivo de substâncias psicoativas.  Conclusão:  Os resultados obtidos reforçam a vulnerabilidade dos adolescentes ao sofrimento mental e apontam a necessidade de desenvolver intervenções eficazes no enfrentamento desse importante problema de saúde pública além do fortalecimento das redes de apoio aos adolescentes e famílias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Context:  Adolescence is a period of fragility that can potentiate the emergence of stressful events and crises. Several factors have been associated with mental health problems in adolescents, being the family, a fundamental axis to be evaluated, as it may present protective and risk factors for the adolescent.  Objective:  To identify situations in the family context that cause mental suffering in adolescents.  Method:  This is an integrative review guided by the recommendations of the PRISMA model, carried out in the databases PubMed, LILACS and SciELO, with publications from 2014 to 2019, using the descriptors "adolescent", "mental health" and "family relations".  Results:  19 studies were included, with predominance of international publications. The situations in the family context that are associated with the mental suffering of adolescents are the parenting style, the parents' mental suffering, conflict and intrafamily violence, abuse of psychoactive substances by family members, divorce, migration and parental incarceration. The adolescents' mental suffering was evidenced by a series of internalizing and externalizing symptoms, an increased risk of self-mutilation and attempted suicide in addition to the harmful use of psychoactive substances.  Conclusion:  The results obtained reinforce the vulnerability of adolescents to mental suffering and point to the need to develop effective interventions to deal with this important public health problem, in addition to strengthening support networks for adolescents and families.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Contexto:  La adolescencia es un período de fragilidad que puede potenciar el surgimiento de crisis y eventos estresantes. Varios factores se han asociado a los problemas de salud mental en el adolescente, siendo la familia un eje fundamental a evaluar, ya que puede presentar factores protectores y de riesgo para el adolescente.  Objetivo:  Identificar situaciones en el contexto familiar que provocan sufrimiento mental en adolescentes.  Método:  Se trata de una revisión integradora guiada por las recomendaciones del modelo PRISMA, realizada en las bases de datos PubMed, LILACS y SciELO, con publicaciones de 2014 a 2019, utilizando los descriptores "adolescente", "salud mental" y "relaciones familiares".  Resultados:  Se incluyeron 19 estudios, con predominio de publicaciones internacionales. Las situaciones en el contexto familiar que se asocian al sufrimiento mental de los adolescentes son el estilo de crianza, el sufrimiento mental de los padres, el conflicto y la violencia intrafamiliar, el abuso de sustancias psicoactivas por parte de los familiares, el divorcio, la migración y el encarcelamiento de los padres. El sufrimiento mental de los adolescentes se evidenció por una serie de síntomas internalizantes y externalizantes, un mayor riesgo de automutilación e intento de suicidio, además del uso nocivo de sustancias psicoactivas.  Conclusión:  Los resultados obtenidos refuerzan la vulnerabilidad de los adolescentes al sufrimiento mental y señalan la necesidad de desarrollar intervenciones efectivas para enfrentar este importante problema de salud pública, además de fortalecer las redes de apoyo a adolescentes y familias.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Adolescentes]]></kwd>
<kwd lng="pt"><![CDATA[Sofrimento mental]]></kwd>
<kwd lng="pt"><![CDATA[Relações familiares]]></kwd>
<kwd lng="en"><![CDATA[Adolescents]]></kwd>
<kwd lng="en"><![CDATA[Mental suffering]]></kwd>
<kwd lng="en"><![CDATA[Family relationships]]></kwd>
<kwd lng="es"><![CDATA[Adolescentes]]></kwd>
<kwd lng="es"><![CDATA[Sufrimiento mental]]></kwd>
<kwd lng="es"><![CDATA[Relaciones familiares]]></kwd>
</kwd-group>
</article-meta>
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